ELLIS HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ELLIS HOSPITAL (EIN 14-1338428)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-11
- IRS object ID
- 202033169349305633
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-11T18:46:29-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338428 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A ELLIS MEDICINE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELLI | BusinessNameControlTxt |
| Phone | 5186128667 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NOTT STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 123082425 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC MESICK | PersonNm |
| Person Title | VICE PRESIDENT/CFO | PersonTitleTxt |
| Phone | 5186128667 | PhoneNum |
| Signature | 2020-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2020-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.249.32.8 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-05 | IPDt |
| IP Tm | 09:04:12 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 864D215B06E9E3399D3A212A6FE2BC19AC3A6BDB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS MEDICINE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL A MILTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NOTT STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 123082425 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $479,264,651 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELLISMEDICINE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1885 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ELLIS HOSPITAL (D/B/A ELLIS MEDICINE) IS TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 4238 | TotalEmployeeCnt |
| Total Volunteers | 179 | TotalVolunteersCnt |
| Total Gross UBI | $5,253,203 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,672,298 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,995,020 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $422,217,362 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $427,334,573 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,896,286 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,073,209 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,064,430 | PYOtherRevenueAmt |
| CY Other Revenue | $25,412,681 | CYOtherRevenueAmt |
| PY Total Revenue | $452,850,376 | PYTotalRevenueAmt |
| CY Total Revenue | $469,815,483 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $251,713,623 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $254,153,229 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $188,335,522 | PYOtherExpensesAmt |
| CY Other Expenses | $209,614,529 | CYOtherExpensesAmt |
| PY Total Expenses | $440,049,145 | PYTotalExpensesAmt |
| CY Total Expenses | $463,767,758 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,801,231 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,047,725 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $337,495,439 | TotalAssetsBOYAmt |
| Total Assets EOY | $363,599,711 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $166,165,968 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $169,934,041 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $171,329,471 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $193,665,670 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF ELLIS HOSPITAL (D/B/A ELLIS MEDICINE) IS TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $359,615,765 | ExpenseAmt |
| Revenue | $397,407,400 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $25,521,648 | ExpenseAmt |
| Revenue | $18,122,966 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,213,498 | ExpenseAmt |
| Revenue | $10,585,436 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $398,350,911 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 340 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4238 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS MEDICINE FINANCE DEPT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5186128640 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NOTT STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12308 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL A MILTON | ||||||||
| PRESIDENT / CEO | 55.00 | 5.00 | Yes (X) | Yes (X) | $637,335 | $0 | $41,737 | |
| LINDA BREAULT | ||||||||
| TRUSTEE | 2.12 | Yes (X) | $0 | $0 | $0 | |||
| DAVID BROWN | ||||||||
| TRUSTEE | 1.44 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA BUHR | ||||||||
| TRUSTEE | 3.31 | Yes (X) | $0 | $0 | $0 | |||
| CRISTINE CIOFFI ESQ | ||||||||
| TRUSTEE | 2.43 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS DONOVAN | ||||||||
| TREASURER | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM FAUBION | ||||||||
| FORMER VICE CHAIR | 2.75 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT JOY MD | ||||||||
| TRUSTEE | 1.73 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HORAN | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN KEMP MD | ||||||||
| TRUSTEE | 1.25 | Yes (X) | $62,500 | $0 | $0 | |||
| WILLIAM KENNEALLY ESQ | ||||||||
| TRUSTEE | 2.37 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT KENNEDY MD | ||||||||
| TRUSTEE | 1.60 | Yes (X) | $0 | $0 | $0 | |||
| MARK LITTLE | ||||||||
| CHAIR | 2.38 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN MCDONALD MD | ||||||||
| TRUSTEE | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH MULLANEY | ||||||||
| TRUSTEE | 3.35 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN PAGANO | ||||||||
| TRUSTEE | 7.50 | Yes (X) | $0 | $0 | $0 | |||
| ARETA PIDWERBETSKY MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $22,750 | $0 | $0 | |||
| STEPHANIE ROBERTS ESQ | ||||||||
| TRUSTEE | 2.73 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SACCOCIO | ||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JANET SAPIO-MAYTA | ||||||||
| SECTETARY | 3.05 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND SWEENEY | ||||||||
| TRUSTEE | 2.02 | Yes (X) | $0 | $0 | $0 | |||
| MARY THERRIAULT RN | ||||||||
| TRUSTEE | 2.31 | Yes (X) | $0 | $0 | $0 | |||
| JOHN TOBISON | ||||||||
| TRUSTEE | 2.03 | Yes (X) | $0 | $0 | $0 | |||
| GARY WOOD MD | ||||||||
| TRUSTEE | 3.27 | Yes (X) | $0 | $0 | $0 | |||
| NICK MONTALTO | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MARC MESICK | ||||||||
| VICE PRESIDENT / CFO | 55.00 | 5.00 | Yes (X) | $402,539 | $0 | $19,948 | ||
| JOSEPH GIANSANTE | ||||||||
| VICE PRESIDENT / CHIEF HUM | 55.00 | Yes (X) | $337,368 | $0 | $19,420 | |||
| RONALD MCKINNON | ||||||||
| VICE PRESIDENT / CHIEF I.T | 50.00 | Yes (X) | $289,724 | $0 | $34,330 | |||
| AVINASH BACHWANI MD | ||||||||
| VICE PRESIDENT / CHIEF MED | 55.00 | Yes (X) | $371,274 | $0 | $37,759 | |||
| DAVID M LIEBERS MD | ||||||||
| VICE PRESIDENT / CMO | 55.00 | Yes (X) | $452,755 | $0 | $48,192 | |||
| WENDY A ROSHER | ||||||||
| EXECUTIVE VICE PRESIDENT | 55.00 | 5.00 | Yes (X) | $375,623 | $0 | $28,916 | ||
| LESLYN WILLIAMSON | ||||||||
| EXECUTIVE VICE PRESIDENT / | 55.00 | Yes (X) | $383,769 | $0 | $26,452 | |||
| JEANETTE GLIHA | ||||||||
| VICE PRESIDENT / CHIEF HUM | 55.00 | Yes (X) | $167,328 | $0 | $9,185 | |||
| TERRENCE CLARKE MD | ||||||||
| SURGEON | 50.00 | $670,630 | $0 | $149,152 | Yes (X) | |||
| FRANK GENOVESE MD | ||||||||
| SURGEON | 50.00 | $647,072 | $0 | $70,111 | Yes (X) | |||
| HERBERT REICH MD | ||||||||
| SURGEON | 50.00 | $814,412 | $0 | $29,102 | Yes (X) | |||
| KYRIL CHOUMAROV | ||||||||
| SURGEON | 50.00 | $790,942 | $0 | $26,452 | Yes (X) | |||
| IFTIKHAR SYED MD | ||||||||
| SURGEON | 50.00 | $748,101 | $0 | $145,198 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,174,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $685,954 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 390 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | INFORMATIONAL TECHNOLOGY | $6,360,699 |
| MEDICAL STAFFING NET | |||||
| PO BOX 840292 | DALLAS | TX | 752840292 | AGENCY LABOR STAFFING | $5,950,321 |
| COMMUNITY CARE PHYSICANS PC | |||||
| 2125 RIVER ROAD 103 | SCHENECTADY | NY | 12309 | PHYSICIAN SERVICES | $5,842,365 |
| INNOVATIVE CONSULTING GROUP | |||||
| 9210 PETERSBURG RD | EVANSVILLE | IN | 47725 | INFORMATIONAL TECHNOLOGY | $1,723,177 |
| RELIANCE STANDARD LINE INS CO | |||||
| PO BOX 3123 | SOUTHEASTERN | PA | 193983123 | EMPLOYEE BENEFITS ADMINISTRATOR | $1,278,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,696,604 | GovernmentGrantsAmt |
| All Other Contributions | $2,298,416 | AllOtherContributionsAmt |
| Total Contributions | $12,995,020 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| GENERAL HOSPITAL | 621990 | $392,928,912 | $392,928,912 | |
| MENTAL HEALTH SERVICES | 621990 | $18,122,966 | $18,122,966 | |
| LONG TERM CARE | 623000 | $10,585,436 | $10,585,436 | |
| SUNNYVIEW HOSP SVCS | 621990 | $2,760,821 | $2,760,821 | |
| LAB-PHYSICIAN REFERRALS | 621500 | $1,999,696 | $1,999,696 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $936,742 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $936,742 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $427,334,573 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,143,513 | TotalRevenueColumnAmt |
| Exclusion | $3,143,513 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $885,064 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $572,666 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $312,398 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $312,398 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $242,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $70,398 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,282,944 | SecuritiesAmt |
| Other | $75,261 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,316,149 | SecuritiesAmt |
| Other | $112,360 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $966,795 | SecuritiesAmt |
| Other | -$37,099 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $929,696 | TotalRevenueColumnAmt |
| Exclusion | $929,696 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,189,521 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,447,993 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $741,528 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $741,528 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| 340B REVENUE | 900099 | $18,000,779 | $18,000,779 | |
| FOOD SERVICES REVENUE | 900099 | $1,726,959 | $1,726,959 | |
| PURCHASE DISCOUNTS, REBATED, REFU | 900099 | $1,034,709 | $1,034,709 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,596,308 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,765,509 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $250,686 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,580,113 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $24,358,755 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $469,815,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $426,115,802 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,253,203 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,451,458 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,751,854 | TotalAmt |
| Management And General | $3,751,854 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,369,507 | TotalAmt |
| Program Services | $191,536,675 | ProgramServicesAmt |
| Management And General | $18,832,832 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,244,761 | TotalAmt |
| Program Services | $6,526,356 | ProgramServicesAmt |
| Management And General | $718,405 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,156,976 | TotalAmt |
| Program Services | $16,345,999 | ProgramServicesAmt |
| Management And General | $1,810,977 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,630,131 | TotalAmt |
| Program Services | $13,179,378 | ProgramServicesAmt |
| Management And General | $1,450,753 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,106 | TotalAmt |
| Program Services | $1,074,106 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,993 | TotalAmt |
| Management And General | $738,993 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,069 | TotalAmt |
| Program Services | $4,564 | ProgramServicesAmt |
| Management And General | $199,505 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,337 | TotalAmt |
| Management And General | $185,337 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,664 | TotalAmt |
| Management And General | $124,664 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,703,425 | TotalAmt |
| Program Services | $24,568,227 | ProgramServicesAmt |
| Management And General | $135,198 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,689,476 | TotalAmt |
| Management And General | $1,689,476 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,126,631 | TotalAmt |
| Program Services | $80,514,355 | ProgramServicesAmt |
| Management And General | $1,612,276 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,645,851 | TotalAmt |
| Management And General | $9,645,851 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,603,762 | TotalAmt |
| Program Services | $10,145,810 | ProgramServicesAmt |
| Management And General | $1,457,952 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,795 | TotalAmt |
| Program Services | $491,795 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,657 | TotalAmt |
| Program Services | $44,672 | ProgramServicesAmt |
| Management And General | $7,985 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,165,137 | TotalAmt |
| Program Services | $15,423,426 | ProgramServicesAmt |
| Management And General | $1,741,711 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,504,466 | TotalAmt |
| Management And General | $5,504,466 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $16,787,993 | $11,994,565 | $4,793,428 |
| BAD DEBTS | $16,617,545 | $16,617,545 | |
| EQUIPMENT RENTAL AND MA | $14,777,947 | $9,082,692 | $5,695,255 |
| NYS ASSESSMENT | $2,280,548 | $2,280,548 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,840,127 | TotalAmt |
| Program Services | $800,746 | ProgramServicesAmt |
| Management And General | $3,039,381 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,767,758 | TotalAmt |
| Program Services | $398,350,911 | ProgramServicesAmt |
| Management And General | $65,416,847 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,616 | BOYAmt |
| EOY | $350,372 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,739,453 | BOYAmt |
| EOY | $37,336,751 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,020,144 | BOYAmt |
| EOY | $41,377,181 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,877,808 | BOYAmt |
| EOY | $11,764,168 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,788 | BOYAmt |
| EOY | $1,407,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $507,067,234 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $335,713,837 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,199,472 | BOYAmt |
| EOY | $171,353,397 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,488,186 | BOYAmt |
| EOY | $79,941,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,361,972 | BOYAmt |
| EOY | $20,069,291 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,495,439 | BOYAmt |
| EOY | $363,599,711 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,769,818 | BOYAmt |
| EOY | $37,916,282 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,474,744 | BOYAmt |
| EOY | $2,423,599 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,731 | BOYAmt |
| EOY | $214,223 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,247,108 | BOYAmt |
| EOY | $85,155,161 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,486,567 | BOYAmt |
| EOY | $44,224,776 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,165,968 | BOYAmt |
| EOY | $169,934,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,282,578 | BOYAmt |
| EOY | $178,689,577 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,046,893 | BOYAmt |
| EOY | $14,976,093 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,329,471 | BOYAmt |
| EOY | $193,665,670 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,495,439 | BOYAmt |
| EOY | $363,599,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,047,725 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,335,208 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,953,266 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $71,826 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $71,826 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ELLIS HOSPITAL PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, IROQUOIS HEALTHCARE ALLIANCE, AMERICAN HOSPITAL ASSOCIATION AND ENVISION STRATEGY. THE PORTION OF THE DUES THAT WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES ARE SHOWN ON FORM 990, PART IX, LINE 11 D AND ABOVE IN SCHEDULE C, PART II-B, LINE 1I AND INCLUDE $15,593- IROQUOIS, $17,190- HANYS, $11,594- AHA, $26,626- ENVISION STRATEGY, AND $823- OTHER. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,046,893 | BeginningYearBalanceAmt |
| Contributions | $2,526,103 | ContributionsAmt |
| Investment Earnings Or Losses | $424,057 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,020,960 | OtherExpendituresAmt |
| End Year Balance | $14,976,093 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,914,562 | BeginningYearBalanceAmt |
| Contributions | $2,372,491 | ContributionsAmt |
| Investment Earnings Or Losses | -$5,374 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,234,786 | OtherExpendituresAmt |
| End Year Balance | $13,046,893 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,493,443 | BeginningYearBalanceAmt |
| Contributions | $2,845,785 | ContributionsAmt |
| Investment Earnings Or Losses | $168,904 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,593,570 | OtherExpendituresAmt |
| End Year Balance | $14,914,562 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,587,886 | BeginningYearBalanceAmt |
| Contributions | $2,818,390 | ContributionsAmt |
| Investment Earnings Or Losses | $62,754 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,975,587 | OtherExpendituresAmt |
| End Year Balance | $14,493,443 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,657,570 | BeginningYearBalanceAmt |
| Contributions | $3,403,948 | ContributionsAmt |
| Investment Earnings Or Losses | -$14,627 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,459,005 | OtherExpendituresAmt |
| End Year Balance | $14,587,886 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.39300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.60710 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,460,334 | OtherCostOrOtherBasisAmt |
| Book Value | $6,460,334 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $222,166,451 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,621,776 | DepreciationAmt |
| Book Value | $112,544,675 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,313,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,233,465 | DepreciationAmt |
| Book Value | $80,378 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,459,177 | OtherCostOrOtherBasisAmt |
| Depreciation | $224,858,596 | DepreciationAmt |
| Book Value | $51,600,581 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $667,429 | OtherCostOrOtherBasisAmt |
| Book Value | $667,429 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $171,353,397 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF FOUNDATION | $15,416,329 |
| THIRD PARTY REIMBURSEMENT | $957,793 |
| DEFERRED TAX ASSET | $1,044,117 |
| PENSION ASSET | $2,651,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,069,291 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED SELF-INSURANCE | $10,713,352 |
| ACCRUED VACATION PAYABLE | $9,537,753 |
| ACCRUED SICK PAYABLE | $5,448,729 |
| ESTIMATED PAYABLES TO 3RD PARTY PAYERS | $700,000 |
| CLAIMS PAYABLE | $1,845,798 |
| ACCRUED INTEREST PAYABLE | $333,844 |
| ASSET RETIREMENT OBLIGATION | $1,180,531 |
| ACCRUED SALARIES | $10,933,202 |
| OTHER LIABILITIES | $3,531,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,224,776 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ELLIS RESIDENTIAL AND REHABILITATION CENTER RESIDENTS SPENDING ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON FORM 990, PART X. THE TOTAL IS $4,534. THESE FUNDS BELONG TO THE RESIDENTS AND ARE DEPOSITED AND DISBURSED BY THE ELLIS RESIDENTIAL AND REHABILITATION DIRECTOR'S DESIGNEE. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR TRACKING THE FUNDS. MEDICAL/DENTAL STAFF DUES ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON FORM 990, PART X. THE TOTAL IS $209,689. THIS FUND CONTAINS DEPOSITS AND DISBURSEMENTS AS DIRECTED BY THE MEDICAL/DENTAL STAFF APPOINTED OFFICERS. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR DEPOSITING AND DISBURSING THE FUNDS ON THE MEDICAL/DENTAL OFFICER'S BEHALF. THE ACCOUNTING DEPARTMENT ALSO ISSUES IRS FORMS 1099 BASED ON THE DISBURSEMENTS. |
| PART V, LINE 4: | TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR GENERAL HEALTH SERVICES, PURCHASE OF EQUIPMENT, AWARDS AND EQUIPMENT, AND HEALTH EDUCATION AND RESEARCH. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. |
| PART X, LINE 2: | THE HOSPITAL AND VNS ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE PHARMACY IS A DISREGARDED ENTITY AND, AS SUCH, TAKES ON THE SECTION 501(C)(3) STATUS ACCORDED TO THE HOSPITAL. ELLIS MEDICINE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. ELLIS MEDICINE DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2019 OR 2018. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019. ELLIS MEDICINE IS SUBJECT TO INCOME TAX ON ANY INCOME FROM UNRELATED BUSINESS ACTIVITIES. AT DECEMBER 31, 2019 AND 2018, ELLIS MEDICINE HAS A NET DEFERRED TAX ASSET OF APPROXIMATELY $1,044,000 AND $1,036,000 RESPECTIVELY, WHICH RELATE TO NET OPERATING LOSSES AVAILABLE FOR INCOME TAX PURPOSES. THE LOSSES EXPIRE IN VARYING AMOUNTS THROUGH 2037, AND A VALUATION ALLOWANCE IS RECORDED AGAINST DEFERRED TAX ASSETS WHEN THERE IS UNCERTAINTY REGARDING USE IN FUTURE PERIODS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,011,966 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $173,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,838,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,492,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,041,786 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,451,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,504,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,215,501 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,289,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $559,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $559,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,641,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,364,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,276,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,917 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,018 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,018 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,239,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,364,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,875,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,744,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,579,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,164,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,617,545 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $371,711 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $70,305,001 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,776,768 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,471,767 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NOTT STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ELLISMEDICINE.ORG | WebsiteAddressTxt |
| State License | 4601001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 82 BED SKILLED NURSING FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.HCDINY.ORG/INDEX.PHP?MODULE=RESOURCELIBRARY&CONTROLLER=INDEX&ACT | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/FAQS.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://ELLISMEDICINE.ORG/PDF/CHARITY-CARE-APPLICATION.PDF | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.ELLISMEDICINE.ORG/BLOB/PUBLICNOTICESFILES.ASHX?ID=274 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ELLIS HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (A LOCAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT), WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THAT COMMUNITY; ORGANIZATIONS REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY; AND WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY. 1. COMMUNITY MEETINGS: THE FOLLOWING MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) WERE CONDUCTED TO PLAN FOR, DEVELOP, COMMENT UPON, AND ADOPT THE 2019 CHNA AND IMPLEMENTATION STRATEGY. DATES, TOPICS, AND ATTENDEE ORGANIZATIONS ARE LISTED: MAY 24, 2018TOPICS: POTENTIALLY ESTABLISHING A LAW ENFORCEMENT ASSISTED DIVERSION (LEAD) PROGRAM IN SCHENECTADY, HOMETOWN HEALTH CENTERS AFFILIATION DISCUSSIONS, CARVER COMMUNITY CENTER REESTABLISHMENT COMMITTEE, COMMUNITY MEDIA SERVICES VIDEO PRODUCTION DISCUSSION, DISCUSS POSSIBILITY OF UMATTER2 SURVEY FOR 2019 COMMUNITY HEALTH NEEDS ASSESSMENTATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CATHOLIC CHARITIES, SCHENECTADY CITY SCHOOL DISTRICT, BETHESDA HOUSE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS HOSPITAL, NEW CHOICES RECOVERY CENTER, MIRACLE ON CRAIG STREET, LEAD NATIONAL SUPPORT BUREAU, HOMETOWN HEALTH CENTERS, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, BOYS AND GIRLS CLUB OF SCHENECTADY, ELLIS MEDICAL GROUP, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY COUNTY PUBLIC LIBRARY, THE SCHENECTADY FOUNDATION, SCHENECTADY CITY MISSION, COMMUNITY MEDIA SERVICESJUNE 26, 2018TOPICS: MISSION, VISION, AND GOALS FOR TRAUMA-INFORMED COMMUNITY WORK GROUPATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATION COUNCIL, PREVENT CHILD ABUSE, SCHENECTADY COMMUNITY ACTION PROGRAM, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ALLIANCE FOR BETTER HEALTH, ELLIS MEDICAL GROUPJULY 19, 2018TOPICS: SCHENECTADY SUICIDE PREVENTION COALITION, REGIONAL AND COUNTY-SPECIFIC MENTAL HEALTH EQUITY REPORT, TRAUMA-INFORMED COMMUNITY WORK GROUP REPORT OUT, 2019 CHNA REPORT AND NEXT STEPS, DSRIP INNOVATION FUNDS REPORTATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, CANCER PEER EDUCATION PROGRAM, NEW CHOICES RECOVERY CENTER, THE SCHENECTADY FOUNDATION, ELLIS HOSPITAL, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, BOYS AND GIRLS CLUB OF SCHENECTADY, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE, SCHENECTADY COMMUNITY ACTION PROGRAM, BETHESDA HOUSE, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, CATHOLIC CHARITIES, SCHENECTADY CITY MISSION, CONIFER PARK, THE COMMUNITY BUILDERS, PREVENT CHILD ABUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CATHOLIC CHARITIES, CAPITAL DISTRICT PHYSICIANS HEALTH PLANJULY 31, 2018TOPICS: INITIATE TRAUMA INFORMED CARE ORGANIZATIONAL SELF-ASSESSMENT TOOL (TICOSAT) SURVEYATTENDEES: ELLIS HOSPITAL, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, BETHESDA HOUSE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, YWCA OF NORTHEASTERN NEW YORKAUGUST 28, 2018TOPICS: TRAUMA INFORMED WORK GROUP COMMON DEFINITION OF TERMS, TRAUMA INFORMED WORK GROUP TIME LINE FOR TICOSAT SURVEYATTENDEES: NORTHERN RIVERS, NORTHEAST PARENT AND CHILD SOCIETY, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, YWCA OF NORTHEASTERN NEW YORK, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, BETHESDA HOUSE, CENTRO CIVICOOCTOBER 18, 2018TOPICS: CAPITAL REGION HEALTH CONNECTIONS HEALTH HOME NEW HEALTH HOME REPLACING CARE CENTRAL, CANCER PEER EDUCATION WALKING PROGRAM AT MOHAWK HARBOR, SPECIAL VICTIMS TASK FORCE, TRAUMA INFORMED COMMUNITY WORK GROUP REPORT OUT, OPIOID GRANT ACTIVITIES REPORTATTENDEES: ELLIS HOSPITAL, CANCER PEER EDUCATION, CAPITAL REGION HEALTH CONNECTIONS, THE LEGAL PROJECT, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, EMPOWER HEALTH, CATHOLIC CHARITIES, CAPITAL DISTRICT CENTER FOR INDEPENDENCE, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY WORKS, SCOTIA-GLENVILLE SUBSTANCE ABUSE TASK FORCE, NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, ST. PETER'S HEALTH PARTNERS, IN OUR OWN VOICESOCTOBER 30, 2018TOPICS: TRAUMA INFORMED WORK GROUP-TICOSAT UPDATE, TRAUMA INFORMED WORK GROUP-TRAUMA SENSITIVE SCHOOLS PRESENTATION, TRAUMA INFORMED WORK GROUP-INTRODUCTION TO ADVERSE CHILDHOOD EXPERIENCES (ACES) FOR HEALTH CARE PROFESSIONALS COURSEATTENDEES: CENTRO CIVICO, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SAFE INC., ELLIS HOSPITAL, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, THE LEGAL PROJECT, EMPOWER HEALTH, BETHESDA HOUSE, CONCERNED CITIZENJANUARY 17, 2019TOPICS: ELLIS DIABETES PREVENTION PROGRAM (DPP) CDC FULL RECOGNITION, SCHENECTADY COUNTY DISASTER PREPAREDNESS PROGRAM, "ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED" (ALICE) PROJECT, TRAUMA INFORMED COMMUNITY WORK GROUP REPORT, MAYOR MCCARTHY'S HEALTH CARE EDUCATION INITIATIVE, COMMUNITY HEALTH NEEDS ASSESSMENT PLANNING REPORTATTENDEES: ELLIS MEDICINE, CONIFER PARK, PLANNED PARENTHOOD MOHAWK-HUDSON, CAPITAL ROOTS, TRI-COUNTY CATHOLIC CHARITIES, CITY OF SCHENECTADY MAYOR'S OFFICE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, BETHESDA HOUSE, UNITED WAY OF THE GREATER CAPITAL REGION, BOYS AND GIRLS CLUBS OF SCHENECTADY, THE FOOD PANTRIES FOR THE CAPITAL DISTRICT, SAFE INC., NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL REGION HEALTH CONNECTIONS HEALTH HOME, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, KATAL CENTER, ST. PETER'S HEALTH PARTNERS CREATING HEALTHY SCHOOLS PROJECT, HEALTHY CAPITAL DISTRICT INITIATIVE, SUNNYVIEW REHABILITATION HOSPITAL, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, CENTRO CIVICOJANUARY 25, 2019TOPICS: TRAUMA-INFORMED WORK GROUP-DEVELOPING A PURPOSE-DRIVEN CULTURE WORKSHOP, TRAUMA-INFORMED WORK GROUP-SURVIVOR SPEAK PLANNINGATTENDEES: VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, OUR WELLNESS COLLECTIVE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, SCHENECTADY COMMUNITY ACTION PROGRAM, NEW CHOICES RECOVERY CENTER, CENTRO CIVICO, ELLIS MEDICINE, 845 COMMONS RESIDENCE, SAFE INC., SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, CONCERNED CITIZEN, CAPITAL DISTRICT YMCA, NORTHEAST PARENT AND CHILD SOCIETY, ST. MARY'S HEALTHCARE AMSTERDAMFEBRUARY 14, 2019TOPICS: CHNA PARTNER KICK-OFF BRIEF DISCUSSION OF CHNA LAWS AND PROCESS, LIST AND SUMMARY DESCRIPTION OF TOP-RANKED COMMUNITY HEALTH NEEDS: SOURCES AND STRUCTURE OF PUBLIC HEALTH DATA, INCLUDING PREVENTION AGENDA FRAMEWORK, HCDI RANKINGS PROCESS, DATA SUMMARY FOR EACH TOP RANKED NEED, GROUP DISCUSSION QUESTIONS: IS THERE ANYTHING ON THE LIST WHICH IS NOT A COMMUNITY HEALTH NEED?, IS THERE A COMMUNITY HEALTH NEED WHICH IS NOT ON THE LIST?, WHAT ARE THE TOP COMMUNITY HEALTH NEED PRIORITIES?, NEXT STEPS: REFINEMENT OF NEEDS LISTING AND DATA, DATA PRESENTATION TO COMMUNITY FORUM, PRIORITIZATION EXERCISEATTENDEES: (CHNA PARTNERS BY INVITATION) - SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, HOMETOWN HEALTH CENTERS (FQHC), ELLIS MEDICINE, SUNNYVIEW REHABILITATION HOSPITALFEBRUARY 22, 2019TOPICS: TRAUMA-INFORMED WORK GROUP EMPLOYEE WELLNESS AND EMPLOYEE ASSISTANCE PROGRAMSATTENDEES: ELLIS MEDICINE, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, ST. MARY'S HEALTHCARE AMSTERDAM, BETHESDA HOUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, 845 COMMONS RESIDENCE, CENTRO CIVICO, SAFE INC., CAPITAL DISTRICT YMCA, NEW YORK STATE POLICECONTINUED ON SCHEDULE O |
| ELLIS HOSPITAL | PART V, SECTION B, LINE 6A: THE PORTION OF THE CHNA WHICH INCLUDES COMPILED PUBLIC HEALTH DATA AND THE RESULTS OF THE COMMUNITY TELEPHONE SURVEY WAS PREPARED BY THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI), DESIGNATED BY THE STATE OF NEW YORK AS A REGIONAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) HEALTH RESEARCH AND PLANNING ENTITY, WHOSE HOSPITAL MEMBERS INCLUDE ELLIS HOSPITAL, ALBANY MEDICAL CENTER (INCLUDING AFFILIATES COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL), AND ST. PETER'S HEALTH PARTNERS (INCLUDING ST. PETER'S HOSPITAL, SUNNYVIEW REHABILITATION HOSPITAL, ALBANY MEMORIAL HOSPITAL, SAMARITAN HOSPITAL OF TROY, AND SETON HEALTH/ST. MARY'S HOSPITAL OF TROY). |
| ELLIS HOSPITAL | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED TO MEET NOT ONLY FEDERAL REQUIREMENTS, BUT ALSO TO SERVE AS THE NEW YORK STATE-REQUIRED COMMUNITY SERVICE PLAN (CSP) FOR ELLIS HOSPITAL AND THE NEW YORK STATE-REQUIRED COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, A UNIT OF COUNTY GOVERNMENT. IN ADDITION, IT WAS INTENDED TO INFORM THE COMMUNITY SERVICE ACTIVITIES OF THE MEMBER ORGANIZATIONS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). AS OF THE 2019 CHNA, ACTIVE MEMBERS OF SCHC PARTICIPATING IN THE SELECTION AND PRIORITIZATION PROCESS WERE:-ALLIANCE FOR BETTER HEALTH (DSRIP PPS)-BETHESDA HOUSE (HOMELESS SERVICES)-CAPITAL DISTRICT CENTER FOR INDEPENDENCE, INC-CAPITAL ROOTS (COMMUNITY GARDENS AND NUTRITION SERVICES)-CAPITAL REGION CHAMBER-CAPITAL REGION TOBACCO FREE COMMUNITIES-CDPHP HEALTH PLAN (NON-PROFIT MANAGED CARE ORGANIZATION)-CENTRO CIVICO-ELLIS ASTHMA CARE-ELLIS DEPARTMENT OF PSYCHIATRY-ELLIS FAMILY HEALTH CENTER-ELLIS MEDICINE BOARD OF TRUSTEES-ELLIS PEDIATRIC HEALTH CENTER-ELLIS PRIMARY CARE-HEALTHY CAPITAL REGION INITIATIVE-HOMETOWN HEALTH CENTERS (FQHC)-INDEPENDENT LIVING CENTER OF HUDSON VALLEY-MOHAWK VALLEY PHYSICIANS (MVP) HEALTH PLAN (NON-PROFIT MANAGED CARE ORGANIZATION)-NEW CHOICES RECOVERY CENTER (ADDICTION PREVENTION AND TREATMENT SERVICES)-PLANNED PARENTHOOD - MOHAWK HUDSON-SCHENECTADY CITY MISSION, EMPOWER HEALTH-SCHENECTADY COMMUNITY ACTION PROGRAM-SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE (LOCAL GOVERNMENT MH/SUD SERVICES)-SCHENECTADY COUNTY PUBLIC HEALTH SERVICES-SCHENECTADY COUNTY PUBLIC LIBRARY-SCHENECTADY INNER CITY MINISTRY-ST. PETERS HEALTH PARTNERS-SUNNYVIEW REHABILITATION HOSPITAL |
| ELLIS HOSPITAL | PART V, SECTION B, LINE 11: PURSUANT TO GUIDANCE FROM THE NEW YORK STATE DEPARTMENT OF HEALTH, SCHENECTADY'S 2019 AND 2016 CHNAS FOCUSED SPECIFICALLY ON THE TWO MOST SIGNIFICANT COMMUNITY HEALTH NEEDS: 1) CHRONIC DISEASE (OBESITY AND DIABETES FOR 2016, AND TOBACCO PREVENTION FOR 2019) AND 2) MENTAL HEALTH. THE INITIAL 2013 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIFTEEN HEALTH NEEDS, AND, CONSISTENT WITH FEDERAL REQUIREMENTS, THE 2019 AND 2016 CHNAS CONTINUE TO IDENTIFY ALL FIFTEEN (CONSOLIDATED TO FOURTEEN THROUGH COMBINATION OF THE INTERCONNECTED OBESITY/DIABETES AND FOOD INSECURITY TOPICS) HEALTH NEEDS AS REMAINING IN NEED OF ATTENTION BY THE HOSPITAL. DURING 2019 AND DATING BACK TO THE INITIAL PPACA REQUIREMENTS FOR 2013, ELLIS HOSPITAL AND ITS PARTNERS INCLUDING OTHER HOSPITALS, COUNTY PUBLIC HEALTH AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS TOOK ACTIONS TO ADDRESS SUCH NEEDS, COMMENSURATE WITH THE PRIORITY OF EACH NEED AND THE AVAILABILITY OF RESOURCES. ACTIONS INCLUDED THE FOLLOWING:CHRONIC DISEASE TOBACCO PREVENTION (INCLUDING ASTHMA AND SMOKING):-SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS, AND OTHER COMMUNITY ORGANIZATIONS APPLIED FOR AND RECEIVED A GRANT FROM NEW YORK STATE HEALTH FOUNDATION TO SUPPORT A "SCHENECTADY ASTHMA SUPPORT COLLABORATIVE" (SASC). A REQUIRED LOCAL CASH MATCH WAS PROVIDED BY THE SCHENECTADY FOUNDATION, THE GE FOUNDATION, AND MVP HEALTHCARE. SERVICES OF A COLLABORATIVE MODEL COMBINING CARE MANAGEMENT, PATIENT EDUCATION, AND IN-HOME NURSING SERVICES BEGAN IN LATE 2014, WITH THE GRANT PERIOD ENDING IN DECEMBER 2015. -SASC CREATED A SEAMLESS THREE-TIERED CARE MODEL (CENTRALIZED CARE COORDINATION, HOME VISITS/ASSESSMENTS, AND ASTHMA EDUCATION). OVER THE COURSE OF THE PROJECT, 68 PATIENTS CONSENTED TO PARTICIPATE IN CARE COORDINATION. WHILE 57 (84%) OF THESE REMAINED ENGAGED AFTER TWO MONTHS, ONLY 13 (19%) COMPLETED BOTH THE HOME VISITS AND ASTHMA EDUCATION COMPONENTS. THE PROJECT'S FINAL REPORT CONCLUDED THAT CULTURAL DYNAMICS ("FATALISM") AND STRUCTURAL BARRIERS (ISSUES OF TRUST) MAY HAVE PREVENTED INDIVIDUALS FROM ACCESSING OPTIMAL CARE.-ALTHOUGH THE PROJECT CLEARLY DEMONSTRATED THE CHALLENGES OF ENGAGING PATIENTS, THE CLINICAL ASPECTS OF THE THREE-TIERED MODEL REMAIN VALID. THE DESIGN OF THE SCHENECTADY MODEL WAS USED TO INFORM DEVELOPMENT OF ASTHMA PROJECTS ACROSS THE SIX-COUNTY SERVICE AREA OF THE REGIONAL DSRIP PARTNERSHIP, THE ALLIANCE FOR BETTER HEALTH. -ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD), AND PRICE CHOPPER PHARMACY PARTICIPATED IN THE "SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM," WHICH ENROLLS A SMALL BUT INCREASING NUMBER OF THE 1,150 DIAGNOSED ASTHMATIC STUDENTS IN SCSD. THE PROGRAM ADMINISTERS ALBUTEROL TREATMENTS, ENABLING STUDENTS TO RETURN TO CLASS 98.7% OF THE TIME. IN ADDITION TO THE IN-SCHOOL COMPONENT, NEARLY A THIRD OF THE STUDENTS AND THEIR PARENTS COMPLETED OUTPATIENT ASTHMA SELF-MANAGEMENT TRAINING SESSIONS THROUGH ELLIS ASTHMA CARE.-THE ELLIS ASTHMA EDUCATION PROGRAM FOUND THAT "GRADUATES" ACHIEVE A 60-70% REDUCTION IN EMERGENCY DEPARTMENT VISITS OVER 12 MONTHS POST-DISCHARGE. -ELLIS CONTINUED ITS STRONG ASTHMA EDUCATION PROGRAM, AND CONTINUED TO COLLABORATE WITH THE CAPITAL DISTRICT TOBACCO FREE COMMUNITIES. INFORMAL PERSUASION WITHIN THE COMMUNITY ENCOURAGED VARIOUS SMOKE-FREE INITIATIVES; A NEWLY-CONSTRUCTED AFFORDABLE HOUSING PROJECT ON ALBANY STREET IN SCHENECTADY IS SMOKE-FREE FROM THE START, AND THE ENTIRE UNION COLLEGE CAMPUS WAS SMOKE-FREE AS OF JANUARY 1, 2017. SINCE AUGUST 2016, THE LEGAL AGE FOR THE SALE OF TOBACCO PRODUCTS IN SCHENECTADY COUNTY IS SET BY LOCAL LAW AT 21.SEE CONTINUATION ON SCHEDULE O |
| ELLIS HOSPITAL | PART V, SECTION B, LINE 13B: WE DO NOT USE FPG TO DETERMINE QUALIFICATION FOR OUR TIER 2 "SELF PAY DISCOUNT." TIER 2 PATIENTS ARE: (1) UNINSURED PATIENTS RESIDING IN ALBANY, SCHENECTADY, FULTON, MONTGOMERY, SARATOGA AND SCHOHARIE COUNTIES WHOSE INCOME IS ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES; (2) UNINSURED PATIENTS RESIDING OUTSIDE THOSE COUNTIES; (3) FOREIGN NATIONALS VISITING THE AREA; OR (4) STUDENTS AT COLLEGES AND UNIVERSITIES (LESS THAN 26 YEARS OLD). THE FINANCIAL OBLIGATION OF TIER 2 PATIENTS WILL BE BASED ON THE REDUCTION OF CHARGES TO THE REIMBURSEMENT RATE OF OUR HIGHEST VOLUME HMO. |
| ELLIS HOSPITAL | PART V, SECTION B, LINE 24: IN 2019, SELF PAY PATIENTS MAY BE BILLED CHARGES FOR SERVICES RENDERED. ELLIS DOES NOT HAVE A MECHANISM TO KNOW PRE-SERVICE UNLESS ELLIS HAS SPOKEN TO THE PATIENT PRIOR TO THE DATE OF SERVICE) THAT THERE IS NO INSURANCE COVERAGE. FOR INPATIENT ACCOUNTS, THERE IS A DEPT THAT IS RESPONSIBLE TO CONTACT THE PATIENT WHILE IN-HOUSE TO ASSIST WITH ANY PAYMENT ARRANGEMENTS - WHICH INCLUDES ASSISTING THE PATIENT IN OBTAINING HEALTHCARE COVERAGE THROUGH THE NYS MARKETPLACE, NYS MEDICAID, OR FAP. ANY SELF PAY PATIENT THAT INQUIRES ABOUT THEIR BILL IS EDUCATED ON ALL THE OPTIONS AVAILABLE TO THEM. THEY ARE ALSO PROVIDED A 50% PROMPT PAY DISCOUNT IF NO INSURANCE IS OBTAINABLE OR THE PATIENT REFUSES TO OBTAIN COVERAGE AS LONG AS A PAYMENT ARRANGEMENT HAS BEEN AGREED TO. THE DISCOUNT IS REMOVED IF THE PATIENT DEFAULTS ON THE PAYMENT ARRANGEMENT.FINALLY, ELLIS HAS PUT INTO PLACE A PRESUMPTIVE ELIGIBILITY POLICY FOR PATIENTS WHO HAVE NOT PAID THEIR BILL PRIOR TO THE DUNNING LEVELS EXHAUSTING. IF THE PATIENT MEETS THE 'SCORING' CRITERIA FOR ELLIS' FAP, THE BALANCES WILL BE WRITTEN OFF TO PRESUMPTIVE ELIGIBILITY TO SAFEGAURD AGAINST SENDING POTENTIAL FAP QUALIFYING PATIENTS TO BAD DEBT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ELLIS HOSPITAL MENTAL HEALTH CLINIC | ||||
| 1023 STATE ST | SCHENECTADY | NY | 12307 | MENTAL HEALTH SERVICES |
| 2 - GLENVILLE HEALTHCARE CENTER | ||||
| 115 SARATOGA ROAD SUITE 200 | GLENVILLE | NY | 12302 | PRIMARY CARE SERVICES, BLOOD DRAW |
| 3 - ELLIS HOSPITAL BARIATRIC CENTER | ||||
| 2125 RIVER RD | NISKAYUNA | NY | 12309 | BARIATRIC CARE SERVICES |
| 4 - ELLIS BLOOD DRAW STATION | ||||
| 2 CHELSEA PLACE | CLIFTON PARK | NY | 12065 | BLOOD DRAW |
| 5 - ELLIS HOSPITAL PRIMARY CARE | ||||
| 1201 NOTT STREET | SCHENECTADY | NY | 12308 | PRIMARY CARE SERVICES |
| 6 - ELLIS HOSPITAL NEUROLOGY | ||||
| 1101 NOT STREET B6 | SCHENECTADY | NY | 12308 | OUTPATIENT NEUROLOGY |
| 7 - ELLIS HOSPITAL PROS PROGRAM | ||||
| 1023 STATE ST | SCHENECTADY | NY | 12307 | MENTAL HEALTH SERVICES |
| 8 - ELLIS HOSPITAL REHABILITATION SERVICES | ||||
| 650 MCCLELLAN STREET | SCHENECTADY | NY | 12304 | PHYSICAL THERAPY SERVICES |
| 9 - MEDICAL CENTER OF CLIFTON PARK | ||||
| 103 SITTERLY ROAD | CLIFTON PARK | NY | 12065 | 24/7 EMERGENT CARE, LAB, MEDICAL IMAGING, PRIMARY CARE AND SPECIALTY SERVICE |
| 10 - BLOOD DRAW- NISKAYUNA | ||||
| 2123 RIVER RD | NISKAYUNA | NY | 12309 | PROVIDE BLOOD DRAW SERVICES |
| 11 - ELLIS CUSHING MEDICAL ARTS BUILDING | ||||
| 624 MCCLELLAN STREET | SCHENECTADY | NY | 12304 | FAMILY AND PRIMARY CARE SERVICES |
| 12 - ELLIS MEDICINE PRIMARY CARE BALLSTON SPA | ||||
| 990 STATE ROUTE 67 | BALLSTON SPA | NY | 12020 | PRIMARY CARE MEDICINE |
| 13 - ELLIS HOSPITAL MCCLELLAN ST HEALTH CENT | ||||
| 600 MCCLELLAN STREET | SCHENECTADY | NY | 12304 | MEDICAL CENTER |
| 14 - ELLIS MEDICINE PRIMARY CARE- MALTA | ||||
| 2537 ROUTE 9 | MALTA | NY | 12020 | PRIMARY CARE MEDICINE |
| 15 - ELLIS PRIMARY CARE PLUS | ||||
| 624 MCCLELLAN STREET | SCHENECTADY | NY | 12304 | PRIMARY CARE MEDICINE |
| 16 - ELLIS MEDICINE URGENT AND PRIMARY CARE | ||||
| 200 HARBORSIDE DRIVE | SCHENECTADY | NY | 13205 | URGENT AND PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | APPEALS PROCESS IF INCOME OVER 300% FPG:1. A FORMAL LETTER WRITTEN TO THE PATIENT FINANCIAL SERVICES DEPARTMENT FOR RE-CONSIDERATION MUST BE RECEIVED WITHIN 2 WEEKS OF DENIAL NOTIFICATION2. CONSIDERATION OF CHANGE IN WAGES THAT WOULD PROVIDE A DIFFERENT RESULT THAN THE CURRENT PAYSTUB OR OTHER PROOF OF INCOME. PROOF OF CHANGE IN WAGES MUST BE RECEIVED IN THIS CASE.3. A REVIEW OF PRIOR PAYMENT HISTORY WILL BE CONDUCTED.4. ALL CASES NEED TO BE BELOW 400% OF THE FEDERAL POVERTY LEVEL TO BE CONSIDERED.5. WITHIN 14 DAYS OF RECEIVING THE LETTER, REVIEW OF THE SUPPORTING DOCUMENTATION WILL TAKE PLACE AND THE DIRECTOR WILL INFORM THE MANAGER OF SELF PAY/CUSTOMER SERVICE OF THE DECISION MADE AND ADVISE TO UPHOLD OR OVERTURN THE ORIGINAL DENIAL DECISION. |
| PART I, LINE 7: | ELLIS HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM OUR WORKSHEET 2- RATIO OF PATIENT CARE COST TO CHARGES. THE ADJUSTED PATIENT CARE COST IS DIVIDED BY ADJUSTED PATIENT CARE CHARGES RESULTING IN THE RATIO. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,617,545. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ELLIS HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. ELLIS SUCCESSFULLY RESTRUCTURED HEALTH CARE SERVICES IN SCHENECTADY FOLLOWING THE NEW YORK STATE-MANDATED HOSPITAL CONSOLIDATION, AND HAS SINCE BEEN WORKING TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF SERVICES TO ITS COMMUNITY BY ALIGNING ITS INNOVATIVE APPROACHES TO COMMUNITY HEALTH WITH THE SERVICES PROVIDED BY OTHER LOCAL COMMUNITY-BASED PUBLIC AND NOT-FOR-PROFIT ORGANIZATIONS. ELLIS IS NOW THE SOLE ACUTE CARE HOSPITAL IN SCHENECTADY COUNTY, AND IS ONE OF THE LARGEST PRIMARY CARE PROVIDERS, HAVING ASSUMED RESPONSIBILITY FOR THE SERVICES OF TWO FORMER HOSPITALS WHICH CLOSED DURING THE STATE'S "RIGHTSIZING" PROCESS. IN THIS IMPORTANT ROLE, ELLIS HAS ENGAGED THE COMMUNITY AND DEVELOPED COALITIONS WITH COMMUNITY PARTNERS IN ORDER TO ENSURE ACCESS TO A FULL RANGE OF HEALTHCARE SERVICES, WITH SPECIAL ATTENTION PAID TO DISADVANTAGED MEMBERS OF OUR COMMUNITY. ELLIS HAS UNDERTAKEN A NUMBER OF SIGNIFICANT CAPITAL PROJECTS TO CONSOLIDATE CARE, ENHANCE ACCESS TO CARE, AND IMPROVE THE OVERALL QUALITY, EFFICIENCY, AND COST-EFFECTIVENESS OF OUR LOCAL HEALTH CARE SYSTEM. ELLIS SERVES AS CO-LEAD AGENCY (WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES) OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). ELLIS MAINTAINS FOR SCHC AN E-MAIL LIST OF APPROXIMATELY 335 INDIVIDUALS FROM ABOUT 60 (SEE PART V, SECTION B, LINE 6B NARRATIVE) HEALTH CARE PROVIDERS, MANAGED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES LOCATED IN OR SERVING PEOPLE IN SCHENECTADY. SCHC MEETS QUARTERLY AT THE ELLIS MCCLELLAN STREET HEALTH CENTER AUDITORIUM. THE FORMAL AGENDA (SEE PART V, SECTION B, LINE 5 NARRATIVE) INCLUDES PRESENTATIONS ON CURRENT TOPICS AND ACTIVITIES OF INTEREST, ALONG WITH REGULAR PRESENTATIONS ON LOCAL DSRIP AND PHIP INITIATIVES, AND PROVIDES TIME FOR INFORMAL INFORMATION SHARING AMONG THE PARTICIPANTS.SCHC SUPPORTS AD HOC COMMITTEES FOCUSED ON LOCAL POPULATION HEALTH NEEDS. THESE HAVE INCLUDED GROUPS FOCUSED ON THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS OBESITY/DIABETES, TOBACCO/NICOTINE, AND SUICIDE/MENTAL HEALTH ALONG WITH THOSE INVESTIGATING EMERGING NEEDS AND RESPONSES, PARTICULARLY TRAUMA-INFORMED COMMUNITIES. THE COMMITTEES ENGAGE DIRECTLY AFFECTED MEMBER ORGANIZATIONS AND REPORT TO THE FULL GROUP. THE COMMITTEES ALSO HELP TO EMPHASIZE ACTIVITIES SUPPORTING THE IMPLEMENTATION STRATEGY.ELLIS IS A VOTING MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI), A COLLABORATIVE MEMBERSHIP ORGANIZATION SUPPORTED BY DUES FROM THE HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, NOT-FOR-PROFIT MANAGED CARE ORGANIZATIONS, AND COUNTY PUBLIC HEALTH DEPARTMENTS IN THE REGION. AN ELLIS EMPLOYEE SERVES ON THE HCDI BOARD OF DIRECTORS, AND WAS TREASURER AND A MEMBER OF THE EXECUTIVE COMMITTEE DURING 2019. IN ADDITION TO SERVING AS A NEUTRAL CONVENER SUPPORTING REGIONAL COLLABORATION, HCDI HAS BEEN DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) AGENCY FOR THE CAPITAL REGION. THE PHIP RECEIVES STATE FUNDING FOR RESEARCH AND REGIONAL HEALTH PLANNING SUPPORT.IN 2012, ELLIS AND ITS AFFILIATED VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK (VNS) LED SIX COMMUNITY-BASED ORGANIZATIONS AND TEN HOSPITALS IN A TEN-COUNTY REGION COVERING 20% OF THE GEOGRAPHY OF THE STATE OF NEW YORK IN SUCCESSFULLY RECEIVING A CONTRACT AS A MEDICARE COMMUNITY-BASED CARE TRANSITIONS PROGRAM (CCTP). ALTHOUGH THE CCTP WAS HIGHLY SUCCESSFUL IN REDUCING READMISSIONS AMONG THE PATIENTS IT SERVED, IT DID NOT ACHIEVE THE PATIENT VOLUME REQUIRED BY CMS, AND THE CONTRACT FOR THIS REGION WAS NOT RENEWED BY CMS IN 2014. ELLIS AND ITS REGIONAL PARTNERS CONTINUED TO DELIVER CCTP-LIKE SERVICES TO PATIENTS INSURED BY A REGIONAL NOT-FOR-PROFIT MANAGED CARE ORGANIZATION. A DSRIP "CARE TRANSITIONS" PROJECT NOW SUSTAINS FUNDING FOR CERTAIN PATIENTS.ELLIS AND VNS ALSO LED COMMUNITY PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS IN ESTABLISHMENT OF ONE OF THE FIRST THREE STATE-RECOGNIZED HEALTH HOMES IN UPSTATE NEW YORK. HEALTH HOMES RECEIVE CAPITATED STATE FUNDING TO DELIVER CARE MANAGEMENT SERVICES TO AT-RISK MEDICAID BENEFICIARIES, SPECIFICALLY THOSE WITH TWO OR MORE CHRONIC CONDITIONS, A SEVERE AND PERSISTENT MENTAL HEALTH DIAGNOSIS, OR A DIAGNOSIS OF HIV/AIDS. MUCH OF THE CARE MANAGEMENT IS DELIVERED BY "DOWNSTREAM" COMMUNITY-BASED AGENCIES INCLUDING CATHOLIC CHARITIES CAREGIVERS SERVICE AND THE ALLIANCE FOR POSITIVE HEALTH. IN 2018, ELLIS WITHDREW FROM PROVIDING HEALTH HOME SERVICES IN SCHENECTADY, BUT REMAINS AS A "DOWNSTREAM PROVIDER" FOR THE REGIONAL CAPITAL REGION HEALTH CONNECTIONS HEALTH HOME.ELLIS ALSO PROVIDES SERVICES AND EXPERTISE AT NO CHARGE TO COMMUNITY ORGANIZATIONS. MEETING ROOMS, INCLUDING AUDITORIUMS AT BOTH THE NOTT STREET AND MCCLELLAN STREET CAMPUSES, ARE MADE AVAILABLE AT NO CHARGE FOR CERTAIN COMMUNITY MEETINGS AND GROUPS, INCLUDING RED CROSS BLOOD DRIVES. MANY BOARD MEMBERS, PHYSICIANS AND OTHER STAFF DONATE THEIR SERVICES TO COMMUNITY ORGANIZATIONS. AS EXAMPLES, FACULTY PHYSICIANS AT THE FAMILY MEDICINE RESIDENCY SERVE AS OFFICERS OR BOARD MEMBERS OF SUCH ORGANIZATIONS AS CORNELL COOPERATIVE EXTENSION, SOUTHERN MEDICAL ASSOCIATION, NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE EDUCATION AND RESEARCH COMMITTEE, HEPATITIS C TASK FORCE OF THE CAPITAL REGION, NEW YORK STATE ACADEMY OF FAMILY PHYSICIANS, AND HOMETOWN HEALTH CENTERS (FQHC) CREDENTIALING COMMITTEE. A FORMER MEMBER OF THE ELLIS BOARD OF TRUSTEES SERVES AS CHAIR OF THE BOARD OF HOMETOWN HEALTH CENTERS, AND THE CURRENT CHAIR OF THE BOARD ALSO CHAIRS THE CITY OF SCHENECTADY MAYOR'S SMART CITY ADVISORY COMMITTEE.ANOTHER EXAMPLE OF ELLIS' COALITION BUILDING ACTIVITIES HAS BEEN ITS PARTICIPATION OVER THE YEARS IN THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES' FEDERALLY-FUNDED STRATEGIC ALLIANCE FOR HEALTH (SAH), WHICH BRINGS TOGETHER A HOST OF HEALTH CARE AND COMMUNITY ORGANIZATIONS TO ADDRESS CHRONIC DISEASE AND TO PROMOTE DISEASE PREVENTION AND WELLNESS. AN ELLIS REPRESENTATIVE PARTICIPATED WHEN THE SAH BOARD HELD REGULAR MEETINGS. ADDITIONALLY, ELLIS WORKS WITH A NUMBER OF COMMUNITY PARTNERS, SUCH AS THE AMERICAN HEART ASSOCIATION AND THE YMCA, TO PROVIDE HEALTH SCREENINGS TO UNINSURED AND UNDERINSURED POPULATIONS IN OUR SERVICE AREA. IN RECENT YEARS, ELLIS PROVIDED OFFICE SPACE AND OTHER IN-KIND SUPPORT FOR THE STATE-SPONSORED SCHENECTADY COUNTY CANCER SERVICES PROGRAM; AND IN 2019 PROVIDED NO-CHARGE OFFICE SPACE FOR THE VITA INCOME TAX PREPARATION VOLUNTEERS. IN COLLABORATION WITH COMMUNITY PARTNERS, ELLIS OFFERS OUTPATIENT SMOKING CESSATION COURSES AND SPONSORS PEER-DRIVEN MENTAL HEALTH AND CANCER PATIENT SUPPORT GROUPS. AND, ELLIS COOPERATES WITH COMMUNITY GROUPS TO FACILITATE ACCESS TO HEALTHY FOODS FOR PEOPLE THROUGH THE COMMUNITY. IN PAST YEARS, ACTING IN COLLABORATION WITH THE SCHENECTADY COUNTY PLANNING DEPARTMENT AND THE COOPERATIVE EXTENSION, ELLIS HOSTED A WEEKLY FARMERS' MARKET IN THE PARKING LOT OF THE ELLIS HEALTH CENTER DURING THE SUMMER MONTHS. AS PART OF A COUNTY GRANT, PHYSICIANS AT THE FAMILY HEALTH CENTER "PRESCRIBED" FRESH VEGETABLES TO AT-RISK PATIENTS. THE "PRESCRIPTION" CONSTITUTED A VOUCHER FOR NO-CHARGE LOCALLY-GROWN VEGETABLES WHICH WERE DISTRIBUTED AT A "FARM STAND" LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER. DURING 2019, A "FOOD FARMACY" FOOD PANTRY, SPECIFICALLY FOCUSED ON ENSURING THE AVAILABILITY OF HEALTHY FOOD TO PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL, STARTED ITS SECOND YEAR AT THE ELLIS MCCLELLAN STREET HEALTH CENTER, FUNDED BY A DSRIP GRANT. IN OTHER RECENT YEARS, ELLIS OFFERED USE OF THE PARKING LOT AT THE MCCLELLAN STREET HEALTH CENTER TO THE SCHENECTADY INNER CITY MINISTRY (SICM) MOBILE MEALS TRUCK WHICH PROVIDES FREE BREAKFASTS AND LUNCHES FOR CHILDREN AGE 18 OR UNDER DURING THE SUMMER WHEN SCHOOLS ARE CLOSED. ONE-HUNDRED PERCENT OF CHILDREN ATTENDING THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD) SCHOOLS ARE ELIGIBLE FOR FREE SCHOOL LUNCHES.MEDICAL RESIDENTS FROM THE ELLIS FAMILY MEDICINE RESIDENCY DONATE THEIR TIME AND EXPERTISE TO STAFF FREE COMMUNITY-BASED MEDICAL CLINICS. RESIDENT-STAFFED FREE CLINICS AT THE SCHENECTADY CITY MISSION AND, IN 2018 AND 2019, AT BETHESDA HOUSE SERVE UNINSURED, HOMELESS INDIVIDUALS IN THE CITY OF SCHENECTADY. ELLIS STAFF MEMBERS ALSO SIT ON NUMEROUS COMMUNITY BOARDS AND HEALTHCARE COALITIONS TO TARGET IMPROVEMENTS IN SUCH AREAS AS DIABETES, LONG TERM CARE, CANCER, HOSPITAL READMISSION RATES, WORKFORCE DEVELOPMENT, AND HEALTHY LIVING. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS ON PART III, COST TO CHARGE RATIO WAS APPLIED AT 100%. BAD DEBTS ALREADY REPRESENTED AS EXPENSE ON FINANCIALS, THEREFORE NO NEED TO APPLY RCC HERE. |
| PART III, LINE 3: | IN 2019, UNDER THE FINANCIAL ASSISTANCE POLICY, THERE WAS NO SLIDING SCALE. THIS MEANS THAT IF A PATIENT QUALIFIED FOR FINANCIAL ASSISTANCE, THE PATIENT BALANCE WAS WRITTEN OFF AT 100% TO CHARITY CARE. THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. |
| PART III, LINE 4: | SEE ATTACHED FINANCIAL STATEMENTS, PAGE 8, 9, AND 10. |
| PART III, LINE 8: | ELLIS HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM OUR WORKSHEET 2- RATIO OF PATIENT CARE COST TO CHARGES. THE ADJUSTED PATIENT CARE COST IS DIVIDED BY ADJUSTED PATIENT CARE CHARGES RESULTING IN THE RATIO.ELLIS BELIEVES THAT THE MEDICARE SHORTFALL REPORTED ON PART III LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. FIRST, ELLIS IS THE ONLY ACUTE CARE GENERAL HOSPITAL IN SCHENECTADY, AND THUS PROVIDES VITAL HEALTH CARE SERVICES FOR MEDICARE BENEFICIARIES WHICH WOULD OTHERWISE BE UNAVAILABLE IN THE COMMUNITY. SECOND, THE INCOME LEVEL AND POVERTY RATE IN THE COMMUNITY DEMONSTRATE THE CHALLENGES WHICH WOULD BE FACED IF ELLIS WERE NOT ABLE TO PROVIDE CARE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. FOR EXAMPLE, THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE WHICH IN TURN IS BELOW THAT OF THE STATE. THE POVERTY RATE IN THE CITY IS NEARLY 40% HIGHER THAN THAT OF THE COUNTY AS A WHOLE. (US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED APRIL 23, 2019) THIRD, MEDICARE BENEFICIARIES ARE AMONG THOSE AFFECTED BY INCOME DISPARITIES WITHIN SCHENECTADY. NEARLY HALF (46%) OF THE RESIDENTS OF THE LARGELY MINORITY (67% NON-WHITE) HAMILTON HILL NEIGHBORHOOD ARE BELOW THE FEDERAL POVERTY LEVEL; 7.8% OF THESE RESIDENTS ARE 65 YEARS OF AGE OR OLDER (2009-2013 AMERICAN COMMUNITY SURVEY). RESIDENTS OF THIS NEIGHBORHOOD ARE AMONG THE HEAVIEST USERS OF HOSPITAL SERVICES; FOR EXAMPLE, THE RATE OF EMERGENCY DEPARTMENT UTILIZATION FOR FALLS AMONG PERSONS 65 AND OLDER IN HAMILTON HILL IS 52% ABOVE THE STATEWIDE AVERAGE (2010-2014 SPARCS). FINALLY, ABOUT 25% OF ELLIS' MEDICARE DISCHARGES ARE DUAL-ELIGIBLE (ENROLLED IN BOTH MEDICARE AND MEDICAID) WHO, BY VIRTUE OF THEIR MEDICAID ELIGIBILITY, ARE LOW-INCOME INDIVIDUALS. HENCE, THE FINANCIAL LOSSES INCURRED IN TREATING MEDICARE PATIENTS DETRACT FROM THE ABILITY OF THE HOSPITAL TO SERVE OTHER LOW-INCOME PATIENTS AND RESIDENTS, AND THE ABILITY OF THE HOSPITAL TO FUNCTION IN SPITE OF THESE LOSSES REPRESENTS A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR PRESUMPTIVE CHECK, THOSE ACCOUNTS ARE WRITTEN OFF IMMEDIATELY AND THERE ARE NO COLLECTION EFFORTS. IF THE PATIENT DOESN'T QUALITY BASED ON THE PRESUMPTIVE CHECK, THOSE PATIENTS ARE TREATED THE SAME AS EVERYONE ELSE UNTIL SUCH TIME AS THEY APPLY FOR ASSISTANCE. IF A PATIENT HAD ASSISTANCE IN THE PAST AND THE TIMEFRAME HAS EXPIRED, THEY ARE REQUIRED TO RE-APPLY AS THERE MANY SITUATIONS THAT CHANGE THAT MAY IMPACT WHETHER OR NOT A PATIENT WILL QUALIFY FOR ASISSTANCE. AS SOON AS ASSISTANCE IS APPROVED, ANY COLLECTION EFFORTS THAT MAY HAVE BEGAN ARE HAULTED IMMEDIATELY. |
| PART VI, LINE 2: | THE COMMUNITY HEALTH NEEDS ASSESSMENTS REQUIRED EACH THREE YEARS PURSUANT TO FEDERAL AND STATE LAW CONSTITUTE THE PRIMARY METHOD WHICH ELLIS USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE ASSESSMENTS CONSUME SUBSTANTIAL HOSPITAL RESOURCES AND GENERATE COMPREHENSIVE REPORT DOCUMENTS.TWO ADDITIONAL COMPREHENSIVE ASSESSMENT DOCUMENTS HAVE BEEN PRODUCED FOR THE SCHENECTADY COMMUNITY IN RECENT YEARS. 1) IN 2014, AS PART OF THE STATE-REQUIRED DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), ELLIS AND OTHER HOSPITALS IN NEW YORK'S CAPITAL REGION ENGAGED THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED SPECIFICALLY ON THE NEEDS OF MEDICAID BENEFICIARIES WHICH WERE TO BE SERVED BY THE DSRIP PROGRAM. THE 224-PAGE ASSESSMENT AND ITS 757-PAGE DATA APPENDIX ARE POSTED ON THE ALLIANCE FOR BETTER HEALTH (DSRIP PERFORMING PROVIDER SYSTEM) WEBSITE (HTTPS://ABHEALTH.US/ABOUT/COMMUNITY-NEEDS-ASSESSMENT/).2) THE SCHENECTADY COMMUNITY ACTION PROGRAM (SCAP), A SIGNIFICANT COMMUNITY PARTNER, IS REQUIRED AS A CONDITION OF ITS RECEIPT OF FEDERAL FUNDING TO CONDUCT PARALLEL COMMUNITY NEEDS ASSESSMENTS. A COMPREHENSIVE ASSESSMENT WAS CONDUCTED IN NOVEMBER 2018. THE RESULTS, WHICH PARALLEL THE FINDINGS OF THE OTHER CHNAS, ARE AVAILABLE HERE: HTTP://SCAPNY.ORG/PUBLICATIONS/.ELLIS MONITORS OTHER RESOURCES TO IDENTIFY AND ASSESS COMMUNITY HEALTH CARE NEEDS. THESE INCLUDE:1)INFORMATION FROM COMMUNITY ORGANIZATIONS AS REPORTED AT THE QUARTERLY MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY.2)PATIENT SATISFACTION DATA AS REPORTED FROM FORMAL (E.G., CAHPS) AND INFORMAL (E.G., NURSING ROUNDS) SOURCES.3)COMMUNITY LEADER COMMENTS OBTAINED FROM FORMAL MEETINGS (E.G., CHAMBER OF COMMERCE) AND INFORMAL CONTACT (E.G., PERIODIC MEETINGS WITH THE MAYOR, STATE LEGISLATORS, AND THE LOCAL MEMBER OF CONGRESS).4) AN ANNUAL, ANONYMOUS, FORMAL ASSESSMENT OF ELLIS EMPLOYEE SATISFACTION, AS WELL AS EMPLOYEE COMMENTS RECEIVED THROUGH SUCH SOURCES AS THE COMPLIANCE PROGRAM AND UNION MEETINGS.5) COMPARATIVE DATA OBTAINED FROM REGIONAL ORGANIZATIONS INCLUDING THE MEDICARE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK) AND THE MEDICAID DSRIP SYSTEM (ALLIANCE FOR BETTER HEALTH).6) COMPARATIVE DATA OBTAINED FROM REGULATORY AGENCIES, SUCH AS THE NEW YORK STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), AND FEDERAL HOSPITAL COMPARE.7) COMMENTS RECEIVED FROM PATIENTS AND COMMUNITY MEMBERS THROUGH THE ELLIS WEBSITE ( HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX ) AND OTHER ONLINE COMMUNICATIONS TOOLS SUCH AS FACEBOOK AND TWITTER. |
| PART VI, LINE 3: | ELLIS MEDICINE PROVIDES FINANCIAL ASSISTANCE INFORMATION (IN BOTH ENGLISH AND SPANISH) ABOUT PROGRAMS AVAILABLE TO ASSIST PATIENTS IN PAYING FOR THEIR BILLS, INCLUDING FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER ELLIS'S FINANCIAL ASSISTANCE POLICY. SUCH INFORMATION IS INCLUDED: 1) THROUGH TELEPHONE CONTACT INFORMATION PRINTED ON PATIENT INVOICES,2) ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/DEFAULT.ASPX) 3) IN READILY AVAILABLE AND PUBLICLY DISTRIBUTED BROCHURES, AND 4) THROUGH FLYERS AND POSTERS VISIBLE THROUGHOUT THE ORGANIZATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE ONLINE AT THE ELLIS WEBSITE NOTED ABOVE. ADDITIONALLY, ELLIS EMPLOYS FINANCIAL ADVOCATES WHO ASSIST PATIENTS IN DETERMINING THE AVAILABILITY OF AND THEIR ELIGIBILITY FOR GOVERNMENT PROGRAMS INCLUDING MEDICAID, SUBSIDIZED INSURANCE PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH EXCHANGE, AND FREE OR LOW-COST CARE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ADVOCATES THEN ASSIST PATIENTS WITH COMPLETING THE NEEDED PAPERWORK, INCLUDING BEDSIDE VISITS AS NECESSARY.FOR A DECADE, ELLIS MEDICINE HAS INCLUDED AFFIRMATIVE FINANCIAL ASSISTANCE OUTREACH AS PART OF ITS COMMUNITY-BASED POPULATION HEALTH PROGRAMS. PRIOR TO CREATION OF THE HEALTH INSURANCE ENROLLMENT PROGRAMS BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (PPACA), ELLIS OFFERED MEDICAID ENROLLMENT THROUGH EMPLOYEES "DEPUTIZED" BY THE SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES, THROUGH MEDICAID FACILITATED ENROLLERS EMPLOYED BY THE NOT-FOR-PROFIT HEALTH CAPITAL DISTRICT INITIATIVE (HCDI), AND THROUGH FIDELIS, AT THAT TIME, THE LARGEST OF NEW YORK'S NOT-FOR-PROFIT MEDICAID MANAGED CARE ORGANIZATIONS. WITH THE ADVENT OF THE PPACA, ELLIS BEGAN INVITING ON-SITE SERVICES OF HEALTH INSURANCE NAVIGATORS (ALSO KNOWN AS "IN PERSON ASSISTORS") FROM ALL FOUR NOT-FOR-PROFIT ORGANIZATIONS (PUBLIC POLICY AND EDUCATION FUND, HEALTHY CAPITAL DISTRICT INITIATIVE, CAPITAL DISTRICT BLACK CHAMBER OF COMMERCE, AND UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE) DESIGNATED AS SERVING SCHENECTADY COUNTY PURSUANT TO THE PPACA. NAVIGATORS SEE UNINSURED RESIDENTS AT BOTH THE NOTT STREET AND ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUSES, AS WELL AS AT OTHER COMMUNITY LOCATIONS. ELLIS-EMPLOYED FINANCIAL ADVOCATES ALSO COMPLETED STATE-APPROVED TRAINING AND ARE QUALIFIED AS NEW YORK STATE CERTIFIED APPLICATION COUNSELORS (CACS); TRAINED TO HELP PEOPLE ENROLL BOTH IN MEDICAID AS WELL AS IN "EXCHANGE" INSURANCE PRODUCTS.ADDITIONALLY, ELLIS OFFERS ITS FINANCIAL ADVOCATES INFORMATION LINE (518-243-3460) THROUGH WHICH PATIENTS WITHOUT INSURANCE CAN RECEIVE INFORMATION ABOUT HOW MUCH THEIR CARE WILL COST AT ELLIS MEDICINE, INCLUDING INSURANCE ENROLLMENT AND PAYMENT PLANS. ANOTHER TELEPHONE RESOURCE (518-243-1695) PROVIDES CALLERS WITH ESTIMATES OF THE TOTAL COST OF PROCEDURES AND HOSPITALIZATIONS, AS MORE AND MORE PATIENTS ARE PAYING HIGHER DEDUCTIBLES AND ARE CONCERNED ABOUT THE COST TO THEM OUT-OF-POCKET. THIS IS PARTICULARLY SIGNIFICANT IN ELLIS' PRIMARY SERVICE AREA, AS THE LARGEST LOCAL EMPLOYER HAS CONVERTED TO A HIGH-DEDUCTIBLE HEALTH INSURANCE PLAN FOR MOST OF ITS EMPLOYEES. |
| PART VI, LINE 4: | FOR THE PURPOSES OF DETERMINING COMMUNITY NEEDS PURSUANT TO THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ELLIS HOSPITAL DEFINES THE "COMMUNITY" IT SERVES AS CONSISTING OF SCHENECTADY COUNTY, INCLUDING THE CITY OF SCHENECTADY AND THE TOWNS OF DUANESBURG, GLENVILLE, PRINCETOWN, NISKAYUNA, AND ROTTERDAM. THERE ARE SEVERAL REASONS FOR THIS DEFINITION:1) THE GEOGRAPHY OF SCHENECTADY COUNTY IS VERY SIMILAR TO THE PRIMARY SERVICE AREA (PSA) OF THE HOSPITAL. ELLIS USES AN INDUSTRY-STANDARD DEFINITION (THE CONTIGUOUS ZIP CODES IN WHICH THE FIRST 60% OF THE HOSPITAL'S INPATIENTS LIVE) TO DETERMINE ITS PSA. ELLIS' PSA CONSISTS OF THE ENTIRE RANGE OF 123NN ZIP CODES (12302, 12303, 12304, 12305, 12306, 12307, 12308, AND 12309), WHICH CONSTITUTES ALL OF THE CITY OF SCHENECTADY AND MOST OF THE POPULATION OF THE REST OF SCHENECTADY COUNTY. (THE DESIGN OF THE ZIP CODE SYSTEM IS NOT ALIGNED WITH COUNTY OR OTHER POLITICAL BOUNDARIES. THE RURAL WESTERNMOST PORTION OF SCHENECTADY COUNTY IS NOT INCLUDED IN THE ZIP CODE-DEFINED PSA DUE TO LOW POPULATION, WHILE CERTAIN AREAS OF ALBANY AND SARATOGA COUNTIES DO FALL WITHIN THE SCHENECTADY ZIP CODES.) ALTHOUGH ELLIS ACTIVELY SERVES PEOPLE WITHIN ITS SECONDARY SERVICE AREA (SSA), THE GEOGRAPHIC BOUNDARIES OF THOSE ADDITIONAL ZIP CODES (THE ADDITIONAL CONTIGUOUS ZIP CODES IN WHICH THE NEXT 20% OF INPATIENTS LIVE, FOR AN APPROXIMATE TOTAL OF 80% OF INPATIENT VOLUME) STRETCH ACROSS FIVE COUNTIES AND INCLUDE PORTIONS OF THE SERVICE AREAS OF AT LEAST SIX OTHER HOSPITALS. RETAINING A FOCUS ON THE SCHENECTADY COMMUNITY WILL PERMIT DEVELOPMENT OF AN ACTIONABLE IMPLEMENTATION PLAN WHICH CAN TARGET COHESIVE POPULATIONS.2) POPULATION AND HEALTH DATA ARE COMMONLY AVAILABLE BY COUNTY. THE NEW YORK STATE DEPARTMENT OF HEALTH AND OTHER STATE GOVERNMENT AGENCIES MAINTAIN DATA BY COUNTY, THE HEALTHY CAPITAL DISTRICT INITIATIVE PROVIDES COMPARISON DATA BY COUNTY WITHIN THE REGION, AND DATA COLLECTED BY THE UNITED STATES CENSUS ARE FREQUENTLY AT THE COUNTY AND CITY LEVEL. ALTHOUGH CONVENIENCE IS NOT IN AND OF ITSELF A REASON TO DEFINE "COMMUNITY," THE AVAILABILITY OF SOLID DATA, INCLUDING BASELINE AND COMPARISON DATA, WILL PROVIDE A BETTER BASIS FOR PLANNING, AND AN EXTERNALLY-VERIFIABLE SOURCE FOR OUTCOME MEASURES.3) ELLIS HAS ESTABLISHED STRONG PARTNERSHIPS WITH OTHER HEALTHCARE AND COMMUNITY SERVICE ORGANIZATIONS WHICH ARE LOCATED IN AND SERVE SCHENECTADY COUNTY. THE "MEDICAL HOME GROUP," A LOOSE AFFILIATION OF COMMUNITY ORGANIZATIONS CREATED AT THE TIME OF THE THREE-HOSPITAL CONSOLIDATION, HAS EVOLVED INTO THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY; OVER 60 COMMUNITY GROUPS INCLUDING BUSINESSES, LOCAL GOVERNMENT AGENCIES, HEALTHCARE AND SOCIAL SERVICES PROVIDERS AND COMMUNITY AGENCIES, FAITH-BASED ORGANIZATIONS, AND ADVOCACY GROUPS WHOSE LEADERS MEET QUARTERLY AT ELLIS. BY FOCUSING "COMMUNITY" ON A POPULATION WELL-SERVED BY A COORDINATED ARRAY OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND COMMUNITY SERVICE ORGANIZATIONS IN COORDINATION WITH STRONG LOCAL GOVERNMENT AGENCIES, A COMMUNITY-WIDE ACTION PLAN CAN LEVERAGE THE HOSPITAL'S IMPLEMENTATION PLAN THROUGH THE EFFICIENT AND EFFECTIVE USE OF MULTIPLE RESOURCES.4) SELECTION OF SCHENECTADY COUNTY AS THE "COMMUNITY" IS CONSISTENT WITH REGULATORY REQUIREMENTS TO ASSURE INCLUSION OF "MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS," AS THESE POPULATIONS REPRESENT A GREATER SHARE OF THE POPULATION IN SCHENECTADY COUNTY THAN THEY WOULD IF DIFFUSED AMONG THE FIVE COUNTIES OF THE SECONDARY SERVICE AREA.SCHENECTADY COUNTY (2018 ESTIMATED POPULATION: 155,350) IS, GEOGRAPHICALLY, THE SECOND SMALLEST COUNTY IN UPSTATE NEW YORK. IT CONSISTS OF FIVE TOWNS, TWO PRIMARILY RURAL AND THREE PRIMARILY SUBURBAN, SURROUNDING THE CENTRALLY-LOCATED CITY OF SCHENECTADY (2018 ESTIMATED POPULATION: 65,575). THE COUNTY IS LOCATED IMMEDIATELY WEST OF THE STATE CAPITAL OF ALBANY AND MANY OF ITS RESIDENTS COMMUTE TO JOBS IN ALBANY AND THE OTHER COUNTIES COMPRISING NEW YORK'S CAPITAL REGION.SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), A UNIT OF COUNTY GOVERNMENT, IS RESPONSIBLE FOR ALL PUBLIC HEALTH AND ENVIRONMENTAL HEALTH ACTIVITIES AND ENFORCEMENT THROUGHOUT THE CITY AND COUNTY. THE COUNTY CONTAINS A SINGLE NON-PROFIT ACUTE CARE HOSPITAL ELLIS HOSPITAL (ALSO KNOWN BY THE TRADE NAME ELLIS MEDICINE), AND A SINGLE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HOMETOWN HEALTH CENTER. THERE IS ALSO A NON-PROFIT SPECIALTY HOSPITAL (SUNNYVIEW REHABILITATION HOSPITAL) WHICH IS A MEMBER OF THE ALBANY-BASED ST. PETER'S HEALTH PARTNERS SYSTEM. THERE IS ONE MEDICALLY UNDERSERVED POPULATION; THE HOMEBOUND POPULATION OF SCHENECTADY COUNTY (ID #06211). THE ENTIRE CITY OF SCHENECTADY IS A FEDERALLY-DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR THE MEDICAID POPULATION FOR MENTAL HEALTH AND DENTAL HEALTH, AND, SINCE 2019, FOR PRIMARY CARE. ELLIS HOSPITAL'S FQHC PARTNER, HOMETOWN HEALTH CENTERS, HAS BEEN DESIGNATED BY HRSA AS A NATIONAL HEALTH SERVICE CORPS PRACTICE SITE.SEE SCHEDULE O. |
| PART VI, LINE 5: | ELLIS MEDICINE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH:1) A VOLUNTEER BOARD OF TRUSTEES THAT IS COMPRISED OF COMMUNITY MEMBERS AND EX-OFFICIO MEDICAL STAFF MEMBERS WHO SERVE THREE-YEAR TERMS, UP TO A THREE TERM MAXIMUM. THE ELLIS BOARD CONSISTS OF 15 VOTING TRUSTEES 11 NON-CLINICIAN RESIDENTS OF THE CAPITAL REGION, PLUS THREE PHYSICIANS AND ONE NURSE. ELLIS DOES NOT HAVE A PARENT CORPORATION.2) MEDICAL PRIVILEGES AT ELLIS HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AND OTHER CLINICAL PROVIDERS IN THE AREA. AN OPEN MEDICAL STAFF CONSISTS OF NEARLY 1,000 AFFILIATED PHYSICIANS AND OTHER PROVIDERS. THESE ARE COMPRISED OF APPROXIMATELY 600 ON-SITE PHYSICIANS, DENTISTS, AND PODIATRISTS; 115 TELEMEDICINE PROVIDERS; 215 ADVANCED PRACTICE PROVIDERS; AND 20 PROVIDERS IN OTHER CATEGORIES SUCH AS TEACHING AND CONSULTING. APPROXIMATELY 140 OF THESE DOCTORS AND DENTISTS ARE EMPLOYED BY ELLIS, ALONG WITH AN ADDITIONAL 30 MEDICAL RESIDENTS PARTICIPATING IN THE FAMILY MEDICINE RESIDENCY AND FOUR IN THE GENERAL DENTAL RESIDENCY. ELLIS' MEDICAL STAFF IS LED BY A MEDICAL-DENTAL EXECUTIVE COMMITTEE (MDEC). THE MDEC PLAYS AN INTEGRAL PART IN THE HOSPITAL'S CORPORATE STRUCTURE AND DAILY OPERATIONS. THE MDEC AND THE DEPARTMENT CHAIRS, WHO OVERSEE SPECIFIC CLINICAL SERVICES, WORK COLLABORATIVELY WITH THE HOSPITAL'S VOLUNTEER BOARD OF TRUSTEES, ADMINISTRATORS, AND STAFF TO ENSURE THE HIGHEST QUALITY OF CARE IS DELIVERED TO PATIENTS AND THAT THE COMMUNITY'S HEALTHCARE NEEDS ARE MET WITH EXCELLENCE. PHYSICIANS ALSO SERVE AS MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES, AND THEY ARE DIRECTLY INVOLVED IN THE HOSPITAL'S ANNUAL BUDGET PROCESS: THEY RANK AND PRIORITIZE ALL CAPITAL ITEMS IN THE HOSPITAL'S CAPITAL BUDGET AND THEY SIGN OFF ON VOLUME PROJECTIONS FOR THE HOSPITAL'S ANNUAL OPERATING BUDGET.3) OPERATION OF A STATE-OF-THE-ART FULL SERVICE, FULLY STAFFED EMERGENCY ROOM INCLUDING A MENTAL HEALTH CRISIS UNIT AT THE NOTT STREET CAMPUS WHICH IS OPEN 24 HOURS-A-DAY, SEVEN DAYS-A-WEEK, 365 DAYS-A-YEAR. THE NEW FACILITY, WHICH COST $61 MILLION AND OPENED IN DECEMBER 2014, REPLACED TWO SMALLER AND LESS EFFICIENT FACILITIES WHICH HAD BEEN LOCATED WITHIN A MILE OF EACH OTHER. IN ADDITION, ELLIS PROVIDES 24/7/365 EMERGENT CARE SERVICES AT THE MEDICAL CENTER OF CLIFTON PARK (THE ONLY SUCH SERVICES IN SOUTHERN SARATOGA COUNTY), AND SEVEN-DAYS-A-WEEK URGENT CARE SERVICES AT MOHAWK HARBOR IN SCHENECTADY. ELLIS' INTENDS TO BE FULLY COMPLIANT WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) AND OTHER LAWS AND REGULATIONS REQUIRING SERVICES TO ALL THOSE IN NEED OF EMERGENCY CARE REGARDLESS OF THEIR ABILITY TO PAY. 4) THE WORK OF THE FOUNDATION FOR ELLIS MEDICINE, A 501 (C) (3) TAX-EXEMPT CHARITABLE ORGANIZATION WHOSE SOLE PURPOSE IS TO ENCOURAGE PHILANTHROPIC SUPPORT FOR ELLIS HOSPITAL. THE FOUNDATION WAS INITIALLY ESTABLISHED IN 1982 AS THE ELLIS HOSPITAL FOUNDATION AND IS GOVERNED BY A SEPARATE BOARD OF TRUSTEES. FUNDS RAISED THROUGH THE FOUNDATION'S ACTIVITIES ARE USED TO ASSIST THE HOSPITAL IN ACQUIRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND TO SUPPORT A WIDE RANGE OF HEALTH CARE PROGRAMS AND SERVICES. 5) REINVESTING ITS SURPLUS FUNDS TO EXPAND/REPLACE/MODERNIZE ITS FACILITIES AND MEDICAL EQUIPMENT; SUPPORT PROGRAMS/ACTIVITIES AIMED AT IMPROVING QUALITY OF CARE AND PATIENT SAFETY; TRAIN AND EDUCATE ITS MEDICAL AND NURSING STAFFS; AND TO IMPROVE THE OVERALL DELIVERY OF AND ACCESSIBILITY TO HEALTH CARE SERVICES IN THE COMMUNITY.ELLIS MEDICINE DEMONSTRATES LEADERSHIP AS A CHARITABLE INSTITUTION BY ORGANIZING AND PARTICIPATING IN COMMUNITYWIDE EFFORTS FOR LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS; REACHING OUT TO THE UNDERSERVED TO PROVIDE NEEDED PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AND HEALTH EDUCATION; ATTRACTING AND USING FUNDS TO PROVIDE FINANCIAL ASSISTANCE AND OTHER SUPPORT; PARTICIPATING IN MEDICAID AND OTHER FEDERAL, STATE, AND LOCAL HEALTH CARE REIMBURSEMENT PROGRAMS SUCH AS CHILD HEALTH PLUS; AND FORMALLY PLANNING FOR AND PROVIDING FINANCIAL ASSISTANCE WHILE MAINTAINING A POLICY OF PROVIDING CARE TO ALL PERSONS IN NEED. |
| PART VI, LINE 6: | ELLIS HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL AND IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. NOTE, HOWEVER, THAT THE VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY COUNTY (D/B/A VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK OR "VNS") IS A NEW YORK STATE CERTIFIED HOME HEALTH AGENCY (CHHA) OF WHICH ELLIS HOSPITAL IS THE SOLE CORPORATE MEMBER. FINANCIAL REPORTING FOR THE TWO ENTITIES IS ON A CONSOLIDATED BASIS. CERTAIN ACTIVITIES DESCRIBED HEREIN, SUCH AS THE MEDICAID HEALTH HOME AS OPERATED THROUGH MID-2018, ARE PROVIDED BY THE VNS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL A MILTON | ||||||||||||||
| PRESIDENT / CEO | $547,008 | $0 | $70,000 | $0 | $20,327 | $0 | $11,000 | $0 | $30,737 | $0 | $679,072 | $0 | $0 | $0 |
| MARC MESICK | ||||||||||||||
| VICE PRESIDENT / CFO | $360,692 | $0 | $41,438 | $0 | $409 | $0 | $11,000 | $0 | $8,948 | $0 | $422,487 | $0 | $0 | $0 |
| JOSEPH GIANSANTE | ||||||||||||||
| VICE PRESIDENT / CHIEF HUM | $283,459 | $0 | $27,000 | $0 | $26,909 | $0 | $6,850 | $0 | $12,570 | $0 | $356,788 | $0 | $0 | $0 |
| RONALD MCKINNON | ||||||||||||||
| VICE PRESIDENT / CHIEF I.T | $266,031 | $0 | $23,140 | $0 | $553 | $0 | $11,313 | $0 | $23,017 | $0 | $324,054 | $0 | $0 | $0 |
| AVINASH BACHWANI MD | ||||||||||||||
| VICE PRESIDENT / CHIEF MED | $344,165 | $0 | $26,700 | $0 | $409 | $0 | $11,000 | $0 | $26,759 | $0 | $409,033 | $0 | $0 | $0 |
| DAVID M LIEBERS MD | ||||||||||||||
| VICE PRESIDENT / CMO | $390,553 | $0 | $60,875 | $0 | $1,327 | $0 | $15,475 | $0 | $32,717 | $0 | $500,947 | $0 | $0 | $0 |
| WENDY A ROSHER | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $313,041 | $0 | $42,712 | $0 | $19,870 | $0 | $11,606 | $0 | $17,310 | $0 | $404,539 | $0 | $0 | $0 |
| LESLYN WILLIAMSON | ||||||||||||||
| EXECUTIVE VICE PRESIDENT / | $343,391 | $0 | $39,825 | $0 | $553 | $0 | $11,000 | $0 | $15,452 | $0 | $410,221 | $0 | $0 | $0 |
| JEANETTE GLIHA | ||||||||||||||
| VICE PRESIDENT / CHIEF HUM | $141,003 | $0 | $20,000 | $0 | $6,325 | $0 | $0 | $0 | $9,185 | $0 | $176,513 | $0 | $0 | $0 |
| TERRENCE CLARKE MD | ||||||||||||||
| SURGEON | $606,069 | $0 | $64,152 | $0 | $409 | $0 | $131,000 | $0 | $18,152 | $0 | $819,782 | $0 | $81,000 | $0 |
| FRANK GENOVESE MD | ||||||||||||||
| SURGEON | $596,488 | $0 | $31,733 | $0 | $18,851 | $0 | $57,667 | $0 | $12,444 | $0 | $717,183 | $0 | $53,333 | $0 |
| HERBERT REICH MD | ||||||||||||||
| SURGEON | $718,536 | $0 | $76,451 | $0 | $19,425 | $0 | $11,000 | $0 | $18,102 | $0 | $843,514 | $0 | $0 | $0 |
| KYRIL CHOUMAROV | ||||||||||||||
| SURGEON | $669,697 | $0 | $76,451 | $0 | $44,794 | $0 | $11,000 | $0 | $15,452 | $0 | $817,394 | $0 | $0 | $0 |
| IFTIKHAR SYED MD | ||||||||||||||
| SURGEON | $625,476 | $0 | $118,778 | $0 | $3,847 | $0 | $133,000 | $0 | $12,198 | $0 | $893,299 | $0 | $56,778 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ELLIS HOSPITAL HAS A CORPORATE MEMBERSHIP AT THE MOHAWK GOLF CLUB THAT IS IN THE CEO'S NAME. HOWEVER THE CLUB IS USED FOR BUSINESS PURPOSES AND FUNCTIONS ONLY. |
| PART I, LINE 6 | THE CEO , COO, CFO AND VICE PRESIDENTS ARE PROVIDED AN INCENTIVE COMPENSATION PLAN. (ICP). THE ICP PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. THE PLAN IS BASED ON PRESET GOALS, FINANCIAL BENCHMARKS, AND INDIVIDUAL GOALS. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. PAYMENTS ARE MADE ANNUALLY AFTER THE YEAR HAS BEEN COMPLETED. |
| SCHEDULE J, PART III | DR. TERENCE CLARKE IS A SURGEON EMPLOYED FOR ELLIS HOSPITAL. IN ADDITION HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $81,000 INCENTIVE COMPENSATION HE EARNED IN 2018. THIS AMOUNT WAS INCLUDED IN HIS 2019 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2018 990 SCHEDULE J PART II COLUMN C. DR. FRANK GENOVESE A NEURO-SURGEON EMPLOYED FOR ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F THE $53,333 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2018. THIS AMOUNT WAS INCLUDED IN HIS 2019 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2018 990 SCHEDULE J PART II COLUMN C. DR, IFTIKHAR SYED IS A SURGEON EMPLOYED FOR ELLIS HOSPITAL. IN ADDITION TO HIS SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $56,778 REPRESENTED THE INCENTIVE COMPENSATION HE EARNED IN 2018. THIS AMOUNT WAS INCLUDED IN HIS 2019 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2018 990 SCHEDULE J PART II COLUMN C. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CRISTINE CIOFFI | |||
| TRUSTEE | $59,960 | SON IS EMPLOYEE | 0 |
| JONATHAN KEMP | |||
| TRUSTEE | $519,342 | MEDICAL SERVICES | 0 |
| ROBERT JOY MD | |||
| TRUSTEE | $1,081,854 | MEDICAL SERVICES | 0 |
| JANET SAPIO-MAYTA | |||
| TRUSTEE | $138,485 | SISTER IS EMPLOYEE | 0 |
| ARETA PIDWERBETSKY | |||
| TRUSTEE | $22,750 | MEDICAL SERVICES | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | CRISTINE CIOFFI: SON PATRICK SHARKEY IS AN ER NURSE. ($59,960-COMPENSATION). DR. JOY IS A PARTNER OF CARDIOLOGY ASSOCIATES OF SCHENECTADY (CAS). DR. JONATHAN KEMP IS AN ANESTHESIOLOGIST FOR SCHENECTADY ANESTHESIA ASSOCIATES, WHO PERFORMS SERVICES AT ELLIS HOSPITAL. HE IS ALSO THE CHIEF OF STAFF AND RECEIVED COMPENSATION OF $62,500.JANET SAPIO-MAYTA'S SISTER IS AN EMPLOYEE ($138,485-COMPENSATION). EMPLOYEE IS NANCY SAPIO.ARETA PIDWERBETSKY IS AN EMPLOYEE OF COMMUNITY CARE PHYSICIANS AND CHIEF OF STAFF, ELLIS MEDICAL GROUP AND RECEIVED COMPENSATION OF $22,750. BOARD MEMBER OF MVMA. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | ELLIS HOSPITAL (D/B/A ELLIS MEDICINE), THE SOLE REMAINING PROVIDER OF ACUTE HOSPITAL CARE IN SCHENECTADY COUNTY, IS A VOLUNTARY, NOT-FOR-PROFIT, COMMUNITY AND TEACHING HOSPITAL WITH 423 LICENSED BEDS BETWEEN TWO INPATIENT CAMPUSES (ELLIS HOSPITAL AND BELLEVUE WOMAN'S CENTER), INCLUDING 52 INPATIENT MENTAL HEALTH BEDS (SEE ITEM 4B BELOW). ELLIS ALSO OPERATES SEVERAL PRIMARY CARE AND OUTPATIENT SITES, INCLUDING TWO COMPREHENSIVE OUTPATIENT MEDICAL CAMPUSES (MCCLELLAN STREET HEALTH CENTER IN THE CITY OF SCHENECTADY AND MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY) AND AN OUTPATIENT MENTAL HEALTH FACILITY (STATE STREET HEALTH CENTER). ALL HEALTH CARE SERVICES ARE PROVIDED UNDER A SINGLE CORPORATE TAXPAYER IDENTIFICATION NUMBER (TIN) AND A SINGLE OPERATING CERTIFICATE ISSUED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, THE HOSPITAL'S PRIMARY REGULATOR. ELLIS EMPLOYS ABOUT 3,300 PEOPLE INCLUDING ABOUT 700 MEDICAL STAFF. THE HOSPITAL IS OVERSEEN BY A 15-MEMBER VOLUNTEER BOARD OF TRUSTEES DRAWN FROM THE COMMUNITY AND THE MEDICAL STAFF, INCLUDING THREE PHYSICIAN TRUSTEES. WITH THE MISSION TO "MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE," ELLIS BALANCES STATE-OF-THE-ART TECHNOLOGY AND ADVANCED MEDICAL PROCEDURES WITH A 134-YEAR TRADITION OF COMMUNITY-BASED CARING AND A FIRM COMMITMENT TO QUALITY. ELLIS HAS EARNED NUMEROUS RECOGNITIONS FOR CLINICAL EXCELLENCE AND COMMUNITY SERVICE. ELLIS HAS BEEN A NEW YORK STATE DESIGNATED STROKE CENTER SINCE 2005, AND WAS THE FIRST HOSPITAL IN NEW YORK STATE TO RECEIVE THE AMERICAN STROKE ASSOCIATION'S (ASA) PERFORMANCE ACHIEVEMENT AWARD FOR STROKE (IN 2006). THE ELLIS STROKE CENTER CONTINUES AS A RECIPIENT OF THE GOLD/GOLD PLUS AWARD (2007-2019), RECOGNIZED FOR USING THE ASA'S "GET WITH THE GUIDELINES" PROGRAM FOR IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES. THE HOSPITAL IS AN ACCREDITED BARIATRIC SURGERY CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. ADDITIONALLY, THE SLEEP DISORDERS CENTER IS ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE; THE BELANGER SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION; THE FAMILY MEDICINE RESIDENCY IS ACCREDITED BY BOTH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION; SIX ELLIS PRIMARY CARE PRACTICES IN GLENVILLE, SCHENECTADY AND CLIFTON PARK HAVE ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) "PATIENT-CENTERED MEDICAL HOME" (PCMH) RECOGNITION WHILE OTHERS ARE IN PROGRESS OF ACHIEVING RECOGNITION; AND FOUR PRIMARY CARE PRACTICES PARTICIPATE IN THE FEDERAL CMS "CPC+" QUALITY PROGRAM. ELLIS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A "FIT-FRIENDLY WORKSITE AND RECEIVED THE AHA'S "INNOVATION AWARD" FOR PRESENTING A UNIQUE PROGRAM OF HEALTH AND WELLNESS TO EMPLOYEES. ELLIS HAS BEEN AWARDED BLUE DISTINCTION CENTER DESIGNATION BY BLUE CROSS BLUE SHIELD FOR CARDIAC CARE, BARIATRIC CARE, KNEE AND HIP REPLACEMENT, AND MATERNITY CARE. ELLIS IS ALSO A PARTNERS IN PERFORMANCE EXCELLENCE GOLD BALDRIGE AWARD WINNER, RECOGNIZED FOR ITS DEDICATION AND WORK TO CREATE A CULTURE AND SYSTEMS WHERE INNOVATION AND PERFORMANCE EXCELLENCE BECOME THE ACCEPTED NORM. ELLIS HAS ALSO BEEN HONORED WITH THE FIVE RINGS AWARD BY INTELLICENTRICS, INC. FOR EXCELLENCE IN VENDOR CREDENTIALING AND CREATING A CULTURE OF VIGILANCE TO MAKE HOSPITALS SAFER FOR EMPLOYEES AND PATIENTS. DURING RECENT YEARS, ELLIS HAS RECEIVED COMMUNITY SERVICE AWARDS FROM THE CHAMBER OF SCHENECTADY COUNTY ("CORPORATION OF THE YEAR"), THE CITY MISSION OF SCHENECTADY ("PARTNERS AWARD," SPECIFICALLY RECOGNIZING THE HOSPITAL'S SERVICES FOR THE UNDERSERVED), THE SCHENECTADY ARC ("EMPLOYER OF THE YEAR," RECOGNIZING THE HOSPITAL FOR PROVIDING EMPLOYMENT, WITH OPPORTUNITIES FOR GROWTH AND MEANINGFUL EXPERIENCE, TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES), THE SIGHT SOCIETY OF NORTHEASTERN NEW YORK ("HOSPITAL OF THE YEAR" FOR COMMITMENT AND COMPASSION TO GRIEVING FAMILIES ALONG WITH OUTSTANDING ACCOMPLISHMENTS AND BEST PRACTICES TO FACILITATE CORNEA DONATIONS), THE GOOSE HILL NEIGHBORHOOD ASSOCIATION ("COMMUNITY AWARD" FOR BEING A GOOD NEIGHBOR AND PROACTIVE COMMUNICATOR), AND THE SEVENTH NATIONAL LEARNING CONGRESS OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ("SILVER MEDAL" FOR ORGAN DONATION). ELLIS OPERATES A STATE-OF-THE-ART EMERGENCY DEPARTMENT AT ELLIS HOSPITAL ON NOTT STREET WHICH HAD TREATED 62,534 PATIENT VISITS IN 2019; THE BELLEVUE WOMAN'S CENTER WHICH DELIVERED 2,089 BABIES IN 2019 (SEE LINE 4D); NINE PRIMARY CARE PRACTICES (IN SCHENECTADY (5), GLENVILLE, CLIFTON PARK, MALTA, AND BALLSTON SPA) AND NUMEROUS SPECIALTY MEDICAL SERVICES THROUGH THE ELLIS MEDICAL GROUP (EMG); A FULL-SERVICE DENTAL CLINIC INCLUDING ADULT AND PEDIATRIC DENTAL SURGERY; AN 82-BED SKILLED NURSING FACILITY AND SHORT-STAY REHABILITATION FACILITY (SEE LINE 4C); TWO STAND-ALONE OFF-SITE BLOOD DRAW STATIONS; A BARIATRIC CARE LOCATION; A SLEEP DISORDERS CENTER; A WOUND CARE CENTER; A FAMILY MEDICINE RESIDENCY INCLUDING AN OSTEOPATHIC RESIDENCY; A GENERAL DENTAL RESIDENCY; AND A SCHOOL OF NURSING. MEDICAL AND DENTAL RESIDENTS ENROLLED IN THE FAMILY MEDICINE RESIDENCY AND THE GENERAL DENTAL RESIDENCY PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO PATIENTS, THE MAJORITY OF WHOM ARE UNINSURED OR ARE PARTICIPANTS IN GOVERNMENT PROGRAMS SUCH AS MEDICAID AND CHILD HEALTH PLUS, THROUGH THREE CLINICS LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER: THE FAMILY HEALTH CENTER, THE PEDIATRIC HEALTH CENTER, AND THE DENTAL HEALTH CENTER. ELLIS OPERATES THE MEDICAL CENTER OF CLIFTON PARK (MCCP), THE ONLY 24/7 EMERGENT CARE FACILITY LOCATED IN SOUTHERN SARATOGA COUNTY, ONE OF THE FASTEST-GROWING COMMUNITIES IN NEW YORK STATE. THE EMERGENT CARE FACILITY SAW 31,332 PATIENT VISITS IN 2019. MCCP IS ALSO THE LOCATION FOR A PRIMARY CARE PRACTICE AND SEVERAL SPECIALTY PRACTICES. IN OCTOBER 2018, ELLIS OPENED A COMBINED URGENT CARE, PRIMARY CARE, AND LABORATORY FACILITY ON THE BUS LINE AT THE MOHAWK HARBOR DEVELOPMENT IN SCHENECTADY. WITH THE URGENT CARE COMPONENT OPEN SEVEN DAYS A WEEK FROM 9AM TO 8PM, THE FACILITY OFFERS SCHENECTADY RESIDENTS (AS WELL AS EMPLOYEES OF THE DEVELOPMENT'S BUSINESSES, AND VISITORS TO ITS CASINO AND HOTELS), A CONVENIENT AND EASILY ACCESSIBLE "ONE-STOP ALTERNATIVE TO THE EMERGENCY DEPARTMENT FOR URGENT, BUT NON-EMERGENCY, HEALTH CARE NEEDS. THE URGENT CARE FACILITY SAW 10,850 PATIENT VISITS IN 2019. THE BELANGER SCHOOL OF NURSING AT ELLIS PREPARES STUDENTS FOR LICENSURE AS PROFESSIONAL REGISTERED NURSES (RN). IN 2019, 94% OF THE SCHOOL'S GRADUATES PASSED THE NEW YORK STATE NURSING LICENSURE EXAMINATION (FIRST TIME TAKERS). TOTAL FALL 2019 ENROLLMENT WAS 131 STUDENTS, WITH THE 2019 GRADUATING CLASS AT 34 STUDENTS. FIFTY PERCENT OF THESE GRADUATES JOINED THE NURSING STAFF AT ELLIS WITHIN SIX MONTHS OF GRADUATION. ELLIS IS THE SOLE CORPORATE MEMBER OF THE VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK (VNS), A NOT-FOR-PROFIT HOME HEALTH CARE AGENCY WHICH SERVES SCHENECTADY AND SEVERAL OTHER COUNTIES IN THE REGION. |
| FORM 990, PART III, LINE 4A, CONTINUED | ELLIS SERVES THE COMMUNITY BY ADDRESSING IDENTIFIED HEALTH CARE PRIORITIES; INCLUDING ACCESS TO CARE, AND PREVENTION AND TREATMENT OF CHRONIC DISEASES; THROUGH A VARIETY OF PROGRAMS. IDENTIFICATION OF NEEDS INCLUDES SUCH MECHANISMS AS THE FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT WITH ITS IMPLEMENTATION STRATEGY (SEE SCHEDULE H) AND THE STATE-MANDATED TRIENNIAL COMMUNITY SERVICE PLAN. THESE PLANS ARE BUILT COLLABORATIVELY THROUGH REGIONAL AND COMMUNITY PARTNERSHIPS. ON A REGIONAL BASIS, ELLIS IS A MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) A STATE-FUNDED HEALTH DATA COLLECTION AND PLANNING ENTITY WHICH BRINGS TOGETHER THE COUNTY PUBLIC HEALTH DEPARTMENTS, NOT-FOR-PROFIT HOSPITALS, FQHCS, AND NOT-FOR-PROFIT INSURERS IN THE SIX-COUNTY CAPITAL REGION. IN 2013, 2016, AND 2019, HCDI CONDUCTED REGIONAL INFORMATION-GATHERING EXERCISES TO PROVIDE THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) OF ITS MEMBER NOT-FOR-PROFIT HOSPITALS. THESE ARE AVAILABLE HERE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX AND THEY ARE FURTHER DESCRIBED IN SCHEDULE H. IN ADDITION TO THE FEDERALLY-REQUIRED CHNAS, DURING 2014 HCDI CONDUCTED A COMPREHENSIVE 11-COUNTY GREATER CAPITAL REGION COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ON BEHALF OF TWO REGIONAL HEALTH CONSORTIA, ONE OF WHICH WAS LED BY ELLIS. THAT CHNA, A REQUIREMENT OF THE NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM, COVERED THE SPECIFIC HEALTHCARE NEEDS OF THE MEDICAID POPULATION. A COPY IS AVAILABLE HERE: HTTPS://ABHEALTH.US/ABOUT/COMMUNITY-NEEDS-ASSESSMENT/. ON A COMMUNITY COLLABORATION BASIS, ELLIS PARTNERS WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), INCLUDING JOINT GRANT APPLICATIONS AND JOINT NEW YORK STATE DEPARTMENT OF HEALTH NEEDS ASSESSMENTS. THIS INCLUDES THE SCHENECTADY COUNTY STRATEGIC ALLIANCE FOR HEALTH (SAH), A COUNTY-LED, FEDERALLY-DESIGNATED AND FEDERALLY-FUNDED COLLABORATIVE FOCUSED ON PREVENTING CHRONIC DISEASE AND PROMOTING COMMUNITY HEALTH. ELLIS ALSO PROVIDES CO-LEADERSHIP, MEETING SPACE, AND RESOURCES FOR THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC), A COMMUNITY COLLABORATIVE OF ABOUT 60 HEALTHCARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES. SCHC MET QUARTERLY DURING 2019 TO DISCUSS COMMUNITY HEALTH NEEDS AND MONITOR PROGRESS ON ELLIS' 2016 IMPLEMENTATION STRATEGY, AND HELD SEVERAL ADDITIONAL MEETINGS (SEE SCHEDULE H) TO CONDUCT AND PRESENT THE 2019 CHNA AND IMPLEMENTATION STRATEGY. ELLIS COUNTED 16,560 INPATIENT DISCHARGES FROM THE ELLIS HOSPITAL (NOTT STREET) AND BELLEVUE WOMAN'S CENTER INPATIENT FACILITIES AND 542,826 OUTPATIENT VISITS AT ALL LOCATIONS DURING 2019. IN 2019, ELLIS PROVIDED $12,457,600 IN FINANCIAL ASSISTANCE (CHARITY CARE) ON A "CHARGE" BASIS, TRANSLATING TO A "COST" BASIS OF $3,407,154. |
| FORM 990, PART III, LINE 4B | ELLIS OPERATES A 52-BED (CERTIFIED AND STAFFED) INPATIENT MENTAL HEALTH UNIT, ALONG WITH EXPANDED OUTPATIENT SERVICES. THIS IS THE ONLY INPATIENT MENTAL HEALTH FACILITY IN SCHENECTADY COUNTY, AND IS ONE OF ONLY TWO INPATIENT UNITS IN A 16-COUNTY REGION PROVIDING SERVICES TO ADOLESCENTS. ELLIS' MENTAL HEALTH SERVICES INCLUDE: INPATIENT CARE FOR ADULTS AND ADOLESCENTS; OUTPATIENT CHILD, ADOLESCENT, AND ADULT MENTAL HEALTH SERVICES; CRISIS INTERVENTION, INCLUDING A 24-HOUR CRISIS INFORMATION HOTLINE; A PEER ADVOCACY PROGRAM; AND A SUPPORT AND EDUCATION GROUP FOR PEOPLE WITH MAJOR DISORDERS AND THEIR FAMILIES. THE "LIVING ROOM," A DSRIP-FUNDED MENTAL HEALTH CRISIS DIVERSION PROGRAM OPERATED FROM THE STATE STREET HEALTH CENTER, SUCCESSFULLY SAVED MEDICAID NEARLY $1 MILLION IN 2019 BY PROVIDING PATIENTS WITH AN ALTERNATIVE TO THE EMERGENCY ROOM. ELLIS RECEIVES A GRANT FROM THE SCHENECTADY COUNTY DRUG COURT TO PROVIDE ENHANCED MENTAL HEALTH SERVICES TO LOW-LEVEL OFFENDERS REFERRED BY THE JUDICIAL SYSTEM, AND CONTRACTS WITH THE SCHENECTADY COUNTY CORRECTIONAL FACILITY TO PROVIDE POST-INCARCERATION SUPPORT SERVICES, BOTH INCLUDING PEER SERVICES. IN RESPONSE TO A NATIONALLY-STUDIED "SCHENECTADY SUICIDE CLUSTER" OF TEENAGE AFRICAN-AMERICAN FEMALES, ELLIS MOVED THE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH CLINIC TO SUBSTANTIALLY EXPANDED FACILITIES AT THE ELLIS MCCLELLAN STREET HEALTH CENTER, WHERE IT IS CO-LOCATED WITH THE PEDIATRIC AND FAMILY HEALTH CENTERS. THE ELLIS STATE STREET HEALTH CENTER, WHICH HOUSES THE OUTPATIENT MENTAL HEALTH CLINIC AND A PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) SERVICE, WAS OPENED IN 2017. THIS NOT ONLY INCREASED THE SIZE AND IMPROVED THE QUALITY OF FACILITIES FOR ADULT OUTPATIENT MENTAL HEALTH; IT ALSO HAS BECOME PART OF AN INFORMAL "MEDICAL VILLAGE," WITH THE MENTAL HEALTH FACILITY, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ANOTHER LARGE COMMUNITY PRIMARY CARE CLINIC, AND A PHARMACY ALL LOCATED WITHIN ONE CITY BLOCK. IN 2019, THE ELLIS MENTAL HEALTH PROGRAMS HAD 1,657 INPATIENT DISCHARGES AND 42,560 OUTPATIENT VISITS. |
| FORM 990, PART III, LINE 4C | THE ELLIS RESIDENTIAL AND REHABILITATION CENTER (ERRC), AN 82-BED LONG-TERM SKILLED NURSING FACILITY (SNF) AND SHORT-STAY REHABILITATION FACILITY, HAS BEEN PROVIDING LONG TERM NURSING CARE SINCE 1989 AND SHORT STAY REHABILITATION SERVICES SINCE 2001. SPECIALIZING IN MEDICALLY COMPLEX CASES, ERRC OPERATES FROM ITS RENOVATED FACILITY ON THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS. THE FACILITY PROVIDES RESIDENTS WITH PRIVATE ROOMS AND SUCH AMENITIES AS A CYBER-CENTER, A HAIR SALON, AND A ROOF-TOP GARDEN. RESIDENT DAYS FOR 2019 WERE 29,212. |
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11A EXPLANATION - A COPY OF THE ELLIS HOSPITAL'S 990 WAS PREPARED AND SUBMITTED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER. AFTER CFO REVIEW WAS COMPLETED, THE FORM 990 WAS SENT TO EACH MEMBER OF THE AUDIT COMMITTEE FOR REVIEW. AFTER REVIEW BY THE AUDIT COMMITTEE, A COPY OF THE FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS GIVEN TO EACH VOTING MEMBER OF ELLIS' BOARD OF TRUSTEES, PRIOR TO ITS FILING WITH THE IRS. AFTER REVIEW BY THE BOARD OF TRUSTEES, AND UPON THE RECOMMENDATION OF THE AUDIT COMMITTEE, APPROVAL IS GIVEN FOR FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ELLIS HOSPITAL'S CONFLICT OF INTEREST POLICY APPLIES TO ALL HOSPITAL TRUSTEES, OFFICERS, EMPLOYEES, MEDICAL/DENTAL STAFF MEMBERS, DIRECTORS, MANAGERS, APPOINTEES WITH ADMINISTRATIVE AND/OR DECISION-MAKING RESPONSIBILITIES, VOLUNTEERS OR ANY OF THESE PARTIES' IMMEDIATE FAMILIES (COLLECTIVELY CALLED HOSPITAL AGENTS). THE ELLIS HOSPITAL CORPORATE BYLAWS REQUIRE HOSPITAL AGENTS AND OTHER SELECTED INDIVIDUALS AS IDENTIFIED BY THE VICE PRESIDENT, HUMAN RESOURCES AND THE CORPORATE COMPLIANCE OFFICER/DIRECTOR OF INTERNAL AUDIT (CCO), TO FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE HOSPITAL ON A ANNUAL BASIS. WHEN THE STATEMENTS ARE COMPLETED THEY ARE RETURNED TO THE CCO. UPON RECEIPT, THE CCO WILL REVIEW THE DISCLOSURE AND, IF A POTENTIAL CONFLICT IS DISCLOSED, WILL MEET WITH THE HOSPITAL AGENT AND/OR HIS/HER APPROPRIATE SUPERVISOR TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION IF ANY. ALL STATEMENTS FOR TRUSTEES ARE ALSO REVIEWED BY THE CCO, AND IF A POTENTIAL CONFLICT HAS BEEN DISCLOSED, HE/SHE WILL MEET WITH THE BOARD CHAIRPERSON TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION, IF ANY. ALL POTENTIAL CONFLICTS INVOLVING THE BOARD OF TRUSTEES WILL BE SUMMARIZED BY THE CCO AND REPORTED TO THE AUDIT COMMITTEE OF THE BOARD. THIS COMMITTEE WILL THEN SHARE THIS INFORMATION WITH THE BOARD CHAIRPERSON. WHEN A POTENTIAL OR ACTUAL CONFLICT EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AT A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE UPON, THE TRANSACTION OR ARRANGEMENT THAT COULD CONSTITUTE THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE MEMBERS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CURRENT EXECUTIVE COMPENSATION PLAN IS IN FULL COMPLIANCE WITH ALL EXISTING RULES AND REGULATIONS APPLICABLE TO A 501(C) CORPORATION. THE FOLLOWING IS A SUMMARY OF EACH PLAN: EXECUTIVE COMPENSATION PLAN-THE PRESIDENT, AND ALL OTHER SENIOR EXECUTIVIES ARE GOVERNED BY OUR EXECUTIVE COMPENSATION PROGRAM ESTABLISHED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMPENSATION PLAN IS ADMINISTERED ALSO BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. THE REVIEW OF THE COMPENSATION AGREEMENTS AND GATHERING OF COMPARABILITY DATA IN DETERMINING THE REASONABLENESS OF COMPENSATION FOLLOW THE PROCEDURES DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. |
| FORM 990, PART VI, SECTION C, LINE 19 | CORPORATE COMPLIANCE POLICIES (INCLUDING CONFLICTS OF INTEREST POLICY) AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA POSTING ON THE ELLIS HOSPITAL WEBSITE: WWW.ELLISMEDICINE.ORG. IN ADDITION, THESE DOCUMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN FOUNDATION 1,470,404. PENSION AND POSTRETIREMENT RELATED CHANGES 8,373,681. YANKEE ALLIANCE TAX INCOME -723,812. ALLIANCE FOR BETTER HEALTH CARE 78,322. VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY -1,803,930. INCOME TAX BENEFIT 8,117. OTHER COMPONENTS OF NET PERIODIC BENEFIT COST -449,516. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| CONTINUATION OF SCHEDULE H, PART VI, LINE 4 | SCHENECTADY COUNTY IS DIRECTLY SERVED BY ONE DSRIP PERFORMING PROVIDER SYSTEM (PPS), THE ALLIANCE FOR BETTER HEALTH (AFBH), AND IS ADJACENT TO THE SERVICE AREA OF THE ALBANY MEDICAL CENTER PPS. SCHENECTADY COUNTY CITY OF SCHENECTADY NEW YORK STATE POPULATION 155,350 (2018) 65,575 (2018) 19,542,209 (2018) PERSONS PER SQUARE MILE 756.6 (2010) 6,135.5 (2010) 411.2 (2010) PERSONS UNDER 18 YEARS 21.6% (2018) 20.7% (2018) 20.9% (2018) PERSONS 65 YEARS AND OVER 16.9% (2018) 13.4% (2018) 15.9% (2018) WHITE ALONE 78.5% (2018) 59.4% (2018) 69.6% (2018) BLACK OR AFRICAN AMERICAN ALONE 12.0% (2018) 20.9% (2018) 17.7% (2018) BACHELOR'S DEGREE OR + (AGE 25+) 30.8% (2013-17) 22.3% (2013-17) 35.3% (2013-17) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $164,100 (2013-17) $110,8000 (2013-17) $293,000 (2013-17) MEDIAN HOUSEHOLD INCOME $61,315 (2013-17) $43,174 (2013-17) $62,765 (2013-17) PERSONS IN POVERTY 12.8% (2018) 21.0% (2018) 14.1% (2018) FIGURE 1: SCHENECTADY COUNTY, CITY, AND STATE DEMOGRAPHICS (SOURCE: US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED APRIL 23, 2019) RESIDENTS OF THE CITY OF SCHENECTADY ARE GENERALLY LESS AFFLUENT AND LESS HEALTHY THAN RESIDENTS OF THE SURROUNDING TOWNS, WHILE RESIDENTS OF THE COUNTY AS A WHOLE ARE LESS AFFLUENT THAN THE STATE AS A WHOLE; HOWEVER THE COUNTY'S POVERTY RATE IS BELOW THAT OF THE STATE (SEE FIGURE 1). FOR EXAMPLE, THE MEDIAN HOUSEHOLD INCOME FOR THE CITY, AT $43,174, IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE ($61,315), WHICH IS BELOW THAT OF THE STATE ($62,765). THE POVERTY RATE IN THE CITY (21.0%) IS NEARLY 40% HIGHER THAN THAT OF THE COUNTY AS A WHOLE (12.8%). STATE HEALTH DEPARTMENT DATA (2008-09) SHOW THAT HOSPITALIZATIONS FOR CONDITIONS WHICH COULD HAVE BEEN TREATED IN THE COMMUNITY ("PREVENTION QUALITY INDICATORS") RANGE AS HIGH AS 202% OF THE EXPECTED RATE IN CERTAIN CITY NEIGHBORHOODS, BUT ARE AS LOW AS 49% OF THE EXPECTED RATE IN THE RURAL TOWNS. IN ONE DRAMATIC DISPARITY CONFIRMED BY MORE RECENT (2012-16) SPARCS HOSPITAL DISCHARGE DATA, EMERGENCY DEPARTMENT VISITS FOR ASTHMA RANGE FROM 229.3/10,000 IN THE CITY'S HAMILTON HILL NEIGHBORHOOD (12307) TO 24.5/10,000 IN THE NEARBY SUBURB OF NISKAYUNA (12309). SCHENECTADY COUNTY NEW YORK STATE ADULTS 18-64 WITH HEALTH INSURANCE (2016) 91.8% 88.6% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2016) 84.6% 83.4% ADULTS WHO VISITED DENTIST W/IN 1 YEAR (AGE-ADJUSTED, 2013-14) 69.7% 69.3% MENTAL DISEASE/DISORDER PRIMARY DX ED VISIT RATE PER 10,000 (AGE-ADJUSTED 2014-16) 235.8 185.4 FIGURE 2: SCHENECTADY COUNTY INSURANCE, PROVIDER, AND DIAGNOSIS INFORMATION (SOURCE: HCDI, 2019 COMMUNITY HEALTH PROFILE) A SIGNIFICANT MINORITY POPULATION IN THE CITY OF SCHENECTADY IS COMPRISED OF GUYANESE OF WEST INDIAN DESCENT. THE RESULT OF SECONDARY MIGRATION FROM NEW YORK CITY PROMOTED BY A PREVIOUS MAYOR ALONG WITH PRIMARY MIGRATION FROM GUYANA, THE INFLUX IS CREDITED WITH REVERSING YEARS OF POPULATION DECLINE IN THE CITY. SCHENECTADY COUNTY PUBLIC HEALTH SERVICES LED MULTIPLE INITIATIVES TO IDENTIFY AND ADDRESS HEALTH DISPARITIES RELATING TO THE WEST INDIAN POPULATION. RESEARCH CONDUCTED BY PHYSICIANS AT ELLIS MEDICINE REVEALED SPECIFIC HEALTH ISSUES REGARDING THE WEST INDIAN POPULATION. IN PARTICULAR, THE UNEXPECTED PREVALENCE OF DIABETES AMONG NON-OBESE GUYANESE MALES IS THE SUBJECT OF JOURNAL ARTICLES (SEE FOR EXAMPLE: HOSLER, PRATT, SEN, BUCKENMEYER, SIMAO, BACK, SAVADATTI, KAHN, HUNT, "HIGH PREVALENCE OF DIABETES AMONG INDO-GUYANESE ADULTS, SCHENECTADY, NEW YORK," PREVENTING CHRONIC DISEASE 2013; 10:120211) AND HELPED LEAD TO AWARDING OF A FEDERAL RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) GRANT TO SCPHS IN 2010. THE INITIAL PLANNING STAGE OF THE REACH GRANT FUNDED AN EXTENSIVE COMMUNITY SURVEY OF DIABETES PREVALENCE, PILOT TRAINING OF A DOZEN INDIGENOUS DIABETES HEALTH PROMOTERS, AN ELEMENTARY SCHOOL DIABETES PREVENTION EDUCATION PROGRAM, AND A DIABETES HEALTH SCREENING PROGRAM FOR AT-RISK WEST INDIAN RESIDENTS. THE WEST INDIAN DIABETES ACTION COALITION UTILIZED A MAPP PROCESS TO DEVELOP A COMMUNITY ACTION PLAN (CAP). UNFORTUNATELY, SHIFTING PRIORITIES AT THE CENTERS FOR DISEASE CONTROL (CDC) ENDED FUNDING FOR THE PROJECT BEFORE ITS IMPLEMENTATION PHASE. IN 2014, SCPHS WAS AWARDED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT, FUNDED BY THE CDC. ONE OF THE GOALS OF THIS GRANT IS TO INCREASE SCREENING RATES FOR TYPE-2 DIABETES IN THE WEST INDIAN POPULATION THAT ARE SEEN AT ELLIS FAMILY HEALTH CENTER, AN ELLIS MEDICINE PRIMARY CARE SITE. OVERALL, SCHENECTADY COUNTY RESIDENTS ARE SLIGHTLY MORE LIKELY THAN THE AVERAGE NEW YORK STATE RESIDENT TO HAVE HEALTH INSURANCE, TO SEE A DOCTOR, AND TO SEE A DENTIST; AND SIGNIFICANTLY MORE LIKELY TO VISIT AN EMERGENCY DEPARTMENT FOR MENTAL HEALTH CARE (SEE FIGURE 2). THE VAST MAJORITY OF PRIMARY MEDICAL CARE AND DENTAL CARE FOR LOW-INCOME RESIDENTS IS PROVIDED BY THE HOMETOWN HEALTH FQHC AND THE COMMUNITY PRACTICES OF THE ELLIS MEDICAL GROUP. BOTH HAVE ACHIEVED RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS PATIENT-CENTERED MEDICAL HOMES (PCMH). |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 | MARCH 7, 2019 TOPICS: DAY ONE OF CHNA/CHIP PRIORITIZATION EXERCISE: WELCOME AND INTRODUCTIONS LISA AYERS, BACKGROUND ON THE CHNA/CHIP PROCESS DAVE SMINGLER, INTRODUCTION TO THE PREVENTION AGENDA AND THE RANKING METHODOLOGY KEVIN JOBIN-DAVIS; STRUCTURED REVIEW (APPROX. 10 MINUTES EACH) OF EACH PUBLIC HEALTH ISSUE (X 14 ISSUES SEE OVER): CURRENT AND HISTORICAL DATA MIKE MEDVESKY: 1) RANKING, 2) NUMBER, 3) RATE, 4) TREND, 5) DISPARITY, 6) COMMENTS; GROUP DISCUSSION KEVIN JOBIN-DAVIS: 1) DOES ANYTHING ESPECIALLY STAND OUT ABOUT THIS ISSUE? DO YOU HAVE NEWER DATA OR RECENT EXPERIENCE SUGGESTING DIFFERENT RESULTS?, 2) HOW IMPORTANT IS THE ISSUE TO THE COMMUNITY? (UNIMPORTANT/NEUTRAL/IMPORTANT), CONCLUSION AND PREPARATION FOR DAY TWO NATALIE PREHODA, JORDYN WARTTS ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS MEDICINE BOARD OF TRUSTEES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, ELLIS MEDICINE, ALLIANCE FOR BETTER HEALTH, CAPITAL REGION CHAMBER OF COMMERCE, NEW CHOICES RECOVERY CENTER, PLANNED PARENTHOOD MOHAWK-HUDSON, SCHENECTADY COMMUNITY ACTION PROGRAM, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, ST. PETERS HEALTH PARTNERS, SUNNYVIEW REHABILITATION HOSPITAL, HOMETOWN HEALTH CENTERS, SCHENECTADY COUNTY PUBLIC LIBRARY, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CENTRO CIVICO MARCH 14, 2019 TOPICS: DAY TWO OF CHNA/CHIP PRIORITIZATION EXERCISE: WELCOME AND INTRODUCTIONS LISA AYERS, REPORT OF SIENA SURVEY RESULTS JOHN LAKE, REVIEW OF PROCESS AND GOALS NATALIE AND DAVE; STRUCTURED DISCUSSION (APPROX. 10 MINUTES EACH) OF EACH PUBLIC HEALTH ISSUE (X 14 ISSUES SEE OVER): MIKE, JOHN, NATALIE, AND DAVE: 1) VERY BRIEF DATA SUMMARY, 2) EVIDENCE-BASED OPPORTUNITIES/SOLUTIONS, 3) CURRENTLY AVAILABLE SERVICES/SOLUTIONS, 4) "PITCHES" FROM ISSUE ADVOCATES, 5) OPEN DISCUSSION SURPRISES, UNKNOWNS, MISSING INFO, CONNECTIONS; "DOT-MOCRACY" PRIORITIZATION EXERCISE NATALIE AND DAVE: 1) GROUP SELECTION DOTS FOR TOP THREE PRIORITIES, 2) OPEN DISCUSSION OF RESULTS, 3) POTENTIAL ITERATIVE GROUP SELECTION COMBINATIONS, PERMUTATIONS, DELETIONS; CLOSING DISCUSSION AND THANK YOU LISA AYERS ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, ELLIS MEDICINE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, ST. PETERS HEALTH PARTNERS, CAPITAL ROOTS, NEW CHOICES RECOVERY CENTER, SCHENECTADY COMMUNITY ACTION PROGRAM, INDEPENDENT LIVING CENTERS OF THE HUDSON VALLEY, SCHENECTADY INNER CITY MINISTRY, PLANNED PARENTHOOD MOHAWK-HUDSON, CAPITAL REGION CHAMBER OF COMMERCE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, CAPITAL DISTRICT CENTER FOR INDEPENDENCE, ALLIANCE FOR BETTER HEALTH, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, BETHESDA HOUSE, SCHENECTADY CITY MISSION, SCHENECTADY COUNTY PUBLIC LIBRARY, SUNNYVIEW REHABILITATION HOSPITAL, HOMETOWN HEALTH CENTERS, HEALTHY CAPITAL DISTRICT INITIATIVE MARCH 22, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP GENERAL DISCUSSION ATTENDEES: SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, SCHENECTADY COMMUNITY ACTION PROGRAM, ST. MARY'S HEALTHCARE AMSTERDAM, 845 COMMONS RESIDENCE, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, CAPITAL DISTRICT YMCA, ELLIS MEDICINE, ST. PETERS HEALTH PARTNERS (ST. PETERS ADDICTION RECOVERY CENTER), SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CENTRO CIVICO, SAFE INC., CONCERNED CITIZEN APRIL 18, 2019 TOPICS: PAX GOOD BEHAVIOR GAME SCHOOL-BASED HEALTH PROMOTION, VALE URBAN FARM HEALTHY NUTRITION IN A LOW-INCOME URBAN NEIGHBORHOOD, CHNA/CHIP REPORT AND NEXT STEPS: 1) REVIEW OF NYSDOH PREVENTION AGENDA-ENDORSED INTERVENTIONS, 2) DISCUSS IMPLEMENTATION VIA EXISTING GROUPS/COMMITTEES: A) CHRONIC DISEASE TOBACCO-FREE COMMUNITIES, B) WELLNESS TRAUMA-INFORMED COMMUNITY WORK GROUP, SUBSTANCE USE DISORDER PREVENTION COALITION, ET AL, 3) IMPLEMENTATION/ACTION STEPS; PARTNER UPDATES ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, NEW CHOICES RECOVERY CENTER, HOMETOWN HEALTH CENTERS, CAPITAL ROOTS, CANCER PREVENTION IN ACTION, VALE URBAN FARM, HEALTHY CAPITAL DISTRICT INITIATIVE, BETHESDA HOUSE, FAMILIAL HYPERCHOLESTEROLEMIA FOUNDATION, CAPITAL REGION CHAMBER OF COMMERCE, ST. PETERS HEALTH PARTNERS, HARRIS BRAND RECRUITING, CANCER PREVENTION IN ACTION, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, ELLIS MEDICINE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, SUNY SCHENECTADY COMMUNITY COLLEGE, SCHENECTADY COUNTY PUBLIC LIBRARY APRIL 26, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP GENERAL DISCUSSION ATTENDEES: NEW CHOICES RECOVERY CENTER, BETHESDA HOUSE, SCHENECTADY COMMUNITY ACTION PROGRAM, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD-MOHAWK HUDSON, SUNY SCHENECTADY COMMUNITY COLLEGE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, ST. MARY'S HEALTHCARE AMSTERDAM, CENTRO CIVICO PROJECT NEEDLE SMART, HEALTHY CAPITAL DISTRICT INITIATIVE, MURRAY AND ZUCKERMAN INC., ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE MAY 24, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP PRESENTATION ON "GETTING AHEAD IN A JUST GETTING BY WORLD" ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, ELLIS MEDICINE, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, YWCA, SUNY SCHENECTADY COMMUNITY COLLEGE, NEW CHOICES RECOVERY CENTER, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, SAFE INC. OF SCHENECTADY, BOYS AND GIRLS CLUBS, SCHENECTADY COMMUNITY ACTION PROGRAM, EMPIRE STATE COLLEGE, CENTRO CIVICO JUNE 10, 2019 TOPICS: SCHENECTADY CHNA/CHIP/CSP PLANNING MEETING ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, ELLIS HOSPITAL, ST. PETER'S HEALTH PARTNERS, MVP HEALTHCARE JUNE 28, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP NYS TRAUMA-INFORMED NETWORK, TRAUMA-INFORMED WORK GROUP BRAINSTORM ACTIONABLE ITEMS FOR THE YEAR ATTENDEES: NEW CHOICES RECOVERY CENTER, SUNY SCHENECTADY COMMUNITY COLLEGE, HEALTHY CAPITAL DISTRICT INITIATIVE, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, SCHENECTADY POLICE DEPARTMENT, ST. MARY'S HEALTHCARE AMSTERDAM, SCHENECTADY COMMUNITY ACTION PROGRAM, BETHESDA HOUSE, HEALTH SERVICES CONSULTANT JULY 18, 2019 TOPICS: "CANCER PREVENTION IN ACTION" PROGRAM FOR SCHENECTADY, MONTGOMERY, AND FULTON COUNTIES TRAUMA INFORMED COMMUNITY WORK GROUP REPORT, COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PREPARATION EXERCISE BREAK INTO TWO GROUPS FOR DISCUSSION AND SELECTION OF SPECIFIC INTERVENTIONS, INCLUDING PARTNER ROLES AND RESOURCES: 1) FOCUS AREA #1: TOBACCO PREVENTION, 2) FOCUS AREA #2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION; PARTNER UPDATES ATTENDEES: ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, HOMETOWN HEALTH CENTERS, HEALTHY CAPITAL DISTRICT INITIATIVE, CANCER PREVENTION IN ACTION, EMPOWER HEALTH SCHENECTADY CITY MISSION, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, NEW CHOICES RECOVERY CENTER, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, ST. PETERS HEALTH PARTNERS, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, CAPITAL ROOTS, MVP HEALTHCARE, SCHENECTADY INNER CITY MINISTRY, SUNNYVIEW REHABILITATION HOSPITAL SEPTEMBER 27, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP UPDATES AND PLANNING ATTENDEES: NISKAYUNA COMMUNITY ACTION PROGRAM (N-CAP), ELLIS HOSPITAL, ALLIANCE FOR POSITIVE HEALTH, SAFE INC. OCTOBER 17, 2019 TOPICS: PRESENTATION ON IN OUR OWN VOICES, PRESENTATION ON LAUNCH GRANT (BY SCHENECTADY COMMUNITY ACTION PROGRAM), HEROIN AND OPIATE WORK GROUP DISCUSSION, AND CHIP NEXT STEPS, TOBACCO/NICOTINE WORK DISCUSSION, AND CHIP NEXT STEPS, PARTNER UPDATES ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CANCER SERVICES PROGRAM, CAPITAL ROOTS, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, CAPITAL REGION CHAMBER, EMPOWER HEALTH (CITY MISSION OF SCHENECTADY), HEALTHY CAPITAL DISTRICT INITIATIVE, INDEPENDENT LIVING CENTERS OF THE HUDSON VALLEY, IN OUR OWN VOICES, SCHENECTADY INNER-CITY MISSION, NEW CHOICES RECOVERY CENTER, CATHOLIC CHARITIES, ST. PETERS HEALTH PARTNERS, ALLIANCE FOR BETTER HEALTH OCTOBER 25, 2019 TOPICS: TRAUMA-INFORMED WORK GROUP UPDATES AND PLANNING ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG TERM CARE SERVICES, ELLIS PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) PROGRAM, SAFE INC., SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ELLIS HOSPITAL, CAPITAL DISTRICT LIBRARY COUNCIL, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK-HUDSON, YWCA OF NORTHEASTERN NEW YORK, ALLIANCE FOR POSITIVE HEALTH, NISKAYUNA COMMUNITY ACTION PROGRAM |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 | NOVEMBER 21, 2019 TOPICS: HEROIN AND OPIATE TASK FORCE - HOSPITAL ACTIVITIES: ELLIS ER, ELLIS PSYCHIATRY, HEROIN AND OPIATE TASK FORCE - HOMETOWN HEALTH (FQHC) ACTIVITIES, HEROIN AND OPIATE TASK FORCE - PHARMACIST ROLE, HEROIN AND OPIATE TASK FORCE - COUNTY JAIL ACTIVITIES, HEROIN AND OPIATE TASK FORCE - SCHENECTADY CARE (LAW ENFORCEMENT CONNECTION), HEROIN AND OPIATE TASK FORCE - OD2A GRANT FUNDING ATTENDEES: SCHENECTADY POLICE DEPARTMENT, CONIFER PARK, ELLIS HOSPITAL, NEW CHOICES RECOVERY CENTER, HOMETOWN HEALTH CENTERS, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CATHOLIC CHARITIES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES 2. ENGAGEMENT OF CONSUMERS THROUGH COMMUNITY TELEPHONE SURVEY: THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) CONDUCTED ITS THIRD COMMUNITY HEALTH SURVEY OF RESIDENTS IN THE CAPITAL DISTRICT FROM DECEMBER 9 18, 2018. THE AIM OF THE SURVEY WAS TO CONTINUE TO LEARN MORE ABOUT BEHAVIORAL HEALTH/LIFESTYLE PRACTICES, HEALTH CARE UTILIZATION AND NEEDS, CHALLENGES TO PRACTICING HEALTHY BEHAVIORS AND ACCESSING CARE AS WELL AS OTHER SOCIAL DETERMINANTS OF HEALTH. THE SIENA COLLEGE RESEARCH INSTITUTE (SCRI) WAS CONTRACTED TO COLLECT THE DATA FOR THIS COMMUNITY HEALTH SURVEY. A RANDOM SAMPLING DESIGN WAS APPLIED TO RECRUIT A REPRESENTATIVE SAMPLE OF RESIDENTS OF THE CAPITAL DISTRICT (INCLUDING THE COUNTIES OF ALBANY, COLUMBIA, GREENE, RENSSELAER, SARATOGA, AND SCHENECTADY) AND AUGMENTED BY AN OVERSAMPLE OF LOWER INCOME INDIVIDUALS (DEFINED AS YEARLY HOUSEHOLD INCOME OF NO MORE THAN $50,000). THE SAMPLE FROM EACH COUNTY WAS STATISTICALLY WEIGHTED TO THE PROPORTIONATE SHARE OF THE POPULATION OF THE ENTIRE REGION MAKING THE OVERALL MARGIN OF ERROR INCLUDING THE DESIGN EFFECTS OF WEIGHTING +/- 3.4 PERCENTAGE POINTS ACROSS THE SAMPLE OF 1204 RESIDENTS AT THE 95% CONFIDENCE LEVEL. ADDITIONALLY SEPARATE WEIGHTED ESTIMATES WERE PREPARED FOR: 1) ALBANY, RENSSELAER (N=529), 2) COLUMBIA, GREENE (N=258) 3) SARATOGA (N=226), 4) SCHENECTADY (N=191 AT MOE +/- 8.9%), AND 5) LOWER INCOME RESPONDENTS ACROSS THE SIX COUNTIES (N=724). THE DATA COLLECTION INSTRUMENT WAS DEVELOPED BY HCDI IN COLLABORATION WITH THE PREVENTION AGENDA WORKGROUP AND SIENA COLLEGE. THE BEHAVIORAL QUESTIONS WERE ASKED IN REFERENCE TO A 12-MONTH PERIOD TO IMPROVE CONSISTENCY IN RESPONSE. THE QUESTIONNAIRE WAS PILOT TESTED BEFORE ADOPTED FOR USE. TRAINED INTERVIEWERS AT SIENA COLLEGE ADMINISTERED THE QUESTIONNAIRE TO ENSURE FIDELITY OF THE DATA. PARTICIPANTS WHO WERE 18 YEARS OF AGE OR OLDER AND ELIGIBLE TO TAKE PART IN THE STUDY WERE INTERVIEWED ON THEIR CELLPHONES OR LANDLINES. THE QUESTIONNAIRE TOOK APPROXIMATELY 15 MINUTES TO COMPLETE AND A RESPONSE RATE OF 8.2% WAS OBTAINED. UP TO SEVEN ATTEMPTS WERE MADE BEFORE PARTICIPANTS WERE CLASSIFIED AS NON-RESPONSE. THE PARTICIPANTS WERE NOT COMPENSATED TO TAKE PART IN THE SURVEY. ADDITIONALLY, 301 SURVEYS WERE COMPLETED ONLINE. WHEN ASKED TO RANK THE SERIOUSNESS OF PUBLIC HEALTH ISSUES "IN YOUR COMMUNITY," SCHENECTADY RESIDENTS SURVEYED CHOSE MENTAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AS MOST SIGNIFICANT. THE TOP FIVE TOPICS LISTED AS "VERY SERIOUS" BY OVERALL PERCENTAGE WERE: 1) DRUG ABUSE INCLUDING OPIOID ADDICTION 39% 2) MENTAL ILLNESS INCLUDING SUICIDE 36% 3) ALCOHOL ABUSE 34% 4) TOBACCO USE AND RELATED ILLNESS 33% 5) UNSAFE SEXUAL ACTIVITY INCLUDING TEEN PREGNANCY AND STDS 31% ALTHOUGH THE SURVEY RESPONSES OF SCHENECTADY RESIDENTS GENERALLY MIRRORED THOSE OF THE OVERALL CAPITAL REGION, THERE WERE A NUMBER OF NOTABLE VARIANCES FROM THE REGION OR WITHIN THE COUNTY. THESE INCLUDED: -VERY-LOW-INCOME SCHENECTADY RESIDENTS REPORT POOR HEALTH AT A VERY HIGH RATE. COUNTYWIDE, ONLY 4% OF RESPONDENTS REPORT "POOR" HEALTH; REGIONWIDE, 11% OF VERY-LOW-INCOME (LESS THAN $25,000/YEAR) REPORT "POOR" HEALTH; BUT IN SCHENECTADY, 20% OF VERY-LOW-INCOME RESIDENTS REPORT "POOR" HEALTH. -YOUNGER SCHENECTADIANS IN PARTICULAR ARE MORE LIKELY TO BE IN GOOD PHYSICAL HEALTH THAN IN GOOD MENTAL HEALTH. MORE THAN HALF (53%) OF RESPONDENTS UNDER AGE 55 REPORT NO DAYS WHEN THEIR PHYSICAL HEALTH WAS NOT GOOD," WHILE ONLY ABOUT A THIRD (34%) OF THIS AGE CATEGORY REPORT NO DAYS WITH THEIR MENTAL HEALTH NOT GOOD." -LOW-INCOME, LOW-EDUCATION SCHENECTADY RESIDENTS REPORT VERY HIGH RATES OF TOBACCO USE. REGIONWIDE, 20% OF LOW-INCOME (UNDER $50,000) RESIDENTS SMOKE OR USE TOBACCO EVERY DAY, WHILE THAT SHARE IS FIFTY PERCENT HIGHER IN SCHENECTADY COUNTY, AT 30%. WITHIN SCHENECTADY COUNTY, 18% OF THE TOTAL POPULATION SMOKES OR USES TOBACCO EVERY DAY, DOUBLING TO 36% FOR PEOPLE WITH A HIGH SCHOOL DEGREE OR LESS. -FOOD INSECURITY REMAINS A PROBLEM FOR VERY LOW-INCOME SCHENECTADY RESIDENTS. MORE THAN HALF (52%) OF VERY-LOW-INCOME RESPONDENTS REPORT NOT HAVING ENOUGH MONEY TO BUY FOOD AT LEAST ONCE IN THE PAST 12 MONTHS, FIFTY PERCENT HIGHER THAN THE REGIONWIDE RESPONSE OF 36%. -IT APPEARS THAT, IN SCHENECTADY AT LEAST, MONEY DOES BUY HAPPINESS. ABOUT A THIRD (31%) OF VERY-LOW-INCOME RESIDENTS REPORT FEELING "OVERWHELMED OR STRESSED" ALL SEVEN DAYS OF THE WEEK, WHILE ONLY 2% OF RESPONDENTS WITH INCOMES OF $50,000 OR OVER REPORT THAT MUCH STRESS. CONVERSELY, A NEARLY IDENTICAL SHARE (34%) OF HIGHER-INCOME RESIDENTS REPORT NEVER FEELING "OVERWHELMED OR STRESSED OUT." 3. ENGAGEMENT OF COMMUNITY ORGANIZATIONS AND CONSUMERS THROUGH WRITTEN COMMENTS RECEIVED ON 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES: AS REQUIRED, ELLIS HOSPITAL POSTED THE 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES ON ITS PUBLIC WEBSITE. (SEE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX). IN ADDITION, THE IMPLEMENTATION STRATEGIES WERE INCLUDED IN THE IRS FORMS 990 SCHEDULE H ALSO POSTED ON THE HOSPITAL'S WEBSITE. ELLIS HOSPITAL SOLICITED PUBLIC COMMENT VIA A "CONTACT US" FORM ON ITS WEBSITE (HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX), THROUGH ITS FACEBOOK PRESENCE (HTTPS://WWW.FACEBOOK.COM/ELLISMEDICINENY) AND ON TWITTER (HTTPS://TWITTER.COM/ELLISMEDICINE) WITH ALL ACCOUNTS ACTIVELY MONITORED BY STAFF FROM THE COMMUNICATIONS AND MARKETING OFFICE. THE HOSPITAL ALSO SOLICITED PUBLIC COMMENTS THROUGH THE REGULAR MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). NO WRITTEN COMMENTS WERE RECEIVED REGARDING THE 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES. VERBAL COMMENTS WERE RECEIVED, HOWEVER, DURING MEETINGS OF SCHC AND WERE USED TO MODIFY AND MAKE MID-COURSE CORRECTIONS TO THE OVERALL IDENTIFICATION, EVALUATION, AND PRIORITIZATION OF HEALTH NEEDS. THE MOST SIGNIFICANT COMMENTS RELATED TO PRIORITY MODIFICATIONS SO AS TO BE ABLE TO TAKE ADVANTAGE OF OPPORTUNITIES WHICH OCCURRED BETWEEN ADOPTION OF THE 2013 AND 2016 DOCUMENTS. THIS PARTICULARLY INVOLVED ELEVATION OF THE PRIORITY OF FOOD INSECURITY (INITIALLY LISTED AS TIER B) AS SEVERAL FUNDING OPPORTUNITIES BECAME AVAILABLE. GREATER KNOWLEDGE OF THE IMPACT OF FOOD INSECURITY ON THE OVERALL WELL-BEING OF INDIVIDUALS AND FAMILIES IN SCHENECTADY THEN LED TO IT INCLUSION AS A COMPONENT IN THE OBESITY/DIABETES INITIATIVE FOR 2016. GIVEN THIS EXPERIENCE, THE PARTNERS UNDERTOOK A COLLABORATIVE REGIONAL EFFORT TO MORE AGGRESSIVELY ENCOURAGE WRITTEN COMMENTS ON THE 2019 REGIONAL CHNA EARLY IN ITS DEVELOPMENT PROCESS. HCDI PROVIDED A LINK TO THE NEAR-FINAL DRAFT AND AN ACCOMPANYING ON-LINE QUESTIONNAIRE, WHILE ALL OF THE REGIONAL HOSPITALS AND PUBLIC HEALTH DEPARTMENTS (INCLUDING ELLIS) PROMINENTLY POSTED THE LINK ON QUESTIONNAIRE ON THEIR PUBLIC WEBSITES DURING MAY AND JUNE 2019. THIS POSTING THROUGHOUT THE ENTIRE SIX-COUNTY REGION RESULTED IN 30 WRITTEN COMMENTS. THE WRITTEN COMMENTS INDICATE THAT COMMENTERS FOUND THE DRAFT CHNA EASY TO UNDERSTAND (67% = EASY OR VERY EASY VS. 3% DIFFICULT) AND GENERALLY INFORMATIVE (33% = EXTREMELY INFORMATIVE, 53% = INFORMATIVE, 13% = SOMEWHAT INFORMATIVE). SOME COMMENTERS IDENTIFIED APPARENT ERRORS AND MADE SUGGESTIONS FOR IMPROVEMENT WHICH WERE INCORPORATED IN THE FINAL REGIONAL CHNA. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 11 | CHRONIC DISEASE OBESITY AND DIABETES: -ELLIS EMBARKED ON A TWO-PRONGED APPROACH TO ISSUES OF DIABETES AND OBESITY: 1) SPECIFIC DIABETES EDUCATION PROGRAMS WERE DEVELOPED AND DELIVERED IN THE COMMUNITY AND 2) WEIGHT LOSS AND PHYSICAL EXERCISE PROGRAMS WERE IMPLEMENTED FOR VARYING TARGET GROUPS. -ELLIS AND PARTNERS PILOTED THE "LEARN TO LIVE WELL" DIABETES PROGRAM FOR PARISHIONERS AND COMMUNITY MEMBERS AT THE ZION LUTHERAN CHURCH; THE FOUR-SESSION CURRICULUM INCLUDED A PRESENTATION BY ELLIS CERTIFIED DIABETES EDUCATORS. -ELLIS STAFF MET WITH REPRESENTATIVES FROM THE CITY MISSION AND THE LOCAL HINDU TEMPLE TO EXPLORE DIABETES PROGRAMMING THROUGH THEIR ORGANIZATIONS. -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES RECEIVED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH SUPPORTED INCREASED SCREENING FOR DIABETES IN HIGH RISK POPULATIONS. ELLIS WAS A SUBCONTRACTOR UNDER THE GRANT. -THE PICH GRANT ALSO SUPPORTED TRAINING OF ELLIS DIABETES CARE STAFF AS LIFESTYLE COACHES FOR THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), WHICH IS OFFERED AT ELLIS MEDICINE LOCATIONS STARTING IN OCTOBER 2016. IN LATE 2018, THE ELLIS DDP PROGRAM RECEIVED RECOGNITION FROM THE CENTERS FOR DISEASE CONTROL (CDC). -AN EMBEDDED DIABETES CARE MANAGER WAS PLACED AT ELLIS FAMILY HEALTH CENTER AS PART OF THE PICH GRANT TO WORK ON POLICIES AND SYSTEMS RELATED TO DIABETES MANAGEMENT IN A PRIMARY CARE SETTING, INCLUDING REFERRALS TO THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. -WITH ASSISTANCE FROM ELLIS MEDICINE IT STAFF, A REGISTRY OF PATIENTS WITH DIABETES WAS DEVELOPED FOR ELLIS FAMILY HEALTH CENTER TO FACILITATE IMPROVED CARE. -ELLIS STAFF AND LOCAL COLLEGE STUDENTS MET WITH NEIGHBORHOOD ASSOCIATIONS TO CONDUCT A COMMUNITY ASSET MAPPING; THIS INVENTORY IS TO BE USED TO ASSESS THE VIABILITY OF A CITY-WIDE PHYSICAL ACTIVITY PROGRAM. -ELLIS HELD A PHYSICAL ACTIVITY FIELD DAY FOR LOCAL YOUTH IN PARTNERSHIP WITH UNION COLLEGE. -ELLIS ENGAGED ITS OWN EMPLOYEES IN COMPETITIVE WALKING EVENTS AND OTHER WEIGHT-LOSS ACTIVITY; PARTICIPATION COUNTS TOWARD REDUCTIONS IN HEALTH INSURANCE PREMIUMS. -THE HEALTHY FOOD ACCESS WORKGROUP, RENAMED THE DIABETES/OBESITY WORKGROUP, MET THREE TIMES DURING 2017. AVERAGE ATTENDANCE FOR THE MEETINGS WAS 13 PEOPLE. THIS GROUP'S MAIN FOCUS DURING THE YEAR WAS TO STEER THE FOOD ACCESS FOCUSED WORK OF THE "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH HAD BEEN AWARDED TO SCHENECTADY COUNTY PUBLIC HEALTH SERVICES. THIS GROUP WORKED WITH SIX FOOD PANTRIES IN SCHENECTADY COUNTY TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS DISTRIBUTED TO CLIENTS. THIS INCLUDES INCREASING OPTIONS FOR FRUITS AND VEGETABLES AS WELL AS WHOLE GRAINS AND LOW-FAT DAIRY. IMPLEMENTATION EFFORTS AT FOOD PANTRIES INCLUDE "POLICY, SYSTEMS AND ENVIRONMENTAL" (PSE) IMPROVEMENTS. EXAMPLES OF THESE PSE STRATEGIES INCLUDE SIGNAGE TO PROMOTE THE FOOD GROUPS WITH A NUTRITION MESSAGE, MOVING ITEMS ON SHELVES TO HIGHLIGHT FRUITS AND VEGETABLES AT EYE LEVEL, AND IMPROVING THE DISPLAYS FOR FRESH PRODUCE TO MAKE THE FOOD PANTRIES LOOK MORE LIKE A MARKET. RECIPES AND COOKING DEMONSTRATIONS WERE ALSO DONE AT FOOD PANTRIES TO INCREASE THE LIKELIHOOD OF CLIENTS CHOOSING THE HEALTHIER OPTIONS. EACH PANTRY THAT IS ENGAGED IN THIS WORK IN SCHENECTADY COUNTY IS DOING A DIFFERENT COMBINATION OF INTERVENTIONS TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS BECAUSE EACH PANTRY USES A SLIGHTLY DIFFERENT MODEL TO DELIVER FOODS TO CLIENTS. SOME PANTRIES ARE A CHOICE MODEL, WHERE CLIENTS GET TO CHOOSE ALL THE FOODS THEY TAKE WITH THEM WHILE SOME PROVIDE PRE-PACKED FOOD BOXES AND SOME ARE A MIX OF BOTH MODELS. THE DIFFERENT PANTRY MODELS LEND THEMSELVES TO DIFFERENT INTERVENTIONS WORKING BETTER THAN OTHERS. THE DIABETES/OBESITY WORKGROUP ASSISTED PANTRIES IN DECIDING WHAT INTERVENTIONS WOULD WORK BEST FOR THEIR MODEL. GIVEN THE COMPLETION OF THE GRANT PERIOD, AND THE ABILITY OF MEMBER ORGANIZATIONS TO PURSUE EVIDENCE-BASED FOOD POLICIES, THE WORKGROUP DISCONTINUED MEETING AFTER 2017. -THEREAFTER, SIX FOOD PANTRIES CONTINUED TO SUSTAIN POLICY, SYSTEMS AND ENVIRONMENTAL CHANGES TO OFFER HEALTHIER FOOD OPTIONS TO FOOD PANTRY CLIENTS. THESE INTERVENTIONS INCLUDE SIGNAGE TO INDICATE HEALTHY OPTIONS WITH A NUTRITION MESSAGE, MOVING HEALTHY ITEMS TO EYE LEVEL ON SHELVING, AND IMPROVING DISPLAYS OF FRESH PRODUCE TO MAKE THEM LOOK MORE APPEALING. RECIPES AND FOOD DEMONSTRATIONS ARE ALSO DONE AT FOOD PANTRIES INCREASING THE LIKELIHOOD OF CLIENTS CHOOSING HEALTHIER OPTIONS THEY MAY NOT BE AS FAMILIAR WITH. EACH PANTRY THAT IS ENGAGED IN THIS WORK IN SCHENECTADY COUNTY CONTINUES TO HAVE A DIFFERENT COMBINATION OF INTERVENTIONS TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS BECAUSE EACH PANTRY USES A SLIGHTLY DIFFERENT MODEL TO DELIVER FOODS TO CLIENTS. IN 2018, NEW WORK BEGAN WITH FOUR (THREE OVERLAPPING WITH PREVIOUS WORK) FOOD PANTRIES IN SCHENECTADY COUNTY TO OFFER CHRONIC DISEASE-SPECIFIC FOOD PACKAGES. FOOD PACKAGES FOR DIABETES AND HYPERTENSION ARE GIVEN OUT TO CLIENTS INDICATING THEY HAVE SOMEONE IN THEIR FAMILY WITH EITHER CONDITION OR SOMEONE AT RISK FOR THE CONDITIONS. THE FOOD PACKAGES INCLUDE HEALTHIER OPTIONS TO ASSIST IN THE MANAGEMENT OR PREVENTION OF DIABETES AND HYPERTENSION THROUGH NUTRITION. EXAMPLES OF FOODS IN THE DIABETES/HYPERTENSION PACKAGES INCLUDE WHOLE WHEAT PASTA, BROWN RICE, NO SUGAR ADDED CANNED FRUIT AND NO SALT ADDED CANNED VEGETABLES. INFORMATION ABOUT THE CONDITIONS AND MANAGEMENT OF THEM IS ALSO INCLUDED IN THE FOOD PACKAGES. CLIENTS CAN GET THE FOOD PACKAGES EACH TIME THEY COME TO THE FOOD PANTRY BY INDICATING THEIR INTEREST IN THE PROGRAM WHEN ASKED. IN ADDITION THE FOOD, A REGISTERED DIETICIAN FROM CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY PROVIDED TECHNICAL ASSISTANCE TO THE FOOD PANTRIES TO MODIFY THE FOOD PACKAGES AND PROVIDES NUTRITION EDUCATION AT EACH OF THE FOOD PANTRIES ONE TIME A MONTH. INDIVIDUALS WHO ARE EXPERIENCING FOOD INSECURITY ARE BEING IDENTIFIED THROUGH THIS WORK BY SCREENING INDIVIDUALS AT COMMUNITY BASED ORGANIZATIONS AND HEALTH INSURERS AND REFERRING THEM TO FOOD PANTRIES THAT ARE OFFERING HEALTHY OPTIONS AND CHRONIC DISEASE SPECIFIC FOOD PACKAGES IF THEY HAVE THAT NEED. -IN OCTOBER 2016, ELLIS DIABETES CARE STARTED THE FIRST DIABETES PREVENTION PROGRAM (DPP) IN THE COMMUNITY IN A NUMBER OF YEARS. THE DPP IS A LIFESTYLE CHANGE PROGRAM TO PREVENT DIABETES. IT RUNS 16 CONSECUTIVE WEEKS AND THEN MONTHLY MAINTENANCE SESSIONS FOR THE REMAINDER OF A YEAR. IN 2018, THERE WERE 2 CLASSES STARTED. THE FIRST CLASS STARTED IN APRIL 2018 AND HAD AN AVERAGE ATTENDANCE OF 14 PARTICIPANTS; THIS GROUP WAS IN THE MAINTENANCE PHASE AT THE END OF THE YEAR. A SECOND CLASS STARTED IN SEPTEMBER 2018 AND HAS AN AVERAGE ATTENDANCE OF 12 PARTICIPANTS. AS OF DECEMBER 31, 2018, THIS CLASS IS IN THE INITIAL 16 WEEKS, MEETING ONCE A WEEK. IN JULY 2018, SCHENECTADY'S DPP WAS GRANTED PRELIMINARY RECOGNITION FROM THE CDC AND CONTINUED TO SUBMIT DATA EVERY SIX MONTHS TO THE CDC IN ORDER TO REACH FULL RECOGNITION, WHICH WAS GRANTED AT THE END OF 2018. CDC-RECOGNIZED PROGRAMS ARE ABLE TO APPLY FOR REIMBURSEMENT THROUGH MEDICARE. ELLIS MEDICINE WILL PURSUE MEDICARE REIMBURSEMENT FOR DPP SERVICES ONCE A SUFFICIENT VOLUME OF MEDICARE-COVERED PARTICIPANTS IS ACHIEVED. -IN ADDITION TO THE DPP, ELLIS DIABETES CARE ALSO OFFERS DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAMS FOR INDIVIDUALS ALREADY DIAGNOSED WITH DIABETES. THEY RECEIVE REFERRALS FROM ELLIS PRACTICES BUT ALSO COMMUNITY BASED ORGANIZATIONS AND OTHER MEDICAL PROVIDERS IN THE COMMUNITY. ONE OF OUR GOALS IS INCREASE REFERRALS TO DSME AND INCREASE THE NUMBER OF INDIVIDUALS WHO FOLLOW THROUGH ON THEIR REFERRAL AND ATTEND AT LEAST ONE SESSION OF DSME. THE INCREASED CONVERSION RATE MEANS THAT MORE PATIENTS ARE GETTING THE BENEFIT OF LEARNING MANAGEMENT SKILLS FOR THEIR DIABETES. -SCPHS PROVIDED FUNDING THROUGH THE PICH GRANT TO TRAIN ELLIS MEDICINE STAFF AS "LIFESTYLE COACHES" TO DELIVER THE DPP. SCPHS ALSO SUPPORTED THE PROMOTION OF THE CLASSES THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND SHARING FLYERS WITH LOCAL PARTNERS. THE PICH GRANT WAS ABLE TO PURCHASE INCENTIVES FOR THE PROGRAM TO HELP PEOPLE TO CONTINUE COMING TO THE PROGRAM. -ELLIS MEDICINE PROVIDES STAFF FOR RUNNING BOTH THE DPP AND DSME PROGRAMS, BOTH OF WHICH ARE HOUSED IN ELLIS DIABETES CARE. THEY ALSO PROVIDE RESOURCES TO PROMOTE THESE PROGRAMS IN THE COMMUNITY AND TO THEIR EMPLOYEES. ELLIS DIABETES CARE COLLECTS ALL THE DATA THAT IS NEEDED FOR THESE PROGRAMS AND MONITORS PROGRESS WITH REFERRALS. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 11 | - FUNDING FROM THE COMMUNITY FOUNDATION FOR THE GREATER CAPITAL REGION TO SUPPORT THE CONTINUED WORK WITH FOOD PANTRIES IS HELPFUL IN KEEPING MOMENTUM FOR THESE ACTIVITIES MOVING FORWARD. THE FUNDING SUPPORTS EDUCATION FOR FOOD PANTRY CLIENTS, THE PURCHASE OF HEALTHIER FOOD OPTIONS, AND SUPPORT FROM CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY. ELLIS MEDICINE'S MULTIPLE PRIMARY CARE OFFICES AND OUTPATIENT EDUCATION SERVICES PROVIDE DIRECT INTERFACE WITH COMMUNITY MEMBERS WHO ARE FOOD INSECURE AND COULD BENEFIT FROM ACCESSING HEALTHY FOODS AT THE LOCAL FOOD PANTRIES. ELLIS CARE MANAGERS ALSO HAVE THESE INTERACTIONS WITH THEIR PATIENTS AND PROVIDE THESE REFERRALS TO COMMUNITY BASED ORGANIZATIONS INCLUDING FOOD PANTRIES. CDPHP RECENTLY STARTED UTILIZING THEIR CARE MANAGERS TO SCREEN FOR FOOD INSECURITY AND MAKE APPROPRIATE REFERRALS BASED ON THE OUTCOME. UTILIZING THE MEDICAL COMMUNITY AS A POINT OF ENTRY FOR ACCESS TO COMMUNITY MEMBERS WHO CAN BENEFIT FROM VARIOUS COMMUNITY PROGRAMS HAS BEEN A HELPFUL PARTNERSHIP TO HAVE. CITY MISSION'S EMPOWER HEALTH PROGRAM HAS ALSO BEEN INSTRUMENTAL IN SCREENING FOR FOOD INSECURITY IN THE COMMUNITY AND PROVIDING REFERRALS TO FOOD PANTRIES AS NEEDED. THE FOOD PANTRIES ARE VERY INTERESTED IN THIS WORK AND SEE THE IMPORTANCE OF OFFERING HEALTHY OPTIONS FOR THEIR CLIENTS. PANTRIES UNDERSTAND THAT MANY OF THEIR CLIENTS ARE UTILIZING THE PANTRIES ON A MONTHLY BASIS AS A PART OF THEIR FOOD BUDGETING AND THUS THE FOOD THAT THEY RECEIVE IS A BIG PART OF THEIR DIETS EVERY MONTH. THE NUTRITION EXPERTISE THAT CORNELL COOPERATIVE EXTENSION (SCHENECTADY COUNTY) BRINGS WAS VERY IMPORTANT IN MOVING THE WORK WITH THE FOOD PANTRIES FORWARD. MENTAL HEALTH AND SUBSTANCE ABUSE - SUICIDE AND MENTAL/EMOTIONAL/BEHAVIORAL INFRASTRUCTURE: -THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES (THE LOCAL GOVERNMENT'S MENTAL HEALTH AND SUBSTANCE USE DISORDERS UNIT) AND ELLIS UNDERTOOK A COLLABORATION TO FORM WORK GROUPS EVALUATING MENTAL HEALTH NEEDS. -IN COLLABORATION WITH RESEARCHERS FROM THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND STUDENTS AT UNION COLLEGE, A PROJECT TO FOCUS ON THE CHNA-IDENTIFIED EXCESS NUMBER OF DRUG-ADDICTED NEWBORNS IN SCHENECTADY RECEIVED ELLIS INSTITUTIONAL REVIEW BOARD (IRB) APPROVAL TO CONDUCT CHART REVIEWS OF NEWBORNS WITH A POSITIVE DRUG SCREEN. -THE STUDY EVALUATED THE MOST COMMONLY ABUSED DRUGS AND DEMOGRAPHICS OF THE NEWBORNS' MOTHERS. BECAUSE OF THE SMALL SAMPLE SIZE, NO FINAL CONCLUSIONS WERE REACHED. -ELLIS AND SCPHS WORKED WITH HCDI WHICH IS COMPILING MENTAL HEALTH AND SUBSTANCE USE DATA FROM SUCH STANDARDIZED SURVEY TOOLS AS BRFSS AND SCHOOL CLIMATE SURVEY TO ANALYZE AMONG THE CAPITAL REGION COUNTIES. THE SURVEY INFORMATION CONTINUES TO FLAG THE NEWBORN DRUG-RELATED DIAGNOSIS RATE IN SCHENECTADY COUNTY AS A CRITICAL ISSUE COMPARED WITH THE REGION, ALTHOUGH THE SINGLE YEAR RATE DID DIP SLIGHTLY. OTHER INDICATORS FOR WHICH SCHENECTADY COUNTY EXCEEDS THE REGIONAL RATE ARE POST TRAUMATIC STRESS DISORDER (3.8% VS. 3.1%) AND SUBSTANCE ABUSE-OTHER (9.3% VS. 7.7%). SPECIFIC SCHENECTADY NEIGHBORHOODS, HOWEVER, GREATLY EXCEED REGIONAL RATES ON MULTIPLE INDICATORS; FOR EXAMPLE THE SCHENECTADY STOCKADE RATES EXCEED REGIONAL RATES ON 14 OF 18 INDICATORS, WHILE THE DEMENTIA RATE IN SCOTIA/GLENVILLE IS 83% ABOVE THE REGIONAL RATE. -DURING 2016, THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. THE SITE, HOWEVER, CHOSE NOT TO RENEW THE DESIGNATION. -THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) INITIATED A MENTAL/ EMOTIONAL/BEHAVIORAL (MEB) WORKGROUP TO DISCUSS SUICIDE PREVENTION EFFORTS IN THE COMMUNITY. IN MARCH 2017, SCHC AND SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HELD A SUICIDE PREVENTION DAY OF DIALOGUE THAT BROUGHT TOGETHER COALITION PARTNERS, STATE LEADERS, COMMUNITY BASED ORGANIZATIONS, MEMBERS OF THE COMMUNITY TO DISCUSS THE ISSUE OF SUICIDE IN THE COMMUNITY AND WHAT CAN BE DONE TO PREVENT IT. ABOUT 30 INDIVIDUALS ATTENDED THE FORUM. THE SECOND HALF OF THE DAY WAS SPENT ON TRAINING THE GROUP IN THE EVIDENCE-BASED SUICIDE PREVENTION TRAINING CALL "QUESTION, PERSUADE, REFER." IT WAS IMPORTANT TO GIVE PARTICIPANTS PRACTICAL SKILLS TO TAKE BACK TO USE IN THEIR ORGANIZATIONS OR LIVES AS WELL AS START THE BROADER CONVERSATION ABOUT SUICIDE PREVENTION IN THE COMMUNITY. FROM THIS DAY OF DIALOGUE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HAS DECIDED TO RE-ENGAGE A PREVIOUSLY FORMED SUICIDE PREVENTION COALITION. THIS GROUP WILL LOOK AT COUNTY LEVEL DATA AND DEVELOP STRATEGIES TO IMPROVE SUICIDE PREVENTION EFFORTS INCLUDING TRAINING IN THE COMMUNITY. THE COALITION IS STILL INTERESTED IN OFFERING MENTAL HEALTH FIRST AID TRAININGS IN THE COMMUNITY AS AN ADDITIONAL EVIDENCE-BASED INTERVENTION; HOWEVER THE COST OF DOING SO HAS BECOME A BARRIER. -ELLIS MEDICINE HAS ASSISTED IN PLANNING WORKGROUP MEETINGS AS WELL AS PROVIDING INPUT DURING THESE GROUPS. THEIR ACCESS TO PRIMARY CARE DOCTORS AS WELL AS MENTAL HEALTH PROFESSIONALS REMAINS OF KEY IMPORTANCE IN MOVING THIS WORK FORWARD. -THE SCHENECTADY COMMUNITY RECOGNIZES SUICIDE PREVENTION AS AN IMPORTANT TOPIC TO INVESTIGATE. A SPECIFIC STRENGTH WE HAVE IN THIS AREA IS TOPIC EXPERTISE. WE HAVE A COALITION MEMBER WHO RETIRED FROM THE NEW YORK STATE SUICIDE PREVENTION CENTER AND THUS HAS VAST KNOWLEDGE IN THIS TOPIC THEY ARE ABLE TO SHARE. THIS PERSON IS ALSO CERTIFIED TO TEACH IN A NUMBER OF SUICIDE PREVENTION TRAININGS INCLUDING: ASIST (APPLIED SUICIDE INTERVENTION SKILLS TRAINING), SAFE TALK (SUICIDE AWARENESS FOR EVERYONE TELL ASK LISTEN KEEP SAFE), AND QPR (QUESTION, PERSUADE, REFER). -A CHALLENGE WE FACED WAS GETTING MOMENTUM GOING FOR THE TOPIC OF SUICIDE PREVENTION AND PREVENTION OF MEB DISEASE. THE COMMUNITY UNDERSTANDS THE MAGNITUDE OF THE ISSUE BUT DOESN'T FEEL CONFIDENT IN THE PREVENTION EFFORTS. THIS WAS ADDRESSED BY INTRODUCING THE TOPIC OF ADVERSE CHILDHOOD EXPERIENCES (ACES) AND TRAUMA PREVENTION TO THE COALITION. THESE TOPICS IMPACT THE DEVELOPMENT OF MEB DISEASES AND SUICIDE RATES BUT HAVE ROOT CAUSES THAT ARE BROADER THAN JUST SUICIDE. THE GOAL OF PRESENTING HIGHER UPSTREAM CAUSES WAS TO HAVE COALITION MEMBERS IDENTIFY THE TOPICS THEY CAN WORK ON THAT WILL ULTIMATELY AFFECT SUICIDE RATES. -THE ELLIS PEDIATRIC HEALTH CENTER RECEIVED A THREE-YEAR (EXTENDED TO FOUR YEARS) $354,500 GRANT FROM THE NEW YORK STATE OFFICE OF MENTAL HEALTH TO IMPLEMENT THE HEALTHY STEPS PROGRAM SUPPORTING AT-RISK FAMILIES WITH CHILDREN FROM BIRTH TO THREE YEARS OLD. THE GRANT ENABLED HIRING A HEALTHY STEPS SPECIALIST WHO IS ENGAGED IN EXPANDING AWARENESS OF THE ADVERSE CHILDHOOD EXPERIENCES (ACES) CONCEPT THROUGHOUT THE COMMUNITY. DURING 2018 AND 2019 ELLIS EXPLORED POTENTIAL OPPORTUNITIES TO SUSTAIN THE PROGRAM AFTER THE GRANT TERMINATES IN 2020. A COLLABORATION WAS DEVELOPED WITH THE SCHENECTADY COMMUNITY ACTION PROGRAM (SCAP) WHICH SUCCESSFULLY APPLIED FOR AND RECEIVED A FEDERAL "PROJECT LAUNCH" GRANT (ONE OF ONLY 18 NATIONWIDE) TO, AMONG OTHER PROJECTS, SUPPORT THE HEALTHY STEPS PROGRAM FOR AN ADDITIONAL FIVE YEARS THROUGH SUB-CONTRACT. -THE OFFICE OF COMMUNITY SERVICES PROVIDED TRAUMA-INFORMED CARE TRAINING TWO TIMES FOR SCHENECTADY COUNTY FOSTER PARENTS, AVERAGING 15 PARTICIPANTS EACH. ADDITIONALLY, OCS TRAINED ELLIS MEDICINE'S OUTPATIENT ADULT MENTAL HEALTH CLINIC STAFF ON TRAUMA-INFORMED CARE AND SUICIDE PREVENTION; 45 PARTICIPANTS ATTENDED THAT TRAINING. A TRAUMA-INFORMED CARE TRAINING CLASS WAS HOSTED BY THE UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE; 10 PEOPLE FROM SCHENECTADY COUNTY ATTENDED. THE TITLE WAS "TRAUMA PAST TRAUMA PRESENT: UNDERSTANDING AND APPLYING IMPORTANT SKILLS IN TRAUMA INFORMED PHASE ORIENTED TREATMENT." THE TRAINER WAS DR. ALLISON JACKSON. -SCHENECTADY CITY SCHOOL DISTRICT IS ALSO ENGAGED IN WORK AROUND TRAUMA, CREATING TRAUMA-SENSITIVE SCHOOLS. IN MAY 2018, SCHENECTADY HIGH SCHOOL HELD A MENTAL HEALTH FAIR IN THE EVENING FOR BOTH STUDENTS AND PARENTS. NUMEROUS COMMUNITY RESOURCES WERE SHARED AND THEN A SCREENING OF THE FILM "RESILIENCE" WAS HELD WITH A DISCUSSION PANEL AFTER. OVER 100 PEOPLE ATTENDED THE EVENT. -THE DUAL RECOVERY TASK FORCE, LED BY THE OFFICE OF COMMUNITY SERVICES, MEETS NINE TIMES A YEAR WITH AN AVERAGE ATTENDANCE OF 16 INDIVIDUALS. THE DUAL RECOVERY TASK FORCE INCLUDES PROVIDERS FROM BOTH MENTAL HEALTH AND SUBSTANCE ABUSE, MAKING AN IMPORTANT CONNECTION FOR TREATING THOSE WITH DUAL DIAGNOSES. THE GROUP HAD 13 DIFFERENT PRESENTATIONS AT THEIR MEETINGS ABOUT COMMUNITY RESOURCES FOR THOSE WITH A DUAL DIAGNOSIS. PROGRAMS THAT PRESENTED RANGED FROM OUTPATIENT MENTAL HEALTH CLINICS, TO HARM REDUCTION SERVICES AND HOUSING. THESE PRESENTATIONS BY COMMUNITY PROVIDERS ARE AN IMPORTANT STEP IN PROMOTING THEIR PROGRAMS AND MAKING SURE THE COMMUNITY IS AWARE OF ALL AVAILABLE RESOURCES. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 | -FOR 2018 AND 2019, THE TRAUMA INFORMED CARE WORKGROUPS THAT WERE ESTABLISHED IN 2017 MERGED INTO ONE GROUP UNDER THE NEW TITLE OF "TRAUMA-INFORMED COMMUNITY WORKGROUP." THIS GROUP HELD A BRAINSTORMING SESSION TO DETERMINE A MISSION, VISION, GOALS AND COMMON DEFINITIONS OF TRAUMA LANGUAGE (TRAUMA-INFORMED CARE, ACES, TOXIC STRESS, AND RESILIENCE). ONE OF THE GOALS OF THE GROUP WAS TO DETERMINE A BASELINE OF TRAUMA-INFORMED PRACTICES EACH PARTICIPATING ORGANIZATION IS USING. THIS BASELINE WOULD HELP DETERMINE NEXT STEPS FOR TRAINING NEEDS OF COMMUNITY BASED ORGANIZATIONS. THE GROUP DECIDED TO UTILIZE COORDINATED CARE SERVICES, INC.'S TOOL CALLED THE "TRAUMA-INFORMED CARE ORGANIZATIONAL SELF-ASSESSMENT TOOL" (TIC OSAT) FOR EACH ORGANIZATION. DURING THE FALL OF 2018, 11 ORGANIZATIONS REPRESENTED ON THE WORKGROUP COMPLETED SURVEYS USING THE TIC OSAT. THE SURVEY DIVIDES RESULTS INTO STAFF AND LEADERSHIP. LEADERSHIP AT THE 11 ORGANIZATIONS COMPLETED 36 SURVEYS AND STAFF COMPLETED 175. THE TIC OSAT SOFTWARE GENERATES REPORTS FOR EACH ORGANIZATION AND AN OVERALL REPORT COMBINING ALL ORGANIZATIONS. THE WORKGROUP ANALYZED THE RESULTS AT A MEETING IN NOVEMBER 2018 AND DETERMINED THAT WORKFORCE DEVELOPMENT AROUND TRAUMA-INFORMED CARE WAS WHERE THE WORK OF THE GROUP SHOULD START. THIS WAS FURTHER EXPLORED IN 2019. ONE EXCITING RESOURCE THAT THE GROUP WILL USE, AND SOME HAVE USED ALREADY, IS AN ONLINE LEARNING PROGRAM CALLED "INTRODUCTION TO ADVERSE CHILDHOOD EXPERIENCES FOR HEALTHCARE PROFESSIONALS." IT WAS DEVELOPED BY THE ALLIANCE FOR BETTER HEALTH'S (THE LOCAL DSRIP PPS) MEB WORKGROUP AND IS BROKEN DOWN INTO THREE MODULES THAT CAN BE TAKEN ALL TOGETHER OR AT DIFFERENT TIMES. THE COURSE PROVIDES A PRE- AND POST-TEST TO ASSESS KNOWLEDGE. -A "SAFE TALK" TRAINING CLASS WAS HELD ON AUGUST 27, 2018 AT THE MAIN BRANCH OF THE SCHENECTADY COUNTY LIBRARY WHERE 30 PEOPLE WERE TRAINED. THIS TRAINING WAS HOSTED BY NORTHERN RIVERS AND THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES. -SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES LEADS THE SCHENECTADY COUNTY SUICIDE PREVENTION COALITION WHICH WAS REESTABLISHED IN 2017 FOLLOWING A PERIOD WITHOUT MEETING. THE GROUP HAS REPRESENTATION FROM THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, AS WELL AS OTHERS WHO ARE NOT REPRESENTED IN THE LARGER COALITION, FOR A TOTAL LISTSERV MAILING LIST OF 50 INDIVIDUALS. THERE ARE FOUR QUARTERLY MEETINGS OF THE SUICIDE PREVENTION COALITION. THE SUICIDE PREVENTION COALITION ESTABLISHED FOUR PRIORITY AREAS TO WORK ON AS A GROUP. THESE INCLUDE: 1) CHANGE AND ELIMINATE STIGMA, 2) INCREASE COMMUNITY INVOLVEMENT, 3) ENCOURAGE NETWORKING BETWEEN PROVIDERS OF SERVICE AND THE COMMUNITY, AND 4) INCREASE PEER SERVICES. THE COALITION ESTABLISHED WORKGROUPS AROUND THESE TOPICS AREAS AND IS WORKING TO DETERMINE NEXT STEPS FOR THE WORKGROUPS. THE COALITION HAS STRUGGLED TO MAINTAIN INVOLVEMENT OVER TIME, AND BRAINSTORMING ABOUT HOW TO ADDRESS THIS ISSUE HAS OCCURRED DURING MEETINGS OF THE GROUP. IN 2019, A MISSION STATEMENT AND GOALS WAS DEVELOPED BY THE GROUP TO BETTER BE ABLE TO MARKET THE COALITION TO PARTNERS. THE SUBSTANCE USE DISORDER PREVENTION COALITION IS ANOTHER GROUP WORKING ON MEB AND SUBSTANCE USE PREVENTION IN THE COMMUNITY. THE COALITION IS CO-LED BY THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES AND NEW CHOICES RECOVERY CENTER. THE GROUP DEVELOPED AND DISTRIBUTED A RESOURCE LIST FOR PARTNERS TO PROMOTE THE EXISTING MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES IN THE COMMUNITY. ADDITIONAL ACTIVITIES INCLUDE PROMOTING COMMUNITY EVENTS, SUCH AS RECOVERY NETWORKS, AND DRUG TAKE BACK DAYS, AND REVIEWING DATA TO SET PRIORITIES. -ON JULY 25, 2018, A MENTAL HEALTH FIRST AID TRAINING WAS HELD IN SCHENECTADY WITH 32 PARTICIPANTS. THIS TRAINING WAS OFFERED FOR FREE THROUGH MENTAL HEALTH ASSOCIATION IN NEW YORK STATE (MHANYS). COST OF THESE TRAININGS IS A BARRIER TO OFFERING THEM MORE OFTEN; HOWEVER WHEN THEY ARE AVAILABLE FOR LOW OR NO COST, THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY PROMOTES THEM TO THE GROUP. THEY ARE ALSO PROMOTED THROUGH THE SUICIDE PREVENTION COALITION AND ITS WORKGROUPS. INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION: -ELLIS LED CREATION OF TWO REGION-WIDE HEALTH INNOVATIONS COLLABORATIONS A MEDICARE MSSP ACO ("INNOVATIVE HEALTH ALLIANCE OF NEW YORK" (IHANY)) AND A MEDICAID DSRIP PPS ("ALLIANCE FOR BETTER HEALTH" (AFBH)) BOTH WITH GOALS OF REDUCING INAPPROPRIATE HOSPITAL UTILIZATION. BOTH COLLABORATIONS WERE APPROVED FOR INAUGURATION IN 2015 THE ACO ON JANUARY 1 AND THE PPS ON APRIL 1. IHANY ADOPTED THE GOAL OF REDUCING INAPPROPRIATE HOSPITAL EMERGENCY DEPARTMENT UTILIZATION AS PART OF A COMPREHENSIVE PROGRAM INTENDING TO REDUCE COSTS AND PRODUCE SHARED SAVINGS. AFBHC IS REQUIRED BY THE STATE TO REDUCE INAPPROPRIATE HOSPITAL UTILIZATION (BOTH EMERGENCY DEPARTMENT AND INPATIENT) BY 25% OVER A FIVE YEAR PERIOD. IHANY WAS SUCCESSFUL IN REDUCING EMERGENCY DEPARTMENT USE BY ITS ATTRIBUTED PATIENTS DURING ITS FIRST YEAR OF OPERATIONS. ADOLESCENT (TEEN) PREGNANCY: -ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT, PLANNED PARENTHOOD MOHAWK HUDSON, THE ALLIANCE FOR POSITIVE HEALTH (FORMERLY THE AIDS COUNCIL), AND THE SCHENECTADY TEEN AND ADULT COALITION (STAC) WORKED TO CONSIDER CAUSES AND SOLUTIONS TO THE CONSISTENTLY HIGH RATES OF ADOLESCENT PREGNANCY IN CERTAIN NEIGHBORHOODS. -THE PROJECT ENGAGED ADOLESCENTS/TEENAGERS IN FOCUS GROUP AND MULTIPLE MEETINGS. A GAP IN HEALTH EDUCATION AT LOCAL SCHOOLS WAS IDENTIFIED. AFTER MOST HEALTH EDUCATION TEACHERS HAD BEEN LAID OFF DUE TO BUDGET CUTS, STUDENTS ARE RECEIVING NO HEALTH EDUCATION CLASSES BETWEEN 6TH GRADE AND 10TH GRADE. PLANNED PARENTHOOD ARRANGED STUDENT HEALTH EDUCATION ASSEMBLIES IN 2016 AND 2018, AND IS SEEKING TO REINTRODUCE MIDDLE SCHOOL HEALTH CLASSES. -THE SCHENECTADY FOUNDATION'S "CALL TO ACTION FOR SCHENECTADY'S YOUTH" GRANT PROGRAM IS PROVIDING FUNDING FOR THE "CRADLE PROJECT," A MULTIMEDIA PROJECT THAT IS FOCUSING A LENS ON SCHENECTADY'S HIGH RATE OF TEENAGE PREGNANCY THE HIGHEST IN THE CAPITAL REGION AND ITS TOLL ON THE COMMUNITY. DOZENS OF LOCAL YOUTH ARE INVOLVED IN WRITING ORIGINAL MUSIC AND DIALOG, PERFORMING AND PRODUCING "CRADLE," A DOCUMENTARY FILM ABOUT TEEN PREGNANCY. THE FILM DEBUTED ON SATURDAY, JULY 13, 2019, AT PROCTORS THEATRE IN SCHENECTADY. THE CRADLE PROJECT WILL ALSO INCLUDE MUSIC VIDEOS AND FORUMS ABOUT SEXUAL HEALTH AND PROFESSIONAL DEVELOPMENT. ARTHRITIS AND DISABILITY: -AS THIS NEED WAS NOT CATEGORIZED AMONG THE TOP PRIORITIES IN THE DEVELOPMENT OF THE CHNA, RESOURCES WERE DEVOTED TO OTHER HIGHER PRIORITY PROJECTS. DENTAL HEALTH: -IN 2015, ELLIS RECEIVED THE FINAL PAYMENT OF A $250,000 "MEMBER ITEM" GRANT FROM THEN-STATE SENATOR HUGH T. FARLEY WHICH WAS USED TO ACQUIRE EQUIPMENT FOR THE PEDIATRIC DENTAL PROGRAM. ELLIS DENTAL CARE NOW PROVIDES EXPANDED SERVICES TO LOW-INCOME PATIENTS; INCLUDING THE NEW FACILITIES FOR PEDIATRIC DENTAL SURGERY AND A PROGRAM FOR PARENTS AND FAMILIES OF PEDIATRIC DENTAL PATIENTS. -DURING 2016, THE ELLIS DENTAL HEALTH CENTER APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. THE SITE, HOWEVER, CHOSE NOT TO RENEW THE DESIGNATION. FALLS: -THE 2013 CHNA IDENTIFIED PARTICULARLY HIGH FALLS MORTALITY IN THE COMMUNITY, AND A HIGH NUMBER OF FALLS IN ONE NEIGHBORHOOD. DATA ANALYSIS AND "DRILLING DOWN" IDENTIFIED A LARGE SENIOR HOUSING FACILITY IN THIS NEIGHBORHOOD AS THE FALLS "HOT SPOT." -ELLIS STAFF MET WITH ADMINISTRATORS AT THE FACILITY ON SEVERAL OCCASIONS. UNION COLLEGE STUDENTS WERE ENGAGED TO ASSIST THE FACILITY STAFF TO TRACK INDICATORS AND TRENDS. -HAVING IDENTIFIED THE ISSUE AT ONE SENIOR HOUSING FACILITY, AMBULANCE CALL DATA WERE OBTAINED FROM THE LOCAL AMBULANCE COMPANY IN AN EFFORT TO ANALYZE THE PREVALENCE OF FALLS AT OTHER SENIOR FACILITIES. -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES PARTNERED TO OFFER TAI CHI FOR ARTHRITIS CLASSES IN THE COMMUNITY TO HELP PREVENT FALLS IN OLDER ADULTS. -AS PART OF THE WORK OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY COUNTY LEAGUE OF WOMEN VOTERS (LWV) UNDERTOOK LEAD ACTIVITIES FOR A "FALLS PREVENTION WORK GROUP." THE WORK GROUP MET REGULARLY AND ENGAGED EXPERTS FROM THE STATE DEPARTMENT OF HEALTH, SENIOR CITIZEN ORGANIZATIONS, REHABILITATION FACILITIES, AND LOCAL GOVERNMENT AGENCIES. THE LWV BECAME UNABLE TO LEAD THE GROUP AS OF EARLY 2017, AND THE GROUP CEASED TO MEET. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 | FOOD INSECURITY: -THE FOCUS ON FOOD INSECURITY CAME FROM A 2013 UMATTER SCHENECTADY SURVEY FINDING THAT THE MAJORITY OF RESIDENTS IN THREE SCHENECTADY NEIGHBORHOODS (HAMILTON HILL, EASTERN AVENUE, AND CENTRAL STATE) HAD RUN OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR. INTERESTINGLY, THIS FINDING CORRELATED WITH THE PREVALENCE OF SEVERE OBESITY (BMI >35) WHICH IS MORE THAN DOUBLE FOR PEOPLE WHO RUN OUT OF FOOD EVERY MONTH OR NEARLY EVERY MONTH THAN FOR THOSE WHO NEVER RUN OUT OF FOOD. -A PARTNERSHIP INCLUDING SCHENECTADY COMMUNITY ACTION PROGRAM, CITY MISSION OF SCHENECTADY, ELLIS HOSPITAL, AND THE SCHENECTADY FOUNDATION OBTAINED A GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT A "COMMUNITY COACH" FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE "COACH" CONVENED A SERIES OF TELEPHONE CONFERENCES AND AN ON-SITE VISIT TO HELP FOCUS COMMUNITY RESOURCES AND THINKING. -AS A RESULT OF THE COACHING, THE PARTNERSHIP DEVELOPED A COMMUNITY PLAN INCLUDING ASSET MAPPING AND A ROOT CAUSE ANALYSIS, AND DEVELOPED COLLABORATION WITH THE SCHENECTADY COUNTY FOOD PROVIDERS GROUP. NO CLEAR, SINGLE, CAUSE WAS FOUND, ALTHOUGH THERE WAS SOME EVIDENCE THAT SOME SERVICE GAPS (E.G., FEW FOOD PANTRIES ARE OPEN ON WEEKENDS) AND INEFFICIENCIES IN THE DISTRIBUTION SYSTEM MAY BE CONTRIBUTORS. -ELLIS HOSPITAL, SCPHS, AND THEIR PARTNERS WORKED WITH TWO GRANTS (A ROBERT WOOD JOHNSON FOUNDATION ROADMAPS TO HEALTH ACTION AWARD AND PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH) TO IMPROVE ACCESS TO HEALTHY FOODS. THESE EFFORTS RESULTED IN DEVELOPMENT OF A SCHENECTADY FOOD RESOURCE MAP (HTTP://SICMFOOD.COM/), AN ONLINE TOOL ACCESSIBLE FROM PORTABLE DEVICES SUCH AS SMARTPHONES, WHICH SHOWS THE LOCATIONS OF SUCH RESOURCES AS SOUP KITCHENS, FOOD PANTRIES, AND STORES WHICH ACCEPT ELECTRONIC BENEFIT CARDS. THE RESOURCE MAP HAS ALSO BEEN DEVELOPED INTO A MOBILE PHONE APPLICATION, CALLED "FOOD 4 SCHDY." THE APP ALLOWS USERS TO VIEW THE RESOURCE MAP USING THEIR SMARTPHONE'S LOCATION AND GET DIRECTIONS TO THE RESOURCES. -THE PICH GRANT ALSO SUPPORTS POLICY, SYSTEMS, AND ENVIRONMENTAL IMPROVEMENTS AT FOOD PANTRIES WITHIN THE COUNTY TO INCREASE ACCESS TO HEALTHY FOODS. THIS GRANT SUPPORTED THE OPENING OF A NEW FOOD PANTRY IN THE 12308 ZIP CODE (NORTHSIDE NEIGHBORHOOD), WHICH IS AN UNDERSERVED AREA OF THE COUNTY. -AS PART OF THE PICH GRANT, A COMMUNITY WIDE FOOD PLAN WAS DEVELOPED WITH GOALS, STRATEGIES AND EVIDENCE BASED ACTIVITIES TO ADDRESS FOOD INSECURITY IN THE COMMUNITY. -PHYSICIANS AT THE ELLIS FAMILY HEALTH CENTER CONTINUE TO PROMOTE FRESH FRUIT AND VEGETABLE CONSUMPTION AMONG PATIENTS. NEIGHBORHOOD SAFETY: -ELLIS AND THE CITY OF SCHENECTADY PARTICIPATED ON SEVERAL INITIATIVES TO STABILIZE THE NORTHSIDE/GOOSE HILL NEIGHBORHOOD WHERE THE NOTT STREET CAMPUS IS LOCATED. THESE INCLUDE A "WALK TO WORK" INITIATIVE AND A PROGRAM TO PROMOTE HOME OWNERSHIP ("HOME OWNERSHIP MADE EASY" (HOME)). IN ADDITION, CONSTRUCTION AT THE NOTT STREET CAMPUS INCLUDED NEW SIDEWALKS AND IMPROVED STREET LIGHTING, BOTH ISSUES OF NEIGHBORHOOD SAFETY WHICH HAD BEEN IDENTIFIED IN THE CHNA. -ELLIS WAS INVITED BY THE NEW YORK STATE HEALTH FOUNDATION TO APPLY FOR A COMMUNITY-WIDE "HEALTHY NEIGHBORHOODS FUND" GRANT. THE APPLICATION WAS SUBMITTED BUT NOT FUNDED. PROGRAMS FOR YOUTH AND ADOLESCENTS: -IN DECEMBER 2014, THE SCHENECTADY FOUNDATION HOSTED A CONFERENCE ENTITLED "BRIDGES TO YOUTHS" TO BETTER UNDERSTAND THE NEEDS OF SCHENECTADY'S YOUTH. -THE CONFERENCE LED TO THE "CALL TO ACTION FOR SCHENECTADY'S YOUTH." SINCE ITS LAUNCH, THE SCHENECTADY FOUNDATION HAS SO FAR INVESTED $770,000 IN EIGHT PROGRAMS WITH THE POTENTIAL TO BRING POWERFUL AND POSITIVE CHANGE TO SCHENECTADY'S YOUTH. CALL TO ACTION FOR YOUTH IS A THREE-YEAR, $2 MILLION COMMUNITY-WIDE EFFORT TO EMPOWER CHILDREN AND TEENS THAT FACE SIGNIFICANT BARRIERS TO SUCCESS. GRANTS INCLUDE SUPPORT OF SCHOLARSHIPS, JOB TRAINING, AND SPORTS PROGRAMS FOR YOUTH. COMMUNITY AND COALITION BUILDING: -ELLIS AND SCPHS CONTINUE TO LEAD AND PARTICIPATE IN NUMEROUS COMMUNITY COALITIONS. THESE INCLUDE THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY STRATEGIC ALLIANCE FOR HEALTH, AND THE HEALTHY CAPITAL DISTRICT INITIATIVE. -IN ADDITION, DURING 2014 ELLIS UNDERTOOK TWO MAJOR BUSINESS INITIATIVES PROMOTING BROAD COALITIONS OF HEALTHCARE PROVIDERS. A MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTNERED THREE HOSPITAL SYSTEMS, AN FQHC, AND SEVERAL COMMUNITY MEDICAL PRACTICES. A NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM PERFORMING PROVIDER SYSTEM (DSRIP PPS) PARTNERED THE SAME THREE HOSPITAL SYSTEMS, TWO FQHCS, AND TWO LARGE COMMUNITY MEDICAL PRACTICES, ALONG WITH MORE THAN 50 COMMUNITY AGENCIES. BOTH WERE APPROVED BY THEIR RESPECTIVE REGULATORS TO START OPERATIONS IN 2015. -THE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK, OR IHANY) WAS APPROVED TO START OPERATIONS ON JANUARY 1, 2015, AND THE DSRIP PPS (ALLIANCE FOR BETTER HEALTH, OR AFBH) TO BEGIN ON APRIL 1, 2015. EACH WAS ESTABLISHED AS A SEPARATE LIMITED LIABILITY COMPANY (LLC) AND EACH UNDERTOOK TO ADOPT AN OPERATING AGREEMENT AND SEAT A BOARD OF DIRECTORS. THE DSRIP PPS RECEIVED SCHEDULED FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH UNDER A FIVE-YEAR AGREEMENT. THE MSSP ACO WAS FUNDED BY CAPITAL CONTRIBUTIONS FROM THE TWO MEMBERS OF THE LLC (ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS), AND HAS NOT ACHIEVED "SHARED SAVINGS." IN 2017, ELLIS WITHDREW AS AN EQUITY PARTNER OF THE MSSP ACO, BUT REMAINS A CLINICAL PARTNER. IN FALL 2017, THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) APPROVED RENEWAL OF IHANY'S MSSP ACO AGREEMENT FOR ANOTHER THREE YEARS. COMMUNITY HEALTH IMPROVEMENT: -ELLIS CONTINUED PROGRAMS OF COMMUNITY AND PATIENT EDUCATION AND SUPPORT. HEALTH PROFESSIONS EDUCATION: -ELLIS, THE ONLY HOSPITAL IN THE REGION TO SPONSOR BOTH PHYSICIAN EDUCATION AND NURSING EDUCATION, CONTINUED TO PROVIDE A BROAD VARIETY OF HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING THE BELANGER SCHOOL OF NURSING, THE FAMILY MEDICINE RESIDENCY, THE GENERAL DENTAL RESIDENCY, GRAND ROUNDS AND OTHER CONTINUING PROFESSIONAL EDUCATION PROGRAMS. ELLIS ALSO SERVES AS A TRAINING AND PRECEPTORSHIP SITE FOR NUMEROUS COMMUNITY-BASED HEALTH PROFESSIONS EDUCATION PROGRAMS. UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION ARE REPORTED IN PART I OF SCHEDULE H. SUBSIDIZED AND FREE HEALTH SERVICES: -ELLIS CONTINUED TO PARTICIPATE IN GOVERNMENT INSURANCE PROGRAMS INCLUDING MEDICARE AND MEDICAID, WHILE PROVIDING REDUCED RATES AND CHARITY CARE FOR SELF-PAY PATIENTS, AS DETAILED IN PARTS I AND III OF SCHEDULE H. MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE (CHARITY CARE) COVERED ABOUT TWO-THIRDS OF INPATIENT DISCHARGES DURING 2019. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS NOTT STREET PHARMACY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NOTT STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 815395445 | EIN |
| Primary Activities | RETAIL PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $15,569 | TotalIncomeAmt |
| End Of Year Assets | $1,104,839 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY | |||||||||||
| 108 ERIE BOULEVARD | SCHENECTADY | NY | 12305 | 141338478 | HOME HEALTH CARE | NY | 501(C)(3) | 3 | ELLIS HOSPITAL | Yes (1) | |
| VOLUNTEER AIDES OF ELLIS HOSPITAL | |||||||||||
| 1101 NOTT STREET | SCHENECTADY | NY | 12308 | 146004058 | PROVIDE VOLUNTEER SUPPORT TO THE HOSPITAL | NY | 501(C)(3) | PF | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VISITING NURSE SERVICE ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $1,803,930 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |