2014-01-15T15:18:19-06:00 2013-02-28 KPMG LLP 345 Park Avenue New York NY 101540102 990 2012-03-01 060655139 SILVER HILL HOSPITAL INC % RUURD G LEEGSTRA CFO SILV 2039661380 208 VALLEY RD Suite NEW CANAAN CT 06840 SIGURD H ACKERMAN MD 2039661380 2014-01-15 true KPMG LLP 2127589700 2012 2015-11-30 17:44:51Z SIGURD H ACKERMAN MD 208 VALLEY RD NEW CANAAN CT 06840 43449037 false X WWW.SILVERHILLHOSPITAL.ORG X 1934 CT SEE SCHEDULE O 21 16 373 200 -92197 -92197 1434915 1524344 32101190 35007506 587374 753895 -25278 -50819 34098201 37234926 0 24250 0 0 19629450 21443937 0 0 575169 10650142 11016993 30279592 32485180 3818609 4749746 40459322 46122475 8916912 10057906 31542410 36064569 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. false false 15014210 24250 15112283 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 1,877 INPATIENTS DURING FISCAL YEAR 2013. 11144952 18464437 SILVER HILL 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 726 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2013. 254871 1430786 INTENSIVE OUTPATIENT PROGRAMS (IOP) MEET FOR THREE HOURS/DAY, THREE DAYS/WEEK. SILVER HILL HOSPITAL PROVIDES A DIALECTICAL BEHAVIOR THERAPY IOP FOR PATIENTS EXPERIENCING DIFFICULTY REGULATING INTENSE EMOTIONS, IMPULSIVITY AND HARMFUL BEHAVIORS. THE WOMEN'S TRAUMA AND ADDICTION IOP IS FOR WOMEN WHO STRUGGLE WITH DRUGS AND ALCOHOL AND HAVE EXPERIENCED SOME FORM OF TRAUMA SUCH AS EARLY PHYSICAL OR SEXUAL ABUSE, EMOTIONAL ABUSE OR A TRAUMATIC EVENT. THE DUAL DIAGNOSIS IOP PROVIDES SIMULTANEOUS TREATMENT FOR PATIENTS WITH A PSYCHIATRIC AND SUBSTANCE ABUSE DISORDER. 26414033 true true 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 false false true false false false false false false false false false true 150 0 373 true true true false false false false true true false false false false false false X 21 16 false false false false false false false true true false false true true true true true true true true false CT NY X RUURD G LEEGSTRA CFO 2038012230 208 VALLEY RD NEW CANAAN CT 06840 WARD F CLEARY 3.0 X 0 0 0 DEANN E MURPHY 8.0 X 0 0 0 STEVE STILLERMAN 1.0 X 0 0 0 LINDA AUTORE 1.0 X 0 0 0 CYNTHIA ZIEGLAR BRIGHTON 1.0 X 0 0 0 PATRICIA BURROWS 1.0 X 0 0 0 RICHARD CANNING 1.0 X 0 0 0 MICHAL COMINOTTO 1.0 X 0 0 0 SPERRY A DECEW 1.0 X 0 0 0 FREDERICK S FEINER MD 1.0 X 0 0 0 JUDITH FREEDMAN 1.0 X 0 0 0 RICHARD GANNON 1.0 X 0 0 0 TED HERMAN 1.0 X 0 0 0 CLAUDETTE H KUNKES 1.0 X 0 0 0 PAUL LAMBDIN 1.0 X 0 0 0 LANCE LUNDBERG 1.0 X 0 0 0 PETER ORTHWEIN 1.0 X 0 0 0 DAVID SCHUNTER 1.0 X 0 0 0 LAURIE WILLIAMSON 1.0 X 0 0 0 SIGURD H ACKERMAN MD 40.0 X X 542029 0 42025 ELIZABETH E MOORE 40.0 X X 313163 0 24171 RUURD G LEEGSTRA 40.0 X X 231161 0 11291 ERIC COLLINS MD 40.0 X X 129707 0 15315 BARRY KERNER 40.0 X X 91679 0 27978 MARK CERBONE MD 40.0 X 262008 0 5580 ANRI KISSILENKO MD 40.0 X 216257 0 46312 ROCCO MAROTTA MD 40.0 X 205729 0 35723 AVA ALBRECHT MD 40.0 X 202799 0 31152 SANDRA GOMEZ-LUNA MD 40.0 X 215104 0 9898 2409636 0 249445 29 false true false UNIDINE CORPORATION ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 FOOD SERVICES 1187910 PAC GROUP LLC PO BOX 52 HARWINGTON CT 06791 GENERAL CONTRACTOR 882780 PHARMACY THERAPEUTICS CONSULTANTS 300 CHURCH ST WALLINGFORD CT 06492 PHARMACY MANAGEMENT 344313 MEDSPHERE SYSTEMS CORPORATION 1917 PALOMAR OAKS WAY SUITE 200 CARLSBAD CA 92008 IT CONSULTANT 248881 RICHARD TURLINGTON ARCHITECTS 244 MAPLE STREET NEW HAVEN CT 06511 ARCHITECT 226506 10 739523 784821 11235 1524344 INPATIENT PROGRAM 623000 15112283 15112283 TRANSITIONAL LIVING PROGRAM 623000 18464437 18464437 NON RESIDENTIAL SERVICES 623000 1430786 1430786 35007506 264503 264503 0 0 50268 168441 -118173 0 -118173 -92197 -25976 6168969 5679577 489392 489392 489392 127500 739523 366093 -238593 -238593 0 0 WELLNESS 900099 43422 43422 OTHER 900099 50053 50053 GIFT SHOP REVENUE 900099 35431 35431 177041 177041 305947 37234926 35278022 -92197 524757 24250 24250 0 0 0 1335505 552407 713660 69438 0 15854817 14068068 1467945 318804 662209 487928 162321 11960 2426574 1979679 431002 15893 1164832 988545 159481 16806 0 292920 7800 285120 82826 82826 0 0 41067 41067 3950126 3652129 282765 15232 332483 313753 2992 15738 1263927 961399 280953 21575 206043 178567 25128 2348 0 914718 568381 341896 4441 130917 104833 22508 3576 0 47159 15303 30834 1022 0 0 1654252 1324642 325325 4285 608539 59737 548802 PHARMACY 246314 246314 BAD DEBT EXPENSE 196137 196137 OTHER EXPENSES 1049565 684161 291353 74051 32485180 26414033 5495978 575169 1900 1900 4196525 4192440 73670 8421 2133705 3727519 0 0 0 0 0 0 70250 94558 463997 813897 47781068 17951051 23338899 29830017 9727117 6243560 0 0 0 0 0 0 453259 1210163 40459322 46122475 1371357 2430418 0 0 0 0 0 0 0 0 0 0 5127680 4429594 0 0 2417875 3197894 8916912 10057906 X 30709941 35239721 619469 611848 213000 213000 31542410 36064569 40459322 46122475 4749746 -227587 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 213000 3158 3158 213000 213000 1062 1062 213000 213000 4650 4650 213000 213000 5910 5910 213000 213000 5868 5868 213000 1.00000 false false 2192996 2192996 33279409 12423569 20855840 6718694 4424226 2294468 5589969 1103256 4486713 29830017 0 ACCRUED 401K EMPLOYER CONTRIBUTIONS 773716 ACCRUED SALARIES AND WAGES 499066 ACCRUED LEGAL 1469075 ACCRUED VACATION 312491 EMPLOYEE FSA PAYABLE 65933 ACCRUED FICA - EMPLOYER PORTION 40507 INTEREST PAYABLE ON LINE OF CREDIT 15057 UNCLAIMED PROPERTY 22049 3197894 X 37050866 -227587 185896 -41691 37092557 41925 100444 142369 37234926 32528707 354337 354337 32174370 41925 268885 310810 32485180 INTENDED USE OF ENDOWMENT FUNDS PART V, LINE 4 DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS. FIN 48 FOOTNOTE 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 TO THE CODE. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT. IT IS MANAGEMENT'S ESTIMATION THAT ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII PART XI, LINE 2D SPECIAL EVENT EXPENSES THAT ARE INCLUDED IN OPERATING 238,594 EXPENSES IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS, BUT NETTED AGAINST SPECIAL EVENT REVENUES FOR 990 PURPOSES AND INCLUDED IN PART VIII LINE 12 OF THE FORM 990. RENTAL REVENUE (50,268) LOSSES INCLUDED IN OTHER (LOSSES) GAINS - NET, IN THE (2,430) STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS. __________ TOTAL 185,896 AMOUNTS INCLUDED ON FORM 990 BUT NOT AUDITED FINANCIAL STATEMENTS PART XI, LINE 4B PROVISION FOR UNCOLLECTIBLE PLEDGES WHICH IS NETTED AGAINST 22,748 REVENUE IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS. PROVISION FOR UNCOLLECTIBLE PLEDGES WHICH IS NETTED AGAINST 50,000 TERMPORARILY RESTRICTED REVENUES IN THE STATEMENT OF CHANGES IN NET ASSTS OF THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE INCLUDED IN TOTAL REVENUE, GAINS AND OTHER 196,137 SUPPORT PER AUDITED FINANCIAL STATEMENTS. RENTAL EXPENSES -168,441 _________ TOTAL 100,444 AMOUNT INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT FORM 990 PART XII, LINE 2D SPECIAL EVENT EXPENSES THAT ARE INCLUDED IN OPERATING 238,594 EXPENSES IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS, BUT NETTED AGAINST SPECIAL EVENT REVENUES FOR 990 PURPOSES AND INCLUDED IN PART VIII LINE 12 OF THE FORM 990. GALA 867023 739523 127500 165169 49953 150971 0 867023 739523 127500 165169 49953 150971 366093 -238593 true true true X 600. true X 900. false true false false 408800 408800 0.01270 408800 408800 0.01270 63244 540 62704 0.00190 37445 3900 33545 0.00100 16036308 15112283 924025 0.02860 24250 24250 0.00080 16161247 15116723 1044524 0.03230 16570047 15116723 1453324 0.04500 true 137600 114622 41447 73175 true true 1 1 SILVER HILL HOSPITAL INC

208 VALLEY RD NEW CANAAN CT 06840

X SILVER HILL HOSPITAL INC true true 600. true 900. true X X true true X true false true X false false PART VI - SUPPLEMENTAL INFORMATION PART I, LINE 3C: N/A PART I, LINE 6A: DURING FY 13, THE HOSPITAL WAS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF CONNECTICUT. PART I, LINE 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE CHARITY CARE COSTS REPORTED. A COST TO CHARGE RATIO FOR INPATIENT SERVICES WAS USED TO DETERMINE THE AMOUNT OF INPATIENT CARE THAT WAS SUBSIDIZED IN FISCAL 2013. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS. PART I, LINE 7, COLUMN(F) EXPENSE CALCULATION TOTAL EXPENSES FROM PART IX, LINE 25 WERE REDUCED BY BAD DEBT EXPENSE OF $196,137 IN CALCULATING TOTAL EXPENSES FOR COLUMN (F). PART II: N/A PART III, LINE 4: CONSISTENT WITH HFMA STATEMENT 15, BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS REPRESENTS THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. FOR 990 REPORTING PURPOSES, BAD DEBT COST WAS CALCULATED BASED ON THE PATIENT COST TO CHARGE RATIO APPLIED TO THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE - "THE COLLECTIONS OF RECEIVABLES FROM THIRD-PARTY PAYORS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH FOR OPERATIONS AND IS CRITICAL TO ITS OPERATING PERFORMANCE. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. PATIENT RECEIVABLES, WHERE A THIRD-PARTY PAYOR IS RESPONSIBLE FOR PAYING THE AMOUNT, ARE CARRIED AT A NET AMOUNT DETERMINED BY THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THE THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. MANAGEMENT ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS ACCOUNTS RECEIVABLE AND ITS HISTORICAL COLLECTION EXPERIENCE FOR EACH PAYOR TYPE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. THE PAST DUE STATUS OF RECEIVABLES IS DETERMINED ON A CASE-BY-CASE BASIS DEPENDING ON THE RESPONSIBLE PAYOR. INTEREST IS GENERALLY NOT CHARGED ON THE PAST DUE ACCOUNTS. PART III, LINE 8: AMOUNTS REPORTED IN PART III (B) REPRESENT OUTPATIENT MEDICARE, AS INPATIENT MEDICARE REVENUE AND EXPENSES ARE INCLUDED IN SUBSIDIZED CARE (PART 1, LINE 7 (G)). REVENUE RECEIVED FROM MEDICARE WAS TAKEN FROM WORKSHEET E, PART B LINE 17.01 OF THE FY 13 MEDICARE COST REPORT; THE ALLOWABLE COST AMOUNT WAS TAKEN FROM WORKSHEET E, PART B LINE 1.01 OF THE FY 2013 MEDICARE COST REPORT. PART III, LINE 9B: THE COLLECTION POLICY STATES: "THIS POLICY IS APPLICABLE TO ALL PATIENTS RECEIVING SERVICES AT SILVER HILL HOSPITAL (SHH) WHO ARE CONSIDERED SELF-PAY (AS DEFINED IN THIS POLICY) AND ARE JUDGED TO BE ABLE TO PAY; THAT IS, THIS POLICY APPLIES TO THOSE WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE PROGRAM (SEE POLICY ON FREE CARE PROGRAM)." PART V, LINE 20D 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). UPON DISCHARGE, THE HOSPITAL WORKS WITH THESE PATIENTS TO DETERMINE AN APPROPRIATE PAYMENT AMOUNT GIVEN THEIR FINANCIAL SITUATION. PART VI, LINE 2: NEEDS ASSESSMENT 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. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SOCIAL WORKERS HAVE A COMPREHENSIVE VIEW OF A PATIENT'S FINANCIAL AND SOCIAL SITUATION AND ARE KNOWLEDGEABLE ABOUT THE ELIGIBILITY CRITERIA FOR ENTITLEMENT PROGRAMS. IT IS THE ASSIGNED RESPONSIBILITY OF THE SOCIAL WORKER TO INFORM PATIENTS AND THEIR FAMILIES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. PATIENTS WHO DO NOT HAVE THE FINANCIAL ABILITY TO PAY FOR SERVICES ARE EDUCATED ABOUT SHH'S SCHOLARSHIP PROGRAM BY A SPECIFICALLY TRAINED STAFF MEMBER. THE STAFF MEMBER PROVIDES PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL GUIDELINES AND SUPPORTING DOCUMENTATION REQUIRED FOR OBTAINING A SCHOLARSHIP FOR THE PROGRAM. PART VI, LINE 4: COMMUNITY INFORMATION: APPROXIMATELY 52% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 28% FROM NEW YORK, 20% FROM OTHER AREAS INCLUDING NEW JERSEY AND MASSACHUSETTS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: SILVER HILL HOSPITAL FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY THROUGH A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS CONTRIBUTE THEIR UNIQUE TALENTS AND RESOURCES TOWARD THE HOSPITAL'S MISSION OF HEALING AND THE CARE OF ITS PATIENTS. PART VI, LINE 6 AFFILIATED HEALTH SYSTEMS N/A PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: CT - WITH THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH (EVERY 2 YEARS) COMMUNITY HEALTH NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 1 THE HOSPITAL IS IN THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA WILL BE COMPLETED AND POSTED PRIOR TO THE DUE DATE OF FEBRUARY 28, 2014. true HAVEN 835 WEST QUEEN STREET 2ND FLOOR SOUTHINGTON CT 06489 510642913 501(c)(3) 10000 DONATION 1 N/A This was not a grant, it was a donation at the request of haven. X X X X X false false false false false false false true false SIGURD H ACKERMAN MD 443225 0 90000 0 8804 0 12250 0 29775 0 584054 0 0 0 ELIZABETH E MOORE 266639 0 45000 0 1524 0 12250 0 11921 0 337334 0 0 0 RUURD G LEEGSTRA 188689 0 40000 0 2472 0 11291 0 0 0 242452 0 0 0 MARK CERBONE MD 255752 0 5937 0 319 0 5580 0 0 0 267588 0 0 0 ANRI KISSILENKO MD 210614 0 5415 0 228 0 15563 0 30749 0 262569 0 0 0 ROCCO MAROTTA MD 199690 0 5171 0 868 0 4974 0 30749 0 241452 0 0 0 AVA ALBRECHT MD 197309 0 5265 0 225 0 4854 0 26298 0 233951 0 0 0 SANDRA GOMEZ-LUNA MD 209780 0 5096 0 228 0 9898 0 0 0 225002 0 0 0 PART I, LINE 7. THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER AND PHYSICIAN-IN-CHIEF ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. IN CALENDAR YEAR 2012, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2012. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). VERDE ENERGY SEE PART V 110000 ELECTRICITY-GENERATION FOR HOS false SCHEDULE L, PART IV - BUSINESS TRANSACTIONS MR. LANCE LUNDBERG IS ON THE SILVER HILL HOSPITAL BOARD OF DIRECTORS AND IS ALSO THE CHAIRMAN OF VERDE ENERGY WHICH DOES BUSINESS WITH THE HOSPITAL. 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. PART VI, SECTION B LINE 11B, 12C, 15 AND 19 LINE 11B - 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 DIRECTOR OF ACCOUNTING, CFO, COO AND PRESIDENT, AND 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 SERVICE. LINE 12C - THE HOSPITAL REQUIRES THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE A NOTIFICATION OF COMPLIANCE QUESTIONNAIRE AT THE END OF EACH YEAR. THE FINANCE DEPARTMENT REVIEWS THE QUESTIONNAIRES FOR DETERMINATION OF POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS ARE MADE KNOWN TO THE BOARD FOR RESOLUTION. LINE 15 - 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 COO, CFO AND KEY EMPLOYEES. THE SUB-COMMITTEE REVIEWS FORM 990'S OF SIMILAR ORGANIZATIONS AS WELL AS COMPENSATION SURVEYS AND STUDIES PERFORMED BY AN INDEPENDENT CONSULTANT, 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 MINUTES OF THE ANNUAL BOARD OF DIRECTORS MEETING. LINE 19 - THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART III - PROGRAM SERVICE, LINE 4C INTENSIVE OUTPATIENT PROGRAMS (IOPS) TYPICALLY MEET FOR THREE HOURS A DAY, THREE DAYS PER WEEK. THE HOSPITAL PROVIDES THREE DIALECTICAL BEHAVIOR THERAPY IOPS FOR PATIENTS EXPERIENCING DIFFICULTY REGULATING INTENSE EMOTIONS, IMPULSIVITY AND HARMFUL BEHAVIORS. THESE PROGRAMS TEACH PATIENTS THE CORE DBT SKILLS OF MINDFULNESS, EMOTION REGULATION, INTERPERSONAL EFFECTIVENESS SKILLS AND DISTRESS TOLERANCE. THE HOSPITAL ALSO PROVIDES A WOMEN'S TRAUMA AND ADDICTION IOP FOR WOMEN WHO STRUGGLE WITH ADDICTION TO LEARN SAFE COPING SKILLS TO MAINTAIN SOBRIETY, AS WELL AS TO EXPLORE UNDERLYING INTERPERSONAL ISSUES INCLUDING RELATIONSHIP DIFFICULTIES, ABUSE, CODEPENDENCY AND BOUNDARIES. IN ADDITION, THE HOSPITAL PROVIDES AN ADDICTION/DUAL DIAGNOSIS IOP WHICH IS APPROPRIATE FOR PATIENTS DIAGNOSED WITH EITHER AN ADDICTION OR DUAL DISORDER. GROUPS INCLUDE RELAPSE PREVENTION, FAMILY DISEASE AND RELAPSE WARNING SIGNS, UNDERSTANDING EMOTIONS AND SELF-ESTEEM. THIS PROGRAM ALSO TEACHES PATIENTS DIALECTICAL BEHAVIOR THERAPY SKILLS SUCH AS DISTRESS TOLERANCE.