2021-01-14T08:49:17-06:00 2020-02-29 KPMG LLP 345 Park Avenue New York NY 101540102 990 2019-03-01 060655139 SILVER HILL HOSPITAL INC % MARTHA RENDEIRO ACCTG MGR SILV 2039661380 208 VALLEY ROAD NEW CANAAN CT 06840 ANDREW GERBER MD PHD Pres & Med. Dir. 2038012232 2021-01-14 true CHRISTINA ROSSETTI P01491094 2127589700 2021-01-11 2019 2022-09-23 18:48:47Z ANDREW GERBER MD PhD 208 VALLEY ROAD NEW CANAAN CT 06840 49509975 false X WWW.SILVERHILLHOSPITAL.ORG X 1934 CT THE MISSION OF SILVER HILL HOSPITAL IS TO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL ILLNESS AND ADDICTION. SEE SCHEDULE O. 18 16 434 185 0 0 1246757 1721421 38320928 39843475 831868 707199 -893774 478497 39505779 42750592 15500 20623 0 0 25639558 26682618 0 0 923936 14431196 16700345 40086254 43403586 -580475 -652994 65954667 64709400 11034654 10525216 54920013 54184184 THE 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. false false 16988832 14586119 INPATIENT 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. 15436360 20623 22163540 THE 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. 2426108 3578330 THE 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. 34851300 true true false false false false false false false true true false false false true true true false false false false false false false false false true true true false true false false false false false false false false true false false false false true true true false false true 195 0 true 434 true false false false false false true true false false false false false false X 18 16 false false false false false false false true true false false true true true true true true true true true false CT NY X MARTHA RENDEIRO ACCTG MGR 2038012293 208 Valley Rd New Canaan CT 06840 X ANDREW GERBER MD P PRESIDENT & MEDICAL DIRECTOR 40.0 0.0 X X 540892 0 46305 ERIC D COLLINS MD PHYS-IN-CHF & DIR (END 09/19) 40.0 0.0 X 337330 0 47793 MARK L D'AGOSTINO PHYSICIAN 40.0 0.0 X 316174 0 45753 DENNIS M DOLAN CHIEF FINANCIAL OFFICER 40.0 0.0 X 332309 0 10126 SARAH NIEGO MD PHYSICIAN 40.0 0.0 X 296647 0 19000 MICHAEL D GROAT CHF CLINICAL OFF (START 03/19) 40.0 0.0 X 278370 0 24329 ANRI KISSILENKO MD PHYSICIAN 40.0 0.0 X 227474 0 53391 ROCCO MAROTTA MD P PHYSICIAN 40.0 0.0 X 232822 0 46283 AMIR GARAKANI MD PHYSICIAN 40.0 0.0 X 246978 0 28480 PETER FONAGY DIRECTOR (START 05/19) 1.0 0.0 X 56373 0 0 PETER ORTHWEIN CHAIR EMERITUS & DIRECTOR 1.0 0.0 X 0 0 0 LANCE LUNDBERG CO-CHAIR & DIRECTOR 3.0 0.0 X X 0 0 0 DEANN E MURPHY CHAIR EMERITUS & DIRECTOR 1.0 0.0 X 0 0 0 WARD F CLEARY ESQ CHAIR EMERITUS & DIRECTOR 1.0 0.0 X 0 0 0 LINDA AUTORE CO-CHAIR & DIRECTOR 3.0 0.0 X X 0 0 0 SPERRY A DECEW DIRECTOR 1.0 0.0 X X 0 0 0 RICHARD GANNON TREASURER & DIRECTOR 1.0 0.0 X X 0 0 0 AMY BAUMAN DIRECTOR (START 03/19) 1.0 0.0 X 0 0 0 NORA BAILEY-BASS DIRECTOR (END 05/2019) 1.0 0.0 X 0 0 0 RICHARD CANNING DIRECTOR 1.0 0.0 X 0 0 0 HANK J HARTONG JR DIRECTOR 1.0 0.0 X 0 0 0 THEODORE HERMAN DIRECTOR (END 03/2019) 1.0 0.0 X 0 0 0 TODD HOLLANDER DIRECTOR 1.0 0.0 X 0 0 0 DAVID HUNT DIRECTOR 1.0 0.0 X 0 0 0 CLAUDETTE H KUNKES P DIRECTOR (END 07/2019) 1.0 0.0 X 0 0 0 JIM PERAKIS SECRETARY & DIRECTOR 1.0 0.0 X X 0 0 0 DEBORAH SHABECOFF DIRECTOR 1.0 0.0 X 0 0 0 DAVID STIFELMAN DIRECTOR 1.0 0.0 X 0 0 0 CHERYL WIESENFELD DIRECTOR 1.0 0.0 X 0 0 0 2865369 0 321460 36 false true true UNIDINE ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 FOOD SERVICES 1704224 YALE NEW HAVEN HOSPITAL 789 HOWARD AVENUE NEW HAVEN CT 06519 LAB SERVICES 789850 CRONIN AND COMPANY 50 NYE RD GLASTONBURY CT 06033 MARKETING SERVICES 497903 PHARMACY THERAPEUTICS CONSULTANTS PO BOX 487 CHESHIRE CT 06410 PHARMACY MANAGEMENT 473130 DAVID TINE 56 GREEN LANE DURHAM CT 06422 MARKETING MGMT. SVCS 289589 16 1721421 107187 1721421 TRANSITIONAL LIVING 623000 21719754 21719754 INPATIENT 623000 14545392 14545392 OUTPATIENT 623000 3578329 3578329 39843475 452603 452603 0 0 123437 224477 -101040 0 -101040 -101040 6780611 6526015 254596 254596 254596 0 0 0 0 0 0 20733 8891 11842 11842 SH-YNHHS TLP - GAIN EQUITY INV 900099 372133 372133 GUEST MEALS 900099 83181 83181 WELLNESS SERVICES 900099 70154 70154 42227 42227 567695 42750592 40327989 701182 X 20623 20623 0 0 0 1507317 851862 600455 55000 0 20644981 17779964 2373570 491447 0 3070542 2428078 581344 61120 1459778 1211573 215973 32232 0 235912 13963 221949 117076 117076 0 0 68075 68075 5275413 5028448 61284 185681 82416 81939 20 457 1642652 1517669 72059 52924 985557 615570 354247 15740 0 704056 498186 202302 3568 322937 219677 88621 14639 0 45212 26598 18614 8383 8383 0 3533296 3325403 202657 5236 1096932 1096932 OTHER 1331189 924645 402464 4080 CREDIT CARD FEES 485879 3038 481029 1812 BAD DEBT EXPENSE 461296 0 461296 0 MEDICATION 304064 304064 0 0 43403586 34851300 7628350 923936 1900 1900 1353519 1958271 836314 1376341 3304184 3137705 0 0 0 0 0 0 103149 108787 707583 996042 79521861 36329358 45447139 43192503 12543502 11549765 0 0 759453 1145192 0 0 897924 1242894 65954667 64709400 3792611 3310728 0 0 0 0 0 0 0 0 0 0 3646203 3523145 0 0 3595840 3691343 11034654 10525216 X 52014315 50715103 2905698 3469081 54920013 54184184 65954667 64709400 -652994 -82835 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 213000 6210 6210 213000 245559 1894 34453 213000 237557 8002 245559 213000 24557 237557 213000 213000 1.00000 false false 1766727 1766727 54005911 23648124 30357787 13490284 9200219 4290065 10258939 3481015 6777924 43192503 0 DUE TO PATIENTS AND THIRD PARTIES 1680420 PROFESSIONAL LIABILITY RESERVE 1853391 OTHER LIABILITIES 84152 CAPITAL LEASES 73380 3691343 X 42371408 -82835 -461296 -544131 42915539 68075 -233022 -164947 42750592 43107237 233022 233022 42874215 68075 461296 529371 43403586 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 true true true X 600. true X 900. false true false false 309700 309700 0.00000 309700 309700 0.00000 86554 425 86129 0.00210 43574 43574 0.00100 16948105 14545392 2402713 0.05740 20623 20623 0.00050 17098856 14545817 2553039 0.06100 17408556 14855517 2553039 0.06100 true 401904 181623 67602 114021 X true true 1 1 SILVER HILL HOSPITAL INC 208 VALLEY RD NEW CANAAN CT 06840 WWW.SILVERHILLHOSPITAL.ORG X 1 SILVER HILL HOSPITAL 1 false false true X X X X X X X X X 20 true false false true X WWW.SILVERHILLHOSPITAL.ORG true 21 true WWW.SILVERHILLHOSPITAL.ORG false true X 600. 900. X X true true X X X true X WWW.SILVERHILLHOSPITAL.ORG X WWW.SILVERHILLHOSPITAL.ORG X WWW.SILVERHILLHOSPITAL.ORG X X X X X true X false X true X false false 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. 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. false NEW CANAAN POLICE DEPARTMENT 174 SOUTH AVENUE NEW CANAAN CT 06840 066002043 GOVT 10000 DONATION 1 SCHEDULE I, PART I, LINES 1 AND 2: THE 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. X X false true X X X X false false false false false false false true false ANDREW GERBER MD PHD PRESIDENT & MEDICAL DIRECTOR 540712 0 0 0 180 0 19000 0 27305 0 587197 0 0 0 DENNIS M DOLAN CHIEF FINANCIAL OFFICER 331517 0 0 0 792 0 0 0 10126 0 342435 0 0 0 ERIC D COLLINS MD PHYS-IN-CHF & DIR (END 09/19) 285074 0 51859 0 397 0 18402 0 29391 0 385123 0 0 0 SARAH NIEGO MD PHYSICIAN 296460 0 0 0 187 0 19000 0 0 0 315647 0 0 0 ANRI KISSILENKO MD PHYSICIAN 226958 0 0 0 516 0 24000 0 29391 0 280865 0 0 0 ROCCO MAROTTA MD PHD PHYSICIAN 230350 0 0 0 2472 0 25000 0 21283 0 279105 0 0 0 MICHAEL D GROAT CHF CLINICAL OFF (START 03/19) 232780 0 0 0 45590 0 3490 0 20839 0 302699 0 0 0 MARK L D'AGOSTINO PHYSICIAN 316054 0 0 0 120 0 18635 0 27118 0 361927 0 0 0 AMIR GARAKANI MD PHYSICIAN 246858 0 0 0 120 0 17992 0 10488 0 275458 0 0 0 PETER FONAGY DIRECTOR (START 05/19) 56373 0 0 0 0 0 0 0 0 0 56373 0 0 0 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. X 2 107187 FMV 0 false true false FORM 990, SCHEDULE M, PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTORS. 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 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3520887 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:1754526 THE SH-YNHHS TLPP 208 VALLEY RD NEW CANAAN CT 06840 843028517 HEALTHCARE SVC CT SHH RELATED 278524 1554924 false true 0.75296 false false false false false false false false false false false false true false true false false false false SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT m 922975 TRANSACTION RVW SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT o 89235 TRANSACTION RVW