2011-11-11T13:32:25-08:00 2010-12-31 KPMG LLP 515 BROADWAY ALBANY NY 122072930 990 2010-01-01 141338428 Ellis Hospital ELLI 5186128668 1101 Nott Street Schenectady NY 12308 Daniel Rinaldi 2011-11-11 KPMG LLP 2010 2016-02-24 21:20:13Z James W Connolly 1101 Nott Street Schenectady NY 123082425 380259334 false false X www.ellismedicine.org X 1885 NY The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians. 19 17 3854 332 5367185 -332951 8498619 2423015 362337375 339223921 -478450 2348370 3607958 3728742 373965502 347724048 49579 46340 0 190185909 197881755 0 0 168772108 143261987 359007596 341190082 14957906 6533966 209642227 217214711 121545872 120618747 88096355 96595964 The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians. false false 264338953 46340 314123541 Healthcare services - Ellis is a community and teaching hospital with 455 certified beds (of which 365 were staffed in 2010) across three hospital campuses. The hospital is overseen by a volunteer Board of Trustees from the community. Ellis is the sole provider of acute hospital care in Schenectady County, following a state-mandated restructuring which resulted in consolidation of three hospitals into one in 2007-2008. Ellis balances state-of-the-art technology and advanced medical procedures with a tradition of community-based caring and a firm committment to quality. Ellis treated over 18,700 inpatients and had 653,000 outpatient visits in 2010.The hospital provides services to anyone who walks through its doors, regardless of the ability to pay.Ellis has earned numerous recognitions for clinical excellence and community service. Ellis is a "Top 50 Cardiovascular Hospital for 2011" as rated in 2010 by Thomson Reuters. From 2007 through 2010, Ellis has received recognition from the American Stroke Association (ASA) through the ASA's Gold and Gold Plus Achievement awards. Ellis is recognized for using the ASA's "Get with the Guidelines" program for improving the quality care and patient outcomes. Ellis is also a designated Stroke Center by the New York State Department of Health. The hospital is also a designated "Center of Excellence" by the American Society for Metabolic and Bariatric Surgery. In addition, the Sleep Disorders Center is accredited by the American Academy of Sleep Medicine, the Ellis Belanger School of Nursing is accredited by the National League for Nursing Accrediting Commission, and the Ellis Medicine Glenville Health and Ellis Family Practice Associates both achieved National Commission on Quality Assurance (NCQA) "Patient-Centered Medical Home" certification in 2010. The City Mission of Schenectady awarded Ellis the "Partners Award" for 2010, specifically recognizing the hospital's free community shuttle, health service navigators, and other services for the underserved. The Schenectady ARC named Ellis "Employer of the Year" for 2010, 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 named Ellis "Hospital of the Year" for 2010 for commitment and compassion to grieving families along with outstanding accomplishments and best practices use to facilitate cornea donations.Ellis operates two Emergency Departments which had 76,853 visits in 2010, the Bellevue Woman's Care Center which delivered 2,547 babies in 2010, four primary care practices (in Schenectady (2), Glenville, and Latham), an 82-bed skilled nursing facility and short-stay rehabilitation facility, two off-site blood draw stations, two Bariatric Care locations, a Sleep Disorders Center, a Wound Care Center, A Family Medicine Residency including Osteopathic Residency, a General Dental Residency, and a School of Nursing. Residents enrolled in the Family Medical Residency and the General Dental Residency provide primary and dental care to patients, the majority of whom are uninsured or are patients in government programs such as Medicaid, Family Health Plus, and Child Health Plus through three clinics located at the Ellis Health Center: the Family Health Center, the Pediatric Health Center, and the Dental Health Center. Ellis is also the sole sponsor of the Visiting Nurse Service of Schenectady and Saratoga Counties (VNS), a not-for-profit home health care agency which is the only State-licensed provider of home health care services to the general population in Schenectady County.The Ellis Belanger School of Nursing prepares students for licensure as professional Registered Nurses. One hundred percent of the school's graduates passed the New York State nursing licensure examination in 2010. Total enrollment in December 2010 was 109 students. The graduates in the class of 2010 (combined day and evening/weekend programs) were 47, of which 32 joined the nursing staff at Ellis. 21424913 18445279 Mental Health Services - Ellis operates a 52 bed inpatient mental health unit and expanded outpatient services. This is the only inpatient mental health facility in Schenectady County, and 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 social club for people recovering from mental illness; 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 an office of the Schenectady City School District and the hospitals' Medical Home. In 2010, the mental health programs had 16,786 inpatients and 50,914 outpatient visits.Form 990, Part III, Line 4a- Program Service Accomplishments (continued from above)Ellis Hospital is the only provider of maternity care in Schenectady County. Ellis has centralized services at the Bellevue Woman's Care Center. Bellevue has 55 beds (certified and staffed) including a 15-bed neonatal intensive care unit, one of only three ICUs in the area specializing in the care of premature and low birth weight infants. During 2010, Ellis instituted the area's first Ob/Gyn hospitalist program, aimed at enhancing patient care and safety. Through this program, a hospital-employed board-certified Ob/Gyn physician is on-site at Bellevue 24/7, ready to provide emergency obstetrical care or deliveries in the event a patient's private physician is unavailable. 11171744 8328896 Long Term Care - The Ellis Center, an 82-bed skilled nursing facility and short-stay rehabilitation facility specializing in medically complex cases, relocated to a renovated facility on the Ellis Health Center campus in June 2010. The new facility provides residents with more private rooms and such amenities as a cyber-center, a larger hair salon, and a roof-top garden. This relocation freed up two floors at Ellis Hospital-one floor has been renovated to create The Neuroscience Center wherein neuroscience services are now centralized, and the other floor is available for surge capacity in the event of a community disaster or epidemic. Inpatient days for 2010 were 28,716. 296935610 true true false true false false false false false true true false false true true true true false false false false false false false false false true false false true true true false false false false false false false false false true false false false false false false false false false false true 322 0 true 3854 true true true false false false false false false false false false 0 false false false false false false false false false false false X 19 17 false false false false false false false true true false false false true true true true true true true true false false NY X X Ellis Medicine Finance Dept 5186128668 1101 Nott Street Schenectady NY 12308 X William B Faubion 0.00 0 0 0 Wendy Rosher 0.00 X 205399 0 27114 Vincent Zeccola MD 2.00 X 0 0 0 Terence Clarke MD 50.00 X 565519 0 314213 Sarah Schermerhorn 2.00 X X 0 0 0 Robert Murray 2.00 X 0 0 0 Robert McKay MD 50.00 X 742057 0 8202 Robert Kennedy MD 1.00 X 7500 0 0 Richard Toll MD 2.00 X 75005 0 0 Quintin Bullock PhD 50.00 X 0 0 0 Paul Spurgas MD 0.00 X 487236 0 4814 Paul A Milton 1.00 X 312827 0 33044 Patti S Hammond 0.00 X 209294 0 26110 Patrick Kehoe 1.00 X 0 0 0 Max S Laguerre MD 50.00 X 466630 0 26681 Mary Ellen Crittenden 0.00 X 159588 0 13309 Marshall G Jones PhD 2.00 X 0 0 0 Mark Breslin PE 3.00 X X 0 0 0 Linda Breault 1.00 X 0 0 0 Laura Schweitzer PhD 3.00 X 0 0 0 Judith B McIlduff 2.00 X 0 0 0 Joseph Giansante 0.00 X 212977 0 30472 John A Nolan MD 4.00 X X 37465 0 0 James W Connolly 0.00 503894 0 41775 Howard Foote 2.00 X 0 0 0 Herbert Reich MD 50.00 X 458867 0 74196 George B Boyar MD 50.00 X 10000 0 0 Donald J McLaughlin 0.00 X 176683 0 28279 Deborah Mullaney 0.00 0 0 0 David Snyder 0.00 X 171808 0 17989 David M Liebers MD 0.00 X 335154 0 31173 Daniel J Rinaldi 0.90 X 278487 0 17026 D Joseph Gersuk 2.00 X 0 0 0 Cristine Cioffi 10.00 X X 0 0 0 Cecilia A Lynch 0.00 X 207262 0 25325 Carolyn Jones 3.00 X 0 0 0 5623652 719722 193 false true false U W Marx Inc 20 Gurley Ave Troy NY 12182 Construction 4559689 Sodexho Operations LLC PO Box 905374 Charlotte NC 282905374 Food & Environ Svcs 3374536 Siemens Medical Solutions 51 Valley Stream Parkway Malvern PA 19355 Information Tech 4206354 Laboratory Corp of America PO Box 12140 Burlington NC 27216 Laboratory Svcs 1362705 Atlas Health Care Linen 414 West Taylor Street Syracuse NY 13202 Linen Services 994458 57 728794 1694221 2423015 Sunnyview Hosp Svcs 621990 2534314 2534314 Mental Health Services 621990 18445279 18445279 Long Term Care 623000 8328896 8328896 Lab-Physician Referrals 621500 2649156 2649156 General Hospital 621990 306753545 306753545 512731 512731 339223921 1237693 1237693 0 0 0 33633776 12187 32535286 1098490 12187 1110677 1110677 0 0 0 Rent-Nonresidential Space 531120 878169 878169 Purchase Discounts 900099 481776 481776 Lifeline Rental 624100 355567 355567 2013230 836452 183715 993063 3728742 347724048 335714246 5367185 4219602 0 46340 46340 0 0 3139994 75005 3064989 0 162494841 148657216 13837625 5138347 4700056 438291 15423014 14079302 1343712 11685559 10523548 1162011 2256397 2256397 3071962 3071962 311803 311803 53463 53463 0 178579 178579 4240291 4174442 65849 806992 1598 805394 55672339 53970135 1702204 4148883 4148883 0 11093221 9789309 1303912 832882 488353 344529 0 0 100676 100676 0 13116251 11861845 1254406 4264828 4264828 Purchased Services 13759315 11364220 2395095 Other Fees-Non Medical 1166487 318534 847953 NYS Assessment 1474292 1474292 Equip Rental/Maint 9228828 7710922 1517906 Bad Debt 14460626 14460626 3023872 882794 2141078 341190082 296935610 44254472 0 10936 11165 15360972 4820260 7261504 408198 43156413 39949115 0 0 0 3982413 4796799 1339875 1080238 288842258 197689040 88163843 91153218 36067093 57062260 0 0 0 14299178 17933458 209642227 217214711 27794468 29557479 3488191 2977724 44488704 40138711 1838078 920709 43936431 47024124 121545872 120618747 X 75635737 81189149 8541108 11437216 3919510 3969599 88096355 96595964 209642227 217214711 X 6533966 1965643 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 53463 53463 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Ellis 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. 3919510 50089 3969599 3819437 100073 3919510 4143281 -323844 3819437 1.00000 false false false 2956826 2956826 102945726 60174547 42771179 1177542 1009512 168030 175064561 136504981 38559580 6697603 6697603 91153218 Rounding 2 Rent receivable 36494 Miscellaneous receivables 216142 Loan receivable 19300 Interest in Net Assets of Foundation 15690756 Grant receivable 152185 Due from Insurance group 71900 Due from Foundation 65424 Deposits 185231 Deferred financing costs 1341578 Accrued interest receivable 154446 17933458 Retainage payable 1000 Miscellaneous payables 384303 Estimated self-insurance 12037000 Estimated payables to 3rd Party Payers 7436000 Employee withholdings 261720 Claims payable 1509476 Asset retirement obligation 1393651 Accrued vacation payable 7650672 Accrued sick payable 4684989 Accrued post retirement benefits 320557 Accrued pension 11181651 Accrued interest payable 163105 47024124 347724048 341190082 6533966 1939683 25960 1965643 8499609 349511112 1939683 25960 1965643 347545469 178579 178579 347724048 341011503 341011503 178579 178579 341190082 Part X Part X : FIN48 Footnote FIN48 disclosures not applicable. Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 Change in Interest in Foundation $3747787 Pension & Post Retirement $-3721827 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Change in Interest in Foundation $3747787 Pension & Post Retirement $ -3721827 Part V, Line 4 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 $692,674 at 12/31/2010. The remaining amount of $3,276,925 are Net Assets held by the Foundation (including $1,213,972 for beneficial interest in perpetual trusts in 2010). Grand total was $3,969,599. true true X true X false true true false false true true 7547006 3705223 3841783 0.01180 51401590 44355048 7046542 0.02160 58948596 48060271 10888325 0.03340 1272305 89902 1182403 0.00360 7581593 3071789 4509804 0.01380 8267004 7791073 475931 0.00150 33565 33565 0.00010 17154467 10952764 6201703 0.01900 76103063 59013035 17090028 0.05240 7101 7101 244688 244688 0.00070 251789 251789 0.00070 true 3929300 52000 71269790 76785562 -5515772 X true false 1 0 Ellis Hospital

1101 Nott Street Schenectady NY 12308

X X X X 82 Bed Skilled Nursing Facility Ellis Hospital 1 false true true 200.0000 false true X X true true X X X X X X true X X X true X X X X X X X true X false false 13 Ellis Hospital Rehabilitation Services

650 McClellan Street Schenectady NY 12304

Physical Therapy Services Ellis Hospital Continuing Day Treatment

216 Lafayette Street Schenectady NY 12308

Mental Health Services Ellis Hospital Blood Draw Station

949 Route 146 Clifton Park NY 12065

Patient Service Center Ellis Hospital Collage Social Program

1328 State Street Schenectady NY 12304

Mental Health Services Ellis Hospital Neurology

1201 Nott Street Schenectady NY 12308

Outpatient Neurology Ellis Hospital Primary Care

1201 Nott Street Schenectady NY 12308

Primary Care Services Mobile Mammography Van

2210 Troy Road Niskayuna NY 12309

Mammography Services Pelvic Health Center

930 Albany Shaker Road Latham NY 12110

Pelvic Health Services Ellis Hospital Bariatric Center

1405 Fulton Avenue Schenectady NY 12308

Bariatric Care Services Glenville Healthcare Center

460 Saratoga Road Glenville NY 12302

Primary Care Services Ellis Hospital Mental Health Clinic

216 Lafayette Street Schenectady NY 12308

Mental Health Services Bellevue Womans Center

2210 Troy Rd Niskayuna NY 12309

Maternity and Womens' Hospital Ellis Health Center

600 McClellan Street Schenectady NY 12304

Medical Home and 24/7 Emergency Department Part VI - Affilated Health Care System Roles and Promotion Not Applicable Part VI - Explanation Of How Organization Furthers Its Exempt Purpose 1.Ellis has a volunteer Board of Trustees that is comprised of community, medical staff members, and the CEO, who serve three year terms. The Board must have no less than twelve and no more that twenty Trustees, including the ex officio directors, with vote. In 2010, The Board was comprised of 20 trustees-15 non-physician citizens of the community, 4 physicians, and the Hospital's President/CEO. Ellis does not have a parent corporation.2. Ellis has an open medical staff consisting of approximately 600 affiliated physicians. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 150 of these physicians are employed by Ellis, including 30 residents participating in the Family Medicine Residency and 3 in the General Dental Residency. Ellis' medical staff is led by a Medical-Dental Executive Committee (MDEC). The MDEC plays an integral part in the hospital's corporate structure and daily operations. The MDEC and the department chairs, who oversee specific clinical services, work collaboratively with the hospital's volunteer Board of Trustees, administrators and staff to ensure the highest quality of care is delivered to patients and that the community's healthcare needs are met with excellence. Physicians also serve as members of the hospital's Board of Trustees, and are directly involved in the hospital's annual budget process: they rank and prioritize all capital items in the hospitals' capital budget and they sign off on volume projections for the hospital's annual operating budget.3. Ellis operates two emergency rooms on two separate campuses, both of which are open 24 hours-a-day/seven days-a-week/365 days-a-year. Ellis' emergency rooms care for all those in need of emergency care regardless of their ability to pay. 4. The Foundation for Ellis Medicine, is 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 Foundation's 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.5. Surplus funds are reinvested 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 preventive healthcare services and health education, especially though 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 provides essential healthcare services by cooperating with other community healthcare providers to maximize the meeting of essential community health needs; rendering healthcare services and educational services that are specifically designed to meet assessed community needs and improving community health status.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 - Community Building Activities -Ellis Medicine continues to restructure healthcare services in its community following the New York State-mandated hospital consolidation in 2007-2008. Ellis is now the sole acute provider and arguably the largest primary care provider in Schenectady County having assumed the responsibility for the services of two former hospitals which closed during this State-driven "rightsizing" process. In this important role, Ellis worked tirelessly to engage the community and to develop 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 Medicine's key community building activities is its innovative Medical Home, which is a centralization of 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, child/adolescent mental health, diabetes education, and emergency services among 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 Registered Nurses (Health Service Navigators), one an Ellis employee and the other contracted from Schenectady County Public Health Services, and a counselor (Community Service Navigator) employed by the local community action agency who help patients connect to healthcare and social service programs they need, including Medicaid facilitated enrollment services, and a free Community Shuttle which provides transportation to the campus. The Medical Home is an efficient 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.-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 need and to develop the State-required community service plan to identify health priorities. -Additionally, Ellis partners with a number of community partners, such as the American Cancer Society and the YWCA, to provide health screenings to uninsured and underinsured populations in our service area, and utilizes a Mobile Mammography van to bring detection screenings to rural and underserved areas. in collaboration with community partners, Ellis offers outpatient smoking cessation courses and sponsors peer-driven mental health and cancer patient support groups. And, acting in collaboration with Schenectady County Planning Department and the Cooperative Extension, Ellis hosts a weekly Farmer's Market in the parking lot of the Ellis Health Center during the summer months.-Ellis staff sit on numerous community boards and health area coalitions to target improvements in such areas as diabetes, long term care, cancer, hospital readmission rates and healthy living.-Ellis is an active and results-driven member of H2E: Hospitals for a Healthy Environment, a program to eliminate mercury, reduce waste and pollution and to improve utilization of environmentally friendly products and vendors. Ellis also staffs a "Green Team" that works to promote recycling and eco-friendly practices. Part VI - Community Information In accordance with industry standards, Ellis Hospital's community is defined by the hospital's Primary and Secondary Service Areas, accounting for 80% of the hospital's 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 Schenectady's hospitals in 2007-2008, Ellis Hospital 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 Schenectady's "2010-2014 Consolidation 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 City's housing stock was built before 1978, and Schenectady neighborhoods have been identified as having among the highest concentrated 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 2010, Medicare represented 41% of total patient revenues, Medicaid was 17%, and self-payment by uninsured patients was 5%, for a total of 63% of revenues. Insurance company payments (including Workers Compensation and no-fault) accounted for 37%.There is only one Medically Underserved Population (MUP) within Ellis' Primary Service Area. The homebound population of Schenectady County is designated MUP 06211. In response, at least three physicians on the staff of Ellis Family Health Center make housecalls, and residents in the hospital's Family Medicine Residency may include housecalls in their training.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. Nearly a quarter (23%) of the households have annual incomes over $100,000, while an almost identical share (24%) are under $30,000. Health status variations are similarly dramatic. For example, the rates of asthma-related Emergency Department visits per 10,000 people vary from 292.4 in the 12307 ZIP code to 19.5 in the 12309 ZIP code, a distance of about five miles.Overall Census data for the combined Service Areas for 2010 show a total population of 352,001, comprised of 142,463 households. This is projected to increase to 355,954 (144,397 households) in 2015. The 2010 median household income was $59,948, and the average (mean) income was $73,758. The gender distribution is 49% male and 51% female. The age distribution in 2010 was: 22.2% under age 18, 50% aged 19-54, and 27.9% age 55 and older. The distribution by largest categories of race in 2010 was: 87.9% Caucasian, 5.3% African-American, and 3% Asian. By 2015, the Caucasian population is projected to decline by 3,116 people, while the Asian population will increase by 2,535 people and the African-American population will increase by 2,487 people. Part VI - Patient Education of Eligibility for Assistance Ellis 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 web site (www.ellismedicine.org), in readily available and publicly distributed brochures, and though 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 an 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 assistance with charity care and financial assistance services.Additionally, Ellis publicizes its Financial Call Center & Information Line (sharing with our 3,300 employees; our local, state and federal lawmaker 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 many 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 patient's 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 - Needs Assessment Ellis Medicine assesses the health care needs of its community through analysis of federal, state and local healthcare data, through collaboration with healthcare and community partners, and through engagement of the public in meetings and surveys.Ellis participates as a dues-paying member of the Healthy Capital District Initiative (HCDI), a State-recognized regional health planning and research agency. HCDI members include county health departments from New York's Capital Region (Albany, Schenectady and Rensselaer Counties), local hospitals, health insurance companies, and other healthcare and community partners. HCDI coordinates regional needs assessments and collaborative responses to identified service gaps. An Ellis representative attends bi-monthly meetings of the HCDI Board, and Ellis has provided staff expertise for various workgroups.During 2010, as part of the State's HEAL-9 initiative, HCDI conducted an intensive study of Emergency Department (ED) utilization in a three-county region. Ellis participated by distributing HCDI's surveys to patients in both Emergency Departments, and by assigning staff to work on several HCDI workgroups. The analysis found that nearly half of ED visits could have been treated in a primary care setting or prevented by appropriate primary care, and also found an unusually large share of Ellis' ED visits were by uninsured patients as compared with other hospitals in the area. In response, Ellis has increased efforts to make primary care services available in Schenectady, and has met with Schenectady County officials and community organizations to develop ways to encourage uninsured patients to obtain Medicaid coverage. Between 2009 and 2010, patient visits to the Ellis Family Health Center, a primary care clinic which largely serves uninsured and Medicaid patients, increased by 17%.HCDI continued to make available to the public the 2009 Community Health Profile through which multiple data sources were analyzed to identify and rank the top health concerns in Albany, Schenectady and Rensselaer Counties. As part of this process, a public health forum, "How Healthy is the Capital District?", was held in Spring 2009 at a local television station, allowing audience and call-in participation during the hour-long broadcast. Additionally, a public survey of community members was also administered. Of the more than 1,100 community members surveyed, 41.6% of respondents resided in Schenectady County. The main issues covered by the survey included access to care, health insurance coverage, barriers to healthcare, Emergency Department utilization, and chronic disease experiences.In addition to this Capital Region-wide effort, Ellis Hospital works with Schenectady County Public Health Services to identify health priorities and strategies to address them. From this process, Ellis produces a Community Service Plan and the County Health Department produces its Community Health Assessment. In accordance with New York State law, Ellis filed a three year (2010-2012) Community Service Plan with the State Department of Health in September 2009, and then filed an annual update to the Plan in September 2010. Following review, the State Department of Health accepted Ellis' 2010 update without requiring any revisions.Finally, Ellis holds regular meetings in the community and has engaged the Siena Research Institute to conduct public surveys regarding local health concerns and priorities. During 2010, Ellis conducted 18 "Community Conversation" meetings between community groups, such as neighborhood associations and senior citizen organizations, and Ellis executives. In addition, the CEO met with the Mayor and Council of the City of Schenectady. Ellis also engaged in a "Siena Survey" to assess community satisfaction with overall healthcare services and with specialty care services. The results of these surveys and the public input via community meetings provide feedback from the general public about hospital services/health needs/health concerns. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Uninsured patients with incomes exceeding 200% of Federal Poverty Guidelines (FPG) are automatically eligible for a reduction of charges to the reimbursement rate from Ellis' highest volume health maintenance organization. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Ellis Hospital does not use presumptive eligibility for charity care. All patients applying for charity care must submit a complete application which is then reviewed by Ellis to determine charity care eligibility. Part III, Line 4 - Bad Debt Expense Ellis Hospital grants credit without collateral to patients, most of whom are local residents and are insured under third-party payor agreements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectable are deducted from the allowance. The amount of the provision for bad debts is based upon management's assessment of historical expected net collections, business and economic conditions, trends in Federal and State government health care coverage, and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for doubtful accounts. The costing methodology used in determining the amounts reported on Part III, Section A, lines 2 and 3, is Ellis' cost to charge ratio.The Bad Debt Expense included on Form 990, Part IX, line 25, column (A) but removed from the percent of expense on Schedule H, line 7 through k, column (f) was $14,460,626. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) Uninsured patients with incomes exceeding 200% of Federal Poverty Guidelines (FPG) are automatically eligible for a reduction of charges to the reimbursement rate from Ellis' highest volume health maintenance organization. true X 0 0 School of Nursing Scholarship 111 5250 41090 FMV Tuition Reduction Grantmaker's Description of How Grants are Used The 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. X true true X X X X X false false false false false true false false false false Wendy Rosher 176535 28419 445 9528 17586 232513 Terence Clarke MD 256634 308692 193 303565 10648 879732 295692 Robert McKay MD 233485 491627 16945 7548 654 750259 Paul Spurgas MD 478257 8979 4814 492050 Paul A Milton 75005 75005 Patti S Hammond 182013 26836 445 7985 18125 235404 Max S Laguerre MD 448569 18061 16369 10312 493311 Mary Ellen Crittenden 135655 23488 445 3199 10110 172897 Joseph Giansante 176867 29091 7019 8325 22147 243449 James W Connolly Herbert Reich MD 423143 18923 16801 61200 12996 533063 Donald J McLaughlin 144678 24150 7855 6867 21412 204962 David Snyder 163397 8000 411 17989 189797 David M Liebers MD 291196 43513 445 8526 22647 366327 Daniel J Rinaldi Cecilia A Lynch 177473 29488 301 8014 17311 232587 Sch J, Part III, Additional Information Part III, Additional Information Dr. 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 $295,692 represents the incentive compensation he earned in 2009. This amount was included in his 2010 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2009 990 in Column C. Sch J, Part I, Line 1a 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. Dorm Auth of NYS 146000293 64983TQ97 2004-11-23 16834363 Construction of new ICU false false false 1415000 16834363 1224505 861840 57858 14407431 282729 2006 false false true true false false false false true true false false false false false false 1-As of December 31, 2010, there are $282,729 of unspent bond proceeds. Since 2006, Ellis has been working with the contractor to rectify water leak issues. The unspent bond proceeds are expected to be expended in 2011. 2-The 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 tht no arbitrage rebate exists. John A Nolan MD Trustee 324392 Medical Services false Dr. Nolan is a founding member and President of Cardiology Associates of Schenectady (CAS). CAS is a prominent group of 22 cardiologists, with six offices, that provides comprehensive cardiac care to patients in Schenectady, Montgomery, Fulton and Saratoga counties. CAS received payment for the direction of the cardiology program at Ellis Hospital. Ellis Hospital also leased Physicians' Assistants from CAS during 2010. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Corporate Compliance Policies (including Conflicts of Interest Policy) and audited Financial Statements are available to the general public via posting on the Ellis Hospital website: www.ellismedicine.org. In addition, these documents and governing documents are available to the public upon request. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Ellis Hospital's Conflict of Interest Policy applies to all Hospital Trustees, Officers, employees, Medical/Dental staff members, Directors, Managers, appointees with administrative and/or decision-making responsibilities, Volunteers or any of these parties' immediate families (collectively called Hospital Agents). The Ellis Hospital Corporate Bylaws require Hospital Agents and other selected individuals as identified by the Vice President, Human Resources and the Vice President, Corporate Compliance and Internal Audit (VP-CC/IA), 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 VP-CC/IA. Upon receipt, the VP-CC/IA 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 VP-CC/IA, 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 VP-CC/IA 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 11 Form 990, Part VI, Line 11: Form 990 Review Process A 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.