SILVER HILL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SILVER HILL HOSPITAL INC (EIN 06-0655139)
Tax period
2019-03-01 to 2020-02-29
Filed
2021-01-14
IRS object ID
202110149349300906
Schema version
2019v5.1
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)
Return2021-01-14T08:49:17-06:00ReturnTs
Tax Period End2020-02-29TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101540102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060655139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARTHA RENDEIRO ACCTG MGRInCareOfNm
Business Name ControlSILVBusinessNameControlTxt
Phone2039661380PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY ROADAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW GERBER MD PHDPersonNm
Person TitlePres & Med. Dir.PersonTitleTxt
Phone2038012232PhoneNum
Signature2021-01-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINA ROSSETTIPreparerPersonNm
PTINP01491094PTIN
Phone2127589700PhoneNum
Preparation2021-01-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW GERBER MD PhDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY ROADAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,509,975GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SILVERHILLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1934FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SILVER HILL HOSPITAL IS TO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL ILLNESS AND ADDICTION. SEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee434TotalEmployeeCnt
Total Volunteers185TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,246,757PYContributionsGrantsAmt
CY Contributions Grants$1,721,421CYContributionsGrantsAmt
PY Program Service Revenue$38,320,928PYProgramServiceRevenueAmt
CY Program Service Revenue$39,843,475CYProgramServiceRevenueAmt
PY Investment Income$831,868PYInvestmentIncomeAmt
CY Investment Income$707,199CYInvestmentIncomeAmt
PY Other Revenue-$893,774PYOtherRevenueAmt
CY Other Revenue$478,497CYOtherRevenueAmt
PY Total Revenue$39,505,779PYTotalRevenueAmt
CY Total Revenue$42,750,592CYTotalRevenueAmt
PY Grants And Similar Paid$15,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,623CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,639,558PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,682,618CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$923,936CYTotalFundraisingExpenseAmt
PY Other Expenses$14,431,196PYOtherExpensesAmt
CY Other Expenses$16,700,345CYOtherExpensesAmt
PY Total Expenses$40,086,254PYTotalExpensesAmt
CY Total Expenses$43,403,586CYTotalExpensesAmt
PY Revenues Less Expenses-$580,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$652,994CYRevenuesLessExpensesAmt
Total Assets BOY$65,954,667TotalAssetsBOYAmt
Total Assets EOY$64,709,400TotalAssetsEOYAmt
Total Liabilities BOY$11,034,654TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,525,216TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$54,920,013NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$54,184,184NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE HOSPITAL IS TO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL HEALTH AND ADDICTION; AND TO OFFER CONTINUING SUPPORT, COUNSELING AND EDUCATION TO OUR PATIENTS AND THEIR FAMILIES IN EVERY PHASE OF ILLNESS AND RECOVERY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,988,832ExpenseAmt
Revenue$14,586,119RevenueAmt
DescINPATIENT TREATMENT IS THE MOST INTENSIVE FORM OF CARE, INDICATED FOR A PHASE OF ILLNESS THAT REQUIRES A GREAT DEAL OF NURSING AND MEDICAL INTERVENTION. BECAUSE PATIENTS ARE USUALLY ACUTELY ILL DURING THIS PHASE OF CARE, OUR INPATIENT TREATMENT PLANS EMPHASIZE DIAGNOSTIC ASSESSMENT, SYMPTOM REDUCTION, AND STABILIZATION. THE HOSPITAL TREATED APPROXIMATELY 1,002 INPATIENTS DURING FISCAL YEAR 2020.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$15,436,360ExpenseAmt
Grant$20,623GrantAmt
Revenue$22,163,540RevenueAmt
DescTHE HOSPITAL'S TRANSITIONAL LIVING PROGRAMS PROVIDE HIGHLY STRUCTURED INTENSIVE TREATMENT FOR PATIENTS WHO ARE READY FOR MORE PSYCHOLOGICAL AND BEHAVIORAL INTERVENTIONS. SET IN RESIDENTIAL, HOME-LIKE SETTINGS, THE TRANSITIONAL LIVING PROGRAMS HELP PATIENTS CONTINUE THEIR RECOVERY PROCESS UNTIL THEY ARE READY TO RETURN HOME FOR FURTHER COMMUNITY-BASED TREATMENTS. PATIENTS FOCUS ON DEVELOPING A PSYCHOLOGICAL UNDERSTANDING OF THEIR ILLNESS, OBTAINING INFORMATION ABOUT THEIR ILLNESS, AND DEVELOPING NEW BEHAVIORAL SKILLS TO MANAGE THEIR RECOVERY PROCESS. THE HOSPITAL TREATED APPROXIMATELY 588 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2020.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,426,108ExpenseAmt
Revenue$3,578,330RevenueAmt
DescTHE HOSPITAL OFFERS SPECIALIZED INTENSIVE OUTPATIENT PROGRAMS (IOPS) FOR ADOLESCENTS AND ADULTS WHO ARE ABLE TO LIVE AT HOME AND DESIRE SUBSTANCE ABUSE TREATMENT AND/OR PSYCHOLOGICAL TREATMENT TO LIVE FULL AND INDEPENDENT LIVES. THE IOPS MEET THREE TIMES A WEEK FOR SIX WEEKS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$34,851,300TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
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 BondsfalseTaxExemptBondsInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document195IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee434EmployeeCnt
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARTHA RENDEIRO ACCTG MGRPersonNm
Phone2038012293PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 Valley RdAddressLine1Txt
CityNew CanaanCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
ANDREW GERBER MD P
PRESIDENT & MEDICAL DIRECTOR40.00.0Yes (X)Yes (X)$540,892$0$46,305
ERIC D COLLINS MD
PHYS-IN-CHF & DIR (END 09/19)40.00.0Yes (X)$337,330$0$47,793
MARK L D'AGOSTINO
PHYSICIAN40.00.0$316,174$0$45,753Yes (X)
DENNIS M DOLAN
