2026-08-13T09:37:27+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 910 E ST LOUIS 200 PO BOX 1190 SPRINGFIELD MO 658062523 990 2024-10-01 060646599 DAY KIMBALL HEALTHCARE INC DAYK 8609286541 320 POMRET STREET PUTNAM CT 06260 KYLE KRAMER CEO 8609286541 2026-08-13 true KAYLA BELL P01682975 4178658701 2026-08-13 2024 2025-03-06 01:10:19Z DAY KIMBALL HOSPITAL KYLE KRAMER 320 POMRET STREET PUTNAM CT 06260 141583720 false X WWW.DAYKIMBALL.ORG X 1894 CT DKH IS A SHORT-TERM GENERAL CARE HOSPITAL PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO NORTHEASTERN CT AND BORDER COMMUNITIES IN MA AND RI. 18 14 1037 69 0 0 7356434 8584423 120233468 126700920 1077905 1220615 1805 43284 128669612 136549242 18440 115940 0 0 57939132 60848238 0 0 0 71237240 79265587 129194812 140229765 -525200 -3680523 74951200 70003791 86241898 97333509 -11290698 -27329718 THE MISSION OF DAY KIMBALL HEALTHCARE IS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY BY PROVIDING THE BEST MEDICAL CARE. false false 120652821 115940 117304808 DAY KIMBALL HEALTHCARE PROVIDES A COMPREHENSIVE HEALTHCARE SYSTEM OFFERING PRIMARY CARE AND A MULTITUDE OF MEDICAL AND SURGICAL SPECIALTIES ALONG WITH LEADING -EDGE TECHNOLOGY AND SOPHISTICATED DIAGNOSTICS. OUR SERVICE ARE INCLUDES NORTHEAST CONNECTICUT AS WELL AS NEARBY MASSACHUSETTS AND RHODE ISLAND COMMUNITIES. DAY KIMBALL HEALTHCARE'S COMPREHENSIVE NETWORK OFFERS MORE THAN 1,000 EMPLOYEES INCLUDING MORE THAN 200 HIGHLY SKILLED PHYSICIANS, SURGEONS AND SPECIALISTS. 9664288 0 9396112 PHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES. 130317109 true true false true false false false false false true true true false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 88 0 true 1037 true false false false false false false false false false false false false X 18 14 false true false false false true false true true false false false true true true true true true true true false false X PAUL A BEAUDOIN 8609286541 320 POMFRET STREET PUTNAM CT 06260 EDWIN HIGGINS TREASURER 1.0 0 X X 0 0 0 JAY CYR VICE CHAIRMAN 1.0 0 X X 0 0 0 KATHY ROCHA SECRETARY 1.0 1.0 X X 0 0 0 KYLE KRAMER CHIEF EXECUTIVE OFFICER 40.0 2.0 X X 0 0 0 PETER DEARY CHAIRMAN 1.0 2.0 X X 0 0 0 RICHARD WILCON MD PRESIDENT / MEDICAL STAFF 1.0 40.0 X X 32248 572825 31126 ANNE LAMONDY DIRECTOR 1.0 0 X 0 0 0 JAMES ZAHANSKY DIRECTOR 1.0 0 X 0 0 0 JEFFREY RAWSON DIRECTOR 1.0 0 X 0 0 0 KAREN COLE DIRECTOR 1.0 0 X 0 0 0 KRISTEN XELLER MD DIRECTOR 1.0 0 X 0 0 0 MATTHEW DESAULNIER DIRECTOR 1.0 0 X 0 0 0 MICHAEL BAUM MD DIRECTOR 1.0 41.0 X 0 275148 28679 NANCY WEISS DIRECTOR 1.0 1.0 X 0 0 0 PAUL MATTY MD DIRECTOR 1.0 40.0 X 13000 253585 27139 PAUL SWEET DIRECTOR 1.0 0 X 0 0 0 STEPHEN SCHIFF MD DIRECTOR 1.0 40.0 X 13000 414334 31328 STEVEN WEXLER MD DIRECTOR 1.0 0 X 0 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 40.0 2.0 X 434311 0 552 JOHN O'KEEFE CNO 40.0 0 X 279490 0 28880 ALEJANDRO CARVAJAL PHYSICIAN 40.0 0 X 506444 0 20069 ALEXANDRE CARRE PHYSICIAN 40.0 0 X 360645 0 391 CHERYL PETRARCA EXECUTIVE DIRECTOR OF PATIENT CARE 40.0 0 X 198459 0 6523 JOHN MODICA PHYSICIAN 40.0 0 X 314423 0 18863 VANESSA BROWN VP, MED AFFAIRS 40.0 0 X 281521 0 12022 2433541 1515892 205572 83 false true false MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 554850737 TEMP WORKERS 4114219 ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI OH 45263 OUTSOURCED SERVICES 3141146 SODEXO OPERATIONS LLC P O BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICES 2734920 NAPA 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 OUTSOURCED SERVICES 1940913 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 OUTSOURCED SERVICES 1611863 37 950000 7586887 47536 8584423 NET PATIENT SERVICE REVENUE 621110 117875827 117875827 MEDICAID SUPPLEMENTAL PAYMENTS 900099 4321578 4321578 SMALL HOSPITAL POOL REVENUE 900099 3447316 3447316 CAFETERIA 722514 564671 564671 AFFILIATED ORGANIZATION RENT 531120 315300 315300 176228 176228 0 0 126700920 437472 437472 222262 178978 43284 0 43284 43284 5228841 409802 4854782 718 374059 409084 783143 783143 0 0 0 0 0 136549242 126700920 0 1263899 X 115940 115940 0 0 801481 366618 434863 48717991 44416827 4301164 690739 623782 66957 6952966 6285264 667702 3685061 3331972 353089 773854 773854 240594 240594 70121 70121 49094 49094 21193080 20397570 795510 0 126605 114474 12131 3327621 3008782 318839 4271269 3862012 409257 2552084 2307553 244531 211492 191228 20264 3264 2951 313 1802436 1629733 172703 4672141 4224474 447667 2978637 2693235 285402 MEDICAL SUPPLIES & DRUGS 19652378 19652378 PROVIDER TAX 14864316 14864316 REPAIRS & MAINTENANCE 1080212 976710 103502 EQUIPMENT RENTAL 976614 883039 93575 419775 368251 51524 0 140229765 130317109 9912656 0 0 0 3893868 5836868 15031731 14922727 0 0 0 0 3423550 3439147 509395 784992 147526604 114395708 36643625 33130896 10675134 9739672 0 32803 33560 4741094 2115929 74951200 70003791 54070068 70151474 14105172 12552323 0 0 10852434 9484374 212518 141318 7001706 5004020 86241898 97333509 X -18206583 -34509503 6915885 7179785 -11290698 -27329718 74951200 70003791 X -3680523 51084 -12409581 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 14704 false true 55417 70121 false SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH REGISLATORS DAY 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 ACTIVITIES DAY 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. 6711206 574277 1750000 49094 5486389 6471566 1541775 1250000 52135 6711206 7251762 977175 1699908 57463 6471566 13303763 -1726549 4250000 75452 7251762 11737988 2076148 430000 80373 13303763 0.88 0.12 0.0 false false 1320614 1320614 89000422 67024021 21976401 54895053 45291886 9603167 2310515 2079801 230714 33130896 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENTS IN VHA COALITION 80000 C INVESTMENTS IN REAL ESTATE 63569 C FUNDS HELD IN TRUST BY OTHERS 4146846 F BOARD RESTRICTED ENDOWMENT FUND 5449257 F 9739672 FEDERAL INCOME TAXES ESTIMATED AMOUNTS DUE TO THIRD PARTIES 909544 DEFERRED GAIN ON LIABILITIES 802562 OTHER LIABILITIES 2350511 RIGHT OF USE LIABILITY 941403 5004020 136730210 51084 0 51084 136679126 49094 -178978 -129884 136549242 140359649 178978 178978 140180671 49094 0 49094 140229765 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE HOSPITAL'S ENDOWMENT CONSISTS OF MULTIPLE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING CAPITAL EXPENDITURES, OPERATIONS, AND OTHER DONOR-SPECIFIED RESTRICTIONS. SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS RENT EXPENSE - -178978 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 RENT EXPENSE - 178978 true true X true X true X true true true false true true 68299 68299 0.00049 39545832 24675380 14870452 0.10604 538480 520703 17777 0.00013 0 0 40152611 25196083 14956528 0.10666 68037 68037 0.00049 45778 45778 0.00033 7874327 4970540 2903787 0.02071 0 0.0 115940 115940 0.00083 0 0 8104082 4970540 3133542 0.02235 0 0 48256693 30166623 18090070 0.12900 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 6764914 197683 23357576 28728205 -5370629 X true true 1 1 DAY KIMBALL HEALTHCARE 320 POMFRET STREET PUTNAM CT 06260 WWW.DAYKIMBALL.ORG 0043 X X X DAY KIMBALL HEALTHCARE 1 false false true X X X X X X X X X 25 true false true true X https://www.daykimball.org/about-day-kimball-healthcare/in-the-community/community-health-needs-asse X true 26 true https://www.daykimball.org/about-day-kimball-healthcare/in-the-community/community-health-needs-asse false true X 200.0 400.0 X X X X true true X X X X true X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/ X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - DAY KIMBALL HOSPITAL. 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 , 1 FACILITY , 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 , 1 FACILITY , 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. 6 PLAINFIELD HEALTHCARE CENTER 31 DOW ROAD/12 LATHROP ROAD PLAINFIELD CT 06374 PRIMARY CARE; PEDIATRICS; WOMEN'S HEALTH; LABORATORY DIAGNOSTIC IMAGING DANIELSON HEALTHCARE CENTER 55 GREEN HOLLOW ROAD DANIELSON CT 06239 DIAGNOSTIC IMAGING; LABORATORY; PHYSICAL MEDICINE SERVICES DANIELSON MEDICAL ASSOCIATES 45 GREEN HOLLOW ROAD DANIELSON CT 06239 PRIMARY CARE SERVICES POMFRET STREET FAMILY MEDICAL ASSOCIATES 346 POMFRET STREET PUTNAM CT 06260 PRIMARY CARE SERVICES; PULMONOLOGY SERVICES PUTNAM HEALTHCARE CENTER 6-12 SOUTH MAIN STREET PUTNAM CT 06260 LAB AND THERAPY SERVICES DAY KIMBALL HOMEMAKERS HOMECAREHOSPICE 24-32 SOUTH MAIN STREET PUTNAM CT 06260 UNSKILLED HOMECARE SERVICES; SKILLED SERVICES SCHEDULE H, PART I, LINE 3A , 3B, & 3C - DETERMINING ELIGIBILITY FOR FREE & DISCOUNTED CARE TO QUALIFY FOR FREE CARE, AN INDIVIDUAL MUST MEET ALL OF THE CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 200% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). TO QUALIFY FOR A 75% CHARITY CARE DISCOUNT, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 400% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - INSURED PATIENTS WHO HAVE NO ADDITIONAL COVERAGE (AND HAVE DOCUMENTATION THAT THEY HAVE EXHAUSTED THEIR INSURANCE) FOR THE REMAINDER OF THEIR PLAN YEAR WILL BE DEEMED "UNINSURED" UNDER SECTION A OF THIS POLICY. IF GRANTED CHARITY CARE, IT WILL BE ONE-TIME GRANTING. SCHEDULE H, PART I, LINE 7 , COLUMN F - PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR IS EQUAL TO TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF FORM 990. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE THE COSTING METHODOLOGY THAT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS DAY KIMBALL HOSPITAL'S COST-TO-CHARGE RATIO THAT WAS REPORTED IN THE FY2025 MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 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 METHODOLOGY BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS ESTIMATED USING THE PERCENTAGE OF THE POPULATION THAT IS BELOW THE POVERTY LINE IN THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE SHORTFALLS BETWEEN DAY KIMBALL HOSPITAL'S MEDICARE COSTS AND PAYMENTS ARE CONSIDERED COMMUNITY BENEFIT BECAUSE THE SERVICES WERE PROVIDED BY DAY KIMBALL HOSPITAL EVEN THOUGH THE COSTS WERE NOT COVERED OR REIMBURSED. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 WAS GROSS CHARGES REDUCED BY THE COST TO CHARGE RATIO THAT WAS REPORTED IN THE FY2025 MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IT IS THE PHILOSOPHY AND POLICY OF DAY KIMBALL HOSPITAL THAT MEDICALLY NECESSARY HEALTH CARE SERVICES SHOULD BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE POLICY WAS WRITTEN IN ACCORDANCE WITH SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACT), SIGNED INTO LAW ON MARCH 23, 2010, WHICH ADDS NEW SECTIONS 501(R) AND 4959 TO THE INTERNAL REVENUE CODE. SECTION 510(R) INCLUDES A SERIES OF SPECIFIC REQUIREMENTS FOR HOSPITALS TO RECEIVE AND MAINTAIN SECTION 501(C)(3) "TAX EXEMPT" STATUS. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - DAY KIMBALL HEALTHCARE: LINE 16A URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - DAY KIMBALL HEALTHCARE: LINE 16B URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - DAY KIMBALL HEALTHCARE: LINE 16C URL: HTTPS://WWW.DAYKIMBALL.ORG/RESOURCES/FINANCIAL-SERVICES/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT DKH RECENTLY COMPLETED A TRANSITIONAL CHNA TO ALIGN WITH THE CHNA CYCLE OF OTHER MAJOR HEALTH SYSTEMS IN CONNECTICUT. A FULL CHNA IS SCHEDULED FOR COMPLETION IN 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 ASSISTANCE ALL PATIENTS WHO ARE UNINSURED ARE REFERRED TO THE FINANCIAL COUNSELING DEPARTMENT; INPATIENTS ARE ALL VISITED BY A FINANCIAL COUNSELOR (OR GIVEN A FINANCIAL COUNSELING PACKET) PRIOR TO DISCHARGE WITH ALL OF THE AVAILABLE PROGRAMS THAT ARE AVAILABLE THROUGH OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY. ANY SCHEDULED PATIENTS WHO ARE UNINSURED ARE CALLED BY THE FINANCIAL COUNSELORS IN ADVANCE TO PROVIDE ALL OF THE OPTIONS INCLUDING SCREENING FOR MEDICAID ASSISTANCE, CHARITY CARE, AS WELL AS SEVERAL OTHER LOCAL FUNDING SOURCES THAT THEY MAY QUALIFY FOR. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT OUR CHARITY CARE POLICY AS WELL AS DOWNLOADABLE CHARITY CARE APPLICATION. ALL OF OUR THIRD PARTY VENDORS, INCLUDING OUR BAD DEBT AGENCIES AND OUR LONG TERM PATIENT FINANCING PROGRAM THROUGH CAREPAYMENT ALSO PROVIDE OUR CHARITY CARE POLICY TO PATIENTS UPON REQUEST. OUR FINANCIAL ASSISTANCE GUIDELINES ARE ALSO POSTED IN ALL PATIENT REGISTRATION AREAS OF THE HOSPITAL. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION DAY KIMBALL HOSPITAL'S PRIMARY SERVICE AREA 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 HEALTH THE MISSION OF DAY KIMBALL HOSPITAL IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. DAY KIMBALL HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS. INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THAT ARE MEDICALLY NECESSARY ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM DAY KIMBALL HOSPITAL HAS A RELATIONSHIP WITH UMASS MEMORIAL MEDICAL CENTER AS ITS TERTIARY CARE SITE. WHEN PATIENTS' CARE REQUIRES SPECIALIZED TREATMENTS, DAY KIMBALL COLLABORATES WITH PROMINENT MEDICAL CENTERS TO PROVIDE THE CARE THEY NEED. FOR INSTANCE, DAY KIMBALL PARTNERS WITH UMASS MEMORIAL MEDICAL CENTER IN WORCESTER, MA, FOR CARDIAC CARE AND HAS DEVELOPED A SYSTEMATIC APPROACH TO STABILIZING AND TRANSPORTING HEART ATTACK PATIENTS TO UMASS FOR FURTHER TREATMENT. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CT true KB AMBULANCE CORPS INC PO BOX 209 DANIELSON CT 06239 061017053 501(C)(3) 115940 SUPPORT 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS DAY KIMBALL'S LEADERSHIP TEAM HAS WORKED CLOSELY WITH THE KB AMBULANCE TEAM TO ESTABLISH A PATIENT TRANSPORTATION ARM. DAY KIMBALL HAS COMMITTED TO SUBSIDIZING CERTAIN STARTUP COSTS AS KB AMBULANCE GETS BILLING AND STAFFING STABILIZED. THESE ENHANCED PATIENT TRANSPORTATION SERVICES WILL PROVIDE A SIGNIFICANT BENEFIT TO OUR COMMUNITY. X true true X X X false false false false false false false true false RICHARD WILCON MD PRESIDENT / MEDICAL STAFF 32248 461050 0 110775 0 1000 0 10350 0 20776 32248 603951 0 0 MICHAEL BAUM MD DIRECTOR 0 210422 0 64726 0 0 0 8194 0 20485 0 303827 0 0 PAUL MATTY MD DIRECTOR 13000 253585 0 0 0 0 0 7530 0 19609 13000 280724 0 0 STEPHEN SCHIFF MD DIRECTOR 13000 414334 0 0 0 0 0 10350 0 20978 13000 445662 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 426196 0 0 0 8115 0 0 0 552 0 434863 0 0 0 JOHN O'KEEFE CNO 279490 0 0 0 0 0 8069 0 20811 0 308370 0 0 0 ALEJANDRO CARVAJAL PHYSICIAN 415225 0 91219 0 0 0 10350 0 9719 0 526513 0 0 0 ALEXANDRE CARRE PHYSICIAN 353145 0 7500 0 0 0 0 0 391 0 361036 0 0 0 JOHN MODICA PHYSICIAN 314423 0 0 0 0 0 9384 0 9479 0 333286 0 0 0 VANESSA BROWN VP, MED AFFAIRS 256521 0 25000 0 0 0 0 0 12022 0 293543 0 0 0 CHERYL PETRARCA EXECUTIVE DIRECTOR OF PATIENT CARE 198459 0 0 0 0 0 5824 0 699 0 204982 0 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE HOUSING ALLOWANCE IS PROVIDED FOR THE CONTRACTED PRESIDENT AND CEO, KYLE KRAMER AS PART OF HIS COMPENSATION WITH THE MANAGEMENT COMPANY. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS THERE ARE PROVIDERS THAT RECEIVE A BONUS WHICH ARE ALL BASED ON PRODUCTIVITY AND ARE CALCULATED OFF OF THEIR WRVUS FOR THE CONTRACT PERIOD. A STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES 060806186 20774YPC5 2013-06-06 30330000 false false false A 17380000 0 30330000 2340522 1170295 15485409 606600 0 0 10723350 3824 0 2014 true false true true A false false false false false false 0 0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false true A true SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE CURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION. SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 06/06/2023 FORM 990, PART VI, LINE 15 COMPENSATION OF TOP MANAGEMENT THE 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 DUTIES DAY KIMBALL HEALTHCARE CONTRACTS WITH A MANAGEMENT COMPANY TO PROVIDE ONSITE EXECUTIVE MANAGEMENT SERVICES. CEO KYLE KRAMER WAS COMPENSATED BY THE MANAGEMENT COMPANY DURING FY25. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE HOSPITAL HAS MORE THAN 400 CORPORATORS WHO ARE DEDICATED TO THE HOSPITAL'S MISSION. CORPORATORS ARE INDIVIDUALS INTERESTED IN THE PURPOSES OF THE HOSPITAL AND REPRESENT THE COMMUNITIES SERVED. CORPORATORS HAVE THE RIGHT TO PARTICIPATE IN THE ELECTION OF DIRECTORS AND OFFICERS. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY FORM 990 IS REVIEWED BY PAUL A. BEAUDOIN, CFO, PRIOR TO FILING. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING BOARD MEMBERS, ADMINISTRATION, THE MEDICAL STAFF, AND ALL OTHER EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. IF ANY CHANGE IN THE FORM ARISES THROUGHOUT THE YEAR, IT IS REQUIRED TO BE REPORTED PROMPTLY TO THE CHAIR OF THE BOARD OF DIRECTORS OR THE PRESIDENT OF DAY KIMBALL HOSPITAL. IN THE EVENT A POTENTIAL CONFLICT OF INTEREST HAS A DIRECT IMPLICATION FOR PATIENT CARE, THE INSTITUTION MAY CONVENE AN ETHICS COMMITTEE MEETING TO ASSIST IN THE RESOLUTION OF THE ISSUE. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE AFFECTED EMPLOYEE WILL REFRAIN FROM FURTHER PARTICIPATION IN MATTERS TO WHICH THE CONFLICT RELATES UNTIL THE QUESTION HAS BEEN RESOLVED. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A COMPENSATION OF BOARD OF DIRECTORS RICHARD WILCON, 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 FEES CONTRACTED 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 BALANCES TRANSFER TO AFFILIATE - -12673481; CHANGE IN INTEREST IN BENEFICIAL TRUST - 263900; TOTAL - -12409581; PHYSICIAN SERVICES OF NORTHEAST CT 45 GREEN HOLLOW ROAD DANIELSON CT 06239 262565797 PHYSICIAN SERVICES CT 0 0 DAY KIMBALL HEALTHCARE INC DAY KIMBALL MEDICAL GROUP INC 320 POMFRET STREET PUTNAM CT 06260 454077626 PHYSICIAN SERVICES CT 501(C)(3) 10 DAY KIMBALL HEALTHCARE INC true THE DAY KIMBALL HEALTHCARE FOUNDATION INC 309 POMFRET STREET PUTNAM CT 06260 833150493 SUPPORT CT 501(C)(3) TYPE I DAY KIMBALL HEALTHCARE INC true false false true false false false false false false true false false false true true true false true false DAY KIMBALL MEDICAL GROUP INC J 315300 COST DAY KIMBALL MEDICAL GROUP INC R 12650280 COST THE DAY KIMBALL HEALTHCARE FOUNDATION INC C 950000 FMV