FURP.ORG / PUBLIC DATA EXPLORER

WESTCHESTER-ELLENVILLE HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
WESTCHESTER-ELLENVILLE HOSPITAL INC (EIN 13-4111638)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-12-20
IRS object ID
202133549349300753
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-12-20T08:35:34-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN134111638EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER-ELLENVILLE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone8456476400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 HEALTHY WAYAddressLine1Txt
CityELLENVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12428ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOB RUEPersonNm
Person TitleCFOPersonTitleTxt
Phone8456476400PhoneNum
Signature2021-12-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBOBPersonFirstNm
Person LastRUEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2021-12-17PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ELLENVILLE REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVEN KELLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 HEALTHY WAYAddressLine1Txt
CityELLENVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12428ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,987,668GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ERHNY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee283TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$8,000TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,368NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,877,443PYContributionsGrantsAmt
CY Contributions Grants$5,473,138CYContributionsGrantsAmt
PY Program Service Revenue$20,352,141PYProgramServiceRevenueAmt
CY Program Service Revenue$19,648,921CYProgramServiceRevenueAmt
PY Investment Income$186,180PYInvestmentIncomeAmt
CY Investment Income$350,638CYInvestmentIncomeAmt
PY Other Revenue$145,539PYOtherRevenueAmt
CY Other Revenue$59,540CYOtherRevenueAmt
PY Total Revenue$22,561,303PYTotalRevenueAmt
CY Total Revenue$25,532,237CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,228,715PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,967,604CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,842,815PYOtherExpensesAmt
CY Other Expenses$9,150,009CYOtherExpensesAmt
PY Total Expenses$21,071,530PYTotalExpensesAmt
CY Total Expenses$22,117,613CYTotalExpensesAmt
PY Revenues Less Expenses$1,489,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,414,624CYRevenuesLessExpensesAmt
Total Assets BOY$25,339,121TotalAssetsBOYAmt
Total Assets EOY$40,429,295TotalAssetsEOYAmt
Total Liabilities BOY$7,405,059TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,146,501TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,934,062NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,282,794NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionELLENVILLE REGIONAL HOSPITAL PROVIDES EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES. THIS HEALTH CARE IS DELIVERED WITH COMPASSION AND RESPECT BASED ON OUR COMMITMENT TO IMPROVING OUR COMMUNITY HEALTH THROUGH EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,483,339ExpenseAmt
Revenue$6,102,122RevenueAmt
DescIN-PATIENT DEPARTMENTS (MED/SURG AND SWING REHAB) & AMBULATORY SURGERY (OR): IN 2020, THE HOSPITAL AND THE FOUNDATION SUPPORTED OUR STAFF WITH TUITION ASSISTANCE AND REIMBURSEMENT FOR EDUCATION RELATED TO HEALTH CARE SERVICES. THIS GENEROUS ASSISTANCE MADE IT POSSIBLE FOR SEVEN OF OUR STAFF MEMBERS TO PURSUE HIGHER DEGREES IN HEALTH CARE RELATED FIELDS. ERH TAKES PRIDE IN SERVING AS A TEACHING HOSPITAL AND HOSTING STUDENTS FROM MANY SCHOOLS SUCH AS SUNY SULLIVAN, SUNY ULSTER, SUNY ORANGE, BOCES NEW VISIONS PROGRAM, LEMOYNE COLLEGE, TOURO MEDICAL COLLEGE, CLARKSON UNIVERSITY, UNIVERSITY AT BUFFALO, ALBANY COLLEGE OF PHARMACY, RHODE ISLAND UNIVERSITY COLLEGE OF PHARMACY, ANTIGUA MEDICAL UNIVERSITY AND MARIA COLLEGE, PACE UNIVERSITY, SACRED HEART UNIVERSITY, EASTWICK COLLEGE, LONG ISLAND UNIVERSITY, SUNY EMPIRE, ADELPHI UNIVERSITY, RUSSEL SAGE COLLEGE, MARIST COLLEGE, STONYBROOK UNIVERSITY, BAY PATH UNIVERSITY. IN 2020, THE COVID PANDEMIC PRESENTED A MONUMENTAL CHALLENGE FOR MANY HEALTHCARE STUDENTS; NEVERTHELESS, OUR HOSPITAL FOUND WAYS TO ASSIST SCHOOLS BY PROVIDING CLINICAL ROTATIONS. IN 2020, STUDENTS FROM TWO LOCAL COMMUNITY COLLEGES BENEFITED FROM WORKING SIDE BY SIDE OUR SKILLED AND COMPASSIONATE CLINICAL TEAM. DURING THEIR CLINICAL ROTATIONS, THEY OBSERVED FIRSTHAND THE DELIVERY OF EXCEPTIONAL CARE IN BOTH OUR INPATIENT UNIT AND EMERGENCY DEPARTMENT. AS IN PAST YEARS, ERH PROVIDED THESE SERVICES WITHOUT REQUIRING ANY MONETARY COMPENSATION. PATIENT SATISFACTION AND POSITIVE OUTCOMES REMAIN SIGNIFICANT QUALITY INDICATORS. IN 2020, PATIENT SATISFACTION SCORES REACHED 99% FOR THE INPATIENT SERVICES. OUR NURSING HOME PLACEMENT RATE WAS AN EXTREMELY LOW 3.7%. THESE STELLAR RESULTS ARE THE PRODUCT OF A MULTIDISCIPLINARY COLLABORATIVE EFFORT AMONG NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, SOCIALIZATION ACTIVITIES, AND A REGISTERED DIETITIAN. BY COMBINING QUALITY CARE, EVIDENCE-BASED RESEARCH, EXCELLENT NURSING SKILLS, AND EXPANDING OUR CLINICAL EDUCATION PROGRAMS, THE IN PATIENT UNIT AT ELLENVILLE REGIONAL HOSPITAL MADE IT OUR GOAL TO IMPROVE PATIENT OUTCOMES ACROSS THE CARE SPECTRUM. WHILE THE COVID 19 PANDEMIC ROCKED THE CORE OF OUR HEALTHCARE SYSTEMS, OUR ORGANIZATION REMAINED A STRONG AND RESILIENT HEALTH CARE FACILITY. IN THE MIDST OF THE COVID 19 DEVASTATION, OUR ERH TEAM CAME TOGETHER DEVELOPING AND IMPLEMENTING INNOVATIVE MITIGATION STRATEGIES SUCH AS CREATING NEGATIVE PRESSURE ROOMS, SECURING MUCH NEEDED MEDICAL DEVICES, SUPPLIES AND PPE (PROTECTIVE PERSONAL EQUIPMENT). AS A RESULT, OUR FACILITY WAS ABLE TO HOLD STEADFAST COLLABORATING WITH OTHER AGENCIES AND PROVIDING QUALITY, COMPASSIONATE CARE AND GENERATING POSITIVE OUTCOMES. IN 2020, WE SERVED PATIENTS IN NEED OF MEDICAL MANAGEMENT DURING DRUG AND ALCOHOL WITHDRAWAL PRIOR TO THEIR TRANSITIONING TO EITHER AN INPATIENT OR OUTPATIENT REHAB PROGRAM. WE HAVE WORKED VERY HARD TO HAVE PROTOCOLS IN PLACE TO FACILITATE A SEAMLESS TRANSITION FOR THIS POPULATION OF PATIENTS. IN 2020, SAFETY CONTINUED TO BE A PARAMOUNT IN OUR FACILITY. WE TRACKED AND REPORTED COMPLIANCE WITH MEDICATION SCANNING. THIS PRACTICE ENHANCES SAFE MEDICATION ADMINISTRATION BY HELPING VERIFY PATIENT IDENTIFICATION AND CORRECT MEDICATION AND SUBSEQUENTLY ENSURING CORRECT MEDICATION ADMINISTRATION AND MITIGATING POTENTIAL ERRORS. WE WERE ABLE TO SIGNIFICANTLY BOOST OUR SCORES AND COMPLIANCE LAST YEAR. IN 2020, OUR SAFE PATIENT HANDLING COMMITTEE REVIEWED AND MAINTAINED SUCCESSFUL PRACTICES THAT MAXIMIZED A SAFE ENVIRONMENT FOR OUR PATIENTS AND STAFF. THIS INITIATIVE WAS DRIVEN BY A MULTIDISCIPLINARY TEAM COMPRISED OF MEMBERS OF OUR NURSING, REHABILITATION, RADIOLOGY, QUALITY, AND FACILITIES STAFF FOCUSED ON THIS INITIATIVE TO ENSURE THAT OUR STAFF ARE INJURY FREE. THE COMMITTEE HAS MADE A TREMENDOUS EFFORT TO DELIVER GUIDANCE AND TRAINING STAFF ON TRANSFERS, BODY MECHANICS, AND USE OF ASSISTIVE DEVICES. THEY HAVE DONE THIS VERY EFFECTIVELY BY INCORPORATING EVIDENCE-BASED PRACTICES IN OUR EVERYDAY TASKS AND ROUTINES LIKE THE BMAT MODEL (BED SIDE MOBILITY ASSESSMENT TOOL). THIS TOOL ASSISTS WITH ASSESSING PATIENT'S CAPACITY TO MOVE AND COORDINATION STATUS MAKING TRANSFERS SAFER. THE SAFE PATIENT HANDLING COMMITTEE CONTINUES TO MEET REGULARLY TO DISCUSS EDUCATIONAL NEEDS AND PROVIDE HANDS-ON TRAINING TO ALL CLINICAL STAFF. WE WERE ABLE TO SECURE NEW BEDS WITH IN BED ALARMS AND SPECIALTY MATTRESSES TO ASSURE SAFETY AND MAINTAIN SKIN INTEGRITY. STAFF EDUCATION IS ALSO AN ESSENTIAL ELEMENT IN MAINTAINING AND PROMOTING CLINICAL COMPETENCY. ONE HUNDRED PERCENT OF OUR REGISTERED NURSES MAINTAIN CERTIFICATION IN BASIC AND ADVANCED LIFE SUPPORT THROUGH THE AMERICAN HEART ASSOCIATION AND TELEMETRY. OUR NURSE EDUCATOR PROVIDES EDUCATION OPPORTUNITIES VIA IN-SERVICES, WEBINARS, LECTURES, AND SCHOLARLY ARTICLES. THE HANDS ON TRAINING AND ACADEMIC OFFERINGS ENSURE OUR CLINICAL STAFF IS KNOWLEDGEABLE ON CURRENT TRENDS AND STANDARDS OF CARE. WE LINK ALL NEW HIRES WITH AN EXPERIENCED PRECEPTOR AND ADJUST THE ORIENTATION PROCESS TO MEET THE NEEDS OF EACH INDIVIDUAL. IN OUR FACILITY, EDUCATION DELIVERY INVOLVES EVERYONE. THE NURSE EDUCATOR COLLABORATES WITH THE NURSING LEADERSHIP TEAM, DIRECTOR OF PHARMACY, DIRECTOR OF REHABILITATION SERVICES, CLINICAL IT APPLICATIONS SPECIALIST, AND THE MANAGER OF RESPIRATORY SERVICES TO OFFER COMPREHENSIVE ANNUAL EDUCATION FOR ALL NURSING STAFF. HEALTH AND HUMAN SERVICES ISSUED PROVIDER RELIEF FUNDS, WELL NEEDED STIMULUS MONEY FOR COVID PREPAREDNESS. SOME OF THOSE FUNDS WERE USED TO PURCHASE ADDITIONAL PATIENT BEDS ENHANCING OUR SURGE CAPACITY FOR PATIENT CENSUS DUE TO COVID. THESE BEDS WERE EQUIPPED WITH SPECIAL FEATURES FOR CARE OF COVID PATIENTS SUCH AS, BUT NOT LIMITED TO SPECIALTY MATTRESSES TO PREVENT SKIN BREAKDOWN, BUILT IN SCALES FOR WEIGHT MONITORING, AND EXIT ALARMS TO REDUCE RISK OF PATIENT FALLS. WELL NEEDED VENTILATORS WERE PURCHASED TO PROVIDE HIGH FLOW OXYGEN TO PATIENTS ENCOUNTERING RESPIRATORY CHALLENGES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,058,518ExpenseAmt
Revenue$5,528,495RevenueAmt
DescEMERGENCY DEPARTMENT:ELLENVILLE REGIONAL HOSPITAL EMERGENCY DEPARTMENT IS A VITAL SERVICE FOR OUR COMMUNITY. A RURAL SETTING CAN MAKE IT DIFFICULT FOR RESIDENTS TO ACCESS HIGH-QUALITY EMERGENCY CARE. BY COMBINING QUALITY CARE, EVIDENCE-BASED RESEARCH, EXCELLENT NURSING SKILLS, AND EXPANDING OUR CLINICAL EDUCATION PROGRAMS, THE EMERGENCY DEPARTMENT AT ELLENVILLE REGIONAL HOSPITAL MADE IT OUR GOAL TO IMPROVE PATIENT OUTCOMES ACROSS THE CARE SPECTRUM. WHILE THE COVID 19 PANDEMIC ROCKED THE CORE OF OUR HEALTHCARE SYSTEMS, OUR ORGANIZATION REMAINED A STRONG AND RESILIENT HEALTH CARE FACILITY. AMID THE COVID 19 DEVASTATION, OUR ERH TEAM CAME TOGETHER DEVELOPING AND IMPLEMENTING INNOVATIVE MITIGATION STRATEGIES SUCH AS CREATING NEGATIVE PRESSURE ROOMS, SECURING MUCH NEEDED MEDICAL DEVICES TO LIMIT STAFF EXPOSURE, SUPPLIES AND PPE (PROTECTIVE PERSONAL EQUIPMENT). AS A RESULT, OUR FACILITY WAS ABLE TO HOLD STEADFAST COLLABORATING WITH OTHER AGENCIES AND PROVIDING QUALITY, COMPASSIONATE CARE AND GENERATING POSITIVE OUTCOMES. IN 2020, 10,478 PATIENTS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT AT ELLENVILLE REGIONAL. WE CONTINUED TO PROVIDED EXCELLENT CARE IN A MORE EXPEDIENT MANNER THAN OTHER EMERGENCY DEPARTMENTS ACROSS THE COUNTRY. OUR 2020 AVERAGE FOR ARRIVAL TO TRIAGE WAS A STELLAR SEVEN MINUTES. ADDITIONALLY, THE AVERAGE LENGTH OF STAY WAS 95 MINUTES. THESE REMARKABLE TURNAROUND TIMES DERIVE FROM THE DEDICATION OF OUR MULTIDISCIPLINARY TEAM COMPRISED OF ED PROVIDERS, NURSES, PATIENT CARE TECHNICIANS, REGISTRATION, LAB, AND RADIOLOGY. THE TEAM'S PRIMARY FOCUS IS OPTIMAL PATIENT CARE. OUR PATIENT'S NEEDS AND OUR COMMUNITY ALWAYS REMAIN OUR TOP PRIORITY. IMPROVING PATIENT OUTCOMES IS THE PRIMARY DRIVER IN OUR EVERYDAY OPERATIONS. WHILE MANAGING THE EFFECTS OF THE COVID PANDEMIC WE CONTINUE OUR FOCUS ON THE OPIOID CRISIS. OUR EMERGENCY DEPARTMENT CONTINUED TO FINE-TUNE AND FURTHER DEVELOP THE PROJECT RESCUE INITIATIVE. THE ED PROVIDERS ARE CERTIFIED TO PROVIDE MAT (MEDICATION ASSISTED TREATMENT). THIS HAS GREATLY FACILITATED TREATMENT OF PATIENTS PRESENTING TO THE ED AFTER AN OVERDOSE. WE HAVE CONTINUED OUR COLLABORATION EFFORTS WITH THE ULSTER COUNTY SHERIFF'S DEPARTMENT IN THE ORACLE PROGRAM AND UTILIZE THE SERVICES OF OUR IN-HOUSE SUBSTANCE USE DISORDER (SUD) PROGRAM. OUR COLLABORATIVE EFFORTS HAVE HELPED WITH INDUCTION OF MAT AND SECURING INPATIENT AND OUTPATIENT REHABILITATION SERVICES FOR THOSE WHO ARE IN NEED. WE ALSO CONTINUED TO WORK CLOSELY WITH OUR LOCAL EMS AGENCIES. IN 2020, ERH PROVIDED OUR LOCAL EMS PROFESSIONALS WITH MEDICAL EDUCATION ACTIVITIES RELATED TO MANAGEMENT OF PATIENTS PRESENTING WITH COVID 19 SIGNS AND SYMPTOMS. WITH THE EVER-CHANGING UNCERTAINTIES ZOOM STAFF MEETINGS AND EDUCATION SESSIONS WERE HELD PERIODICALLY TO MAKE SURE ALL STAFF WERE UP-TO-DATE ON EMERGING ISSUES AND TREATMENT REQUIREMENTS. DURING THE HEIGHT OF THE PANDEMIC, THE ED NURSES AND ANCILLARY STAFF DEMONSTRATED TRUE TEAM SPIRIT, COURAGE AND UNWAVERING PERSEVERANCE. THEIR RESILIENCY WAS VITAL IN ESTABLISHING EFFECTIVE DRIVE-UP TESTING AND VACCINATION CLINICS HELD AT ERH. HEALTH AND HUMAN SERVICES ISSUED PROVIDER RELIEF FUNDS, WELL NEEDED STIMULUS MONEY FOR COVID PREPAREDNESS. SOME OF THOSE FUNDS WERE USED FOR PATIENT MONITORING EQUIPMENT, AND NURSING CARTS. THIS EQUIPMENT REDUCED THE RISK OF CROSS CONTAMINATION, INCREASED EFFICIENCY OF CARE, AND PROVIDED CLOSER PROXIMITY FOR NURSES TO COVID DESIGNATED ROOMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,663,967ExpenseAmt
Revenue$1,626,216RevenueAmt
DescRADIOLOGY:IN 2020, THE RADIOLOGY & CARDIOLOGY DEPARTMENTS AT ELLENVILLE REGIONAL HOSPITAL (ERH) HAD A STRONG START WITH ALMOST ALL OUTPATIENT MODALITIES PERFORMING ABOVE AVERAGE. AFTER THE PROMISING START, THE COVID 19 PANDEMIC HIT, WHICH SLOWED ALL OUTPATIENT SERVICES. MANY OF OUR STAFF WERE FURLOUGHED AND THE NEXT SEVERAL WEEKS WERE SPENT IN PREPARATION FOR OUR REOPENING OF OUTPATIENT SERVICES WITH THE NEW INFECTION CONTROL GUIDELINES. ALL STAFF WERE BROUGHT BACK AND OUTPATIENT SERVICES WERE OPENED BACK UP AT THE END OF MAY. OVERALL, RADIOLOGY AND CARDIOLOGY RETURNED TO NORMAL PATIENT VOLUMES WITH A MODEST INCREASE IN EXAMS. MAMMOGRAPHY HAD ITS ANNUAL MQSA INSPECTION COMPLETED WITH NO CITATIONS OR RECOMMENDATIONS AND OUR TECHNOLOGISTS WERE PROVIDED ADDITIONAL TECHNICAL TRAINING TO ENSURE OUR PATIENTS RECEIVED THE HIGHEST LEVEL OF CARE. WE REDUCED OUR X-RAY REPEAT/REJECT RATE BY 44% COMPARED TO THE PREVIOUS YEAR IN AN EFFORT TO LIMIT RADIATION EXPOSURE TO PATIENTS, WHICH ULTIMATELY LED TO IMPROVED IMAGE QUALITY.FOR NUCLEAR MEDICINE, ERH PURCHASED A TRACKING SOFTWARE SYSTEM, WHICH STREAMLINES RECORD KEEPING FOR COMPLIANCE AND IS CAPABLE OF TRACKING VALUABLE PATIENT INFORMATION AND STATISTICS FOR ALL ORDERING PROVIDERS.ERH CONTINUED TO EXPAND ON THE SERVICES PROVIDED BY THE QUALITY IMPROVEMENT GRANT, WHICH WAS AWARDED THE PREVIOUS YEAR. WITH THIS GRANT, ERH PERFORMED 189 CT CALCIUM SCORE EXAMS AS A FREE OF CHARGE SERVICE TO THE PATIENTS. OFFERING THE EXAMS AT NO OUT OF POCKET COST TO THE PATIENTS HAS BEEN SUCCESSFUL WITH MANY PATIENTS RECEIVING CRUCIAL FOLLOW-UP CARE BASED ON THE TEST RESULTS. OVERALL, RADIOLOGY AND CARDIOLOGY POSITIONED THEMSELVES TO HAVE A STRONG 2021 AND DID SO WHILE KEEPING PATIENTS AND STAFF HEALTHY AND SAFE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$7,717,425ExpenseAmt
Revenue$6,392,088RevenueAmt
DescTHE HOSPITAL ALSO PROVIDES AMBULATORY SURGERY, LAB SERVICES, IV THERAPY, PHYSICAL THERAPY, CARDIAC REHAB, AND PRESCRIPTION DRUGS TO OUR PATIENTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,717,425TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$6,392,088TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$17,923,249TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee283EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBOB RUE CFOPersonNm
Phone8456476400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 HEALTHY WAYAddressLine1Txt
CityELLENVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12428ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
REVEREND JULIUS A COLLINS JR
CHAIRPERSON4.000.00Yes (X)Yes (X)$0$0$0
MYRNA JARGOWSKY
VICE CHAIRPERSON2.005.00Yes (X)Yes (X)$0$0$0
WILLIAM D BROWN
TREASURER3.008.00Yes (X)Yes (X)$0$0$0
JOHN B GILLETTE
SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
NEIL CALMAN MD
TRUSTEE2.000.00Yes (X)$0$0$0
PHILIP COOMBE III
TRUSTEE2.006.00Yes (X)$0$0$0
DAVID EIKSZTA
TRUSTEE2.005.00Yes (X)$0$0$0
JULIE C LONSTEIN
TRUSTEE2.000.00Yes (X)$0$0$0
CRAIG LOPEZ
TRUSTEE2.006.00Yes (X)$0$0$0
KRISTINA URSITTI DO
TRUSTEE2.000.00Yes (X)$0$0$0
STEVEN KELLEY
PRESIDENT & CEO36.005.00Yes (X)Yes (X)$476,654$0$124,500
BOB RUE
CFO36.005.00Yes (X)$195,257$0$39,491
ASHIMA BUTLER
COO36.000.00Yes (X)$196,899$0$41,357
DEBORAH BRIGGS
VP & CHIEF HUMAN RESOURCE OFFICER36.005.00$144,536$0$6,637Yes (X)
CLARE FARRELL
MANAGER OF LABORATORY SERVICES37.500.00$129,480$0$1,545Yes (X)
THERESA AVERSANO DIR OF
REHAB. SERVICES & CARDIAC REHAB40.000.00$129,980$0$30,899Yes (X)
MARIA GONZALEZ
DIRECTOR OF NURSING40.000.00$127,790$0$36,474Yes (X)
JOHN BRESLIN
MANAGER OF SURGICAL SERVICES40.000.00$123,645$0$28,019Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,524,241TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$308,922TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LAB CORP OF AMERICA
PO BOX 12140BURLINGTONNC272162140LAB SERVICES$418,945
THE INSTITUTE FOR FAMILY HEALTH
2006 MADISON AVENUENEW YORKNY10035MEDICAL SERVICES$412,518
CONSTABLE CUSTODIAL SERVICES INC
PO BOX 1115LIBERTYNY12754CLEANING SERVICES$370,163
EMERGENCY MEDICAL ASSOCIATION OF NY
7032 COLLECTION CENTER DRIVECHICAGOIL60693PROVIDER SERVICES$200,000
R L BAXTER BUILDING CORP
278 MILL ST 100POUGHKEEPSIENY12601CONSTRUCTION SERVICES$180,746
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$4,889,146GovernmentGrantsAmt
All Other Contributions$583,992AllOtherContributionsAmt
Noncash Contributions$4,247NoncashContributionsAmt
Total Contributions$5,473,138TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$19,648,921TotalRevenueColumnAmt
Related Or Exempt Func Income$19,648,921RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,648,921TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,327TotalRevenueColumnAmt
Exclusion$197,327ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,264RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$21,931RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,333RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,333TotalRevenueColumnAmt
Exclusion$10,333ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,586,811SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,433,500SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$153,311SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,311TotalRevenueColumnAmt
Exclusion$153,311ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA INCOME900099$18,740$18,740
PURCHASING REBATES900099$11,069$11,069
OPERATIONAL DASHBOARDS INCOME519100$8,000$8,000

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,398TotalRevenueColumnAmt
Exclusion$11,398ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$49,207OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,532,237TotalRevenueColumnAmt
Related Or Exempt Func Income$19,648,921RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,000UnrelatedBusinessRevenueAmt
Exclusion$402,178ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$984,159TotalAmt
Program Services$797,169ProgramServicesAmt
Management And General$186,990ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,682,953TotalAmt
Program Services$7,843,192ProgramServicesAmt
Management And General$1,839,761ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,542TotalAmt
Program Services$19,069ProgramServicesAmt
Management And General$4,473ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,295,430TotalAmt
Program Services$1,049,298ProgramServicesAmt
Management And General$246,132ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$981,520TotalAmt
Program Services$795,031ProgramServicesAmt
Management And General$186,489ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,083TotalAmt
Program Services$9,787ProgramServicesAmt
Management And General$2,296ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$97,543TotalAmt
Program Services$79,010ProgramServicesAmt
Management And General$18,533ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,299TotalAmt
Management And General$6,299ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$337,721TotalAmt
Program Services$273,553ProgramServicesAmt
Management And General$64,168ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,441TotalAmt
Program Services$61,107ProgramServicesAmt
Management And General$14,334ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$402,197TotalAmt
Program Services$330,882ProgramServicesAmt
Management And General$71,315ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$155,649TotalAmt
Program Services$126,076ProgramServicesAmt
Management And General$29,573ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$204,725TotalAmt
Program Services$165,827ProgramServicesAmt
Management And General$38,898ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,248TotalAmt
Program Services$47,181ProgramServicesAmt
Management And General$11,067ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,971TotalAmt
Program Services$1,597ProgramServicesAmt
Management And General$374ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,070,712TotalAmt
Program Services$867,277ProgramServicesAmt
Management And General$203,435ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$385,311TotalAmt
Program Services$312,102ProgramServicesAmt
Management And General$73,209ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UBI TAX$1,300$1,300
CONTRACT/PURCHASED SVCS$2,201,989$620,847$1,581,142
BAD DEBTS$1,117,495$212,324$905,171
GRANT PROGRAM EXPENSES$1,107,631$1,107,631

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,913,694TotalAmt
Program Services$1,551,147ProgramServicesAmt
Management And General$362,547ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,117,613TotalAmt
Program Services$17,923,249ProgramServicesAmt
Management And General$4,194,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,399,554BOYAmt
EOY$2,022,335EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,064,219BOYAmt
EOY$12,572,996EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$281,823BOYAmt
EOY$504,208EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,030,587BOYAmt
EOY$2,756,702EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$117,088BOYAmt
EOY$156,456EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$483,260BOYAmt
EOY$425,087EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,061,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,057,710LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,025,998BOYAmt
EOY$9,003,896EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,080,979BOYAmt
EOY$10,582,338EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,855,613BOYAmt
EOY$2,405,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,339,121BOYAmt
EOY$40,429,295EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,402,975BOYAmt
EOY$2,102,824EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$384,563BOYAmt
EOY$7,889,848EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,617,521BOYAmt
EOY$8,153,829EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,405,059BOYAmt
EOY$18,146,501EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,881,840BOYAmt
EOY$21,140,350EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,052,222BOYAmt
EOY$1,142,444EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,934,062BOYAmt
EOY$22,282,794EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,339,121BOYAmt
EOY$40,429,295EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,414,624ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$910,332NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$23,776OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,299OtherActivitiesAmt
Total Lobbying Expenditures$6,299TotalLobbyingExpendituresAmt
Not Described Section501c3Yes (1)NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF HEALTHCARE ASSOCIATION MEMBERSHIP DUES THAT IS ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,093,757OtherCostOrOtherBasisAmt
Depreciation$3,659,241DepreciationAmt
Book Value$5,434,516BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,734,698OtherCostOrOtherBasisAmt
Depreciation$4,274,441DepreciationAmt
Book Value$3,460,257BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,151OtherCostOrOtherBasisAmt
Depreciation$124,028DepreciationAmt
Book Value$109,123BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,003,896TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION$1,085,504
INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES$107,116
INSURANCE RECOVERY RECEIVABLE$1,207,657
DUE FROM ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES CORP$5,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,405,277TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD PARTY PAYOR LIABILITY$5,341,172
INSURANCE CLAIM LIABILITY$1,207,657
PAYCHECK PROTECTION PROGRAM LOAN$1,605,000
FieldValueIRS element (for citing)
Total Liability$8,153,829TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$25,393,735TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$910,332NetUnrealizedGainsInvstAmt
Other Revenue$68,661OtherRevenueAmt
Revenue Not Reported$978,993RevenueNotReportedAmt
Revenue Subtotal$24,414,742RevenueSubtotalAmt
Other Revenues Not Included$1,117,495OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,117,495RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,532,237TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,052,957TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$52,839OtherExpensesIncludedAmt
Expenses Not Reported$52,839ExpensesNotReportedAmt
Expenses Subtotal$21,000,118ExpensesSubtotalAmt
Other Expenses Not Included$1,117,495OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,117,495ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,117,613TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENT EXPENSES REPORTED ON PART VIII, LINE 6B 21,931. CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 46,730.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF BAD DEBT 1,117,495.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENT EXPENSES REPORTED ON PART VIII, LINE 6B 21,931. EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 15,908. EQUITY TRANSFER 15,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF BAD DEBT 1,117,495.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$798,151TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$798,151NetCommunityBenefitExpnsAmt
Total Expense0.03610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,177,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,584,352DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,593,041NetCommunityBenefitExpnsAmt
Total Expense0.16250TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,901TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$124,901NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,100,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,584,352DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,516,093NetCommunityBenefitExpnsAmt
Total Expense0.20420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,121,965TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,344,306DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,777,659NetCommunityBenefitExpnsAmt
Total Expense0.21600TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,121,965TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,344,306DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,777,659NetCommunityBenefitExpnsAmt
Total Expense0.21600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,222,410TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,928,658DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,293,752NetCommunityBenefitExpnsAmt
Total Expense0.42020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$798,767BadDebtExpenseAmt
Bad Debt Expense Attributable$39,938BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,468,043ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,429,441CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$38,602MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER-ELLENVILLE HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 HEALTHY WAYAddressLine1Txt
CityELLENVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12428ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://ERHNY.ORGWebsiteAddressTxt
State License5526700CStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER-ELLENVILLE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WESTCHESTER-ELLENVILLE HOSPITAL, INC.PART V, SECTION B, LINE 5: ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH (UCDOHMH) HOSTED A SERIES OF MEETINGS WITH KEY STAKEHOLDER ORGANIZATIONS IN ULSTER COUNTY TO DISCUSS THE SELECTION OF PRIORITIES. ERH, WITH ITS PARTNERS UCDOHMH AND HEALTHALLIANCE HOSPITAL: MARY'S AVE CAMPUS (HA), JOINTLY SELECTED PREVENTING CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS AS THE TWO PRIORITY AREAS FOR THE 2019-2021. COMMUNITY BASED ORGANIZATIONS, HEALTH CARE PROVIDERS, A NUMBER OF COUNTY OF ULSTER DEPARTMENTS, AND ULSTER COUNTY COALITIONS WERE ALSO INVOLVED IN THE DECISION MAKING PROCESS AND WORKED TO SUPPORT THE SELECTED INITIATIVES. ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN), WHICH SERVES AS THE POPULATION HEALTH DEPARTMENT OF ELLENVILLE REGIONAL (ERHN) HOSPITAL (CREATED IN 2017), HELD COMMUNITY CONVERSATIONS (FORUMS) ON MAY 8, 2018, MAY 6, 2019, JUNE 13, 2019, AND DECEMBER 4, 2019. ADDITIONALLY, IN 2019, ERRHN CIRCULATED TWO SURVEYS. THE FIRST SURVEY FOCUSED ON COMMUNITY PERCEPTION OF THE BIGGEST RISKS TO HEALTH AND TOPICS DISCUSSED DURING THE COMMUNITY CONVERSATIONS; AND THE SECOND SURVEY FOCUSED ON PERCEPTION OF CHALLENGES AND BARRIERS THAT EXIST IN THE COMMUNITY. IN THE PAST FEW MONTHS, IT HAS BEEN DECIDED THAT ANOTHER REGIONAL CHA WILL BE CONDUCTED BY THE SAME SEVEN HEALTH DEPARTMENTS, WITH THE POPULATION HEALTH PROGRAM COORDINATOR SERVING AS A FACILITATOR FOR MEETINGS AND CONTINUED COLLABORATION EFFORTS BETWEEN HEALTH DEPARTMENTS AND HOSPITALS.ADDITIONALLY, THE HEALTHY ULSTER COUNCIL, A BROAD-BASED COALITION FORMED BY REPRESENTATIVES FROM A VARIETY OF ORGANIZATIONS AND AGENCIES IN 2010, HAS BEEN ONGOING IN ITS WORK OF FOCUSING ON HEALTH PROBLEMS IN ULSTER COUNTY AND WAYS TO IMPROVE HEALTH OUTCOMES. REGULAR MEETINGS OF THE COALITION, ALONG WITH PRESENTATIONS AND DISCUSSIONS, HAVE KEPT THE LARGER COMMUNITY, INCLUDING ELLENVILLE AND THE TOWN OF WAWARSING, INVOLVED IN THE PROCESS OF TRACKING HEALTH CONCERNS AND SOLUTIONS.
WESTCHESTER-ELLENVILLE HOSPITAL, INC.PART V, SECTION B, LINE 6B: 1) HEALTH ALLIANCE OF THE HUDSON VALLEY2) ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH3) THE INSTITUTE FOR FAMILY HEALTH4) DUTCHESS COUNTY DEPARTMENT OF HEALTH 5) ORANGE DEPARTMENT OF HEALTH6) PUTNAM DEPARTMENT OF HEALTH7) ROCKLAND DEPARTMENT OF HEALTH8) SULLIVAN DEPARTMENT OF HEALTH9) WESTCHESTER DEPARTMENT OF HEALTH10) HEALTHECONNECTIONS
WESTCHESTER-ELLENVILLE HOSPITAL, INC.PART V, SECTION B, LINE 11: WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AS FOLLOWS:1) PREVENT CHRONIC DISEASES FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENT 2) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USER DISORDERS FOR PREVENT CHRONIC DISEASES FOCUS AREA 4, THERE WILL BE CONTINUED DEVELOPMENT AND IMPLEMENTATION OF THE ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN) WELLNESS PROGRAM AND ITS EDUCATIONAL PROGRAMMING. THE COLLABORATIVE WILL WORK TO INCREASE PARTICIPATION IN LIFESTYLE CHANGES INCLUDING INCREASED PHYSICAL ACTIVITY, IMPROVED DIET, AND IMPROVED HEALTH AND WELL-BEING AWARENESS, UTILIZING THE EVIDENCE BASED COMMUNITY HEALTH WORKER (CHW) MODEL.INTERVENTION 1 SUMMARY: ERH SUCCESSFULLY IDENTIFIED AND ENROLLED OVER 150 ADULTS AT RISK OF CARDIOVASCULAR DISEASE (DETERMINED BY CDC HEART AGE CALCULATOR) IN THE RHN WELLNESS PROGRAM, TO AID THEM IN MAKING LIFESTYLE CHANGES TO REDUCE THEIR RISK OF DEVELOPING CVD.INTERVENTION 2 SUMMARY: ERH IS WORKING TO IDENTIFY AND ENROLL 90 FAMILIES WITH CHILDREN WHO ARE OVERWEIGHT OR OBESE INTO THE RHN WELLNESS PROGRAM, TO AID THEM IN MAKING LIFESTYLE CHANGES TO REDUCE THEIR RISK OF DEVELOPING CHRONIC DISEASES AND EXPERIENCING POOR HEALTH OUTCOMES.INDIVIDUALS AND FAMILIES IDENTIFIED AT RISK IN THE COMMUNITY, AT THE ERH ED, OR AT A LOCAL PCP ARE REFERRED TO THE RHN WELLNESS PROGRAM. INDIVIDUALS WHO ACCEPT THE REFERRAL ARE ENROLLED INTO THE COHORT, AND COMPLETE AN INTAKE ASSESSMENT WITH A COMMUNITY HEALTH WORKER (CHW) THAT INCLUDES COLLECTION OF CLINICAL METRICS, A SDOH SCREENING (PRAPARE), AND HEALTH KNOWLEDGE AND BEHAVIOR ASSESSMENTS. THE CHW WORKS WITH THE INDIVIDUAL TO DEVELOP AN ACTION PLAN TO BEGIN MAKING LIFESTYLE CHANGES THAT REDUCE THEIR RISK OF DEVELOPING CVD. THE CHW PROVIDES SUPPORT TO THE COHORT BY OFFERING MEETINGS AT THEIR HOUSE OR A COMMUNITY LOCATION TO ELIMINATE TRANSPORTATION BARRIERS, CAN ASSIST THEM WITH OBTAINING BLISTER PACKAGING OF MEDICATION FROM A LOCAL PHARMACY OR ARRANGING MEDICATION RECONCILIATION WITH THE ERH PHARMACIST, CAN MEET THEM AT THE GROCERY STORE TO HELP EDUCATE ON SHOPPING, ETC. ADDITIONALLY, THE COHORT IS ABLE TO MEET WITH A NUTRITIONIST ON SITE OR A SITE OF THEIR CHOOSING (TO OVERCOME TRANSPORTATION) TO MAKE MEAL PLANS AND HAVE NUTRITION COUNSELING. IN ADDITION, TO THE SUPPORT PROVIDED BY THE CHW AND NUTRITIONIST, THERE ARE A NUMBER OF NO COST HEALTH PROGRAMS COHORT MEMBERS CAN ATTEND, THAT FOCUS ON HEALTH EDUCATION, NUTRITION (COOKING DEMONSTRATIONS, SUPPORT GROUP, ETC.), AND PHYSICAL ACTIVITY CLASSES.FOR PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2, ERH WILL CONTINUE TO IMPLEMENT AND EXPAND PROJECT RESCUE (24/7 BUPRENORPHINE INDUCTION WITH WARM HAND OFF TO A PEER AND TREATMENT PROVIDER) AND CONTINUE TO SUPPLY HARM REDUCTION SUPPLIES AND EDUCATION ON HARM REDUCTION TO INDIVIDUALS SEEN IN THE ED AND THE COMMUNITY. ADDITIONALLY, ERH STAFF WILL CONTINUE TO SUPPORT THE ULSTER COUNTY SHERIFFS ORACLE PROGRAM (OPIOID RESPONSE AS COUNTY LAW ENFORCEMENT) THAT AIMS TO DIVERT INDIVIDUALS FROM POTENTIAL INCARCERATION TO DETOX AND TREATMENT SERVICES.INTERVENTION 1 SUMMARY: IMPLEMENT PROJECT RESCUE, A COLLABORATIVE PARTNERSHIP BETWEEN ERH AND CATHOLIC CHARITIES OF ORANGE, SULLIVAN, AND ULSTER. MEDICATION ASSISTED RECOVERY (MAR) (BUPRENORPHINE) WILL BE AVAILABLE IN THE ED FOR INDUCTION 24/7 (WITH ASSESSMENT FOR WITHDRAWAL SYMPTOMS) WITH A WARM HAND OFF TO A CERTIFIED RECOVERY PEER ADVOCATE (CRPA) AND A REFERRAL TO START TREATMENT. MAR IS AVAILABLE FOR UP TO THREE DAYS IN THE ED, WITH A GUARANTEED TREATMENT START DAY WITH PARTNERING AGENCIES ON DAY FOUR. CONTINUE TO LINK INDUCTED PATIENTS TO THE MAT CARE MANAGER, AS NECESSARY. INTERVENTION 2 SUMMARY: PROVIDE NECESSARY HARM REDUCTION SUPPLIES AND GUIDANCE TO PREVENT FATAL OVERDOSES AND THE OCCURRENCE AND TRANSMISSION OF INFECTIOUS COMPLICATIONS (I.E. HEPC, HIV, ENDOCARDITIS).INTERVENTION 3 SUMMARY: SUPPORT ULSTER COUNTY SHERIFF'S PROJECT ORACLE TO FACILITATE LAW ENFORCEMENT ASSISTED DIVERSION FOR ALCOHOL USE DISORDER BY PROVIDING DETOX SERVICES, PEER SUPPORT, AND REFERRAL TO TREATMENT PROVIDERS.ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA DOCUMENT WERE ADDRESSED AS DETAILED IN THE CSP SECTION OF THE DOCUMENT. NONE OF THE SIGNIFICANT NEEDS WENT UNMET, AS ALL OF THE INTERVENTIONS WERE DELIVERED AS DETAILED. DURING 2020-2021 COVID-19 CAUSED A WORSENING OF NEEDS, AND PROJECTS WERE TAILORED TO RESPOND TO THOSE NEEDS INCLUDING ADJUSTMENT TO VIRTUAL SERVICE DELIVERY WHERE APPROPRIATE.
PART V, LINE 7, CHNA REPORT WEBSITE:HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2020/10/ELLENVILLE-REGIONAL-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019-2021.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.
PART V, LINE 10, IMPLEMENTATION STRATEGY WEBSITE:HTTPS://ERHNY.ORG/ABOUT-US/ PLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.
PART V, SECTION B, LINE 16A:ERHNY.ORG/WP-CONTENT/UPLOADS/2020/02/2019-FINANCIAL-ASSISTANCE-POLICY-PROCEDURE-ENGLISH-JUN-21.PDFERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-ENGLISH-AND-SPANISH.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.
PART V, SECTION B, LINE 16B&C:ERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-DIRECTIONS-ENGLISH.PDFERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-DIRECTIONS-SPANISH.PDFERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-SUMMARY-ENGLISH.PDFERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-SUMMARY-SPANISH.PDF PLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 5:ERH DID NOT BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE PROVIDED UNDER ITS FINANCIAL ASSISTANCE POLICY. THE HOSPITAL IS PREPARED TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL ELIGIBLE PATIENTS. THE IMPACT OF FREE AND DISCOUNTED CARE IS NOT PREDICTABLE FOR THE HOSPITAL IN ORDER TO ESTIMATE THIS AMOUNT FOR BUDGETING PURPOSES.
PART II, COMMUNITY BUILDING ACTIVITIES:THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF ELEVEN MEMBERS; TEN OF THESE MEMBERS ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. ELLENVILLE REGIONAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED LICENSED MEDICAL PROVIDERS IN OUR COMMUNITY, FOR ALL OUR DEPARTMENTS. ERH HAS PARTNERED WITH CATSKILL HUDSON AREA HEALTH EDUCATION CENTER AND THE INSTITUTE FOR FAMILY HEALTH TO RECRUIT PRIMARY CARE PHYSICIANS. ELLENVILLE REGIONAL HOSPITAL APPLIES ANY SURPLUS FUNDS TO IMPROVING THE QUALITY OF CARE FOR ALL PATIENTS.
PART III, LINE 2:THE AMOUNT REPORTED IN PART III, SECTION B, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT.
PART III, LINE 3:THE AMOUNT REPORTED IN PART III, SECTION B, LINE 3 IS ESTIMATE OF ACCOUNTS MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE KNOWLEDGE OF THE HOSPITAL PATIENTS AND THE COMMUNITY THAT THE HOSPITAL SERVES.
SCHEDULE H, PART II:ELLENVILLE REGIONAL HOSPITAL IS A MEMBER OF THE WAWARSING COUNCIL OF AGENCIES, AN INTER-AGENCY WHOSE MISSION IS TO WORK IN PARTNERSHIP WITH ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS BY IDENTIFYING AND ADDRESSING GAPS IN SERVICES, PROVIDING INFORMATION AND EDUCATION, AND BRINGING SERVICES TOGETHER FOR THE WAWARSING/ELLENVILLE COMMUNITY. AS A MEMBER OF THE COUNCIL, WE HELP TO PLAN AND IMPLEMENT COMMUNITY PROJECTS PRESENTED BY THE COUNCIL. THESE EVENTS PROMOTE WELLNESS AND PROVIDE ACCESS TO HEALTH AND SOCIAL SERVICES FOR THE TARGET GROUP. THE POPULATION HEALTH PROGRAM IS BASED ON OUR BELIEF IN FOUR PILLARS FOR IMPROVED HEALTH:1. PROPER DIET2. MODERATE EXERCISE3. RISK REDUCTION4. STRESS MANAGEMENTPROPER DIET IS BASED ON A BALANCED NUTRITIONAL PROGRAM AND PROVIDING EDUCATION TO COMMUNITY MEMBERS TO MORE CLOSELY CONNECT THEM TO THE FOOD THEY EAT AND TO MAKE BETTER CHOICES.MODERATE EXERCISE IS ESSENTIAL FOR GOOD HEALTH AND FITNESSRISK REDUCTION REFERS TO CONTROLLABLE RISKS INCLUDING, ALCOHOL, TOBACCO, SALT, SUGAR, EXCESS FAT, RISKY SEX, OPIATE AND OTHER DRUG USE, DANGEROUS DRIVING AND OTHER ACTIVITIES THAT INCREASE RISKS TO HEALTH.STRESS MANAGEMENT REFERS TO OUR RESPONSE TO THE SOCIAL DETERMENTS OF HEALTH, THESE INCLUDE HOUSING INSECURITY, FOOD INSECURITY, RELATIONSHIP INSECURITY, JOB INSECURITY, FINANCIAL INSECURITY AND RELATED FACTORS. WE REALIZE WE MAY NOT BE ABLE TO CHANGE THESE DYNAMICS; HOWEVER, WE MAKE EVERY EFFORT TO HELP OUR COMMUNITY MEMBERS COPE WITH THEIR INDIVIDUAL CHALLENGES. ALL OF OUR POPULATION HEALTH PROGRAMS ARE TAILORED TO ADDRESS ONE OR MORE OF THESE PILLARS. WE ALSO WORK IN CONCERT WITH THE INSTITUTE FOR FAMILY HEALTH (INSTITUTE), A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ON THE HOSPITAL'S CAMPUS, ON SUCH WELLNESS INITIATIVES AS OUR ANNUAL HARVEST HEALTH FAIR. THE HARVEST HEALTH FAIR IS A FREE COMMUNITY HEALTH EVENT LOCATED ON OUR CAMPUS WHICH PROVIDES HEALTH SCREENINGS, SUCH AS BLOOD PRESSURE, GLUCOSE, AND MENTAL HEALTH SCREENINGS FOR ADULTS. CHILDREN'S RESOURCES INCLUDE ASTHMA AWARENESS ACTIVITIES. DIABETES EDUCATION AND PHARMACY CONSULTATIONS ARE ALSO AVAILABLE. IN ADDITION TO MEDICATION RECONCILIATION, STAFF FROM THE POPULATION HEALTH DEPARTMENT ALSO OFFER NARCAN TRAINING AND MEDICATION DISPOSAL TRAINING, WITH THE ONSITE PHARMACIST ABLE TO COLLECT OLD AND UNUSED MEDICATIONS. IN ADDITION, WE COLLABORATE WITH THE ELLENVILLE WAWARSING YOUTH COMMISSION, THE ELLENVILLE POLICE DEPARTMENT, ELLENVILLE AND NAPANOCH FIRE DEPARTMENTS, THE ULSTER COUNTY SHERIFF'S DEPARTMENT, THE ELLENVILLE RESCUE SQUAD, AND ELLENVILLE SCHOOL DISTRICT PARENT TEACHER ORGANIZATION (PTO) TO PROVIDE FREE YOUTH ACTIVITIES, FREE CAR SAFETY SEAT CHECKS, AND FREE BIKE HELMETS AT THE FAIR. MEMBERS OF THE WAWARSING COUNCIL ARE ALSO INVITED TO PARTICIPATE AND SHARE THEIR RESOURCES WITH THE ATTENDEES. APPROXIMATELY 200 ADULTS AND CHILDREN ATTEND THE FAIR.IN OUR EFFORTS TO HELP TO REDUCE AND PREVENT CHRONIC DISEASE, INCLUDING DIABETES AND HYPERTENSION, THE HOSPITAL PHARMACIST, REGISTERED DIETITIAN, AND OUTPATIENT CLINICAL STAFF CONTINUE OUTREACH EFFORTS INCLUDING FREE MONTHLY BLOOD PRESSURE AND GLUCOSE CLINICS FOR THE COMMUNITY AND A FLU SHOT CLINIC. WE ALSO PARTICIPATE IN OR HOST VARIOUS HEALTH FAIRS THROUGHOUT THE YEAR. IN ADDITION, WE PROVIDE A LOVE YOUR HEART DAY EVENT AROUND VALENTINE'S DAY WHICH INCLUDES A FREE ROUNDTABLE DISCUSSION WITH OUR CARDIOLOGIST OVER LUNCH AND PRESENTATIONS BY OUR DIRECTOR OF REHAB AND REGISTERED DIETITIAN. FREE HEALTH SCREENINGS ARE PROVIDED, AS WELL AS WELLNESS BROCHURES, ETC. THE POPULATION HEALTH DEPARTMENT NUTRITIONIST COORDINATES COOKING AND NUTRITION DEMONSTRATIONS AT VARIOUS EVENTS, AND OFFERS FOLLOW UP CONSULTATIONS WITH INDIVIDUALS.OUR EMERGENCY DEPARTMENT PROVIDERS REFER PATIENTS WHO ARE IN NEED OF FOLLOW UP CARE, AND DO NOT HAVE A PRIMARY CARE PROVIDER, TO THE INSTITUTE FOR FAMILY HEALTH FOR CARE. PATIENTS SEEN IN THE EMERGENCY DEPARTMENT AND WHO PRESENT WITH MENTAL HEALTH SYMPTOMS, ARE REFERRED TO THE BEHAVIORAL HEALTH STAFF AT THE INSTITUTE, WHO PROVIDE A WARM HANDOFF FOR PATIENTS WHO SCREENED POSITIVE FOR DEPRESSION OR SUICIDAL INDICATORS AND DO NOT REQUIRE IMMEDIATE INTERVENTION.ERH CONTINUES TO WORK COLLABORATIVELY WITH THE WAWARSING COUNCIL OF AGENCIES AND ULSTER COUNTY DEPARTMENT OF HEALTH TO ADDRESS TEEN PREGNANCY, TEEN SEXUAL ACTIVITY AND SEX EDUCATION. OUR PARTNER, THE INSTITUTE, SITUATED ON OUR CAMPUS, OFFERS TEEN SERVICES. IN 2019, THROUGH GRANT FUNDING FROM THE WOMEN AND CHILDREN'S FOUNDATION, THE POPULATION HEALTH DEPARTMENT LAUNCHED A TEEN LIFE SKILLS CLASS, THAT FOCUSED ON A NUMBER OF TOPICS WITH THE UNDERLYING GOAL OF REDUCING TEEN PREGNANCY. THESE CLASSES HAVE CONTINUED TO BE OFFERED THROUGH ADDITIONAL GRANT FUNDING THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION.WE ARE IMPROVING THE OUTCOMES FOR OUR INPATIENTS THROUGH OUR SWING BED OUTCOMES IMPROVEMENT PROJECT, WHICH HAS BEEN DEVELOPED TO BE ABLE TO QUANTIFY OUR SUB-ACUTE REHAB (SWING BED) PATIENT'S FUNCTIONAL OUTCOMES FROM ADMISSION TO DISCHARGE. THIS PROJECT INVOLVES MULTIPLE DISCIPLINES INCLUDING NURSING AND REHAB. ONE OF THE MAIN GOALS OF THE PROJECT IS TO IMPROVE THE FUNCTIONAL INDEPENDENCE OF OUR SWING BED PATIENTS SO THAT THEY ARE DISCHARGED TO HOME, NOT A NURSING HOME. THIS PROJECT HAS BECOME A STATEWIDE MODEL FOR CAH FACILITIES. THE UNIVERSITY OF MINNESOTA IS CURRENTLY BUILDING ON THIS FOUNDATION MEASURING QUALITY OUTCOMES IN A NATIONAL PROJECT SPONSORED BY HRSA. NYS OUTCOMES WERE SIGNIFICANTLY HIGHER THAN ANY OTHER STATE IN PRELIMINARY RESULTS. ERH PARTICIPATED IN THE WESTCHESTER DSRIP AND OUR PROJECT FOCUSED ON REDUCING THE USE OF OPIOIDS, BY CHRONIC PAIN PATIENTS, SEEN IN OUR EMERGENCY DEPARTMENT. THE LEADERSHIP STAFF OF ELLENVILLE REGIONAL HOSPITAL AND THE INSTITUTE FOR FAMILY HEALTH DEVELOPED NEW AND INNOVATIVE PROTOCOLS TO ADDRESS CHRONIC PAIN PATIENTS, WHO PRESENT OFTEN IN THE EMERGENCY DEPARTMENT, SEEKING PAIN RELIEF. CHRONIC PAIN PATIENTS, IN MANY CASES, HAVE DEVELOPED ADDICTION TO OPIATE BASED PAIN RELIEVERS. THE MODEL INCLUDES A COMPLETE REDESIGN OF TREATMENT PROTOCOLS IN THE EMERGENCY DEPARTMENT UTILIZING NON-ADDICTIVE PAIN MEDICATIONS. THE RESULT HAS BEEN A DRAMATIC REDUCTION OF OPIATE PRESCRIBING IN THE EMERGENCY DEPARTMENT. THE PROTOCOL ALSO INCLUDES A "WARM" HANDOFF/REFERRAL TO A PATIENT CARE NAVIGATOR WHO HELPS THE PATIENT GET INTO PRIMARY CARE AT THE INSTITUTE OR OTHER COMMUNITY-BASED PROVIDERS. THE PRIMARY CARE TREATMENT PLAN INCLUDES FOUR PATHWAYS TO ADDRESS:1. MEDICAL ISSUES WITH A FOCUS ON TRANSITIONING AWAY FROM OPIATES2. A PSYCHIATRIC PATHWAY TO ADDRESS ADDICTION3. AN INTERVENTION PATHWAY TO ADDRESS PAIN AT ITS SOURCE4. A PSYCHO/SOCIAL PATHWAY TO ADDRESS THE NUMEROUS OTHER PROBLEMS THAT PATIENTS WITH CHRONIC PAIN AND ADDICTION SUFFER WITH.THE RESULTS OF THE DSRIP OPIATE REDUCTION PROJECT HAVE BEEN 97% REDUCTIONS IN ADMINISTRATION OF OPIATES IN THE EMERGENCY DEPARTMENT AND 84% REDUCTION OF EMERGENCY DEPARTMENT VISITS FOR THIS POPULATION. IN ADDITION, THERE HAS BEEN SUCCESS IN TRANSITIONING PATIENTS TO SAFER PAIN REGIMENS AND IMPROVED HEALTH. (SEE PART V, SECTION B, LINE 11 FOR ADDITIONAL INFORMATION).AS A RESULT OF THE SUCCESSES OF THE DSRIP PROJECT, ERH TOOK THE NEXT STEP AND LAUNCHED PROJECT RESCUE IN APRIL 2019. THE GOAL OF PROJECT RESCUE WAS TO REDUCE MORBIDITY AND MORTALITY OF SUBSTANCE USE AND OVERDOSE, THROUGH EXPANDED ACCESSES TO MEDICATION ASSISTED TREATMENT (MAT). THROUGH THIS PROJECT, INDIVIDUALS WHO ARE IN ACTIVE OPIOID WITHDRAWAL CAN PRESENT TO THE EMERGENCY DEPARTMENT TO BE EVALUATED BY CLINICAL STAFF. IF THEIR SYMPTOMS REGISTER AS OPIOID WITHDRAWAL, THE INDIVIDUAL CAN RECEIVE MAT (BUPRENORPHINE) WITH A WARM HANDOFF TO A CERTIFIED PEER RECOVERY ADVOCATE (CRPA) FROM CATHOLIC CHARITIES AND A WARM HAND OFF TO THE ERH SUBSTANCE USE DISORDER COORDINATOR. THE ED AT ERH WILL PROVIDE MAT FOR UP TO 72 HOURS, WHILE THE SUD COORDINATOR AND CRPA ARRANGE FOR THE CLIENT TO START TREATMENT WITH AN EXTERNAL PROVIDER NO LATER THAN DAY FOUR.
SINCE THE IMPLEMENTATION OF PROJECT RESCUE, SERVICES HAVE EXPANDED TOINCLUDE LINKING PATIENTS TO A MAT CARE MANAGER THROUGH THE INSTITUTE FOR FAMILY HEALTH. THIS CARE MANAGER PROVIDES THE INDIVIDUAL WITH EXTRA SUPPORT WHILE THEY TRANSITION TO THE INSTITUTE'S MAT PROGRAM. THE INDIVIDUAL HAS DIRECT PHONE ACCESS TO THE MAT CARE MANAGER, WHO CAN HELP RESOLVE MEDICATION ISSUES AND SCHEDULE TRANSPORTATION, IF NECESSARY. FURTHERMORE, PROJECT RESCUE EXPANDED TO INCLUDE THE ULSTER COUNTY FAMILY ADVOCATE, WHO IS ALSO THE SUD PROGRAM COORDINATOR, IN ASSISTING FAMILIES AND INDIVIDUALS OVERCOME BARRIERS TO TREATMENT, AS WELL AS LINK THEM TO SERVICES THROUGH THE COUNTY. IN 2020, 56 PEOPLE WERE SUCCESSFULLY CONNECTED WITH SUBSTANCE USE TREATMENT, WHICH INCLUDES DETOXICATION, INPATIENT AND OUTPATIENT SERVICES, AS WELL AS BRIDGE PRESCRIPTIONS FOR BUPRENORPHINE OR METHADONE.NOTICING THE HESITANCY AND AMBIVALENCE EXPERIENCED BY THOSE WHO USE SUBSTANCES, ERH IMPLEMENTED A HARM REDUCTION APPROACH TO SUBSTANCE USE DISORDER, AIMING TO RESPECT INDIVIDUAL AUTONOMY AND PROTECT THOSE WHO USE ALCOHOL AND ILLICIT SUBSTANCES FROM THE DANGERS OF USING. INDIVIDUALS HAVE ACCESS TO LIFE-SAVING SUPPLIES THROUGH THE EMERGENCY DEPARTMENT AND TEXT-LINE, WHICH INCLUDE NALOXONE (NARCAN), FENTANYL TEST STRIPS, SAFE USE KITS, SAFE SNORTING KITS, SAFE SEX KITS, MEDICATION LOCK BAGS, AND MEDICATION DISPOSAL BAGS.ERH IS A LEAD AGENCY IN THE DISTRIBUTION OF NALOXONE (NARCAN), A LIFE-SAVING MEDICATION USED TO REVIVE INDIVIDUALS FROM OPIOID OVERDOSE, AND DISTRIBUTED 194 NARCAN KITS TO THE WAWARSING-ELLENVILLE AREA IN 2020. BEING THE FIRST ULSTER COUNTY ORGANIZATION TO LAUNCH VIRTUAL NARCAN TRAININGS, ERH HAS IMPROVED AND EXPANDED ACCESSIBILITY TO HARM REDUCTION SUPPLIES IN THE MIDST OF A NATIONAL CRISIS. DURING THIS TIME, ERH PARTNERED WITH ORGANIZATIONS ACROSS THE HUDSON VALLEY, WHICH FORMED THE MID-HUDSON EDUCATION AND PREVENTION COLLABORATIVE (MHEPC). THIS COLLABORATION UTILIZED THE VIRTUAL FORMAT OF ERH'S FIRST NARCAN TRAINING AND HAS DISTRIBUTED AN ADDITIONAL 340 NALOXONE (NARCAN) KITS TO INDIVIDUALS SINCE LAUNCHING IN MAY OF 2020.DURING THE COVID-19 PANDEMIC, ERH LAUNCHED A PROJECT RESCUE TEXT-LINE WHICH ALLOWS FOR THE CONFIDENTIAL AND SECURE ACCESS TO HARM REDUCTION SUPPLIES. THROUGH AN ONLINE FORM, HARM REDUCTION SUPPLIES CAN BE REQUESTED, AS WELL AS, A REQUEST FOR ASSISTANCE WITH LOCATING A SUBSTANCE USE TREATMENT PROGRAM AND INFORMATION REGARDING THE HOSPITAL'S BUPRENORPHINE PROGRAM. ERH HAS ASSISTED 27 INDIVIDUALS SINCE LAUNCHING THE TEXT-LINE. ELLENVILLE REGIONAL HOSPITAL ALSO IS A CHAMPION OF EDUCATING THE PUBLIC ON PROPER MEDICATION DISPOSAL. PARTICIPATING IN NATIONAL PRESCRIPTION DRUG TAKE BACK DAY, ERH COLLECTED 25 POUNDS OF UNUSED OR EXPIRED MEDICATION FROM THE COMMUNITY. ERH ALSO PROVIDED 332 MEDICATION DISPOSAL PACKETS TO COMMUNITY MEMBERS, ALLOWING FOR PROPER MEDICATION DISPOSAL IN THE PRIVACY OF ONE'S OWN HOME. ERH CONTINUES TO OFFER SERVICES FOR INPATIENT AND OUTPATIENT MEDICATION RECONCILIATION AND EDUCATION REGARDING SAFE USE OF MEDICATIONS. ERH HAS A ROBUST SYSTEM TO IDENTIFY AND REPORT ANY MEDICATION ERRORS AND NEAR MISSES. SOURCES AND PROBABLE CAUSES OF THE ABOVE ARE IDENTIFIED THROUGH A FOCUSED REVIEW BY AN INTERDISCIPLINARY COMMITTEE. ERH HAS BEEN ABLE TO ESTABLISH A SEAMLESS PROCESS OF MEDICATION MANAGEMENT FOR PATIENTS TRANSITIONING FROM THE HOSPITAL TO ANOTHER CARE SETTING WITHIN OR OUTSIDE THE HOSPITAL. PROVIDERS USE OUR MEDICATION RECONCILIATION FORMS AS A TRUSTED SOURCE WITH UP TO DATE MEDICATIONS FOR THEIR PATIENTS. PLEASE SEE BELOW FOR PROGRESS. IN FEBRUARY 2017, WE IMPLEMENTED A NEW HOUSE-WIDE ELECTRONIC HEALTH RECORDS SYSTEM TO HELP US DELIVER HIGH QUALITY CARE TO OUR PATIENTS. THIS SINGLE PLATFORM ELECTRONIC HEALTH SYSTEM ALLOWS STAFF SEAMLESS ABILITIES TO ACCESS INFORMATION FROM ALL PATIENT VISITS AT ELLENVILLE REGIONAL HOSPITAL. THUS ALLOWING FOR MORE PRODUCTIVE VISITS AND STAFF TIME AS THEY NO LONGER NEED TO SIFT THROUGH CHARTS OR OTHER ELECTRONIC MEDICAL RECORD PROGRAMS TO OBTAIN PERTINENT PATIENT DATA. WE ALSO HAVE PARTNERED WITH HIXNY, A REGIONAL HEALTH INFORMATION EXCHANGE PLATFORM, WHICH ALLOWS FOR HOSPITAL STAFF TO ACCESS PERTINENT MEDICAL DATA FROM OUTSIDE PROVIDERS TO ENABLE US TO PROVIDE THE MOST EFFECTIVE AND EFFICIENT CARE TO OUR PATIENTS AS POSSIBLE. IF PATIENTS CONSENT TO ALLOWING THE HOSPITAL ACCESS, OUR STAFF ARE ABLE TO LOOK AT HISTORIC MEDICAL HISTORY AND VISITS OUTSIDE OF ELLENVILLE REGIONAL HOSPITAL, MEDICATION HISTORY, AND HISTORIC LABORATORY AND RADIOLOGY RESULTS. BEING ABLE TO UTILIZE SUCH A PROGRAM ENHANCES THE OVERALL QUALITY AND SAFETY OF CARE THAT OUR PATIENTS ARE ABLE TO RECEIVE AT ELLENVILLE REGIONAL HOSPITAL.
PART III, LINE 4:EFFECTIVE JANUARY 1, 2019, THE HOSPITAL ADOPTED NEW U.S. GAAP REVENUE RECOGNITION GUIDANCE ACCOUNTING STANDARD UPDATE. AS A RESULT, UPON THE HOSPITAL'S ADOPTION OF ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND THEREFORE IS INCLUDED AS A REDUCTION TO PATIENT SERVICE REVENUE IN 2020. BAD DEBT EXPENSE IS $1,117,495. THE AMOUNT REPORTED IN PART III, SECTION B, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT. THE AMOUNT DOES NOT INCLUDE WRITE OFF DUE TO DISCOUNT OR ALLOWANCE.
PART III, LINE 8:$19,301, WHICH IS 50% OF THE SHORTFALL REPORTED ON PART III, SECTION B, LINE 7, PERTAINS TO PATIENTS THAT COULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE AND BE TREATED AS COMMUNITY BENEFIT.THE AMOUNT ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NYS INSTITUTIONAL COST REPORT AND OTHER APPLICABLE ADJUSTMENTS.
PART III, LINE 9B:NO COLLECTION PROCESS IS UNDERTAKEN FOR KNOWN PATIENT WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ONCE A PATIENT IS QUALIFIED OR DESIGNATED FOR FINANCIAL ASSISTANCE, STATEMENTS WILL STOP BEING SENT UNTIL A DETERMINATION IS MADE THAT THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:VARIOUS METHODS ARE USED BY ELLENVILLE REGIONAL HOSPITAL TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. ELLENVILLE REGIONAL HOSPITAL SEEKS THE VIEWS OF COMMUNITY MEMBERS TO GAIN THEIR THOUGHTS REGARDING THE HEALTH CARE IN THEIR COMMUNITY AND GAIN FEEDBACK REGARDING ERH SERVICES. THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF TEN MEMBERS; NINE OF THESE MEMBERS ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. THE 11TH MEMBER IS THE CEO OF THE INSTITUTE FOR FAMILY HEALTH, THE LARGEST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IN NY STATE. COMMUNITY FEEDBACK IS A TOPIC OF DISCUSSION AT MOST BOARD MEETINGS. THE PRESIDENT AND CEO OF ERH, STEVEN L. KELLEY, IS A PROMINENT MEMBER OF THE COMMUNITY. MR. KELLEY AND OTHER MEMBERS OF THE ADMINISTRATIVE TEAM BELONG TO NUMEROUS ORGANIZATIONS, SERVE ON OTHER NOT-FOR-PROFIT BOARDS, AND ARE ACTIVE PARTICIPANTS. PATIENT SATISFACTION QUESTIONNAIRES ARE DONE BY ALL CLINICAL DEPARTMENTS. IN 2020, ERH RECEIVED 2,277 PATIENT SATISFACTION SURVEYS. THESE QUESTIONNAIRES PROVIDE VALUABLE FEEDBACK FROM THE POPULATION THAT UTILIZES THE HOSPITAL SERVICES. IN ADDITION, STATISTICAL DATA, FROM STATE AND COUNTY DATABASES, IS CONTINUALLY ANALYZED LOOKING FOR TRENDS AND CHANGES IN DEMOGRAPHIC MAKEUP OF OUR PATIENTS. IN ADDITION, COMMUNITY CONVERSATIONS (FORUMS) ARE HELD ANNUALLY, TO GATHER FEEDBACK ON THE STATUS OF HEALTH FROM COMMUNITY RESIDENTS. THE POPULATION HEALTH DEPARTMENT HELD 3 FORUMS IN 2019, ON MAY 6, 2019, JUNE 13, 2019, AND DECEMBER 4, 2019, TO GATHER FEEDBACK FROM THE COMMUNITY. AS A RESULT OF THE FORUMS AND FEEDBACK RECOVERED, THE POPULATION HEALTH DEPARTMENT HIRED A NUTRITIONIST TO PROVIDE OFTEN REQUESTED SERVICES. WE ALSO MONITOR THE TOP TEN INPATIENT DIAGNOSIS ANNUALLY SO WE CAN PLAN OUR SERVICES AROUND THOSE DISEASES WHICH ARE MOST PREVALENT IN OUR LOCAL COMMUNITY. ERH WORKS CLOSELY WITH AN FQHC ON OUR CAMPUS. THE CEO OF ERH SITS ON THEIR BOARD OF DIRECTORS AND THE CEO OF THE FQHC SITS ON THE ERH BOARD. THIS COLLABORATIVE WORKING ARRANGEMENT HAS BEEN INVALUABLE IN ASSESSING THE NEEDS OF THE MEDICAL PROVIDERS IN THE COMMUNITY AS WELL AS THE PATIENTS IN THE COMMUNITY. AS A MEMBER OF THE WESTCHESTER DSRIP, WE ALSO PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT.
PART VI, LINE 3:BY VIRTUE OF ITS EXEMPTION FROM FEDERAL AND STATE TAXES AND AS PART OF THE HOSPITAL'S MISSION TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY, ERH PROVIDES CARE TO ALL PATIENTS IN NEED WITHOUT REGARD FOR THEIR ABILITY TO PAY. ELLENVILLE REGIONAL HOSPITAL (ERH) INFORMS ITS PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE IN SEVERAL WAYS. SIGNS ARE POSTED IN REGISTRATION AND INFORMATION ON FINANCIAL ASSISTANCE IS LOCATED ON OUR WEBSITE. THESE SIGNS DIRECT THE PATIENTS TO SPEAK WITH DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVES. ALL PATIENTS WITHOUT INSURANCE ARE GIVEN A PACKET THAT INCLUDES A CHARITY CARE APPLICATION AND ARE ALSO AVAILABLE UPON REQUEST BY THE PATIENT, AND ON OUR WEBSITE. PATIENT STATEMENTS ALSO INCLUDE CONTACT INFORMATION REGARDING FINANCIAL ASSISTANCE. HTTPS://ERHNY.ORG/PATIENT-GUESTS/FINANCIAL-ASSISTANCE-PROGRAM/
PART VI, LINE 4:ELLENVILLE REGIONAL HOSPITAL (ERH), A 25-BED CRITICAL ACCESS HOSPITAL BUILT IN 1964 (-1966) IS LOCATED IN THE TOWN OF WAWARSING, IN ULSTER COUNTY. ERH IS A NON-PROFIT SOLE PROVIDER HOSPITAL FOR ELLENVILLE AND ITS SURROUNDING COMMUNITIES LOCATED BETWEEN SHAWANGUNK RIDGE AND THE CATSKILL MOUNTAIN RANGE. ELLENVILLE REGIONAL HOSPITAL'S PRIMARY SERVICE AREA HAS REMAINED UNCHANGED FOR 2020 PLANNING PURPOSES. THE ERH SERVICE AREA, DEFINED AS THE TOP TEN ZIP CODES OF PATIENT RESIDENCY THAT ERH PROVIDES CLINICAL SERVICES TO EACH YEAR, HAS A POPULATION OF 28,000. THESE ZIP CODES COVER TOWNS AND VILLAGES IN ULSTER COUNTY AND INTO PARTS OF SULLIVAN AND ORANGE COUNTIES, INCLUDING ELLENVILLE, KERHONKSON, NAPANOCH, ACCORD, PINE BUSH, WAWARSING, GRAHAMSVILLE, SUNDOWN, DENNING, WOODBOURNE, WOODRIDGE, WURTSBORO, WURTSBORO HILLS, PHILLIPSPORT, SUMMITVILLE, HAVEN, AND YANKEE LAKE. ERH IS GEOGRAPHICALLY ISOLATED WITH ITS POPULATION CENTER CONSISTING OF 37% NON-WHITE POPULATION AND A 20% BELOW POVERTY LEVEL ACCORDING TO THE US CENSUS BUREAU. THE NEAREST HOSPITAL IS OVER 25 MILES AWAY ON MOSTLY SECONDARY ROADS AND, DUE TO THE RURAL GEOGRAPHICAL ISOLATION; ERH SERVES A CRUCIAL NEED FOR THE COMMUNITY. IN 2019 AND 2020, THE EMERGENCY DEPARTMENT (ED) PATIENT VOLUME AT ELLENVILLE REGIONAL HOSPITAL (ERH) WAS 11,323 AND 10,435 RESPECTIVELY. IN 2020, THE HOSPITAL SERVED A TOTAL OF 9,789 UNIQUE PATIENTS WHO MADE 25,980 VISITS. IT IS ALSO A TEACHING HOSPITAL WITH EDUCATIONAL PROGRAMS FOR RESIDENTS, MEDICAL STUDENTS, PHARMACISTS, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, RADIOLOGY TECHNICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, PHYSICIAN ASSISTANTS, PHLEBOTOMISTS, HIGH SCHOOL NEW VISION STUDENTS AND MORE. ERH WAS GRANTED CRITICAL ACCESS HOSPITAL (CAH) STATUS IN 2004 AND HAS 25 INPATIENT BEDS. THESE BEDS CAN BE USED FOR EITHER ACUTE CARE OR SWING BUT MAY NOT EXCEED 25. THIS IS EXTREMELY IMPORTANT SINCE THE HOSPITAL IS LOCATED IN BOTH A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA). THERE WOULD BE A SIGNIFICANT PROBLEM WITH UNINSURED AND UNDER INSURED HAVING ACCESS TO QUALITY HEALTHCARE WITHOUT THE PRESENCE OF ERH.LOCATED WITHIN ULSTER COUNTY, THE TOWN OF WAWARSING IS SITUATED IN THE MID-HUDSON VALLEY, APPROXIMATELY 90 MILES NORTHWEST OF NEW YORK CITY. THE TOWN OF WAWARSING, A RURAL TOWN DESIGNATED AS HAVING A MEDICALLY UNDER-SERVED POPULATION (MUP ID# 07223), HAS A POPULATION OF APPROXIMATELY 13,004 OF WHICH 4,097 RESIDE WITHIN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER IN THE TOWN (ACS 2018). THE TOWN INCLUDES 11,091 HOUSEHOLDS AND 2,946 FAMILIES.CENSUS DATA INDICATES THAT OF THE WAWARSING POPULATION 69.8% IDENTIFY AS WHITE, 9.9% IDENTIFY AS BLACK, 2.3% AS ASIAN, 0.5% AS NATIVE AMERICAN (OR ALASKAN NATIVE) AND 9.7% IDENTIFY AS TWO OR MORE RACES; WITH 22.6% OF RESIDENTS IDENTIFYING AS LATINX, AND 14% OF INDIVIDUALS SPEAKING SPANISH AT HOME. THE MEDIAN AGE IS 41.5 YEARS IN WAWARSING, WITH 37% OF ADULTS BEING OVER THE AGE OF 50. CHILDREN UNDER 18 ACCOUNT FOR 18.8% OF THE POPULATION, ADULTS AGE 18 TO 64 ACCOUNT FOR 66% OF THE POPULATION, AND FEMALES OF ALL AGES ACCOUNT FOR 44% OF THE POPULATION. IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, WHICH INCLUDES 23% OF CHILDREN UNDER THE AGE OF 18. ELLENVILLE CENTRAL SCHOOL DISTRICT HAD 1,631 STUDENTS ENROLLED FOR THE 2018-19 SCHOOL YEAR, 71% OF WHOM WERE ECONOMICALLY DISADVANTAGED. ROUGHLY, 16% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE FOR THE CIVILIAN LABOR FORCE IN WAWARSING IS 9.6%, WITH A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE FOR INDIVIDUALS 20-24 (32%), AND A SIGNIFICANTLY LOWER RATE FOR INDIVIDUALS 25-29 YEARS OLD (1.9%). IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, WHICH INCLUDES 23% OF CHILDREN UNDER THE AGE OF 18, AND 18.8% OF SENIORS. 47.9% OF INDIVIDUALS BELOW THE POVERTY LEVEL DID NOT WORK IN THE PAST 12 MONTHS. 83.8% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA (OR EQUIVALENT), HOWEVER RATES DIFFER SIGNIFICANTLY FOR MALES AND FEMALES, WITH ONLY 3% OF 25+ FEMALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA, BUT 18% OF 25+ MALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA. 18.2% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER.WAWARSING HAS A TOTAL OF 6,299 HOUSING UNITS, 65% OF WHICH ARE SINGLE UNITE, 71.9% OF WHICH ARE OCCUPIED, AND 28.1% ARE VACANT. OF THE 4,530 OCCUPIED HOUSEHOLDS 60% ARE DEFINED AS 'FAMILY HOUSEHOLDS' (2,719); 29.1% (1,319) HAVE RELATED CHILDREN UNDER 18 YEARS OLD, AND 9.3% (421) ARE SINGLE FEMALE WITH CHILD(REN) HOUSEHOLDS. ABOUT 44% OF THE POPULATION IS MARRIED. THE AVERAGE HOUSEHOLD SIZE WAS 2.4, AND THE AVERAGE FAMILY SIZE 2.96. IN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER (4,000) IN THE TOWN OF WAWARSING, THE MEDIAN AGE IS 37 YEARS, WITH 41.5% OF THE POPULATION BEING UNDER THE AGE OF 25. THE POPULATION IS 52% MALE. ETHNIC RACIAL DEMOGRAPHICS INCLUDE 58.4% WHITE, 7.9% BLACK, AND 4% TWO OR MORE RACES; WITH 29.4% OF THE POPULATION IDENTIFYING AS LATINO. JUST OVER 16% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, PREDOMINANTLY SPANISH. ACCORDING TO THE 2010 CENSUS, THERE WERE 4,135 PEOPLE IN THE VILLAGE OF ELLENVILLE, INDICATING THE POPULATION HAS CONTINUED TO DECREASE.OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED AND ROUGHLY, 18% HAVE LESS THAN A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE FOR INDIVIDUALS 30-34 IS HIGHER THAN THE VILLAGE RATE, AT 21.2%. FOR INDIVIDUALS WITHOUT A HIGH SCHOOL DEGREE, THE RATE IS EVEN HIGHER, AT 25.5%. VETERANS REPRESENT 3.4% OF THE POPULATION. IN THE 12428 ZIP CODE AREA, WHICH INCLUDES THE VILLAGE OF ELLENVILLE, OVER 40% OF RESIDENTS ARE LOW-INCOME AND MORE THAN 18.9% LIVE BELOW THE POVERTY LINE, WITH 24% OF CHILDREN LIVING IN POVERTY, AND 37% OF SENIORS LIVING IN POVERTY.PER THE 2017 ACS 5-YEAR ESTIMATES, THERE ARE 1,841 HOUSEHOLDS IN THE VILLAGE, 53% OF WHICH ARE SINGLE UNIT, AND 85.1% (1,566) OF WHICH ARE OCCUPIED. 39.9% OF HOMEOWNERS AND 54.3% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT EXCEED 35% OF THE HOUSEHOLD INCOME. OF OCCUPIED UNITS, 63% ARE CONSIDERED 'FAMILY HOUSEHOLDS' (50% OF WHICH ARE ESTIMATED TO BE SINGLE PARENT HOUSEHOLDS), AND 21.9% OF OCCUPIED UNITS WERE DEFINED AS FEMALE HOUSEHOLDER WITH NO MALE PRESENT. ABOUT 50% OF THE POPULATION IS MARRIED. OF OCCUPIED UNITS, 29.1 % HAD RELATED CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 24.8% OF HOUSEHOLDS HAVE INDIVIDUALS AGE 65 OR OLDER. AVERAGE HOUSEHOLD SIZE 2.6 AND AVERAGE FAMILY SIZE 3.4.ERH'S CATCHMENT AREA INCLUDES AN EXCEPTIONALLY LARGE IMPOVERISHED POPULATION. FOR EXAMPLE, ELLENVILLE AND WAWARSING HAVE MEDIAN HOUSEHOLD INCOMES (TOWN $46,889 AND VILLAGE $45,531) THAT ARE SUBSTANTIALLY LOWER THAN (ABOUT THREE-QUARTERS) THE ULSTER COUNTY MEDIAN HOUSEHOLD INCOME OF $61,652 AND THE NYS MEDIAN HOUSEHOLD INCOME OF $62,765 (ACS 2017).WHEN LOOKING AT THE HEALTH OF THE COMMUNITY IN THE ELLENVILLE/WAWARSING AREA, IT IS IMPORTANT TO NOTE THAT THE ELLENVILLE FAMILY HEALTH CENTER (IFH), A PRIMARY CARE HEALTH CENTER WHICH IS OPERATED BY THE INSTITUTE FOR FAMILY HEALTH, ONE OF THE LARGEST FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN NEW YORK STATE, IS ALSO LOCATED ON THE ERH CAMPUS. THE INSTITUTE IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE FOR ALL. IT STRIVES FOR EXCELLENCE AT EACH OF ITS 26 PRACTICES, WHILE ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE ELLENVILLE IFH OFFERS PRIMARY CARE, MENTAL HEALTH CARE, DENTAL AND SOCIAL WORK SERVICES, ALONG WITH MANY OTHER HEALTH SERVICES FOR PATIENTS OF ALL AGES. AS PART OF A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER NETWORK, IT MEETS NATIONAL STANDARDS FOR AFFORDABLE, ACCESSIBLE AND COMPREHENSIVE HEALTH CARE SERVICES. THE CENTER IS ACCREDITED BY THE JOINT COMMISSION AND RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A LEVEL 3 PATIENT-CENTERED MEDICAL HOME; THE HIGHEST RECOGNITION AVAILABLE. THE IFH SEES APPROXIMATELY 3,600 PATIENTS PER YEAR AND OFFERS SAME-DAY APPOINTMENTS. ACCORDING TO THE INSTITUTE OF FAMILY HEALTH, A FEDERALLY QUALIFIED HEALTHCARE CENTER'S ELLENVILLE SITE DATA, NEARLY 59% OF HEALTH CENTER PATIENTS RESIDING IN THE 12428 ZIP CODE RECEIVE MEDICAID OR OTHER PUBLIC INSURANCE, AND 7.6% ARE UNINSURED. FURTHERMORE, ROUGHLY 10% OF ADULTS IN THE ZIP CODE HAVE NO USUAL SOURCE OF CARE. THE SAME PERCENTAGE OF ADULTS HAVE DELAYED OR NOT SOUGHT CARE DUE TO HIGH COST.
PART VI, LINE 7, REPORTS FILED WITH STATESNY
PART VI, LINE 4, CONTINUATION:WAWARSING AND THE VILLAGE OF ELLENVILLE WERE PREVIOUSLY HOME TO SEVERAL MANUFACTURING BUSINESSES, INCLUDING IMPERIAL SCHRADE AND HYDRO ALUMINUM, WHICH EMPLOYED MANY RESIDENTS. THE SURROUNDING AREA ALSO BOASTED SEVERAL LARGE RESORT HOTELS. HOWEVER, SINCE THE MID-1990S, THE ELLENVILLE COMMUNITY HAS LOST OVER 2,000 JOBS, DUE IN PART TO THESE BUSINESSES CLOSING THEIR DOORS AND A SIGNIFICANT DECLINE IN THE TOURIST INDUSTRY IN THE AREA. THE TOWN AND VILLAGE STRUGGLE WITH THE ISSUES THAT ACCOMPANY POVERTY AND UNEMPLOYMENT IN RURAL AREAS. OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED AND MAJOR EMPLOYERS THAT CONTINUE TO SUPPORT THE RESIDENTS OF THE REGION ARE THE NYS DEPARTMENT OF CORRECTIONS, ELLENVILLE CENTRAL SCHOOL DISTRICT, AND ELLENVILLE REGIONAL HOSPITAL.AN AFFORDABLE SENIOR HOUSING PROJECT, WHICH IS A JOINT VENTURE BETWEEN THE HOSPITAL AND WARWICK PROPERTIES, INC., IS LOCATED ON THE ELLENVILLE REGIONAL HOSPITAL CAMPUS. ALL THREE PHASES OF THE PROJECT REMAIN FULLY OCCUPIED, WITH APPROXIMATELY 156 SENIOR CITIZENS LIVING INDEPENDENTLY IN ONE-BEDROOM APARTMENTS. FUNDING WAS SECURED FOR THE PROJECT FROM THE NEW YORK STATE DIVISION OF HOUSING'S COMMUNITY RENEWAL HOUSING TRUST FUND. THE PARTNERSHIP SPONSORING THE HOUSING PROJECT IS DEVELOPING PLANS TO BUILD ADDITIONAL AFFORDABLE HOUSING CLOSE TO THE HOSPITAL, TARGETING SENIORS, SPECIAL NEEDS POPULATIONS AND POSSIBLY RETURNING VETS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN KELLEY
PRESIDENT & CEO$378,220$0$90,000$0$8,434$0$124,500$0$0$0$601,154$0$90,000$0
ASHIMA BUTLER
COO$151,471$0$35,000$0$10,428$0$8,309$0$33,048$0$238,256$0$0$0
BOB RUE
CFO$161,275$0$33,000$0$982$0$8,564$0$30,927$0$234,748$0$0$0
MARIA GONZALEZ
DIRECTOR OF NURSING$98,189$0$15,000$0$14,601$0$5,374$0$31,100$0$164,264$0$0$0
THERESA AVERSANO DIR OF
REHAB. SERVICES & CARDIAC REHAB$119,346$0$10,500$0$134$0$0$0$30,899$0$160,879$0$0$0
JOHN BRESLIN
MANAGER OF SURGICAL SERVICES$113,567$0$9,500$0$578$0$0$0$28,019$0$151,664$0$0$0
DEBORAH BRIGGS
VP & CHIEF HUMAN RESOURCE OFFICER$110,893$0$20,000$0$13,643$0$6,229$0$408$0$151,173$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationSTEVEN KELLEY RECEIVED A DISCRETIONARY BONUS IN 2020 DETERMINED BY THE BOARD. BOB RUE, ASHIMA BUTLER, DEBORAH BRIGGS, CLARE FARRELL, THERESA AVERSANO, MARIA GONZALEZ AND JOHN BRESLIN ALSO RECEIVED A DISCRETIONARY BONUS IN 2020 DETERMINED BY THE CEO, AND THEN APPROVED BY THE BOARD CHAIR. THE BONUS WAS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING "PERSONNEL" OF THE HOSPITAL: MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, "SENIOR MANAGEMENT" (DEFINED TO BE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS), ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN THE HOSPITAL AND A VENDOR. A DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY THE APPLICABLE PERSONNEL STATING IF THEY ARE AWARE OF ANY ACTUAL OR POTENTIAL CONFLICTS. IF DURING THE YEAR, ANY MEMBER OF THE BOARD OF TRUSTEES, MEDICAL STAFF MEMBER OR EMPLOYEE BECOMES AWARE OF A CONFLICT, THEY PROMPTLY DISCLOSE IN WRITING TO THE ADMINISTRATOR OR PRESIDENT OF THE BOARD OF TRUSTEES ANY ACTUAL OR CONTEMPLATED TRANSACTION WHICH POSES A CONFLICT OF INTEREST. THE REPORT CONTAINS A STATEMENT OF ALL MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST WHICH CREATES THE POSSIBLE CONFLICT OF INTEREST. THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD OF TRUSTEES, WHICH DETERMINES WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL HAVE AN ADVERSE EFFECT ON THE FACILITY. THE BOARD OF TRUSTEES CAUSES NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION IS ALLOWED TO CONTINUE OR SHOULD BE TERMINATED, AND OF ANY OTHER ACTION THAT WILL BE TAKEN BY THE BOARD OF TRUSTEES OR SHOULD BE TAKEN BY THE BOARD MEMBER, MEDICAL STAFF MEMBER OR EMPLOYEE.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE IS PROVIDED AN INDEPENDENT REPORT OF COMPARABLE HOSPITAL SALARY FOR THE CEO, INCLUDING FORM 990S OF SIMILAR SIZED ORGANIZATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS VARIOUS PERFORMANCE MEASURES AND OTHER INFORMATION AND ARRIVES AT A SALARY AND BENEFIT PACKAGE FOR THE CEO. THE COMPENSATION COMMITTEE APPROVES AND DECIDES THE COMPENSATION FOR CEO IN THE EXECUTIVE SESSION. THIS PROCESS WAS LAST UNDERTAKEN IN 2019 TO REVIEW CONTRACT'S COMPENSATION THROUGH 12/31/22. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE ACCOMPLISHED THROUGH MINUTES OF THE COMMITTEE'S MEETINGS. THE DIRECTOR OF HUMAN RESOURCES OBTAINS SALARY INFORMATION FROM AN INDEPENDENT SOURCE OF LOCAL COMPARABLE HOSPITALS FOR EACH HIGHER LEVEL POSITION AT THE HOSPITAL. THE INDEPENDENT INFORMATION CONTAINS SALARY LEVELS FOR EACH POSITION AT THE 25TH, 50TH AND 75TH PERCENTILE. THE CEO THEN CONSIDERS THIS INFORMATION AND THE PERFORMANCE FOR EACH OF THESE EMPLOYEES AND DETERMINES THE APPROPRIATE SALARY LEVEL FOR OTHER OFFICER AND KEY EMPLOYEE. THE SALARY INFORMATION THEN PRESEND TO THE BOARD CHAIR FOR APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE HUMAN RESOURCES DEPARTMENT RECORD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 46,730. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES -7,954. EQUITY TRANSFER -15,000.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ELLENVILLE REGIONAL HOSPITAL FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 HEALTHY WAYAddressLine1Txt
CityELLENVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP124285612ZIPCd
FieldValueIRS element (for citing)
EIN371562427EIN
Primary ActivitiesSUPPORT WESTCHESTER-ELLENVILLE HOSPITAL, INC.PrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER-ELLENVILLE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
ELLENVILLE REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC
10 HEALTHY WAYELLENVILLENY124285612261411484LOW INCOME HOUSING (INACTIVE)NYWESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INCC1.00000Yes (1)
ELLENVILLE II REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC
10 HEALTHY WAYELLENVILLENY124285612270754224LOW INCOME HOUSING (INACTIVE)NYWESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INCC1.00000Yes (1)
ELLENVILLE III REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC
10 HEALTHY WAYELLENVILLENY124285612300649484LOW INCOME HOUSING (INACTIVE)NYWESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationRETURN FILING EXTENDED TO JANUARY 3, 2022WESTCHESTER-ELLENVILLE HOSPITAL, INC. HAS MADE A DECLARATION WITH THE IRS TO POSTPONE THE FILING OF ITS TAX RETURN TO ON OR BEFORE JANUARY 3, 2022 DUE TO THE EFFECTS OF HURRICANE IDA. THE IRS'S HURRICANE IDA TAX RELIEF POSTPONES VARIOUS TAX FILINGS AND PAYMENTS NORMALLY DUE AFTER SEPTEMBER 1, 2021 THROUGH JANUARY 3, 2022. AS SUCH, PLEASE ACCEPT OUR TAX RETURN AS BEING TIMELY FILED.ExplanationTxt