SILVER HILL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SILVER HILL HOSPITAL INC (EIN 06-0655139)
Tax period: 2011-03-01 to 2012-02-28
Filed: 2013-01-10
IRS object ID: 201300109349300740
Schema version: 2011v1.5
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 J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-01-10T14:40:24-06:00	Timestamp
Tax Period End Date	2012-02-28	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	2011-03-01	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
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	2013-01-10	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	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	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	39562866	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	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	362	TotalNbrEmployees
Total Nbr Volunteers	200	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2294704	ContributionsGrantsPriorYear
Contributions Grants Current Year	1434915	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	30344974	ProgramServiceRevenuePriorYear
Program Service Revenue CY	32101190	ProgramServiceRevenueCY
Investment Income Prior Year	553848	InvestmentIncomePriorYear
Investment Income Current Year	587374	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-164578	OtherRevenuePriorYear
Other Revenue Current Year	-25278	OtherRevenueCurrentYear
Total Revenue Prior Year	33028948	TotalRevenuePriorYear
Total Revenue Current Year	34098201	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	18678432	SalariesEtcPriorYear
Salaries Etc Current Year	19629450	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	452332	TotalFundrsngExpCurrentYear
Other Expense Prior Year	10466421	OtherExpensePriorYear
Other Expenses Current Year	10650142	OtherExpensesCurrentYear
Total Expenses Prior Year	29144853	TotalExpensesPriorYear
Total Expenses Current Year	30279592	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3884095	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3818609	RevenuesLessExpensesCY
Total Assets BOY	37981491	TotalAssetsBOY
Total Assets EOY	40459322	TotalAssetsEOY
Total Liabilities BOY	9962170	TotalLiabilitiesBOY
Total Liabilities EOY	8916912	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	28019321	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	31542410	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	15036310	Expense
Revenue	14986518	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 EMPHAZISE DIAGNOSTIC ASSESSMENT, SYMPTOM REDUCTION, AND STABILIZATION. THE HOSPITAL TREATED APPROXIMATELY 1933 INPATIENTS DURING FISCAL YEAR 2012.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	9196450	Expense
Revenue	16051431	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 649 TRANSITIONAL LIVING PATIENTS DURING FISCAL YEAR 2012.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	201724	Expense
Revenue	1063241	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	24434484	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
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	false	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
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	131	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	362	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 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	3.0	X	0	0	0
STEVE STILLERMAN
CHAIRMAN EMERITUS UNTIL 6/2012	1.0	X	0	0	0
CYNTHIA ZIEGLAR BRIGHTON
DIRECTOR	1.0	X	0	0	0
PATRICIA BURROWS
DIRECTOR	1.0	X	0	0	0
RICHARD CANNING
DIRECTOR	1.0	X	0	0	0
MICHAL COMINOTTO
DIRECTOR FROM 05/19/2011	1.0	X	0	0	0
SPERRY A DECEW
SECRETARY & DIRECTOR	1.0	X	0	0	0
JOHN L ENGELS
DIRECTOR UNTIL 10/2011	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 FROM 05/19/2011	1.0	X	0	0	0
J DAVID HADDOX
DIRECTOR UNTIL 10/2011	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 LUNBERG
DIRECTOR	1.0	X	0	0	0
PETER ORTHWEIN
TREASURER & DIRECTOR	1.0	X	0	0	0
SIGURD H ACKERMAN MD
PRESIDENT, MEDICAL DIR.	40.0	X	519913	0	36496	X
ELIZABETH E MOORE
COO AND DIRECTOR	40.0	X	307333	0	22224	X
BARRY KERNER
PHYS-IN-CHIEF & DIR UNTIL 5/12	40.0	X	258694	0	35403	X
RUURD G LEEGSTRA
CFO AND DIRECTOR	40.0	X	223810	0	12603	X
ANRI KISSILENKO MD
PHYSICIAN	40.0		198972	0	40159		X
MARK CERBONE MD
PHYSICIAN	40.0		223197	0	3435		X
ROCCO MAROTTA MD
PHYSICIAN	40.0		190416	0	28242		X
MISSY FALLON
CHIEF DEVELOPMENT OFFICER	40.0		198052	0	4799		X
SANDRA GOMEZ-LUNA MD
PHYSICIAN	40.0		197960	0	4776		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2318347	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	188137	TotalOtherCompensation
Number Individuals GT100 K	9	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
PAC GROUP LLC
PO BOX 52	HARWINGTON	CT	06791	GENERAL CONTRACTOR	4430372
UNIDINE CORPORATION
ONE GATEWAY CENTER SUITE 751	NEWTON	MA	02458	FOOD SERVICES	1271035
RICHARD TURLINGTON ARCHITECTS
244 MAPLE STREET	NEW HAVEN	CT	06511	ARCHITECT	501251
PHARMACY THERAPEUTICS CONSULTANTS
300 CHURCH ST	WALLINGFORD	CT	06492	PHARMACY MANAGEMENT	334285
MEDSPHERE SYSTEMS CORPORATION
1917 PALOMAR OAKS WAY SUITE 200	CARLSBAD	CA	92008	IT CONSULTANT	339775

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Fundraising Events	572350	FundraisingEvents
All Other Contributions	862565	AllOtherContributions
Noncash Contributions	11193	NoncashContributions
Total Contributions	1434915	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT PROGRAM	623000	14986518	14986518
TRANSITIONAL LIVING PROGRAM	623000	16051431	16051431
NON RESIDENTIAL SERVICES	623000	1063241	1063241

Field	Value	IRS element (for citing)
Total Program Service Revenue	32101190	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	365839	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$365,839	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	15535	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	15535	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15535	TotalRevenueColumn
Exclusion	$15,535	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5345634	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	5124099	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	221535	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	221535	TotalRevenueColumn
Exclusion	$221,535	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	87000	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	572350	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	340566	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-253566	TotalRevenueColumn
Exclusion	-$253,566	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	46353	46353
OTHER	900099	42930	42930
GIFT SHOP REVENUE	900099	38890		$38,890

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	84580	TotalRevenueColumn
Related Or Exempt Function Income	84580	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	212753	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	34098201	TotalRevenueColumn
Related Or Exempt Function Income	32275053	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$388,233	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

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	1339130	Total
Program Services	571511	ProgramServices
Management And General	724987	ManagementAndGeneral
Fundraising	42632	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	14579440	Total
Program Services	12922315	ProgramServices
Management And General	1366655	ManagementAndGeneral
Fundraising	290470	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	563799	Total
Program Services	464793	ProgramServices
Management And General	92698	ManagementAndGeneral
Fundraising	6308	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2070462	Total
Program Services	1705872	ProgramServices
Management And General	356833	ManagementAndGeneral
Fundraising	7757	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1076619	Total
Program Services	911351	ProgramServices
Management And General	149623	ManagementAndGeneral
Fundraising	15645	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	323968	Total
Program Services	7650	ProgramServices
Management And General	316318	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	108882	Total
Management And General	108882	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	59057	Total
Management And General	59057	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3827272	Total
Program Services	3436182	ProgramServices
Management And General	371139	ManagementAndGeneral
Fundraising	19951	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	256560	Total
Program Services	237937	ProgramServices
Management And General	722	ManagementAndGeneral
Fundraising	17901	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1220294	Total
Program Services	899708	ProgramServices
Management And General	301785	ManagementAndGeneral
Fundraising	18801	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	103281	Total
Program Services	91764	ProgramServices
Management And General	11340	ManagementAndGeneral
Fundraising	177	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	948490	Total
Program Services	568577	ProgramServices
Management And General	375895	ManagementAndGeneral
Fundraising	4018	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	99592	Total
Program Services	80842	ProgramServices
Management And General	17429	ManagementAndGeneral
Fundraising	1321	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	75460	Total
Program Services	62698	ProgramServices
Management And General	11770	ManagementAndGeneral
Fundraising	992	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	1289143	Total
Program Services	1041255	ProgramServices
Management And General	246292	ManagementAndGeneral
Fundraising	1596	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	603832	Total
Program Services	72533	ProgramServices
Management And General	531299	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	501058	501058
PHARMACY	271929	271929
OTHER EXPENSES	961324	586509	350052	24763

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	30279592	Total
Program Services	24434484	ProgramServices
Management And General	5392776	ManagementAndGeneral
Fundraising	452332	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1901	BOY
EOY	1900	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5500191	BOY
EOY	4196525	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	107421	BOY
EOY	73670	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2347022	BOY
EOY	2133705	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	59279	BOY
EOY	70250	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	489261	BOY
EOY	463997	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	39678646	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	16339747	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	19117005	BOY
EOY	23338899	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	10214113	BOY
EOY	9727117	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	145298	BOY
EOY	453259	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	37981491	BOY
EOY	40459322	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1752443	BOY
EOY	1371357	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	6327680	BOY
EOY	5127680	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	1882047	BOY
EOY	2417875	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	9962170	BOY
EOY	8916912	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26822128	BOY
EOY	30709941	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	984193	BOY
EOY	619469	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	28019321	BOY
EOY	31542410	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	37981491	BOY
EOY	40459322	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3818609	ReconcilationRevenueExpenses
Reconcilation Other Changes	-295520	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	1062	InvestmentEarningsOrLosses
Other Expenditures	1062	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	4650	InvestmentEarningsOrLosses
Other Expenditures	4650	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	5910	InvestmentEarningsOrLosses
Other Expenditures	5910	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	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	92996	OtherCostOrOtherBasis
Book Value	92996	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29119938	OtherCostOrOtherBasis
Depreciation	11404850	Depreciation
Book Value	17715088	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6115632	OtherCostOrOtherBasis
Depreciation	3971507	Depreciation
Book Value	2144125	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4350080	OtherCostOrOtherBasis
Depreciation	963390	Depreciation
Book Value	3386690	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23338899	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
ACCRUED 401K EMPLOYER CONTRIBU	$689,390
ACCRUED SALARIES AND WAGES	$665,288
ACCRUED LEGAL	$570,344
ACCRUED VACATION	$347,017
EMPLOYEE FSA PAYABLE	$68,764
ACCRUED FICA - EMPLOYER PORTION	$33,813
INT. PAYABLE ON THE LINE OF CR	$21,686
UNCLAIMED PROPERTY	$21,573

Field	Value	IRS element (for citing)
Total Of Amounts	2417875	TotalOfAmounts
Total Revenue	34098201	TotalRevenue
Total Expenses	30279592	TotalExpenses
Excess Or Deficit For Year	3818609	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-295520	NetUnrealizedGLOnInvestments
Total Adjustments	-295520	TotalAdjustments
Excess Or Deficit Per FS	3523089	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	33973441	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-295520	NetUnrealizedGainsInvestments
Other Revenues	253569	OtherRevenues
Revenue Not Rptd F990	-41951	RevenueNotRptdF990
Revenue Subtotal	34015392	RevenueSubtotal
Investment Expenses Not Included	59057	InvestmentExpensesNotIncluded
Other Revenues Not Included	23752	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	82809	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	34098201	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	30450352	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	253569	OtherExpensesIncluded
Expenses Not Rptd F990	253569	ExpensesNotRptdF990
Expenses Subtotal	30196783	ExpensesSubtotal
Investment Expenses Not Included2	59057	InvestmentExpensesNotIncluded2
Other Expenses Not Included	23752	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	82809	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	30279592	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	ExplanationExplanation
PART V, LINE 4	DONORS HAVE STIPULATED THAT ANY INCOME FROM THE ENDOWMENT FUNDS IS TO BE USED FOR ADOLESCENT AND CHEMICAL DEPENDENCY PROGRAMS.
PART X, LINE 2	THE HOSPITAL IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE INTERNAL REVENUE SERVICE INFORMED THE HOSPITAL BY A LETTER DATED JUNE 23, 1937 THAT THE HOSPITAL'S OPERATIONS ARE DESIGNED IN ACCORDANCE WITH SUCH SECTION 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.
PART XII AND XIII, LINE 2D	THIS AMOUNT REPRESENTS $253,569. OF SPECIAL EVENT EXPENSES THAT ARE INCLUDED IN OPERATING 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.
PART XII AND XIII, LINE 4B	THIS AMOUNT REPRESENTS PROVISION FOR UNCOLLECTIBLE PLEDGES OF $23,752, WHICH IS NETTED AGAINST REVENUE IN THE STATEMENT OF OPERATIONS OF THE AUDITED FINANCIAL STATEMENTS BUT INCLUDED IN PART IX LINE 25 ON THE FORM 990.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	2011 GALA	NameOfEvent1
Gross Receipts Event1	659350	GrossReceiptsEvent1
Charitable Contributions Event1	572350	CharitableContributionsEvent1
Gross Revenue Event1	87000	GrossRevenueEvent1
Food And Beverage Event1	117585	FoodAndBeverageEvent1
Entertainment Event1	36946	EntertainmentEvent1
Other Direct Expenses Event1	186035	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	659350	GrossReceiptsTotal
Charitable Contributions Total	572350	CharitableContributionsTotal
Gross Revenue Total Events	87000	GrossRevenueTotalEvents
Food And Beverage Total Events	117585	FoodAndBeverageTotalEvents
Entertainment Total Events	36946	EntertainmentTotalEvents
Other Direct Expenses Total Events	186035	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	340566	DirectExpenseSummaryEvents
Net Income Summary	-253566	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	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	755916	TotalCommunityBenefitExpense
Net Community Benefit Expense	755916	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	755916	TotalCommunityBenefitExpense
Net Community Benefit Expense	755916	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	375	DirectOffsettingRevenue
Net Community Benefit Expense	95929	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50596	TotalCommunityBenefitExpense
Net Community Benefit Expense	50596	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15921422	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15042993	DirectOffsettingRevenue
Net Community Benefit Expense	878430	NetCommunityBenefitExpense
Percent Of Total Expense	0.02950	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5750	TotalCommunityBenefitExpense
Net Community Benefit Expense	5750	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16074072	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15043368	DirectOffsettingRevenue
Net Community Benefit Expense	1030705	NetCommunityBenefitExpense
Percent Of Total Expense	0.03460	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16829988	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15043368	DirectOffsettingRevenue
Net Community Benefit Expense	1786621	NetCommunityBenefitExpense
Percent Of Total Expense	0.06000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$360,876	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	87281	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	25839	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	61442	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)
Hospital Facility Number	1	HospitalFacilityNumber
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	false	NondiscrimEmergencyCarePolicy
No Emergency Care	X	NoEmergencyCare
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART VI - SUPPLEMENTAL INFORMATION	PART I, LINE 3C: N/A
PART I, LINE 6A:	DURING FY 12, 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 2012. ALL OTHER EXPENSES REPORTED ARE ACTUAL COSTS.
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 2012 MEDICARE COST REPORT; THE ALLOWABLE COST AMOUNT WAS TAKEN FROM WORKSHEET E, PART B LINE 1.01 OF THE FY 2012 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, SECTION B - COMMUNITY HEALTH NEEDS ASSESSMENT	N/A FOR 501(C)(3) ORGANIZATIONS WITH TAX YEARS BEGINNING BEFORE MARCH 23, 2012. SHH'S TAX YEAR IS MARCH 1, 2011 - FEBRUARY 28, 2012
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 51% OF THE PATIENT POPULATION IS FROM CONNECTICUT, 30% FROM NEW YORK, 19% FROM OTHER AREAS INCLUDING NEW JERSEY AND MASSACHUSETS.	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:

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 (9 entries)

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
432418	0	80000	0	7495	0	12250	0	24246	0	556409	0	0	0
ELIZABETH E MOORE
265809	0	40000	0	1524	0	12250	0	9974	0	329557	0	0	0
BARRY KERNER
227780	0	30000	0	914	0	18375	0	17028	0	294097	0	0	0
RUURD G LEEGSTRA
185863	0	35000	0	2947	0	10603	0	2000	0	236413	0	0	0
ANRI KISSILENKO MD
198761	0	0	0	211	0	15003	0	25156	0	239131	0	0	0
MARK CERBONE MD
222873	0	0	0	324	0	3435	0	0	0	226632	0	0	0
ROCCO MAROTTA MD
189487	0	0	0	929	0	4869	0	23373	0	218658	0	0	0
MISSY FALLON
197260	0	0	0	792	0	4799	0	0	0	202851	0	0	0
SANDRA GOMEZ-LUNA MD
197749	0	0	0	211	0	4776	0	0	0	202736	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 2011, THE AFOREMENTIONED INDIVIDUALS RECEIVED COMPENSATION FOR ACHIEVEMENT OF INCENTIVE GOALS RELATED TO THE FISCAL YEAR ENDING FEBRUARY 28, 2011. 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	131590	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.
PART XI, LINE 5	OTHER CHANGES IN NET ASSEST OR FUND BALANCES	UNREALIZED GAIN ON INVESTMENTS - (295,520)