SILVER HILL HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SILVER HILL HOSPITAL INC (EIN 06-0655139)
- Tax period
- 2012-03-01 to 2013-02-28
- Filed
- 2014-01-15
- IRS object ID
- 201430159349301303
- Schema version
- 2012v2.3
- 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 D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-01-15T15:18:19-06:00 | Timestamp |
| Tax Period End Date | 2013-02-28 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Avenue | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 101540102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-03-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060655139 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RUURD G LEEGSTRA CFO | InCareOfName |
| Name Control | SILV | NameControl |
| Phone | 2039661380 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | NEW CANAAN | City |
| State | CT | State |
| ZIP Code | 06840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SIGURD H ACKERMAN MD | Name |
| Title | PRESIDENT, MEDICAL DIRECTOR | Title |
| Phone | 2039661380 | Phone |
| Date Signed | 2014-01-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 2127589700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SIGURD H ACKERMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1 |
| City | NEW CANAAN | City |
| State | CT | State |
| ZIP Code | 06840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43449037 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SILVERHILLHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1934 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 373 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | -92197 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -92197 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1434915 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1524344 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32101190 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35007506 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 587374 | InvestmentIncomePriorYear |
| Investment Income Current Year | 753895 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -25278 | OtherRevenuePriorYear |
| Other Revenue Current Year | -50819 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34098201 | TotalRevenuePriorYear |
| Total Revenue Current Year | 37234926 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 24250 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19629450 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21443937 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 575169 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10650142 | OtherExpensePriorYear |
| Other Expenses Current Year | 11016993 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 30279592 | TotalExpensesPriorYear |
| Total Expenses Current Year | 32485180 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3818609 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4749746 | RevenuesLessExpensesCY |
| Total Assets BOY | 40459322 | TotalAssetsBOY |
| Total Assets EOY | 46122475 | TotalAssetsEOY |
| Total Liabilities BOY | 8916912 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10057906 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 31542410 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36064569 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15014210 | Expense |
| Grants | 24250 | Grants |
| Revenue | 15112283 | Revenue |
| Description | INPATIENT TREATMENT IS THE MOST INTENSIVE FORM OF CARE, INDICATED FOR A PHASE OF ILLNESS THAT REQUIRES A GREAT DEAL OF NURSING AND MEDICAL INTERVENTION. BECAUSE PATIENTS ARE USUALLY ACUTELY ILL DURING THIS PHASE OF CARE, OUR INPATIENT TREATMENT PLANS EMPHASIZE DIAGNOSTIC ASSESSMENT, SYMPTOM REDUCTION, AND STABILIZATION. THE HOSPITAL TREATED APPROXIMATELY 1,877 INPATIENTS DURING FISCAL YEAR 2013. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11144952 | Expense |
| Revenue | 18464437 | Revenue |
| Description | SILVER HILL HOSPITAL'S TRANSITIONAL LIVING PROGRAMS PROVIDE HIGHLY STRUCTURED INTENSIVE TREATMENT FOR PATIENTS WHO ARE READY FOR MORE PSYCHOLOGICAL AND BEHAVIORAL INTERVENTIONS. SET IN RESIDENTIAL, HOME-LIKE SETTINGS, THE TRANSITIONAL LIVING PROGRAMS HELP PATIENTS CONTINUE THEIR RECOVERY PROCESS UNTIL THEY ARE READY TO RETURN HOME FOR FURTHER COMMUNITY-BASED TREATMENTS. PATIENTS FOCUS ON DEVELOPING A PSYCHOLOGICAL UNDERSTANDING OF THEIR ILLNESS, OBTAINING INFORMATION ABOUT THEIR ILLNESS AND DEVELOPING NEW BEHAVIORAL SKILLS TO MANAGE THEIR RECOVERY PROCESS. THE HOSPITAL TREATED APPROXIMATELY 726 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2013. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 254871 | Expense |
| Revenue | 1430786 | Revenue |
| Description | INTENSIVE OUTPATIENT PROGRAMS (IOP) MEET FOR THREE HOURS/DAY, THREE DAYS/WEEK. SILVER HILL HOSPITAL PROVIDES A DIALECTICAL BEHAVIOR THERAPY IOP FOR PATIENTS EXPERIENCING DIFFICULTY REGULATING INTENSE EMOTIONS, IMPULSIVITY AND HARMFUL BEHAVIORS. THE WOMEN'S TRAUMA AND ADDICTION IOP IS FOR WOMEN WHO STRUGGLE WITH DRUGS AND ALCOHOL AND HAVE EXPERIENCED SOME FORM OF TRAUMA SUCH AS EARLY PHYSICAL OR SEXUAL ABUSE, EMOTIONAL ABUSE OR A TRAUMATIC EVENT. THE DUAL DIAGNOSIS IOP PROVIDES SIMULTANEOUS TREATMENT FOR PATIENTS WITH A PSYCHIATRIC AND SUBSTANCE ABUSE DISORDER. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 26414033 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 150 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 373 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RUURD G LEEGSTRA CFO | NamePerson |
| Telephone Number | 2038012230 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1 |
| City | NEW CANAAN | City |
| State | CT | State |
| ZIP Code | 06840 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WARD F CLEARY | |||||||
| CO-CHAIR | 3.0 | X | 0 | 0 | 0 | ||
| DEANN E MURPHY | |||||||
| CO-CHAIR | 8.0 | X | 0 | 0 | 0 | ||
| STEVE STILLERMAN | |||||||
| CHAIRMAN EMERITUS UNTIL 6/2012 | 1.0 | X | 0 | 0 | 0 | ||
| LINDA AUTORE | |||||||
| DIRECTOR FROM 5/2012 | 1.0 | X | 0 | 0 | 0 | ||
| CYNTHIA ZIEGLAR BRIGHTON | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| PATRICIA BURROWS | |||||||
| DIRECTOR UNTIL 7/2012 | 1.0 | X | 0 | 0 | 0 | ||
| RICHARD CANNING | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| MICHAL COMINOTTO | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| SPERRY A DECEW | |||||||
| SECRETARY & DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| FREDERICK S FEINER MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JUDITH FREEDMAN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| RICHARD GANNON | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| TED HERMAN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| CLAUDETTE H KUNKES | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| PAUL LAMBDIN | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| LANCE LUNDBERG | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| PETER ORTHWEIN | |||||||
| TREASURER & DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| DAVID SCHUNTER | |||||||
| DIRECTOR FROM 5/2012 | 1.0 | X | 0 | 0 | 0 | ||
| LAURIE WILLIAMSON | |||||||
| DIRECTOR FROM 5/2012 | 1.0 | X | 0 | 0 | 0 | ||
| SIGURD H ACKERMAN MD | |||||||
| PRESIDENT,MED. DIR. & DIRECTOR | 40.0 | X | 542029 | 0 | 42025 | X | |
| ELIZABETH E MOORE | |||||||
| CHIED OPERATING OFFICER & DIR | 40.0 | X | 313163 | 0 | 24171 | X | |
| RUURD G LEEGSTRA | |||||||
| CHIEF FINANCIAL OFFICER & DIR | 40.0 | X | 231161 | 0 | 11291 | X | |
| ERIC COLLINS MD | |||||||
| CMO & DIRECTOR FROM 8/2012 | 40.0 | X | 129707 | 0 | 15315 | X | |
| BARRY KERNER | |||||||
| CMO & DIRECTOR UNTIL 5/2012 | 40.0 | X | 91679 | 0 | 27978 | X | |
| MARK CERBONE MD | |||||||
| PHYSICIAN | 40.0 | 262008 | 0 | 5580 | X | ||
| ANRI KISSILENKO MD | |||||||
| PHYSICIAN | 40.0 | 216257 | 0 | 46312 | X | ||
| ROCCO MAROTTA MD | |||||||
| PHYSICIAN | 40.0 | 205729 | 0 | 35723 | X | ||
| AVA ALBRECHT MD | |||||||
| PHYSICIAN | 40.0 | 202799 | 0 | 31152 | X | ||
| SANDRA GOMEZ-LUNA MD | |||||||
| PHYSICIAN | 40.0 | 215104 | 0 | 9898 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2409636 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 249445 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIDINE CORPORATION | |||||
| ONE GATEWAY CENTER SUITE 751 | NEWTON | MA | 02458 | FOOD SERVICES | 1187910 |
| PAC GROUP LLC | |||||
| PO BOX 52 | HARWINGTON | CT | 06791 | GENERAL CONTRACTOR | 882780 |
| PHARMACY THERAPEUTICS CONSULTANTS | |||||
| 300 CHURCH ST | WALLINGFORD | CT | 06492 | PHARMACY MANAGEMENT | 344313 |
| MEDSPHERE SYSTEMS CORPORATION | |||||
| 1917 PALOMAR OAKS WAY SUITE 200 | CARLSBAD | CA | 92008 | IT CONSULTANT | 248881 |
| RICHARD TURLINGTON ARCHITECTS | |||||
| 244 MAPLE STREET | NEW HAVEN | CT | 06511 | ARCHITECT | 226506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Fundraising Events | 739523 | FundraisingEvents |
| All Other Contributions | 784821 | AllOtherContributions |
| Noncash Contributions | 11235 | NoncashContributions |
| Total Contributions | 1524344 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT PROGRAM | 623000 | 15112283 | 15112283 |
| TRANSITIONAL LIVING PROGRAM | 623000 | 18464437 | 18464437 |
| NON RESIDENTIAL SERVICES | 623000 | 1430786 | 1430786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35007506 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 264503 | TotalRevenueColumn |
| Exclusion | $264,503 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 50268 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 168441 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -118173 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -118173 | TotalRevenueColumn |
| Unrelated Business Revenue | -92197 | UnrelatedBusinessRevenue |
| Exclusion | -$25,976 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6168969 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5679577 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 489392 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 489392 | TotalRevenueColumn |
| Exclusion | $489,392 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 127500 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 739523 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 366093 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -238593 | TotalRevenueColumn |
| Exclusion | -$238,593 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| WELLNESS | 900099 | 43422 | 43422 | |
| OTHER | 900099 | 50053 | 50053 | |
| GIFT SHOP REVENUE | 900099 | 35431 | $35,431 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 177041 | TotalRevenueColumn |
| Related Or Exempt Function Income | 177041 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 305947 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37234926 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35278022 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -92197 | UnrelatedBusinessRevenue |
| Exclusion | $524,757 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24250 | Total |
| Program Services | 24250 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335505 | Total |
| Program Services | 552407 | ProgramServices |
| Management And General | 713660 | ManagementAndGeneral |
| Fundraising | 69438 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15854817 | Total |
| Program Services | 14068068 | ProgramServices |
| Management And General | 1467945 | ManagementAndGeneral |
| Fundraising | 318804 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 662209 | Total |
| Program Services | 487928 | ProgramServices |
| Management And General | 162321 | ManagementAndGeneral |
| Fundraising | 11960 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2426574 | Total |
| Program Services | 1979679 | ProgramServices |
| Management And General | 431002 | ManagementAndGeneral |
| Fundraising | 15893 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1164832 | Total |
| Program Services | 988545 | ProgramServices |
| Management And General | 159481 | ManagementAndGeneral |
| Fundraising | 16806 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292920 | Total |
| Program Services | 7800 | ProgramServices |
| Management And General | 285120 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82826 | Total |
| Management And General | 82826 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41067 | Total |
| Management And General | 41067 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3950126 | Total |
| Program Services | 3652129 | ProgramServices |
| Management And General | 282765 | ManagementAndGeneral |
| Fundraising | 15232 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332483 | Total |
| Program Services | 313753 | ProgramServices |
| Management And General | 2992 | ManagementAndGeneral |
| Fundraising | 15738 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1263927 | Total |
| Program Services | 961399 | ProgramServices |
| Management And General | 280953 | ManagementAndGeneral |
| Fundraising | 21575 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206043 | Total |
| Program Services | 178567 | ProgramServices |
| Management And General | 25128 | ManagementAndGeneral |
| Fundraising | 2348 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 914718 | Total |
| Program Services | 568381 | ProgramServices |
| Management And General | 341896 | ManagementAndGeneral |
| Fundraising | 4441 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130917 | Total |
| Program Services | 104833 | ProgramServices |
| Management And General | 22508 | ManagementAndGeneral |
| Fundraising | 3576 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47159 | Total |
| Program Services | 15303 | ProgramServices |
| Management And General | 30834 | ManagementAndGeneral |
| Fundraising | 1022 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1654252 | Total |
| Program Services | 1324642 | ProgramServices |
| Management And General | 325325 | ManagementAndGeneral |
| Fundraising | 4285 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 608539 | Total |
| Program Services | 59737 | ProgramServices |
| Management And General | 548802 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PHARMACY | 246314 | 246314 | ||
| BAD DEBT EXPENSE | 196137 | 196137 | ||
| OTHER EXPENSES | 1049565 | 684161 | 291353 | 74051 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32485180 | Total |
| Program Services | 26414033 | ProgramServices |
| Management And General | 5495978 | ManagementAndGeneral |
| Fundraising | 575169 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1900 | BOY |
| EOY | 1900 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4196525 | BOY |
| EOY | 4192440 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73670 | BOY |
| EOY | 8421 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2133705 | BOY |
| EOY | 3727519 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70250 | BOY |
| EOY | 94558 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 463997 | BOY |
| EOY | 813897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47781068 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17951051 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23338899 | BOY |
| EOY | 29830017 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9727117 | BOY |
| EOY | 6243560 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 453259 | BOY |
| EOY | 1210163 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40459322 | BOY |
| EOY | 46122475 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1371357 | BOY |
| EOY | 2430418 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5127680 | BOY |
| EOY | 4429594 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2417875 | BOY |
| EOY | 3197894 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8916912 | BOY |
| EOY | 10057906 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30709941 | BOY |
| EOY | 35239721 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619469 | BOY |
| EOY | 611848 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213000 | BOY |
| EOY | 213000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31542410 | BOY |
| EOY | 36064569 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40459322 | BOY |
| EOY | 46122475 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4749746 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -227587 | ReconciliationUnrealizedInvest |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3158 | InvestmentEarningsOrLosses |
| Other Expenditures | 3158 | OtherExpenditures |
| End Of Year Balance | 213000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1062 | InvestmentEarningsOrLosses |
| Other Expenditures | 1062 | OtherExpenditures |
| End Of Year Balance | 213000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4650 | InvestmentEarningsOrLosses |
| Other Expenditures | 4650 | OtherExpenditures |
| End Of Year Balance | 213000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5910 | InvestmentEarningsOrLosses |
| Other Expenditures | 5910 | OtherExpenditures |
| End Of Year Balance | 213000 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5868 | InvestmentEarningsOrLosses |
| Other Expenditures | 5868 | OtherExpenditures |
| End Of Year Balance | 213000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2192996 | OtherCostOrOtherBasis |
| Book Value | 2192996 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33279409 | OtherCostOrOtherBasis |
| Depreciation | 12423569 | Depreciation |
| Book Value | 20855840 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6718694 | OtherCostOrOtherBasis |
| Depreciation | 4424226 | Depreciation |
| Book Value | 2294468 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5589969 | OtherCostOrOtherBasis |
| Depreciation | 1103256 | Depreciation |
| Book Value | 4486713 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 29830017 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED 401K EMPLOYER CONTRIBUTIONS | $773,716 |
| ACCRUED SALARIES AND WAGES | $499,066 |
| ACCRUED LEGAL | $1,469,075 |
| ACCRUED VACATION | $312,491 |
| EMPLOYEE FSA PAYABLE | $65,933 |
| ACCRUED FICA - EMPLOYER PORTION | $40,507 |
| INTEREST PAYABLE ON LINE OF CREDIT | $15,057 |
| UNCLAIMED PROPERTY | $22,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3197894 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 37050866 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -227587 | NetUnrealizedGainsInvestments |
| Other Revenues | 185896 | OtherRevenues |
| Revenue Not Rptd F990 | -41691 | RevenueNotRptdF990 |
| Revenue Subtotal | 37092557 | RevenueSubtotal |
| Investment Expenses Not Included | 41925 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 100444 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 142369 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 37234926 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 32528707 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 354337 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 354337 | ExpensesNotRptdF990 |
| Expenses Subtotal | 32174370 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 41925 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 268885 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 310810 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 32485180 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USE OF ENDOWMENT FUNDS | PART V, LINE 4 | DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS. |
| FIN 48 FOOTNOTE | PART X, LINE 2 | THE HOSPITAL IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE INTERNAL REVENUE SERVICE INFORMED THE HOSPITAL BY A LETTER DATED JUNE 23, 1937 THAT THE HOSPITAL'S OPERATIONS ARE DESIGNED IN ACCORDANCE WITH SUCH SECTION TO THE CODE. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT. IT IS MANAGEMENT'S ESTIMATION THAT ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
| AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII | PART XI, LINE 2D | SPECIAL EVENT EXPENSES THAT ARE INCLUDED IN OPERATING 238,594 EXPENSES IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS, BUT NETTED AGAINST SPECIAL EVENT REVENUES FOR 990 PURPOSES AND INCLUDED IN PART VIII LINE 12 OF THE FORM 990. RENTAL REVENUE (50,268) LOSSES INCLUDED IN OTHER (LOSSES) GAINS - NET, IN THE (2,430) STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS. __________ TOTAL 185,896 |
| AMOUNTS INCLUDED ON FORM 990 BUT NOT AUDITED FINANCIAL STATEMENTS | PART XI, LINE 4B | PROVISION FOR UNCOLLECTIBLE PLEDGES WHICH IS NETTED AGAINST 22,748 REVENUE IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS. PROVISION FOR UNCOLLECTIBLE PLEDGES WHICH IS NETTED AGAINST 50,000 TERMPORARILY RESTRICTED REVENUES IN THE STATEMENT OF CHANGES IN NET ASSTS OF THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE INCLUDED IN TOTAL REVENUE, GAINS AND OTHER 196,137 SUPPORT PER AUDITED FINANCIAL STATEMENTS. RENTAL EXPENSES -168,441 _________ TOTAL 100,444 |
| AMOUNT INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT FORM 990 | PART XII, LINE 2D | SPECIAL EVENT EXPENSES THAT ARE INCLUDED IN OPERATING 238,594 EXPENSES IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS, BUT NETTED AGAINST SPECIAL EVENT REVENUES FOR 990 PURPOSES AND INCLUDED IN PART VIII LINE 12 OF THE FORM 990. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 867023 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 739523 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 127500 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 165169 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 49953 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 150971 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 867023 | GrossReceiptsTotal |
| Charitable Contributions Total | 739523 | CharitableContributionsTotal |
| Gross Revenue Total Events | 127500 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 165169 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 49953 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 150971 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 366093 | DirectExpenseSummaryEvents |
| Net Income Summary | -238593 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 600. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 900. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 408800 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 408800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 408800 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 408800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 540 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3900 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16036308 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15112283 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 924025 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02860 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24250 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24250 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16161247 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15116723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1044524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16570047 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15116723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1453324 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04500 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $137,600 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 114622 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41447 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 73175 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 208 VALLEY RD | AddressLine1 |
| City | NEW CANAAN | City |
| State | CT | State |
| ZIP Code | 06840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SILVER HILL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 600. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 900. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART VI - SUPPLEMENTAL INFORMATION | PART I, LINE 3C: N/A | |
| PART I, LINE 6A: | DURING FY 13, THE HOSPITAL WAS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF CONNECTICUT. | |
| PART I, LINE 7: | A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE CHARITY CARE COSTS REPORTED. A COST TO CHARGE RATIO FOR INPATIENT SERVICES WAS USED TO DETERMINE THE AMOUNT OF INPATIENT CARE THAT WAS SUBSIDIZED IN FISCAL 2013. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS. | |
| PART I, LINE 7, COLUMN(F) | TOTAL EXPENSES FROM PART IX, LINE 25 WERE REDUCED BY BAD DEBT EXPENSE OF $196,137 IN CALCULATING TOTAL EXPENSES FOR COLUMN (F). | EXPENSE CALCULATION |
| PART II: | N/A | |
| PART III, LINE 4: | CONSISTENT WITH HFMA STATEMENT 15, BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS REPRESENTS THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. FOR 990 REPORTING PURPOSES, BAD DEBT COST WAS CALCULATED BASED ON THE PATIENT COST TO CHARGE RATIO APPLIED TO THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT EXPENSE - "THE COLLECTIONS OF RECEIVABLES FROM THIRD-PARTY PAYORS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH FOR OPERATIONS AND IS CRITICAL TO ITS OPERATING PERFORMANCE. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. PATIENT RECEIVABLES, WHERE A THIRD-PARTY PAYOR IS RESPONSIBLE FOR PAYING THE AMOUNT, ARE CARRIED AT A NET AMOUNT DETERMINED BY THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS TO THIRD-PARTY PAYORS. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THE THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. MANAGEMENT ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS ACCOUNTS RECEIVABLE AND ITS HISTORICAL COLLECTION EXPERIENCE FOR EACH PAYOR TYPE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. THE PAST DUE STATUS OF RECEIVABLES IS DETERMINED ON A CASE-BY-CASE BASIS DEPENDING ON THE RESPONSIBLE PAYOR. INTEREST IS GENERALLY NOT CHARGED ON THE PAST DUE ACCOUNTS. | |
| PART III, LINE 8: | AMOUNTS REPORTED IN PART III (B) REPRESENT OUTPATIENT MEDICARE, AS INPATIENT MEDICARE REVENUE AND EXPENSES ARE INCLUDED IN SUBSIDIZED CARE (PART 1, LINE 7 (G)). REVENUE RECEIVED FROM MEDICARE WAS TAKEN FROM WORKSHEET E, PART B LINE 17.01 OF THE FY 13 MEDICARE COST REPORT; THE ALLOWABLE COST AMOUNT WAS TAKEN FROM WORKSHEET E, PART B LINE 1.01 OF THE FY 2013 MEDICARE COST REPORT. | |
| PART III, LINE 9B: | THE COLLECTION POLICY STATES: "THIS POLICY IS APPLICABLE TO ALL PATIENTS RECEIVING SERVICES AT SILVER HILL HOSPITAL (SHH) WHO ARE CONSIDERED SELF-PAY (AS DEFINED IN THIS POLICY) AND ARE JUDGED TO BE ABLE TO PAY; THAT IS, THIS POLICY APPLIES TO THOSE WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE PROGRAM (SEE POLICY ON FREE CARE PROGRAM)." | |
| PART V, LINE 20D | IT IS THE POLICY OF THE HOSPITAL THAT PATIENTS ASSESSED TO BE SUFFERING FROM A BEHAVIORAL EMERGENCY MEDICAL CONDITION WILL BE ADMITTED, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY, AS REQUIRED BY THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). UPON DISCHARGE, THE HOSPITAL WORKS WITH THESE PATIENTS TO DETERMINE AN APPROPRIATE PAYMENT AMOUNT GIVEN THEIR FINANCIAL SITUATION. | |
| PART VI, LINE 2: | SILVER HILL HOSPITAL STAFF ASSESSES THE NEED FOR ADDITIONAL PROGRAMMING BASED ON SERVICE AVAILABILITY FOR OUR DISCHARGING PATIENT POPULATION. THE HOSPITAL ALSO RECEIVES INPUT FROM COMMUNITY-BASED CLINICIANS TO IDENTIFY NEEDS WITHIN THE COMMUNITY. | NEEDS ASSESSMENT |
| PART VI, LINE 3: | SOCIAL WORKERS HAVE A COMPREHENSIVE VIEW OF A PATIENT'S FINANCIAL AND SOCIAL SITUATION AND ARE KNOWLEDGEABLE ABOUT THE ELIGIBILITY CRITERIA FOR ENTITLEMENT PROGRAMS. IT IS THE ASSIGNED RESPONSIBILITY OF THE SOCIAL WORKER TO INFORM PATIENTS AND THEIR FAMILIES ABOUT ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. PATIENTS WHO DO NOT HAVE THE FINANCIAL ABILITY TO PAY FOR SERVICES ARE EDUCATED ABOUT SHH'S SCHOLARSHIP PROGRAM BY A SPECIFICALLY TRAINED STAFF MEMBER. THE STAFF MEMBER PROVIDES PATIENTS AND THEIR FAMILIES WITH THE FINANCIAL GUIDELINES AND SUPPORTING DOCUMENTATION REQUIRED FOR OBTAINING A SCHOLARSHIP FOR THE PROGRAM. | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: |
| PART VI, LINE 4: | APPROXIMATELY 52% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 28% FROM NEW YORK, 20% FROM OTHER AREAS INCLUDING NEW JERSEY AND MASSACHUSETTS. | COMMUNITY INFORMATION: |
| PART VI, LINE 5: | SILVER HILL HOSPITAL FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY THROUGH A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS CONTRIBUTE THEIR UNIQUE TALENTS AND RESOURCES TOWARD THE HOSPITAL'S MISSION OF HEALING AND THE CARE OF ITS PATIENTS. | PROMOTION OF COMMUNITY HEALTH: |
| PART VI, LINE 6 | N/A | AFFILIATED HEALTH SYSTEMS |
| PART VI, LINE 7: | CT - WITH THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH (EVERY 2 YEARS) | STATE FILING OF COMMUNITY BENEFIT REPORT: |
| COMMUNITY HEALTH NEEDS ASSESSMENT | THE HOSPITAL IS IN THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA WILL BE COMPLETED AND POSTED PRIOR TO THE DUE DATE OF FEBRUARY 28, 2014. | SCHEDULE H, PART VI, LINE 1 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAVEN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 835 WEST QUEEN STREET 2ND FLOOR | AddressLine1 |
| City | SOUTHINGTON | City |
| State | CT | State |
| ZIP Code | 06489 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 510642913 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Purpose Of Grant | DONATION | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | N/A This was not a grant, it was a donation at the request of haven. | Identifier |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGURD H ACKERMAN MD | ||||||||||||||
| PRESIDENT,MED. DIR. & DIRECTOR | 443225 | 0 | 90000 | 0 | 8804 | 0 | 12250 | 0 | 29775 | 0 | 584054 | 0 | 0 | 0 |
| ELIZABETH E MOORE | ||||||||||||||
| CHIED OPERATING OFFICER & DIR | 266639 | 0 | 45000 | 0 | 1524 | 0 | 12250 | 0 | 11921 | 0 | 337334 | 0 | 0 | 0 |
| RUURD G LEEGSTRA | ||||||||||||||
| CHIEF FINANCIAL OFFICER & DIR | 188689 | 0 | 40000 | 0 | 2472 | 0 | 11291 | 0 | 0 | 0 | 242452 | 0 | 0 | 0 |
| MARK CERBONE MD | ||||||||||||||
| PHYSICIAN | 255752 | 0 | 5937 | 0 | 319 | 0 | 5580 | 0 | 0 | 0 | 267588 | 0 | 0 | 0 |
| ANRI KISSILENKO MD | ||||||||||||||
| PHYSICIAN | 210614 | 0 | 5415 | 0 | 228 | 0 | 15563 | 0 | 30749 | 0 | 262569 | 0 | 0 | 0 |
| ROCCO MAROTTA MD | ||||||||||||||
| PHYSICIAN | 199690 | 0 | 5171 | 0 | 868 | 0 | 4974 | 0 | 30749 | 0 | 241452 | 0 | 0 | 0 |
| AVA ALBRECHT MD | ||||||||||||||
| PHYSICIAN | 197309 | 0 | 5265 | 0 | 225 | 0 | 4854 | 0 | 26298 | 0 | 233951 | 0 | 0 | 0 |
| SANDRA GOMEZ-LUNA MD | ||||||||||||||
| PHYSICIAN | 209780 | 0 | 5096 | 0 | 228 | 0 | 9898 | 0 | 0 | 0 | 225002 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 7. | Identifier |
| 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 2012, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2012. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VERDE ENERGY | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 110000 | AmountOfTransaction |
| Description Of Transaction | ELECTRICITY-GENERATION FOR HOS | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV - BUSINESS TRANSACTIONS | Identifier |
| Explanation | MR. LANCE LUNDBERG IS ON THE SILVER HILL HOSPITAL BOARD OF DIRECTORS AND IS ALSO THE CHAIRMAN OF VERDE ENERGY WHICH DOES BUSINESS WITH THE HOSPITAL. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 1 | MISSION STATEMENT | THE MISSION OF SILVER HILL HOSPITAL IS TO PROVIDE OUR PATIENTS WITH THE BEST AVAILABLE TREATMENT OF MENTAL ILLNESS AND ADDICTION; AND TO OFFER CONTINUING SUPPORT, COUNSELING AND EDUCATION TO OUR PATIENTS AND THEIR FAMILIES IN EVERY PHASE OF ILLNESS AND RECOVERY. |
| PART VI, SECTION B | LINE 11B, 12C, 15 AND 19 | LINE 11B - THE FORM 990 OF THE ORGANIZATION IS PREPARED BY THE FINANCE DEPARTMENT OF SILVER HILL HOSPITAL BASED ON THE BOOKS AND RECORDS OF THE ORGANIZATION. THE DRAFT RETURN AND ALL SUPPORTING DOCUMENTATION ARE PROVIDED TO THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS FOR REVIEW AND FINAL PREPARATION OF THE RETURN. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE DIRECTOR OF ACCOUNTING, CFO, COO AND PRESIDENT, AND MEDICAL DIRECTOR. THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS BEFORE FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. LINE 12C - THE HOSPITAL REQUIRES THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE A NOTIFICATION OF COMPLIANCE QUESTIONNAIRE AT THE END OF EACH YEAR. THE FINANCE DEPARTMENT REVIEWS THE QUESTIONNAIRES FOR DETERMINATION OF POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS ARE MADE KNOWN TO THE BOARD FOR RESOLUTION. LINE 15 - EACH YEAR, OR WHEN OTHERWISE REQUIRED, THE BOARD OF DIRECTORS APPOINTS A COMPENSATION SUB-COMMITTEE OF INDEPENDENT DIRECTORS TO REVIEW THE COMPENSATION OF THE PRESIDENT AND MEDICAL DIRECTOR COO, CFO AND KEY EMPLOYEES. THE SUB-COMMITTEE REVIEWS FORM 990'S OF SIMILAR ORGANIZATIONS AS WELL AS COMPENSATION SURVEYS AND STUDIES PERFORMED BY AN INDEPENDENT CONSULTANT, AND MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ANY DELIBERATIONS AND DECISIONS OF THE COMPENSATION SUB-COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE ANNUAL BOARD OF DIRECTORS MEETING. LINE 19 - THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. |
| FORM 990, PART III - PROGRAM SERVICE, LINE 4C | INTENSIVE OUTPATIENT PROGRAMS (IOPS) TYPICALLY MEET FOR THREE HOURS A DAY, THREE DAYS PER WEEK. THE HOSPITAL PROVIDES THREE DIALECTICAL BEHAVIOR THERAPY IOPS FOR PATIENTS EXPERIENCING DIFFICULTY REGULATING INTENSE EMOTIONS, IMPULSIVITY AND HARMFUL BEHAVIORS. THESE PROGRAMS TEACH PATIENTS THE CORE DBT SKILLS OF MINDFULNESS, EMOTION REGULATION, INTERPERSONAL EFFECTIVENESS SKILLS AND DISTRESS TOLERANCE. THE HOSPITAL ALSO PROVIDES A WOMEN'S TRAUMA AND ADDICTION IOP FOR WOMEN WHO STRUGGLE WITH ADDICTION TO LEARN SAFE COPING SKILLS TO MAINTAIN SOBRIETY, AS WELL AS TO EXPLORE UNDERLYING INTERPERSONAL ISSUES INCLUDING RELATIONSHIP DIFFICULTIES, ABUSE, CODEPENDENCY AND BOUNDARIES. IN ADDITION, THE HOSPITAL PROVIDES AN ADDICTION/DUAL DIAGNOSIS IOP WHICH IS APPROPRIATE FOR PATIENTS DIAGNOSED WITH EITHER AN ADDICTION OR DUAL DISORDER. GROUPS INCLUDE RELAPSE PREVENTION, FAMILY DISEASE AND RELAPSE WARNING SIGNS, UNDERSTANDING EMOTIONS AND SELF-ESTEEM. THIS PROGRAM ALSO TEACHES PATIENTS DIALECTICAL BEHAVIOR THERAPY SKILLS SUCH AS DISTRESS TOLERANCE. |