Silver Hill Hospital Inc

Nonprofit profile at a glance

EIN
060655139
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
New Canaan, CT, USA
Phone
2038012230
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Psychiatric Hospitals

Official website

Reported finances

Revenue
$67,844,922
Expenses
$65,544,237
Assets
$96,356,662
Liabilities
$31,787,822

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • ANDREW GERBER MD PHD (PRESIDENT & MEDICAL DIRECT)

Highest reported compensation

  • ANDREW GERBER MD PHD (PRESIDENT & MEDICAL DIRECT): $713,829 total reported compensation
  • RYAN RICHARD WADE (PHYSICIAN): $568,719 total reported compensation
  • MARK JACK RUSS (CHIEF MEDICAL OFFICER): $523,742 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Silver hill's mission is to reduce suffering from mental illness and addiction. We achieve this mission by offering advanced and proven approaches; respecting every patient's story, and individualizing treatment; partnering with, and educating, families; and empowering a devoted and compassionate team.

What it reported doing in 2024

The hospital's residential programs provide highly structured intensive treatment for adult and adolescent patients who are ready for more psychological and behavioral interventions. Set in residential, home-like settings, the residential 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 adult programs are licensed by the department of public health and the adolescent program is licensed by the department for children and families. The hospital treated approximately 135 residential patients during the period of 9/26/2024 to 12/31/2024.

Operating model

Revenue model
Earned-program. 86% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 64
  • Transparency & Controls: 72
  • Accountability: 96
  • Sustainability: 45
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 70.2%; rating input score 70
  • Program expense ratio: 73.2%; rating input score 73
  • Fundraising efficiency: $2.1 raised per $1 spent on fundraising; rating input score 6; 6th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 86.9%; rating input score 87; 20th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 3.4%; rating input score 49; 49th percentile among comparable filings
  • Total-asset coverage ratio: 1.47; rating input score 53; 53rd percentile among comparable filings
  • Liabilities to assets ratio: 0.33; rating input score 52; 52nd percentile among comparable filings
  • Officer compensation ratio: 8.1%; rating input score 5; 5th percentile among comparable filings

Growth

  • Program expense growth: 4.6% per year; rating input score 100; 36th percentile among comparable filings
  • Revenue growth: 4.5% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 5.2% per year; rating input score 100; 38th percentile among comparable filings

Details

  • Where the money goes: 70.2% of revenue deployed · 73.2% of spending went to programs
  • Governance: 15 of 16 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $48M in reported program spending
  • Leadership: top reported pay $714K · 27 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.6M reported
  • Consistency: 37 of 38 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 15 filed money-flow records
  • Related organizations: 8 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 6/100.
  • Moderate — Sustainability: Operating margin scored 49/100.
  • Review — Sustainability: Total-asset coverage ratio scored 53/100.
  • High — Sustainability: Officer compensation ratio scored 5/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 52/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.