STRATEGY STUDIO / PUBLIC DATA EXPLORER

SILVER HILL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SILVER HILL HOSPITAL INC (EIN 06-0655139)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349309805
Schema version
2022v5.0
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)
Return2023-11-13T15:56:04-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 LONG WHARF DRIVEAddressLine1Txt
CityNEW HAVENCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06511ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060655139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSILVBusinessNameControlTxt
Phone2038012230PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW GERBER MD PHDPersonNm
Person TitlePRESIDENT & MEDICAL DIRECTORPersonTitleTxt
Phone2038012230PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastGERBER MD PHDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone2037819600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

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$72,460,459GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SILVERHILLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1934FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL ILLNESS. SEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee538TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,901,459PYContributionsGrantsAmt
CY Contributions Grants$5,412,854CYContributionsGrantsAmt
PY Program Service Revenue$34,035,056PYProgramServiceRevenueAmt
CY Program Service Revenue$46,407,550CYProgramServiceRevenueAmt
PY Investment Income$1,999,275PYInvestmentIncomeAmt
CY Investment Income$2,034,390CYInvestmentIncomeAmt
PY Other Revenue$2,482,075PYOtherRevenueAmt
CY Other Revenue$3,293,649CYOtherRevenueAmt
PY Total Revenue$44,417,865PYTotalRevenueAmt
CY Total Revenue$57,148,443CYTotalRevenueAmt
PY Grants And Similar Paid$91,025PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$103,553CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,630,511PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,699,483CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,321,554CYTotalFundraisingExpenseAmt
PY Other Expenses$12,810,358PYOtherExpensesAmt
CY Other Expenses$18,304,105CYOtherExpensesAmt
PY Total Expenses$37,531,894PYTotalExpensesAmt
CY Total Expenses$53,107,141CYTotalExpensesAmt
PY Revenues Less Expenses$6,885,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,041,302CYRevenuesLessExpensesAmt
Total Assets BOY$73,348,940TotalAssetsBOYAmt
Total Assets EOY$71,199,634TotalAssetsEOYAmt
Total Liabilities BOY$14,282,517TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,697,465TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$59,066,423NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,502,169NetAssetsOrFundBalancesEOYAmt
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$20,160,833ExpenseAmt
Revenue$12,942,470RevenueAmt
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 752 INPATIENTS DURING THE PERIOD OF 1/1/2022 TO 12/31/2022.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,533,818ExpenseAmt
Grant$103,553GrantAmt
Revenue$34,114,854RevenueAmt
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 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 754 TRANSITIONAL LIVING PATIENTS DURING THE PERIOD OF 1/1/2022 TO 12/31/2022.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,599,203ExpenseAmt
Revenue$2,478,848RevenueAmt
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 EIGHT WEEKS GUIDING INDIVIDUALS TOWARD FURTHER INDEPENDENCE. THE HOSPITAL TREATED APPROXIMATELY 450 PATIENTS DURING THE PERIOD OF 1/2/2022 TO 12/31/2022.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$43,293,854TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document164IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee538EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
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)
PersonTHOMASA HOLLEYPersonNm
Phone2038012268PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD CANNING
CHAIR3.00Yes (X)Yes (X)$0$0$0
PETER ORTHWEIN
CHAIR EMERITUS1.00Yes (X)Yes (X)$0$0$0
WARD F CLEARY ESQ
CHAIR EMERITUS1.00Yes (X)Yes (X)$0$0$0
DEBORAH SHABECOFF
DIRECTOR1.00Yes (X)$0$0$0
LINDA AUTORE
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL HOLMES
DIRECTOR1.00Yes (X)$0$0$0
PETER FONAGY
DIRECTOR1.00Yes (X)$0$0$0
SUSAN SALICE
DIRECTOR1.00Yes (X)$0$0$0
RICHARD GANNON
DIRECTOR, TREASURER1.00Yes (X)Yes (X)$0$0$0
CHERYL WIESENFELD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ANDREW GERBER MD PHD
PRESIDENT & MEDICAL DIRECTOR40.00Yes (X)Yes (X)$649,586$0$41,646
ROSS MARKELLO
CHIEF FINANCIAL OFFICER40.00Yes (X)$464,046$0$29,029
MICHAEL D GROAT PHD
CHIEF CLINICAL OFFICER40.00$419,634$0$45,789Yes (X)
KRISTEN WOLFE
CHIEF BUSINESS OFFICER40.00$293,833$0$33,725Yes (X)
TIMOTHY DOUGHERTY
CHIEF ADVANCEMENT OFFICER40.00$352,840$0$46,569Yes (X)
LISA BENTON
CHIEF QUALITY OFFICER40.00$313,992$0$37,358Yes (X)
AYANA THOMAS
CHIEF INFORMATION OFFICER40.00$286,134$0$20,236Yes (X)
SHARON KOWALCHUK
CHIEF NURSING OFFICER40.00$210,152$0$33,946Yes (X)
RYAN RICHARD WADE
PHYSICIAN40.00$465,328$0$3,959Yes (X)
HOWARD K WEINER
PHYSICIAN40.00$450,866$0$36,718Yes (X)
ELIZABETH ORTIZ-SCHWARTZ
PHYSICIAN40.00$305,292$0$42,904Yes (X)
ANRI KISSILENKO
PHYSICIAN40.00$305,802$0$61,260Yes (X)
PETRA M PILGRIM
PHYSICIAN40.00$315,079$0$19,239Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,832,584TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$452,378TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIDINE CORPORATION
PO BOX 102289ATLANTAGA303682289FOOD SERVICES$2,498,708
YALE NEW HAVEN HEALTH
PO BOX 788327PHILADELPHIAPA191788327LAB SERVICES & CLINICAL CONTRACTUAL SERV$756,456
PHARMACY & THERAPEUTICS CONS
POB 487 ATTN AMY VEIVIACHESHIRECT06410PHARMACEUTICAL SERVICES$544,933
SOUND CONSTRUCTION INC
52 FLAT ROCK RDEASTONCT06612LANDSCAPE PROJECT$440,298
LAUREN MUSE
78 EAST PUTNUM AVENUECOS COBCT06807INTERIOR DESIGNER (RENOVATION PROJECTS)$338,253
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$2,000,000GovernmentGrantsAmt
All Other Contributions$3,412,854AllOtherContributionsAmt
Noncash Contributions$28,845NoncashContributionsAmt
Total Contributions$5,412,854TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSITIONAL LIVING623000$30,986,232$30,986,232
INPATIENT623000$12,942,470$12,942,470
OUTPATIENT623000$2,478,848$2,478,848
FieldValueIRS element (for citing)
Total Program Service Revenue$46,407,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$613,133TotalRevenueColumnAmt
Exclusion$613,133ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$177,905RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$115,503RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$62,402RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,402TotalRevenueColumnAmt
Exclusion$62,402ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,601,994SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,180,737SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,421,257SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,421,257TotalRevenueColumnAmt
Exclusion$1,421,257ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$17,381GrossSalesOfInventoryAmt
Cost Of Goods Sold$15,776CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,605TotalRevenueColumnAmt
Exclusion$1,605ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
SH-YNHHS TL-GAIN EQUITY INVESTMEN623000$2,677,282$2,677,282
GUEST MEALS722514$101,020$101,020
WELLNESS624100$80,593$80,593

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$370,747TotalRevenueColumnAmt
Related Or Exempt Func Income$370,747RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,229,642OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,148,443TotalRevenueColumnAmt
Related Or Exempt Func Income$49,536,172RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,199,417ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$103,553TotalAmt
Program Services$103,553ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,278,517TotalAmt
Program Services$1,020,576ProgramServicesAmt
Management And General$1,789,409ManagementAndGeneralAmt
Fundraising$468,532FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,787,090TotalAmt
Program Services$24,259,016ProgramServicesAmt
Management And General$1,039,346ManagementAndGeneralAmt
Fundraising$488,728FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,676,809TotalAmt
Program Services$2,957,421ProgramServicesAmt
Management And General$659,525ManagementAndGeneralAmt
Fundraising$59,863FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,957,067TotalAmt
Program Services$1,874,475ProgramServicesAmt
Management And General$20,942ManagementAndGeneralAmt
Fundraising$61,650FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$371,924TotalAmt
Program Services$10,635ProgramServicesAmt
Management And General$361,289ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$167,289TotalAmt
Management And General$167,289ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$38,667TotalAmt
Management And General$38,667ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,871,471TotalAmt
Program Services$3,664,372ProgramServicesAmt
Management And General$106,509ManagementAndGeneralAmt
Fundraising$100,590FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$312,027TotalAmt
Program Services$908ProgramServicesAmt
Management And General$258,332ManagementAndGeneralAmt
Fundraising$52,787FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,990,945TotalAmt
Program Services$1,794,536ProgramServicesAmt
Management And General$2,154,344ManagementAndGeneralAmt
Fundraising$42,065FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$214,370TotalAmt
Program Services$12,709ProgramServicesAmt
Management And General$200,687ManagementAndGeneralAmt
Fundraising$974FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,184,411TotalAmt
Program Services$698,687ProgramServicesAmt
Management And General$485,724ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$261,268TotalAmt
Program Services$21,248ProgramServicesAmt
Management And General$228,674ManagementAndGeneralAmt
Fundraising$11,346FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$124,640TotalAmt
Program Services$35,812ProgramServicesAmt
Management And General$87,995ManagementAndGeneralAmt
Fundraising$833FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,227TotalAmt
Management And General$15,227ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,681,396TotalAmt
Program Services$3,366,433ProgramServicesAmt
Management And General$314,659ManagementAndGeneralAmt
Fundraising$304FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,647,215TotalAmt
Program Services$1,647,215ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$1,323,988$729,516$563,115$31,357
CREDIT CARD FEES$510,505$507,980$2,525
BAD DEBTS$381,333$381,333
MEDICATION$207,429$207,429

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$53,107,141TotalAmt
Program Services$43,293,854ProgramServicesAmt
Management And General$8,491,733ManagementAndGeneralAmt
Fundraising$1,321,554FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,499BOYAmt
EOY$1,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,908,740BOYAmt
EOY$3,801,044EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,293,545BOYAmt
EOY$1,825,309EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,705,367BOYAmt
EOY$9,052,763EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$128,403BOYAmt
EOY$145,552EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$491,662BOYAmt
EOY$787,321EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$87,688,142LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$46,530,242LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,903,608BOYAmt
EOY$41,157,900EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,631,578BOYAmt
EOY$7,470,109EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,284,538BOYAmt
EOY$6,958,136EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,348,940BOYAmt
EOY$71,199,634EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,060,465BOYAmt
EOY$2,791,593EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$125,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,277,243BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,944,809BOYAmt
EOY$9,780,872EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,282,517BOYAmt
EOY$12,697,465EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,745,867BOYAmt
EOY$55,850,329EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,320,556BOYAmt
EOY$2,651,840EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,066,423BOYAmt
EOY$58,502,169EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,348,940BOYAmt
EOY$71,199,634EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,041,302ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,605,556NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$313,000BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$13,564InvestmentEarningsOrLossesAmt
Other Expenditures$13,564OtherExpendituresAmt
End Year Balance$413,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$29InvestmentEarningsOrLossesAmt
Other Expenditures$29OtherExpendituresAmt
End Year Balance$313,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$7,619InvestmentEarningsOrLossesAmt
Other Expenditures$7,619OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$245,559BeginningYearBalanceAmt
Investment Earnings Or Losses$1,894InvestmentEarningsOrLossesAmt
Other Expenditures$34,453OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,766,721OtherCostOrOtherBasisAmt
Book Value$1,766,721BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,803,475OtherCostOrOtherBasisAmt
Depreciation$29,645,917DepreciationAmt
Book Value$26,157,558BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,907,620OtherCostOrOtherBasisAmt
Depreciation$10,957,716DepreciationAmt
Book Value$4,949,904BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,210,326OtherCostOrOtherBasisAmt
Depreciation$5,926,609DepreciationAmt
Book Value$8,283,717BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,157,900TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescTHE SH-YNHHS TRANSITIONAL LIVING TREATMENT PROGRAM PARTNERSHIPDesc
Book Value$6,958,136BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$6,958,136TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO PATIENTS AND THIRD PARTIES$2,877,192
PROFESSIONAL LIABILITY RESERVE$6,806,724
OTHER LIABILITIES$96,956
FieldValueIRS element (for citing)
Total Liability$9,780,872TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$52,138,663TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,605,556NetUnrealizedGainsInvstAmt
Other Revenue-$381,333OtherRevenueAmt
Revenue Not Reported-$4,986,889RevenueNotReportedAmt
Revenue Subtotal$57,125,552RevenueSubtotalAmt
Investment Expenses Not Incld$38,667InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$15,776OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$22,891RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$57,148,443TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$52,702,917TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$15,776OtherExpensesIncludedAmt
Expenses Not Reported$15,776ExpensesNotReportedAmt
Expenses Subtotal$52,687,141ExpensesSubtotalAmt
Investment Expenses Not Incld2$38,667InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$381,333OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$420,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$53,107,141TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS.
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 INCOME AND WOULD 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 DECEMBER 31, 2022. THE HOSPITAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN INTEREST. AS OF DECEMBER 31, 2022, 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBTS -381,333.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LITTLE SHOP INVENTORY EXPENSE -15,776.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LITTLE SHOP INVENTORY EXPENSE 15,776.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DETS 381,333.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other600.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other900.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,056,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,056,800DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,056,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,056,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230,142TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230,142NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,872TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$85,872NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,544,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,942,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,602,187NetCommunityBenefitExpnsAmt
Total Expense0.10270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,833NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,956,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,942,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,014,034NetCommunityBenefitExpnsAmt
Total Expense0.11030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,013,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,999,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,014,034NetCommunityBenefitExpnsAmt
Total Expense0.11030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$163,810BadDebtExpenseAmt
Reimbursed By Medicare$78,575ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$29,920CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$48,655MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY ROADAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SILVERHILLHOSPITAL.ORGWebsiteAddressTxt
State LicenseH-0006StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

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 PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)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 Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SILVERHILLHOSPITAL.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.SILVERHILLHOSPITAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care600.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care900.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)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 (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SILVER HILL HOSPITALPART V, SECTION B, 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 D OF THE COMMUNITY NEEDS ASSESSMENT FOR A LIST OF KEY INFORMANTS.THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM 20 KEY INFORMANTS, INCLUDING PUBLIC HEALTH AND HEALTHCARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NOT-PROFIT LEADERS, BUSINESS LEADERS, FAITH BASED ORGANIZATIONS AND OTHER COMMUNITY LEADERS. PARTICIPANTS INCLUDED PUBLIC HEALTH ORGANIZATION PROFESSIONALS, YOUTH AND SOCIAL SERVICE PROVIDERS, EDUCATION/SCHOOL SPECIALISTS, MENTAL HEALTH/SUBSTANCE ABUSE CLINICIANS, GOVERNMENT HOUSING/TRANSPORTATION AGENGIES, AND COMMUNITY MEMBERS.
SILVER HILL HOSPITALPART V, SECTION B, LINE 11: BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION/SCHOOL ORGANIZATIONS, AND OTHER COMMUNITY REPRESENTATIVES, SILVER HILL HOSPITAL PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: (1) MENTAL HEALTH AND SUBSTANCE ABUSE; (2) ADOLESCENT MENTAL HEALTH; (3) SUBSTANCE MISUSE; (4) ADULT MENTAL HEALTH.THE HOSPITAL PLANS TO ADDRESS:PRIORITIZED HEALTH ISSUE #1: ACCESSING MENTAL HEALTH AND SUBSTANCE ABUSE CARETHE GOAL IS TO ADDRESS ISSUES AROUND ACCESSING MENTAL HEALTH AND SUBSTANCE ABUSE CARE WITH A FOCUS ON AVAILABILITY OF SERVICES, NAVIGATING THE SYSTEM, AND STIGMA REDUCTION. THIS WILL BE DONE BY MEETING THE FOLLOWING OBJECTIVES:1) GROW THE CAPACITY OF THE NEW CANAAN URGENT ASSESSMENT PROGRAM THROUGH THE PARTICIPATIONOF ADDITIONAL TOWNS2) EXPAND CAPACITY OF NEW OUTPATIENT SERVICES TREATING MOOD DISORDERS.3) PANEL WITH MEDICAID FOR IMPROVED ACCESS TO INPATIENT AND INTENSIVE OUTPATIENT SERVICES.4) COMPLETE HOSPITAL LICENSURE OF CURRENT TRANSITIONAL LIVING PROGRAMS AS RESIDENTIAL PROGRAMS FORIMPROVED OUT OF NETWORK BENEFIT REIMBURSEMENT.5) PROMOTE AWARENESS AND UNDERSTANDING OF MENTAL HEALTH AND ADDICTION ISSUES THROUGHPARTICIPATION IN EDUCATIONAL PROGRAMS, MENTAL HEALTH FAIRS AND WALKS, MEDIA INTERVIEWS, ANDSOCIAL MEDIA TO REDUCE STIGMA. PRIORITIZED HEALTH ISSUE #2: ADOLESCENT MENTAL HEALTHTHE GOAL IS TO ADDRESS ADOLESCENT MENTAL HEALTH WITH A FOCUS ON ANXIETY, DEPRESSION, AND SUICIDALITY. THIS WILL BE DONE BY MEETING THE FOLLOWING OBJECTIVES:1) INCREASE PARTNERSHIPS WITH FAIRFIELD COUNTY SCHOOL SYSTEMS ON THE URGENT ASSESSMENTPROGRAM2) INCREASE CAPACITY OF ADOLESCENT INTENSIVE OUTPATIENT PROGRAMS3) PARTNER WITH ALLIED COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER PROGRAMMING FOCUSED ONEDUCATION, AWARENESS, AND SUICIDE PREVENTION.4) HOST MEDICAL GRAND ROUNDS TO INCREASE CLINICIAN KNOWLEDGE AND UNDERSTANDING OF THESETOPICS. PRIORITIZED HEALTH ISSUE #3: SUBSTANCE MISUSETHE GOAL IS TO ADDRESS SUBSTANCE USE WITH A FOCUS ON ALCOHOL MISUSE; UNDERAGE SUBSTANCE USE; MARIJUANA, THC, AND CANNABINOIDS. THIS WILL BE DONE BY MEETING THE FOLLOWING OJECTIVES:1. PARTNER WITH ALLIED COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER PROGRAMMING FOCUSED ONEDUCATION, AWARENESS, AND ADVOCACY.2. HOST MEDICAL GRAND ROUNDS TO ENHANCE CLINICIAN KNOWLEDGE AND UNDERSTANDING ON THESETOPICS.3. OFFER RECOVERY SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY.4. PROVIDE ACCESS TO SILVER HILL HOSPITAL PROGRAMS FOR THOSE REQUIRING INPATIENT, RESIDENTIAL, ORINTENSIVE OUTPATIENT TREATMENT.5. EXPAND INTENSIVE OUTPATIENT SERVICES FOR ADULTS WITH SUBSTANCE USE DISORDERS.PRIORITIZED HEALTH ISSUE #4: ADULT MENTAL HEALTHTHE GOAL IS TO ADDRESS ADULT MENTAL HEALTH WITH A FOCUS ON ANXIETY, DEPRESSION, AND SUICIDALITY. THIS WILL BE DONE BY MEETING THE FOLLOWING OBJECTIVES:1. INCREASE CAPACITY OF THE URGENT ASSESSMENT PROGRAMSILVER HILL HOSPITAL KEY INFORMANT SURVEY DECEMBER 2022PAGE 362. INCREASE TARGETED OUTREACH TO INDIVIDUAL ADULT POPULATIONS (E.G. YOUNG ADULTS, SENIOR CITIZENS,MOTHERS, PROFESSIONALS) ON THE URGENT ASSESSMENT PROGRAM3. OPEN KETAMINE CLINIC (EMPIRICALLY PROVEN MODALITY FOR THE TREATMENT OF MEDICATION RESISTANTDEPRESSION)4. INCREASE CAPACITY OF MOOD DISORDER AND WOMEN'S INTENSIVE OUTPATIENT PROGRAMS5. PARTNER WITH ALLIED COMMUNITY ORGANIZATIONS TO DEVELOP AND DELIVER PROGRAMMING FOCUSED ONEDUCATION, AWARENESS, AND SUICIDE PREVENTION.6. HOST MEDICAL GRAND ROUNDS TO INCREASE CLINICIAN KNOWLEDGE AND UNDERSTANDING OF THESETOPICS.
SILVER HILL HOSPITALPART V, SECTION B, LINE 13H: SILVER HILL HOSPITAL, INC. OFFERS FINANCIAL ASSISTANCE, IN THE FORM OF REDUCED RATES, TO QUALIFYING PATIENTS RECEIVING EMERGENCY OR MEDICALLY NECESSARY SERVICES (I.E. INPATIENT LEVEL OF CARE). THE POLICY APPLIES TO PATIENTS THAT HAVE NO INSURANCE OR HAVE EXHAUSTED THEIR INSURANCE BENEFITS, AND HAVE INCOME OF LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES. COINSURANCE, COPAYMENTS AND DEDUCTIBLES ARE EXCLUDED FROM THE POLICY.THE HOSPITAL ALSO OFFERS FINANCIAL ASSISTANCE TO PATIENTS RECEIVING TREATMENT IN ITS TRANSITIONAL LIVING PROGRAMS. TRANSITION LIVING PROGRAM SERVICES ARE NOT CONSIDERED AN INPATIENT LEVEL OF CARE. TRANSITIONAL LIVING PATIENTS ARE ELIGIBLE FOR DISCOUNTED CARE IF THEY ARE CLINICALLY APPROPRIATE AND MOTIVATED FOR TREATMENT AND HAVE INCOME LEVELS EQUAL TO OR LESS THAN 900% OF THE FEDERAL POVERTY GUIDELINES.THIS POLICY IS AVAILABLE ATHTTPS://SILVERHILLHOSPITAL.ORG/RESOURCES
SILVER HILL HOSPITALPART V, SECTION B, LINE 16J: THE HOSPITAL MAINTAINS A FORMAL, WRITTEN FINANCIAL ASSISTANCE POLICY FOR ITS TRANSITIONAL LIVING PROGRAM. THE POLICY IS AVAILABLE UPON REQUEST. PATIENTS WHO DO NOT HAVE THE FINANCIALABILITY TO PAY FOR SERVICES, MAY APPLY FOR FINANCIAL ASSISTANCE UPON ADMISSION INTO THE PROGRAM.
SILVER HILL HOSPITALPART V, SECTION B, LINE 21D: 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).
SCHEDULE H, PART V, LINE 22THE 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:HTTPS://SILVERHILLHOSPITAL.ORG/RESOURCES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C: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).
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 DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE AMOUNT OF INPATIENT CARE THAT WAS SUBSIDIZED IN THE TAX YEAR ENDING 12/31/2022. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS.
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. PART I, LINE 7(F) - THE AMOUNT OF TOTAL EXPENSES IN COLUMN (F) WAS REDUCED BY $381,333.
PART III, LINE 3:BAD DEBT EXPENSE IS MAINLY COMPRISED OF UNCOLLECTIBLE CO-PAYS AND DEDUCTIBLES FROM PATIENTS WITH INSURANCE. CO-INSURANCE AND DEDUCTIBLE BALANCES ARE EXCLUDED FROM THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:SEE FOOTNOTE 2 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:N/A
PART III, LINE 9B:THE HOSPITAL'S COLLECTION POLICY STATES THE FOLLOWING: PATIENT ACCOUNTS WILL WORK WITH PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE TO DEVELOP A REASONABLE BUDGET/PAYMENT PLAN. DELINQUENT SELF-PAY BALANCES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE MAY BE SENT TO OUTSIDE COLLECTION AGENCIES; HOWEVER THE HOSPITAL WILL NOT PURSUE EXTRAORDINARY COLLECTION ACTIONS (ECA) AGAINST THESE PATIENTS.
PART VI, LINE 2: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.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SOCIAL WORKERS HAVE A COMPREHENSIVE VIEW OF A PATIENT'S FINANCIAL AND SOCIAL SITUATION AND ARE KNOWLEDGEABLE ABOUT THE ELIGIBILITY CRITERIA FOR ENTITLEMENT PROGRAMS. IT IS THE ASSIGNED RESPONSIBILITY OF THE SOCIAL WORKER TO INFORM PATIENTS AND THEIR FAMILIES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS.PATIENTS WHO DO NOT HAVE THE FINANCIAL ABILITY TO PAY FOR SERVICES, ARE EDUCATED ABOUT SILVER HILL HOSPITAL'S FINANCIAL ASSISTANCE AND SCHOLARSHIP PROGRAMS BY A SPECIALLY TRAINED STAFF MEMBER. THE STAFF MEMBER PROVIDES PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL GUIDELINES AND SUPPORTING DOCUMENTATION REQUIRED FOR OBTAINING FINANCIAL ASSISTANCE/ SCHOLARSHIPS.
PART VI, LINE 4:COMMUNITY INFORMATION: APPROXIMATELY 29% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 38% FROM NEW YORK AND 33% FROM OTHER AREAS.
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.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM: N/A
FORM 990, PART VI, LINE 7STATE FILING OF THE COMMUNITY BENEFIT REPORT: DURING TAX YEAR ENDING 12/31/2022, 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 MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FRIENDS OF LAUREL HOUSE INC
1616 WASHINGTON BLVDSTAMFORDCT06902061189773501(C)(3)$25,833$0SPONSORSHIP-SUPPORTING RESOURCES TO RECOVERY
GROUP FOR ADVANCEMENT OF PSYCHIATRY
PO BOX 570218DALLASTX75357046040048501(C)(3)$25,000$0FUNDING FOR A FELLOWSHIP, SUPPORTING PSYCHIATRY
NEW CANAAN FIRE DEPARTMENT
PO BOX 963NEW CANAANCT06840066062229501(C)(3)$10,000$0LOCAL SERVICE PROVIDERS, SUPPORTING ELOPEMENTS AND PATIENT WELL BEING
NEW CANAAN POLICE DEPARTMENT
174 SOUTH AVENEW CANAANCT06840066002043GOVT$10,000$0LOCAL SERVICE PROVIDERS, SUPPORTING ELOPEMENTS AND PATIENT WELL BEING
NEW CANNAAN VOLUNTEER AMBULANCE CORPORATION
PO BOX 598NEW CANAANCT06840237300265501(C)(3)$10,000$0LOCAL SERVICE PROVIDERS, SUPPORTING ELOPEMENTS AND PATIENT WELL BEING
THE ACE CONFERENCE LLC
700 VILLAGE SQUARE CROSSING 101PALM BEACH GARDENSFL33410880688461$10,000$0ADOLESCENT CLINICAL CONFERENCE
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA. THE AMOUNTS REPORTED ON SCHEDULE I ARE ASSISTANCE TO SUPPORT LOCAL GOVERNMENT DEPARTMENTS AND 501(C )(3) ORGANIZATIONS. DUE TO THE NATURE OF THESE PAYMENTS TO TRUSTEE GRANTEES, ELIGIBILITY DETERMINATION AND POST-GRANT MONITORING IS NOT APPLICABLE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW GERBER MD PHD
PRESIDENT & MEDICAL DIRECTOR$539,310$0$110,000$0$276$0$7,978$0$33,668$0$691,232$0$0$0
ROSS MARKELLO
CHIEF FINANCIAL OFFICER$382,646$0$81,400$0$0$0$0$0$29,029$0$493,075$0$0$0
HOWARD K WEINER
PHYSICIAN$450,310$0$0$0$556$0$3,050$0$33,668$0$487,584$0$0$0
RYAN RICHARD WADE
PHYSICIAN$465,219$0$0$0$109$0$3,959$0$0$0$469,287$0$0$0
MICHAEL D GROAT PHD
CHIEF CLINICAL OFFICER$361,003$0$58,350$0$281$0$6,821$0$38,968$0$465,423$0$0$0
TIMOTHY DOUGHERTY
CHIEF ADVANCEMENT OFFICER$292,174$0$60,150$0$516$0$7,613$0$38,956$0$399,409$0$0$0
ANRI KISSILENKO
PHYSICIAN$305,246$0$0$0$556$0$22,347$0$38,913$0$367,062$0$0$0
LISA BENTON
CHIEF QUALITY OFFICER$264,075$0$49,125$0$792$0$8,994$0$28,364$0$351,350$0$0$0
ELIZABETH ORTIZ-SCHWARTZ
PHYSICIAN$304,736$0$0$0$556$0$2,936$0$39,968$0$348,196$0$0$0
PETRA M PILGRIM
PHYSICIAN$314,947$0$0$0$132$0$7,616$0$11,623$0$334,318$0$0$0
KRISTEN WOLFE
CHIEF BUSINESS OFFICER$244,098$0$49,625$0$110$0$6,442$0$27,283$0$327,558$0$0$0
AYANA THOMAS
CHIEF INFORMATION OFFICER$244,951$0$41,000$0$183$0$4,952$0$15,284$0$306,370$0$0$0
SHARON KOWALCHUK
CHIEF NURSING OFFICER$200,609$0$7,594$0$1,949$0$10,582$0$23,364$0$244,098$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1BTHE CHIEF CLINICAL OFFICER RECEIVED IMPUTED INCOME OF 39,908 RELATED TO RESIDENCE FOR PERSONAL USE WHICH IS RECORDED IN HIS BASE COMPENSATION. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION AND ARE REPORTED IN SCHEDULE J, PART II, COLUMN B(I).
PART I, LINE 7THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF CLINICAL OFFICER, CHIEF ADVANCEMENT OFFICER, CHIEF BUSINESS OFFICER, CHIEF QUALITY OFFICER, CHIEF NURSING OFFICER, AND CHIEF INFORMATION OFFICER WERE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. IN CALENDAR YEAR 2022, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE YEAR ENDING DECEMBER 31, 2022. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II).

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$28,845NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART 1, LINE 1THE 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, SECTION B, LINE 11B990 REVIEW BY ORGANIZATION THE FORM 990 OF THE ORGANIZATION IS PREPARED BY THE FINANCE DEPARTMENT OF SILVER HILL HOSPITAL BASED ON THE BOOKS AND RECORDS OF THE ORGANIZATION. THE DRAFT RETURN AND ALL SUPPORTING DOCUMENTATION ARE PROVIDED TO THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS FOR REVIEW AND FINAL PREPARATION OF THE RETURN. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE INTERIM CFO AND PRESDIENT & MEDICAL DIRECTOR. THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS BEFORE FILING THE FORM WITH THE INTERNAL REVENUE SERVICES.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE 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 TAX 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, SECTION B, LINE 15COMPENSATION DETERMINATION EACH YEAR, OR WHEN OTHERWISE REQUIRED, THE BOARD OF DIRECTORS APPOINTS A COMPENSATION SUB-COMMITTEE OF INDEPENDENT DIRECTORS TO REVIEW THE COMPENSATION OF THE PRESIDENT AND MEDICAL DIRECTOR. THE SUB-COMMITTEE REVIEWS THE FORM 990'S OF SIMILAR ORGANIZATIONS AS WELL AS AMERICAN HOSPITAL ASSOCIATION SURVEYS, AND MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ANY DELIBERATIONS AND DECISIONS OF THE COMPENSATION SUB-COMMITTEE ARE DOCUMENTED IN THE MEETING MINUTES OF THE COMPENSATION SUB COMMITTEE. THE HOSPITAL ENGAGES A THIRD PARTY TO CONDUCT A SALARY SURVEY OF ALL OTHER HOSPITAL POSITIONS. THE SURVEY IS CONDUCTED EVERY TWO YEARS. THE MOST RECENT SURVEY WAS CONDUCTED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABILITY THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST.
FORM 990, PART XII, LINE 2C:THERE WAS NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE SH-YNHHS TRANSITIONAL LIVING TREATMENT PROGRAM PARTNERSHIPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY ROADAddressLine1Txt
CityNEW CANAANCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06840ZIPCd
FieldValueIRS element (for citing)
EIN843028517EIN
Primary ActivitiesHEALTHCARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$2,321,171ShareOfTotalIncomeAmt
Share Of EOY Assets$7,169,385ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.75000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd