STRATEGY STUDIO / PUBLIC DATA EXPLORER

SILVER HILL HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SILVER HILL HOSPITAL INC (EIN 06-0655139)
Tax period
2013-03-01 to 2014-02-28
Filed
2015-01-14
IRS object ID
201520149349300732
Schema version
2013v4.0
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)
Return2015-01-14T10:27:13-06:00ReturnTs
Tax Period End2014-02-28TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code101540102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060655139EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% Ruurd G Leegstra CFOInCareOfNm
Business Name ControlSILVBusinessNameControlTxt
Phone2039661380PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY RDAddressLine1
Address Line2SuiteAddressLine2
CityNEW CANAANCity
StateCTState
ZIP Code06840ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIGURD H ACKERMAN MDPersonNm
Person TitlePRESIDENT, MEDICAL DIRECTORPersonTitleTxt
Phone2039661380PhoneNum
Signature2015-01-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKPMG LLPPreparerPersonNm
PTINP00431862PTIN
Phone2039661380PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSIGURD H ACKERMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY RDAddressLine1
CityNEW CANAANCity
StateCTState
ZIP Code06840ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$43,313,381GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SILVERHILLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1934FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee381TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI-$215,976TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$215,976NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,524,344PYContributionsGrantsAmt
CY Contributions Grants$1,417,223CYContributionsGrantsAmt
PY Program Service Revenue$35,007,506PYProgramServiceRevenueAmt
CY Program Service Revenue$38,122,537CYProgramServiceRevenueAmt
PY Investment Income$753,895PYInvestmentIncomeAmt
CY Investment Income$299,523CYInvestmentIncomeAmt
PY Other Revenue-$50,819PYOtherRevenueAmt
CY Other Revenue-$254,858CYOtherRevenueAmt
PY Total Revenue$37,234,926PYTotalRevenueAmt
CY Total Revenue$39,584,425CYTotalRevenueAmt
PY Grants And Similar Paid$24,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$36,700CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,443,937PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,118,066CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$571,759CYTotalFundraisingExpenseAmt
PY Other Expenses$11,016,993PYOtherExpensesAmt
CY Other Expenses$12,201,324CYOtherExpensesAmt
PY Total Expenses$32,485,180PYTotalExpensesAmt
CY Total Expenses$35,356,090CYTotalExpensesAmt
PY Revenues Less Expenses$4,749,746PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,228,335CYRevenuesLessExpensesAmt
Total Assets BOY$46,122,475TotalAssetsBOYAmt
Total Assets EOY$50,678,058TotalAssetsEOYAmt
Total Liabilities BOY$10,057,906TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,821,399TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,064,569NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,856,659NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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 FAMILIES IN EVERY PHASE OF ILLNESS AND RECOVERY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,688,574ExpenseAmt
Revenue$15,037,815RevenueAmt
DescINPATIENT TREATMENT IS THE MOST INTENSIVE FORM OF CARE, INDICATED FOR A PHASE OF ILLNESS THAT REQUIRES A GREAT DEAL OF NURSING AND MEDICAL INTERVENTION. BECAUSE PATIENTS ARE USUALLY ACUTELY ILL DURING THIS PHASE OF CARE, OUR INPATIENT TREATMENT PLANS EMPHASIZE DIAGNOSTIC ASSESSMENT, SYMPTOM REDUCTION, AND STABILIZATION. THE HOSPITAL TREATED APPROXIMATELY 1,745 INPATIENTS DURING FISCAL YEAR 2014.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,214,749ExpenseAmt
Grant$36,700GrantAmt
Revenue$22,082,745RevenueAmt
DescSILVER 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 725 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2014.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$414,283ExpenseAmt
Revenue$1,212,282RevenueAmt
DescINTENSIVE OUTPATIENT PROGRAMS - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$29,317,606TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document163IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee381EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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)
PersonRuurd G Leegstra CFOPersonNm
Phone2038012230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 Valley RdAddressLine1
CityNew CanaanCity
StateCTState
ZIP Code06840ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ward F Cleary
Co -Chair8.0Yes (X)
Deann Murphy
Co -Chair8.0Yes (X)
Linda Autore
Director1.0Yes (X)
Cynthia Ziegler Brighton
Director May 2012 - April 20131.0Yes (X)
Richard Canning
Director1.0Yes (X)
Michael Cominotto
Director1.0Yes (X)
Sperry A DeCew Esq
Secretary & Director1.0Yes (X)
Frederick Feiner MD
Director1.0Yes (X)
Judith Freedman
Director1.0Yes (X)
Richard Gannon
Director1.0Yes (X)
Theodore Herman
Director1.0Yes (X)
Todd Hollander
Director Beginning May 20131.0Yes (X)
Claudetta H Kunkes PHD
Director1.0Yes (X)
Paul Lambdin
Director1.0Yes (X)
Lance Lundberg
Director1.0Yes (X)
Peter Orthwein
Treasurer & Director1.0Yes (X)
David Schunter
Director1.0Yes (X)
Laurie Williamson
Director1.0Yes (X)
Sigurd Ackerman MD
President, Medical DIrector40.0Yes (X)Yes (X)$527,367$0$36,681
Eric Collins MD
Chief Medical Officer40.0Yes (X)Yes (X)$449,072$0$32,368
Elizabeth Moore
Chief Operating Officer40.0Yes (X)Yes (X)$323,017$0$24,737
Ruurd Leegstra
Chief Financial Officer40.0Yes (X)Yes (X)$231,161$0$13,534
Anri Kissilenko MD
Physician40.0$215,104$0$49,327Yes (X)
Rocco Marotta MD
Physician40.0$202,799$0$37,742Yes (X)
Mark Cerbone MD
Physician40.0$216,256$0$6,125Yes (X)
Seth Resnick MD
Physician40.0$212,342$0$5,750Yes (X)
Ross DeLeonardo MD
Physician40.0$205,728$0$9,818Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,582,846TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$216,082TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PAC GROUP LLC
126 SOUTH MAIN STREET SUITE 200TORRINGTONCT06790GENERAL CONTRACTOR$2,489,947
UNIDINE CORPORATION
ONE GATEWAY CENTER SUITE 751NEWTONMA02458FOOD SERVICES$1,516,431
RICHARD TURLINGTON ARCHITECTS
244 MAPLE STREETNEW HAVENCT06511ARCHITECT$511,969
PHARMACY AND THERAPEUTICS CONSULTAN
300 CHURCH STWALLINGFORDCT06492PHARMACY MANAGEMENT$355,290
CIVIL 1 INC
43 SHERMAN HILL RDWOODBURYCT06798CIVIL ENGINEERS$324,966
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Fundraising$696,309FundraisingAmt
All Other Contributions$720,914AllOtherContributionsAmt
Noncash Contributions$41,634NoncashContributionsAmt
Total Contributions$1,417,223TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSITIONAL LIVING PROGRAM623000$21,910,746$21,910,746
INPATIENT PROGRAM623000$14,999,509$14,999,509
OUTPATIENT SERVICES623000$1,212,282$1,212,282
FieldValueIRS element (for citing)
Total Program Service Revenue$38,122,537TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$229,502TotalRevenueColumnAmt
Exclusion$229,502ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$161,902RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$436,293RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$274,391RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$274,391TotalRevenueColumnAmt
Unrelated Business Revenue-$215,976UnrelatedBusinessRevenueAmt
Exclusion-$58,415ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,924,907SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,854,886SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$70,021SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,021TotalRevenueColumnAmt
Exclusion$70,021ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$152,085FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$696,309ContriRptFundraisingEventAmt
Fundraising Direct Expenses$404,972FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$252,887TotalRevenueColumnAmt
Exclusion-$252,887ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$48,963GrossSalesOfInventoryAmt
Cost Of Goods Sold$32,805CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,158TotalRevenueColumnAmt
Exclusion$16,158ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CAFETERIA REVENUE900099$66,427$20,470$45,957
TUTORING REVENUE900099$63,002$63,002
ALL OTHER REVENUE900099$126,833$126,833
FieldValueIRS element (for citing)
Other Revenue Total$256,262OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,584,425TotalRevenueColumnAmt
Related Or Exempt Func Income$38,332,842RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$215,976UnrelatedBusinessRevenueAmt
Exclusion$50,336ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,700TotalAmt
Program Services$36,700ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,558,760TotalAmt
Program Services$742,368ProgramServicesAmt
Management And General$709,225ManagementAndGeneralAmt
Fundraising$107,167FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,918,870TotalAmt
Program Services$15,217,048ProgramServicesAmt
Management And General$1,366,160ManagementAndGeneralAmt
Fundraising$335,662FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$728,090TotalAmt
Program Services$547,973ProgramServicesAmt
Management And General$166,214ManagementAndGeneralAmt
Fundraising$13,903FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,704,600TotalAmt
Program Services$2,310,188ProgramServicesAmt
Management And General$357,986ManagementAndGeneralAmt
Fundraising$36,426FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,207,746TotalAmt
Program Services$1,037,075ProgramServicesAmt
Management And General$153,909ManagementAndGeneralAmt
Fundraising$16,762FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$353,578TotalAmt
Program Services$7,326ProgramServicesAmt
Management And General$346,252ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,617TotalAmt
Management And General$93,617ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,500TotalAmt
Management And General$36,500ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$38,668TotalAmt
Management And General$38,668ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,048,225TotalAmt
Program Services$3,746,736ProgramServicesAmt
Management And General$291,785ManagementAndGeneralAmt
Fundraising$9,704FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$420,526TotalAmt
Program Services$402,629ProgramServicesAmt
Management And General$1,913ManagementAndGeneralAmt
Fundraising$15,984FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,306,858TotalAmt
Program Services$1,066,924ProgramServicesAmt
Management And General$218,740ManagementAndGeneralAmt
Fundraising$21,194FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$162,499TotalAmt
Program Services$152,107ProgramServicesAmt
Management And General$9,649ManagementAndGeneralAmt
Fundraising$743FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$869,026TotalAmt
Program Services$596,808ProgramServicesAmt
Management And General$267,978ManagementAndGeneralAmt
Fundraising$4,240FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$157,328TotalAmt
Program Services$138,189ProgramServicesAmt
Management And General$14,961ManagementAndGeneralAmt
Fundraising$4,178FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$109,663TotalAmt
Program Services$98,473ProgramServicesAmt
Management And General$9,318ManagementAndGeneralAmt
Fundraising$1,872FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,755,594TotalAmt
Program Services$1,494,351ProgramServicesAmt
Management And General$259,151ManagementAndGeneralAmt
Fundraising$2,092FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$766,672TotalAmt
Program Services$66,165ProgramServicesAmt
Management And General$700,507ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$511,476$511,476
PHARMACY$361,312$361,312
OTHER EXPENSE$1,209,782$783,758$424,192$1,832

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,356,090TotalAmt
Program Services$29,317,606ProgramServicesAmt
Management And General$5,466,725ManagementAndGeneralAmt
Fundraising$571,759FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,900BOYAmt
EOY$1,900EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,192,440BOYAmt
EOY$4,403,866EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,421BOYAmt
EOY$921EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,727,519BOYAmt
EOY$3,254,162EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$94,558BOYAmt
EOY$75,921EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$813,897BOYAmt
EOY$1,055,369EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,978,886LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,810,903LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,830,017BOYAmt
EOY$32,167,983EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,243,560BOYAmt
EOY$8,519,274EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,210,163BOYAmt
EOY$1,198,662EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,122,475BOYAmt
EOY$50,678,058EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,499,823BOYAmt
EOY$5,356,103EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,429,594BOYAmt
EOY$4,333,782EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,489BOYAmt
EOY$131,514EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,057,906BOYAmt
EOY$9,821,399EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,239,721BOYAmt
EOY$40,025,290EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$611,848BOYAmt
EOY$618,369EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,064,569BOYAmt
EOY$40,856,659EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,122,475BOYAmt
EOY$50,678,058EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,228,335ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$563,755NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$36,500DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$36,500TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch C Part II-B Line 1iFormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$1,690InvestmentEarningsOrLossesAmt
Other Expenditures$1,690OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$3,158InvestmentEarningsOrLossesAmt
Other Expenditures$3,158OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$1,062InvestmentEarningsOrLossesAmt
Other Expenditures$1,062OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$4,650InvestmentEarningsOrLossesAmt
Other Expenditures$4,650OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,000BeginningYearBalanceAmt
Investment Earnings Or Losses$5,910InvestmentEarningsOrLossesAmt
Other Expenditures$5,910OtherExpendituresAmt
End Year Balance$213,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,192,996OtherCostOrOtherBasisAmt
Book Value$2,192,996BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,192,285OtherCostOrOtherBasisAmt
Depreciation$13,628,065DepreciationAmt
Book Value$22,564,220BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,169,028OtherCostOrOtherBasisAmt
Depreciation$1,262,834DepreciationAmt
Book Value$4,906,194BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,424,577OtherCostOrOtherBasisAmt
Depreciation$4,920,004DepreciationAmt
Book Value$2,504,573BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,167,983TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EMPLOYEE FSA PAYABLE$68,838
TENANT SECURITY DEPOSITS$39,000
UNCLAIMED PROPERTY$22,182
OTHER$1,494
FieldValueIRS element (for citing)
Total Liability$131,514TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$40,237,802TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$563,755NetUnrealizedGainsInvstAmt
Other Revenue$252,887OtherRevenueAmt
Revenue Not Reported$816,642RevenueNotReportedAmt
Revenue Subtotal$39,421,160RevenueSubtotalAmt
Investment Expenses Not Incld$38,668InvestmentExpensesNotIncldAmt
Other Revenues Not Included$124,597OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$163,265RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$39,584,425TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,445,712TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$639,766OtherExpensesIncludedAmt
Expenses Not Reported$639,766ExpensesNotReportedAmt
Expenses Subtotal$34,805,946ExpensesSubtotalAmt
Investment Expenses Not Incld2$38,668InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$511,476OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$550,144ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$35,356,090TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS.
PART X, LINE 2"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 FEBRUARY 28, 2014 AND 2013.
PART XI, LINE 2DSPECIAL EVENT EXPENSES $252,887
PART XI, LINE 4BGIFT SHOP COST OF GOODS SOLD ($ 32,805) BAD DEBT EXPENSE $511,476 RENTAL EXPENSE - DEPRECIATION AND INTEREST ($354,074) _________ TOTAL $124,597
PART XII, LINE 2DGIFT SHOP COST OF GOODS SOLD $ 32,805 SPECIAL EVENT EXPENSES $252,887 RENTAL EXPENSE - DEPRECIATION AND INTEREST $354,074 _________ TOTAL $639,766
PART XII, LINE 4BBAD DEBT EXPENSE $511,476 _________ TOTAL $511,476

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1YP Sch. Fndrsr.NameOfEvent1Amt
Gross Receipts Event1$31,698GrossReceiptsEvent1Amt
Charitable Contri Event1$9,613CharitableContriEvent1Amt
Gross Revenue Event1$22,085GrossRevenueEvent1Amt
Food And Beverage Event1$19,497FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$22,205OtherDirectExpensesEvent1Amt
Name Of Event2GALA FUNDRAISERNameOfEvent2Amt
Gross Receipts Event2$816,696GrossReceiptsEvent2Amt
Charitable Contri Event2$686,696CharitableContriEvent2Amt
Gross Revenue Event2$130,000GrossRevenueEvent2Amt
Food And Beverage Event2$157,801FoodAndBeverageEvent2Amt
Entertainment Event2$32,698EntertainmentEvent2Amt
Other Direct Expenses Event2$172,771OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$848,394GrossReceiptsTotalAmt
Charitable Contributions Tot$696,309CharitableContributionsTotAmt
Gross Revenue Total Events$152,085GrossRevenueTotalEventsAmt
Food And Beverage Total Events$177,298FoodAndBeverageTotalEventsAmt
Entertainment Total Events$32,698EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$194,976OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$404,972DirectExpenseSummaryEventsAmt
Net Income Summary-$252,887NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other900.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$448,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$448,350DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$448,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$448,350DirectOffsettingRevenueAmt

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$755DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,399NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,312TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,312NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,186,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,999,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,186,855NetCommunityBenefitExpnsAmt
Total Expense0.03410TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,700NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,321,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,000,264DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,321,266NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,769,880TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,448,614DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,321,266NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$364,982BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$131,555ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$39,963CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$91,592MedicareSurplusOrShortfallAmt
Costing Methodology UsedCostingMethodologyUsedGrp
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SILVER HILL HOSPITAL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1208 VALLEY RDAddressLine1
CityNEW CANAANCity
StateCTState
ZIP Code06840ZIPCode
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 HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SILVERHILLHOSPITAL.ORGOwnWebsiteURLTxt
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care600.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care900.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Insurance StatusYes (X)InsuranceStatusInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 3THE 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, JACQELINE 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, LINES 6I & 7AT THE END OF FISCAL YEAR 2014, THE HOSPITAL WAS IN THE PROCESS OF FINALIZING ITS IMPLEMENTATION STRATEGY WHICH WAS PUBLISHED IN EARLY FISCAL YEAR 2015.
SCHEDULE H, PART V, LINE 20DIT 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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI - SUPPLEMENTAL INFORMATIONPART I, LINE 3C: N/A
PART I, LINE 6A:DURING FY 14, 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 2014. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS.
EXPENSE CALCULATIONTOTAL EXPENSES FROM PART IX, LINE 25 WERE REDUCED BY BAD DEBT EXPENSE OF $511,476 IN CALCULATING TOTAL EXPENSES FOR COLUMN (F).
PART II:N/A
PART III, LINE 4:CONSISTENT WITH HFMA STATEMENT 15, BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS REPRESENTS THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. FOR 990 REPORTING PURPOSES, BAD DEBT COST WAS CALCULATED BASED ON THE PATIENT COST TO CHARGE RATIO APPLIED TO THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE - "THE COLLECTIONS OF RECEIVABLES FROM THIRD-PARTY PAYORS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH FOR OPERATIONS AND IS CRITICAL TO ITS OPERATING PERFORMANCE. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. PATIENT RECEIVABLES, WHERE A THIRD-PARTY PAYOR IS RESPONSIBLE FOR PAYING THE AMOUNT, ARE CARRIED AT A NET AMOUNT DETERMINED BY THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THE THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. MANAGEMENT ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS ACCOUNTS RECEIVABLE AND ITS HISTORICAL COLLECTION EXPERIENCE FOR EACH PAYOR TYPE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. THE PAST DUE STATUS OF RECEIVABLES IS DETERMINED ON A CASE-BY-CASE BASIS DEPENDING ON THE RESPONSIBLE PAYOR. INTEREST IS GENERALLY NOT CHARGED ON THE PAST DUE ACCOUNTS.
Form Sch H Part III Line 2BAD 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.
Form Sch H Part III Line 9bTHE 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 FREE CARE PROGRAM)." 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.
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.
COMMUNITY INFORMATION:APPROXIMATELY 48% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 32% FROM NEW YORK, 20% FROM OTHER AREAS INCLUDING NEW JERSEY AND MASSACHUSETTS.
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.
AFFILIATED HEALTH SYSTEMSN/A
STATE FILING OF COMMUNITY BENEFIT REPORT:N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
NEW CANAAN POLICE DEPARTMENT
174 SOUTH AVENEW CANAANCT06840066002043$10,000DONATION
AMY WINEHOUSE FOUNDATION
ONE WEST 64TH STREET 10ENEW YORKNY10023453788137$10,000DONATION501(C)(3)
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org9TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationTHESE WERE NOT GRANTS. THE HOSPITAL MADE CONTRIBUTIONS TO THE NEW CANAAN POLICE DEPARTMENT AND AMY WINEHOUSE FOUNDATION AT THE REQUEST OF THOSE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Sigurd Ackerman MD
President, Medical DIrector$418,174$0$100,000$0$9,193$0$12,250$0$24,431$0$564,048$0$0$0
Eric Collins MD
Chief Medical Officer$345,295$0$103,671$0$106$0$0$0$32,368$0$481,440$0$0$0
Elizabeth Moore
Chief Operating Officer$266,493$0$55,000$0$1,524$0$12,250$0$12,487$0$347,754$0$0$0
Ruurd Leegstra
Chief Financial Officer$178,689$0$50,000$0$2,472$0$11,534$0$2,000$0$244,695$0$0$0
Anri Kissilenko MD
Physician$206,290$0$8,586$0$228$0$16,959$0$32,368$0$264,431$0$0$0
Rocco Marotta MD
Physician$194,259$0$8,315$0$225$0$5,374$0$32,368$0$240,541$0$0$0
Mark Cerbone MD
Physician$206,340$0$9,688$0$228$0$6,125$0$0$0$222,381$0$0$0
Seth Resnick MD
Physician$211,413$0$0$0$929$0$0$0$5,750$0$218,092$0$0$0
Ross DeLeonardo MD
Physician$202,204$0$2,656$0$868$0$0$0$9,818$0$215,546$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7.THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER AND PHYSICIAN-IN-CHIEF ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. IN CALENDAR YEAR 2014, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2014. THESE AMOUNTS ARE REPORTING IN SCHEDULE J, PART II, COLUMN (B)(II).
Form Sch J Part I Line 1aThe Hospital grossed up taxes on a bonus payment pursuent to an employment agreement for one officer. See Schedule O for details regarding the organization's compensation "policies and oversight procedures."

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonVERDE ENERGYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$121,175TransactionAmt
TransactionELECTRICITY GENERATION FOTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV - BUSINESS TRANSACTIONSFormAndLineReferenceDesc
ExplanationMR. LANCE LUNDBERG IS ON THE SILVER HILL HOSPITAL BOARD OF DIRECTORS AND IS ALSO THE CHAIRMAN OF VERDE ENERGY WHICH DOES BUSINESS WITH THE HOSPITAL.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$11,849NoncashContributionsRptF990Amt
Method Of Determining RevenuesSTOCK MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Young Professionals Event - auction items22$12,285resale value
Yes (X)Gala auction items2$17,500auction bid
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS REPORTING THE NUMBER OF NON CASH CONTRIBUTION MADE DURING THE FISCAL YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, PROGRAM SERVICE, LINE 4CINTENSIVE OUTPATIENT PROGRAMS (IOPS) TYPICALLY MEET FOR THREE HOURS A DAY, THREE DAYS PER WEEK. THE HOSPITAL PROVIDES THREE DIALECTICAL BEHAVIOR THERAPY IOPS FOR PATIENTS EXPERIENCING DIFFICULTY REGULATING INTENSE EMOTIONS, IMPULSIVITY AND HARMFUL BEHAVIORS. THESE PROGRAMS TEACH PATIENTS THE CORE DBT SKILLS OF MINDFULNESS, EMOTION REGULATION, INTERPERSONAL EFFECTIVENESS SKILLS AND DISTRESS TOLERANCE. THE HOSPITAL ALSO PROVIDES A WOMEN'S TRAUMA AND ADDICTION IOP FOR WOMEN WHO STRUGGLE WITH ADDICTION TO LEARN SAFE COPING SKILLS TO MAINTAIN SOBRIETY, AS WELL AS TO EXPLORE UNDERLYING INTERPERSONAL ISSUES INCLUDING RELATIONSHIP DIFFICULTIES, ABUSE, CODEPENDENCY AND BOUNDARIES. IN ADDITION, THE HOSPITAL PROVIDES AN ADDICTION/DUAL DIAGNOSIS IOP WHICH IS APPROPRIATE FOR PATIENTS DIAGNOSED WITH EITHER AN ADDICTION OR DUAL DISORDER. GROUPS INCLUDE RELAPSE PREVENTION, FAMILY DISEASE AND RELAPSE WARNING SIGNS, UNDERSTANDING EMOTIONS, AND SELF-ESTEEM. THIS PROGRAM ALSO TEACHES PATIENTS DIALECTICAL BEHAVIOR THERAPY SKILLS SUCH AS DISTRESS TOLERANCE.
Form 990 Part VI Line 11bTHE FORM 990 OF THE ORGANIZATION IS PREPARED BY THE FINANCE DEPARTMENT OF SILVER HILL HOSPITAL BASED ON THE BOOKS AND RECORDS OF THE ORGANIZATION. THE DRAFT RETURN AND ALL SUPPORTING DOCUMENTATION ARE PROVIDED TO THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS FOR REVIEW AND FINAL PREPARATION OF THE RETURN. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE DIRECTOR OF ACCOUNTING, CFO, COO, AND PRESIDENT & 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 THE THE INTERNAL REVENUE SERVICES.
Form 990 Part VI Line 12cTHE 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 Line 15bEACH 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, 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART X, LINES 17 & 25RECLASS OF BEGINNING YEAR BALANCES DUE TO A CURRENT YEAR RECLASSIFICATION BETWEEN ACCOUNTS PAYABLE/ACCRUED EXPENSES AND OTHER LIABILITIES, THERE IS A DIFFERENCE IN THE BEGINNING YEAR AMOUNTS FOR THOSE LINE ITEMS FROM WHAT WAS REPORTED AT THE END OF THE FY 2013 RETURN.
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:2611313
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:1436912