SILVER HILL HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SILVER HILL HOSPITAL INC (EIN 06-0655139)
- Tax period
- 2015-03-01 to 2016-02-29
- Filed
- 2017-01-12
- IRS object ID
- 201710129349301016
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-12T13:39:22-06:00 | ReturnTs |
| Tax Period End | 2016-02-29 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Avenue | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101540102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-03-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060655139 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Heidi A Leatherman | InCareOfNm |
| Business Name Control | SILV | BusinessNameControlTxt |
| Phone | 2039661380 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1Txt |
| City | NEW CANAAN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIGURD ACKERMAN MD | PersonNm |
| Person Title | president | PersonTitleTxt |
| Signature | 2017-01-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mary-Evelyn Antonetti | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2127589700 | PhoneNum |
| Preparation | 2017-01-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SIGURD H ACKERMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1Txt |
| City | NEW CANAAN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,613,947 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SILVERHILLHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1934 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 406 | TotalEmployeeCnt |
| Total Volunteers | 254 | TotalVolunteersCnt |
| Total Gross UBI | -$220,270 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$220,270 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,661,854 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,735,934 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $40,053,257 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,363,349 | CYProgramServiceRevenueAmt |
| PY Investment Income | $419,111 | PYInvestmentIncomeAmt |
| CY Investment Income | $413,695 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$268,957 | PYOtherRevenueAmt |
| CY Other Revenue | -$220,957 | CYOtherRevenueAmt |
| PY Total Revenue | $41,865,265 | PYTotalRevenueAmt |
| CY Total Revenue | $42,292,021 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $20,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,150 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,665,030 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,039,444 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $642,980 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,872,519 | PYOtherExpensesAmt |
| CY Other Expenses | $13,732,233 | CYOtherExpensesAmt |
| PY Total Expenses | $37,558,049 | PYTotalExpensesAmt |
| CY Total Expenses | $38,798,827 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,307,216 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,493,194 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,401,543 | TotalAssetsBOYAmt |
| Total Assets EOY | $58,734,143 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,130,093 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,984,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,271,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $47,749,446 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 FAMILIES IN EVERY PHASE OF ILLNESS AND RECOVERY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,364,244 | ExpenseAmt |
| Revenue | $15,094,881 | RevenueAmt |
| Desc | 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 1,510 INPATIENTS DURING FISCAL YEAR 2016. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,115,534 | ExpenseAmt |
| Grant | $27,150 | GrantAmt |
| Revenue | $23,691,370 | RevenueAmt |
| Desc | 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 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 735 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $500,697 | ExpenseAmt |
| Revenue | $1,871,226 | RevenueAmt |
| Desc | INTENSIVE OUTPATIENT PROGRAMS - SEE SCHEDULE O. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $30,980,475 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 186 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 406 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Heidi A Leatherman | PersonNm |
| Phone | 2038012230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 Valley Rd | AddressLine1Txt |
| City | New Canaan | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| PETER ORTHWEIN | |||||||||
| CHAIRMAN | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DEANN MURPHY | |||||||||
| CO-CHAIR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WARD F CLEARY | |||||||||
| CO-CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LINDA AUTORE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD CANNING | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL COMINOTTO | |||||||||
| DIRECTOR (THRU 12/2015) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SPERRY DECEW | |||||||||
| SECRETARY & DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK FEINER MD | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH FREEDMAN | |||||||||
| DIRECTOR (THRU 4/2015) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD GANNON | |||||||||
| TREASURER & DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HANK HARTONG | |||||||||
| DIRECTOR (EFFECTIVE 11/2015) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TED HERMAN | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| TODD HOLLANDER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HUNT | |||||||||
| DIRECTOR (EFFECTIVE 5/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT KIELY | |||||||||
| DIRECTOR (EFFECTIVE 5/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CLAUDETTE KUNKES | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL LAMBDIN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LANCE LUNDBERG | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CHERYL WIESENFELD | |||||||||
| DIRECTOR (EFFECTIVE 5/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LAURIE WILLIAMSON | |||||||||
| DIRECTOR (THRU 4/2015) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SIGURD ACKERMAN MD | |||||||||
| PRESIDENT, MEDICAL DIRECTOR | 40.0 | 0.0 | Yes (X) | $597,824 | $0 | $42,363 | Yes (X) | ||
| ERIC COLLINS MD | |||||||||
| CHIEF MED. OFFICER & DIRECTOR | 40.0 | 0.0 | Yes (X) | $420,899 | $0 | $36,601 | Yes (X) | ||
| ELIZABETH MOORE | |||||||||
| CHIEF OP. OFFICER & DIRECTOR | 40.0 | 0.0 | Yes (X) | $364,217 | $0 | $31,526 | Yes (X) | ||
| MARK CERBONE MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $279,042 | $0 | $6,500 | Yes (X) | |||
| ANRI KISSILENKO MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $232,555 | $0 | $47,885 | Yes (X) | |||
| ROCCO MAROTTA MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $233,499 | $0 | $40,999 | Yes (X) | |||
| ANITA CHU MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $238,783 | $0 | $11,950 | Yes (X) | |||
| JOHN MEYERS MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $238,048 | $0 | $5,610 | Yes (X) | |||
| RUURD LEEGSTRA | |||||||||
| CFO (THRU 2/28/15) | 0.0 | 0.0 | $54,519 | $0 | $19,177 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,659,386 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $242,611 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PAC GROUP LLC | |||||
| 126 SOUTH MAIN STREET SUITE 200 | TORRINGTON | CT | 06790 | GENERAL CONTRACTOR | $336,012 |
| UNIDINE CORPORATION | |||||
| ONE GATEWAY CENTER SUITE 751 | NEWTON | MA | 02458 | FOOD SERVICES | $1,366,603 |
| RICHARD TURLINGTON ARCHITECTS | |||||
| 244 MAPLE STREET | NEW HAVEN | CT | 06511 | ARCHITECT | $754,447 |
| PHARMACY AND THERAPEUTICS CONSULTAN | |||||
| 300 CHURCH ST | WALLINGFORD | CT | 06492 | PHARMACY MANAGEMENT | $357,149 |
| HOFFMAN LANDSCAPES INC | |||||
| 647 DANBURY RD | WILTON | CT | 06897 | LANDSCAPING SERVICES | $203,437 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $989,358 | FundraisingAmt |
| All Other Contributions | $746,576 | AllOtherContributionsAmt |
| Noncash Contributions | $167,114 | NoncashContributionsAmt |
| Total Contributions | $1,735,934 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT PROGRAM | 623000 | $15,024,483 | $15,024,483 |
| TRANSITIONAL LIVING PROGRAM | 623000 | $23,467,640 | $23,467,640 |
| OUTPATIENT SERVICES | 623000 | $1,871,226 | $1,871,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,363,349 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $427,455 | TotalRevenueColumnAmt |
| Exclusion | $427,455 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $186,087 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $452,796 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$266,709 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$266,709 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$220,270 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$46,439 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,377,327 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,391,087 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$13,760 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,760 | TotalRevenueColumnAmt |
| Exclusion | -$13,760 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $132,900 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $989,358 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $452,261 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$319,361 | TotalRevenueColumnAmt |
| Exclusion | -$319,361 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $41,120 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $25,782 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,338 | TotalRevenueColumnAmt |
| Exclusion | $15,338 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $73,437 | $17,790 | $55,647 |
| TUTORING REVENUE | 900099 | $106,200 | $106,200 | |
| ALL OTHER REVENUE | 900099 | $170,138 | $170,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $349,775 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,292,021 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,657,477 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$220,270 | UnrelatedBusinessRevenueAmt |
| Exclusion | $118,880 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,150 | TotalAmt |
| Program Services | $27,150 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,606 | TotalAmt |
| Program Services | $817,445 | ProgramServicesAmt |
| Management And General | $560,970 | ManagementAndGeneralAmt |
| Fundraising | $134,191 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,561,004 | TotalAmt |
| Program Services | $16,568,330 | ProgramServicesAmt |
| Management And General | $1,656,542 | ManagementAndGeneralAmt |
| Fundraising | $336,132 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,775 | TotalAmt |
| Program Services | $577,146 | ProgramServicesAmt |
| Management And General | $142,761 | ManagementAndGeneralAmt |
| Fundraising | $8,868 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,935,238 | TotalAmt |
| Program Services | $2,309,424 | ProgramServicesAmt |
| Management And General | $569,755 | ManagementAndGeneralAmt |
| Fundraising | $56,059 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,301,821 | TotalAmt |
| Program Services | $1,116,015 | ProgramServicesAmt |
| Management And General | $166,863 | ManagementAndGeneralAmt |
| Fundraising | $18,943 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,629 | TotalAmt |
| Program Services | $14,558 | ProgramServicesAmt |
| Management And General | $383,071 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,332 | TotalAmt |
| Management And General | $112,332 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Management And General | $30,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,456 | TotalAmt |
| Management And General | $57,456 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,182,193 | TotalAmt |
| Program Services | $3,807,714 | ProgramServicesAmt |
| Management And General | $362,311 | ManagementAndGeneralAmt |
| Fundraising | $12,168 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $669,750 | TotalAmt |
| Program Services | $634,830 | ProgramServicesAmt |
| Management And General | $21,853 | ManagementAndGeneralAmt |
| Fundraising | $13,067 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,781,151 | TotalAmt |
| Program Services | $1,310,086 | ProgramServicesAmt |
| Management And General | $435,899 | ManagementAndGeneralAmt |
| Fundraising | $35,166 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,071 | TotalAmt |
| Program Services | $60,857 | ProgramServicesAmt |
| Management And General | $2,949 | ManagementAndGeneralAmt |
| Fundraising | $265 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,373 | TotalAmt |
| Program Services | $711,181 | ProgramServicesAmt |
| Management And General | $245,438 | ManagementAndGeneralAmt |
| Fundraising | $4,754 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,934 | TotalAmt |
| Program Services | $140,154 | ProgramServicesAmt |
| Management And General | $22,774 | ManagementAndGeneralAmt |
| Fundraising | $5,006 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,152 | TotalAmt |
| Program Services | $12,361 | ProgramServicesAmt |
| Management And General | $11,791 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,442 | TotalAmt |
| Management And General | $15,442 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,407,335 | TotalAmt |
| Program Services | $2,162,808 | ProgramServicesAmt |
| Management And General | $241,331 | ManagementAndGeneralAmt |
| Fundraising | $3,196 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,244 | TotalAmt |
| Program Services | $72,335 | ProgramServicesAmt |
| Management And General | $966,909 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY | $318,025 | $318,025 | ||
| BAD DEBT | $253,739 | $253,739 | ||
| PROGRAM DEVELOPMENT EXPENSES | $204,599 | $204,599 | ||
| OTHER EXPENSE | $1,045,808 | $115,457 | $915,186 | $15,165 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,798,827 | TotalAmt |
| Program Services | $30,980,475 | ProgramServicesAmt |
| Management And General | $7,175,372 | ManagementAndGeneralAmt |
| Fundraising | $642,980 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900 | BOYAmt |
| EOY | $1,900 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,166,213 | BOYAmt |
| EOY | $4,800,237 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,950 | BOYAmt |
| EOY | $39,950 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,213,858 | BOYAmt |
| EOY | $2,884,200 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,498 | BOYAmt |
| EOY | $97,508 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,473,257 | BOYAmt |
| EOY | $1,588,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,957,775 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,439,276 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,847,531 | BOYAmt |
| EOY | $38,518,499 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,077,573 | BOYAmt |
| EOY | $9,753,556 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,499,763 | BOYAmt |
| EOY | $1,049,617 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,401,543 | BOYAmt |
| EOY | $58,734,143 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,715,939 | BOYAmt |
| EOY | $6,796,610 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,233,504 | BOYAmt |
| EOY | $3,982,243 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,650 | BOYAmt |
| EOY | $205,844 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,130,093 | BOYAmt |
| EOY | $10,984,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,187,921 | BOYAmt |
| EOY | $46,302,472 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,529 | BOYAmt |
| EOY | $1,233,974 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,000 | BOYAmt |
| EOY | $213,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,271,450 | BOYAmt |
| EOY | $47,749,446 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,401,543 | BOYAmt |
| EOY | $58,734,143 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,493,194 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,015,198 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $30,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $30,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C PART II-B LINE 1I: LOBBYING DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | IN FY 2015, THE HOSPITAL ENGAGED A CONSULTANT TO LOBBY THE STATE OF CONNECTICUT TO REVISIT RECENT LEGISLATION WHICH REQUIRES PSYCHIATRIC HOSPITALS TO REPORT ANYONE WHO IS VOLUNTARILY ADMITTED TO THE DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES. CONSULTANT SERVICES ENDED IN APRIL 2015. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,000 | BeginningYearBalanceAmt |
| End Year Balance | $213,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,903 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,903 | OtherExpendituresAmt |
| End Year Balance | $213,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,690 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,690 | OtherExpendituresAmt |
| End Year Balance | $213,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,158 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,158 | OtherExpendituresAmt |
| End Year Balance | $213,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,062 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,062 | OtherExpendituresAmt |
| End Year Balance | $213,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,192,966 | OtherCostOrOtherBasisAmt |
| Book Value | $2,192,966 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,275,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,451,984 | DepreciationAmt |
| Book Value | $26,823,804 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,873,614 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,165,283 | DepreciationAmt |
| Book Value | $3,708,331 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,615,407 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,822,009 | DepreciationAmt |
| Book Value | $5,793,398 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,518,499 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EMPLOYEE FSA PAYABLE | $184,080 |
| UNCLAIMED PROPERTY | $15,715 |
| OTHER | $6,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $205,844 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $41,677,277 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,015,198 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $319,361 | OtherRevenueAmt |
| Revenue Not Reported | -$695,837 | RevenueNotReportedAmt |
| Revenue Subtotal | $42,373,114 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $43,695 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$124,788 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$81,093 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $42,292,021 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,199,281 | TotExpnsEtcAuditedFinclStmtAmt |
| Losses Reported | $697,887 | LossesReportedAmt |
| Expenses Not Reported | $697,887 | ExpensesNotReportedAmt |
| Expenses Subtotal | $38,501,394 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $43,695 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $253,738 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $297,433 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $38,798,827 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENT FUNDS DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS. |
| 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. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOMEWOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTONS TO ESTIMATE POTENTIAL TAX LIABILITIES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT NEEDED TO BE RECORDED AT FEBRUARY 29, 2016 AND FEBRUARY 28, 2015. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON AUDITED FINANCIALS BUT NOT ON FORM 990, PART VIII SPECIAL EVENT EXPENSES $319,361 |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII BUT NOT AUDITED FINANCIAL STATEMENTS GIFT SHOP COST OF GOODS SOLD ($ 25,782) RENTAL INCOME $ 93,087 OTHER GAINS $ 6,965 BAD DEBT EXPENSE $253,738 RENTAL EXPENSE - DEPRECIATION AND INTEREST ($452,796) _________ TOTAL ($124,788) |
| AMOUNTS INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT FORM 990 | SCHEDULE D, PART XII, LINE 2D GIFT SHOP COST OF GOODS SOLD $ 25,782 RENTAL INCOME ($ 93,087) OTHER GAINS ($ 6,965) SPECIAL EVENT EXPENSES $319,361 RENTAL EXPENSE - DEPRECIATION AND INTEREST $452,796 _________ TOTAL $697,887 |
| AMOUNTS INCLUDED ON FORM 990 BUT NOT AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $253,738 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA FUNDRAISER | Event1Nm |
| Gross Receipts Event1 | $1,122,258 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $989,358 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $132,900 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $117,396 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $43,756 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $291,109 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $1,122,258 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $989,358 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $132,900 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $117,396 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $43,756 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $291,109 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $452,261 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$319,361 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 600. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $740,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $740,400 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $740,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $740,400 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $137,709 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,554,105 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,024,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,529,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03640 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,750,792 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,024,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,725,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,491,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,765,333 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,725,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $192,082 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $120,970 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $51,652 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $69,318 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1Txt |
| City | NEW CANAAN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SILVERHILLHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H-0006 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SILVERHILLHOSPITAL.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SILVERHILLHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 600. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 900. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, LINE 5 | THE HOSPITAL CONDUCTED PRIMARY AND SECONDARY DATA RESEARCH AND INTERVIEWED OVER 20 COMMUNITY STAKEHOLDERS TO DEVELOP THE COMMUNITY NEEDS ASSESSMENT AS WELL AS THE IMPLEMENTATION PLAN. COMMUNITY STAKEHOLDERS INCLUDED LINDA AUTORE, PRESIDENT AND CEO OF LAUREL HOUSE, ALAN BERRY, COMMISSIONER OF SOCIAL SERVICES FOR THE TOWN OF GREENWICH, CT, DAN WARTENBERG, CHIEF EXECUTIVE OFFICER OF THE SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM (SWCMHS), KATE MATTIAS, EXECUTIVE DIRECTOR OF THE CONNECTICUT CHAPTER OF NAMI, JACQUELINE D'LOUGHY, DIRECTOR OF YOUTH AND FAMILY SERVICES FOR THE TOWN OF NEW CANAAN, THE HISPANIC ADVISORY COUNCIL OF GREATER STAMFORD, MARGARET WATT, EXECUTIVE DIRECTOR OF THE SOUTHWEST CT REGIONAL MENTAL HEALTH BOARD, BILL PIPER, CEO OF THE WAVENY CARE NETWORK, AND INGRID GILLESPIE, DIRECTOR OF THE LOWER FAIRFIELD COUNTY REGIONAL ACTION COUNCIL (LFCRAC). |
| SCHEDULE H, PART V, LINE 11 | AT THE END OF FY 2015, THE HOSPITAL IMPLEMENTED AN OUTPATIENT ADDICTION PROGRAM, WHICH INCLUDED OUTPATIENT DETOXIFICATION AND AN INTENSIVE OUTPATIENT PROGRAM. THE HOSPITAL ALSO OPENED AN INTENSIVE OUTPATIENT TREATMENT PROGRAM FOR ADOLESCENTS. AT THE END OF 2016, THE HOSPITAL OPENED A 9 BED TRANSITIONAL LIVING PROGRAM FOR EATING DISORDERS. THE HOSPITAL'S COMMUNITY LIAISON HAS CONTINUED HER WORK WITH THE NEIGHBORING TOWNS OF DARIEN, GREENWICH, NORWALK, NEW CANAAN, RIDGEFIELD, STAMFORD, WESTPORT AND WILTON TO PROVIDE INFORMATION REFERRALS AS WELL AS FACILITATE EDUCATION SESSIONS DESIGNED TO ADDRESS THE CURRENT MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS OF THE COMMUNITY. |
| SCHEDULE H, PART V, LINE 16I | DURING FISCAL YEAR 2016, THE HOSPITALS FAP WAS AVAILABLE UPON REQUEST. THE SCHOLARSHIP PROGRAM IS REFERENCED ON THE SILVER HILL HOSPITAL WEBSITE. |
| SCHEDULE H, PART V, LINE 22D | 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. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | DURING FY 16, 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 2016. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS. |
| PART I, LINE 7, COLUMN(F) | TOTAL EXPENSES FROM PART IX, LINE 25 WERE REDUCED BY BAD DEBT EXPENSE OF $253,738 IN CALCULATING TOTAL EXPENSES FOR COLUMN (F). |
| PART II: | N/A |
| PART III LINE 2: BAD DEBT METHODOLOGY | 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 FINANCIALS IN ORDER TO DETERMINE THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2. |
| PART III, LINE 3: | N/A |
| PART III, LINE 4: | EXCERPT FROM AUDITED FINANCIAL STATEMENT FOOTNOTE 2 - NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE; AUDITED FINANCIAL STATEMENT PAGES 10,11: PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND PATIENTS 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 $387,155 AND $317,742 IN BAD DEBTS, NET OF RECOVERIES, IN FISCAL YEARS 2016 AND 2015, RESPECTIVELY. |
| PART III, LINE 8: | N/A |
| PART III LINE 9B: WRITTEN DEBT COLLECTION POLICY | THE HOSPITAL 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 THE FINANCIAL ASSISTANCE PROGRAM (SEE POLICY ON SCHOLARSHIP PROGRAM)." |
| PART VI, LINE 2: NEEDS ASSESSMENT | IN ADDITION TO THE CHNA ASSESSMENT, THE HOSPITAL STAFF ASSESSES THE NEED FOR PROGRAMMING BASED ON SERVICE AVAILABILITY FOR OUR DISCHARGING 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 SPECIALLY 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 41% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 40% FROM NEW YORK, 19% 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 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 SYSTEMS | N/A |
| PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT | N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|
| NEW CANAAN POLICE DEPARTMENT | ||||||
| 174 SOUTH AVE | NEW CANAAN | CT | 06840 | 066002043 | New Caanan | $10,000 |
| NEW CANAAN VOLUNTEER AMBULANCE CORP | ||||||
| 182 SOUTH AVE | NEW CANAAN | CT | 06840 | 237300265 | 501(c)(3) | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS REPORTED ON SCHEDULE I ARE CONTRIBUTIONS TO SUPPORT THE EXEMPT PURPOSE OF THE 501(C)(3) ORGANIZATIONS. THEY DO NOT REPRESENT GRANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGURD ACKERMAN MD | ||||||||||||||
| PRESIDENT, MEDICAL DIRECTOR | $438,489 | $0 | $150,000 | $0 | $9,335 | $0 | $19,500 | $0 | $22,863 | $0 | $640,187 | $0 | $0 | $0 |
| ERIC COLLINS MD | ||||||||||||||
| CHIEF MED. OFFICER & DIRECTOR | $345,618 | $0 | $75,000 | $0 | $281 | $0 | $6,500 | $0 | $30,101 | $0 | $457,500 | $0 | $0 | $0 |
| ELIZABETH MOORE | ||||||||||||||
| CHIEF OP. OFFICER & DIRECTOR | $287,605 | $0 | $75,000 | $0 | $1,612 | $0 | $19,500 | $0 | $12,026 | $0 | $395,743 | $0 | $0 | $0 |
| RUURD LEEGSTRA | ||||||||||||||
| CFO (THRU 2/28/15) | $53,616 | $0 | $0 | $0 | $903 | $0 | $19,177 | $0 | $0 | $0 | $73,696 | $0 | $0 | $0 |
| MARK CERBONE MD | ||||||||||||||
| PHYSICIAN | $265,922 | $0 | $12,416 | $0 | $704 | $0 | $6,500 | $0 | $0 | $0 | $285,542 | $0 | $0 | $0 |
| ANRI KISSILENKO MD | ||||||||||||||
| PHYSICIAN | $221,687 | $0 | $10,587 | $0 | $281 | $0 | $17,784 | $0 | $30,101 | $0 | $280,440 | $0 | $0 | $0 |
| ROCCO MAROTTA MD | ||||||||||||||
| PHYSICIAN | $221,168 | $0 | $10,514 | $0 | $1,817 | $0 | $11,824 | $0 | $29,175 | $0 | $274,498 | $0 | $0 | $0 |
| ANITA CHU MD | ||||||||||||||
| PHYSICIAN | $235,999 | $0 | $2,634 | $0 | $150 | $0 | $0 | $0 | $11,950 | $0 | $250,733 | $0 | $0 | $0 |
| JOHN MEYERS MD | ||||||||||||||
| PHYSICIAN | $229,278 | $0 | $8,510 | $0 | $260 | $0 | $5,610 | $0 | $0 | $0 | $243,658 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7: | FormAndLineReferenceDesc |
| Explanation | 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 2015, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2015. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CONTRIBUTOR 17 | |||
| SUBSTANTIAL CONTRIBUTOR | $3,136,111 | GENERAL CONTRACTOR/CONSTR | false |
| CONTRIBUTOR 22 | |||
| SUBSTANTIAL CONTRIBUTOR | $365,007 | MEDICAL RECORD SOFTWARE V | false |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $89,614 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Gala Auction Items | Desc |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $77,500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | VALUE OF AUCTION BID | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS REPORTING THE NUMBER OF NON CASH CONTRIBUTIONS MADE DURING THE FISCAL YEAR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART 1, 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 III, LINE 4C: PROGRAM SERVICE | INTENSIVE OUTPATIENT PROGRAMS (IOPS) TYPICALLY MEET FOR THREE HOURS A DAY, THREE DAYS PER WEEK. THE HOSPITAL PROVIDES TWO 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 DBT AND HEALTH RELATIONSHIPS 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. |
| 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, COO, 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 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. |
| FORM 990, PART VI, LINE 19: GOVERNING DOCUMENTS AVAILABILITY | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIETARY SERVICES TOTAL FEES:1517042 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING SERVICES TOTAL FEES:554596 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PAYROLL SERVICES TOTAL FEES:159340 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:644009 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:1307206 |