DAY KIMBALL HEALTHCARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
DAY KIMBALL HEALTHCARE INC (EIN 06-0646599)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-13
IRS object ID
202632259349300043
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-13T09:37:27+00:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS MAZARS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200 PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646599EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAYKBusinessNameControlTxt
Phone8609286541PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKYLE KRAMERPersonNm
Person TitleCEOPersonTitleTxt
Phone8609286541PhoneNum
Signature2026-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAYLA BELLPreparerPersonNm
PTINP01682975PTIN
Phone4178658701PhoneNum
Preparation2026-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HOSPITALBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1KYLE KRAMERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 POMRET STREETAddressLine1Txt
CityPUTNAMCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06260ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$141,583,720GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DAYKIMBALL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1894FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionDKH IS A SHORT-TERM GENERAL CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO NORTHEASTERN CT AND BORDER COMMUNITIES IN MA AND RI.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1037TotalEmployeeCnt
Total Volunteers69TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,356,434PYContributionsGrantsAmt
CY Contributions Grants$8,584,423CYContributionsGrantsAmt
PY Program Service Revenue$120,233,468PYProgramServiceRevenueAmt
CY Program Service Revenue$126,700,920CYProgramServiceRevenueAmt
PY Investment Income$1,077,905PYInvestmentIncomeAmt
CY Investment Income$1,220,615CYInvestmentIncomeAmt
PY Other Revenue$1,805PYOtherRevenueAmt
CY Other Revenue$43,284CYOtherRevenueAmt
PY Total Revenue$128,669,612PYTotalRevenueAmt
CY Total Revenue$136,549,242CYTotalRevenueAmt
PY Grants And Similar Paid$18,440PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$115,940CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$57,939,132PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,848,238CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$71,237,240PYOtherExpensesAmt
CY Other Expenses$79,265,587CYOtherExpensesAmt
PY Total Expenses$129,194,812PYTotalExpensesAmt
CY Total Expenses$140,229,765CYTotalExpensesAmt
PY Revenues Less Expenses-$525,200PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,680,523CYRevenuesLessExpensesAmt
Total Assets BOY$74,951,200TotalAssetsBOYAmt
Total Assets EOY$70,003,791TotalAssetsEOYAmt
Total Liabilities BOY$86,241,898TotalLiabilitiesBOYAmt
Total Liabilities EOY$97,333,509TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$11,290,698NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$27,329,718NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF DAY KIMBALL HEALTHCARE IS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY BY PROVIDING THE BEST MEDICAL CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$120,652,821ExpenseAmt
Grant$115,940GrantAmt
Revenue$117,304,808RevenueAmt
DescDAY KIMBALL HEALTHCARE PROVIDES A COMPREHENSIVE HEALTHCARE SYSTEM OFFERING PRIMARY CARE AND A MULTITUDE OF MEDICAL AND SURGICAL SPECIALTIES ALONG WITH LEADING -EDGE TECHNOLOGY AND SOPHISTICATED DIAGNOSTICS. OUR SERVICE ARE INCLUDES NORTHEAST CONNECTICUT AS WELL AS NEARBY MASSACHUSETTS AND RHODE ISLAND COMMUNITIES. DAY KIMBALL HEALTHCARE'S COMPREHENSIVE NETWORK OFFERS MORE THAN 1,000 EMPLOYEES INCLUDING MORE THAN 200 HIGHLY SKILLED PHYSICIANS, SURGEONS AND SPECIALISTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,664,288ExpenseAmt
Grant$0GrantAmt
Revenue$9,396,112RevenueAmt
DescPHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$130,317,109TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document88IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1037EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
EDWIN HIGGINS
TREASURER1.00Yes (X)Yes (X)$0$0$0
JAY CYR
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
KATHY ROCHA
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
KYLE KRAMER
CHIEF EXECUTIVE OFFICER40.02.0Yes (X)Yes (X)$0$0$0
PETER DEARY
CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
RICHARD WILCON MD
PRESIDENT / MEDICAL STAFF1.040.0Yes (X)Yes (X)$32,248$572,825$31,126
ANNE LAMONDY
DIRECTOR1.00Yes (X)$0$0$0
JAMES ZAHANSKY
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY RAWSON
DIRECTOR1.00Yes (X)$0$0$0
KAREN COLE
DIRECTOR1.00Yes (X)$0$0$0
KRISTEN XELLER MD
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW DESAULNIER
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL BAUM MD
DIRECTOR1.041.0Yes (X)$0$275,148$28,679
NANCY WEISS
DIRECTOR1.01.0Yes (X)$0$0$0
PAUL MATTY MD
DIRECTOR1.040.0Yes (X)$13,000$253,585$27,139
PAUL SWEET
DIRECTOR1.00Yes (X)$0$0$0
STEPHEN SCHIFF MD
DIRECTOR1.040.0Yes (X)$13,000$414,334$31,328
STEVEN WEXLER MD
DIRECTOR1.00Yes (X)$0$0$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER40.02.0Yes (X)$434,311$0$552
JOHN O'KEEFE
CNO40.00$279,490$0$28,880Yes (X)
ALEJANDRO CARVAJAL
PHYSICIAN40.00$506,444$0$20,069Yes (X)
ALEXANDRE CARRE
PHYSICIAN40.00$360,645$0$391Yes (X)
CHERYL PETRARCA
EXECUTIVE DIRECTOR OF PATIENT CARE40.00$198,459$0$6,523Yes (X)
JOHN MODICA
PHYSICIAN40.00$314,423$0$18,863Yes (X)
VANESSA BROWN
VP, MED AFFAIRS40.00$281,521$0$12,022Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,433,541TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,515,892TotReportableCompRltdOrgAmt
Total Other Compensation$205,572TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K83IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MEDICAL SOLUTIONS INC
PO BOX 850737MINNEAPOLISMN554850737TEMP WORKERS$4,114,219
ENSEMBLE RCM LLC
PO BOX 639076CINCINNATIOH45263OUTSOURCED SERVICES$3,141,146
SODEXO OPERATIONS LLC
P O BOX 360170PITTSBURGHPA152516170FOOD SERVICES$2,734,920
NAPA
68 SOUTH SERVICE ROADMELVILLENY11747OUTSOURCED SERVICES$1,940,913SUITE 350
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC272162140OUTSOURCED SERVICES$1,611,863
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K37CntrctRcvdGreaterThan100KCnt
Related Organizations$950,000RelatedOrganizationsAmt
Government Grants$7,586,887GovernmentGrantsAmt
All Other Contributions$47,536AllOtherContributionsAmt
Total Contributions$8,584,423TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$117,875,827$117,875,827
MEDICAID SUPPLEMENTAL PAYMENTS900099$4,321,578$4,321,578
SMALL HOSPITAL POOL REVENUE900099$3,447,316$3,447,316
CAFETERIA722514$564,671$564,671
AFFILIATED ORGANIZATION RENT531120$315,300$315,300

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,228TotalRevenueColumnAmt
Related Or Exempt Func Income$176,228RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$126,700,920TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$437,472TotalRevenueColumnAmt
Exclusion$437,472ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$222,262RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$43,284RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,284TotalRevenueColumnAmt
Exclusion$43,284ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,228,841SecuritiesAmt
Other$409,802OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,854,782SecuritiesAmt
Other$718OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$374,059SecuritiesAmt
Other$409,084OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$783,143TotalRevenueColumnAmt
Exclusion$783,143ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,549,242TotalRevenueColumnAmt
Related Or Exempt Func Income$126,700,920RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,263,899ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$115,940TotalAmt
Program Services$115,940ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$801,481TotalAmt
Program Services$366,618ProgramServicesAmt
Management And General$434,863ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,717,991TotalAmt
Program Services$44,416,827ProgramServicesAmt
Management And General$4,301,164ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$690,739TotalAmt
Program Services$623,782ProgramServicesAmt
Management And General$66,957ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,952,966TotalAmt
Program Services$6,285,264ProgramServicesAmt
Management And General$667,702ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,685,061TotalAmt
Program Services$3,331,972ProgramServicesAmt
Management And General$353,089ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$773,854TotalAmt
Management And General$773,854ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$240,594TotalAmt
Management And General$240,594ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$70,121TotalAmt
Management And General$70,121ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$49,094TotalAmt
Management And General$49,094ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,193,080TotalAmt
Program Services$20,397,570ProgramServicesAmt
Management And General$795,510ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$126,605TotalAmt
Program Services$114,474ProgramServicesAmt
Management And General$12,131ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,327,621TotalAmt
Program Services$3,008,782ProgramServicesAmt
Management And General$318,839ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,271,269TotalAmt
Program Services$3,862,012ProgramServicesAmt
Management And General$409,257ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,552,084TotalAmt
Program Services$2,307,553ProgramServicesAmt
Management And General$244,531ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$211,492TotalAmt
Program Services$191,228ProgramServicesAmt
Management And General$20,264ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,264TotalAmt
Program Services$2,951ProgramServicesAmt
Management And General$313ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,802,436TotalAmt
Program Services$1,629,733ProgramServicesAmt
Management And General$172,703ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,672,141TotalAmt
Program Services$4,224,474ProgramServicesAmt
Management And General$447,667ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,978,637TotalAmt
Program Services$2,693,235ProgramServicesAmt
Management And General$285,402ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$19,652,378$19,652,378
PROVIDER TAX$14,864,316$14,864,316
REPAIRS & MAINTENANCE$1,080,212$976,710$103,502
EQUIPMENT RENTAL$976,614$883,039$93,575

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$419,775TotalAmt
Program Services$368,251ProgramServicesAmt
Management And General$51,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$140,229,765TotalAmt
Program Services$130,317,109ProgramServicesAmt
Management And General$9,912,656ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,893,868BOYAmt
EOY$5,836,868EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,031,731BOYAmt
EOY$14,922,727EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,423,550BOYAmt
EOY$3,439,147EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$509,395BOYAmt
EOY$784,992EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$147,526,604LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$114,395,708LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,643,625BOYAmt
EOY$33,130,896EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,675,134BOYAmt
EOY$9,739,672EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$32,803BOYAmt
EOY$33,560EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,741,094BOYAmt
EOY$2,115,929EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,951,200BOYAmt
EOY$70,003,791EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,070,068BOYAmt
EOY$70,151,474EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,105,172BOYAmt
EOY$12,552,323EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,852,434BOYAmt
EOY$9,484,374EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$212,518BOYAmt
EOY$141,318EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,001,706BOYAmt
EOY$5,004,020EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,241,898BOYAmt
EOY$97,333,509EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$18,206,583BOYAmt
EOY-$34,509,503EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,915,885BOYAmt
EOY$7,179,785EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$11,290,698BOYAmt
EOY-$27,329,718EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,951,200BOYAmt
EOY$70,003,791EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,680,523ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$51,084NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,409,581OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$14,704DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$55,417OtherActivitiesAmt
Total Lobbying Expenditures$70,121TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH REGISLATORSDAY KIMBALL HEALTHCARE, INC. ENGAGED IN DIRECT GOVERNMENTAL AFFAIRS AND HEALTHCARE ADVOCACY CONTACTS WITH LEGISLATORS, LEGISLATIVE STAFF, STATE AND LOCAL GOVERNMENT OFFICIALS, AND PUBLIC-SECTOR BODIES. THESE ACTIVITIES INCLUDED CALLS, MEETINGS, EVENTS, PRESS CONFERENCE PREPARATION, AND SITE VISITS RELATED TO APPROPRIATIONS FUNDING, RURAL TRANSFORMATION FUNDING, HEALTHCARE CABINET MATTERS, AFFILIATION, RURAL HEALTH ISSUES, HEALTHCARE WORKFORCE MATTERS, AND PUBLIC-SECTOR COORDINATION.
SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIESDAY KIMBALL HEALTHCARE, INC. PAID DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION DURING THE FISCAL YEAR. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSE.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,711,206BeginningYearBalanceAmt
Investment Earnings Or Losses$574,277InvestmentEarningsOrLossesAmt
Other Expenditures$1,750,000OtherExpendituresAmt
Administrative Expenses$49,094AdministrativeExpensesAmt
End Year Balance$5,486,389EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,737,988BeginningYearBalanceAmt
Investment Earnings Or Losses$2,076,148InvestmentEarningsOrLossesAmt
Other Expenditures$430,000OtherExpendituresAmt
Administrative Expenses$80,373AdministrativeExpensesAmt
End Year Balance$13,303,763EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.88BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.12PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,320,614OtherCostOrOtherBasisAmt
Book Value$1,320,614BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,000,422OtherCostOrOtherBasisAmt
Depreciation$67,024,021DepreciationAmt
Book Value$21,976,401BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,895,053OtherCostOrOtherBasisAmt
Depreciation$45,291,886DepreciationAmt
Book Value$9,603,167BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,310,515OtherCostOrOtherBasisAmt
Depreciation$2,079,801DepreciationAmt
Book Value$230,714BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,130,896TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
INVESTMENTS IN VHA COALITION$80,000C
INVESTMENTS IN REAL ESTATE$63,569C
FUNDS HELD IN TRUST BY OTHERS$4,146,846F
BOARD RESTRICTED ENDOWMENT FUND$5,449,257F
FieldValueIRS element (for citing)
Total Book Value Securities$9,739,672TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES
ESTIMATED AMOUNTS DUE TO THIRD PARTIES$909,544
DEFERRED GAIN ON LIABILITIES$802,562
OTHER LIABILITIES$2,350,511
RIGHT OF USE LIABILITY$941,403
FieldValueIRS element (for citing)
Total Liability$5,004,020TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$136,730,210TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$51,084NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$51,084RevenueNotReportedAmt
Revenue Subtotal$136,679,126RevenueSubtotalAmt
Investment Expenses Not Incld$49,094InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$178,978OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$129,884RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$136,549,242TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$140,359,649TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$178,978OtherExpensesIncludedAmt
Expenses Not Reported$178,978ExpensesNotReportedAmt
Expenses Subtotal$140,180,671ExpensesSubtotalAmt
Investment Expenses Not Incld2$49,094InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$49,094ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$140,229,765TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONSMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDSTHE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING CAPITAL EXPENDITURES, OPERATIONS, AND OTHER DONOR-SPECIFIED RESTRICTIONS.
SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTSRENT EXPENSE - -178978
SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990RENT EXPENSE - 178978

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,299TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,299NetCommunityBenefitExpnsAmt
Total Expense0.00049TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,545,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,675,380DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,870,452NetCommunityBenefitExpnsAmt
Total Expense0.10604TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$538,480TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$520,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,777NetCommunityBenefitExpnsAmt
Total Expense0.00013TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$40,152,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,196,083DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,956,528NetCommunityBenefitExpnsAmt
Total Expense0.10666TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,037TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$68,037NetCommunityBenefitExpnsAmt
Total Expense0.00049TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,778TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,778NetCommunityBenefitExpnsAmt
Total Expense0.00033TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,874,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,970,540DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,903,787NetCommunityBenefitExpnsAmt
Total Expense0.02071TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,940TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,940NetCommunityBenefitExpnsAmt
Total Expense0.00083TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$8,104,082TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,970,540DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,133,542NetCommunityBenefitExpnsAmt
Total Expense0.02235TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$48,256,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,166,623DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,090,070NetCommunityBenefitExpnsAmt
Total Expense0.12900TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,764,914BadDebtExpenseAmt
Bad Debt Expense Attributable$197,683BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,357,576ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$28,728,205CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,370,629MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.daykimball.org/about-day-kimball-healthcare/in-the-community/community-health-needs-asseOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt26ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.daykimball.org/about-day-kimball-healthcare/in-the-community/community-health-needs-asseStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1FACILITY , 1 - DAY KIMBALL HOSPITAL. THE HOSPITAL SOLICITED INPUT THROUGH SURVEYS AND OUTREACH CONDUCTED IN 2024 TO COMMUNITY-BASED ORGANIZATIONS AND STAKEHOLDERS SERVING THE HOSPITAL'S SERVICE AREA. THESE EFFORTS WERE DESIGNED TO OBTAIN FEEDBACK ON COMMUNITY HEALTH NEEDS, BARRIERS TO CARE, AND PRIORITY AREAS. INPUT WAS RECEIVED FROM THE FOLLOWING ORGANIZATIONS: - GENERATIONS FAMILY HEALTH CENTER - THOMPSON ECUMENICAL EMPOWERMENT GROUP, INC. - INTERFAITH HUMAN SERVICES OF PUTNAM - EASTCONN - UNITED SERVICES, INC. THESE ORGANIZATIONS REPRESENT LOW-INCOME, MEDICALLY UNDERSERVED, AND VULNERABLE POPULATIONS AND HAVE EXPERTISE IN PUBLIC HEALTH, BEHAVIORAL HEALTH, AND SOCIAL SERVICES. THE HOSPITAL EVALUATED AND INCORPORATED THIS INPUT INTO ITS ASSESSMENT OF COMMUNITY HEALTH NEEDS AND THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. THE RESULTS WERE REVIEWED AND APPROVED BY THE HOSPITAL'S BOARD OF DIRECTORS AS PART OF THE CHNA PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1FACILITY , 1 - DAY KIMBALL HOSPITAL. THE HOSPITAL GATHERED QUALITATIVE FEEDBACK ON THE HEALTH NEEDS AND PRIORITIES FOR RESIDENTS OF THE 13-TOWN SERVICE AREA THROUGH SURVEYS OF THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND VARIOUS COMMUNITY GROUPS. PARTICIPATING ENTITIES INCLUDED: - GENERATIONS FAMILY HEALTH CENTER - THOMPSON ECUMENICAL EMPOWERMENT GROUP, INC. - INTERFAITH HUMAN SERVICES OF PUTNAM - EASTCONN - UNITED SERVICES, INC. THE HOSPITAL INCORPORATED INPUT FROM THESE ORGANIZATIONS INTO ITS ASSESSMENT OF COMMUNITY HEALTH NEEDS AND THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS AS PART OF THE CHNA PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1FACILITY , 1 - DAY KIMBALL HOSPITAL. THE CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: * ACCESS TO CARE (INCLUDING BEHAVIORAL HEALTH, TRANSPORTATION, AND SMOKING CESSATION) * FOOD INSECURITY * HOUSING TO ADDRESS THESE NEEDS, THE HOSPITAL IS IMPLEMENTING TARGETED STRATEGIES, INCLUDING: ACCESS TO CARE / BEHAVIORAL HEALTH / TRANSPORTATION * OFFER PROFESSIONAL EDUCATION SESSIONS REGARDING IDENTIFICATION OF CHILDREN WITH BEHAVIORAL HEALTH NEEDS * PROVIDE SCHOOL-BASED EDUCATION FOR TEACHING STAFF ON STRESS MANAGEMENT AND BURNOUT PREVENTION * PROVIDE TRAINING TO SCHOOL FACULTY ON IMPLEMENTING AND MAINTAINING INTERNAL PEER SUPPORT TEAMS * OFFER A CLINICAL INTERNSHIP PROGRAM TO TRAIN CLINICIANS IN CHILD AND ADOLESCENT BEHAVIORAL HEALTH * PARTICIPATE IN REGIONAL TRANSPORTATION COLLABORATIVE * COLLABORATE WITH EASTCONN TO NARROW RIDE APP PROJECT SCOPE AND QUANTIFY FUNDING NEED * IDENTIFY POTENTIAL GRANT OPPORTUNITIES TO SUPPORT THE EXPANSION OF PATIENT TRANSPORT VIA QC TRANSPORT AND/OR KB AMBULANCE FOOD INSECURITY * ASSIST TEEG WITH FINDING ADDITIONAL FOOD STORAGE CAPACITY SO IT CAN EXPAND SERVICES. * RAISE FUNDS TO HELP LOCAL SCHOOLS ELIMINATE SCHOOL LUNCH DEBT SO MORE STUDENTS MAY BE SERVED. * IDENTIFY A CAMPUS LOCATION AND BEGIN THE PLANNING PROCESS FOR A COMMUNITY GARDEN AT DKH, INCLUDING IMPLEMENTATION AND FOOD DISTRIBUTION STRATEGIES. * DEVELOP A POST-DISCHARGE FOOD SUPPORT PROGRAM, ENSURING PATIENTS IN NEED HAVE ACCESS TO NUTRITIOUS MEALS. * PROVIDE COMMUNITY-BASED NUTRITION EDUCATION/FOOD PREPARATION CLASSES FOR AT-RISK POPULATIONS (LOW-INCOME, CHRONIC DISEASE, INFANTS AND CHILDREN). HOUSING * ONGOING COLLABORATION WITH COMMUNITY PARTNERS AND PARTICIPATION IN REGIONAL EFFORTS TO ADDRESS HOUSING-RELATED CHALLENGES IMPACTING HEALTH OUTCOMES. THESE INITIATIVES ARE CARRIED OUT IN PARTNERSHIP WITH LOCAL COMMUNITY ORGANIZATIONS AND ARE DESIGNED TO IMPROVE ACCESS TO SERVICES, REDUCE BARRIERS TO CARE, AND ADDRESS SOCIAL DETERMINANTS OF HEALTH.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

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

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3A , 3B, & 3C - DETERMINING ELIGIBILITY FOR FREE & DISCOUNTED CARETO QUALIFY FOR FREE CARE, AN INDIVIDUAL MUST MEET ALL OF THE CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 200% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). TO QUALIFY FOR A 75% CHARITY CARE DISCOUNT, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 400% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - INSURED PATIENTS WHO HAVE NO ADDITIONAL COVERAGE (AND HAVE DOCUMENTATION THAT THEY HAVE EXHAUSTED THEIR INSURANCE) FOR THE REMAINDER OF THEIR PLAN YEAR WILL BE DEEMED "UNINSURED" UNDER SECTION A OF THIS POLICY. IF GRANTED CHARITY CARE, IT WILL BE ONE-TIME GRANTING.
SCHEDULE H, PART I, LINE 7 , COLUMN F - PERCENT OF TOTAL EXPENSETO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR IS EQUAL TO TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF FORM 990.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCETHE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS DAY KIMBALL HOSPITAL'S COST-TO-CHARGE RATIO THAT WAS REPORTED IN THE FY2025 MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNTTHE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGYBAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTETHE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSTHE SHORTFALLS BETWEEN DAY KIMBALL HOSPITAL'S MEDICARE COSTS AND PAYMENTS ARE CONSIDERED COMMUNITY BENEFIT BECAUSE THE SERVICES WERE PROVIDED BY DAY KIMBALL HOSPITAL EVEN THOUGH THE COSTS WERE NOT COVERED OR REIMBURSED. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS GROSS CHARGES REDUCED BY THE COST TO CHARGE RATIO THAT WAS REPORTED IN THE FY2025 MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCEIT IS THE PHILOSOPHY AND POLICY OF DAY KIMBALL HOSPITAL THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY WAS WRITTEN IN ACCORDANCE WITH SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACT), SIGNED INTO LAW ON MARCH 23, 2010, WHICH ADDS NEW SECTIONS 501(R) AND 4959 TO THE INTERNAL REVENUE CODE. SECTION 510(R) INCLUDES A SERIES OF SPECIFIC REQUIREMENTS FOR HOSPITALS TO RECEIVE AND MAINTAIN SECTION 501(C)(3) "TAX EXEMPT" STATUS.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE- DAY KIMBALL HEALTHCARE: LINE 16A URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE- DAY KIMBALL HEALTHCARE: LINE 16B URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE- DAY KIMBALL HEALTHCARE: LINE 16C URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENTDKH RECENTLY COMPLETED A TRANSITIONAL CHNA TO ALIGN WITH THE CHNA CYCLE OF OTHER MAJOR HEALTH SYSTEMS IN CONNECTICUT. A FULL CHNA IS SCHEDULED FOR COMPLETION IN 2026. DURING THE TRANSITIONAL YEAR, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS, SIX KEY HEALTH PRIORITIES WERE IDENTIFIED WITH FOCUSED EFFORTS PLACED ON THREE: BEHAVIORAL HEALTH, TRANSPORTATION AND FOOD INSECURITY.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL PATIENTS WHO ARE UNINSURED ARE REFERRED TO THE FINANCIAL COUNSELING DEPARTMENT; INPATIENTS ARE ALL VISITED BY A FINANCIAL COUNSELOR (OR GIVEN A FINANCIAL COUNSELING PACKET) PRIOR TO DISCHARGE WITH ALL OF THE AVAILABLE PROGRAMS THAT ARE AVAILABLE THROUGH OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY. ANY SCHEDULED PATIENTS WHO ARE UNINSURED ARE CALLED BY THE FINANCIAL COUNSELORS IN ADVANCE TO PROVIDE ALL OF THE OPTIONS INCLUDING SCREENING FOR MEDICAID ASSISTANCE, CHARITY CARE, AS WELL AS SEVERAL OTHER LOCAL FUNDING SOURCES THAT THEY MAY QUALIFY FOR. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT OUR CHARITY CARE POLICY AS WELL AS DOWNLOADABLE CHARITY CARE APPLICATION. ALL OF OUR THIRD PARTY VENDORS, INCLUDING OUR BAD DEBT AGENCIES AND OUR LONG TERM PATIENT FINANCING PROGRAM THROUGH CAREPAYMENT ALSO PROVIDE OUR CHARITY CARE POLICY TO PATIENTS UPON REQUEST. OUR FINANCIAL ASSISTANCE GUIDELINES ARE ALSO POSTED IN ALL PATIENT REGISTRATION AREAS OF THE HOSPITAL.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATIONDAY KIMBALL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES 13 RURAL TOWNS IN THE NORTHEASTERN CORNER OF CONNECTICUT, ALONG WITH BORDERING COMMUNITIES IN MASSACHUSETTS AND RHODE ISLAND. THE SERVICE AREA SPANS APPROXIMATELY 450 SQUARE MILES AND SERVES A POPULATION OF ABOUT 90,661 RESIDENTS. THE POPULATION IS SOCIOECONOMICALLY DIVERSE, RANGING FROM LONG-TERM, MULTI-GENERATIONAL FAMILIES TO NEWLY IMMIGRATED RESIDENTS, WITH SIGNIFICANT VARIATION IN INCOME AND EDUCATION LEVELS, FROM HIGH-INCOME HOUSEHOLDS WITH ADVANCED DEGREES TO INDIVIDUALS EXPERIENCING POVERTY AND INCOMPLETE HIGH SCHOOL EDUCATION. COMPARED TO THE STATE OF CONNECTICUT, THE SERVICE AREA EXPERIENCES NOTABLE SOCIOECONOMIC CHALLENGES. THE MEDIAN HOUSEHOLD INCOME IN THE DAY KIMBALL SERVICE AREA IS APPROXIMATELY $83,333, WHICH IS LOWER THAN THE STATEWIDE MEDIAN OF $90,213, REFLECTING PERSISTENT INCOME DISPARITIES. DEMOGRAPHICALLY, THE REGION HAS AN AGING POPULATION, WITH 17.2% OF RESIDENTS AGE 65 AND OLDER, AND SIMILAR AGE DISTRIBUTION PATTERNS COMPARED TO THE STATE OVERALL. SOCIAL VULNERABILITY IS ALSO A KEY CONCERN. APPROXIMATELY 77.0% OF RESIDENTS LIVE IN AREAS WITH ABOVE-MEDIAN LEVELS OF DEPRIVATION (ADI), AND 56.8% LIVE IN AREAS WITH ABOVE-MEDIAN SOCIAL VULNERABILITY (SVI), INDICATING ELEVATED RISK RELATED TO SOCIOECONOMIC AND ENVIRONMENTAL FACTORS. HEALTH OUTCOMES IN THE REGION REFLECT THESE CONDITIONS. RESIDENTS EXPERIENCE HIGHER PREVALENCE RATES OF CHRONIC CONDITIONS COMPARED TO THE STATE, INCLUDING HEART DISEASE, HIGH BLOOD PRESSURE, OBESITY, COPD, AND DEPRESSION. HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH IN CONNECTICUT AND REMAIN CONSISTENT CONTRIBUTORS TO OVERALL MORTALITY IN THE REGION.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHTHE MISSION OF DAY KIMBALL HOSPITAL IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. DAY KIMBALL HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS. INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THAT ARE MEDICALLY NECESSARY ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMDAY KIMBALL HOSPITAL HAS A RELATIONSHIP WITH UMASS MEMORIAL MEDICAL CENTER AS ITS TERTIARY CARE SITE. WHEN PATIENTS' CARE REQUIRES SPECIALIZED TREATMENTS, DAY KIMBALL COLLABORATES WITH PROMINENT MEDICAL CENTERS TO PROVIDE THE CARE THEY NEED. FOR INSTANCE, DAY KIMBALL PARTNERS WITH UMASS MEMORIAL MEDICAL CENTER IN WORCESTER, MA, FOR CARDIAC CARE AND HAS DEVELOPED A SYSTEMATIC APPROACH TO STABILIZING AND TRANSPORTING HEART ATTACK PATIENTS TO UMASS FOR FURTHER TREATMENT.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTCT

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 209AddressLine1Txt
CityDANIELSONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06239ZIPCd
FieldValueIRS element (for citing)
Recipient EIN061017053RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$115,940CashGrantAmt
Purpose Of GrantSUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDSFormAndLineReferenceDesc
ExplanationDAY KIMBALL'S LEADERSHIP TEAM HAS WORKED CLOSELY WITH THE KB AMBULANCE TEAM TO ESTABLISH A PATIENT TRANSPORTATION ARM. DAY KIMBALL HAS COMMITTED TO SUBSIDIZING CERTAIN STARTUP COSTS AS KB AMBULANCE GETS BILLING AND STAFFING STABILIZED. THESE ENHANCED PATIENT TRANSPORTATION SERVICES WILL PROVIDE A SIGNIFICANT BENEFIT TO OUR COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD WILCON MD
PRESIDENT / MEDICAL STAFF$32,248$461,050$0$110,775$0$1,000$0$10,350$0$20,776$32,248$603,951$0$0
MICHAEL BAUM MD
DIRECTOR$0$210,422$0$64,726$0$0$0$8,194$0$20,485$0$303,827$0$0
PAUL MATTY MD
DIRECTOR$13,000$253,585$0$0$0$0$0$7,530$0$19,609$13,000$280,724$0$0
STEPHEN SCHIFF MD
DIRECTOR$13,000$414,334$0$0$0$0$0$10,350$0$20,978$13,000$445,662$0$0
PAUL A BEAUDOIN
CHIEF FINANCIAL OFFICER$426,196$0$0$0$8,115$0$0$0$552$0$434,863$0$0$0
JOHN O'KEEFE
CNO$279,490$0$0$0$0$0$8,069$0$20,811$0$308,370$0$0$0
ALEJANDRO CARVAJAL
PHYSICIAN$415,225$0$91,219$0$0$0$10,350$0$9,719$0$526,513$0$0$0
ALEXANDRE CARRE
PHYSICIAN$353,145$0$7,500$0$0$0$0$0$391$0$361,036$0$0$0
JOHN MODICA
PHYSICIAN$314,423$0$0$0$0$0$9,384$0$9,479$0$333,286$0$0$0
VANESSA BROWN
VP, MED AFFAIRS$256,521$0$25,000$0$0$0$0$0$12,022$0$293,543$0$0$0
CHERYL PETRARCA
EXECUTIVE DIRECTOR OF PATIENT CARE$198,459$0$0$0$0$0$5,824$0$699$0$204,982$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USEHOUSING ALLOWANCE IS PROVIDED FOR THE CONTRACTED PRESIDENT AND CEO, KYLE KRAMER AS PART OF HIS COMPENSATION WITH THE MANAGEMENT COMPANY.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTSTHERE ARE PROVIDERS THAT RECEIVE A BONUS WHICH ARE ALL BASED ON PRODUCTIVITY AND ARE CALCULATED OFF OF THEIR WRVUS FOR THE CONTRACT PERIOD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$17,380,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$30,330,000TotalProceedsAmt
In Reserve Fund$2,340,522InReserveFundAmt
Capitalized Interest$1,170,295CapitalizedInterestAmt
Refunding Escrow$15,485,409RefundingEscrowAmt
Issuance Costs From Proceeds$606,600IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$10,723,350CapitalExpendituresAmt
Other Spent Proceeds$3,824OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2014SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Term Of Hedge0TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Term Of GIC0TermOfGICPct
Regulatory Safe Harbor StsfdfalseRegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSECURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION.
SCHEDULE K, PART IV, LINE 2C COLUMN AISSUER NAME: STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/06/2023

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 15 COMPENSATION OF TOP MANAGEMENTTHE ORGANIZATION REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS. ANY COMPENSATION ADJUSTMENTS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS AFTER REVIEW DURING AN EXECUTIVE SESSION OF THE BOARD. THE COMPENSATION REVIEW PROCESS INCLUDES AN ANALYSIS OF COMPARABLE COMPENSATION DATA. IN FEBRUARY 2023, GALLAGHER GROUP PROVIDED ITS ANNUAL HOSPITAL COMPENSATION SURVEY BASED ON CALENDAR YEAR 2024 MARKET DATA COLLECTED FROM HOSPITALS IN CONNECTICUT, SOUTHEASTERN MASSACHUSETTS, AND RHODE ISLAND. THIS SURVEY WAS USED BY DAY KIMBALL HEALTHCARE TO EVALUATE THE COMPETITIVENESS AND REASONABLENESS OF COMPENSATION AND AS PART OF THE COMPENSATION DETERMINATION PROCESS FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, LINE 3 DELEGATION OF MANAGEMENT DUTIESDAY KIMBALL HEALTHCARE CONTRACTS WITH A MANAGEMENT COMPANY TO PROVIDE ONSITE EXECUTIVE MANAGEMENT SERVICES. CEO KYLE KRAMER WAS COMPENSATED BY THE MANAGEMENT COMPANY DURING FY25.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODYTHE HOSPITAL HAS MORE THAN 400 CORPORATORS WHO ARE DEDICATED TO THE HOSPITAL'S MISSION. CORPORATORS ARE INDIVIDUALS INTERESTED IN THE PURPOSES OF THE HOSPITAL AND REPRESENT THE COMMUNITIES SERVED. CORPORATORS HAVE THE RIGHT TO PARTICIPATE IN THE ELECTION OF DIRECTORS AND OFFICERS.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODYFORM 990 IS REVIEWED BY PAUL A. BEAUDOIN, CFO, PRIOR TO FILING. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICYTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING BOARD MEMBERS, ADMINISTRATION, THE MEDICAL STAFF, AND ALL OTHER EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. IF ANY CHANGE IN THE FORM ARISES THROUGHOUT THE YEAR, IT IS REQUIRED TO BE REPORTED PROMPTLY TO THE CHAIR OF THE BOARD OF DIRECTORS OR THE PRESIDENT OF DAY KIMBALL HOSPITAL. IN THE EVENT A POTENTIAL CONFLICT OF INTEREST HAS A DIRECT IMPLICATION FOR PATIENT CARE, THE INSTITUTION MAY CONVENE AN ETHICS COMMITTEE MEETING TO ASSIST IN THE RESOLUTION OF THE ISSUE. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE AFFECTED EMPLOYEE WILL REFRAIN FROM FURTHER PARTICIPATION IN MATTERS TO WHICH THE CONFLICT RELATES UNTIL THE QUESTION HAS BEEN RESOLVED.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLICTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A COMPENSATION OF BOARD OF DIRECTORSRICHARD WILCON, STEPHEN SCHIFF, AND PAUL MATTY RECEIVED STIPENDS FROM DAY KIMBALL HEALTHCARE, INC. FOR THEIR SERVICE AS A DIRECTOR ON THE HOSPITAL BOARD. THEY ARE ALSO EMPLOYED BY DAY KIMBALL MEDICAL GROUP, A RELATED ORGANIZATION, AND RECEIVED COMPENSATION FOR THEIR DUTIES IN THAT CAPACITY. ALL OTHER BOARD MEMBERS LISTED WITH COMPENSATION ON PART VII ARE EITHER EMPLOYEES OF THE FILING ORGANIZATION, OR EMPLOYEES AND/OR INDEPENDENT CONTRACTORS FOR A RELATED ORGANIZATION, DAY KIMBALL MEDICAL GROUP. THEY ARE COMPENSATED FOR THEIR DUTIES IN THAT CAPACITY.
FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE- TOTAL REVENUE: 176228, RELATED OR EXEMPT FUNCTION REVENUE: 176228, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART IX, LINE 11G OTHER FEESCONTRACTED SERVICES - TOTAL EXPENSE: 9511395, PROGRAM SERVICE EXPENSE: 8892723, MANAGEMENT AND GENERAL EXPENSES: 618672, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 7265122, PROGRAM SERVICE EXPENSE: 7202144, MANAGEMENT AND GENERAL EXPENSES: 62978, FUNDRAISING EXPENSES: ; LAB SERVICES - TOTAL EXPENSE: 1866730, PROGRAM SERVICE EXPENSE: 1866730, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING FEES - TOTAL EXPENSE: 1021411, PROGRAM SERVICE EXPENSE: 923543, MANAGEMENT AND GENERAL EXPENSES: 97868, FUNDRAISING EXPENSES: ; SCANNING & IMAGING FEES - TOTAL EXPENSE: 1159316, PROGRAM SERVICE EXPENSE: 1159316, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER FEES - TOTAL EXPENSE: 369106, PROGRAM SERVICE EXPENSE: 353114, MANAGEMENT AND GENERAL EXPENSES: 15992, FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCESTRANSFER TO AFFILIATE - -12673481; CHANGE IN INTEREST IN BENEFICIAL TRUST - 263900; TOTAL - -12409581;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line145 GREEN HOLLOW ROADAddressLine1Txt
CityDANIELSONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06239ZIPCd
FieldValueIRS element (for citing)
EIN262565797EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DAY KIMBALL HEALTHCARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DAY KIMBALL MEDICAL GROUP INC
J$315,300COST
DAY KIMBALL MEDICAL GROUP INC
R$12,650,280COST
THE DAY KIMBALL HEALTHCARE FOUNDATION INC
C$950,000FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.