WESTCHESTER-ELLENVILLE HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- WESTCHESTER-ELLENVILLE HOSPITAL INC (EIN 13-4111638)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-15
- IRS object ID
- 202043209349300299
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-15T15:24:12-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134111638 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 8456476400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB RUE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8456476400 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2020-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 100.38.194.231 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-15 | IPDt |
| IP Tm | 11:53:19 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4F9F0882E2C1046A9DC4DC01D0F262469E3815E0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLENVILLE REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN KELLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,548,249 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ERHNY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ELLENVILLE 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 280 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $887,731 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,877,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,574,911 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,352,141 | CYProgramServiceRevenueAmt |
| PY Investment Income | $200,887 | PYInvestmentIncomeAmt |
| CY Investment Income | $186,180 | CYInvestmentIncomeAmt |
| PY Other Revenue | $599,450 | PYOtherRevenueAmt |
| CY Other Revenue | $145,539 | CYOtherRevenueAmt |
| PY Total Revenue | $21,262,979 | PYTotalRevenueAmt |
| CY Total Revenue | $22,561,303 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,040,763 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,228,715 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $31,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,180,443 | PYOtherExpensesAmt |
| CY Other Expenses | $8,842,815 | CYOtherExpensesAmt |
| PY Total Expenses | $20,252,206 | PYTotalExpensesAmt |
| CY Total Expenses | $21,071,530 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,010,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,489,773 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,115,033 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,339,121 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,492,307 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,405,059 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,622,726 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,934,062 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ELLENVILLE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,095,524 | ExpenseAmt |
| Revenue | $3,311,577 | RevenueAmt |
| Desc | IN-PATIENT DEPARTMENTS (MED/SURG AND SWING REHAB) & AMBULATORY SURGERY (OR): IN 2019, 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 THREE OF OUR STAFF MEMBERS TO PURSUE HIGHER DEGREES IN HEALTH CARE RELATED FIELDS. (SEE CONTINUATION ON SCHEDULE O)ERH TAKES PRIDE IN SERVING AS A TEACHING HOSPITAL AND HOSTING STUDENTS FROM MANY SCHOOLS SUCH AS SULLIVAN COUNTY COMMUNITY COLLEGE, ULSTER COMMUNITY COLLEGE, BOCES NEW VISIONS PROGRAM, LEMOYNE, TOURO MEDICAL COLLEGE, CLARSON, UNIVERSITY OF BUFFALO, ALBANY COLLEGE OF PHARMACY, RHODE ISLAND COLLEGE OF PHARMACY, ANTIGUA MEDICAL UNIVERSITY AND MARIA COLLEGE. ONCE AGAIN, THE COHORT OF 119 STUDENTS BENEFITED FROM WORKING SIDE BY SIDE WITH 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. ERH RECEIVED NO FUNDING FOR PROVIDING THESE EDUCATIONAL OPPORTUNITIES. ERH'S SUB ACUTE REHABILITATION UNIT SUCCESSFULLY TRANSITIONED PATIENTS' BACK HOME AVOIDING PLACEMENT IN TO LONG-TERM CARE FACILITIES. ONLY ABOUT 5% OF THIS COHORT OF PATIENTS REQUIRED PLACEMENT.PATIENT SATISFACTION AND POSITIVE OUTCOMES ARE BOTH EXCELLENT MEASURES FOR QUALITY. IN 2019, PATIENT SATISFACTION SCORES REACHED 96% FOR THE INPATIENT SERVICES. OUR RETURN TO HOME RATE FROM SUB-ACUTE REHAB WAS AT 81.38%. 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. THE LEFT VENTRICULAR ASSIST DEVICE (LVAD) PROGRAM INITIATED AT ERH IN EARLY 2016 IN COLLABORATION WITH WESTCHESTER MEDICAL CENTER CONTINUES STRONG. IN 2019, WE CONTINUED TO SERVE LVAD PATIENTS AND THEIR FAMILIES IN OUR SUB ACUTE REHABILITATION UNIT MANY OF WHOM ARE RESIDENTS OF NEARBY COUNTIES. THE NURSES WERE ALSO EDUCATED ON THE MANAGEMENT OF THE PATIENT USING A LIFE VEST. THIS DEVICE IS AN EXTERNAL DEFIBRILLATOR THAT PROTECTS PATIENTS AT RISK OF SUDDEN CARDIAC DEATH. THE DEVICE IS UTILIZED AS A TRANSITION THERAPY FOR PATIENTS UNABLE TO UNDERGO SURGICAL INTERVENTION FOR THE IMPLANTED DEFIBRILLATOR. WE ALSO ADDED MILRINONE DRIP TO OUR LIST OF SERVICES BEING OFFERED TO THE COMMUNITY. THIS MEDICATION IS ADMINISTERED TO PATIENTS AS A CONTINUOUS INFUSION USING A CALIBRATED INFUSION DEVICE. THE TREATMENT IS INDICATED FOR PATIENTS WITH CONGESTIVE HEART FAILURE. OUR NURSES WERE TRAINED ON PATIENT MONITORING AND INFUSION DEVICE MANAGEMENT. SOME OF THE PATIENTS ON THIS THERAPY HAVE BEEN ABLE TO RETURN TO HOME AFTER REHABILITATING IN OUR SWING UNIT. IN 2019, 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. WE ALSO ENGAGED IN PRACTICES THAT SUPPORT A SAFE ENVIRONMENT FOR OUR STAFF AS WELL AS OUR PATIENTS. PATIENT MOBILITY IS A SUBSTANTIAL COMPONENT OF REHABILITATION. THE SAFE PATIENT HANDLING COMMITTEE, WHICH IS 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, FOR EXAMPLE, IN THE FALL OF 2019 OUR INPATIENT UNIT ADOPTED 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. 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,068,369 | ExpenseAmt |
| Revenue | $8,807,936 | RevenueAmt |
| Desc | EMERGENCY 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. (SEE CONTINUATION ON SCHEDULE O)IN 2019, 11,259 PATIENTS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT AT ELLENVILLE REGIONAL. WE CONTINUE TO HAVE CONSISTENTLY PROVIDED EXCELLENT CARE IN A MUCH MORE EXPEDIENT MANNER THAN OTHER EMERGENCY DEPARTMENTS ACROSS THE COUNTRY. OUR 2019 AVERAGE FOR ARRIVAL TO TRIAGE IS AT A STELLAR SEVEN MINUTES. ADDITIONALLY, THE AVERAGE LENGTH OF STAY IS AT 107 MINUTES. THESE REMARKABLE TURNAROUND TIMES HAVE BEEN POSSIBLE THANKS TO THE DEDICATION OF OUR MULTIDISCIPLINARY TEAM COMPRISED OF ED PROVIDERS, NURSES, PATIENT CARE TECHNOLOGISTS, REGISTRATION, LAB AND RADIOLOGY. THE TEAM'S PRIMARY FOCUS IS OPTIMAL PATIENT CARE. OUR PATIENTS' NEEDS AND OUR COMMUNITY HAVE ALWAYS BEEN OUR TOP PRIORITY. IMPROVING PATIENT OUTCOMES IS THE PRIMARY DRIVER IN OUR EVERYDAY OPERATIONS. IN 2019, ERH RECEIVED A SILVER AWARD FROM THE AMERICAN HEART ASSOCIATION FOR OUR PARTICIPATION IN THE LIFE LINE PROGRAM. THIS DISTINGUISHED RECOGNITION REPRESENTS OUR COMMITMENT TO GENERATING POSITIVE PATIENT OUTCOMES FOR THOSE LIVING WITH CORONARY ARTERY DISEASE. WE ALSO REMAINED FOCUSED ON THE OPIOID CRISIS. UNARGUABLY WITH OUR PARTICIPATION IN THE MAX (MEDICAID ACCELERATED EXCHANGE) SERIES PROGRAM, WE LEAD THE WAY IN THE WAR AGAINST EXCESSIVE USE OF OPIOIDS IN THE EMERGENCY DEPARTMENT. WE ALSO DEVELOPED PROJECT RESCUE. IN THIS INITIATIVE, OUR ED PROVIDERS OBTAINED CERTIFICATION TO PROVIDE MAT (MEDICATION ASSISTED TREATMENT). THIS INITIATIVE FACILITATED TREATMENT OF PATIENTS PRESENTING TO THE ED AFTER AN OVERDOSE. IN ADDITION, WE COLLABORATED WITH THE SHERIFF DEPARTMENT IN THE ORACLE PROGRAM. THE PRIMARY GOAL OF THE PROJECT IS TO HELP INDIVIDUALS STRUGGLING WITH SUBSTANCE DISORDER BY CONNECTING THEM TO SERVICES. IN 2019, ERH COLLABORATED WITH OUR LOCAL EMS PROFESSIONALS INCLUDING OFFERING CONTINUING MEDICAL EDUCATION ACTIVITIES TO HELP MEET THE NEEDS FOR RELEVANT EDUCATION TO MAINTAIN THE SKILLS TO FUNCTION IN THE FIELD. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,576,257 | ExpenseAmt |
| Revenue | $2,929,171 | RevenueAmt |
| Desc | RADIOLOGY:IN 2019, RADIOLOGY CONTINUED TO GROW PATIENT EXAM VOLUMES AS WELL AS EXPANDING ON SERVICES BEING PROVIDED TO THE SURROUNDING COMMUNITY. EXAM VOLUMES GREW BY APPROXIMATELY 8% OVER THE PREVIOUS YEAR. ERH ALSO ACQUIRED A NEW RADIOLOGIST GROUP, HUDSON VALLEY RADIOLOGISTS. WITH THE NEW GROUP, WE STARTED OFFERING ULTRASOUND GUIDED BREAST BIOPSIES SO PATIENTS NO LONGER HAVE TO TRAVEL GREAT DISTANCES TO RECEIVE SUCH CRUCIAL HEALTHCARE. THE NEW GROUP IS ON SITE READING TWO DAYS A WEEK AS OPPOSED TO ONLY ONE DAY A WEEK WITH OUR PREVIOUS RADIOLOGIST GROUP. (SEE CONTINUATION ON SCHEDULE O)THE INCREASED ONSITE RADIOLOGIST SCHEDULE HAS ALLOWED US TO EXPAND OUR SCHEDULING OF DIAGNOSTIC MAMMOGRAPHY EXAMS AND IT ELIMINATES ANY DELAY IN PATIENT CARE AS IT ALLOWS FOR THE IMMEDIATE CONSULTATION WITH THE RADIOLOGIST FOR BOTH THE TECHNOLOGIST AND PATIENT. IF ADDITIONAL MAMMOGRAPHY IMAGES OR ULTRASOUND BREAST IMAGING IS NEEDED FOR FURTHER DIAGNOSES, WE NOW CAN PROVIDE SAME DAY IMAGING SO PATIENTS ARE NO LONGER WAITING FOR INITIAL IMAGING RESULTS AND RESCHEDULING THE ADDITIONAL IMAGING.IN CT, WE BECAME ACR ACCREDITED AND CONTINUED TO EXPAND SERVICES PROVIDED SUCH AS CT CALCIUM SCORING. AS A CRITICAL ACCESS HOSPITAL, WE WERE AWARDED A QUALITY IMPROVEMENT GRANT TO SCREEN PATIENTS FOR CARDIOVASCULAR DISEASE AT NO COST TO THEM. THIS SERVICE IS OFFERED TO ALL, INCLUDING PATIENTS WHO DO NOT HAVE HEALTHCARE INSURANCE COVERAGE. WITH THIS GRANT, WE ALSO PROVIDE CAROTID SCREENINGS. BOTH THE CT CALCIUM SCORING AND CAROTID SCREENINGS ARE INTERPRETED BY ONE OF OUR CARDIOLOGISTS AND RESULTS ARE SENT BACK TO THE PATIENT'S PRIMARY CARE PHYSICIAN. THE GRANT HAS ALLOWED US TO COORDINATE, EXPAND ACCESS, CONTAIN COSTS AND IMPROVE THE QUALITY OF CARE TO RESIDENTS IN RURAL AREAS.IN ULTRASOUND, WE PURCHASED A NEW SIEMENS ACUSON SEQUOIA SYSTEM IMPROVING ON THE QUALITY OF CARE PROVIDED. WE ALSO STARTED USING AN ULTRASOUND ENHANCING AGENT TO IMAGE FOCAL LIVER LESIONS. THE COST IS SIGNIFICANTLY LESS THAN HAVING A CT OR MRI AND PROVIDES AN OPTION FOR PATIENTS WITH DIMINISHED KIDNEY FUNCTION AS THE CT/MRI CONTRAST IS LESS TOLERATED BY THESE PATIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,323,611 | ExpenseAmt |
| Revenue | $5,303,457 | RevenueAmt |
| Desc | THE HOSPITAL ALSO PROVIDES AMBULATORY SURGERY, LAB SERVICES, IV THERAPY, PHYSICAL THERAPY, CARDIAC REHAB, AND PRESCRIPTION DRUGS TO OUR PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,323,611 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,303,457 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,063,761 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 280 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB RUE CFO | PersonNm |
| Phone | 8456476400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN KELLEY | |||||||||
| PRESIDENT & CEO | 36.00 | 5.00 | Yes (X) | Yes (X) | $424,280 | $0 | $109,000 | ||
| BOB RUE | |||||||||
| CFO | 36.00 | 5.00 | Yes (X) | $201,147 | $0 | $36,165 | |||
| ASHIMA BUTLER | |||||||||
| COO | 36.00 | $175,611 | $0 | $35,598 | Yes (X) | ||||
| MICHAEL STEARNS | |||||||||
| DIRECTOR OF PHARMACY | 36.00 | $131,064 | $0 | $27,931 | Yes (X) | ||||
| THERESA AVERSANO DIR OF | |||||||||
| DIRECTOR OF REHABILITATION SERVICES & CARDIAC REHA | 40.00 | $128,268 | $0 | $27,931 | Yes (X) | ||||
| MARIA GONZALEZ | |||||||||
| DIRECTOR OF NURSING | 40.00 | $119,845 | $0 | $32,627 | Yes (X) | ||||
| JOHN BRESLIN | |||||||||
| MANAGER OF SURGICAL SERVICES | 40.00 | $118,128 | $0 | $26,682 | Yes (X) | ||||
| DEBORAH BRIGGS | |||||||||
| VP OF HR, MARKETING & VOLUNTEERS | 36.00 | 5.00 | $136,038 | $0 | $6,501 | Yes (X) | |||
| REVEREND JULIUS A COLLINS JR | |||||||||
| CHAIRPERSON | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MYRNA JARGOWSKY | |||||||||
| VICE CHAIRPERSON | 2.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM D BROWN | |||||||||
| TREASURER | 3.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN B GILLETTE | |||||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| NEIL CALMAN MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PHILIP COOMBE III | |||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB DONALDSON NP-C | |||||||||
| BOARD MEMBER THRU 11/26/19 | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID EIKSZTA | |||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIE C LONSTEIN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CRAIG LOPEZ | |||||||||
| BOARD MEMBER | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND MATTHEWS | |||||||||
| BOARD MEMBER THRU 3/26/19 | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| KRISTINA URSITTI DO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,434,381 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $302,435 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE INSTITUTE FOR FAMILY HEALTH | |||||
| 2006 MADISON AVENUE | NEW YORK | NY | 10035 | MEDICAL STAFF | $373,780 |
| SIEMENS MEDICAL SOLUTIONS USA INC | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 75312 | EQUIPMENT REPAIR | $362,377 |
| LAB CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | LAB SERVICES | $288,145 |
| CONSTABLE CUSTODIAL SERVICES INC | |||||
| PO BOX 1115 | LIBERTY | NY | 12754 | CLEANING SERVICES | $270,875 |
| EMERGENCY MEDICAL ASSOCIATION OF NY | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL STAFF | $213,399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,793,791 | GovernmentGrantsAmt |
| All Other Contributions | $83,652 | AllOtherContributionsAmt |
| Total Contributions | $1,877,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $20,352,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,352,141 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,352,141 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,142 | TotalRevenueColumnAmt |
| Exclusion | $141,142 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,035 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,989 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,046 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,046 | TotalRevenueColumnAmt |
| Exclusion | $23,046 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,009,995 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,964,957 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $45,038 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,038 | TotalRevenueColumnAmt |
| Exclusion | $45,038 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PURCHASING REBATES | 900099 | $53,615 | $53,615 |
| CAFETERIA INCOME | 900099 | $51,485 | $51,485 |
| REIMBURSEMENTS | 900099 | $5,287 | $5,287 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,106 | TotalRevenueColumnAmt |
| Exclusion | $12,106 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $122,493 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,561,303 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,352,141 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $331,719 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $897,202 | TotalAmt |
| Program Services | $726,734 | ProgramServicesAmt |
| Management And General | $170,468 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,206,694 | TotalAmt |
| Program Services | $7,457,422 | ProgramServicesAmt |
| Management And General | $1,749,272 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,344 | TotalAmt |
| Program Services | $21,339 | ProgramServicesAmt |
| Management And General | $5,005 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,229,066 | TotalAmt |
| Program Services | $995,543 | ProgramServicesAmt |
| Management And General | $233,523 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,409 | TotalAmt |
| Program Services | $704,221 | ProgramServicesAmt |
| Management And General | $165,188 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,982 | TotalAmt |
| Program Services | $3,225 | ProgramServicesAmt |
| Management And General | $757 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,500 | TotalAmt |
| Program Services | $70,065 | ProgramServicesAmt |
| Management And General | $16,435 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,427 | TotalAmt |
| Management And General | $5,427 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,277 | TotalAmt |
| Program Services | $307,214 | ProgramServicesAmt |
| Management And General | $72,063 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,049 | TotalAmt |
| Program Services | $62,410 | ProgramServicesAmt |
| Management And General | $14,639 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,240 | TotalAmt |
| Program Services | $213,584 | ProgramServicesAmt |
| Management And General | $246,656 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,567 | TotalAmt |
| Program Services | $242,649 | ProgramServicesAmt |
| Management And General | $56,918 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,069 | TotalAmt |
| Program Services | $92,396 | ProgramServicesAmt |
| Management And General | $21,673 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,059,192 | TotalAmt |
| Program Services | $857,946 | ProgramServicesAmt |
| Management And General | $201,246 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,326 | TotalAmt |
| Program Services | $279,714 | ProgramServicesAmt |
| Management And General | $65,612 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED & PURCHASED | $1,849,134 | $1,497,799 | $351,335 |
| BAD DEBTS | $1,400,632 | $1,134,512 | $266,120 |
| MEDICAL SUPPLIES | $1,083,891 | $877,952 | $205,939 |
| GRANT PROGRAM EXPENSES | $839,095 | $839,095 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,434 | TotalAmt |
| Program Services | $679,941 | ProgramServicesAmt |
| Management And General | $159,493 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,071,530 | TotalAmt |
| Program Services | $17,063,761 | ProgramServicesAmt |
| Management And General | $4,007,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,437 | BOYAmt |
| EOY | $1,399,554 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,818,606 | BOYAmt |
| EOY | $4,064,219 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,005 | BOYAmt |
| EOY | $281,823 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,164,546 | BOYAmt |
| EOY | $2,030,587 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,601 | BOYAmt |
| EOY | $117,088 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,084 | BOYAmt |
| EOY | $483,260 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,408,044 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,382,046 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,171,481 | BOYAmt |
| EOY | $9,025,998 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,213,505 | BOYAmt |
| EOY | $6,080,979 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,528,768 | BOYAmt |
| EOY | $1,855,613 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,115,033 | BOYAmt |
| EOY | $25,339,121 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,036,966 | BOYAmt |
| EOY | $2,402,975 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,364 | BOYAmt |
| EOY | $384,563 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,936,977 | BOYAmt |
| EOY | $4,617,521 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,492,307 | BOYAmt |
| EOY | $7,405,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,677,579 | BOYAmt |
| EOY | $16,881,840 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $945,147 | BOYAmt |
| EOY | $1,052,222 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,622,726 | BOYAmt |
| EOY | $17,934,062 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,115,033 | BOYAmt |
| EOY | $25,339,121 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,489,773 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $727,133 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $94,430 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,427 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,427 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | Yes (1) | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HEALTHCARE ASSOCIATION MEMBERSHIP DUES THAT IS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,627,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,389,863 | DepreciationAmt |
| Book Value | $5,237,562 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,362,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,883,913 | DepreciationAmt |
| Book Value | $3,478,572 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $418,134 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,270 | DepreciationAmt |
| Book Value | $309,864 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,025,998 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION | $1,038,774 |
| INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES | $115,070 |
| INSURANCE RECOVERY RECEIVABLE | $696,769 |
| DUE FROM ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES CORP | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,855,613 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY PAYOR LIABILITY | $3,920,752 |
| INSURANCE CLAIM LIABILITY | $696,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,617,521 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,011,868 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $727,133 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $124,064 | OtherRevenueAmt |
| Revenue Not Reported | $851,197 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,160,671 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,400,632 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,400,632 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,561,303 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,708,177 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $37,279 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $37,279 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,670,898 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,400,632 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,400,632 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,071,530 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES REPORTED ON PART VIII, LINE 6B 21,989. CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 102,075. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT 1,400,632. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES REPORTED ON PART VIII, LINE 6B 21,989. EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 15,290. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT 1,400,632. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,563,270 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,563,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07420 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,005,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,933,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,071,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14580 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,903 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $129,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,698,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,933,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,765,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22620 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,401,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,168,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,233,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05850 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,401,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,168,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,233,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05850 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,100,238 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,101,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,998,274 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.28470 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $613,434 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $167,856 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,990,325 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,950,592 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $39,733 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ELLENVILLEREGIONAL.ORG | WebsiteAddressTxt |
| State License | 5526700C | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WESTCHESTER-ELLENVILLE HOSPITAL, INC. | PART V, SECTION B, LINE 5: WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AS FOLLOWS: 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 COMMUNITY HEALTH NEED PRIORITIES. WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL, WITH ITS PARTNERS UCDOHMH AND HEALTHALLIANCE HOSPITAL: MARY'S AVE CAMPUS (HA), JOINTLY SELECTED PRIORITY AREAS FOR 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 WILL WORK TO SUPPORT THE SELECTED INITIATIVES.ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN), WHICH SERVES AS THE POPULATION HEALTH DEPARTMENT OF ELLENVILLE REGIONAL (ERHN) HOSPITAL 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. ADDITIONALLY, THE HEALTHY ULSTER COUNCIL, A BROAD-BASED COALITION FORMED BY REPRESENTATIVES FROM A VARIETY OF ORGANIZATIONS AND AGENCIES, 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:- PREVENT CHRONIC DISEASES ERH IS WORKING TO IDENTIFY AND ENROLL 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.ERH IS WORKING TO IDENTIFY AND ENROLL 45 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 LOCAL PHARMACY OR ARRANGING MEDICATION RECONCILIATION WITH 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.- PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS IMPLEMENTED 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 OF DAY FOUR.PROVIDED NECESSARY HARM REDUCTION SUPPLIES AND GUIDANCE TO PREVENT FATAL OVERDOSES AND THE OCCURRENCE, AND TRANSMISSION OF INFECTIOUS COMPLICATIONS (I.E. HEPC, HIV, ENDOCARDITIS).SUPPORTED 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. |
| PART V, LINE 7, CHNA REPORT WEBSITE: | ERHNY.ORG/WP-CONTENT/UPLOADS/2020/10/ELLENVILLE-REGIONAL-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019-2021.PDF |
| PART V, LINE 10, IMPLEMENTATION STRATEGY WEBSITE: | ERHNY.ORG/WP-CONTENT/UPLOADS/2020/10/ELLENVILLE-REGIONAL-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019-2021.PDF |
| 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.PDF |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. IMPACT OF FREE OR DISCOUNTED CARE ARE UNPREDICTABLE TO THE HOSPITAL. |
| 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 COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE FOR FINANCIAL ASSISTANCE DISCOUNT. |
| 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. FOR EXAMPLE, THE WAWARSING CARES PROJECT, FREE TO THE COMMUNITY, FOCUSES ON VARIOUS GROUPS WITHIN THE COMMUNITY, SUCH AS WAWARSING CARES FOR WOMEN AND WAWARSING CARES FOR TEENS. THESE EVENTS PROMOTE WELLNESS AND PROVIDE ACCESS TO HEALTH AND SOCIAL SERVICES FOR THE TARGET GROUP. OTHER PROJECTS THAT WE SHARE IN INCLUDE A FREE COMMUNITY RESOURCE GUIDE BOOKMARK, WHICH PROVIDES A LISTING AND CONTACT INFORMATION OF ALL MEMBERS OF THE COUNCIL AND A FREE COMMUNITY BABY SHOWER WHERE BABY ITEMS AND INFORMATION ARE AVAILABLE FOR FREE TO THE PUBLIC. THE COUNCIL CONTINUES TO MEET ON A MONTHLY BASIS OR MORE OFTEN IF A PROJECT IS BEING UNDERTAKEN. MEMBERS OF THE COUNCIL ALSO HOST A WEEKLY TV SHOW ON A LOCAL CABLE ACCESS CHANNEL THROUGH THE ELLENVILLE CENTRAL SCHOOL MEDIA DEPARTMENT.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 FITNESS.RISK 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 DIETICIAN 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 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.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.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. A MEASUREMENT TOOL WAS CREATED UTILIZING THE BARTHEL INDEX OF ACTIVITIES OF DAILY LIVING. 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 IS 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 SUBSTANCE WITHDRAWAL, CAN PRESENT TO THE EMERGENCY DEPARTMENT TO BE EVALUATED BY CLINICAL STAFF. IF THEIR SYMPTOMS REGISTER AS OPIOID WITHDRAWAL, THEY 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 4. |
| 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.WE CONTINUE TO ASSIST WITH THE CONTINUING EDUCATION NEEDS OF OUR EMS COMMUNITY, INCLUDING OFFERING BLS, ACLS AND PALS COURSES TO THEM AT NO CHARGE AND CME CLASSES IN CONCERT WITH THE HUDSON VALLEY REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE. IN FEBRUARY 2017, WE IMPLEMENTED A NEW HOUSE-WIDE ELECTRONIC HEALTH RECORDS SYSTEM TO HELP US DELIVER HIGH QUALITY CARE TO OUR PATIENTS. WE HAVE ALSO PARTNERED WITH THE INSTITUTE TO IMPLEMENT EPICCARE LINK, A SECURE PROGRAM THAT PERMITS US TO SHARE CRITICAL MEDICAL INFORMATION FOR MUTUAL PATIENTS. THIS NEW COLLABORATION MEANS THAT AUTHORIZED EMERGENCY DEPARTMENT STAFF CAN ACCESS PATIENTS' MEDICAL RECORDS FROM THE ELLENVILLE FAMILY HEALTH CENTER, OPERATED BY THE INSTITUTE, TO VIEW THEIR CURRENT MEDICATION LIST, PRIOR MEDICAL HISTORY AND KNOWN ALLERGIES. IN ADDITION, THE ED STAFF CAN SCAN THE PATIENT'S LABORATORY, EKG AND RADIOLOGY RESULTS INTO THE INSTITUTE'S PATIENT'S ELECTRONIC MEDICAL RECORD. WE ARE THE FIRST EMERGENCY DEPARTMENT IN THE COUNTRY TO WORK COLLABORATIVELY WITH PRIMARY CARE PROVIDERS UNDER THE EPICCARE LINK PROGRAM, PROVIDING PRIMARY CARE PROVIDERS AND HOSPITAL STAFF WITH TOOLS TO ENHANCE THE QUALITY AND SAFETY OF CARE FOR OUR MUTUAL PATIENTS. |
| PART III, LINE 4: | AFS FOOTNOTE: "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 2019." BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENT IS $1,400,632. THE COST TO CHARGE RATIO DERIVED FROM THE NYS INSTITUTIONAL COST REPORT WAS APPLIED TO THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS TO DETERMINE THE AMOUNT REPORTED IN PART III, LINE 2. |
| PART III, LINE 8: | THE AMOUNT ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NYS INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B. |
| PART III, LINE 9B: | PER ERH'S COLLECTION POLICY, ERH DOES NOT SEND ACCOUNTS TO COLLECTION IF AN APPLICATION FOR FINANCIAL ASSISTANCE IS IN PROCESS. ONCE AN ACCOUNT(S) HAVE BEEN DESIGNATED AS FINANCIAL ASSISTANCE, STATEMENTS WILL STOP BEING SENT UNTIL A DETERMINATION IS MADE. |
| 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 2019, ERH RECEIVED 2,583 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. IN ADDITION, MEDICAID APPLICATIONS ARE MADE AVAILABLE AT THE TIME OF REGISTRATION. |
| 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 2018 AND 2019, THE EMERGENCY DEPARTMENT (ED) PATIENT VOLUME AT ELLENVILLE REGIONAL HOSPITAL (ERH) WAS 12,695 AND 11,323 RESPECTIVELY. IN 2019, THE HOSPITAL SERVED A TOTAL OF 11,045 UNIQUE PATIENTS WHO MADE 27,521 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 13,000, OF WHICH 4,000 RESIDE WITHIN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER IN THE TOWN (ACS 2018). ACCORDING TO THE 2010 CENSUS, THE TOWN OF WAWARSING HAD 13,157 PEOPLE, WITH A MEDIAN AGE OF 40.1, 11,091 HOUSEHOLDS, AND 2,946 FAMILIES RESIDING IN THE TOWN, WHICH INCLUDES THE VILLAGE OF ELLENVILLE. PER THE 2017 AMERICAN COMMUNITY SURVEY, THE TOWN OF WAWARSING HAS A POPULATION OF 13,004, OF WHICH 4,097 RESIDE WITHIN THE VILLAGE OF ELLENVILLE.CENSUS DATA INDICATES THAT OF THE WAWARSING POPULATION 63% IDENTIFY AS WHITE, 9% IDENTIFY AS BLACK, AND 4% IDENTIFY AS TWO OR MORE RACES; WITH 21% OF RESIDENTS IDENTIFYING AS LATINO, AND 14% OF INDIVIDUALS SPEAKING SPANISH AT HOME. VETERANS REPRESENT 5.6% OF THE POPULATION.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 STATES | NY |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN KELLEY | ||||||||||||||
| PRESIDENT & CEO | $331,201 | $0 | $84,600 | $0 | $8,479 | $0 | $109,000 | $0 | $0 | $0 | $533,280 | $0 | $84,600 | $0 |
| BOB RUE | ||||||||||||||
| CFO | $164,777 | $0 | $25,000 | $0 | $11,370 | $0 | $8,234 | $0 | $27,931 | $0 | $237,312 | $0 | $0 | $0 |
| ASHIMA BUTLER | ||||||||||||||
| COO | $140,321 | $0 | $25,000 | $0 | $10,290 | $0 | $7,667 | $0 | $27,931 | $0 | $211,209 | $0 | $0 | $0 |
| MICHAEL STEARNS | ||||||||||||||
| DIRECTOR OF PHARMACY | $124,470 | $0 | $6,000 | $0 | $594 | $0 | $0 | $0 | $27,931 | $0 | $158,995 | $0 | $0 | $0 |
| THERESA AVERSANO DIR OF | ||||||||||||||
| DIRECTOR OF REHABILITATION SERVICES | $119,147 | $0 | $9,000 | $0 | $121 | $0 | $0 | $0 | $27,931 | $0 | $156,199 | $0 | $0 | $0 |
| MARIA GONZALEZ | ||||||||||||||
| DIRECTOR OF NURSING | $95,273 | $0 | $10,000 | $0 | $14,572 | $0 | $4,696 | $0 | $27,931 | $0 | $152,472 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | STEVEN KELLEY RECEIVED A BONUS OF $84,600 IN 2019 THAT WAS DETERMINED BY THE BOARD'S DISCRETION. BOB RUE, ASHIMA BUTLER, DEBORAH BRIGGS, MICHAEL STEARNS, THERESA AVERSANO, MARIA GONZALEZ AND JOHN BRESLIN ALSO RECEIVED A BONUS IN 2019 THAT WAS BASED ON PERSONAL PERFORMANCE AND THE AMOUNT WAS DETERMINED BY THE CEO. THE BONUS WAS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 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 12C | THE 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 SHALL 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 SHALL CONTAIN 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 WILL BE CONSIDERED BY THE BOARD OF TRUSTEES, WHICH WILL DETERMINE WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL HAVE AN ADVERSE EFFECT ON THE FACILITY. THE BOARD OF TRUSTEES WILL CAUSE NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION MAY BE 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 15 | THE 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. 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/APPROVES THE APPROPRIATE SALARY LEVEL FOR OTHER OFFICER AND KEY EMPLOYEE. THIS PROCESS WAS LAST UNDERTAKEN IN 2019. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE HUMAN RESOURCES DEPARTMENT RECORD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 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 102,075. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES -7,645. |
| FORM 990, PART XII, LINE 2C | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 HEALTHY WAY | AddressLine1Txt |
| City | ELLENVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 124285612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371562427 | EIN |
| Primary Activities | TO SUPPORT WESTCHESTER-ELLENVILLE HOSPITAL INC. | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTCHESTER-ELLENVILLE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ELLENVILLE REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 261411484 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| ELLENVILLE II REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 270754224 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| ELLENVILLE III REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 10 HEALTHY WAY | ELLENVILLE | NY | 124285612 | 300649484 | TO PROVIDE LOW INCOME HOUSING | NY | WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC | C | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |