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ELLIS HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ELLIS HOSPITAL (EIN 14-1338428)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201503209349314260
Schema version
2014v5.0
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)
Return2015-11-16T15:11:08-08:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 BROADWAYAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122072930ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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
ZIP12308ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMarc MesickPersonNm
Person TitleVice President/CFOPersonTitleTxt
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey StaggPreparerPersonNm
PTINP01326885PTIN
Phone5184274600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$388,146,800GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
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. Our vision is to be an world class healthcare system by providing patient-centered care and collaborating with our physicians.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee4098TotalEmployeeCnt
Total Volunteers281TotalVolunteersCnt
Total Gross UBI$5,936,312TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$402,877NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,590,373PYContributionsGrantsAmt
CY Contributions Grants$5,780,731CYContributionsGrantsAmt
PY Program Service Revenue$367,549,089PYProgramServiceRevenueAmt
CY Program Service Revenue$372,632,922CYProgramServiceRevenueAmt
PY Investment Income$5,125,209PYInvestmentIncomeAmt
CY Investment Income$4,763,588CYInvestmentIncomeAmt
PY Other Revenue$6,244,044PYOtherRevenueAmt
CY Other Revenue$4,953,326CYOtherRevenueAmt
PY Total Revenue$385,508,715PYTotalRevenueAmt
CY Total Revenue$388,130,567CYTotalRevenueAmt
PY Grants And Similar Paid$20,795PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$55,697CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$223,085,372PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$218,389,486CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$153,792,169PYOtherExpensesAmt
CY Other Expenses$155,911,463CYOtherExpensesAmt
PY Total Expenses$376,898,336PYTotalExpensesAmt
CY Total Expenses$374,356,646CYTotalExpensesAmt
PY Revenues Less Expenses$8,610,379PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,773,921CYRevenuesLessExpensesAmt
Total Assets BOY$304,324,675TotalAssetsBOYAmt
Total Assets EOY$328,714,441TotalAssetsEOYAmt
Total Liabilities BOY$152,380,088TotalLiabilitiesBOYAmt
Total Liabilities EOY$182,515,166TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$151,944,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$146,199,275NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health and wellness needs of our community with excellence. Our vision is to be an world class healthcare system by providing patient-centered care and collaborating with our physicians.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$282,967,304ExpenseAmt
Grant$55,697GrantAmt
Revenue$348,049,214RevenueAmt
DescEllis is a community and teaching hospital with 438 licensed beds across three campuses, including 52 inpatient mental health beds (see item 4B below). 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 (2007-2015), recognized for using the ASAs 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 (Ellis) 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 four 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 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 hospitals 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 two Emergency Departments which had 83,788 visits in 2014, the Bellevue Womans Care Center which delivered 2,634 babies in 2014 (see line 4d), five primary care practices (in Schenectady (2), Glenville, Clifton Park, and Latham) and numerous specialty medical services through the Ellis Medical Group (EMG), 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), currently the only 24/7 emergent care facility located in Southern Saratoga County, one of the fastest-growing communities in New York State. The emergent care facility saw 35,579 patient visits in 2014, an increase of 23% over the prior year. MCCP is also the location for a primary care practice and several specialty practices. Ellis is currently seeking State Health Department certification of MCCP as a free-standing Emergency Department. If granted, ambulances would be able to deliver appropriate patients directly to MCCP, eliminating the 20-minute trip to hospital Emergency Departments in Albany, Schenectady, or Troy, and enabling local first responders to achieve significantly faster turn-around times. Ellis is the 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 2014, 88% of the schools graduates passed the New York State nursing licensure examination. Total enrollment is about 130 students, with a typical graduating class of about 50. About three-quarters of graduates join the nursing staff at Ellis upon graduation.Ellis serves the community by addressing identified health care priorities, including access to care and prevention and treatment of chronic diseases, through a variety of programs. Identification of needs includes such mechanisms as the federally required Community Health Needs Assessment (see Schedule H, Part V) and the State-mandated three-year Community Service Plan. Ellis is a member of the Healthy Capital District Initiative (HCDI) (a six-county health data collection and planning entity which brings together county health departments, hospitals, FQHCs, and not-for-profit insurers) and the Schenectady County Strategic Alliance for Health (a federally-designated and funded collaborative focused on preventing chronic disease and promoting community health). Ellis also collaborates with the Schenectady County Public Health Services, including joint grant applications and joint development of health needs assessments. 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, 2) a Medicaid Health Home which also provides both care management and direct chronic care services to uninsured patients, and 3) a Medicare Community-based Care Transitions Program (CCTP). 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 regions 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 areas only summer day camp for children with type 1 diabetes which provides full-tuition scholarships for low-income children.Ellis counted 19,643 inpatient discharges (consisting of 17,834 acute care and 1,809 psychiatric) and 520,142 outpatient visits during 2014. In pursuing its mission, the hospital provides services to anyone who walks through its doors, regardless of their ability to pay. In 2014, Ellis provided $8,448,000 in Financial Assistance, consisting of $2,505,000 in Charity Care and $5,943,000 in Uninsured Discounts. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,595,917ExpenseAmt
Revenue$17,933,231RevenueAmt
DescEllis 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 hospitals Medical Home. In 2014, the Ellis mental health programs had 1,809 inpatient dischargesDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,208,964ExpenseAmt
Revenue$8,889,139RevenueAmt
DescThe 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 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. Inpatient days for 2014 were 28,290. 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 epidemicDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$314,772,185TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document389IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4098EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEllis Medicine Finance DeptPersonNm
Phone5186128668PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1Txt
CitySchenectadyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12308ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Linda Breault
Trustee2.000.00Yes (X)$0$0$0
Janet Sapio-Mayta
Trustee3.000.00Yes (X)$0$0$0
Cristine Cioffi
Trustee3.000.00Yes (X)$0$0$0
Michael Cocca
Trustee2.000.00Yes (X)$0$0$0
William B Faubion
Treasurer3.000.00Yes (X)$0$0$0
Thomas Donovan
Trustee2.000.00Yes (X)$0$0$0
D Joseph Gersuk
Trustee2.000.00Yes (X)$0$0$0
Carolyn Jones
Trustee3.000.00Yes (X)$0$0$0
Ernest Lee MD
Trustee1.000.00Yes (X)$286,208$0$4,981
Patrick Kehoe
Trustee2.000.00Yes (X)$0$0$0
Robert Kennedy MD
Trustee2.000.00Yes (X)$0$0$0
Michael Idelchik
Trustee0.500.00Yes (X)$0$0$0
Robert Joy MD
Trustee3.000.00Yes (X)$15,000$0$0
Deborah Mullaney
Chairman7.000.00Yes (X)$0$0$0
John K Tobison
Trustee2.000.00Yes (X)$0$0$0
Barbara Zittel
Trustee3.000.00Yes (X)$0$0$0
Sarah Schermerhorn
Trustee2.000.00Yes (X)$0$0$0
Laura Schweitzer PhD
Secretary2.000.00Yes (X)$0$0$0
Stephen Pagano
Vice Chair1.500.00Yes (X)$0$0$0
Richard Toll MD
Trustee1.000.00Yes (X)$5,796$0$0
Brian McDonald MD
Trustee2.000.00Yes (X)$50,400$0$0
Emile Walraven
Trustee2.000.00Yes (X)$0$0$0
Judith McIlduff
Trustee0.500.00Yes (X)$0$0$0
Raymond Sweeney
Trustee1.000.00Yes (X)$0$0$0
James W Connolly
President & CEO55.005.00$646,764$0$42,108Yes (X)
Paul A Milton
EVP/COO55.005.00$370,652$0$38,333Yes (X)
Daniel J Rinaldi
CFO55.005.00$250,081$0$10,875Yes (X)
Marc Mesick
CFO55.005.00$188,823$0$12,364Yes (X)
Joseph Giansante
Vice President, Human Resources55.000.00$251,815$0$34,638Yes (X)
Patti S Hammond
Vice President, Physician Relations55.000.00$115,373$0$10,734Yes (X)
David M Liebers MD
CMO/VP Quality Services/Med Affairs55.000.00$341,457$0$38,579Yes (X)
Cecilia A Lynch
Vice President, Nursing/CNO55.005.00$69,246$0$3,617Yes (X)
Donald J McLaughlin
Vice President Facility and Support55.000.00$189,867$0$31,106Yes (X)
Wendy Rosher
Vice President Clinical Services55.000.00$246,536$0$35,234Yes (X)
David Snyder
Vice President Information Services55.000.00$235,637$0$145,698Yes (X)
Anoush Koroghlian - Scott
VP Legal Affairs & General Counsel55.000.00$232,962$0$14,930Yes (X)
Kelli Valenti
VP Strategic Planning/Progam Dev55.000.00$191,847$0$33,250Yes (X)
Roger Barrowman
VP/CEO- Ellis Med Group55.000.00$433,474$0$38,217Yes (X)
Kathleen Hale
CNO55.000.00$214,476$0$31Yes (X)
Terence Clarke MD
Surgeon50.000.00$678,296$0$77,608Yes (X)
Frank Genovese MD
Neurosurgeon50.000.00$715,462$0$47,933Yes (X)
Chanderdeep Singh MD
Cardiothoracic Sur50.000.00$548,355$0$79,896Yes (X)
Herbert Reich MD
Surgeon-Cardiothor50.000.00$637,388$0$75,173Yes (X)
Paul Spurgas MD
Neurosurgeon50.000.00$838,895$0$40,408Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,754,810TotalReportableCompFromOrgAmt
Total Other Compensation$815,713TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K266IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Clarus Linen Systems - Atlas
60 Grider StreetBuffaloNY14215Linen / Laundry Svc$1,965,440
Smith & Jones
297 River StreetTroyNY12180Marketing$1,083,068
OB Hospitalist Group
10 Centimeters DriveMauldinSC29662Medical$1,109,636
Staff Care
PO Box 281923AtlantaGA303841923Staffing Agency$980,348
Schenectady Pulmonary
124 Rosa Rd Suite 382SchenectadyNY12308Physician Service$1,172,393
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Government Grants$3,229,962GovernmentGrantsAmt
All Other Contributions$2,550,769AllOtherContributionsAmt
Total Contributions$5,780,731TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
General Hospital621990$339,819,093$339,819,093
Lab-Physician Referrals621500$2,773,259$2,773,259
Long Term Care623000$8,889,139$8,889,139
Mental Health Services621990$17,933,231$17,933,231
Sunnyview Hosp Svcs621990$2,433,684$2,433,684

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$784,516TotalRevenueColumnAmt
Related Or Exempt Func Income$784,516RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$372,632,922TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,654,702TotalRevenueColumnAmt
Exclusion$1,654,702ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,125,119SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,233SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,108,886SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,108,886TotalRevenueColumnAmt
Exclusion$3,108,886ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Eddy SeniorCare/Other624210$547,659$547,659
Fd Svc, park,emp pharm,ot$1,718,418$1,718,418
Purch Disc / Leased Emp900099$1,242,493$1,242,493

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,444,756TotalRevenueColumnAmt
Related Or Exempt Func Income$448,510RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$729,369UnrelatedBusinessRevenueAmt
Exclusion$266,877ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,953,326OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$388,130,567TotalRevenueColumnAmt
Related Or Exempt Func Income$369,664,641RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,936,312UnrelatedBusinessRevenueAmt
Exclusion$6,748,883ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$55,697TotalAmt
Program Services$55,697ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,824,964TotalAmt
Program Services$274,985ProgramServicesAmt
Management And General$4,549,979ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$180,849,345TotalAmt
Program Services$161,053,436ProgramServicesAmt
Management And General$19,795,909ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,336,022TotalAmt
Program Services$6,590,769ProgramServicesAmt
Management And General$745,253ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,192,461TotalAmt
Program Services$10,869,983ProgramServicesAmt
Management And General$1,322,478ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,186,694TotalAmt
Program Services$11,493,011ProgramServicesAmt
Management And General$1,693,683ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,508,023TotalAmt
Program Services$1,508,023ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$374,177TotalAmt
Management And General$374,177ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$212,996TotalAmt
Management And General$212,996ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$47,962TotalAmt
Management And General$47,962ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$320,148TotalAmt
Management And General$320,148ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,942,329TotalAmt
Program Services$6,336,240ProgramServicesAmt
Management And General$606,089ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,602,629TotalAmt
Program Services$3,112ProgramServicesAmt
Management And General$1,599,517ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,502,054TotalAmt
Program Services$60,252,401ProgramServicesAmt
Management And General$2,249,653ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,920,104TotalAmt
Management And General$3,920,104ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,144,120TotalAmt
Program Services$8,826,726ProgramServicesAmt
Management And General$1,317,394ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,341,934TotalAmt
Program Services$1,075,516ProgramServicesAmt
Management And General$266,418ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,144,457TotalAmt
Program Services$1,144,457ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,543,343TotalAmt
Program Services$14,634,255ProgramServicesAmt
Management And General$1,909,088ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,440,347TotalAmt
Management And General$4,440,347ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$17,137,109$12,662,722$4,474,387
Equip Rental/Maint$12,878,484$8,856,356$4,022,128
Bad Debt Expense$8,164,980$8,164,980
Other Fees-Non Medical$3,083,273$690,572$2,392,701

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,602,994TotalAmt
Program Services$278,944ProgramServicesAmt
Management And General$3,324,050ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$374,356,646TotalAmt
Program Services$314,772,185ProgramServicesAmt
Management And General$59,584,461ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,377BOYAmt
EOY$15,792EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,675,796BOYAmt
EOY$26,817,361EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,233,432BOYAmt
EOY$29,834,538EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$310,900BOYAmt
EOY$127,567EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,977,039BOYAmt
EOY$6,620,973EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,583,337BOYAmt
EOY$1,978,239EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$438,428,017LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$257,725,064LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$162,633,118BOYAmt
EOY$180,702,953EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,868,438BOYAmt
EOY$60,245,008EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,027,238BOYAmt
EOY$22,372,010EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$304,324,675BOYAmt
EOY$328,714,441EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,936,205BOYAmt
EOY$26,332,191EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,501,438BOYAmt
EOY$6,598,339EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$100,002BOYAmt
EOY$106,951EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$58,249,657BOYAmt
EOY$95,410,665EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,435,167BOYAmt
EOY$53,909,401EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$152,380,088BOYAmt
EOY$182,515,166EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$136,965,014BOYAmt
EOY$130,541,705EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,369,152BOYAmt
EOY$9,904,048EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,610,421BOYAmt
EOY$5,753,522EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$151,944,587BOYAmt
EOY$146,199,275EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$304,324,675BOYAmt
EOY$328,714,441EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,773,921ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,057,167NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$17,462,066OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$47,962OtherActivitiesAmt
Total Lobbying Expenditures$47,962TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
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.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,610,421BeginningYearBalanceAmt
Investment Earnings Or Losses$143,101InvestmentEarningsOrLossesAmt
End Year Balance$5,753,522EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,449,599BeginningYearBalanceAmt
Investment Earnings Or Losses$160,822InvestmentEarningsOrLossesAmt
End Year Balance$5,610,421EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,208,275BeginningYearBalanceAmt
Investment Earnings Or Losses$241,324InvestmentEarningsOrLossesAmt
End Year Balance$5,449,599EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,969,599BeginningYearBalanceAmt
Investment Earnings Or Losses$1,238,676InvestmentEarningsOrLossesAmt
End Year Balance$5,208,275EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,919,510BeginningYearBalanceAmt
Investment Earnings Or Losses$50,089InvestmentEarningsOrLossesAmt
End Year Balance$3,969,599EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

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$183,558,835OtherCostOrOtherBasisAmt
Depreciation$76,828,649DepreciationAmt
Book Value$106,730,186BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,316,425OtherCostOrOtherBasisAmt
Depreciation$1,101,308DepreciationAmt
Book Value$215,117BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$240,434,226OtherCostOrOtherBasisAmt
Depreciation$179,795,107DepreciationAmt
Book Value$60,639,119BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,644,088OtherCostOrOtherBasisAmt
Book Value$6,644,088BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$180,702,953TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (15 entries)

DescDescBook ValueBookValueAmt
Accrued interest receivable-$196,513
Allowance Uncollectable-$538,975
Deferred financing costs$1,528,034
DSH for OP Mental Health$826,481
Due from Foundation$78,792
Grant receivable$584,576
IHANY$55,540
Interest in Net Assets of Foundation$17,575,660
Meaningful Use Receivable$478,205
MIsc$12,801
Miscellaneous receivables$1,095,508
Pension Assets
Rent receivable$133,925
Security Deposits$146,658
Yankee Alliance investment$591,318
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,372,010TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
Accrued interest payable$176,580
Accrued pension$11,094,737
Accrued post retirement benefits$215,572
Accrued sick payable$6,997,711
Accrued vacation payable$9,518,895
Asset retirement obligation$894,986
Claims payable$1,920,301
DEF Con payable - employer$211,161
Employee withholdings$602,863
Estimated payables to 3rd Party Payers$5,619,513
Estimated self-insurance$14,575,816
Retainage payable$2,081,266
FieldValueIRS element (for citing)
Total Liability$53,909,401TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$360,766,502TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,057,167NetUnrealizedGainsInvstAmt
Other Revenue-$25,627,046OtherRevenueAmt
Revenue Not Reported-$27,684,213RevenueNotReportedAmt
Revenue Subtotal$388,450,715RevenueSubtotalAmt
Investment Expenses Not Incld-$320,148InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt-$320,148RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$388,130,567TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$366,511,814TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$8,164,980OtherExpensesIncludedAmt
Expenses Not Reported-$8,164,980ExpensesNotReportedAmt
Expenses Subtotal$374,676,794ExpensesSubtotalAmt
Investment Expenses Not Incld2-$320,148InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt-$320,148ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$374,356,646TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b: Explanation of escrow account liabilityThe Ellis Residential and Rehabilitation Center residents spending account is included in line 2 and line 21 on Schedule X. The total is $6,578. 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 $102353. 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 form 1099 based on the disbursements.
Part V, Line 4: Intended uses of the endowment fund.Permanently Restricted Net Assets (Endowment Funds) are investments to be held in perpetuity, the income from which is expendable to support health care services (reported as Other Operating Revenue). These Net Assets amounted to $477,514 at 12/31/2014. The remaining amount of $5,276,008 are Net Assets held by the Foundation (including $1,341,054 for beneficial interest in perpetual trusts). Grand total was $5,753,522.
Part X : FIN48 FootnoteThe Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amounts that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain income tax positions in either 2014 or 2013.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,612,058TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$262,929DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,349,129NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,437,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,321,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,115,995NetCommunityBenefitExpnsAmt
Total Expense0.03500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,049,633TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,584,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,465,124NetCommunityBenefitExpnsAmt
Total Expense0.04130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,843TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$292,843NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,023,590TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,820,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,203,298NetCommunityBenefitExpnsAmt
Total Expense0.02240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$429,107TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$429,107NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,745,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,820,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,925,248NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,795,173TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,404,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,390,372NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$276TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$276NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,355NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$434TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$434NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,065TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,065NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,164,980BadDebtExpenseAmt
Bad Debt Expense Attributable$1,108,123BadDebtExpenseAttributableAmt
Reimbursed By Medicare$68,287,842ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$69,332,947CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,045,105MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Svc AssocBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary Activitiesserves home health needsPrimaryActivitiesTxt
Org Profit Or Ownership1.00000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
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Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityYes, the hospital took into account input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. Meetings in 2012, 2013, and 2014, including listings of the participating community organizations, are listed below:Schenectady Coalition for a Healthy Community (full group)November 15, 2012Topics: Overview of the community assessment project and timeline. Visioning (targets and outcomes), survey topics, and subcommittees. Organize subcommittee for survey questions and development. Establishment of a separate committee of community members (the Community Committee). Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady Inner City Ministry, Visiting Nurse Service of Schenectady and Saratoga, Price Chopper Supermarkets, Union Graduate Collage, Schenectady Free Clinic, Schenectady ARC, Schenectady Community Action Program, Schenectady YMCA, Tobacco Free Coalition, League of Women Voters, University at Albany School of Public Health, Cornell Cooperative Extension, Schenectady Municipal Housing Authority, Schenectady County Probation Department, Mohawk Valley Physicians Health Plan, Union Graduate College, HCDI, United Way of the Greater Capital Region, Capital Region BOCESDecember 13, 2012Topics: Naming of the Coalition. Detailed review of the survey goals, targets, and topics. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Price Chopper Supermarkets, Schenectady YMCA, Tobacco Free Coalition, University at Albany School of Public Health, Schenectady Free Clinic, Cornell Cooperative Extension, League of Women Voters, Schenectady ARC, Catholic Charities, Northern Rivers (Parsons Center), Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Schenectady County Youth Bureau, Schenectady County Probation DepartmentJanuary 17, 2013Topics: UMatter survey project updates: Schenectady Foundation grant, IRB approval of survey, start date of data collection and kickoff event, Community Health Workers, Student Volunteers, iPads and survey app, spreading the word and ideas for advertisement, venue planning. Update on the HCDI profile and survey. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, The Chamber of Schenectady County, Schenectady ARC, League of Women Voters, University at Albany School of Public Health, Cornell Cooperative Extension, Catholic Charities Senior Services, Schenectady Inner City Ministry, HCDI, Schenectady County Department of Social Services, Capitol Region BOCES, Schenectady Community Action ProgramMarch 21, 2013Topics: UMatter survey updates including survey progress and venue/event planning. Review of substance of preliminary survey data. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady Inner City Ministry, Schenectady ARC, Mohawk Ambulance, Schenectady Community Action Program, Rehabilitation Support Services, Cornell Cooperative Extension, Capital Region BOCES, University at Albany School of Public Health, independent consultant, The Chamber of Schenectady County, League of Women Voters, Habitat for Humanity, Schenectady Community Action Program, Schenectady County Office of Senior and Long Term Care, Catholic Charities Senior ServicesApril 18, 2013Topics: UMatter survey updates and review of preliminary data. Initial establishment of post-survey analysis and evaluation subcommittees. Report on UMatter website and Facebook page. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, HCDI, Schenectady Community Action program, League of Women Voters, University at Albany School of Public Health, independent consultant, Schenectady YMCA, Capitol Region BOCES, SAFE, Inc., Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Habitat for Humanity, Schenectady Day Nursery, Catholic Charities Senior Services, Schenectady Municipal Housing Authority, Schenectady ARC, The Chamber of Schenectady County, The Schenectady FoundationMay 16, 2013Topics: Project updates on UMatter survey completion, HCDI data, and CMS Innovation Awards. Establish post-survey analysis and evaluation subcommittees, including meeting schedule. Seek recruitment of additional Coalition partners and attendance at June 20th meeting for presentation of survey results. Availability of Community Health Workers for employment. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, HCDI, Schenectady Community Action program, League of Women Voters, University at Albany School of Public Health, independent consultant, Schenectady YMCA, Capitol Region BOCES, SAFE, Inc., Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Habitat for Humanity, Schenectady Day Nursery, Catholic Charities Senior Services, Schenectady Municipal Housing Authority, Schenectady ARC, The Chamber of Schenectady County, The Schenectady FoundationJune 20, 2013Topics: Presentation of the initial results of the UMatter survey.Attendees: Ellis Medicine, Schenectady County Public Health Services, CDPHP, Schenectady ARC, University at Albany School of Public Health, Schenectady Free Clinic, Schenectady Day Nursery, The Chamber of Schenectady, Schenectady Community Action Program, Mohawk Ambulance, Tobacco Free Coalition, Schenectady Inner City Ministry, The Schenectady Foundation, Schenectady YMCA, HCDI, Visiting Nurse Service of Schenectady and Saratoga.July 18, 2013Topics: Discussion of work of Strategic Issues Development subcommittee. Voting (Multi-Voting Method) to determine the highest priority community health needs. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady YMCA, Schenectady ARC, University at Albany School of Public Health, Capital Region BOCES, Schenectady Free Clinic, CDPHP, Union Graduate College, Mohawk Ambulance, Schenectady Community Action Program, HCDI, Visiting Nurse Service of Schenectady and Saratoga, Tobacco Free CoalitionAugust 15, 2013Topics: Review recommendations of the Implementation Plan Development subcommittee. Discussion of Action Plan contents for the top five significant community health needs.Attendees: Ellis Medicine, Schenectady County Public Health Services, Tobacco Free Coalition, Seton Health Center for Smoking Cessation, Mohawk Valley Physicians Health Plan, Community Fathers, Schenectady Free Clinic, Schenectady Community Action Program, Bigelow Corners Partnership, Schenectady Day Nursery, Schenectady ARC, Habitat for Humanity, Chamber of Schenectady County, The Schenectady Foundation, Union Graduate College, Schenectady Inner City Ministry, Foundation for Ellis Medicine, CDPHP, HCDI, Schenectady Community Action Program, Schenectady County Office of Community Services, Northeast Parent and Child Society, Schenectady YMCASeptember 19, 2013Topics: Review and comment on draft of CHNA document. Meet new PPACA health insurance navigators for Schenectady County.Attendees: Schenectady County Public Health Services, Ellis Medicine, Schenectady ARC, SCAP Head Start, Bigelow Corners Partnership, University at Albany School of Public Health, Schenectady Free Health Clinic, Habitat for Humanity, Schenectady County Senior and Long Term Care Services, Citizen Action Public Policy and Education Fund, Capital District Tobacco Free Coalition, The Schenectady Foundation, Schenectady League of Women Voters, Center for Smoking Cessation, University at Albany School of Social Welfare, MVP Health Care, Mohawk Ambulance, Schenectady County Department of Social Services, Chamber of Schenectady, Schenectady YMCA, Healthy Capital District Initiative, Schenectady Day Nursery, Catholic Charities Senior Services, Price Chopper SupermarketsOctober 17, 2013Topics: Final review and approval of the Community Action Plan. Particular discussion of upcoming agenda regarding Smoking and Asthma issues. Presentation by Schenectady High School students regarding planned approach to adolescent pregnancy issues.Attendees: Schenectady County Public Health Services, Ellis Medicine, Catholic Charities, League of Women Voters, University at Albany School of Public Health, Visiting Nurse Service of Schenectady and Saratoga Counties, Bigelow Corners Partnership, Union Graduate College, Schenectady Free Health Clinic, The Chamber of Schenectady, Capital District YMCA, Schenectady Inner City Ministry, Mohawk Ambulance, MVP Health Care, Schenectady Community Action Program, Schenectady County Community College, Sunnyview Rehabilitation Hospital, Healthy Capital District Initiative, Capital District Tobacco Free Coalition, The Foundation for Ellis Medicine, Schenectady Day Nursery, Capital District Physicians Health PlanMarch 27, 2014Topics: Care Central care management for Medicaid managed care, 1115 Waiver update, Workgroup updates, Partner updates.Attendees: Cornell Cooperative Exten
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs AssessmentThe portion of the CHNA which includes compiled public health data and information was prepared by the Healthy Capital District Initiative (HCDI), a regional health research and planning entity whose hospital system members include Ellis Medicine, St. Peters Health Partners, and Albany Medical Center
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhyWe have identified at least one action for each of the needs. In some cases the action is trivial (e.g., staff to attend meetings) but there is some response. Due to time restrictions not all have been resolved but are in process.
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPGWe 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 Guideline; (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)*. * Emergent/urgent services only. The financial obligation of Tier 2 patients will be based the reduction of charges to the reimbursement rate of our highest volume HMO
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceFacility: 1All uninsured patients are automatically eligible for a reduction of charges to thereimbusement rate from Ellis's highest volume health maintenance organization.Uninsured patients with income at or below 300% FPG are eligible to recieve charity(free) care.
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Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Ellis Hospital Mental Health Clinic
216 Lafayette StreetSchenectadyNY12305Mental Health Services
Glenville Healthcare Center
115 Saratoga RoadGlenvilleNY12302Primary Care Services
Ellis Hospital Bariatric Center
2125 River RdNiskayunaNY12309Bariatric Care Services
Pelvic Health Center
930 Albany Shaker RoadLathamNY12110Pelvic Health Services
Ellis Hospital Primary Care
1201 Nott StreetSchenectadyNY12308Primary Care Services
Ellis Hospital Neurology
1101 Nott Street B6SchenectadyNY12308Outpatient Neurology
Ellis Hospital PROS Program
216 Lafayette StreetSchenectadyNY12308Mental Health Services
Ellis Hospital Rehabilitation Services
650 McClellan StreetSchenectadyNY12304Physical Therapy Services
Medical Center of Clifton Park
103 Sitterly RoadClifton ParkNY1206524/7 emergent care, lab, medical imaging, primary care and specialty services
Blood Draw - Niskayuna
2123 River RdNiskayunaNY12309Provide blood draw services
Spine and Pain Care
939 RT 146Clifton ParkNY12065Spine and Pain Care located in Clifton Park NY
Ellis Cushing Medical Arts Building
624 McClellan StreetSchenectadyNY12304Family and Primary care services
Ellis Medicine Primary Care - Ballston Spa
990 State Route 67Ballston SpaNY12020Primary Care Medicine
Ellis Hospital McClellan St Health Center
600 McClellan StreetSchenectadyNY12304Medical Center
Ellis Medicine Primary Care - Malta
2537 Route 9MaltaNY12020Primary Care Medicine

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)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 - Explanation of Costing MethodologyEllis 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 - Explanation of Bad Debt ExpenseIn calculating our community benefit percent in column (f), Ellis used total expense reduced by bad debt. In calculating the percent of total expense for line 7 column f, total expense was reduced by bad debt expense of $8,164,980
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methodology used in determining the amounts on Part III, cost to charge ration was applied at 100%. Bad debts already represented as expense on financials therefore no need to apply RCC here.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsEllis 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, patients balances are eliminated and no collection efforts take place.
Part VI - Needs AssessmentOn November 5, 2013, the Board of Trustees of Ellis Hospital adopted by Resolution a Community Health Needs Assessment and associated Implementation Strategy, the latter in the form of a grid. The document is being made widely available on the Ellis Medicine website http://www.ellismedicine.org/pages/community-report.aspx and as a paper copy for public inspection at the administrative office of Ellis Hospital (1101 Nott Street, Schenectady, New York 12308) as of November 15, 2013.Development of this assessment and plan has been a unique undertaking for the Schenectady healthcare and human services community. The document, a consolidated, multi-year, multi-agency, community-wide plan for action to improve the health of people in Schenectady, New York is the result of the combined efforts of 62 organizations. The Schenectady Coalition for a Healthy Community, informed by multiple credible data sources including a door-to-door survey of community residents, developed this assessment and plan to serve the people of the City and County of Schenectady.Three of the top priorities identified in Schenectady are consistent with the three Prevention Agenda priorities of the other Capital Region counties; Albany and Rensselaer. This consistency will enable consideration of a Region-wide approach to implementation strategies.Central to this assessment and plan, the UMatter Schenectady survey consisted of more than 280 questions and was administered to over 2,000 residents of the City of Schenectady between February and May 2013 by Community Health Workers and volunteer college students. In addition to the survey results, this plan was informed by secondary data from such sources as the U.S. Census and the New York State Department of Health, and from specialized data sources including a recent federally-funded study of diabetes in Schenectadys West Indian population.All told, between November 2012 and October 2013 the Coalition held 28 meetings of healthcare experts, representatives of community interests, and community residents; utilizing government-recommended group-voting techniques to compile a list of 20 significant community health needs, and to prioritize five of these as most requiring community-wide corrective action over the next three years.
Part VI - Patient Education of Eligibility for AssistanceEllis Medicine provides financial assistance information about programs available to assist patients in paying for their bills, including discount programs and charity care, on its external website (www.ellismedicine.org) (specifically at http://www.ellismedicine.org/financial-assistance/faqs.aspx), in readily available and publicly distributed brochures, and through flyers and posters visible throughout the organization. Applications for financial assistance are available online at the Ellis website. Additionally, Ellis employs Financial Advocates who assist patients in determining the availability of and their eligibility for free or low-cost care, and then assist them with completing the necessary paperwork. Since 2009, Ellis Medicine has included affirmative financial assistance outreach as part of the innovative Medical Home through which it aims to increase access to care and provide healthcare navigation services to patients (especially the underserved and uninsured / underinsured), including education about and assistance with charity care and financial assistance services. 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 Facilitated Enrollers employed by the not-for-profit Health Capital District Initiative (HCDI), and through Fidelis, one of New Yorks not-for-profit Medicaid Managed Care Organizations. Starting in 2013, Ellis arranged for on-site services of Health Insurance Navigators engaged by all four not-for-profit organizations designated pursuant to the PPACA. Navigators saw uninsured residents at both the Nott Street and Ellis Health Center Campuses. Ellis employees also completed training as Certified Application Counselors (CACs) and are qualified to help people enroll both in Medicaid as well as in Exchange insurance products.Additionally, Ellis publicizes its Financial Call Center & Information Line (sharing with our 3,300 employees; our local, state and federal lawmakers offices in case they receive constituent inquiries related to hospital costs and/or financial services at Ellis; and the general public), highlighting a number to call (518-243-1695) through which patients can receive information about how much their care will cost at Ellis Medicine as a way to be transparent and helpful in providing this information, 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.Ellis has also participated in health fairs and employer information functions to advise small businesses and their employees of Ellis Financial Call Center & Information Line. Ellis Call Center has trained specialists who can help enroll qualifying patients in Financial Assistance programs, estimate a patients out-of-pocket expenses based on their medical plan, provide pricing for procedures and tests at Ellis Medicine and assist patients in completing Medicaid applications when applicable. Ellis Information Line helps with physician referrals, scheduling outpatient testing and providing general information about programs and services at Ellis Medicine.
Part VI - Community InformationIn accordance with industry standards, Ellis Hospitals community is defined as the hospitals Primary and Secondary Service Areas, accounting for 80% of the hospitals discharge volume. These include all or portions of Schenectady, Saratoga, Albany, Fulton, and Montgomery counties and are comprised of 22 zip codes. Since the State-mandated consolidation of Schenectadys hospitals, Ellis has become the sole provider of acute hospital care in Schenectady County, and it is the largest hospital within its Service Areas.The Primary Service Area is focused on the City of Schenectady, an older industrial city with a population of about 60,000, a substantial decline from the 1940 high of over 90,000. According to the City of Schenectadys 2010-2014 Consolidated Plan, 67% of households in the city are considered low or moderate income, while the poverty rate in the Hamilton Hill neighborhood, adjacent to Ellis Hospital, is over 28%. Nearly all (95%) of the Citys housing stock was built before 1978, and Schenectady neighborhoods have been identified as having among the highest concentration of elevated blood levels for lead in New York State.An impact of the level of poverty in the City of Schenectady has been the extent to which Ellis patients are either covered by government health programs or are uninsured. During 2013, Medicare patients accounted for 40.8% of inpatient discharges, 30.1% of outpatient visits, and 35.5% of net patient revenues before bad debts. Medicaid covered 21.0% of inpatient discharges, 27.4% of outpatient visits, and 16.3% of net patient revenues before bad debts. Uninsured patients accounted for 3.8% of inpatient discharges and 5.6% of outpatient visits, and 1.7% of net patient revenues before bad debts. Overall, uninsured or government insured patients made up 65.6% of inpatient discharges and 63.1% of outpatient visits, while generating 53.5% of net patient revenues before bad debts.There is one Medically Underserved Population (MUP) within Ellis Primary Service Area. The homebound population of Schenectady County is designated MUP 06211. In response, physicians on the staff of the Ellis Family Health Center make house calls, and residents in the hospitals Family Medicine Residency may include house calls in their training. During 2013, two Health Professions Shortage Areas (HPSA) were re-designated in the City of Schenectady: the entire City is now identified as an HPSA for Dental and Mental Health services. The Primary Care HPSAs remain limited to a small number of Census Tracts in the Hamilton Hill/Mont Pleasant neighborhoods.The Secondary Service Area is a much wider geographic area, including rural and farming communities, as well as affluent suburbs. Overall, the combined Service Areas represent a study in contrasts. A nearly equal number of people have incomes below $25,000 as above $100,000. Health status variations are similarly dramatic. For example, according to the New York State Department of Health the rates of asthma-related hospital admissions per 10,000 people vary from 458 in the 12307 ZIP code to 49 in the 12309 ZIP code, a distance of about five miles.Census data for the combined Primary and Secondary Service Areas for 2013 estimate a total population of 377,974. This is projected to increase to 380,182 by 2018. The 2013 median income was $62,648 while the mean income was $73,485, demonstrating the impact of outliers. The gender distribution is 49% male and 51% female. Twenty-one percent of the population has a bachelors degree or higher. There will, however, likely be increased need for healthcare services as the community ages. The greatest increase in population from 2013 to 2018 is expected to be in the 65 and over age range (2.08%), while the greatest decrease is expected in the 35-54 age range (2.43%).
Part VI - Community Building ActivitiesEllis Medicine (the trade name for Ellis Hospital) 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 States 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 and is planning 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 Medicines key community building activities is Care Central, a community-focused, multi-partner, care management program derived from Ellis original Medical Home initiative, which 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 Medical Home offers primary care (adult and pediatric), dental care, outpatient child/adolescent mental health services, and diabetes education,along with a number of outpatient services such as medical imaging, laboratory, a sleep disorders center, wound care, and day surgery. The Medical Home features specially trained Health Services Navigators, one an Ellis employee and the other contracted from Schenectady County Public Health Services, 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 facilitated enrollment services, and a free Community Shuttle which provides transportation from a number of community sites including homeless shelters and soup kitchens to the healthcare campus. The Medical Home is 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 is a Medicare Community-based Care Transitions Program (CCTP) which serves patients discharged from ten different hospitals in a ten-county region. Ellis is the largest participating hospital.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 (see Part V).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 provides 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. Starting in 2013, 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 Health Center.Medical residents from the Ellis Family Medicine Residency donate their time and expertise to staff two free community-based medical clinics. A weekly clinic at the Schenectady City Mission serves uninsured, homeless individuals in the City of Schenectady. And a rural seasonal clinic provides care to uninsured migrant workers in collaboration with the Columbia County Department of Health.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, and healthy living.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeEllis 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 hospital administrators who serve three year terms, up to a three term maximum. Currently, the Ellis Board is comprised of 23 trustees 18 non-physician citizens of the community, four physicians, and one senior hospital administrator (the hospitals President and CEO). Ellis does not have a parent corporation.An open medical staff consisting of approximately 595 affiliated physicians and other providers. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 230 physicians and other providers are employed by Ellis, including 30 residents participating in the Family Medicine Residency and three 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 hospitals corporate structure and daily operations. The MDEC and the department chairs, who oversee specific clinical services, work collaboratively with the hospitals 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 hospitals Board of Trustees, and they are directly involved in the hospitals annual budget process: they rank and prioritize all capital items in the hospitals capital budget and they sign off on volume projections for the hospitals annual operating budget.Operation of two, full service, fully staffed emergency rooms on two separate Schenectady campuses, both of which are open 24 hours-a-day, seven days-a-week, 365 days-a-year, along with 24/7 emergent care services now available for the first time in Southern Saratoga County. Ellis emergency rooms care for all those in need of emergency care regardless of their ability to pay. Similarly, Ellis Hospitals admission policy is not restrictive. Ellis does not deny admission to any patient based on his/her 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 Ellis Hospital Foundation was established in 1982 and is governed by a separate board of trustees. Funds raised through the Foundations activities are used to assist the hospital in acquiring state-of-the-art medical equipment and 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 the needy; reaching out to the underserved to provide needed primary and preventative healthcare services and health education, especially through its Medical Home; attracting and using funds to serve the needy; participating in Medicaid and other federal, state, and local healthcare reimbursement programs for the needy such as Child Health Plus; and formally planning for and providing charity care and maintaining a policy of administering care to all persons in need.Ellis Medicine is accountable to the community by having a volunteer governing board comprised of members of the Schenectady community; inviting and responding to community input and involvement in planning and review of hospital activities; voluntarily disclosing information to the public on hospital services, financial status, community benefit activities and charity care; and advocating for healthcare cost containment and promoting the efficient use of healthcare resources within the community.
Part VI - Affilated Health Care System Roles and PromotionNot Applicable
Part VI - States Where Community Benefit Report FiledNY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSchool of Nursing ScholarshipGrantTypeTxt
Recipient103RecipientCnt
Non Cash Assistance$55,697NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceTuition ReductionNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe School of Nursing (SON) works with the office of the Vice President for Nursing and the Ellis Hospital Foundation to track awards and to assure that the grants and monies are used for the intended purpose. It is the responsibility of the Ellis Finance Department to release the funds and account for the remaining balance. In the case of the Auer Scholarship, the faculty interviews the potential recipients and makes a recommendation (in rank order) of who should receive the scholarship. The Director of the SON meets with the VP for Nursing and they make a decision on how many scholarships to award to the top candidates. The Finance Department then credits the student tuition receivable account and draws the money from the Scholarship fund. There are scholarship monies that community organizations give. The organizations either send a check or hand it to the student at commencement.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Anoush Koroghlian - Scott
VP Legal Affairs & General Counsel$211,740$20,777$445$2,679$12,251$247,892
Chanderdeep Singh MD
Cardiothoracic Sur$530,554$17,801$64,188$15,708$628,251$90,600
Daniel J Rinaldi
CFO$190,258$39,216$20,607$4,175$6,700$260,956
David M Liebers MD
CMO/VP Quality Services/Med Affairs$315,212$25,440$805$12,068$26,511$380,036
David Snyder
Vice President Information Services$99,884$21,322$114,431$122,704$22,994$381,335
Donald J McLaughlin
Vice President Facility and Support$151,227$16,654$21,986$7,508$23,598$220,973
Ernest Lee MD
Trustee$217,223$68,985$4,000$981$291,189
Frank Genovese MD
Neurosurgeon$697,931$17,531$34,725$13,208$763,395$27,800
Herbert Reich MD
Surgeon-Cardiothor$528,843$90,600$17,945$63,315$11,858$712,561$90,600
James W Connolly
President & CEO$521,246$96,414$29,104$10,400$31,708$688,872
Joseph Giansante
Vice President, Human Resources$205,504$23,303$23,008$10,093$24,545$286,453
Kathleen Hale
CNO$214,476$31$214,507
Kelli Valenti
VP Strategic Planning/Progam Dev$174,558$17,114$175$8,093$25,157$225,097
Marc Mesick
CFO$185,852$2,971$7,514$4,850$201,187
Paul A Milton
EVP/COO$308,229$44,118$18,305$10,400$27,933$408,985
Paul Spurgas MD
Neurosurgeon$810,059$27,617$1,219$29,883$10,525$879,303$27,617
Roger Barrowman
VP/CEO- Ellis Med Group$409,703$23,771$11,034$27,183$471,691
Terence Clarke MD
Surgeon$566,498$83,702$28,096$64,400$13,208$755,904$83,702
Wendy Rosher
Vice President Clinical Services$206,431$21,800$18,305$14,961$20,273$281,770

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.Ellis Hospital has a corporate membership at the Mohawk Golf Club that is in the CEO's name, however, the club is used for business purposes and functions only.
Part III, Additional InformationDr. 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 $83,702 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 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 $90,600 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 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 $27,800 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). Dr. Chanderdeep Singh is a Cardiothoracic-surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $90,600 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). Dr. 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 $27,617 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 990 Schedule J Part II in Column C.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Schen Cnty Cap Res CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN273478847BondIssuerEIN
CUSIP806418AU3CUSIPNum
Bond Issued2012-06-01BondIssuedDt
Issue Price$15,320,000IssuePriceAmt
PurposeRefinance of 1995 DebtPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$8,721,661RetiredAmt
Total Proceeds$15,320,000TotalProceedsAmt
In Reserve Fund$571,000InReserveFundAmt
Issuance Costs From Proceeds$306,400IssuanceCostsFromProceedsAmt
Credit Enhancement$134,554CreditEnhancementAmt
Other Spent Proceeds$14,308,046OtherSpentProceedsAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationThe bond issuer, Dormitory Authority of the State of New York, has completed arbitrage rebate calculations for this bond issue as required and it has been determined that no arbitrage rebate exists.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Brian McDonald MD
Trustee$1,222,393Medical Servicesfalse
Sarah Schermerhorn
Trustee$72,152family member compfalse
Cristine Cioffi
Trustee$40,666son is employeefalse
Janet Sapio-Mayta
Trustee$108,948Sister is Employeefalse
Robert Joy MD
Trustee$814,524Medical Servicesfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationDr. Brian McDonald is a partner in physician practice-Schenectady Pulmonary & Critical Care Associates (SPCCA). SPCCA provides 24/7 coverage to Ellis and was paid $1,172,393 in 2014. Dr. McDonald also individually receives compensation as Chief of Medical Staff Elect. ($50,000)Sarah Schermerhorn's son Paul is an employee of Ellis and his annual salary was $72152. Sarah Schermerhorn did not have any impact in the hiring of Paul and does not have any influence in the determination of his annual salary.Cristine Cioffi's son Patrick Sharkey is an ER nurse. His annual salary was $40,666 in 2014. Christine Cioffi did not have any impact in the hiring of Patrick and does not have any influence in the determination of his annual salary.Janet Sapio-Mayta sister Nancy is an employee of Ellis. Her annual salary was $108,948 in 2013. Janet did not have any impact in the hiring of Jane and does not have any influence in the determination of her annual salary.Dr. Robery 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's assistants from CAS. Total recieved from CAS was $799,524. Dr. Joy also received $15,000 from Medical Staff fund as Chief Staff ElectExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessA copy of the Ellis Hospital's 990 was prepared and submitted for review to the Senior Management team comprised of the Chief Executive Officer, the Chief Operating Officer, Chief Financial Officer, and Vice Presidents. After their 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, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEllis 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe 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 agreemtents and gathering of compoarability data in determining the reasonableness of compensation follow the procedures described in treasury regulation section 53.4958-6.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCorporate 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.
Other Changes In Net Assets Or Fund Balances - Other IncreasesAdditional Min. Postretire Liability = $0
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Interest in Foundation = $256475
Other Changes In Net Assets Or Fund Balances - Other Increasesmisc = $2
Other Changes In Net Assets Or Fund Balances - Other DecreasesPost Retire Liabiity = -$17718543

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Service Assoc of SchenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 Erie BoulevardAddressLine1Txt
CitySchenectadyCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12305ZIPCd
FieldValueIRS element (for citing)
EIN141338478EIN
Primary ActivitiesHome Health CarePrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd