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ELLIS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ELLIS HOSPITAL (EIN 14-1338428)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201723179349303037
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-13T11:06:30-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELLIBusinessNameControlTxt
Phone5186128667PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP123082425ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARC MESICKPersonNm
Person TitleVICE PRESIDENT/CFOPersonTitleTxt
Phone5186128667PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2017-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-09IPDt
IP Tm11:13:29IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id40F9A3B361C6878670E99E8CE125BB29C88B706CAtSubmissionCreationDeviceId
At Submission Filing Device Id517AEBE328CBAAA90E396C2FD1060AA56161F780AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ELLIS MEDICINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPAUL A MILTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP123082425ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$472,188,901GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ELLISMEDICINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1885FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE 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 Body22VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee4187TotalEmployeeCnt
Total Volunteers230TotalVolunteersCnt
Total Gross UBI$5,391,562TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$532,027NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,285,126PYContributionsGrantsAmt
CY Contributions Grants$4,521,188CYContributionsGrantsAmt
PY Program Service Revenue$391,043,921PYProgramServiceRevenueAmt
CY Program Service Revenue$418,716,687CYProgramServiceRevenueAmt
PY Investment Income$1,538,346PYInvestmentIncomeAmt
CY Investment Income$1,600,810CYInvestmentIncomeAmt
PY Other Revenue$6,250,254PYOtherRevenueAmt
CY Other Revenue$8,873,322CYOtherRevenueAmt
PY Total Revenue$405,117,647PYTotalRevenueAmt
CY Total Revenue$433,712,007CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$233,345,551PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$238,006,378CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$167,319,898PYOtherExpensesAmt
CY Other Expenses$189,134,715CYOtherExpensesAmt
PY Total Expenses$400,665,449PYTotalExpensesAmt
CY Total Expenses$427,141,093CYTotalExpensesAmt
PY Revenues Less Expenses$4,452,198PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,570,914CYRevenuesLessExpensesAmt
Total Assets BOY$330,203,724TotalAssetsBOYAmt
Total Assets EOY$332,150,658TotalAssetsEOYAmt
Total Liabilities BOY$181,422,694TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,055,307TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$148,781,030NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$159,095,351NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$339,492,184ExpenseAmt
Revenue$387,833,588RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,508,037ExpenseAmt
Revenue$18,561,517RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,721,725ExpenseAmt
Revenue$9,331,492RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$373,721,946TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document367IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4187EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS MEDICINE FINANCE DEPTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5186128640PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12308ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LINDA BREAULT
SECRETARY2.25Yes (X)Yes (X)$0$0$0
JANET SAPIO-MAYTA
TRUSTEE3.00Yes (X)$0$0$0
CRISTINE CIOFFI
TRUSTEE5.25Yes (X)$0$0$0
MICHAEL COCCA
TRUSTEE2.75Yes (X)$0$0$0
WILLIAM B FAUBION
VICE CHAIR2.75Yes (X)Yes (X)$0$0$0
THOMAS DONOVAN
TRUSTEE2.25Yes (X)$0$0$0
GARY WOOD MD
TRUSTEE2.75Yes (X)$0$0$0
FRANK BOZICH
TRUSTEE4.50Yes (X)$0$0$0
PATRICK KEHOE
TREASURER2.25Yes (X)Yes (X)$0$0$0
ROBERT KENNEDY MD
TRUSTEE3.00Yes (X)$0$0$0
ROBERT JOY MD
TRUSTEE2.25Yes (X)$41,250$0$0
DEBORAH MULLANEY
TRUSTEE3.75Yes (X)$0$0$0
JOHN K TOBISON
TRUSTEE2.00Yes (X)$0$0$0
SARAH SCHERMERHORN
TRUSTEE UNTIL APRIL 20160.50Yes (X)$0$0$0
JONATHAN KEMP MD
TRUSTEE1.25Yes (X)$14,250$0$0
STEPHEN PAGANO
CHAIR3.25Yes (X)Yes (X)$0$0$0
BRIAN MCDONALD MD
TRUSTEE1.50Yes (X)$12,500$0$0
PAUL A MILTON
PRESIDENT & CEO - ELLIS MEDICINE55.00Yes (X)Yes (X)$487,527$0$34,6695.00
RAYMOND SWEENEY
TRUSTEE1.25Yes (X)$0$0$0
PATRICIA BUHR
TRUSTEE1.75Yes (X)$0$0$0
WILLIAM KENNEALLY
TRUSTEE1.00Yes (X)$0$0$0
MARK LITTLE
TRUSTEE0.75Yes (X)$0$0$0
STEPHANIE ROBERTS
TRUSTEE2.00Yes (X)$0$0$0
EUGENE ZELTMANN
TRUSTEE0.75Yes (X)$0$0$0
WENDY ROSHER
EVP OPERATIONS/ STRATEGIC55.00Yes (X)$306,950$0$32,287
MARC MESICK
VP FINANCIAL SERVICES/ CFO55.00Yes (X)$280,926$0$17,5015.00
RONALD MCKINNON
VP/ CHIEF INFORMATION OFFICER55.00$206,046$0$17,404Yes (X)
AVINASH BACHWANI MD
VP CHIEF MEDICAL INFORMATI55.00$265,968$0$17,697Yes (X)
JOSEPH GIANSANTE
EVP CHIEF HUMAN RESOURCES55.00$308,781$0$22,177Yes (X)
DAVID M LIEBERS MD
VP MEDICAL AFFAIRS55.00$352,293$0$41,194Yes (X)
ROGER BARROWMAN MD
CEO - ELLIS MEDICINE GROUP UNTIL 5/814.00$421,567$0$17,113Yes (X)
FRANK GENOVESE MD
NEUROSURGEON50.00$619,949$0$66,820Yes (X)
IFTIKHAR SYED MD
GENERAL SURGEON50.00$742,105$0$13,751Yes (X)
HERBERT REICH MD
SURGEON-CARDIOTHOR50.00$642,130$0$94,708Yes (X)
PAUL SPURGAS MD
NEUROSURGEON50.00$586,631$0$45,560Yes (X)
TERRENCE CLARKE
SURGEON50.00$634,968$0$86,301Yes (X)
JAMES W CONNOLLY
FORMER CEO0.00$544,343$0$17,459Yes (X)
KATHLEEN HALE
FORMER KEY EMPLOYEE0.00$135,166$0$8,088Yes (X)
DONALD J MCLAUGHLIN
FORMER KEY EMPLOYEE0.00$216,386$0$14,968Yes (X)
ANOUSH KOROGHLIAN-SCOTT
FORMER KEY EMPLOYEE0.00$100,585$0$654Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,920,321TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$548,351TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K336IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BERKELEY RESEARCH GROUP LLC
2200 POWELL STREETEMERYVILLECA94608CONSULTING SERVICE$8,071,142
MEDICAL STAFFING NET
PO BOX 840292DALLASTX752840292AGENCY LABOR STAFFING$4,016,692
CARDIOLOGY ASSOCIATE OF SCHENECTADY
2546 BALLTOWN RD SUITE 300SCHENECTADYNY12308PHYSICIAN SERVICES$1,151,672
OBGYN HOSPITALIST MEDICAL SERVICES
10 CENTIMETERS DRIVEMAULDINSC29662PHYSICIAN SERVICES$1,151,072
CLARUS LINEN SYSTEMS
60 GRIDER STREETBUFFALONY14215LINEN/LAUNDRY SERVICES$1,143,528
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Government Grants$1,835,562GovernmentGrantsAmt
All Other Contributions$2,685,626AllOtherContributionsAmt
Total Contributions$4,521,188TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
GENERAL HOSPITAL621990$384,977,755$384,977,755
MENTAL HEALTH SERVICES621990$18,561,520$18,561,520
LONG TERM CARE623000$9,331,492$9,331,492
SUNNYVIEW HOSP SVCS621990$2,823,078$2,823,078
LAB-PHYSICIAN REFERRALS621500$2,194,804$2,194,804

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$828,038TotalRevenueColumnAmt
Related Or Exempt Func Income$828,038RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$418,716,687TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,623,475TotalRevenueColumnAmt
Exclusion$1,623,475ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$888,510RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$755,147RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$133,363RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,363TotalRevenueColumnAmt
Unrelated Business Revenue$188,794UnrelatedBusinessRevenueAmt
Exclusion-$55,431ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$37,417,793SecuritiesAmt
Other$281,289OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$37,349,874SecuritiesAmt
Other$371,873OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$67,919SecuritiesAmt
Other-$90,584OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,665TotalRevenueColumnAmt
Exclusion-$22,665ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE900099$3,995,422$3,995,422
MVP SHARED SAVINGS900099$1,536,131$1,536,131
FOOD SERVICES REVENUE900099$1,484,900$1,484,900

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,723,506TotalRevenueColumnAmt
Related Or Exempt Func Income$491,661RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$184,886UnrelatedBusinessRevenueAmt
Exclusion$1,046,959ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,739,959OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$433,712,007TotalRevenueColumnAmt
Related Or Exempt Func Income$415,726,597RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,391,562UnrelatedBusinessRevenueAmt
Exclusion$8,072,660ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,815,802TotalAmt
Management And General$2,815,802ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$195,208,194TotalAmt
Program Services$178,348,397ProgramServicesAmt
Management And General$16,859,797ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,191,828TotalAmt
Program Services$6,494,514ProgramServicesAmt
Management And General$697,314ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,952,900TotalAmt
Program Services$17,115,242ProgramServicesAmt
Management And General$1,837,658ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,837,654TotalAmt
Program Services$12,495,966ProgramServicesAmt
Management And General$1,341,688ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,119,143TotalAmt
Program Services$1,119,143ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$682,519TotalAmt
Management And General$682,519ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$172,000TotalAmt
Management And General$172,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,435TotalAmt
Management And General$44,435ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$284,563TotalAmt
Management And General$284,563ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,414,014TotalAmt
Program Services$14,646,404ProgramServicesAmt
Management And General$767,610ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,435,863TotalAmt
Program Services$2,913ProgramServicesAmt
Management And General$1,432,950ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,481,903TotalAmt
Program Services$77,293,905ProgramServicesAmt
Management And General$2,187,998ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,049,932TotalAmt
Management And General$5,049,932ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,017,796TotalAmt
Program Services$9,058,997ProgramServicesAmt
Management And General$958,799ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,009,061TotalAmt
Program Services$820,605ProgramServicesAmt
Management And General$188,456ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,032,690TotalAmt
Program Services$1,032,690ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,607,069TotalAmt
Program Services$15,813,890ProgramServicesAmt
Management And General$1,793,179ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,879,301TotalAmt
Management And General$3,879,301ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$16,515,797$12,976,770$3,539,027
BAD DEBTS$14,765,464$14,765,464$0
EQUIPMENT RENTAL AND MA$14,117,626$10,678,578$3,439,048
OTHER EXPENSES$4,239,679$1,058,468$3,181,211

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,265,860TotalAmt
Management And General$2,265,860ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$427,141,093TotalAmt
Program Services$373,721,946ProgramServicesAmt
Management And General$53,419,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,342BOYAmt
EOY$12,717EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,434,735BOYAmt
EOY$31,090,905EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,608,427BOYAmt
EOY$33,404,208EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,989,784BOYAmt
EOY$7,594,312EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,483,311BOYAmt
EOY$1,492,158EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$466,375,380LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$292,784,806LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$179,691,451BOYAmt
EOY$173,590,574EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$61,466,848BOYAmt
EOY$61,289,845EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,515,826BOYAmt
EOY$23,675,939EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$330,203,724BOYAmt
EOY$332,150,658EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,749,700BOYAmt
EOY$26,746,861EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$157,619BOYAmt
EOY$1,813,760EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,011,990BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$133,951BOYAmt
EOY$154,202EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$97,375,040BOYAmt
EOY$92,200,949EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,994,394BOYAmt
EOY$52,139,535EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,422,694BOYAmt
EOY$173,055,307EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$134,193,144BOYAmt
EOY$144,601,908EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,056,094BOYAmt
EOY$8,873,229EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,531,792BOYAmt
EOY$5,620,214EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$148,781,030BOYAmt
EOY$159,095,351EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$330,203,724BOYAmt
EOY$332,150,658EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,570,914ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,431,110NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,312,297OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$44,435OtherActivitiesAmt
Total Lobbying Expenditures$44,435TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationELLIS HOSPITAL PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, IROQUOIS HEALTHCARE ALLIANCE, AND AMERICAN HOSPITAL ASSOCIATION. 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 $13,612- IROQUOIS, $20,718- HANYS, AND $10,105- AHA.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,587,886BeginningYearBalanceAmt
Contributions$2,818,390ContributionsAmt
Investment Earnings Or Losses$62,754InvestmentEarningsOrLossesAmt
Other Expenditures$2,975,587OtherExpendituresAmt
End Year Balance$14,493,443EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,657,570BeginningYearBalanceAmt
Contributions$3,403,948ContributionsAmt
Investment Earnings Or Losses-$14,627InvestmentEarningsOrLossesAmt
Other Expenditures$4,459,005OtherExpendituresAmt
End Year Balance$14,587,886EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,979,573BeginningYearBalanceAmt
Contributions$3,802,409ContributionsAmt
Investment Earnings Or Losses$82,746InvestmentEarningsOrLossesAmt
Other Expenditures$3,207,158OtherExpendituresAmt
End Year Balance$15,657,570EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,602,141BeginningYearBalanceAmt
Contributions$2,629,673ContributionsAmt
Investment Earnings Or Losses$92,745InvestmentEarningsOrLossesAmt
Other Expenditures$3,344,986OtherExpendituresAmt
End Year Balance$14,979,573EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,630,252BeginningYearBalanceAmt
Contributions$1,740,779ContributionsAmt
Investment Earnings Or Losses$388,459InvestmentEarningsOrLossesAmt
Other Expenditures$3,157,349OtherExpendituresAmt
End Year Balance$15,602,141EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.38780PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.61220TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,474,443OtherCostOrOtherBasisAmt
Book Value$6,474,443BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,181,427OtherCostOrOtherBasisAmt
Depreciation$88,241,736DepreciationAmt
Book Value$110,939,691BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,316,425OtherCostOrOtherBasisAmt
Depreciation$1,155,391DepreciationAmt
Book Value$161,034BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,407,268OtherCostOrOtherBasisAmt
Depreciation$203,387,679DepreciationAmt
Book Value$53,019,589BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,995,817OtherCostOrOtherBasisAmt
Book Value$2,995,817BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$173,590,574TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS OF FOUNDATION$16,230,229
MISCELLANEOUS RECEIVABLES$2,776,022
IHANY$912,279
DUE FROM VNS$3,470,575
THIRD PARTY REIMBURSEMENT$286,834
FieldValueIRS element (for citing)
Total Book Value Other Assets$23,675,939TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
ESTIMATED SELF-INSURANCE$11,492,412
ACCRUED VACATION PAYABLE$9,213,016
ACCRUED SICK PAYABLE$6,506,897
ESTIMATED PAYABLES TO 3RD PARTY PAYERS$1,000,000
CLAIMS PAYABLE$1,505,738
ACCRUED INTEREST PAYABLE$356,880
ASSET RETIREMENT OBLIGATION$1,000,922
ACCRUED PENSION$9,142,259
ACCRUED SALARIES$8,635,079
OTHER LIABILITIES$3,286,332
FieldValueIRS element (for citing)
Total Liability$52,139,535TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ELLIS RESIDENTIAL AND REHABILITATION CENTER RESIDENTS SPENDING ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON SCHEDULE X. THE TOTAL IS $5,893. 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 SCHEDULE X. THE TOTAL IS $148,309. 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, SCHOOL OF NUSING SCHOLARSHIPS, 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 UROLOGY ASSOCIATES IS A FOR-PROFIT ENTITY. THE HOSPITAL, VNS AND UROLOGY ASSOCIATES RECOGNIZE 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 FIFT PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL, VNS AND UROLOGY ASSOCIATES DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2016 OR 2015.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,156,326TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$175,172DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,981,154NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,338,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,277,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,061,558NetCommunityBenefitExpnsAmt
Total Expense0.04620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,495,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,452,530DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,042,712NetCommunityBenefitExpnsAmt
Total Expense0.05100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$408,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$408,714NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,467,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,197,120DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,270,221NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,799TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$114,799NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,994,354TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,197,120DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,797,234NetCommunityBenefitExpnsAmt
Total Expense0.02140TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,489,596TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,649,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,839,946NetCommunityBenefitExpnsAmt
Total Expense0.07240TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$323TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$323NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$452NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,194NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,969TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,969NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$14,765,463BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$71,247,863ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,520,813CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$272,950MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12308ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ELLISMEDICINE.ORGWebsiteAddressTxt
State License4601001HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other82 BED SKILLED NURSING FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPXOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTP://WWW.HCDINY.ORG/INDEX.PHP?MODULE=RESOURCELIBRARY&CONTROLLER=INDEX&ACTOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPXStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/FAQS.ASPXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://ELLISMEDICINE.ORG/PDF/CHARITY-CARE-APPLICATION.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.ELLISMEDICINE.ORG/BLOB/PUBLICNOTICESFILES.ASHX?ID=274FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ELLIS HOSPITALPART V, SECTION B, LINE 5: YES, 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. COMMUNITY MEETINGS: THE FOLLOWING MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) WERE CONDUCTED DURING 2015 AND 2016 TO PLAN FOR, DEVELOP, COMMENT UPON, AND ADOPT THE 2016 CHNA AND IMPLEMENTATION STRATEGY; DATES, TOPICS, AND ATTENDEE ORGANIZATIONS ARE LISTED:SEPTEMBER 10, 2015TOPICS: REPORT ON "UMATTER 2" COMMUNITY SURVEY PROPOSAL, UPDATE ON PUBLIC HEALTH IMPROVEMENT PROGRAM (PHIP) GRANT, UPDATE ON DSRIP GRANT, DISCUSSION OF FUTURE SCHC STRUCTURE, WORK GROUPS UPDATE, INFORMATION SHARING.ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, MOHAWK AMBULANCE, LEAGUE OF WOMEN VOTERS, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, PLANNED PARENTHOOD MOHAWK HUDSON, CAPITAL DISTRICT CHILD CARE COUNCIL, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, ELLIS MEDICINE, CAPITAL REGION CHAMBER OF COMMERCE, SCHENECTADY COUNTY PUBLIC LIBRARY, SCHENECTADY UNITED NEIGHBORHOODS, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES, SCHENECTADY ARC, SPHP CENTER FOR HEALTH PROGRAMS (TOBACCO CESSATION), CAPITAL DISTRICT TOBACCO-FREE COALITION, ST. PETER'S HEALTH PARTNERS, THE SCHENECTADY FOUNDATIONNOVEMBER 5, 2015TOPICS: SCHENECTADY COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE DATA REPORT, SCHENECTADY COUNTY SUBSTANCE ABUSE PREVENTION PARTNERSHIP REPORT, WORKGROUP UPDATES, COALITION MEMBER UPDATESATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF LONG TERM CARE AND SENIOR SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SUBSTANCE ABUSE PREVENTION COALITION, PLANNED PARENTHOOD MOHAWK-HUDSON, LEAGUE OF WOMEN VOTERS OF SCHENECTADY COUNTY, NEW YORK COUNCIL OF NON-PROFITS, ELLIS MEDICINE, MOHAWK AMBULANCE SERVICE, VISITING NURSE SERVICE/CARE CENTRAL, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY ARC, CAPITAL DISTRICT TOBACCO-FREE COALITION, ST. PETER'S HEALTH PARTNERSFEBRUARY 4, 2016TOPICS: REVIEW 2013 PRIORITIES SELECTED AND RELATED SUCCESSES/CHALLENGES, DISCUSS PREVENTION AGENDA PRIORITIZATION PROCESS FOR 2016, HCDI PRESENTATION ON COUNTY PRIORITY AREA DATA, NEXT STEPS AND DISCUSSION, COALITION MEMBER UPDATESATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC LIBRARY, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CORNELL COOPERATIVE EXTENSION, ST. PETER'S HEALTH PARTNERS, CAPITAL DISTRICT TOBACCO-FREE COALITION, ALLIANCE FOR BETTER HEALTH CARE, SCHENECTADY LEAGUE OF WOMEN VOTERS, SCHENECTADY INNER CITY MINISTRY, PLANNED PARENTHOOD MOHAWK HUDSON, SCHENECTADY ARC, CAPITAL DISTRICT YMCAFEBRUARY 19, 2016TOPICS: HCDI PRESENTATION ON COUNTY PRIORITY AREA DATA, NEXT STEPS AND DISCUSSIONATTENDEES: ELLIS MEDICINE, ST. PETER'S HEALTH PARTNERS, PLANNED PARENTHOOD MOHAWK HUDSON, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, SCHENECTADY LEAGUE OF WOMEN VOTERS, HEALTHY CAPITAL DISTRICT INITIATIVE, ALLIANCE FOR BETTER HEALTH CARE, CAPITAL DISTRICT TOBACCO-FREE COALITION, CAPITAL DISTRICT YMCA, SCHENECTADY INNER CITY MINISTRY, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SCHENECTADY ARCMARCH 31, 2016TOPICS: HCDI PRESENTATION ON COMMUNITY TELEPHONE SURVEY RESULTS, PRESENTATION SUMMARIZING SOURCE DOCUMENTS, DISCUSSION OF PRIORITIZATION METHODOLOGY, PRIORITIZATION EXERCISE FACILITATED BY HCDI, SUMMARY OF RESULTS, CONCLUSION AND NEXT STEPSATTENDEES: SCHENECTADY COMMUNITY ACTION PROGRAM, CENTER FOR DISABILITY SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, THE SCHENECTADY FOUNDATION, NEW CHOICES RECOVERY CENTER, 820 RIVER STREET/PETER YOUNG HOUSING, ELLIS MEDICINE, CONSUMER DIRECTED CHOICES, BOYS AND GIRLS CLUBS OF SCHENECTADY, MVP HEALTH CARE, SCHENECTADY ARC, SUBSTANCE ABUSE PREVENTION COALITION, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY COMMUNITY COLLEGE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CATHOLIC CHARITIES, KINGSWAY COMMUNITY, ST. PETER'S HEALTH PARTNERS, SUNNYVIEW REHABILITATION HOSPITAL, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL ROOTS, SCHENECTADY COUNTY HUMAN RIGHTS COMMISSION, SCHENECTADY COUNTY PUBLIC LIBRARY, CAPITAL DISTRICT TOBACCO-FREE COALITION, PLANNED PARENTHOOD MOHAWK-HUDSON, REHABILITATION SUPPORT SERVICES, CAPITAL DISTRICT YMCA, CATHOLIC CHARITIES HOUSING, ALLIANCE FOR BETTER HEALTH CARE, CATHOLIC CHARITIES CARE COORDINATION SERVICES, CONIFER PARK, SCHENECTADY INNER CITY MINISTRY, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCILMAY 26, 2016TOPICS: WORKGROUP UPDATES, OVERVIEW OF SELECTED PRIORITIES, DISCUSSION OF PREVENTION AGENDA GOALS AND OBJECTIVES, DSRIP PROJECT FUNDING UPDATE, COALITION MEMBER UPDATESATTENDEES: SUBSTANCE ABUSE PREVENTION COUNCIL, UNITED WAY OF THE GREATER CAPITAL REGION, HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS MEDICINE, ST. PETER'S HEALTH PARTNERS, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT TOBACCO-FREE COALITION, SCHENECTADY COMMUNITY ACTION PROGRAM, CATHOLIC CHARITIES, PLANNED PARENTHOOD MOHAWK HUDSON, SCHENECTADY ARC, ALLIANCE FOR BETTER HEALTH CARE, CORNELL COOPERATIVE EXTENSION, CAPITAL DISTRICT YMCA, THE SCHENECTADY FOUNDATION, BETHESDA HOUSE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICESJUNE 30, 2016TOPICS: DSRIP PROJECT FUNDING UPDATE, COMPLETION AND AVAILABILITY OF CHNA DOCUMENT, WORKGROUP UPDATES, IMPLEMENTATION STRATEGIES FOR SELECTED PRIORITIES, COALITION MEMBER UPDATESATTENDEES: ELLIS MEDICINE, SCHENECTADY COMMUNITY ACTION PROGRAM, CATHOLIC CHARITIES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ST. PETER'S HEALTH PARTNERS, HEALTHY CAPITAL DISTRICT INITIATIVE, PLANNED PARENTHOOD MOHAWK HUDSON, BETHESDA HOUSE, CONIFER PARK, UNITED WAY OF THE GREATER CAPITAL REGION, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT YMCA, SCHENECTADY ARC, CAPITAL DISTRICT TOBACCO-FREE COALITION, CAPITAL REGION CHAMBER OF COMMERCEJULY 28, 2016TOPICS: FINAL DETERMINATION OF COMMUNITY HEALTH IMPROVEMENT PRIORITIES, SUMMARY, SELECTION EXERCISE, DISCUSSION OF MEASURES AND PARTNER ROLES, MEMBERSHIP AND LEADERSHIP OF PRIORITY/FOCUS AREA WORK GROUPS, COALITION MEMBER UPDATESATTENDEES: ELLIS MEDICINE, UNITED WAY OF THE GREATER CAPITAL REGION, BETHESDA HOUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL REGION CHAMBER OF COMMERCE, NEW CHOICES RECOVERY CENTER, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, CATHOLIC CHARITIES, ST. PETER'S HEALTH PARTNERS, SCHENECTADY UNITED NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COMMUNITY ACTION PROGRAM, SUBSTANCE ABUSE PREVENTION COUNCIL, CONIFER PARK, HEALTHY CAPITAL DISTRICT INITIATIVE, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES SEPTEMBER 21, 2016OBESITY/DIABETES WORK GROUP: CONSOLIDATION OF SCHENECTADY FOOD SECURITY WORKING GROUPS, SPECIFIC PARTICIPATION IN CHIP/CSP PROJECTS, REPORTS ON PROJECTS AND OPPORTUNITIESATTENDEES: ELLIS MEDICINE, BETHESDA HOUSE, SCHENECTADY INNER CITY MINISTRY, VISITING NURSE SERVICE OF SCHENECTADY (CARE CENTRAL), SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, UNITED WAY OF THE GREATER CAPITAL REGION, ELLIS MEDICINE DIABETES EDUCATION PROGRAM, SUNNYVIEW REHABILITATION HOSPITAL, ST. PETER'S HEALTH PARTNERSCONTINUED ON SCHEDULE O
ELLIS HOSPITALPART 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 HOSPITALPART 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 FOR ELLIS MEDICINE AND THE NEW YORK STATE-REQUIRED COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN FOR SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, A UNIT OF COUNTY GOVERNMENT. IN ADDITION, THE "UMATTER SCHENECTADY" COMMUNITY HEALTH SURVEY WAS INTENDED TO INFORM THE COMMUNITY SERVICE ACTIVITIES OF THE MEMBER ORGANIZATIONS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). THE SURVEY WAS FUNDED IN LARGE PART BY ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, AND THE SCHENECTADY FOUNDATION. MEMBERS OF SCHC ARE:-AMERICAN CANCER SOCIETY OF NORTHEASTERN NEW YORK-ASTHMA COALITION OF THE CAPITAL REGION-BETHESDA HOUSE-BIGELOW CORNERS PARTNERSHIP -BOYS AND GIRLS CLUBS OF SCHENECTADY-CAPITAL BOCES -CAPITAL DISTRICT CENTER FOR INDEPENDENCE -CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL-CAPITAL DISTRICT PHYSICIANS HEALTH PLAN -CAPITAL DISTRICT TOBACCO FREE COALITION-CAPITAL DISTRICT TRANSPORTATION AUTHORITY -CATHOLIC CHARITIES -CITY MISSION OF SCHENECTADY -CITY OF SCHENECTADY -COMMUNITY FATHERS, INC. -CORNELL COOPERATIVE EXTENSION OF SCHENECTADY COUNTY-ELLIS MEDICINE -FIDELIS CARE -GIRLS INC. -GUYANESE AMERICAN ASSOCIATION OF SCHENECTADY -HABITAT FOR HUMANITY OF SCHENECTADY COUNTY, INC. -HEALTHY CAPITAL DISTRICT INITIATIVE -HOMETOWN HEALTH CENTERS (FQHC) -LEAGUE OF WOMEN VOTERS OF SCHENECTADY COUNTY -MOHAWK AMBULANCE SERVICE -MVP HEALTH CARE-NORTHEAST PARENT AND CHILD SOCIETY -OPTIMUM HEALTH CHIROPRACTIC -PARSONS CHILD AND FAMILY CENTER-PLANNED PARENTHOOD MOHAWK HUDSON -PRICE CHOPPER-RAINBOW ACCESS INITIATIVE-REHABILITATION SUPPORT SERVICES, INC.-SAFE, INC. -SCHENECTADY ARC -SCHENECTADY CITY SCHOOL DISTRICT -SCHENECTADY COMMUNITY ACTION PROGRAM -SCHENECTADY COUNTY COMMUNITY COLLEGE -SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES -SCHENECTADY COUNTY DEPARTMENT OF PROBATION-SCHENECTADY COUNTY HUMAN RIGHTS COMMISSION-SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES-SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES-SCHENECTADY DAY NURSERY -SCHENECTADY FREE HEALTH CLINIC -SCHENECTADY INNER CITY MINISTRY -SCHENECTADY MUNICIPAL HOUSING AUTHORITY -SCHENECTADY STAND UP GUYS -SCHENECTADY UNITED NEIGHBORHOODS-SETON HEALTH CENTER FOR SMOKING CESSATION -THE ALBANY DAMIEN CENTER-THE CHAMBER OF SCHENECTADY COUNTY-THE SCHENECTADY FOUNDATION -UNION COLLEGE -UNION GRADUATE COLLEGE -UNITED WAY -UNIVERSITY AT ALBANY, SCHOOL OF PUBLIC HEALTH -VISITING NURSE SERVICE OF SCHENECTADY AND SARATOGA COUNTIES, INC. -YMCA OF THE CAPITAL DISTRICT -YWCA
ELLIS HOSPITALPART V, SECTION B, LINE 11: SCHENECTADY'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIFTEEN HEALTH NEEDS. THE 2016 CHNA FOCUSED MORE SPECIFICALLY ON TWO HEALTH NEEDS: 1) CHRONIC DISEASE (OBESITY AND DIABETES) AND 2) MENTAL HEALTH (SUICIDE AND M/E/B INFRASTRUCTURE). THE 2016 CHNA, HOWEVER, CONTINUED TO IDENTIFY ALL FIFTEEN HEALTH NEEDS FROM 2013 AS REMAINING IN NEED OF ATTENTION. DURING 2014 THROUGH 2016 ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, AND THEIR COMMUNITY PARTNERS TOOK ACTIONS TO ADDRESS SUCH NEEDS, COMMENSURATE WITH THE PRIORITY OF EACH NEED AND THE AVAILABILITY OF RESOURCES. ACTIONS INCLUDED THE FOLLOWING:-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 CARE.ELLIS AND THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD) PARTICIPATED IN THE "SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM," WHICH FOR THE 2015-16 SCHOOL YEAR ENROLLED 84 OF THE 1,137 DIAGNOSED ASTHMATICS IN SCSD. THIS ENROLLMENT TRIPLED THAT OF THE 2014-15 SCHOOL YEAR. THE PROGRAM ADMINISTERED 347 ALBUTEROL TREATMENTS, ENABLING STUDENTS TO RETURN TO CLASS 96% OF THE TIME. (IN 12 CASES THE STUDENT WAS SENT HOME TO RECOVER, AND THERE WAS ONLY ONE INSTANCE WHEN THE STUDENT WENT TO THE EMERGENCY DEPARTMENT.) IN ADDITION TO THE IN-SCHOOL COMPONENT, NEARLY A THIRD OF THE STUDENTS AND THEIR PARENTS ATTENDED 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.A CARE MANAGER FROM THE ELLIS-SPONSORED HEALTH HOME COMPLETED A TWO-DAY ASTHMA TRAINING COURSE.ELLIS CONTINUED ITS STRONG ASTHMA EDUCATION PROGRAM, AND CONTINUED TO COLLABORATE WITH THE CAPITAL DISTRICT TOBACCO FREE COALITION. INFORMAL "SUASION" WITHIN THE COMMUNITY ENCOURAGED VARIOUS SMOKE-FREE INITIATIVES; A NEWLY-CONSTRUCTED AFFORDABLE HOUSING PROJECT ON ALBANY STREET IN SCHENECTADY WILL BE SMOKE-FREE, AND THE UNION COLLEGE CAMPUS WILL BE ENTIRELY SMOKE-FREE BY THE END OF 2016. IN AUGUST 2016, THE SCHENECTADY COUNTY LEGISLATURE ADOPTED A LOCAL LAW RAISING THE LEGAL AGE FOR THE SALE OF TOBACCO PRODUCTS TO 21.-DIABETES AND OBESITY: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.IN 2014, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES RECEIVED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH SUPPORTED INCREASED SCREENING FOR DIABETES IN HIGH RISK POPULATIONS.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.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.-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 CARE" (AFBHC)) - 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.LEVERAGING DATA MINING OF PATIENTS' INTAKE REGISTRATION FORMS, ELLIS CREATED A COMPUTER APPLICATION THAT IDENTIFIES ALL EMERGENCY DEPARTMENT PATIENTS WHO PRESENT WITHOUT A PRIMARY CARE PROVIDER LISTED ON THEIR REGISTRATION FORM. THIS INFORMATION IS THEN SORTED AND GIVEN TO CENTRAL SCHEDULING. DURING THE PATIENT'S TIME IN THE EMERGENCY DEPARTMENT, THEY RECEIVE EDUCATIONAL INFORMATION ABOUT THE DIFFERENT SETTINGS FOR CARE AND TIPS ON HOW TO PICK THE MOST APPROPRIATE SETTING - EMERGENCY DEPARTMENT, URGENT CARE, OR PRIMARY CARE. THEN, WITHIN 24 HOURS AFTER THE PATIENT HAS LEFT THE EMERGENCY DEPARTMENT, CENTRAL SCHEDULING CALLS THEM TO FOLLOW UP AND OFFERS AN APPOINTMENT WITH A PRIMARY CARE PHYSICIAN SO THAT THEY CAN GET ESTABLISHED AS A PATIENT OF A PRIMARY CARE PRACTICE.-MENTAL HEALTH AND SUBSTANCE ABUSE:THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES 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 IRB APPROVAL TO CONDUCT CHART REVIEWS OF NEWBORNS WITH 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. IN 2015, ELLIS AND SCPHS WORKED WITH HCDI WHICH IS COMPILING MENTAL HEALTH AND SUBSTANCE ABUSE 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 (6.3%) BETWEEN 2012 AND 2013. 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.SEE CONTINUATION ON SCHEDULE O
ELLIS HOSPITALPART 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.
FieldValueIRS element (for citing)
Facility15FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ELLIS HOSPITAL MENTAL HEALTH CLINIC
26 LAFAYETTE STREETSCHENECTADYNY12305MENTAL HEALTH SERVICES
2 - GLENVILLE HEALTHCARE CENTER
115 SARATOGA ROAD SUITE 200GLENVILLENY12302PRIMARY CARE SERVICES, BLOOD DRAW
3 - ELLIS HOSPITAL BARIATRIC CENTER
2125 RIVER RDNISKAYUNANY12309BARIATRIC CARE SERVICES
4 - ELLIS BLOOD DRAW STATION
2 CHELSEA PLACECLIFTON PARKNY12065BLOOD DRAW
5 - ELLIS HOSPITAL PRIMARY CARE
1201 NOTT STREETSCHENECTADYNY12308PRIMARY CARE SERVICES
6 - ELLIS HOSPITAL NEUROLOGY
1101 NOT STREET B6SCHENECTADYNY12308OUTPATIENT NEUROLOGY
7 - ELLIS HOSPITAL PROS PROGRAM
216 LAFAYETTE STREETSCHENECTADYNY12308MENTAL HEALTH SERVICES
8 - ELLIS HOSPITAL REHABILITATION SERVICES
650 MCCLELLAN STREETSCHENECTADYNY12304PHYSICAL THERAPY SERVICES
9 - MEDICAL CENTER OF CLIFTON PARK
103 SITTERLY ROADCLIFTON PARKNY1206524/7 EMERGENT CARE, LAB, MEDICAL IMAGING, PRIMARY CARE AND SPECIALTY SERVICE
10 - BLOOD DRAW- NISKAYUNA
2123 RIVER RDNISKAYUNANY12309PROVIDE BLOOD DRAW SERVICES
11 - SPINE AND PAIN CARE
939 RT 146CLIFTON PARKNY12065SPINE AND PAIN CARE LOCATED IN CLIFTON PARK NY
12 - ELLIS CUSHING MEDICAL ARTS BUILDING
624 MCCLELLAN STREETSCHENECTADYNY12304FAMILY AND PRIMARY CARE SERVICES
13 - ELLIS MEDICINE PRIMARY CARE BALLSTON SPA
990 STATE ROUTE 67BALLSTON SPANY12020PRIMARY CARE MEDICINE
14 - ELLIS HOSPITAL MCCLELLAN ST HEALTH CENT
600 MCCLELLAN STREETSCHENECTADYNY12304MEDICAL CENTER
15 - ELLIS MEDICINE PRIMARY CARE- MALTA
2537 ROUTE 9MALTANY12020PRIMARY CARE MEDICINE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C:ALL UNINSURED PATIENTS ARE AUTOMATICALLY ELIGIBLE FOR A REDUCTION OF CHARGES TO THE REIMBURSEMENT RATE FROM ELLIS' HIGHEST VOLUME HEALTH MAINTENANCE ORGANIZATION. UNINSURED PATIENTS WITH INCOMES AT OR BELOW 300% FPG ARE ELIGIBLE TO RECEIVE CHARITY (FREE) CARE.
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 $ 14,765,463.
PART II, COMMUNITY BUILDING ACTIVITIES:ELLIS HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. ELLIS SUCCESSFULLY RESTRUCTURED HEALTHCARE SERVICES FOLLOWING THE NEW YORK STATE-MANDATED HOSPITAL CONSOLIDATION IN SCHENECTADY IN 2007-2008, 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 HEALTHCARE SYSTEM. ONE OF ELLIS MEDICINE'S KEY COMMUNITY BUILDING ACTIVITIES DURING 2016 WAS "CARE CENTRAL," A COMMUNITY-FOCUSED, MULTI-PARTNER, CARE MANAGEMENT PROGRAM DERIVED FROM ELLIS ORIGINAL "MEDICAL HOME" INITIATIVE LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER. THIS IS A CENTRAL LOCATION FOR PRIMARY CARE AND OUTPATIENT SERVICES ON A SINGLE CAMPUS AIMED AT IMPROVING ACCESS TO HEALTHCARE, ESPECIALLY AMONG THE UNINSURED AND UNDERINSURED. THE ELLIS MCCLELLAN STREET HEALTH CENTER OFFERS PRIMARY MEDICAL CARE (ADULT AND PEDIATRIC), DENTAL CARE (ALSO ADULT AND PEDIATRIC), OUTPATIENT CHILD/ADOLESCENT MENTAL HEALTH SERVICES, DIABETES EDUCATION, AND (UNTIL LATE 2014) EMERGENCY SERVICES, ALONG WITH A NUMBER OF OUTPATIENT SERVICES SUCH AS MEDICAL IMAGING, LABORATORY, A SLEEP DISORDERS CENTER, WOUND CARE, AND DAY SURGERY. THE MEDICAL HOME FEATURED SPECIALLY TRAINED HEALTH SERVICES NAVIGATORS AND A COMMUNITY SERVICES NAVIGATOR, A COUNSELOR EMPLOYED BY THE LOCAL COMMUNITY ACTION AGENCY, WHO HELP PATIENTS CONNECT TO THE HEALTHCARE AND SOCIAL SERVICES PROGRAMS THEY NEED, INCLUDING MEDICAID AND SUBSIDIZED HEALTH INSURANCE CERTIFIED APPLICATION COUNSELORS, AND A FREE COMMUNITY SHUTTLE WHICH PROVIDES TRANSPORTATION FROM A NUMBER OF COMMUNITY SITES INCLUDING HOMELESS SHELTERS AND SOUP KITCHENS TO THE HEALTHCARE CAMPUS. CARE CENTRAL CONTINUES MEDICAL HOME SERVICES THROUGH AN EFFECTIVE PARTNERSHIP AMONG ELLIS MEDICINE AND NUMEROUS COMMUNITY GROUPS, INCLUDING THE SCHENECTADY COMMUNITY ACTION PROGRAM, THE SALVATION ARMY, THE CITY MISSION, YWCA, YMCA, SCHENECTADY CITY SCHOOL DISTRICT, AND SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, AMONG OTHER SOCIAL SERVICE AND COMMUNITY AGENCIES.THE SUCCESS OF THE MEDICAL HOME IN BUILDING COMMUNITY COALITIONS HELPED LEAD TO A SUCCESSFUL APPLICATION BY A COMMUNITY PARTNERSHIP FOR DESIGNATION BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS ONE OF THE FIRST THREE UPSTATE MEDICAID HEALTH HOMES. THE HEALTH HOME PROGRAM, WHICH WAS ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) OF 2010 AND CONFORMING STATE LAW, IS INTENDED TO PROVIDE A COMPREHENSIVE ARRAY OF HEALTHCARE AND COMMUNITY SUPPORT SERVICES TO MEDICAID PATIENTS WITH DESIGNATED HIGH-COST CONDITIONS. NEW YORK STATE HAS CHOSEN TO INITIALLY FOCUS ON PATIENTS WITH MULTIPLE CHRONIC CONDITIONS, BEHAVIORAL HEALTH ISSUES, AND/OR HIV/AIDS. A COALITION OF OVER 40 HEALTHCARE AND COMMUNITY AGENCIES LED BY ELLIS, THE VISITING NURSE SERVICE OF SCHENECTADY AND SARATOGA COUNTIES, INC., AND HOMETOWN HEALTH (THE SCHENECTADY FQHC) NOW PROVIDES COMPREHENSIVE CARE MANAGEMENT SERVICES TO HIGH RISK MEDICAID PATIENTS IN SCHENECTADY COUNTY.A THIRD COMPONENT OF "CARE CENTRAL" WAS A MEDICARE COMMUNITY-BASED CARE TRANSITIONS PROGRAM (CCTP) WHICH SERVED PATIENTS DISCHARGED FROM TEN DIFFERENT HOSPITALS IN A TEN-COUNTY REGION COVERING 20% OF THE GEOGRAPHY OF THE STATE OF NEW YORK. 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 WITH VNS WAS NOT RENEWED BY CMS IN 2014. CARE CENTRAL 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 SUSTAINS FUNDING FOR CERTAIN PATIENTS STARTING IN 2016.ANOTHER EXAMPLE OF ELLIS' COALITION BUILDING ACTIVITIES IS ITS PARTICIPATION IN THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES' FEDERALLY FUNDED STRATEGIC ALLIANCE FOR HEALTH (SAH), WHICH BRINGS TOGETHER A HOST OF HEALTHCARE AND COMMUNITY ORGANIZATIONS TO ADDRESS CHRONIC DISEASE AND TO PROMOTE DISEASE PREVENTION AND WELLNESS. AN ELLIS REPRESENTATIVE PARTICIPATES IN REGULAR MEETINGS OF THE SAH BOARD. ELLIS ALSO WORKS CLOSELY WITH THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) TO ASSESS COMMUNITY NEEDS AND TO DEVELOP BOTH THE FEDERALLY-REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT AND THE STATE-REQUIRED COMMUNITY SERVICE PLAN (CSP) TO IDENTIFY HEALTH PRIORITIES.ADDITIONALLY, ELLIS PARTNERS WITH A NUMBER OF COMMUNITY PARTNERS, SUCH AS THE AMERICAN CANCER SOCIETY AND THE YWCA, TO PROVIDE HEALTH SCREENINGS TO UNINSURED AND UNDERINSURED POPULATIONS IN OUR SERVICE AREA. ELLIS HAS PROVIDED OFFICE SPACE AND OTHER IN-KIND SUPPORT FOR THE STATE-SPONSORED SCHENECTADY COUNTY CANCER SERVICES PROGRAM. 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. IN 2013 AND 2014, PHYSICIANS AT THE FAMILY HEALTH CENTER BEGAN "PRESCRIBING" FRESH VEGETABLES TO AT-RISK PATIENTS AS PART OF A FOUNDATION-FUNDED GRANT PROGRAM. THE "PRESCRIPTION" CONSTITUTES A VOUCHER FOR NO-CHARGE LOCALLY-GROWN VEGETABLES WHICH ARE DISTRIBUTED AT A "FARM STAND" LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER. IN ADDITION, ELLIS OFFERS 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. AS OF 2016, 100% 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. A WEEKLY CLINIC AT THE SCHENECTADY CITY MISSION SERVES UNINSURED, HOMELESS INDIVIDUALS IN THE CITY OF SCHENECTADY. ELLIS STAFFS A GREEN TEAM THAT WORKS TO PROMOTE RECYCLING AND OTHER ECO-FRIENDLY PRACTICES THROUGHOUT THE ORGANIZATION. 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 2016, 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 12.
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 EMPLOYMENT 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. THE MEDIAN HOUSEHOLD INCOME IN THE CITY OF SCHENECTADY IS 34% BELOW THE STATEWIDE COMPARISON, AND THE UNEMPLOYMENT RATE IS 35% ABOVE THE STATE RATE (2010-2014 AMERICAN COMMUNITY SURVEY). 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, 25% OF ELLIS' MEDICARE DISCHARGES IN 2016 WERE DUAL-ELIGIBLES (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:ELLIS HOSPITAL DOES NOT USE PRESUMPTIVE ELIGIBILITY FOR CHARITY CARE. ALL PATIENTS ELIGIBLE FOR CHARITY CARE MUST SUBMIT AN APPLICATION WHICH IS THEN REVIEWED BY ELLIS TO VERIFY CHARITY CARE ELIGIBILITY. WITHOUT A SUBMITTED APPLICATION, CHARITY CARE IS NOT APPROVED AND PATIENTS ARE SUBJECT TO ROUTINE COLLECTION EFFORTS AS OUTLINED IN ELLIS' COLLECTION POLICIES. HOWEVER, ONCE APPROVED FOR CHARITY CARE, PATIENT BALANCES ARE ELIMINATED AND NO COLLECTION EFFORTS TAKE PLACE.
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 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 ASSESSMENT (HTTP://WWW.ELLISMEDICINE.ORG/BLOB/PUBLICNOTICESFILES.ASHX?ID=197) AND ITS 757-PAGE DATA APPENDIX (HTTP://WWW.ELLISMEDICINE.ORG/BLOB/PUBLICNOTICESFILES.ASHX?ID=198) ARE POSTED ON THE ELLIS WEBSITE.2)THE SCNENECTADY 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 SEPTEMBER 2015 AND UPDATED IN DECEMBER 2016. 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 FORM 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/FAQS.ASPX),3) IN READILY AVAILABLE AND PUBLICLY DISTRIBUTED BROCHURES, AND4) 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 AVAILABLITY 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.SINCE 2009, ELLIS MEDICINE HAS INCLUDED AFFIRMATIVE FINANCIAL ASSISTANCE OUTREACH AS PART OF ITS COMMUNITY-BASED POPULATION HEALTH PROGRAMS. INITIALLY, THE INNOVATIVE "MEDICAL HOME" AT THE MCCLELLAN CAMPUS WAS INTENDED TO INCREASE ACCESS TO CARE AND PROVIDE HEALTH CARE NAVIGATION SERVICES TO PATIENTS (ESPECIALLY THE UNDERSERVED AND UNINSURED/UNDERINSURED), INCLUDING EDUCATION ABOUT AND ASSISTANCE WITH HEALTH INSURANCE AND FINANCIAL ASSISTANCE SERVICES. SEPARATE "NAVIGATORS" AT THIS LOCATION SPECIALIZED IN "HEALTH CARE NAVIGATION," "COMMUNITY SERVICE NAVIGATION, AND "INSURANCE NAVIGATION." EVEN WITH THE MANY CHANGES WHICH HAVE OCCURRED SINCE, AN ENROLLMENT REPRESENTATIVE FROM FIDELIS, THE SECOND-LARGEST NON-PROFIT MEDICAID MANAGED CARE ORGANIZATION SERVING SCHENECTADY COUNTY, CONTINUES TO WORK OUT OF THE SAME OFFICE AT MCCLELLAN.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, ONE OF NEW YORK'S NOT-FOR-PROFIT MEDICAID MANAGED CARE ORGANIZATIONS. STARTING IN 2013, ELLIS HAS ARRANGED FOR ON-SITE SERVICES OF HEALTH INSURANCE NAVIGATORS (ALSO KNOWN AS "IN PERSON ASSISTORS") ENGAGED BY 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 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.AS OF 2016, ELLIS LOCATIONS WHICH PARTICIPATE AS PRACTICE SITES FOR THE NATIONAL HEALTH SERVICE CORPS (NHSC) HAVE DISPLAYED THE HRSA-REQUIRED SIGNAGE REGARDING FREE OR SLIDING-SCALE FEES. THESE SITES ARE THE DENTAL HEALTH CENTER AND THE OUTPATIENT MENTAL HEALTH CLINIC.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 DISCOUNTS. 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 IN 2008, 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 (2015 POPULATION: 154,604) 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 (2015 POPULATION: 65,305). 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 DESIGNATED A HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR THE MEDICAID POPULATION FOR MENTAL HEALTH AND DENTAL HEALTH. IN ADDITION, EIGHT CENSUS TRACTS IN THE HAMILTON HILL/MONT PLEASANT NEIGHBORHOODS, WHICH ARE IMMEDIATELY ADJACENT TO THE ELLIS MCCLELLAN STREET HEALTH CENTER, ARE DESIGNATED HEALTH PROFESSIONS SHORTAGE AREAS FOR THE MEDICAID POPULATION FOR PRIMARY CARE. HOMETOWN HEALTH CENTER, THE ELLIS DENTAL HEALTH CENTER, AND THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC HAVE BEEN DESIGNATED BY HRSA AS NATIONAL HEALTH SERVICE CORPS PRACTICE SITES. SCHENECTADY COUNTY IS DIRECTLY SERVED BY ONE DSRIP PERFORMING PROVIDER SYSTEM (PPS), THE ALLIANCE FOR BETTER HEALTH CARE (AFBHC), AND IS ADJACENT TO THE SERVICE AREA OF THE ALBANY MEDICAL CENTER PPS.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 $38,916, IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE ($57,025), WHICH IS BELOW THAT OF THE STATE ($58,687). THE POVERTY RATE IN THE CITY (23.8%) IS NEARLY DOUBLE THAT OF THE COUNTY AS A WHOLE (13.2%). 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, HOSPITALIZATIONS FOR CONDITIONS RELATED TO DIABETES RANGE FROM 604/100,000 IN THE CITY'S HAMILTON HILL NEIGHBORHOOD (12307) TO 62/100,000 IN THE NEARBY SUBURB OF NISKAYUNA (12309).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, HOWEVER, SCHENECTADY COUNTY RESIDENTS ARE MORE LIKELY THAN THE AVERAGE NEW YORK STATE RESIDENT TO HAVE HEALTH INSURANCE (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).SEE CONTINUATION ON SCHEDULE O.
PART VI, LINE 5:ELLIS MEDICINE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH:-A VOLUNTEER BOARD OF TRUSTEES THAT IS COMPRISED OF COMMUNITY MEMBERS, MEDICAL STAFF MEMBERS AND ONE HOSPITAL ADMINISTRATOR WHO SERVE THREE YEAR TERMS, UP TO A THREE TERM MAXIMUM. AS OF DECEMBER 2016, THE ELLIS BOARD CONSISTED OF 23 TRUSTEES - 16 NON-CLINICIAN RESIDENTS OF THE COMMUNITY, FOUR PHYSICIANS AND ONE NURSE, AND ONE SENIOR HOSPITAL ADMINISTRATOR (THE HOSPITAL'S PRESIDENT AND CEO). ELLIS DOES NOT HAVE A PARENT CORPORATION.-MEDICAL PRIVILEGES AT ELLIS HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AND OTHER CLINICAL PROVIDERS IN THE AREA. AN OPEN MEDICAL STAFF CONSISTS OF APPROXIMATELY 951 AFFILIATED PHYSICIANS AND OTHER PROVIDERS. THESE ARE COMPRISED OF 556 ON-SITE M.D.S AND D.O.S, 123 TELEMEDICINE PROVIDERS, 235 MID-LEVEL PROVIDERS, AND 37 PROVIDERS IN OTHER CATEGORIES SUCH AS TEACHING AND CONSULTING. APPROXIMATELY 301 OF THESE PHYSICIANS AND OTHER PROVIDERS ARE EMPLOYED BY ELLIS, INCLUDING 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.-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 EMERGENT CARE SERVICES AT THE MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY. ELLIS' IS 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. -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.-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, ESPECIALLY THROUGH CARE CENTRAL AND OTHER COMMUNITY-BASED INITIATIVES; 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, ARE PROVIDED BY THE VNS.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL A MILTON
PRESIDENT & CEO - ELLIS MEDICINE$425,522$0$43,200$0$18,805$0$10,600$0$24,069$0$522,196$0$0$0
WENDY ROSHER
EVP OPERATIONS/ STRATEGIC$264,403$0$20,520$0$22,027$0$15,900$0$16,387$0$339,237$0$0$0
MARC MESICK
VP FINANCIAL SERVICES/ CFO$262,625$0$18,000$0$301$0$10,134$0$7,367$0$298,427$0$0$0
RONALD MCKINNON
VP/ CHIEF INFORMATION OFFICER$197,354$0$3,239$0$5,453$0$0$0$17,404$0$223,450$0$0$0
AVINASH BACHWANI MD
VP CHIEF MEDICAL INFORMATI$253,546$0$5,640$0$6,782$0$10,472$0$7,225$0$283,665$0$0$0
JOSEPH GIANSANTE
EVP CHIEF HUMAN RESOURCES$251,702$0$19,800$0$37,279$0$10,600$0$11,577$0$330,958$0$0$0
DAVID M LIEBERS MD
VP MEDICAL AFFAIRS$333,550$0$15,882$0$2,861$0$11,150$0$30,044$0$393,487$0$0$0
ROGER BARROWMAN MD
CEO - ELLIS MEDICINE GROUP UNTIL 5/8$370,973$0$11,138$0$39,456$0$8,882$0$8,231$0$438,680$0$0$0
FRANK GENOVESE MD
NEUROSURGEON$574,953$0$26,667$0$18,329$0$53,069$0$13,751$0$686,769$0$26,667$0
IFTIKHAR SYED MD
GENERAL SURGEON$685,674$0$56,400$0$31$0$0$0$13,751$0$755,856$0$56,000$0
HERBERT REICH MD
SURGEON-CARDIOTHOR$547,012$0$76,673$0$18,445$0$78,457$0$16,251$0$736,838$0$76,673$0
PAUL SPURGAS MD
NEUROSURGEON$558,981$0$25,333$0$2,317$0$34,634$0$10,926$0$632,191$0$25,333$0
TERRENCE CLARKE
SURGEON$570,967$0$42,930$0$21,071$0$70,000$0$16,301$0$721,269$0$41,580$0
JAMES W CONNOLLY
FORMER CEO$0$0$0$0$544,343$0$10,600$0$6,859$0$561,802$0$0$0
KATHLEEN HALE
FORMER KEY EMPLOYEE$0$0$760$0$134,406$0$0$0$8,088$0$143,254$0$0$0
DONALD J MCLAUGHLIN
FORMER KEY EMPLOYEE$270$0$1,173$0$214,943$0$0$0$14,968$0$231,354$0$0$0
ANOUSH KOROGHLIAN-SCOTT
FORMER KEY EMPLOYEE$0$0$1,463$0$99,122$0$0$0$654$0$101,239$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AELLIS 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 4AJAMES CONNOLLY'S SEVERANCE PAY BEGAN ON MAY 5, 2015. SEVERANCE PAY FOR 2016 WAS $561,802. ANOUSH KOROGHLIAN-SCOTT'S SEVERANCE PAY BEGAN ON OCTOBER 30, 2015. SEVERANCE PAY FOR 2016 WAS $87,889. KATHLEEN HALE'S SEVERANCE PAY BEGAN JULY 31, 2015. SEVERANCE PAY FOR 2016 WAS $126,622. DON MCLAUGHLIN'S SEVERANCE PAY BEGAN OCTOBER 30, 2015. SEVERANCE PAY FOR 2016 WAS $218,462.
PART I, LINE 6THE 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 IIIDR. TERENCE CLARKE IS A SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $41,580 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2016 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2015 990 SCHEDULE J PART II IN COLUMN C. DR. HERBERT REICH IS A SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $76,673 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2016 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2015 990 SCHEDULE J PART II IN COLUMN C. DR. FRANK GENOVESE IS A NEURO-SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $26,667 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2016 W-2 AND IS INCLUDED IN COLUMN B (II). PAUL SPURGAS IS A NEURO-SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $25,333 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2016 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2015 990 SCHEDULE J PART II IN COLUMN. IFTIKHAR SYED IS A SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $25,333 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2015. THIS AMOUNT WAS INCLUDED IN HIS 2016 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2015 990 SCHEDULE J PART II IN COLUMN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtSharing Of RevenuesSharingOfRevenuesIndTransactionTransactionAmtTransactionTransactionDesc
(no name)
TRUSTEE0
CRISTINE CIOFFI
TRUSTEE0$68,571SON IS EMPLOYEE, AND OTHER PROFESSIONAL SERVICES
JONATHAN KEMP
TRUSTEE0$333,743MEDICAL SERVICES
ROBERT JOY MD
TRUSTEE0$1,172,098MEDICAL SERVICES
BRIAN MCDONALD MD
TRUSTEE0$1,072,500MEDICAL SERVICES
JANET SAPIO-MAYTA
TRUSTEE0$106,330SISTER IS EMPLOYEE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationCRISTINE CIOFFI: SON PATRICK SHARKEY IS AN ER NURSE. ($58,346-COMPENSATION). PATRICK WAS ALSO PAID $185 FOR AHA-PALS RENEWAL. ELLIS PAID CIOFFI, SLEZAK, WILDGRUBE PC $10,040 FOR GUARDIANSHIP SERVICES IN 2016. DR. JOY IS A PARTNER OF CARDIOLOGY ASSOCIATES OF SCHENECTADY (CAS). CAS RECEIVES A STIPEND FOR THE DIRECTION OF THE CARDIOLOGY PROGRAM AT ELLIS MEDICINE. ELLIS MEDICINE ALSO LEASES PHYSICIANS' ASSISTANTS FROM CAS. DR. JOY WAS PAID $28,750 FOR CHIEF OF STAFF STIPEND.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 $15,300.BRIAN MCDONALD IS A PARTNER IN PHYSICIAN PRACTICE-SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES(SPCCA). ($1,059,999.96) SPCCA PROVIDES 24/7 COVERAGE TO ELLIS. DR MCDONALD ALSO INDIVIDUALLY RECEIVES COMPENSATION AS DEPARTMENT CHIEF. ($12,500).JANET SAPIO-MAYTA'S SISTER IS AN EMPLOYEE ($106,330-COMPENSATION). EMPLOYEE IS NANCY SAPIO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3IN 2016 ELLIS HOSPITAL UTILIZED AN AGENCY IN AN ARMS-LENGTH TRANSACTION TO FULFILL THE CNO / VP OF NURSING POSITION. THE AGENCY, SUELLYN ELLERBE & ASSOCIATES INC. WAS PAID COMPENSATION $400,668.
FORM 990, PART VI, SECTION B, LINE 11BLINE 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 12CELLIS 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 15THE 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 19CORPORATE 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 VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCJAMES W. CONNOLLY - 4 BALMAIN COURT, SARATOGA SPRINGS, NY 12866. KATHLEEN HALE - 31 ROTTERDAM DR, GLENMONT, NY 12077. DONALD J. MCLAUGHLIN - 12 RUDOLPH CT, COHOES, NY 12047. ANOUSH KOROGHLIAN-SCOTT - 99 LAKE HILL ROAD, BURNT HILLS, NY 12027.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN FOUNDATION 138,416. PENSION AND POSTRETIREMENT RELATED CHANGES 2,737,477. INVESTMENT IN AFFILIATE 99,391. YANKEE ALLIANCE TAX INCOME -659,009. ALLIANCE FOR BETTER HEALTH CARE -3,978.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART III, LINE 4AELLIS IS A 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 NUMEROUS PRIMARY CARE AND OUTPATIENT SITES, INCLUDING TWO COMPREHENSIVE OUTPATIENT CAMPUSES (MCCLELLAN STREET HEALTH CENTER IN THE CITY OF SCHENECTADY AND MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY). ALL HOSPITAL SERVICES ARE PROVIDED UNDER A SINGLE CORPORATE TAXPAYER IDENTIFICATION NUMBER (TIN) AND A SINGLE OPERATING CERTIFICATE (OPCERT) ISSUED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, THE HOSPITAL'S PRIMARY REGULATOR. THE HOSPITAL IS OVERSEEN BY A VOLUNTEER BOARD OF TRUSTEES DRAWN FROM THE COMMUNITY. ELLIS IS THE SOLE PROVIDER OF ACUTE HOSPITAL CARE IN SCHENECTADY COUNTY, FOLLOWING STATE-MANDATED RESTRUCTURING WHICH RESULTED IN CONSOLIDATION OF THREE HOSPITALS INTO ONE IN 2007-2008. 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 TRADITION OF COMMUNITY-BASED CARING AND A FIRM COMMITMENT TO QUALITY. ELLIS HAS EARNED NUMEROUS RECOGNITIONS FOR CLINICAL EXCELLENCE AND COMMUNITY SERVICE. ELLIS IS A NEW YORK STATE DESIGNATED PRIMARY STROKE CENTER AND RECIPIENT OF THE GOLD/GOLD PLUS AWARD FROM THE AMERICAN STROKE ASSOCIATION (2007-2016), RECOGNIZED FOR USING THE ASA'S "GET WITH THE GUIDELINES" PROGRAM FOR IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES. THE HOSPITAL IS A FULLY ACCREDITED CENTER OF EXCELLENCE BY 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; AND FIVE ELLIS PRIMARY CARE PRACTICES IN GLENVILLE, SCHENECTADY AND CLIFTON PARK HAVE ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) "PATIENT-CENTERED MEDICAL HOME" (PCMH) RECOGNITION. ELLIS IS A RECIPIENT OF THE AMERICAN HEART ASSOCIATION'S FIT-FRIENDLY WORKSITES DESIGNATION, EARNING GOLD STATUS IN 2015 AND 2016 FOR ITS WORK IN PROMOTING EMPLOYEE WELLNESS. IN ADDITION, ELLIS RECEIVED THE AMERICAN HEART ASSOCIATION'S INNOVATION AWARD FOR PRESENTING A UNIQUE PROGRAM TO PROVIDE 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 2013 MASS 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 IN 2013), THE CITY MISSION OF SCHENECTADY ("PARTNERS AWARD," SPECIFICALLY RECOGNIZING THE HOSPITAL'S FREE COMMUNITY SHUTTLE, HEALTH SERVICE NAVIGATORS, AND OTHER 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 WHICH OPENED IN DECEMBER 2014 AT ELLIS HOSPITAL AND HAD 75,740 VISITS IN 2016; THE BELLEVUE WOMAN'S CENTER WHICH DELIVERED 2,633 BABIES IN 2016 (SEE LINE 4D); EIGHT PRIMARY CARE PRACTICES (IN SCHENECTADY (4), 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 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. 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, FAMILY HEALTH PLUS, 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. IN LATE 2012, ELLIS OPENED THE MEDICAL CENTER OF CLIFTON PARK (MCCP), LOCATED IN SOUTHERN SARATOGA COUNTY, ONE OF THE FASTEST-GROWING COMMUNITIES IN NEW YORK STATE. THE EMERGENT CARE FACILITY SAW 36,219 PATIENT VISITS IN 2016. MCCP IS ALSO THE LOCATION FOR A PRIMARY CARE PRACTICE AND SEVERAL SPECIALTY PRACTICES. 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 IS THE LARGEST STATE-CERTIFIED PROVIDER OF HOME HEALTH CARE SERVICES IN SCHENECTADY COUNTY, AND ALSO SERVES SEVERAL OTHER COUNTIES IN THE REGION. THE BELANGER SCHOOL OF NURSING AT ELLIS PREPARES STUDENTS FOR LICENSURE AS PROFESSIONAL REGISTERED NURSES (RN). IN 2016, 89% OF THE SCHOOL'S GRADUATES PASSED THE NEW YORK STATE NURSING LICENSURE EXAMINATION (FIRST TIME TAKERS). TOTAL FALL 2016 ENROLLMENT WAS 119 STUDENTS, WITH THE 2016 GRADUATING CLASS AT 50 STUDENTS. TWENTY-TWO PERCENT OF THESE GRADUATES JOINED THE NURSING STAFF AT ELLIS WITHIN SIX MONTHS OF GRADUATION.
FORM 990, PART III, LINE 4A, CONTINUEDELLIS 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 (SEE SCHEDULE H, PART V) AND THE STATE-MANDATED THREE-YEAR 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 SIX-COUNTY HEALTH DATA COLLECTION AND PLANNING ENTITY WHICH BRINGS TOGETHER COUNTY PUBLIC HEALTH DEPARTMENTS, NOT-FOR-PROFIT HOSPITALS, FQHCS, AND NOT-FOR-PROFIT INSURERS. IN BOTH 2013 AND 2016, HCDI CONDUCTED REGIONAL INFORMATION-GATHERING EXERCISES TO PROVIDE THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS OF ITS MEMBER NOT-FOR-PROFIT HOSPITALS. THESE ARE AVAILABLE HERE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX AND 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: HTTP://ALLIANCEFORBETTERHEALTHCARE.COM/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 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 70 HEALTHCARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES. SCHC MET SEVEN TIMES DURING 2016 TO DISCUSS COMMUNITY HEALTH NEEDS, TO MONITOR PROGRESS ON ELLIS' 2013 IMPLEMENTATION STRATEGY, AND TO PREPARE THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY "CARE CENTRAL," A MULTI-AGENCY PROVIDER OF CARE MANAGEMENT SERVICES LED BY ELLIS AND VNS, ADDRESSES COMMUNITY HEALTH NEEDS THROUGH: 1) THE MEDICAL HOME, AN INNOVATIVE COMMUNITY COLLABORATION WHICH CENTRALIZES PRIMARY CARE AND OUTPATIENT HEALTH AND COMMUNITY SERVICES IN ONE LOCATION AT THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS, FEATURING HEALTH SERVICES AND COMMUNITY SERVICES NAVIGATORS, A FREE COMMUNITY SHUTTLE VAN, AND COMMUNITY-FOCUSED PROGRAMS SUCH AS HEALTH FAIRS AND SEMINARS, AND 2) A MEDICAID HEALTH HOME WHICH ALSO PROVIDES BOTH CARE MANAGEMENT AND DIRECT CHRONIC CARE SERVICES TO CERTAIN UNINSURED PATIENTS. COMMUNITY NEEDS ARE ALSO ADDRESSED BY SUCH PROGRAMS AS: THE WRIGHT HEART CENTER, WHICH OFFERS COMPLETE CARDIAC CARE AND WHICH HAS PARTNERED WITH LOCAL VOLUNTEER AMBULANCE CORPS TO IMPROVE RESPONSE TIMES THROUGH INSTALLATION OF ADVANCED EKG EQUIPMENT ON AMBULANCES AND LOCATION OF AEDS AT COMMUNITY SITES SUCH AS RECREATION FIELDS, AND WHICH ALSO PARTICIPATED WITH IPRO IN A THREE-YEAR PROJECT FUNDED BY CMS TO EVALUATE THE TRANSITION OF PATIENTS FOR EACH LEVEL OF CARE AND MAKE IMPROVEMENTS TO REDUCE HOSPITAL READMISSIONS; THE STROKE CENTER, WHICH IS THE REGION'S MOST COMPREHENSIVE SOURCE FOR STROKE EDUCATION; AND THE ELLIS CENTER FOR DIABETES, WHICH HELPS CHILDREN AND ADULTS WITH DIABETES IMPROVE THEIR QUALITY OF LIFE THROUGH EDUCATION AND SUPPORT, INCLUDING THE AREA'S ONLY SUMMER DAY CAMP FOR CHILDREN WITH TYPE 1 DIABETES WHICH PROVIDES FULL-TUITION SCHOLARSHIPS FOR LOW-INCOME CHILDREN. ELLIS COUNTED 18,173 INPATIENT DISCHARGES (CONSISTING OF 16,229 ACUTE CARE AND 1,944 PSYCHIATRIC) AND 592,909 OUTPATIENT VISITS DURING 2016. IN 2016, ELLIS PROVIDED $19,573,797 IN FINANCIAL ASSISTANCE, CONSISTING OF $3,670,729 IN CHARITY CARE AND $15,903,068 IN UNINSURED DISCOUNTS. ELLIS HAS GRANTED DISCOUNTED RATES TO ALL UNINSURED PATIENTS, WITHOUT REQUIRING EVIDENCE OF ABILITY TO PAY, SINCE NOVEMBER 2009.
FORM 990, PART III, LINE 4BELLIS 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 THOSE SUFFERING FROM SCHIZOPHRENIA AND OTHER MAJOR DISORDERS AND THEIR FAMILIES. 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 HEALTH CENTER, WHERE IT IS CO-LOCATED WITH THE PEDIATRIC AND FAMILY HEALTH CENTERS, AND WITH THE HOSPITAL'S MEDICAL HOME. IN 2016, THE ELLIS MENTAL HEALTH PROGRAMS HAD 1,944 INPATIENT DISCHARGES AND 49,867 OUTPATIENT VISITS.
FORM 990, PART III, LINE 4CTHE ELLIS CENTER, AN 82-BED SKILLED NURSING FACILITY AND SHORT-STAY REHABILITATION FACILITY SPECIALIZING IN MEDICALLY COMPLEX CASES, OPERATES FROM ITS RENOVATED FACILITY ON THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS. THE FACILITY PROVIDES RESIDENTS WITH MORE PRIVATE ROOMS AND SUCH AMENITIES AS A CYBER-CENTER, A LARGER HAIR SALON, AND A ROOF-TOP GARDEN. RESIDENT DAYS FOR 2016 WERE 28,790. THE RELOCATION IN 2010 FREED UP TWO FLOORS AT ELLIS HOSPITAL WHICH, WHILE NOW USED FOR CLINICAL AND ADMINISTRATIVE OFFICES, COULD BE MADE AVAILABLE FOR SURGE CAPACITY IN THE EVENT OF A COMMUNITY DISASTER OR EPIDEMIC.
CONTINUATION OF SCHEDULE H, PART V, LINE 11...CONTINUED -ADOLESCENT (TEEN) PREGNANCY: ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT, PLANNED PARENTHOOD MOHAWK HUDSON, 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 A 9TH GRADE STUDENT ASSEMBLY IN NOVEMBER 2016, 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 EXPECTED TO DEBUT IN 2017. 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 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. -FALLS: THE 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 HAS UNDERTAKEN LEAD ACTIVITIES FOR A "FALLS PREVENTION WORK GROUP." THE WORK GROUP MEETS REGULARLY AND HAS ENGAGED EXPERTS FROM THE STATE DEPARTMENT OF HEALTH, SENIOR CITIZEN ORGANIZATIONS, REHABILITATION FACILITIES, AND LOCAL GOVERNMENT AGENCIES. -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. DURING 2015, ELLIS, 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. 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 IN THE SUMMER OF 2015, 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. CONTINUED...
CONTINUATION OF SCHEDULE H, PART V, LINE 11...CONTINUED -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 CARE, OR AFBHC) 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 TWO ENTITIES SHARE FACILITIES AND SOME STAFF, WITH OTHER STAFF DEDICATED TO ONE OR THE OTHER. DURING 2015, BOTH WERE LARGELY ENGAGED IN ORGANIZATIONAL ACTIVITIES AND IN BUILDING BASELINE DATA. THE DSRIP PPS RECEIVED SCHEDULED FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. THE MSSP ACO WAS FUNDED BY CAPITAL CONTRIBUTIONS FROM THE TWO MEMBERS OF THE LLC (ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS), AND DID NOT ACHIEVE "SHARED SAVINGS" DURING ITS FIRST TWO YEARS OF OPERATION. -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. -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 IRS FORM 990, SCHEDULE H. MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE (CHARITY CARE) COVERED NEARLY TWO-THIRDS OF INPATIENT DISCHARGES DURING 2016.
CONTINUATION OF SCHEDULE H, PART V, LINE 5...CONTINUED SEPTEMBER 29, 2016 MEB (MENTAL HEALTH AND SUBSTANCE ABUSE) WORK GROUP: SPECIFIC PARTICIPATION IN CHIP/CSP PROJECTS, REPORTS ON PROJECTS AND OPPORTUNITIES ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, NEW CHOICES RECOVERY CENTER, CONIFER PARK, SCHENECTADY ARC, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, UNITED WAY OF THE GREATER CAPITAL REGION, ELLIS MEDICINE, COMMUNITY MEMBER WITH SUICIDE PREVENTION EXPERTISE SEPTEMBER 29, 2016 TOPICS: STATUS OF DRAFT CHIP/CSP DOCUMENT, REPORTS FROM CHIP/CSP WORK GROUPS, OBESITY/DIABETES, MEB (MENTAL HEALTH AND SUBSTANCE ABUSE), REPORTS FROM OTHER WORK GROUPS, ASTHMA, FALLS PREVENTION, TEEN PREGNANCY, TOBACCO, REPORT ON PICH FOOD FORUM, STATUS OF SCHENECTADY DSRIP PROJECTS, NEXT STEPS/SCHEDULE - WORK GROUPS AND FULL COALITION, MEMBER UPDATES AND INFORMATION SHARING ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, UNITED WAY OF THE GREATER CAPITAL REGION, NEW CHOICES RECOVERY CENTER, SCHENECTADY ARC, CONIFER PARK, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY PUBLIC LIBRARY, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS MEDICINE, CAPITAL DISTRICT CHILD CARE COUNCIL, BETHESDA HOUSE, CAPITAL DISTRICT TOBACCO-FREE COMMUNITY, PRICE CHOPPER, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, ST. PETER'S HEALTH PARTNERS CREATING HEALTHY SCHOOLS PROGRAM, ELLIS HOSPITAL DIABETES EDUCATION PROGRAM, LEAGUE OF WOMEN VOTERS OF SCHENECTADY, SUNNYVIEW REHABILITATION HOSPITAL, HEALTHY CAPITAL DISTRICT INITIATIVE COMMUNITY TELEPHONE SURVEY: THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) CONDUCTED ITS SECOND COMMUNITY HEALTH SURVEY OF RESIDENTS IN THE CAPITAL DISTRICT DURING MARCH TO APRIL 2016. THE AIM OF THE SURVEY WAS TO LEARN MORE ABOUT BEHAVIORAL HEALTH/LIFESTYLE PRACTICES, HEALTH CARE UTILIZATION AND NEEDS, CHALLENGES TO PRACTICING HEALTHY BEHAVIORS AND ACCESSING CARE AND ACCEPTABILITY OF COMMUNITY HEALTH PROGRAMS. THE SIENA COLLEGE RESEARCH INSTITUTE WAS CONTRACTED TO COLLECT THE DATA FOR THIS COMMUNITY HEALTH SURVEY. A RANDOM SAMPLING DESIGN WAS APPLIED TO RECRUIT A REPRESENTATIVE SAMPLE OF 2,408 PARTICIPANTS. APPROXIMATELY 400 RESIDENTS IN EACH OF THE SIX COUNTIES (ALBANY, COLUMBIA, GREENE, RENSSELAER, SARATOGA AND SCHENECTADY) PARTICIPATED IN THE SURVEY. 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 +/-2.7 PERCENTAGE POINTS AT THE 95% CONFIDENCE LEVEL. THE DATA COLLECTION INSTRUMENT WAS DEVELOPED BY HCDI IN COLLABORATION WITH THE PREVENTION AGENDA STEERING COMMITTEE AND SIENA COLLEGE. THE 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 QUESTIONNAIRES TO ENSURE FIDELITY OF THE DATA. PARTICIPANTS WHO WERE 18 YEARS 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 13.7% WAS OBTAINED. UP TO SEVEN ATTEMPTS WERE MADE BEFORE PARTICIPANTS WERE CLASSIFIED AS NON-RESPONSE. FORTY-FOUR PERCENT OF THE RESPONDENTS CONSENTED TO BE CONTACTED IN FUTURE SURVEYS OR OTHER RESEARCH STUDIES. THE PARTICIPANTS WERE NOT COMPENSATED TO TAKE PART IN THE SURVEY. DESCRIPTIVE STATISTICS WAS USED TO SUMMARIZE THE DATA. WRITTEN COMMENTS RECEIVED ON 2013 CHNA AND IMPLEMENTATION STRATEGY: AS REQUIRED, ELLIS POSTED THE 2013 CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX). IN ADDITION, THE IMPLEMENTATION STRATEGY WAS INCLUDED IN THE IRS FORMS 990 SCHEDULE H ALSO POSTED ON THE WEBSITE. ELLIS SOLICITS PUBLIC COMMENTS VIA THE WEBSITE ITSELF (HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX), FACEBOOK (HTTPS://WWW.FACEBOOK.COM/ELLISMEDICINENY) AND TWITTER (HTTPS://TWITTER.COM/ELLISMEDICINE) WITH ALL ACCOUNTS ACTIVELY MONITORED BY STAFF FROM THE PUBLIC RELATIONS OFFICE. ELLIS ALSO SOLICITED PUBLIC COMMENTS THROUGH THE REGULAR MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). NO WRITTEN COMMENTS WERE RECEIVED BETWEEN THE WEBSITE POSTING OF THE 2013 CHNA AND IMPLEMENTATION STRATEGY IN NOVEMBER 2013 AND THE PREPARATION OF THE 2016 CHNA IN SEPTEMBER 2016. 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 AFTER ADOPTION OF THE 2013 DOCUMENT. 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, ELLIS EXPECTS TO MORE AGGRESSIVELY ENCOURAGE WRITTEN COMMENTS ON THE 2016 CHNA AND IMPLEMENTATION STRATEGY. THIS WILL INCLUDE SPECIFIC OUTREACH TO COMMUNITY ORGANIZATIONS WITH THE REQUEST THAT THE DOCUMENT BE MADE AVAILABLE TO THEIR CLIENTS AND MEMBERS. IF TECHNICALLY POSSIBLE, A POTENTIAL OPTION WOULD BE TO ADD A DIRECT EMAIL LINK TO THE WEBSITE PAGE.
CONTINUATION OF SCHEDULE H, PART VI, LINE 4...CONTINUED SCHENECTADY COUNTY CITY OF SCHENECTADY NEW YORK STATE POPULATION 154,604 (2015) 65,305 (2015) 19,795,791 (2015) PERSONS PER SQUARE MILE 756.6 (2010) 6,135.5 (2010) 411.2 (2010) PERSONS UNDER 18 YEARS 21.7% (2015) 24.4% (2010) 21.3% (2015) PERSONS 65 YEARS AND OVER 16.0% (2015) 11.4% (2010) 15.0% (2015) WHITE ALONE 79.6% (2015) 61.4% (2010) 70.1% (2015) BLACK OR AFRICAN AMERICAN ALONE 11.4% (2015) 20.2% (2010) 17.6% (2015) BACHELOR'S DEGREE OR HIGHER (AGE 25+) 29.8% (2010-14) 20.1% (2010-14) 33.75% (2010-14) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $166,900 (2010-14) $116,700 (2010-14) $283,700 (2010-14) MEDIAN HOUSEHOLD INCOME $57,025 (2010-14) $38,916 (2010-14) $58,687 (2010-14) PERSONS IN POVERTY 13.2% (2014) 23.8% (2014) 15.9% (2014) FIGURE 1: SCHENECTADY COUNTY, CITY, AND STATE DEMOGRAPHICS SOURCE: US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED JUNE 28, 2016 ----------------------------------------------------------------------- SCHENECTADY COUNTY NEW YORK STATE ADULTS 18-64 WITHOUT ANY HEALTH INSURANCE (2009-13) 8.4% 11.1% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2013-14) 79.8% 84.6% (EXCL. NYC) ADULTS WHO VISITED DOCTOR FOR ROUTINE CHECK-UP W/IN 1 YEAR (AGE-ADJUSTED, 2013-14) 68.7% 72.3% ADULT DENTAL VISIT W/IN PAST YEAR (2013-14) 70.0% 70.9% (EXCL. NYC) FIGURE 2: SCHENECTADY COUNTY AND STATE HEALTH INSURANCE AND ACCESS MEASURES SOURCE: HCDI, 2016 COMMUNITY HEALTH PROFILE

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY
108 ERIE BOULEVARDSCHENECTADYNY12305141338478HOME HEALTH CARENY501(C)(3)3ELLIS HOSPITALYes (1)
VOLUNTEER AIDES OF ELLIS HOSPITAL
1101 NOTT STREETSCHENECTADYNY12308146004058PROVIDE VOLUNTEER SUPPORT TO THE HOSPITALNY501(C)(3)LINE 12D, III-O0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

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Business Name Line1UROLOGY ASSOCIATES OF SCHENECTADY PCBusinessNameLine1Txt

US Address USAddress

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Address Line12200 ROSA RDAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12309ZIPCd
FieldValueIRS element (for citing)
EIN473773665EIN
Primary ActivitiesUROLOGY SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd