SILVER HILL HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SILVER HILL HOSPITAL INC (EIN 06-0655139)
Tax period
2018-03-01 to 2019-02-28
Filed
2020-01-15
IRS object ID
202020159349300702
Schema version
2018v3.1
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)
Return2020-01-15T12:28:27-06:00ReturnTs
Tax Period End2019-02-28TaxPeriodEndDt

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 Begin2018-03-01TaxPeriodBeginDt

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% DENNIS M DOLAN CFOInCareOfNm
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)
PersonDENNIS M DOLANPersonNm
Person TitleCFOPersonTitleTxt
Phone2038012232PhoneNum
Signature2020-01-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEVIN L DUNCANPreparerPersonNm
PTINP01249521PTIN
Phone2127589700PhoneNum
Preparation2020-01-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320200155000147FederalOriginalSubmissionId
Federal Original Submission Id2020-01-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF7E791049FCEE4943A341CCA4F642AE72B60D2A0AtSubmissionCreationDeviceId
At Submission Filing Device Id2EFB9A2273A280871CB6E2783C42C633A2C5F4ABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

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$48,420,814GrossReceiptsAmt
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 Independent17VotingMembersIndependentCnt
Total Employee434TotalEmployeeCnt
Total Volunteers230TotalVolunteersCnt
Total Gross UBI-$132,795TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$132,795NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,010,014PYContributionsGrantsAmt
CY Contributions Grants$1,246,757CYContributionsGrantsAmt
PY Program Service Revenue$41,718,721PYProgramServiceRevenueAmt
CY Program Service Revenue$38,320,928CYProgramServiceRevenueAmt
PY Investment Income$569,754PYInvestmentIncomeAmt
CY Investment Income$831,868CYInvestmentIncomeAmt
PY Other Revenue-$185,345PYOtherRevenueAmt
CY Other Revenue-$893,774CYOtherRevenueAmt
PY Total Revenue$44,113,144PYTotalRevenueAmt
CY Total Revenue$39,505,779CYTotalRevenueAmt
PY Grants And Similar Paid$25,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,054,139PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,639,558CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$599,140CYTotalFundraisingExpenseAmt
PY Other Expenses$15,316,503PYOtherExpensesAmt
CY Other Expenses$14,431,196CYOtherExpensesAmt
PY Total Expenses$42,396,142PYTotalExpensesAmt
CY Total Expenses$40,086,254CYTotalExpensesAmt
PY Revenues Less Expenses$1,717,002PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$580,475CYRevenuesLessExpensesAmt
Total Assets BOY$68,443,375TotalAssetsBOYAmt
Total Assets EOY$65,954,667TotalAssetsEOYAmt
Total Liabilities BOY$12,415,127TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,034,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,028,248NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$54,920,013NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF SILVER HILL 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$17,137,252ExpenseAmt
Revenue$14,931,854RevenueAmt
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 1,158 INPATIENTS DURING FISCAL YEAR 2019.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,615,447ExpenseAmt
Grant$15,500GrantAmt
Revenue$21,030,654RevenueAmt
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 609 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2019.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,225,645ExpenseAmt
Revenue$1,815,273RevenueAmt
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$32,978,344TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 ActivitiesYes (true)FundraisingActivitiesInd
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document187IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee434EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Member17IndependentVotingMemberCnt
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)
PersonDENNIS M DOLAN CFOPersonNm
Phone2038012232PhoneNum

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 EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PETER ORTHWEIN
CHAIRMAN & DIRECTOR5.00.0Yes (X)Yes (X)$0$0$0
LANCE LUNDBERG
VICE CHAIRMAN & DIRECTOR3.00.0Yes (X)Yes (X)$0$0$0
DEANN E MURPHY
CHAIR EMERITUS & DIRECTOR2.00.0Yes (X)$0$0$0
WARD F CLEARY ESQ
CHAIR EMERITUS & DIRECTOR2.00.0Yes (X)$0$0$0
LINDA AUTORE
SECRETARY & DIRECTOR2.00.0Yes (X)Yes (X)$0$0$0
SPERRY A DECEW
DIRECTOR1.00.0Yes (X)$0$0$0
RICHARD GANNON
TREASURER & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
NORA BAILEY-BASS
DIRECTOR (BEG 5/2018)1.00.0Yes (X)$0$0$0
RICHARD CANNING
DIRECTOR1.00.0Yes (X)$0$0$0
FREDERICK FEINER MD
DIRECTOR (END 5/2018)3.00.0Yes (X)$0$0$0
HANK J HARTONG JR
DIRECTOR1.00.0Yes (X)$0$0$0
THEODORE HERMAN
DIRECTOR1.00.0Yes (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 PHD
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL LAMBDIN
DIRECTOR1.00.0Yes (X)$0$0$0
JIM PERAKIS
DIRECTOR1.00.0Yes (X)$0$0$0
CHERYL WIESENFELD
DIRECTOR1.00.0Yes (X)$0$0$0
ANDREW GERBER MD PHD
PRES. & MED. DIR.(BEG 10/2018)40.00.0Yes (X)Yes (X)$91,607$0$2,757
JOHN SANTOPIETRO MD
PRES. & MED. DIR.(END 09/2018)40.00.0Yes (X)Yes (X)$554,195$0$23,349
DENNIS M DOLAN
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$267,525$0$9,677
ERIC D COLLINS MD
PHYS-IN-CHF & DIRECTOR40.00.0Yes (X)$421,696$0$44,484
HOWARD WEINER MD
PHYSICIAN40.00.0$303,781$0$35,241Yes (X)
SARAH NIEGO MD
PHYSICIAN40.00.0$265,961$0$6,388Yes (X)
AMIR GARAKANI MD
PHYSICIAN40.00.0$243,271$0$22,530Yes (X)
ANRI KISSILENKO MD
PHYSICIAN40.00.0$235,385$0$49,680Yes (X)
ROCCO MAROTTA MD PHD
PHYSICIAN40.00.0$231,118$0$43,154Yes (X)
SIGURD ACKERMAN MD
PRESIDENT EMERITUS & MED. DIR.0.00.0$512,291$0$36,292Yes (X)
ELIZABETH MOORE
FORMER CHIEF OPERATING OFFICER0.00.0$279,982$0$7,706Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,406,812TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$281,258TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIDINE
ONE GATEWAY CENTER SUITE 751NEWTONMA02458FOOD SERVICES$1,704,224
PHARMACY THERAPEUTICS CONSULTANTS
PO BOX 487CHESHIRECT06410PHARMACY MANAGEMENT$415,956
PAC GROUP LLC
126 SOUTH MAIN ST SUITE 200TORRINGTONCT06790GENERAL CONTRACTOR$414,629
CRONIN AND COMPANY
50 NYE RDGLASTONBURYCT06033MARKETING SERVICES$396,683
DAVID TINE
56 GREEN LANEDURHAMCT06422MARKETING MGMT SVCS$302,030
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Fundraising$714,691FundraisingAmt
All Other Contributions$532,066AllOtherContributionsAmt
Noncash Contributions$108,130NoncashContributionsAmt
Total Contributions$1,246,757TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSITIONAL LIVING623000$21,685,934$21,685,934
INPATIENT623000$14,819,721$14,819,721
OUTPATIENT623000$1,815,273$1,815,273
FieldValueIRS element (for citing)
Total Program Service Revenue$38,320,928TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$621,328TotalRevenueColumnAmt
Exclusion$621,328ExclusionAmt

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$125,192RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$217,795RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$92,603RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$92,603TotalRevenueColumnAmt
Unrelated Business Revenue-$132,795UnrelatedBusinessRevenueAmt
Exclusion$40,192ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,455,443SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,244,903SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$210,540SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,540TotalRevenueColumnAmt
Exclusion$210,540ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$123,900FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$714,691ContriRptFundraisingEventAmt
Fundraising Direct Expenses$441,253FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$317,353TotalRevenueColumnAmt
Exclusion-$317,353ExclusionAmt
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$14,781GrossSalesOfInventoryAmt
Cost Of Goods Sold$11,084CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,697TotalRevenueColumnAmt
Exclusion$3,697ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
TUTORING900099$76,031$76,031
GUEST MEALS900099$55,632$55,632
SH-YNHHS TLP - LOSS EQTY INV900099-$762,756-$762,756

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,578TotalRevenueColumnAmt
Related Or Exempt Func Income$143,578RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$487,515OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,505,779TotalRevenueColumnAmt
Related Or Exempt Func Income$37,777,781RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$132,795UnrelatedBusinessRevenueAmt
Exclusion$614,036ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,500TotalAmt
Program Services$15,500ProgramServicesAmt

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$1,341,894TotalAmt
Program Services$729,504ProgramServicesAmt
Management And General$582,754ManagementAndGeneralAmt
Fundraising$29,636FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,309,101TotalAmt
Program Services$17,381,771ProgramServicesAmt
Management And General$1,596,982ManagementAndGeneralAmt
Fundraising$330,348FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$723,188TotalAmt
Program Services$551,382ProgramServicesAmt
Management And General$164,793ManagementAndGeneralAmt
Fundraising$7,013FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,953,252TotalAmt
Program Services$2,379,452ProgramServicesAmt
Management And General$515,041ManagementAndGeneralAmt
Fundraising$58,759FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,312,123TotalAmt
Program Services$1,084,404ProgramServicesAmt
Management And General$208,433ManagementAndGeneralAmt
Fundraising$19,286FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,758TotalAmt
Program Services$33,808ProgramServicesAmt
Management And General$7,950ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,687TotalAmt
Management And General$117,687ManagementAndGeneralAmt

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$79,145TotalAmt
Management And General$79,145ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,594,263TotalAmt
Program Services$3,979,880ProgramServicesAmt
Management And General$555,153ManagementAndGeneralAmt
Fundraising$59,230FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$610,504TotalAmt
Program Services$600,412ProgramServicesAmt
Management And General$4,094ManagementAndGeneralAmt
Fundraising$5,998FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,492,955TotalAmt
Program Services$1,328,926ProgramServicesAmt
Management And General$137,622ManagementAndGeneralAmt
Fundraising$26,407FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$657,414TotalAmt
Program Services$406,524ProgramServicesAmt
Management And General$241,601ManagementAndGeneralAmt
Fundraising$9,289FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$889,565TotalAmt
Program Services$697,246ProgramServicesAmt
Management And General$188,747ManagementAndGeneralAmt
Fundraising$3,572FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$215,115TotalAmt
Program Services$159,462ProgramServicesAmt
Management And General$46,154ManagementAndGeneralAmt
Fundraising$9,499FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,526TotalAmt
Program Services$17,028ProgramServicesAmt
Management And General$76,498ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,618TotalAmt
Management And General$4,618ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,154,888TotalAmt
Program Services$2,995,504ProgramServicesAmt
Management And General$154,884ManagementAndGeneralAmt
Fundraising$4,500FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,095,465TotalAmt
Management And General$1,095,465ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER$922,828$300,064$587,161$35,603
MEDICATION$317,477$317,477
BAD DEBT EXPENSE$143,988$143,988

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,086,254TotalAmt
Program Services$32,978,344ProgramServicesAmt
Management And General$6,508,770ManagementAndGeneralAmt
Fundraising$599,140FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

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$4,623,532BOYAmt
EOY$1,353,519EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,290,926BOYAmt
EOY$836,314EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,906,557BOYAmt
EOY$3,304,184EOYAmt

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$97,995BOYAmt
EOY$103,149EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$616,063BOYAmt
EOY$707,583EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$78,198,341LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,751,202LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,996,550BOYAmt
EOY$45,447,139EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,129,863BOYAmt
EOY$12,543,502EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$759,453EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$779,989BOYAmt
EOY$897,924EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,443,375BOYAmt
EOY$65,954,667EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,347,249BOYAmt
EOY$3,792,611EOYAmt

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$3,763,658BOYAmt
EOY$3,646,203EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,304,220BOYAmt
EOY$3,595,840EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,415,127BOYAmt
EOY$11,034,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,432,631BOYAmt
EOY$52,014,315EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,382,617BOYAmt
EOY$2,692,698EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$213,000BOYAmt
EOY$213,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,028,248BOYAmt
EOY$54,920,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,443,375BOYAmt
EOY$65,954,667EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$580,475ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$527,760NetUnrlzdGainsLossesInvstAmt
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
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$6,903InvestmentEarningsOrLossesAmt
Other Expenditures$6,903OtherExpendituresAmt
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$52,943,083OtherCostOrOtherBasisAmt
Depreciation$21,478,620DepreciationAmt
Book Value$31,464,463BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,749,566OtherCostOrOtherBasisAmt
Depreciation$8,305,095DepreciationAmt
Book Value$4,444,471BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,738,965OtherCostOrOtherBasisAmt
Depreciation$2,967,487DepreciationAmt
Book Value$7,771,478BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,447,139TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO PATIENTS AND THIRD PARTIES$1,721,806
PROFESSIONAL LIABILITY RESERVE$1,595,475
OTHER LIABILITIES$119,958
CAPITAL LEASES$158,601
FieldValueIRS element (for citing)
Total Liability$3,595,840TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$39,289,118TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$527,760NetUnrealizedGainsInvstAmt
Other Revenue-$143,988OtherRevenueAmt
Revenue Not Reported-$671,748RevenueNotReportedAmt
Revenue Subtotal$39,960,866RevenueSubtotalAmt
Investment Expenses Not Incld$79,145InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$534,232OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$455,087RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$39,505,779TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$40,397,353TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$534,232OtherExpensesIncludedAmt
Expenses Not Reported$534,232ExpensesNotReportedAmt
Expenses Subtotal$39,863,121ExpensesSubtotalAmt
Investment Expenses Not Incld2$79,145InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$143,988OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$223,133ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,086,254TotalExpensesPerForm990Amt

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 28, 2019 AND 2018. THE HOSPITAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN INTEREST. AS OF FEBRUARY 28, 2019 AND 2018, 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.
RECONCILIATION OF ACTIVITY PER AFS WITH ACTIVITY PER RETURNForm 990, Schedule D, Part XI, Line 2D: BAD DEBT: ($143,988) FORM 990, SCHEDULE D, PART XI, LINE 4B: GALA EXPENSES: ($317,353) LITTLE SHOP INVENTORY EXPENSE: ($11,084) RENTAL INCOME: $12,000 OTHER RENTAL EXPENSE: ($217,795) ---------- RECLASS REVENUE: ($534,232) Form 990, Schedule D, Part XII, Line 2D: GALA EXPENSES: $317,353 LITTLE SHOP INVENTORY EXPENSE: $11,084 RENTAL INCOME: ($12,000) OTHER RENTAL EXPENSE: $217,795 ---------- RECLASS EXPENSE: $534,232 FORM 990, SCHEDULE D, PART XII, LINE 4B: BAD DEBT: $143,988

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$838,591GrossReceiptsEvent1Amt
Charitable Contri Event1$714,691CharitableContriEvent1Amt
Gross Revenue Event1$123,900GrossRevenueEvent1Amt
Food And Beverage Event1$149,558FoodAndBeverageEvent1Amt
Entertainment Event1$73,202EntertainmentEvent1Amt
Other Direct Expenses Event1$218,493OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$838,591GrossReceiptsTotalAmt
Charitable Contributions Tot$714,691CharitableContributionsTotAmt
Gross Revenue Total Events$123,900GrossRevenueTotalEventsAmt
Food And Beverage Total Events$149,558FoodAndBeverageTotalEventsAmt
Entertainment Total Events$73,202EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$218,493OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$441,253DirectExpenseSummaryEventsAmt
Net Income Summary-$317,353NetIncomeSummaryAmt

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$872,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$872,900DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$872,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$872,900DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,608NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,421TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,421NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,130,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,752,947DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,377,474NetCommunityBenefitExpnsAmt
Total Expense0.05730TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,500NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,230,250TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,753,247DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,477,003NetCommunityBenefitExpnsAmt
Total Expense0.05980TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,103,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,626,147DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,477,003NetCommunityBenefitExpnsAmt
Total Expense0.05980TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$119,557BadDebtExpenseAmt
Reimbursed By Medicare$198,515ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,575CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$126,940MedicareSurplusOrShortfallAmt

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 Conducted17CHNAConductedYr
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 Adpt17ImplementationStrategyAdptYr
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 Medicare PrivateYes (X)LookBackMedicarePrivateInd
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 B OF THE COMMUNITY NEEDS ASSESSMENT FOR A LIST OF KEY INFORMANTS.
Form 990, Schedule H, Part V, Line 11:THE HOSPITAL IS ADDRESSING SUBSTANCE ABUSE ISSUES, WITH A FOCUS ON ALCOHOL ABUSE, UNDERAGE DRINKING, MARIJUANA USE, AND MISUSE OF PRESCRIPTION MEDICATION, AS WELL AS MENTAL HEALTH ISSUES, WITH A FOCUS ON ANXIETY, DEPRESSION, SUICIDE RISK AND THE EFFECTS OF TRAUMA, THROUGH: (1) ITS WORK WITH COMMUNITY ORGANIZATIONS TO PROVIDE EDUCATION EVENTS (2) PARTICIPATION IN THE DIVERSIONARY PROGRAMS FOR AT RISK YOUTH (3) PARTICIPATION IN COMMUNITY FORUMS FOR SUICIDE PREVENTION (4) TRAININGS ON THE ADMINISTRATION OF NARCAN AND FREE NARCAN TO THOSE TRAINED IN ITS USE AND (5) THROUGH ITS EXISTING PROGRAMS FOR INPATIENTS, TRANSITIONAL LIVING AND OUTPATIENT TREATMENT. THE HOSPITAL HAS IDENTIFIED A LACK OF MENTAL HEALTH RESOURCES/SERVICES FOR CERTAIN POPULATIONS, SUCH AS TEENS, AS WELL AS A LACK OF SUPPORT FOR FINDING RESOURCES AND NAVIGATING THE MENTAL HEALTH SYSTEM. THE HOSPITAL INTRODUCED A FAMILY RESOURCE PROGRAM IN ORDER TO PROVIDE SUPPORT IN NAVIGATING THE MENTAL HEALTH SYSTEM. IN ADDITION, THE HOSPITAL EXPANDED ITS RESIDENTIAL EATING DISORDER PROGRAM TO INCLUDE ADOLESCENT PATIENTS.
Form 990, Schedule H, Part V, 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, WHICH MEETS THE STANDARDS OUTLINED IN IRC SECTION 501(R)(4) AND SUBSEQUENT GUIDANCE, 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/2019/05/financial-assist ance-policy-and-application-revised-4-11-19.pdf. THE HOSPITAL ALSO OFFERS FINANCIAL ASSISTANCE, IN THE FORM OF SCHOLARSHIPS, TO PATIENTS RECEIVING TREATMENT IN ITS TRANSITIONAL LIVING PROGRAMS. TRANSITIONAL 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. A MAJORITY OF PATIENTS WHICH NEED FINANCIAL ASSISTANCE RECEIVE CARE UNDER THIS PROGRAM.
Form 990, Schedule H, Part V, Line 16J:THE HOSPITAL MAINTAINS A FORMAL, WRITTEN SCHOLARSHIP 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 (4 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 FY 2019, 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 FINANCE ASSISTANCE COSTS REPORTED. A COST TO CHARGE RATIO FOR INPATIENT SERVICES WAS USED TO DETERMINE THE AMOUNT OF INPATIENT CARE THAT WAS SUBSIDIZED IN FISCAL 2019. ALL OTHER EXPENSES REPORTED 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 $143,988 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 PAGE 16. PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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. THUS, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS RELATED TO THESE PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE HOSPITAL WROTE OFF $217,651 AND $266,920 IN BAD DEBTS, NET OF RECOVERIES, IN FISCAL YEARS 2019 AND 2018, 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 AFTER THE APPLICATION PERIOD; 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 PATIENTS 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 HOSPITALS 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, 39% FROM NEW YORK, 22% 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 2019, 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
Total Other Org0TotalOtherOrgCnt

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
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 PaymentYes (true)SeverancePaymentInd
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 ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred 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
JOHN SANTOPIETRO MD
PRES. & MED. DIR.(END 09/2018)$423,961$130,000$234$0$0$23,349$0$577,544$0$0$0
DENNIS M DOLAN
CHIEF FINANCIAL OFFICER$266,733$792$0$0$9,677$0$277,202$0$0$0
ERIC D COLLINS MD
PHYS-IN-CHF & DIRECTOR$342,278$0$79,418$13,500$0$30,984$0$466,180$0$0$0
SIGURD ACKERMAN MD
PRESIDENT EMERITUS & MED. DIR.$0$150,000$362,291$20,250$0$16,042$0$548,583$0$0$0
ELIZABETH MOORE
FORMER CHIEF OPERATING OFFICER$0$95,476$184,506$0$0$7,706$0$287,688$0$0$0
HOWARD WEINER MD
PHYSICIAN$300,304$3,089$388$6,750$0$28,491$0$339,022$0$0$0
SARAH NIEGO MD
PHYSICIAN$259,609$6,099$253$6,388$0$0$0$272,349$0$0$0
AMIR GARAKANI MD
PHYSICIAN$237,049$6,081$141$11,490$0$11,040$0$265,801$0$0$0
ANRI KISSILENKO MD
PHYSICIAN$229,169$5,871$345$18,696$0$30,984$0$285,065$0$0$0
ROCCO MAROTTA MD PHD
PHYSICIAN$222,384$5,644$3,090$12,013$0$31,141$0$274,272$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 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. FORM 990, SCHEDULE J, PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: SIGURD ACKERMAN, M.D. $362,291 ELIZABETH MOORE $184,506
Form 990, Schedule J, Part I, Lines 7, 8 & 9:THE FORMER PRESIDENT & CEO, FORMER CHIEF OPERATING OFFICER, AND PHYSICIAN-IN-CHIEF WERE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. IN CALENDAR YEAR 2018, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2018. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). DURING THE PERIOD MARCH 1, 2018 - FEBRUARY 28, 2019, BOTH PRESIDENTS & CEOS RECEIVED FIXED SIGN ON BONUSES. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (II).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$396,683MARKETING SERVICESfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$414,629GEN CONTRACTOR SVCSfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$228,363HEALTHCARE IT SVCSfalse

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 TradedSecuritiesPubliclyTradedGrp

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$82,630NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAUCTION ITEMS - GALADesc
Contribution3ContributionCnt
Noncash Contributions Rpt F990$25,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesBID VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1: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 CONTROLLER, CFO, AND PRESIDENT & 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, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, PHYSICIAN IN CHIEF, AND KEY EMPLOYEES. THE SUB-COMMITTEE REVIEWS THE FORM 990S 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. 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 X, LINES 27-29: NET ASSET CLASSIFICATION THE FASB ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2016-14 NOT-FOR-PROFIT ENTITIES (TOPIC 958), PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES, WHICH AMONG OTHER THINGS, CHANGES HOW NOT-FOR-PROFIT ENTITIES REPORT NET ASSET CLASSES. THE SIGNIFICANT REQUIREMENTS OF ASU 2016-14 INCLUDE REDUCTION IN THE NUMBER OF NET ASSET CLASSES FROM THREE TO TWO: WITH DONOR RESTRICTIONS (FORMERLY REPORTED AS TEMPORARILY RESTRICTED NET ASSETS AND PERMANENTLY RESTRICTED NET ASSETS) AND WITHOUT DONOR RESTRICTIONS (FORMERLY REPORTED AS UNRESTRICTED NET ASSETS). THE 2018 FORM 990, PART X WAS NOT UPDATED TO REFLECT THE CHANGE IN NET ASSET CLASS TERMINOLOGY; THEREFORE, SILVER HILL HAS REPORTED NET ASSETS WITHOUT DONOR RESTRICTION AS UNRESTRICTED NET ASSETS AND NET ASSETS WITH DONOR RESTRICTIONS AS TEMPORARILY RESTRICTED NET ASSETS AND PERMANENTLY RESTRICTED NET ASSETS, RESPECTIVELY.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED DIETARY SERVICES TOTAL FEES:1709232
FORM 990 PART IX LINE 11GDESCRIPTION:PROF. MEDICAL SERVICES TOTAL FEES:943229
FORM 990 PART IX LINE 11GDESCRIPTION:PROF. LAB SERVICES TOTAL FEES:827706
FORM 990 PART IX LINE 11GDESCRIPTION:PROF. PHARMACY SERVICES TOTAL FEES:415956
FORM 990 PART IX LINE 11GDESCRIPTION:PROF. MARKETING SERVICES TOTAL FEES:294886
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:403254

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE SH-YNHHS TLTPPBusinessNameLine1Txt

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-$400,836ShareOfTotalIncomeAmt
Share Of EOY Assets$1,245,066ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.75370OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 SharingfalsePaidEmployeesSharingInd
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
B$772,024BOOK
SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT
M$452,153TRANSACTION RVW

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