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$332,309$0$10,126
SARAH NIEGO MD
PHYSICIAN40.00.0$296,647$0$19,000Yes (X)
MICHAEL D GROAT
CHF CLINICAL OFF (START 03/19)40.00.0$278,370$0$24,329Yes (X)
ANRI KISSILENKO MD
PHYSICIAN40.00.0$227,474$0$53,391Yes (X)
ROCCO MAROTTA MD P
PHYSICIAN40.00.0$232,822$0$46,283Yes (X)
AMIR GARAKANI MD
PHYSICIAN40.00.0$246,978$0$28,480Yes (X)
PETER FONAGY
DIRECTOR (START 05/19)1.00.0Yes (X)$56,373$0$0
PETER ORTHWEIN
CHAIR EMERITUS & DIRECTOR1.00.0Yes (X)$0$0$0
LANCE LUNDBERG
CO-CHAIR & DIRECTOR3.00.0Yes (X)Yes (X)$0$0$0
DEANN E MURPHY
CHAIR EMERITUS & DIRECTOR1.00.0Yes (X)$0$0$0
WARD F CLEARY ESQ
CHAIR EMERITUS & DIRECTOR1.00.0Yes (X)$0$0$0
LINDA AUTORE
CO-CHAIR & DIRECTOR3.00.0Yes (X)Yes (X)$0$0$0
SPERRY A DECEW
DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
RICHARD GANNON
TREASURER & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
AMY BAUMAN
DIRECTOR (START 03/19)1.00.0Yes (X)$0$0$0
NORA BAILEY-BASS
DIRECTOR (END 05/2019)1.00.0Yes (X)$0$0$0
RICHARD CANNING
DIRECTOR1.00.0Yes (X)$0$0$0
HANK J HARTONG JR
DIRECTOR1.00.0Yes (X)$0$0$0
THEODORE HERMAN
DIRECTOR (END 03/2019)1.00.0Yes (X)$0$0$0
TODD HOLLANDER
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID HUNT
DIRECTOR1.00.0Yes (X)$0$0$0
CLAUDETTE H KUNKES P
DIRECTOR (END 07/2019)1.00.0Yes (X)$0$0$0
JIM PERAKIS
SECRETARY & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DEBORAH SHABECOFF
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID STIFELMAN
DIRECTOR1.00.0Yes (X)$0$0$0
CHERYL WIESENFELD
DIRECTOR1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,865,369TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$321,460TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIDINE
ONE GATEWAY CENTER SUITE 751NEWTONMA02458FOOD SERVICES$1,704,224
YALE NEW HAVEN HOSPITAL
789 HOWARD AVENUENEW HAVENCT06519LAB SERVICES$789,850
CRONIN AND COMPANY
50 NYE RDGLASTONBURYCT06033MARKETING SERVICES$497,903
PHARMACY THERAPEUTICS CONSULTANTS
PO BOX 487CHESHIRECT06410PHARMACY MANAGEMENT$473,130
DAVID TINE
56 GREEN LANEDURHAMCT06422MARKETING MGMT. SVCS$289,589
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,721,421AllOtherContributionsAmt
Noncash Contributions$107,187NoncashContributionsAmt
Total Contributions$1,721,421TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSITIONAL LIVING623000$21,719,754$21,719,754
INPATIENT623000$14,545,392$14,545,392
OUTPATIENT623000$3,578,329$3,578,329
FieldValueIRS element (for citing)
Total Program Service Revenue$39,843,475TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,603TotalRevenueColumnAmt
Exclusion$452,603ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$123,437RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$224,477RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$101,040RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$101,040TotalRevenueColumnAmt
Exclusion-$101,040ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,780,611SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,526,015SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$254,596SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,596TotalRevenueColumnAmt
Exclusion$254,596ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$20,733GrossSalesOfInventoryAmt
Cost Of Goods Sold$8,891CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,842TotalRevenueColumnAmt
Exclusion$11,842ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
SH-YNHHS TLP - GAIN EQUITY INV900099$372,133$372,133
GUEST MEALS900099$83,181$83,181
WELLNESS SERVICES900099$70,154$70,154

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,227TotalRevenueColumnAmt
Related Or Exempt Func Income$42,227RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$567,695OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,750,592TotalRevenueColumnAmt
Related Or Exempt Func Income$40,327,989RelatedOrExemptFuncIncomeAmt
Exclusion$701,182ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,623TotalAmt
Program Services$20,623ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,507,317TotalAmt
Program Services$851,862ProgramServicesAmt
Management And General$600,455ManagementAndGeneralAmt
Fundraising$55,000FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,644,981TotalAmt
Program Services$17,779,964ProgramServicesAmt
Management And General$2,373,570ManagementAndGeneralAmt
Fundraising$491,447FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,070,542TotalAmt
Program Services$2,428,078ProgramServicesAmt
Management And General$581,344ManagementAndGeneralAmt
Fundraising$61,120FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,459,778TotalAmt
Program Services$1,211,573ProgramServicesAmt
Management And General$215,973ManagementAndGeneralAmt
Fundraising$32,232FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$235,912TotalAmt
Program Services$13,963ProgramServicesAmt
Management And General$221,949ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,076TotalAmt
Management And General$117,076ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$68,075TotalAmt
Management And General$68,075ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,275,413TotalAmt
Program Services$5,028,448ProgramServicesAmt
Management And General$61,284ManagementAndGeneralAmt
Fundraising$185,681FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$82,416TotalAmt
Program Services$81,939ProgramServicesAmt
Management And General$20ManagementAndGeneralAmt
Fundraising$457FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,642,652TotalAmt
Program Services$1,517,669ProgramServicesAmt
Management And General$72,059ManagementAndGeneralAmt
Fundraising$52,924FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$985,557TotalAmt
Program Services$615,570ProgramServicesAmt
Management And General$354,247ManagementAndGeneralAmt
Fundraising$15,740FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$704,056TotalAmt
Program Services$498,186ProgramServicesAmt
Management And General$202,302ManagementAndGeneralAmt
Fundraising$3,568FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$322,937TotalAmt
Program Services$219,677ProgramServicesAmt
Management And General$88,621ManagementAndGeneralAmt
Fundraising$14,639FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,212TotalAmt
Program Services$26,598ProgramServicesAmt
Management And General$18,614ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,383TotalAmt
Management And General$8,383ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,533,296TotalAmt
Program Services$3,325,403ProgramServicesAmt
Management And General$202,657ManagementAndGeneralAmt
Fundraising$5,236FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,096,932TotalAmt
Management And General$1,096,932ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER$1,331,189$924,645$402,464$4,080
CREDIT CARD FEES$485,879$3,038$481,029$1,812
BAD DEBT EXPENSE$461,296$0$461,296$0
MEDICATION$304,064$304,064$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,403,586TotalAmt
Program Services$34,851,300ProgramServicesAmt
Management And General$7,628,350ManagementAndGeneralAmt
Fundraising$923,936FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,900BOYAmt
EOY$1,900EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,353,519BOYAmt
EOY$1,958,271EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$836,314BOYAmt
EOY$1,376,341EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,304,184BOYAmt
EOY$3,137,705EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$103,149BOYAmt
EOY$108,787EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$707,583BOYAmt
EOY$996,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,521,861LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,329,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,447,139BOYAmt
EOY$43,192,503EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,543,502BOYAmt
EOY$11,549,765EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$759,453BOYAmt
EOY$1,145,192EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$897,924BOYAmt
EOY$1,242,894EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,954,667BOYAmt
EOY$64,709,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,792,611BOYAmt
EOY$3,310,728EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

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$3,646,203BOYAmt
EOY$3,523,145EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,595,840BOYAmt
EOY$3,691,343EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,034,654BOYAmt
EOY$10,525,216EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,014,315BOYAmt
EOY$50,715,103EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,905,698BOYAmt
EOY$3,469,081EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,920,013BOYAmt
EOY$54,184,184EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,954,667BOYAmt
EOY$64,709,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$652,994ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$82,835NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$6,210InvestmentEarningsOrLossesAmt
Other Expenditures$6,210OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$245,559BeginningYearBalanceAmt
Investment Earnings Or Losses$1,894InvestmentEarningsOrLossesAmt
Other Expenditures$34,453OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$237,557BeginningYearBalanceAmt
Investment Earnings Or Losses$8,002InvestmentEarningsOrLossesAmt
End Year Balance$245,559EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$24,557InvestmentEarningsOrLossesAmt
End Year Balance$237,557EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
End Year Balance$213,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,766,727OtherCostOrOtherBasisAmt
Book Value$1,766,727BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,005,911OtherCostOrOtherBasisAmt
Depreciation$23,648,124DepreciationAmt
Book Value$30,357,787BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,490,284OtherCostOrOtherBasisAmt
Depreciation$9,200,219DepreciationAmt
Book Value$4,290,065BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,258,939OtherCostOrOtherBasisAmt
Depreciation$3,481,015DepreciationAmt
Book Value$6,777,924BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,192,503TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO PATIENTS AND THIRD PARTIES$1,680,420
PROFESSIONAL LIABILITY RESERVE$1,853,391
OTHER LIABILITIES$84,152
CAPITAL LEASES$73,380
FieldValueIRS element (for citing)
Total Liability$3,691,343TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$42,371,408TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$82,835NetUnrealizedGainsInvstAmt
Other Revenue-$461,296OtherRevenueAmt
Revenue Not Reported-$544,131RevenueNotReportedAmt
Revenue Subtotal$42,915,539RevenueSubtotalAmt
Investment Expenses Not Incld$68,075InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$233,022OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$164,947RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$42,750,592TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$43,107,237TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$233,022OtherExpensesIncludedAmt
Expenses Not Reported$233,022ExpensesNotReportedAmt
Expenses Subtotal$42,874,215ExpensesSubtotalAmt
Investment Expenses Not Incld2$68,075InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$461,296OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$529,371ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$43,403,586TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule D, Part V, Line 4:DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS.
Form 990, Schedule D, Part X, Line 2:THE HOSPITAL IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE INTERNAL REVENUE SERVICE INFORMED THE HOSPITAL BY A LETTER DATED JUNE 23, 1937 THAT THE HOSPITAL'S OPERATIONS ARE DESIGNED IN ACCORDANCE WITH SUCH SECTION OF THE CODE. CERTAIN TRANSACTIONS COULD BE DEEMED "UNRELATED BUSINESS INCOMEWOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT NEEDED TO BE RECORDED AT FEBRUARY 29, 2020 AND FEBRUARY 28, 2019. THE HOSPITAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN INTEREST. AS OF FEBRUARY 29, 2020 AND FEBRUARY 28, 2019, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
Form 990, Schedule D, Part XI, Line 2D:BAD DEBT: ($461,296) FORM 990, SCHEDULE D, PART XI, LINE 4B LITTLE SHOP INVENTORY EXPENSE: ($8,891) OTHER RENTAL EXPENSE ($224,477) ROUNDING $346 ---------- RECLASS REVENUE: ($233,022) Form 990, Schedule D, Part XII, Line 2D: LITTLE SHOP INVENTORY EXPENSE: $8,891 OTHER RENTAL EXPENSE $224,477 ROUNDING ($346) ---------- RECLASS EXPENSE: $233,022 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT: $461,296

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other600.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other900.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$309,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$309,700DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$309,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$309,700DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,554TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$425DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,129NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,574TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,574NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,948,105TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,545,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,402,713NetCommunityBenefitExpnsAmt
Total Expense0.05740TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,623NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,098,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,545,817DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,553,039NetCommunityBenefitExpnsAmt
Total Expense0.06100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,408,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,855,517DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,553,039NetCommunityBenefitExpnsAmt
Total Expense0.06100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$401,904BadDebtExpenseAmt
Reimbursed By Medicare$181,623ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$67,602CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$114,021MedicareSurplusOrShortfallAmt

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 Line1SILVER HILL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY RDAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SILVERHILLHOSPITAL.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITALBusinessNameLine1Txt
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 Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SILVERHILLHOSPITAL.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.SILVERHILLHOSPITAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care600.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care900.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SILVERHILLHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SILVERHILLHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SILVERHILLHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
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
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule H, Part V, Line 5:COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. SILVER HILL HOSPITAL SOUGHT COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS AND PARTNERS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS AS WELL AS LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS SHARED KNOWLEDGE ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE AND PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING UNDERSERVED POPULATIONS. SEE APPENDIX C OF THE COMMUNITY NEEDS ASSESSMENT FOR A LIST OF KEY INFORMANTS. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM 49 KEY INFORMANTS, INCLUDING PUBLIC HEALTH AND HEALTHCARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NOT-PROFIT LEADERS, BUSINESS LEADERS, FAITH BASED ORGANIZATIONS AND OTHER COMMUNITY LEADERS. PARTICIPANTS INCLUDED PUBLIC HEALTH ORGANIZATION PROFESSIONALS, YOUTH AND SOCIAL SERVICE PROVIDERS, EDUCATION/SCHOOL SPECIALISTS, MENTAL HEALTH/SUBSTANCE ABUSE CLINICIANS, GOVERNMENT HOUSING/TRANSPORTATION AGENGIES, AND COMMUNITY MEMBERS.
Form 990, Schedule H, Part V, Line 11:BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION/SCHOOL ORGANIZATIONS, AND OTHER COMMUNITY REPRESENTATIVES, SILVER HILL HOSPITAL PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: (1) SUBSTANCE MISUSE ISSUES INCLUDING ALCOHOL MISUSE; UNDERAGE DRINKING; VAPING; MARIJUANA, THC, AND CANNABINOIDS; (2) MENTAL HEALTH ISSUES WITH A FOCUS ON DEPRESSION, ANXIETY, AND TRAUMA; (3) ADOLESCENT MENTAL HEALTH WITH A FOCUS ON DEPRESSION AND SUICIDALITY; (4) BARRIERS TO TREATMENT WITH A FOCUS ON NAVIGATING THE MENTAL HEALTHCARE SYSTEM AND STIGMA. THE HOSPITAL PLANS TO ADDRESS: (1) SUBSTANCE MISUSE ISSUES BY: (A) PARTNERING WITH COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER EDUCATIONAL PROGRAMMING; (B) HOSTING MEDICAL GRAND ROUNDS TO ENHANCE CLINICIAN KNOWLEDGE AND UNDERSTANDING REGARDING THESE ISSUES; (C) HOSTING AND SPONSORING TRAININGS AND EDUCATIONAL SESSIONS FOR THE DEVELOPMENT OF PEER SUPPORT NETWORKS FOR RECOVERY; (D) PROVIDING ACCESS TO SILVER HILL HOSPITAL PROGRAMS FOR THOSE REQUIRING INPATIENT, RESIDENTIAL, OR INTENSIVE OUTPATIENT TREATMENT; AND (E) OFFERING RECOVERY SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY. (2) MENTAL HEALTH ISSUES WITH A FOCUS ON DEPRESSION, ANXIETY, AND TRAUMA BY: (1) PARTNER WITH COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER EDUCATIONAL PROGRAMMING BY: (A) HOSTING MEDICAL GRAND ROUNDS TO ENHANCE CLINICIAN KNOWLEDGE AND UNDERSTANDING REGARDING THESE ISSUES; (B) HOSTING AND SPONSORING TRAININGS AND EDUCATIONAL SESSIONS FOR THE DEVELOPMENT OF PEER SUPPORT NETWORKS; (C) DEVELOPING A TRAUMA FOCUSED TREATMENT TRACK (D) CONTINUING TO EXPAND OUTPATIENT DBT AND WOMEN'S IOP TO MEET COMMUNITY DEMAND; AND (E) PROVIDING ACCESS TO SILVER HILL HOSPITAL PROGRAMS FOR THOSE REQUIRING INPATIENT, RESIDENTIAL, OR INTENSIVE OUTPATIENT TREATMENT. (3) ADDRESS ADOLESCENT MENTAL HEALTH WITH A FOCUS ON DEPRESSION AND SUICIDALITY. PARTNER WITH COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER EDUCATIONAL PROGRAMMING BY: (A) HOSTING MEDICAL GRAND ROUNDS TO ENHANCE CLINICIAN KNOWLEDGE AND UNDERSTANDING REGARDING THESE ISSUES; (B) EXPANDING ADOLESCENT IOP TO MEET COMMUNITY DEMAND; AND (C) CONTINUING PARTICIPATION IN COMMUNITY EVENTS ON SUICIDE PREVENTION. (4) ADDRESS BARRIERS TO TREATMENT WITH A FOCUS ON NAVIGATING THE MENTAL HEALTHCARE SYSTEM AND STIGMA BY: (A) INCREASING AWARENESS AND UNDERSTANDING OF MENTAL HEALTH AND ADDICTION ISSUES THROUGH PARTICIPATION IN EDUCATIONAL PROGRAMS, MENTAL HEALTH FAIRS AND WALKS, MEDIA INTERVIEWS, AND SOCIAL MEDIA; (B) CONTINUING TO IMPROVE ADMISSIONS RELATED PROCESSES TO OPTIMIZE PATIENT ACCESS; AND (C) CREATE A WEB-BASED AND PRINT GUIDE TO HELP PATIENTS AND FAMILIES NAVIGATE THE ADDICTION AND MENTAL HEALTHCARE SYSTEMS.
Form 990, Schedule H, PART V, SECTION B, LINE 13H:SILVER HILL HOSPITAL, INC. OFFERS FINANCIAL ASSISTANCE, IN THE FORM OF REDUCED RATES, TO QUALIFYING PATIENTS RECEIVING EMERGENCY OR MEDICALLY NECESSARY SERVICES (I.E. INPATIENT LEVEL OF CARE). THE POLICY APPLIES TO PATIENTS THAT HAVE NO INSURANCE OR HAVE EXHAUSTED THEIR INSURANCE BENEFITS, AND HAVE INCOME OF LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES. COINSURANCE, COPAYMENTS AND DEDUCTIBLES ARE EXCLUDED FROM THE POLICY. THIS POLICY IS AVAILABLE ON THE WEBSITE AT https://silverhillhospital.org/wp-content/uploads/2020/10/financial-assist ance-policy-and-application-revised-10-28-20.pdf THE HOSPITAL ALSO OFFERS FINANCIAL ASSISTANCE TO PATIENTS RECEIVING TREATMENT IN ITS TRANSITIONAL LIVING PROGRAMS. TRANSITION LIVING PROGRAM SERVICES ARE NOT CONSIDERED AN INPATIENT LEVEL OF CARE. TRANSITIONAL LIVING PATIENTS ARE ELIGIBLE FOR DISCOUNTED CARE IF THEY ARE CLINICALLY APPROPRIATE AND MOTIVATED FOR TREATMENT AND HAVE INCOME LEVELS EQUAL TO OR LESS THAN 900% OF THE FEDERAL POVERTY GUIDELINES.
Form 990, Schedule H, PART V, SECTION B, LINE 16J:THE HOSPITAL MAINTAINS A FORMAL, WRITTEN FINANCIAL ASSISTANCE POLICY FOR ITS TRANSITIONAL LIVING PROGRAM. THE POLICY IS AVAILABLE UPON REQUEST. PATIENTS WHO DO NOT HAVE THE FINANCIAL ABILITY TO PAY FOR SERVICES, MAY APPLY FOR FINANCIAL ASSISTANCE UPON ADMISSION INTO THE PROGRAM.

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule H, Part I, Lines 3A, B, C:THE HOSPITAL USED A FPG OF 300% AS A FACTOR FOR DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE FOR MEDICALLY NECESSARY SERVICES. MEDICALLY NECESSARY SERVICES ARE DEFINED BY THE HOSPITAL AS INPATIENT SERVICES. THE HOSPITAL USED A FPG OF 600% AS A FACTOR FOR DETERMINING ELIGIBILITY FOR PROVIDING FREE CARE FOR TRANSITIONAL LIVING SERVICES (NON-INPATIENT SERVICES), AND A FPG OF 900% FOR DETERMINING ELIGIBILITY FOR PROVIDING DISCOUNTED CARE FOR TRANSITIONAL LIVING SERVICES (NON-INPATIENT SERVICES). Form 990, Schedule H, Part I, Line 6A: DURING FISCAL YEAR 2020, THE HOSPITAL WAS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF CONNECTICUT. Form 990, Schedule H, Part I, Line 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE FINANCIAL ASSISTANCE COSTS REPORTED. A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE AMOUNT OF INPATIENT CARE THAT WAS SUBSIDIZED IN FISCAL YEAR 2020. ALL OTHER EXPENSES ARE ACTUAL COSTS. Form 990, Schedule H, Part I, Line 7, column F: TOTAL EXPENSES FROM PART IX, LINE 25 WERE REDUCED BY BAD DEBT EXPENSES OF $461,296 IN CALCULATING TOTAL EXPENSES FOR COLUMN (F). EXPENSES FROM A RELATED JOINT VENTURE WERE ALSO TAKEN INTO ACCOUNT FOR COLUMN (F).
Form 990, Schedule H, Part III, Line 2:BAD DEBT EXPENSE IS ESTIMATED BASED ON HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, AS WELL AS AGING STATUS. A COST TO CHARGE RATIO FROM WORKSHEET 2 WAS APPLIED TO BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS IN ORDER TO DETERMINE THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2. FORM 990, SCHEDULE H, PART III, LINE 3: BAD DEBT EXPENSE IS MAINLY COMPRISED OF UNCOLLECTIBLE CO-PAYS AND DEDUCTIBLES FROM PATIENTS WITH INSURANCE. CO-INSUANCE AND DEDUCTIBLE BALANCES ARE EXCLUDED FROM THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, SCHEDULE H, PART III, LINE 4:EXCERPT FROM THE AUDITED FINANCIAL STATEMENT, FOOTNOTE 2 - NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE; AUDITED FINANCIAL STATEMENTS PAGES 17-18. PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PRIVATE PAYERS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. THESE AMOUNTS ARE BASED ON HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS AS WELL AS AGING STATUS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF THE HOSPITAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. IMPLICIT PRICE CONCESSIONS ARE RECORDED AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. PATIENT ACCOUNTS RECEIVABLE, BEFORE RESERVE FOR IMPLICIT PRICE CONCESSIONS, WAS $3,852,649 AND $3,690,739 AS OF FEBRUARY 29, 2020 AND FEBRUARY 28, 2019, OR APPROXIMATELY 10% OF NET PATIENT SERVICE REVENUE IN FISCAL YEARS 2020 AND 2019, RESPECTIVELY. THE RELATED ALLOWANCE OR PRICE CONCESSIONS WAS $714,944 AND $386,555 OR APPROXIMATELY 19% AND 10% OF THE ELATED PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES AS FEBRUARY 28, 2020 AND 2019, RESPECTIVELY. THE HOSPITAL WROTE OFF $152,159 AND $217,651 IN PRICE CONCESSIONS, NET OF RECOVERIES, IN FISCAL YEARS 2020 AND 2019, RESPECTIVELY. FORM 990, SCHEDULE H, PART III, LINE 8: N/A
Form 990, Schedule H, Part III, Line 9B:THE HOSPITAL'S COLLECTION POLICY STATES THE FOLLOWING: PATIENT ACCOUNTS WILL WORK WITH PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE TO DEVELOP A REASONABLE BUDGET/PAYMENT PLAN. DELINQUENT SELF-PAY BALANCES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE MAY BE SENT TO OUTSIDE COLLECTION AGENCIES; HOWEVER THE HOSPITAL WILL NOT PURSUE EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST THESE PATIENTS. FORM 990, SCHEDULE H, PART V, LINE 21: IT IS THE POLICY OF THE HOSPITAL THAT PATIENTS ASSESSED TO BE SUFFERING FROM A BEHAVIORAL EMERGENCY MEDICAL CONDITION WILL BE ADMITTED, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY, AS REQUIRED BY THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). FORM 990, SCHEDULE H, PART V, LINE 22: THE HOSPITAL OFFERS FINANCIAL ASSISTANCE, IN THE FORM OF REDUCED RATES, TO QUALIFYING PATIENTS RECEIVING EMERGENCY OR MEDICALLY NECESSARY SERVICES. THE FULL TEXT VERSION OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ONLINE AT WWW.SILVERHILLHOSPITAL.ORG OR BY REQUESTING A FREE COPY FROM THE HOSPITAL'S ADMISSIONS DEPARTMENT.
FORM 990, SCHEDULE H, PART VI, LINE 2:NEEDS ASSESSMENT: IN ADDITION TO THE CHNA, THE SILVER HILL HOSPITAL STAFF ASSESSES THE NEED FOR ADDITIONAL PROGRAMMING BASED ON SERVICE AVAILABILITY FOR OUR DISCHARGING PATIENT POPULATION. THE HOSPITAL ALSO RECEIVES INPUT FROM COMMUNITY-BASED CLINICIANS TO IDENTIFY NEEDS WITHIN THE COMMUNITY. FORM 990, SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SOCIAL WORKERS HAVE A COMPREHENSIVE VIEW OF A PATIENT'S FINANCIAL AND SOCIAL SITUATION AND ARE KNOWLEDGEABLE ABOUT THE ELIGIBILITY CRITERIA FOR ENTITLEMENT PROGRAMS. IT IS THE ASSIGNED RESPONSIBILITY OF THE SOCIAL WORKER TO INFORM PATIENTS AND THEIR FAMILIES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. PATIENTS WHO DO NOT HAVE THE FINANCIAL ABILITY TO PAY FOR SERVICES, ARE EDUCATED ABOUT SILVER HILL HOSPITAL'S FINANCIAL ASSISTANCE AND SCHOLARSHIP PROGRAMS BY A SPECIALLY TRAINED STAFF MEMBER. THE STAFF MEMBER PROVIDES PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL GUIDELINES AND SUPPORTING DOCUMENTATION REQUIRED FOR OBTAINING FINANCIAL ASSISTANCE/SCHOLARSHIPS. FORM 990, Schedule H, Part VI, Line 4: COMMUNITY INFORMATION: APPROXIMATELY 39% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 38% FROM NEW YORK, 23% FROM OTHER AREAS INCLUDING NEW JERSEY AND MASSACHUSETTS. FORM 990, SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: SILVER HILL HOSPITAL FURTHERS ITS EXEMPT PURPOSE OF PROMOTING HEALTH OF THE COMMUNITY THROUGH A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS CONTRIBUTE THROUGH THEIR UNIQUE TALENTS AND RESOURCES TOWARD THE HOSPITAL'S MISSION OF HEALING AND THE CARE OF ITS PATIENTS. FORM 990, SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: N/A FORM 990, SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: DURING FY 2020, THE HOSPITAL WAS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF CONNECTICUT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW CANAAN POLICE DEPARTMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1174 SOUTH AVENUEAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
Recipient EIN066002043RecipientEIN
IRC SectionGOVTIRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantDONATIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINES 1 AND 2:FormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPORTED ON SCHEDULE I ARE ASSISTANCE TO SUPPORT THE LOCAL POLICE DEPARTMENT. DUE TO THE NATURE OF THIS PAYMENT TO A TRUSTED GRANTEE, ELIGIBILITY DETERMINATION AND POST-GRANT MONITORING IS NOT APPLICABLE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 (10 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
ANDREW GERBER MD PHD
PRESIDENT & MEDICAL DIRECTOR$540,712$0$0$0$180$0$19,000$0$27,305$0$587,197$0$0$0
DENNIS M DOLAN
CHIEF FINANCIAL OFFICER$331,517$0$0$0$792$0$0$0$10,126$0$342,435$0$0$0
ERIC D COLLINS MD
PHYS-IN-CHF & DIR (END 09/19)$285,074$0$51,859$0$397$0$18,402$0$29,391$0$385,123$0$0$0
SARAH NIEGO MD
PHYSICIAN$296,460$0$0$0$187$0$19,000$0$0$0$315,647$0$0$0
ANRI KISSILENKO MD
PHYSICIAN$226,958$0$0$0$516$0$24,000$0$29,391$0$280,865$0$0$0
ROCCO MAROTTA MD PHD
PHYSICIAN$230,350$0$0$0$2,472$0$25,000$0$21,283$0$279,105$0$0$0
MICHAEL D GROAT
CHF CLINICAL OFF (START 03/19)$232,780$0$0$0$45,590$0$3,490$0$20,839$0$302,699$0$0$0
MARK L D'AGOSTINO
PHYSICIAN$316,054$0$0$0$120$0$18,635$0$27,118$0$361,927$0$0$0
AMIR GARAKANI MD
PHYSICIAN$246,858$0$0$0$120$0$17,992$0$10,488$0$275,458$0$0$0
PETER FONAGY
DIRECTOR (START 05/19)$56,373$0$0$0$0$0$0$0$0$0$56,373$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule J, Part I, LINES 1A & 1B:THE HOSPITAL GROSSED UP TAXES ON A BONUS PAYMENT PURSUANT TO AN EMPLOYMENT AGREEMENT FOR ONE OFFICER. SEE SCHEDULE O FOR DETAILS REGARDING THE ORGANIZATION'S COMPENSATION "POLICIES AND OVERSIGHT PROCEDURES. "THE BOARD OF DIRECTORS ANNUALLY APPOINTS A COMPENSATION COMMITTEE TO REVIEW OFFICER COMPENSATION AND BENEFITS. THE CHIEF CLINICAL OFFICER RECEIVED A HOUSING BENEFIT AS THE HOSPITAL DESIRED A CLINICIAN TO BE ON PREMESIS. THE HOUSING BENEFIT OF $28,583 WAS INCLUDED IN TAXABLE COMPENSATION AND IS REPORTED ON SCHEDULE J, PART II, COLUMN B (III).
Form 990, Schedule J, Part I, Line 7:THE PHYSICIAN-IN-CHIEF WAS ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. IN CALENDAR YEAR 2019, THE AFOREMENTIONED INDIVIDUAL RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2019. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (II).
FORM 990, SCHEDULE J, PART II:PETER FONAGY, A DIRECTOR FOR THE HOSPITAL, RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ANNA FREUD CENTRE. PAYMENTS WERE FOR CONSULTING SERVICES PROVIDED TO THE HOSPITAL PLUS TRAVEL REIMBURSEMENTS RELATED TO HIS POSITION AS A DIRECTOR. TOTAL PAYMENTS = $56,373.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$107,187NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE M, PART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINES 1A & 1B:MISSION STATEMENT THE MISSION OF SILVER HILL HOSPITAL IS TO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL ILLNESS AND ADDICTION; AND TO OFFER CONTINUING SUPPORT, COUNSELING AND EDUCATION TO OUR PATIENTS AND THEIR FAMILIES IN EVERY PHASE OF ILLNESS AND RECOVERY. FORM 990, PART VI, LINE 11B: 990 REVIEW BY ORGANIZATION THE FORM 990 OF THE ORGANIZATION IS PREPARED BY THE FINANCE DEPARTMENT OF SILVER HILL HOSPITAL BASED ON THE BOOKS AND RECORDS OF THE ORGANIZATION. THE DRAFT RETURN AND ALL SUPPORTING DOCUMENTATION ARE PROVIDED TO THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS FOR REVIEW AND FINAL PREPARATION OF THE RETURN. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE INTERIM CFO AND PRESDIENT & MEDICAL DIRECTOR. THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS BEFORE FILING THE FORM WITH THE INTERNAL REVENUE SERVICES. FORM 990, PART VI, LINE 12C: COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE HOSPITAL REQUIRES THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE A NOTIFICATION OF COMPLIANCE QUESTIONNAIRE AT THE END OF EACH FISCAL YEAR. THE FINANCE DEPARTMENT REVIEWS THE QUESTIONNAIRES FOR DETERMINATION OF POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST ARE MADE KNOWN TO THE BOARD FOR RESOLUTION. FORM 990, PART VI, LINES 15A & 15B: COMPENSATION DETERMINATION EACH YEAR, OR WHEN OTHERWISE REQUIRED, THE BOARD OF DIRECTORS APPOINTS A COMPENSATION SUB-COMMITTEE OF INDEPENDENT DIRECTORS TO REVIEW THE COMPENSATION OF THE PRESIDENT AND MEDICAL DIRECTOR. THE SUB-COMMITTEE REVIEWS THE FORMS 990 OF SIMILAR ORGANIZATIONS AS WELL AS AMERICAN HOSPITAL ASSOCIATION SURVEYS, AND MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ANY DELIBERATIONS AND DECISIONS OF THE COMPENSATION SUB-COMMITTEE ARE DOCUMENTED IN THE MEETING MINUTES OF THE COMPENSATION SUB COMMITTEE. THE HOSPITAL ENGAGES A THIRD PARTY TO CONDUCT A SALARY SURVEY OF ALL OTHER HOSPITAL POSITIONS. THE SURVEY IS CONDUCTED EVERY TWO YEARS. THE MOST RECENT SURVEY WAS CONDUCTED IN 2019. FORM 990, PART VI, LINE 19: GOVERNING DOCUMENTS AVAILABILITY THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:3520887
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:1754526

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE SH-YNHHS TLPPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY RDAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
EIN843028517EIN
Primary ActivitiesHEALTHCARE SVCPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$278,524ShareOfTotalIncomeAmt
Share Of EOY Assets$1,554,924ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.75296OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT
m$922,975TRANSACTION RVW
SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT
o$89,235TRANSACTION RVW

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