2024-12-10T12:49:37+00:00 2023-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2022-10-01 060646599 DAY KIMBALL HEALTHCARE INC DAYK 8609286541 320 POMRET STREET PUTNAM CT 06260 KYLE KRAMER CEO 2024-12-10 true true BRIAN TODD P00422601 4178658701 2022 2024-10-15 13:58:12Z X DAY KIMBALL HOSPITAL KYLE KRAMER 320 POMRET STREET PUTNAM CT 06260 121364651 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. 17 13 1013 35 0 0 7941179 5918582 118250256 120890824 1119765 376227 -18179 -13370212 127293021 113815421 636663 0 53693251 55557863 0 0 66219538 74520817 119912789 130715343 7380232 -16899922 78766295 74285594 94464307 73927593 -15698012 358001 THE MISSION OF DAY KIMBALL HEALTHCARE IS TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY BY PROVIDING THE BEST MEDICAL CARE. false false 110944284 636663 110233467 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. 10726079 0 10657357 PHYSICIAN OFFICE PROVIDING PRIMARY CARE AND OUTPATIENT VISITS TO NORTHEASTERN CONNECTICUT COMMUNITIES. 121670363 true true false true 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 87 0 true 1013 true false false false false false false false false false false false false X 17 13 false true false false false true false true true false false true true true true true true true true false X PAUL A BEAUDOIN 8609286541 320 POMFRET STREET PUTNAM CT 06260 EDWIN HIGGINS ASSISTANT SECRETARY & TREASURER 1.0 0 X X 0 0 0 JANICE THURLOW CHAIRMAN 1.0 2.0 X X 0 0 0 KATHY ROCHA SECRETARY 1.0 1.0 X X 0 0 0 KYLE KRAMER CHIEF EXECUTIVE OFFICER 40.0 3.0 X X 0 0 0 PETER DEARY VICE CHAIR 1.0 1.0 X X 0 0 0 RICHARD WILCON PRESIDENT/MEDICAL STAFF 1.0 40.0 X X 0 533844 35772 ANNE LOMONDY DIRECTOR 1.0 0 X 0 0 0 DANIEL SULLIVAN DIRECTOR 1.0 0 X 0 0 0 JAMES ZAHANSKY DIRECTOR 1.0 0 X 0 0 0 JAY CYR DIRECTOR 1.0 0 X 0 0 0 KAREN COLE DIRECTOR 1.0 0 X 0 0 0 KEVIN P JOHNSTON DIRECTOR END 11/22 1.0 0 X 0 0 0 KRISTA MATSEN DIRECTOR 1.0 40.0 X 0 206102 7892 MATTHEW DESAULNIER DIRECTOR 1.0 0 X 0 0 0 MICHAEL BAUM DIRECTOR 1.0 41.0 X 0 390051 29213 NANCY WEISS DIRECTOR 1.0 1.0 X 0 0 0 PAUL MATTY DIRECTOR 1.0 40.0 X 0 252975 26591 STEVEN WEXLER DIRECTOR 1.0 0 X 0 0 0 MARTIN DURTSCHI VP MEDICAL AFFAIRS/CMO 40.0 0 X 276922 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 40.0 3.0 X 424388 0 458 ALEJANDRO CARVAJAL PHYSICIAN 40.0 0 X 387573 0 18469 ALEXANDRE CARRE PHYSICIAN 40.0 0 X 367271 0 391 CARMEN PISC PHYSICIAN 40.0 0 X 565656 0 1094 JOHN MODICA PHYSICIAN 40.0 0 X 306094 0 18189 JOHN O'KEEFE CNO 40.0 0 X 130333 0 7541 2458237 1382972 145610 95 false true false SODEXO OPERATIONS LLC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 NUTRITIONAL SERVICES 2300816 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 IT CONSULTING & SERVICING 817080 GARFUNKEL WILD PC 350 BEDFORD STREET SUITE 406A STAMFORD CT 06901 LEGAL SERVICES 424424 EASTERN CT HEMA AND ONCOLOGY 330 WASHINGTON STREET SUITE 220 NORWICH CT 06360 HEALTHCARE SERVICES 310041 JACKSON & COKER PO BOX 277638 ATLANTA GA 30384 MEDICAL STAFFING AGENCY 202722 12 5911282 7300 5918582 NET PATIENT SERVICE REVENUE 621110 110233467 110233467 OTHER 900099 8396811 8396811 PHARMACY 456110 1493727 1493727 CAFETERIA 722514 464623 464623 AFFILIATE ORGANIZATION RENT 531120 302196 302196 0 0 0 0 120890824 434777 434777 223353 178978 44375 0 44375 44375 7289860 21842 7370252 -80392 21842 -58550 -58550 LOSS ON PENSION PLAN SETTLEMENT 900099 -13414587 -13414587 0 0 0 0 -13414587 113815421 120890824 0 -12993985 X 636663 636663 701768 276922 424846 44134228 41080610 3053618 1371680 1265282 106398 6012368 5546396 465972 3337819 3078896 258923 1081669 1081669 231140 231140 53425 53425 57463 57463 24436889 22686098 1750791 0 138516 127771 10745 4524407 4173438 350969 3614359 3333984 280375 2068813 1908330 160483 197531 182208 15323 19696 18168 1528 1736966 1602225 134741 4292278 3959315 332963 2495020 2301475 193545 MEDICAL SUPPLIES & DRUGS 16078949 16078949 PROVIDER TAX 12461583 12461583 REPAIRS & MAINTENANCE 727903 671438 56465 LICENSES, DUES, SUBSCRIPTION 304210 280612 23598 0 0 0 0 130715343 121670363 9044980 0 6666 0 8889876 6653648 0 12986456 13870709 0 0 0 0 3182101 3620627 413811 397356 144788827 107965762 38754275 36823065 0 10421053 9895788 0 229623 4112057 2794778 78766295 74285594 29934245 40643174 16946852 15562986 0 0 10223672 9775357 330140 320883 37029398 7625193 94464307 73927593 X -21892384 -6015813 6194372 6373814 -15698012 358001 78766295 74285594 X -16899922 852152 32103783 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 53425 53425 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DAY KIMBALL HOSPITAL PAID DUES TO THE CONNECTICUT HOSPITAL ASSOCIATION DURING THE FISCAL YEAR. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSE. 7251762 977175 1699908 57463 6471566 13303763 -1726549 4250000 75452 7251762 11737988 2076148 430000 80373 13303763 11512363 672481 375000 71856 11737988 12101552 233920 750000 73109 11512363 0.87 0.13 0.0 false false 1276668 1276668 89994000 64679901 25314099 50784063 41192464 9591599 2734096 2093397 640699 36823065 INVESTMENTS IN VHA COALITION 80000 C INVESTMENTS IN REAL ESTATE 91041 C FUNDS HELD IN TRUST BY OTHERS 3340875 F BOARD RESTRICTED ENDOWMENT FUND 6383872 F 9895788 PENSION LIABILITIES 750000 ESTIMATED AMOUNTS DUE TO THIRD PARTIES 1400000 DEFERRED GAIN ON LIABILITIES 1101570 OTHER LIABILITIES 2685000 RIGHT OF USE LIABILITY 1688623 7625193 113950825 852152 -838263 13889 113936936 57463 -178978 -121515 113815421 129991974 178978 178978 129812996 57463 844884 902347 130715343 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 2(d) Other revenues in audited financial statements not in form 990 PENSION EXPENSE - -844884 NET ASSETS RELEASED FROM RESTRICTION - 6621 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 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION EXPENSE - 844884 true true X true X 250 true X true true true false true true 262872 262872 0.0020 37331338 23662965 13668373 0.1046 3628 3628 0.0000 0 0 37597838 23662965 13934873 0.1066 109572 109572 0.0008 37026 37026 0.0003 11649200 8152259 3496941 0.0268 0 0.0 636663 636663 0.0049 0 0 12432461 8152259 4280202 0.0327 0 0 50030299 31815224 18215075 0.1393 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 5208266 686529 23666734 29661970 -5995236 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 20 true true false true X HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE X true 21 true HTTPS://WWW.DAYKIMBALL.ORG/ABOUT-DAY-KIMBALL-HEALTHCARE/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSE false true X 250.0 250.0 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 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. DAY KIMBALL HOSPITAL CONDUCTED A COMPREHENSIVE NEEDS ASSESSMENT UTILIZING FOCUS GROUPS AND PHONE SURVEYS OF COUNTY RESIDENTS ALONG WITH STATE AND FEDERAL DATA TO IDENTIFY AND PRIORITIZE THE HEALTHCARE NEEDS IN WINDHAM COUNTY. A BROAD RANGE OF INFORMATION WAS COLLECTED FROM THE FOLLOWING SOURCES: - ANONYMOUS PAPER AND ELECTRONIC SURVEYS TO EMPLOYEES AND DKH CORPORATORS FOCUSING ON ACCESS, QUALITY, AND SERVICES NEEDED. - INTERVIEWS WITH MORE THAN 50 COMMUNITY LEADERS. - DAY KIMBALL HEALTHCARE BOARD OF DIRECTORS. - DATA REVIEW FROM MULTIPLE PUBLICLY REPORTED RESOURCES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL HOSPITAL CONDUCTED ITS NEEDS ASSESSMENT IN CONJUNCTION WITH THE WINDHAM COUNTY HEALTHCARE CONSORTIUM. THE MEMBERS OF THIS CONSORTIUM INCLUDE WINDHAM HOSPITAL, DAY KIMBALL HOSPITAL, NATCHAUG HOSPITAL, GENERATIONS FAMILY HEALTH CENTER, UNITED SERVICES, VNA EAST, NORTHEAST DISTRICT DEPARTMENT OF HEALTH AND COMMUNITY HEALTH RESOURCES (CHR). Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - DAY KIMBALL HOSPITAL. DAY KIMBALL LEADERS CONTINUE TO HAVE ACTIVE DISCUSSIONS WITH REGIONAL OFFICIALS, SCHOOL ADMINISTRATORS, AND OTHER MEMBERS OF THE COMMUNITY REGARDING OVERARCHING HEALTH CARE RELATED ISSUES ACROSS THE REGION. THROUGH THESE ONGOING DISCUSSIONS, DAY KIMBALL HAVE IDENTIFIED THOSE NEEDS, GOALS TO CLOSE THE GAPS, AND IMPLEMENTATION STRATEGY FOR DOING SO OVER THE NEXT SEVERAL YEARS. DAY KIMBALL HOSPITAL WILL CONTINUE TO WORK WITH COMMUNITY PARTNERS AND ADVOCATES TOWARDS ADDRESSING SOCIAL AND ECONOMIC FORCES THAT CONCURRENTLY IMPACT THE HEALTH AND WELFARE OF THOSE THEY SERVE. IDENTIFIED NEEDS THAT DAY KIMBALL HOSPITAL IS COMMITTED TO ADDRESSING INCLUDE: - MAINTAIN PARTNERSHIPS WITH STATE AND LOCAL AGENCIES TO ASSESS RISK, REDUCE TRANSMISSION AND PROMOTE PREVENTION OF COVID-19. *CONTINUE FOLLOWING EMERGING DATA, POLICIES, AND REGULATIONS. *EXPLORE ALTERNATE RECRUITING STRATEGIES TO ADDRESS DYNAMIC CHANGES IN WORKFORCE. - INCREASE AVAILABILITY OF TRANSPORTATION IN THE REGION. *INCREASE ADVOCACY FOR STATE AND FEDERAL SUPPORT OF IMPROVED TRANSPORTATION SYSTEMS. *PROVIDE ONGOING SUPPORT OF ENHANCED TRANSPORTATION SYSTEMS; I.E. RIDESHARES AND BUSSING SERVICES. *ONGOING EXPLORATION OF GRANT OPPORTUNITIES - ADDRESS NUTRITIONAL CONCERNS FOR HEMATOLOGY/ONCOLOGY PATIENTS. *ADDRESSING THE NEEDS OF CANCER PATIENTS WHO STRUGGLE WITH FOOD PROVISIONS. *PROVIDE SHELF-STABLE AND PERISHABLE FOOD TO DKH ONCOLOGY PATIENTS. *PROVIDE NUTRITION EDUCATION AND INTERVENTIONS. - REDUCE FALLS AND DECREASE UTILIZATION OF FALL RELATED SERVICES WITH THE COMMUNITY. *EXPAND FALL PREVENTION EFFORTS THROUGH THE "CONTINUUM OF HEALTHCARE" INCLUDING: DKH HOSPITAL, HOMEMAKERS, OUTPATIENT REHAB, AND BEYOND. *BOLSTER COMMUNITY PARTNERSHIPS TO PROVIDE EXPANDED PROGRAMS. - PROVIDE EDUCATION TO REDUCE MORBIDITY AND MORTALITY ASSOCIATED WITH STROKE. *EDUCATION ON STROKE INTERVENTION, DIAGNOSIS, TREATMENT, AND MANAGEMENT. *EDUCATION ON POST-STROKE CARE AND MANAGEMENT. *REDUCE POSSIBILITY OF DISABILITY ASSOCIATED WITH STROKE. - PROVIDE SERVICES TO TREAT THE INCREASED NUMBER OF LOCAL CANCER CASES IN: *RECRUIT TWO MEDICAL ONCOLOGISTS *SUPPORT CANCER SERVICE LINE GROWTH *MAINTAIN A SUCCESSFUL ACCREDITED CANCER CARE PROGRAM AT DKH. - EFFECTIVELY OPTIMIZE SURGICAL PATIENTS TO PREVENT SURGICAL SITE INFECTIONS AND MANAGE PAIN CONTROL. *UTILIZE ENHANCED RECOVERY AFTER SURGERY (ERAS) MEASURES TO PREVENT SURGICAL SITE INFECTIONS (SSI) *DECREASE OPIOID USAGE UTILIZING ALTERNATIVE MODALITIES FOR PAIN. - MANAGE PATIENT ENDOCRINE AND METABOLIC DISORDERS WITH EXPANDED SPECIALTY CARE SERVICES. *ADDRESS THE TRANSPORTATION ISSUES OF OUR DIABETIC PATIENTS BY PROVIDING EDUCATION AND INSTRUCTION ABOUT HOW TO PERFORM DIABETIC SELF-CARE AT HOME. *PROVIDE A MORE DEFINED EDUCATIONAL PROGRAM TO PRE-DIABETIC PATIENTS. - PROVIDE COMPREHENSIVE ASSESSMENT, DIAGNOSIS, AND TREATMENT FOR A RANGE OF PSYCHIATRIC CONDITIONS FOR NORTHEASTERN CONNECTICUT COMMUNITY MEMBERS. *ADDRESS EMOTIONAL NEEDS OF SCHOOL-AGE CHILDREN AND THEIR FAMILIES. *MAKE SIGNIFICANT INVESTMENTS IN TECHNOLOGY RESOURCES TO PROTECT PATIENT PRIVACY. *IMPLEMENT NEW PROGRAMS THAT SUPPORT AND ADDRESS STIGMA.THE COMMUNITY. 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 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 (INCLUDES STOCKS, BONDS, CASH, 401K, IRA, CD, PROPERTY AND BUSINESS VALUE, AND RECREATIONAL VEHICLES). TO QUALIFY FOR A 75% CHARITY CARE DISCOUNT, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CRITERIA: - SINGLE ACCOUNT BALANCE OF $250 OR GREATER OR ACCOUNTS SPANNING SIX MONTHS TOTALING $500 OR GREATER (INDIVIDUAL) OR ACCOUNTS SPANNING SIX MONTHS TOTALING $1000 OR GREATER FOR 2 OR MORE FAMILY MEMBERS (UNDER SAME GUARANTOR). - ANNUAL INCOME IS LESS THAN 250% OF THE CURRENT FEDERAL INCOME POVERTY LEVEL (FPL). - LIQUID ASSETS MUST NOT EXCEED $100,000 INCLUDING (STOCKS, BONDS, CASH, 401, IRA, CD, PROPERTY AND BUSINESS VALUE AND RECREATIONAL VEHICLES). - INSURED PATIENTS WHO HAVE NO ADDITIONAL COVERAGE (AND HAVE DOCUMENTATION THAT THEY HAVE EXHAUSTED THEIR INSURANCE) FOR THE REMAINDER OF THEIR PLAN YEAR WILL BE DEEMED "UNINSURED" UNDER SECTION A OF THIS POLICY. IF GRANTED CHARITY CARE, IT WILL BE ONE-TIME GRANTING. Schedule H, Part I, Line 7 , 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 7g Subsidized Health Services DAY KIMBALL HOSPITAL PARTNERS WITH NORTHEASTERN CONNECTICUT COUNCIL OF GOVERNMENTS (NECCOG) TO PROVIDE LOCAL PARAMEDIC INTERCEPT SERVICES. DAY KIMBALL HOSPITAL AND NECCOG AGREED THAT THE ABSENCE OF PARAMEDIC INTERCEPT SERVICES IN NORTHEASTERN CONNECTICUT, COMPRISED OF MANY RURAL TOWNS, WOULD CREATE A SIGNIFICANT DEFICIENCY IN THE AVAILABILITY AND ACCESSIBILITY OF MEDICAL SERVICES IN THE COMMUNITY. THE HOSPITAL PROVIDES CERTAIN MONETARY AND IN-KIND SERVICES FOR THE PROVISION OF PARAMEDIC INTERCEPT SERVICES. Schedule H, Part I, Line 7 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 FY2022 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, 2023. 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 9 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 FY2023 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 DAY KIMBALL HOSPITAL HAS RECENTLY COMPLETED A COMMUNITY NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN TO IDENTIFY SPECIFIC HEALTH CARE NEEDS IN WINDHAM COUNTY. FOCUS GROUPS, TELEPHONE SURVEYS AND STATE AND FEDERAL DATA WAS USED TO IDENTIFY THE SPECIFIC HEALTH CARE NEEDS DURING THIS ASSESSMENT. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ALL PATIENTS WHO ARE UNINSURED ARE REFERRED TO THE FINANCIAL COUNSELING DEPARTMENT; INPATIENTS ARE ALL VISITED BY A FINANCIAL COUNSELOR (OR GIVEN A FINANCIAL COUNSELING PACKET) PRIOR TO DISCHARGE WITH ALL OF THE AVAILABLE PROGRAMS THAT ARE AVAILABLE THROUGH OUR FINANCIAL ASSISTANCE (CHARITY CARE) POLICY. ANY SCHEDULED PATIENTS WHO ARE UNINSURED ARE CALLED BY THE FINANCIAL COUNSELORS IN ADVANCE TO PROVIDE ALL OF THE OPTIONS INCLUDING SCREENING FOR MEDICAID ASSISTANCE, CHARITY CARE, AS WELL AS SEVERAL OTHER LOCAL FUNDING SOURCES THAT THEY MAY QUALIFY FOR. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT OUR CHARITY CARE POLICY AS WELL AS DOWNLOADABLE CHARITY CARE APPLICATION. ALL OF OUR THIRD PARTY VENDORS, INCLUDING OUR BAD DEBT AGENCIES AND OUR LONG TERM PATIENT FINANCING PROGRAM THROUGH CAREPAYMENT ALSO PROVIDE OUR CHARITY CARE POLICY TO PATIENTS UPON REQUEST. OUR FINANCIAL ASSISTANCE GUIDELINES ARE ALSO POSTED IN ALL PATIENT REGISTRATION AREAS OF THE HOSPITAL. Schedule H, Part VI, Line 4 Community information DAY KIMBALL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF 13 TOWNS IN THE NORTHEASTERN CORNER OF CONNECTICUT AS WELL AS BORDERING MASSACHUSETTS AND RHODE ISLAND TOWNS. DAY KIMBALL'S SERVICE AREA IS OVER 438 SQUARE MILES AND CONTAINS APPROXIMATELY 116,192 IN WINDHAM COUNTY. THE POPULATION RANGES FROM LONG TERM, MULTI-GENERATIONAL FAMILIES TO NEWLY IMMIGRATED WIDE RANGE OF SOCIO-ECONOMIC FACTORS INCLUDING VERY HIGH INCOME TO POVERTY; ADVANCED EDUCATION TO INCOMPLETE HIGH SCHOOL. THE MEDIAN HOUSEHOLD INCOME IN 2010 IN WINDHAM COUNTY WAS $58,489 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $69,519. ACCORDING TO THE HEALTHY CONNECTICUT 2020 STATE HEALTH ASSESSMENT THAT WAS RELEASED IN MARCH 2014 THE LEADING CAUSE OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER. RESIDENTS FROM URBAN AREAS. ACCORDING TO THE 2010 CENSUS, 11.7% OF THE POPULATION IS UNDER POVERTY LEVEL AND 14.3% ARE OVER AGE 65. THERE IS A WIDE RANGE OF SOCIO-ECONOMIC FACTORS INCLUDING VERY HIGH INCOME TO POVERTY; ADVANCED EDUCATION TO INCOMPLETE HIGH SCHOOL. THE MEDIAN HOUSEHOLD INCOME IN 2010 IN WINDHAM COUNTY WAS $58,489 (THE LOWEST INCOME OF ANY COUNTY IN THE STATE OF CONNECTICUT), WHILE THE STATE MEDIAN WAS $69,519. ACCORDING TO THE HEALTHY CONNECTICUT 2020 STATE HEALTH ASSESSMENT THAT WAS RELEASED IN MARCH 2014 THE LEADING CAUSE OF DEATH IN CONNECTICUT ARE HEART DISEASE AND CANCER. Schedule H, Part VI, Line 5 Promotion of community health THE MISSION OF DAY KIMBALL HOSPITAL IS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY THROUGH OUR CORE VALUES OF CLINICAL QUALITY, CUSTOMER SERVICE, FISCAL RESPONSIBILITY AND LOCAL CONTROL. DAY KIMBALL HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS. THE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS. INPATIENT, OUTPATIENT AND EMERGENCY SERVICES THAT ARE MEDICALLY NECESSARY ARE PROVIDED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. Schedule H, Part VI, Line 6 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. true KB AMBULANCE CORPS INC PO BOX 209 DANIELSON CT 06239 061017053 501(C)(3) 636663 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 X X X false false false false false false false true false RICHARD WILCON PRESIDENT/MEDICAL STAFF 0 487223 0 34912 0 11709 0 7500 0 28272 0 569616 0 0 MICHAEL BAUM DIRECTOR 0 298013 0 88828 0 3210 0 9150 0 20063 0 419264 0 0 KRISTA MATSEN DIRECTOR 0 205644 0 0 0 458 0 6184 0 1708 0 213994 0 0 PAUL MATTY DIRECTOR 0 250079 0 0 0 2896 0 7745 0 18846 0 279566 0 0 PAUL A BEAUDOIN CHIEF FINANCIAL OFFICER 349981 0 72000 0 2407 0 0 0 458 0 424846 0 0 0 MARTIN DURTSCHI VP MEDICAL AFFAIRS/CMO 276922 0 0 0 0 0 0 0 0 0 276922 0 0 0 ALEXANDRE CARRE PHYSICIAN 319476 0 44000 0 3795 0 0 0 391 0 367662 0 0 0 CARMEN PISC PHYSICIAN 321635 0 92256 0 151765 0 0 0 1094 0 566750 0 0 0 ALEJANDRO CARVAJAL PHYSICIAN 350266 0 37000 0 307 0 9150 0 9319 0 406042 0 0 0 JOHN MODICA PHYSICIAN 149741 0 154738 0 1615 0 9150 0 9039 0 324283 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 THREE 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 EMERGENCY DEPARTMENT EXPANSION false false false A 7760000 0 30330000 2340522 1170295 15485409 606600 0 0 10723350 3824 0 2014 true false true true A false false false false 0.0 false false true A false false false true false false false false true A true Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE CURRENT REFUNDING AND EMERGENCY DEPARTMENT EXPANSION AND RENOVATION. Schedule K, Part IV, Line 2c COLUMN A Issuer name: STATE OF CONNECTICUT HEALTH AND EDUCATION FACILITIES The calculation for computing no rebate due was performed on 06/30/2018 Form 990, Part VI, Line 15a &15B - COMPENSATION OF TOP MANAGEMENT THE ORGANIZATION REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS. COMPENSATION ADJUSTMENTS ARE SUBJECT TO BOARD APPROVAL AND THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE COMPENSATION REVIEW INCLUDES AN ANALYSIS OF COMPARABILITY DATA. IN APRIL 2019, GALLAGHER GROUP PREPARED AN ANNUAL HOSPITAL WAGE SURVEY FOR THE CONNECTICUT, MASSACHUSETTS AND RHODE ISLAND HOSPITAL ASSOCIATIONS AVAILABLE FOR USE BY MEMBER HOSPITALS. THIS SURVEY WAS USED BY DAY KIMBALL HEALTHCARE IN THE COMPENSATION DETERMINATION PROCESS. Form 990, Part VI, Line 3 Delegation of management duties DAY KIMBALL HEALTHCARE CONTRACTS WITH A MANAGEMENT COMPANY TO PROVIDE ONSITE EXECUTIVE MANAGEMENT SERVICES. CEO KYLE KRAMER WAS COMPENSATED BY THE MANAGEMENT COMPANY DURING FY23. 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 NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. DIRECTORS WITH COMPENSATION LISTED ON PART VII ARE EITHER EMPLOYEES OF THE FILING ORGANIZATION, OR EMPLOYEES AND/OR INDEPENDENT CONTRACTORS FOR A RELATED ORGANIZATION, DAY KIMBALL MEDICAL GROUP. THEY ARE COMPENSATED FOR THEIR DUTIES IN THAT CAPACITY. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 13868859, Program Service Expense: 12793016, Management and General Expenses: 1075843, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 6293975, Program Service Expense: 5805735, Management and General Expenses: 488240, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1867173, Program Service Expense: 1867173, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 1843738, Program Service Expense: 1700715, Management and General Expenses: 143023, Fundraising Expenses: ; OTHER FEES - Total Expense: 563144, Program Service Expense: 519459, Management and General Expenses: 43685, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATE - -9545300; CHANGE IN INTEREST IN BENEFICIAL TRUST - 186063; CHANGE IN DEFINED BENEFIT PENSION PLAN - 41463020; FORM 990, LINE B AMENDED RETURN THE ORGANIZATION IS AMENDING ITS 2022 TAX RETURN TO REPORT GRANTS PAID TO A LOCAL TAX-EXEMPT ORGANIZATION. FORM 990, PART IX, LINE 1 AND LINE 11G, SCHEDULE H, PART I, LINE 7G AND LINE 7I HAVE BEEN UPDATED TO REFLECT THE GRANTS PAID DURING FY23. SCHEDULE I IS ADDED TO DISCLOSE THE ORGANIZATION THAT RECEIVED THE GRANT FUNDS. PHYSICIAN SERVICES OF NORTHEAST CT 45 GREEN HOLLOW ROAD DANIELSON CT 06239 262565797 PHYSICIAN SERVICES CT DAY KIMBALL HEALTHCARE DAY KIMBALL HOMEMAKERS 320 POMFRET STREET PUTNAM CT 06260 061136893 HOMEMAKERS CT 501(c)(3) 10 DAY KIMBALL HEALTHCARE true DAY KIMBALL MEDICAL GROUP INC 320 POMFRET STREET PUTNAM CT 06260 454077626 PHYSICIAN SERVICES CT 501(c)(3) 10 DAY KIMBALL HEALTHCARE true DAY KIMBALL HEALTHCARE FOUNDATION INC 309 POMFRET STREET PUTNAM CT 06260 833150493 SUPPORT CT 501(c)(3) Type I DAY KIMBALL HEALTHCARE true false false false false false false false false false true false false false false false true false true false DAY KIMBALL MEDICAL GROUP INC J 302196 COST DAY KIMBALL MEDICAL GROUP INC R 9362868 COST DAY KIMBALL FOUNDATION R 182432 COST