2020-01-15T12:28:27-06:00 2019-02-28 KPMG LLP 345 Park Avenue New York NY 101540102 990 2018-03-01 060655139 SILVER HILL HOSPITAL INC % DENNIS M DOLAN CFO SILV 2039661380 208 VALLEY ROAD NEW CANAAN CT 06840 DENNIS M DOLAN CFO 2038012232 2020-01-13 true DEVIN L DUNCAN P01249521 2127589700 2020-01-13 167.68.102.5 13407320200155000147 2020-01-15 P F7E791049FCEE4943A341CCA4F642AE72B60D2A0 2EFB9A2273A280871CB6E2783C42C633A2C5F4AB 2018 2020-09-23 17:36:50Z ANDREW GERBER MD PhD 208 VALLEY ROAD NEW CANAAN CT 06840 48420814 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 17 434 230 -132795 -132795 2010014 1246757 41718721 38320928 569754 831868 -185345 -893774 44113144 39505779 25500 15500 0 0 27054139 25639558 0 0 599140 15316503 14431196 42396142 40086254 1717002 -580475 68443375 65954667 12415127 11034654 56028248 54920013 THE 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. false false 17137252 14931854 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 1,158 INPATIENTS DURING FISCAL YEAR 2019. 14615447 15500 21030654 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 609 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2019. 1225645 1815273 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. 32978344 true true false false false false false false false true true false false false true true true false false false false false false false true false true true true false true false false false false false true false false true false false false false true true true false false true 187 0 true 434 true true true false false false false true true false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true true true false CT NY X DENNIS M DOLAN CFO 2038012232 208 VALLEY RD NEW CANAAN CT 06840 X PETER ORTHWEIN CHAIRMAN & DIRECTOR 5.0 0.0 X X 0 0 0 LANCE LUNDBERG VICE CHAIRMAN & DIRECTOR 3.0 0.0 X X 0 0 0 DEANN E MURPHY CHAIR EMERITUS & DIRECTOR 2.0 0.0 X 0 0 0 WARD F CLEARY ESQ CHAIR EMERITUS & DIRECTOR 2.0 0.0 X 0 0 0 LINDA AUTORE SECRETARY & DIRECTOR 2.0 0.0 X X 0 0 0 SPERRY A DECEW DIRECTOR 1.0 0.0 X 0 0 0 RICHARD GANNON TREASURER & DIRECTOR 1.0 0.0 X X 0 0 0 NORA BAILEY-BASS DIRECTOR (BEG 5/2018) 1.0 0.0 X 0 0 0 RICHARD CANNING DIRECTOR 1.0 0.0 X 0 0 0 FREDERICK FEINER MD DIRECTOR (END 5/2018) 3.0 0.0 X 0 0 0 HANK J HARTONG JR DIRECTOR 1.0 0.0 X 0 0 0 THEODORE HERMAN DIRECTOR 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 PHD DIRECTOR 1.0 0.0 X 0 0 0 PAUL LAMBDIN DIRECTOR 1.0 0.0 X 0 0 0 JIM PERAKIS DIRECTOR 1.0 0.0 X 0 0 0 CHERYL WIESENFELD DIRECTOR 1.0 0.0 X 0 0 0 ANDREW GERBER MD PHD PRES. & MED. DIR.(BEG 10/2018) 40.0 0.0 X X 91607 0 2757 JOHN SANTOPIETRO MD PRES. & MED. DIR.(END 09/2018) 40.0 0.0 X X 554195 0 23349 DENNIS M DOLAN CHIEF FINANCIAL OFFICER 40.0 0.0 X 267525 0 9677 ERIC D COLLINS MD PHYS-IN-CHF & DIRECTOR 40.0 0.0 X 421696 0 44484 HOWARD WEINER MD PHYSICIAN 40.0 0.0 X 303781 0 35241 SARAH NIEGO MD PHYSICIAN 40.0 0.0 X 265961 0 6388 AMIR GARAKANI MD PHYSICIAN 40.0 0.0 X 243271 0 22530 ANRI KISSILENKO MD PHYSICIAN 40.0 0.0 X 235385 0 49680 ROCCO MAROTTA MD PHD PHYSICIAN 40.0 0.0 X 231118 0 43154 SIGURD ACKERMAN MD PRESIDENT EMERITUS & MED. DIR. 0.0 0.0 X 512291 0 36292 ELIZABETH MOORE FORMER CHIEF OPERATING OFFICER 0.0 0.0 X 279982 0 7706 3406812 0 281258 32 true true false UNIDINE ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 FOOD SERVICES 1704224 PHARMACY THERAPEUTICS CONSULTANTS PO BOX 487 CHESHIRE CT 06410 PHARMACY MANAGEMENT 415956 PAC GROUP LLC 126 SOUTH MAIN ST SUITE 200 TORRINGTON CT 06790 GENERAL CONTRACTOR 414629 CRONIN AND COMPANY 50 NYE RD GLASTONBURY CT 06033 MARKETING SERVICES 396683 DAVID TINE 56 GREEN LANE DURHAM CT 06422 MARKETING MGMT SVCS 302030 16 714691 532066 108130 1246757 TRANSITIONAL LIVING 623000 21685934 21685934 INPATIENT 623000 14819721 14819721 OUTPATIENT 623000 1815273 1815273 38320928 621328 621328 0 0 125192 217795 -92603 0 -92603 -132795 40192 8455443 8244903 210540 210540 210540 123900 714691 441253 -317353 -317353 0 0 0 14781 11084 3697 3697 TUTORING 900099 76031 76031 GUEST MEALS 900099 55632 55632 SH-YNHHS TLP - LOSS EQTY INV 900099 -762756 -762756 143578 143578 -487515 39505779 37777781 -132795 614036 X 15500 15500 0 0 0 1341894 729504 582754 29636 0 19309101 17381771 1596982 330348 723188 551382 164793 7013 2953252 2379452 515041 58759 1312123 1084404 208433 19286 0 41758 33808 7950 117687 117687 0 0 79145 79145 4594263 3979880 555153 59230 610504 600412 4094 5998 1492955 1328926 137622 26407 657414 406524 241601 9289 0 889565 697246 188747 3572 215115 159462 46154 9499 0 93526 17028 76498 4618 4618 0 3154888 2995504 154884 4500 1095465 1095465 OTHER 922828 300064 587161 35603 MEDICATION 317477 317477 BAD DEBT EXPENSE 143988 143988 40086254 32978344 6508770 599140 X 1900 1900 4623532 1353519 1290926 836314 2906557 3304184 0 0 0 0 0 0 97995 103149 616063 707583 78198341 32751202 43996550 45447139 14129863 12543502 0 0 0 759453 0 0 779989 897924 68443375 65954667 3347249 3792611 0 0 0 0 0 0 0 0 0 0 3763658 3646203 0 0 5304220 3595840 12415127 11034654 X 52432631 52014315 3382617 2692698 213000 213000 56028248 54920013 68443375 65954667 -580475 -527760 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 245559 1894 34453 213000 237557 8002 245559 213000 24557 237557 213000 213000 213000 6903 6903 213000 1.00000 false false 1766727 1766727 52943083 21478620 31464463 12749566 8305095 4444471 10738965 2967487 7771478 45447139 0 DUE TO PATIENTS AND THIRD PARTIES 1721806 PROFESSIONAL LIABILITY RESERVE 1595475 OTHER LIABILITIES 119958 CAPITAL LEASES 158601 3595840 X 39289118 -527760 -143988 -671748 39960866 79145 -534232 -455087 39505779 40397353 534232 534232 39863121 79145 143988 223133 40086254 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 RETURN Form 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 GALA 838591 714691 123900 149558 73202 218493 0 838591 714691 123900 149558 73202 218493 441253 -317353 true true true X 600. true X 900. false true false false 872900 872900 0.00000 872900 872900 0.00000 64908 300 64608 0.00160 19421 19421 0.00050 17130421 14752947 2377474 0.05730 15500 15500 0.00040 17230250 14753247 2477003 0.05980 18103150 15626147 2477003 0.05980 true 119557 198515 71575 126940 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 17 true false false true X WWW.SILVERHILLHOSPITAL.ORG true 17 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 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. 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. false NEW CANAAN POLICE DEPARTMENT 174 SOUTH AVENUE NEW CANAAN CT 06840 066002043 GOVT 10000 DONATION 1 0 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 false true X X X X true false false false false false false true true false JOHN SANTOPIETRO MD PRES. & MED. DIR.(END 09/2018) 423961 130000 234 0 0 23349 0 577544 0 0 0 DENNIS M DOLAN CHIEF FINANCIAL OFFICER 266733 792 0 0 9677 0 277202 0 0 0 ERIC D COLLINS MD PHYS-IN-CHF & DIRECTOR 342278 0 79418 13500 0 30984 0 466180 0 0 0 SIGURD ACKERMAN MD PRESIDENT EMERITUS & MED. DIR. 0 150000 362291 20250 0 16042 0 548583 0 0 0 ELIZABETH MOORE FORMER CHIEF OPERATING OFFICER 0 95476 184506 0 0 7706 0 287688 0 0 0 HOWARD WEINER MD PHYSICIAN 300304 3089 388 6750 0 28491 0 339022 0 0 0 SARAH NIEGO MD PHYSICIAN 259609 6099 253 6388 0 0 0 272349 0 0 0 AMIR GARAKANI MD PHYSICIAN 237049 6081 141 11490 0 11040 0 265801 0 0 0 ANRI KISSILENKO MD PHYSICIAN 229169 5871 345 18696 0 30984 0 285065 0 0 0 ROCCO MAROTTA MD PHD PHYSICIAN 222384 5644 3090 12013 0 31141 0 274272 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. 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). SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 396683 MARKETING SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 414629 GEN CONTRACTOR SVCS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 228363 HEALTHCARE IT SVCS false X 2 82630 FMV X AUCTION ITEMS - GALA 3 25500 BID VALUE 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, 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 11G DESCRIPTION:PURCHASED DIETARY SERVICES TOTAL FEES:1709232 FORM 990 PART IX LINE 11G DESCRIPTION:PROF. MEDICAL SERVICES TOTAL FEES:943229 FORM 990 PART IX LINE 11G DESCRIPTION:PROF. LAB SERVICES TOTAL FEES:827706 FORM 990 PART IX LINE 11G DESCRIPTION:PROF. PHARMACY SERVICES TOTAL FEES:415956 FORM 990 PART IX LINE 11G DESCRIPTION:PROF. MARKETING SERVICES TOTAL FEES:294886 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:403254 THE SH-YNHHS TLTPP 208 VALLEY RD NEW CANAAN CT 06840 843028517 HEALTHCARE SVC CT SHH RELATED -400836 1245066 false true 0.75370 false true false false false false false false false false false false true false false false false false false SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT B 772024 BOOK SH-YNHHS TRANSITIONAL LIVING TREATMENT PGM PT M 452153 TRANSACTION RVW