FURP.ORG / PUBLIC DATA EXPLORER

ELLIS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ELLIS HOSPITAL (EIN 14-1338428)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201803189349312310
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T17:31:15-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt
Business Name Line2D/B/A ELLIS MEDICINEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlELLIBusinessNameControlTxt
Phone5186128667PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARC MESICKPersonNm
Person TitleVICE PRESIDENT/CFOPersonTitleTxt
Phone5186128667PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA M FRANCOPreparerPersonNm
PTINP00589741PTIN
Phone3154463600PhoneNum
Preparation2018-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.39.85.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm11:14:28IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5DAtSubmissionCreationDeviceId
At Submission Filing Device IdB8C5F40B2B3D88A0A8DAC4C2F3911A4184EEA169AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP123082425ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$493,109,282GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ELLISMEDICINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1885FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF ELLIS HOSPITAL (D/B/A ELLIS MEDICINE) IS TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee4274TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$5,486,873TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,521,188PYContributionsGrantsAmt
CY Contributions Grants$5,837,156CYContributionsGrantsAmt
PY Program Service Revenue$418,716,687PYProgramServiceRevenueAmt
CY Program Service Revenue$417,925,271CYProgramServiceRevenueAmt
PY Investment Income$1,600,810PYInvestmentIncomeAmt
CY Investment Income$4,027,718CYInvestmentIncomeAmt
PY Other Revenue$8,873,322PYOtherRevenueAmt
CY Other Revenue$9,878,141CYOtherRevenueAmt
PY Total Revenue$433,712,007PYTotalRevenueAmt
CY Total Revenue$437,668,286CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$238,006,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$246,821,023CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$189,134,715PYOtherExpensesAmt
CY Other Expenses$184,866,571CYOtherExpensesAmt
PY Total Expenses$427,141,093PYTotalExpensesAmt
CY Total Expenses$431,687,594CYTotalExpensesAmt
PY Revenues Less Expenses$6,570,914PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,980,692CYRevenuesLessExpensesAmt
Total Assets BOY$332,150,658TotalAssetsBOYAmt
Total Assets EOY$338,490,927TotalAssetsEOYAmt
Total Liabilities BOY$173,055,307TotalLiabilitiesBOYAmt
Total Liabilities EOY$163,608,971TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,095,351NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$174,881,956NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ELLIS HOSPITAL (D/B/A ELLIS MEDICINE) IS TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$336,528,100ExpenseAmt
Revenue$408,241,310RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$24,355,865ExpenseAmt
Revenue$19,205,563RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,832,050ExpenseAmt
Revenue$10,221,413RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$369,716,015TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document365IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4274EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL A MILTON
PRESIDENT / CEO55.005.00Yes (X)Yes (X)$691,634$0$86,167
MARC MESICK
VICE PRESIDENT / CFO55.005.00Yes (X)Yes (X)$327,630$0$19,482
WENDY A ROSHER
EXECUTIVE VICE PRESIDENT55.005.00Yes (X)Yes (X)$355,758$0$38,154
LESLYN WILLIAMSON
EXECUTIVE VICE PRESIDENT / CNO55.00Yes (X)Yes (X)$155,185$0$382
CARLTON RULE MD
VICE PRESIDENT / EXECUTIVE DIRECTOR OF EMG55.00Yes (X)Yes (X)$271,672$0$663
FRANK BOZICH
TRUSTEE2.00Yes (X)$0$0$0
LINDA BREAULT
SECRETARY2.12Yes (X)Yes (X)$0$0$0
DAVID BROWN
TRUSTEE1.44Yes (X)$0$0$0
PATRICIA BUHR
TRUSTEE3.31Yes (X)$0$0$0
CRISTINE CIOFFI ESQ
TRUSTEE2.43Yes (X)$0$0$0
MICHAEL COCCA
TRUSTEE2.12Yes (X)$0$0$0
THOMAS DONOVAN
TRUSTEE2.10Yes (X)$0$0$0
WILLIAM FAUBION
VICE CHAIR2.75Yes (X)Yes (X)$0$0$0
ROBERT JOY MD
TRUSTEE1.73Yes (X)$0$0$0
JONATHAN KEMP MD
TRUSTEE1.25Yes (X)$0$0$0
WILLIAM KENNEALLY ESQ
TRUSTEE2.37Yes (X)$0$0$0
ROBERT KENNEDY MD
TRUSTEE1.60Yes (X)$0$0$0
MARK LITTLE
TREASURER2.38Yes (X)Yes (X)$0$0$0
BRIAN MCDONALD MD
TRUSTEE1.50Yes (X)$0$0$0
DEBORAH MULLANEY
TRUSTEE3.35Yes (X)$0$0$0
STEPHEN PAGANO
CHAIR7.50Yes (X)Yes (X)$0$0$0
STEPHANIE ROBERTS ESQ
TRUSTEE2.73Yes (X)$0$0$0
MICHAEL SACCOCIO
TRUSTEE2.00Yes (X)$0$0$0
JANET SAPIO-MAYTA
TRUSTEE3.05Yes (X)$0$0$0
RAYMOND SWEENEY
TRUSTEE2.02Yes (X)$0$0$0
MARY THERRIAULT RN
TRUSTEE2.31Yes (X)$0$0$0
JOHN TOBISON
TRUSTEE2.03Yes (X)$0$0$0
GARY WOOD MD
TRUSTEE3.27Yes (X)$0$0$0
EUGENE ZELTMANN PHD
TRUSTEE0.75Yes (X)$0$0$0
PATRICK KEHOE
TRUSTEE2.25Yes (X)Yes (X)$0$0$0
JOSEPH GIANSANTE
VICE PRESIDENT / CHIEF HUMAN RESOURCE55.00$334,257$0$41,383Yes (X)
RONALD MCKINNON
VICE PRESIDENT / CHIEF I.T.50.00$243,701$0$33,568Yes (X)
AVINASH BACHWANI MD
VICE PRESIDENT / CHIEF MEDICAL INFO OFFICER55.00$300,902$0$17,825Yes (X)
DAVID M LIEBERS MD
VICE PRESIDENT / CMO55.00$393,907$0$42,306Yes (X)
TERRENCE CLARKE MD
SURGEON50.00$652,010$0$90,133Yes (X)
FRANK GENOVESE MD
SURGEON50.00$632,768$0$57,714Yes (X)
HERBERT REICH MD
SURGEON50.00$696,520$0$105,032Yes (X)
KYRIL CHOUMAROV
SURGEON50.00$609,652$0$102,432Yes (X)
IFTIKHAR SYED MD
SURGEON50.00$736,561$0$144,759Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,402,157TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$780,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K360IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL STAFFING NET
PO BOX 840292DALLASTX752840292AGENCY LABOR STAFFING$7,794,103
CERNER CORPORATION
PO BOX 959156ST LOUISMO631959156INFORMATIONAL TECHNOLOGY$2,335,470
BERKELEY RESEARCH GROUP LLC
2200 POWELL STREETEMERYVILLECA94608CONSULTING SERVICE$1,845,845
CLARUS LINEN SYSTEMS
60 GRIDER STREETBUFFALONY14215LINEN/LAUNDRY SERVICES$1,260,548
CARDIOLOGY ASSOCIATE OF SCHENECTADY
2546 BALLTOWN RD SUITE 300SCHENECTADYNY12309PHYSICIAN SERVICES$1,157,536
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Government Grants$3,299,403GovernmentGrantsAmt
All Other Contributions$2,537,753AllOtherContributionsAmt
Total Contributions$5,837,156TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
GENERAL HOSPITAL621990$382,565,282$382,565,282
MENTAL HEALTH SERVICES621990$19,205,563$19,205,563
LONG TERM CARE623000$10,221,413$10,221,413
SUNNYVIEW HOSP SVCS621990$3,020,599$3,020,599
LAB-PHYSICIAN REFERRALS621500$2,046,205$2,046,205

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$866,209TotalRevenueColumnAmt
Related Or Exempt Func Income$866,209RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$417,925,271TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,114,674TotalRevenueColumnAmt
Exclusion$2,114,674ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$872,635RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$748,512RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$124,123RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,123TotalRevenueColumnAmt
Unrelated Business Revenue$215,171UnrelatedBusinessRevenueAmt
Exclusion-$91,048ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$56,200,829SecuritiesAmt
Other$75OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$54,287,860SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,912,969SecuritiesAmt
Other$75OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,913,044TotalRevenueColumnAmt
Exclusion$1,913,044ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$476,374GrossSalesOfInventoryAmt
Cost Of Goods Sold$404,624CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,750TotalRevenueColumnAmt
Related Or Exempt Func Income$71,750RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
340B REVENUE900099$6,233,280$6,233,280
FOOD SERVICES REVENUE900099$1,537,053$1,537,053
INVESTMENTS900099-$643,565-$660,153$16,588

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,555,500TotalRevenueColumnAmt
Related Or Exempt Func Income$1,933,305RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$188,310UnrelatedBusinessRevenueAmt
Exclusion$433,885ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,682,268OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$437,668,286TotalRevenueColumnAmt
Related Or Exempt Func Income$414,203,369RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,486,873UnrelatedBusinessRevenueAmt
Exclusion$12,140,888ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,417,077TotalAmt
Management And General$3,417,077ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$205,063,928TotalAmt
Program Services$184,261,414ProgramServicesAmt
Management And General$20,802,514ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,714,939TotalAmt
Program Services$5,058,945ProgramServicesAmt
Management And General$655,994ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,269,123TotalAmt
Program Services$16,172,086ProgramServicesAmt
Management And General$2,097,037ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,355,956TotalAmt
Program Services$12,705,331ProgramServicesAmt
Management And General$1,650,625ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,086,197TotalAmt
Program Services$1,086,197ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$690,877TotalAmt
Management And General$690,877ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$184,596TotalAmt
Management And General$184,596ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$42,727TotalAmt
Management And General$42,727ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$295,502TotalAmt
Management And General$295,502ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,078,836TotalAmt
Program Services$12,072,716ProgramServicesAmt
Management And General$1,006,120ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,170,039TotalAmt
Program Services$1,168,460ProgramServicesAmt
Management And General$1,579ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$73,949,551TotalAmt
Program Services$72,745,465ProgramServicesAmt
Management And General$1,204,086ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,616,700TotalAmt
Management And General$7,616,700ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,861,194TotalAmt
Program Services$10,750,399ProgramServicesAmt
Management And General$1,110,795ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$940,188TotalAmt
Program Services$743,443ProgramServicesAmt
Management And General$196,745ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$97,522TotalAmt
Program Services$96,174ProgramServicesAmt
Management And General$1,348ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,135,693TotalAmt
Program Services$16,288,714ProgramServicesAmt
Management And General$1,846,979ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,739,395TotalAmt
Management And General$4,739,395ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$17,731,000$13,315,389$4,415,611
EQUIPMENT RENTAL AND MA$14,101,761$9,635,324$4,466,437
BAD DEBTS$12,533,088$12,533,088
OTHER EXPENSES$4,334,500$1,082,870$3,251,630

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,277,205TotalAmt
Management And General$2,277,205ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$431,687,594TotalAmt
Program Services$369,716,015ProgramServicesAmt
Management And General$61,971,579ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,717BOYAmt
EOY$322,855EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,090,905BOYAmt
EOY$31,265,837EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,404,208BOYAmt
EOY$34,378,732EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,594,312BOYAmt
EOY$7,333,171EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,492,158BOYAmt
EOY$1,193,737EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$481,866,806LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$310,920,500LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$173,590,574BOYAmt
EOY$170,946,306EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$61,289,845BOYAmt
EOY$68,845,222EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,675,939BOYAmt
EOY$24,205,067EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$332,150,658BOYAmt
EOY$338,490,927EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,746,861BOYAmt
EOY$26,989,019EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,813,760BOYAmt
EOY$2,366,875EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$154,202BOYAmt
EOY$161,245EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$92,200,949BOYAmt
EOY$88,564,512EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,139,535BOYAmt
EOY$45,527,320EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$173,055,307BOYAmt
EOY$163,608,971EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,601,908BOYAmt
EOY$159,967,394EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,873,229BOYAmt
EOY$9,153,462EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,620,214BOYAmt
EOY$5,761,100EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,095,351BOYAmt
EOY$174,881,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$332,150,658BOYAmt
EOY$338,490,927EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,980,692ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,568,427NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,237,486OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$42,727OtherActivitiesAmt
Total Lobbying Expenditures$42,727TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationELLIS HOSPITAL PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, IROQUOIS HEALTHCARE ALLIANCE, AND AMERICAN HOSPITAL ASSOCIATION. THE PORTION OF THE DUES THAT WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES ARE SHOWN ON FORM 990, PART IX, LINE 11 D AND ABOVE IN SCHEDULE C, PART II-B, LINE 1I AND INCLUDE $12,624- IROQUOIS, $19,228- HANYS, AND $10,875- AHA.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,493,443BeginningYearBalanceAmt
Contributions$2,845,785ContributionsAmt
Investment Earnings Or Losses$168,904InvestmentEarningsOrLossesAmt
Other Expenditures$2,593,570OtherExpendituresAmt
End Year Balance$14,914,562EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,602,141BeginningYearBalanceAmt
Contributions$2,629,673ContributionsAmt
Investment Earnings Or Losses$92,745InvestmentEarningsOrLossesAmt
Other Expenditures$3,344,986OtherExpendituresAmt
End Year Balance$14,979,573EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.38630PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.61370TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,703,453OtherCostOrOtherBasisAmt
Depreciation$94,404,792DepreciationAmt
Book Value$110,298,661BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,316,425OtherCostOrOtherBasisAmt
Depreciation$1,182,380DepreciationAmt
Book Value$134,045BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$267,459,360OtherCostOrOtherBasisAmt
Depreciation$215,333,328DepreciationAmt
Book Value$52,126,032BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,913,125OtherCostOrOtherBasisAmt
Book Value$1,913,125BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$170,946,306TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS OF FOUNDATION$16,545,413
MISCELLANEOUS RECEIVABLES$3,515,821
DUE FROM VNS$3,624,391
THIRD PARTY REIMBURSEMENT$519,442
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,205,067TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
ESTIMATED SELF-INSURANCE$10,670,982
ACCRUED VACATION PAYABLE$9,227,863
ACCRUED SICK PAYABLE$6,201,243
ESTIMATED PAYABLES TO 3RD PARTY PAYERS$700,000
CLAIMS PAYABLE$1,204,029
ACCRUED INTEREST PAYABLE$74,878
ASSET RETIREMENT OBLIGATION$1,060,744
ACCRUED PENSION$1,869,719
ACCRUED SALARIES$10,118,848
OTHER LIABILITIES$4,399,014
FieldValueIRS element (for citing)
Total Liability$45,527,320TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ELLIS RESIDENTIAL AND REHABILITATION CENTER RESIDENTS SPENDING ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON SCHEDULE X. THE TOTAL IS $5,893. THESE FUNDS BELONG TO THE RESIDENTS AND ARE DEPOSITED AND DISBURSED BY THE ELLIS RESIDENTIAL AND REHABILITATION DIRECTOR'S DESIGNEE. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR TRACKING THE FUNDS. MEDICAL/DENTAL STAFF DUES ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON SCHEDULE X. THE TOTAL IS $148,309. THIS FUND CONTAINS DEPOSITS AND DISBURSEMENTS AS DIRECTED BY THE MEDICAL/DENTAL STAFF APPOINTED OFFICERS. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR DEPOSITING AND DISBURSING THE FUNDS ON THE MEDICAL/DENTAL OFFICER'S BEHALF. THE ACCOUNTING DEPARTMENT ALSO ISSUES IRS FORMS 1099 BASED ON THE DISBURSEMENTS.
PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR GENERAL HEALTH SERVICES, PURCHASE OF EQUIPMENT, AWARDS AND EQUIPMENT, AND HEALTH EDUCATION AND RESEARCH. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES.
PART X, LINE 2:THE HOSPITAL, VNS AND UROLOGY ASSOCIATES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE PHARMACY IS A DISREGARDED ENTITY AND AS SUCH, WILL TAKE ON THE SECTION 501(C)(3) STATUS ACCORDED TO THE HOSPITAL. THE HOSPITAL, VNS, UROLOGY ASSOCIATES AND THE PHARMACY RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL, VNS, UROLOGY ASSOCIATES AND THE PHARMACY DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2017 OR 2016. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,809,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$647,091DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,161,997NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,552,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,756,770DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,795,432NetCommunityBenefitExpnsAmt
Total Expense0.06150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,361,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,403,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,957,429NetCommunityBenefitExpnsAmt
Total Expense0.07140TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$573,720TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$569,535NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,630,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,253,622DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,377,106NetCommunityBenefitExpnsAmt
Total Expense0.02240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,384TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,384NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,194NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,213,026TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,257,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,955,219NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,574,316TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,661,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,912,648NetCommunityBenefitExpnsAmt
Total Expense0.09520TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$12,533,088BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$69,527,137ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$71,164,631CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,637,494MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ELLIS HOSPITALPART V, SECTION B, LINE 5: YES, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (A LOCAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT) WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THAT COMMUNITY; ORGANIZATIONS REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY; AND WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY. 1. COMMUNITY MEETINGS: THE FOLLOWING MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) WERE CONDUCTED TO PLAN FOR, DEVELOP, COMMENT UPON, AND ADOPT THE 2016 CHNA AND IMPLEMENTATION STRATEGY; AND THEN DURING 2017 TO MONITOR IMPLEMENTATION OF THE STRATEGY. DATES, TOPICS, AND ATTENDEE ORGANIZATIONS ARE LISTED:SEPTEMBER 10, 2015TOPICS: REPORT ON "UMATTER 2" COMMUNITY SURVEY PROPOSAL, UPDATE ON PUBLIC HEALTH IMPROVEMENT PROGRAM (PHIP) GRANT, UPDATE ON DSRIP GRANT, DISCUSSION OF FUTURE SCHC STRUCTURE, WORK GROUPS UPDATE, INFORMATION SHARING.ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, MOHAWK AMBULANCE, LEAGUE OF WOMEN VOTERS, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, PLANNED PARENTHOOD MOHAWK HUDSON, CAPITAL DISTRICT CHILD CARE COUNCIL, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, ELLIS MEDICINE, CAPITAL REGION CHAMBER OF COMMERCE, SCHENECTADY COUNTY PUBLIC LIBRARY, SCHENECTADY UNITED NEIGHBORHOODS, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES, SCHENECTADY ARC, SPHP CENTER FOR HEALTH PROGRAMS (TOBACCO CESSATION), CAPITAL DISTRICT TOBACCO-FREE COALITION, ST. PETER'S HEALTH PARTNERS, THE SCHENECTADY FOUNDATIONNOVEMBER 5, 2015TOPICS: SCHENECTADY COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE DATA REPORT, SCHENECTADY COUNTY SUBSTANCE ABUSE PREVENTION PARTNERSHIP REPORT, WORKGROUP UPDATES, COALITION MEMBER UPDATESATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF LONG TERM CARE AND SENIOR SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SUBSTANCE ABUSE PREVENTION COALITION, PLANNED PARENTHOOD MOHAWK-HUDSON, LEAGUE OF WOMEN VOTERS OF SCHENECTADY COUNTY, NEW YORK COUNCIL OF NON-PROFITS, ELLIS MEDICINE, MOHAWK AMBULANCE SERVICE, VISITING NURSE SERVICE/CARE CENTRAL, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY ARC, CAPITAL DISTRICT TOBACCO-FREE COALITION, ST. PETER'S HEALTH PARTNERSFEBRUARY 4, 2016TOPICS: REVIEW 2013 PRIORITIES SELECTED AND RELATED SUCCESSES/CHALLENGES, DISCUSS PREVENTION AGENDA PRIORITIZATION PROCESS FOR 2016, HCDI PRESENTATION ON COUNTY PRIORITY AREA DATA, NEXT STEPS AND DISCUSSION, COALITION MEMBER UPDATESATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC LIBRARY, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CORNELL COOPERATIVE EXTENSION, ST. PETER'S HEALTH PARTNERS, CAPITAL DISTRICT TOBACCO-FREE COALITION, ALLIANCE FOR BETTER HEALTH CARE, SCHENECTADY LEAGUE OF WOMEN VOTERS, SCHENECTADY INNER CITY MINISTRY, PLANNED PARENTHOOD MOHAWK HUDSON, SCHENECTADY ARC, CAPITAL DISTRICT YMCAFEBRUARY 19, 2016TOPICS: HCDI PRESENTATION ON COUNTY PRIORITY AREA DATA, NEXT STEPS AND DISCUSSIONATTENDEES: ELLIS MEDICINE, ST. PETER'S HEALTH PARTNERS, PLANNED PARENTHOOD MOHAWK HUDSON, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, SCHENECTADY LEAGUE OF WOMEN VOTERS, HEALTHY CAPITAL DISTRICT INITIATIVE, ALLIANCE FOR BETTER HEALTH CARE, CAPITAL DISTRICT TOBACCO-FREE COALITION, CAPITAL DISTRICT YMCA, SCHENECTADY INNER CITY MINISTRY, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SCHENECTADY ARCMARCH 31, 2016TOPICS: HCDI PRESENTATION ON COMMUNITY TELEPHONE SURVEY RESULTS, PRESENTATION SUMMARIZING SOURCE DOCUMENTS, DISCUSSION OF PRIORITIZATION METHODOLOGY, PRIORITIZATION EXERCISE FACILITATED BY HCDI, SUMMARY OF RESULTS, CONCLUSION AND NEXT STEPSATTENDEES: SCHENECTADY COMMUNITY ACTION PROGRAM, CENTER FOR DISABILITY SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, THE SCHENECTADY FOUNDATION, NEW CHOICES RECOVERY CENTER, 820 RIVER STREET/PETER YOUNG HOUSING, ELLIS MEDICINE, CONSUMER DIRECTED CHOICES, BOYS AND GIRLS CLUBS OF SCHENECTADY, MVP HEALTH CARE, SCHENECTADY ARC, SUBSTANCE ABUSE PREVENTION COALITION, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY COMMUNITY COLLEGE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CATHOLIC CHARITIES, KINGSWAY COMMUNITY, ST. PETER'S HEALTH PARTNERS, SUNNYVIEW REHABILITATION HOSPITAL, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL ROOTS, SCHENECTADY COUNTY HUMAN RIGHTS COMMISSION, SCHENECTADY COUNTY PUBLIC LIBRARY, CAPITAL DISTRICT TOBACCO-FREE COALITION, PLANNED PARENTHOOD MOHAWK-HUDSON, REHABILITATION SUPPORT SERVICES, CAPITAL DISTRICT YMCA, CATHOLIC CHARITIES HOUSING, ALLIANCE FOR BETTER HEALTH CARE, CATHOLIC CHARITIES CARE COORDINATION SERVICES, CONIFER PARK, SCHENECTADY INNER CITY MINISTRY, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCILMAY 26, 2016TOPICS: WORKGROUP UPDATES, OVERVIEW OF SELECTED PRIORITIES, DISCUSSION OF PREVENTION AGENDA GOALS AND OBJECTIVES, DSRIP PROJECT FUNDING UPDATE, COALITION MEMBER UPDATESATTENDEES: SUBSTANCE ABUSE PREVENTION COUNCIL, UNITED WAY OF THE GREATER CAPITAL REGION, HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS MEDICINE, ST. PETER'S HEALTH PARTNERS, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT TOBACCO-FREE COALITION, SCHENECTADY COMMUNITY ACTION PROGRAM, CATHOLIC CHARITIES, PLANNED PARENTHOOD MOHAWK HUDSON, SCHENECTADY ARC, ALLIANCE FOR BETTER HEALTH CARE, CORNELL COOPERATIVE EXTENSION, CAPITAL DISTRICT YMCA, THE SCHENECTADY FOUNDATION, BETHESDA HOUSE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICESJUNE 30, 2016TOPICS: DSRIP PROJECT FUNDING UPDATE, COMPLETION AND AVAILABILITY OF CHNA DOCUMENT, WORKGROUP UPDATES, IMPLEMENTATION STRATEGIES FOR SELECTED PRIORITIES, COALITION MEMBER UPDATESATTENDEES: ELLIS MEDICINE, SCHENECTADY COMMUNITY ACTION PROGRAM, CATHOLIC CHARITIES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ST. PETER'S HEALTH PARTNERS, HEALTHY CAPITAL DISTRICT INITIATIVE, PLANNED PARENTHOOD MOHAWK HUDSON, BETHESDA HOUSE, CONIFER PARK, UNITED WAY OF THE GREATER CAPITAL REGION, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT YMCA, SCHENECTADY ARC, CAPITAL DISTRICT TOBACCO-FREE COALITION, CAPITAL REGION CHAMBER OF COMMERCEJULY 28, 2016TOPICS: FINAL DETERMINATION OF COMMUNITY HEALTH IMPROVEMENT PRIORITIES, SUMMARY, SELECTION EXERCISE, DISCUSSION OF MEASURES AND PARTNER ROLES, MEMBERSHIP AND LEADERSHIP OF PRIORITY/FOCUS AREA WORK GROUPS, COALITION MEMBER UPDATESATTENDEES: ELLIS MEDICINE, UNITED WAY OF THE GREATER CAPITAL REGION, BETHESDA HOUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL REGION CHAMBER OF COMMERCE, NEW CHOICES RECOVERY CENTER, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, CATHOLIC CHARITIES, ST. PETER'S HEALTH PARTNERS, SCHENECTADY UNITED NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COMMUNITY ACTION PROGRAM, SUBSTANCE ABUSE PREVENTION COUNCIL, CONIFER PARK, HEALTHY CAPITAL DISTRICT INITIATIVE, SUNNYVIEW REHABILITATION HOSPITAL, SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES SEPTEMBER 21, 2016OBESITY/DIABETES WORK GROUP: CONSOLIDATION OF SCHENECTADY FOOD SECURITY WORKING GROUPS, SPECIFIC PARTICIPATION IN CHIP/CSP PROJECTS, REPORTS ON PROJECTS AND OPPORTUNITIESATTENDEES: ELLIS MEDICINE, BETHESDA HOUSE, SCHENECTADY INNER CITY MINISTRY, VISITING NURSE SERVICE OF SCHENECTADY (CARE CENTRAL), SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, UNITED WAY OF THE GREATER CAPITAL REGION, ELLIS MEDICINE DIABETES EDUCATION PROGRAM, SUNNYVIEW REHABILITATION HOSPITAL, ST. PETER'S HEALTH PARTNERSCONTINUED ON SCHEDULE O
ELLIS HOSPITALPART V, SECTION B, LINE 6A: THE PORTION OF THE CHNA WHICH INCLUDES COMPILED PUBLIC HEALTH DATA AND THE RESULTS OF THE COMMUNITY TELEPHONE SURVEY WAS PREPARED BY THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI), DESIGNATED BY THE STATE OF NEW YORK AS A REGIONAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) HEALTH RESEARCH AND PLANNING ENTITY, WHOSE HOSPITAL MEMBERS INCLUDE ELLIS HOSPITAL, ALBANY MEDICAL CENTER (INCLUDING AFFILIATES COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL), AND ST. PETER'S HEALTH PARTNERS (INCLUDING ST. PETER'S HOSPITAL, SUNNYVIEW REHABILITATION HOSPITAL, ALBANY MEMORIAL HOSPITAL, SAMARITAN HOSPITAL OF TROY, AND SETON HEALTH/ST. MARY'S HOSPITAL OF TROY).
ELLIS HOSPITALPART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED TO MEET NOT ONLY FEDERAL REQUIREMENTS, BUT ALSO TO SERVE AS THE NEW YORK STATE-REQUIRED COMMUNITY SERVICE PLAN FOR ELLIS HOSPITAL AND THE NEW YORK STATE-REQUIRED COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN FOR SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, A UNIT OF COUNTY GOVERNMENT. IN ADDITION, IT WAS INTENDED TO INFORM THE COMMUNITY SERVICE ACTIVITIES OF THE MEMBER ORGANIZATIONS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). MEMBERS OF SCHC ARE:-AMERICAN CANCER SOCIETY OF NORTHEASTERN NEW YORK-ASTHMA COALITION OF THE CAPITAL REGION-BETHESDA HOUSE-BIGELOW CORNERS PARTNERSHIP -BOCES CAPIT-BOYS AND GIRLS CLUBS OF SCHENECTADY -CAPITAL DISTRICT CENTER FOR INDEPENDENCE -CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL-CAPITAL DISTRICT PHYSICIANS HEALTH PLAN -CAPITAL DISTRICT TOBACCO FREE COALITION-CAPITAL DISTRICT TRANSPORTATION AUTHORITY -CATHOLIC CHARITIES -CITY MISSION OF SCHENECTADY -CITY OF SCHENECTADY -COMMUNITY FATHERS, INC. -CORNELL COOPERATIVE EXTENSION OF SCHENECTADY COUNTY-ELLIS HOSPITAL D/B/A ELLIS MEDICINE -FIDELIS CARE -GIRLS INC. -GUYANESE AMERICAN ASSOCIATION OF SCHENECTADY -HABITAT FOR HUMANITY OF SCHENECTADY COUNTY, INC. -HEALTHY CAPITAL DISTRICT INITIATIVE -HOMETOWN HEALTH CENTERS (FQHC) -LEAGUE OF WOMEN VOTERS OF SCHENECTADY COUNTY -MOHAWK AMBULANCE SERVICE -MVP HEALTH CARE-NORTHEAST PARENT AND CHILD SOCIETY -OPTIMUM HEALTH CHIROPRACTIC -PARSONS CHILD AND FAMILY CENTER-PLANNED PARENTHOOD MOHAWK HUDSON -PRICE CHOPPER-RAINBOW ACCESS INITIATIVE-REHABILITATION SUPPORT SERVICES, INC.-SAFE, INC. -SCHENECTADY ARC -SCHENECTADY CITY SCHOOL DISTRICT -SCHENECTADY COMMUNITY ACTION PROGRAM -SCHENECTADY COUNTY COMMUNITY COLLEGE -SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES -SCHENECTADY COUNTY DEPARTMENT OF PROBATION-SCHENECTADY COUNTY HUMAN RIGHTS COMMISSION-SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES-SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES-SCHENECTADY DAY NURSERY -SCHENECTADY INNER CITY MINISTRY -SCHENECTADY MUNICIPAL HOUSING AUTHORITY -SCHENECTADY STAND UP GUYS -SCHENECTADY UNITED NEIGHBORHOODS-SETON HEALTH CENTER FOR SMOKING CESSATION -THE ALBANY DAMIEN CENTER-THE CHAMBER OF SCHENECTADY COUNTY-THE SCHENECTADY FOUNDATION -UNION COLLEGE -UNION GRADUATE COLLEGE / CLARKSON UNIVERSITY -UNITED WAY -UNIVERSITY AT ALBANY, SCHOOL OF PUBLIC HEALTH -VISITING NURSE SERVICE OF SCHENECTADY AND SARATOGA COUNTIES, INC-YMCA OF THE CAPITAL DISTRICT -YWCA
ELLIS HOSPITALPART V, SECTION B, LINE 11: SCHENECTADY'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIFTEEN HEALTH NEEDS. THE 2016 CHNA FOCUSED MORE SPECIFICALLY ON TWO HEALTH NEEDS: 1) CHRONIC DISEASE (OBESITY AND DIABETES) AND 2) MENTAL HEALTH (SUICIDE AND MENTAL/EMOTIONAL/BEHAVIORAL INFRASTRUCTURE). THE 2016 CHNA, HOWEVER, CONTINUED TO IDENTIFY ALL FIFTEEN HEALTH NEEDS FROM 2013 AS REMAINING IN NEED OF ATTENTION. DURING 2014 THROUGH 2017 ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, AND THEIR COMMUNITY PARTNERS TOOK ACTIONS TO ADDRESS SUCH NEEDS, COMMENSURATE WITH THE PRIORITY OF EACH NEED AND THE AVAILABILITY OF RESOURCES. ACTIONS INCLUDED THE FOLLOWING:-CHRONIC DISEASE - OBESITY AND DIABETES:ELLIS EMBARKED ON A TWO-PRONGED APPROACH TO ISSUES OF DIABETES AND OBESITY: 1) SPECIFIC DIABETES EDUCATION PROGRAMS WERE DEVELOPED AND DELIVERED IN THE COMMUNITY AND 2) WEIGHT LOSS AND PHYSICAL EXERCISE PROGRAMS WERE IMPLEMENTED FOR VARYING TARGET GROUPS.ELLIS AND PARTNERS PILOTED THE "LEARN TO LIVE WELL" DIABETES PROGRAM FOR PARISHIONERS AND COMMUNITY MEMBERS AT THE ZION LUTHERAN CHURCH; THE FOUR-SESSION CURRICULUM INCLUDED A PRESENTATION BY ELLIS CERTIFIED DIABETES EDUCATORS.ELLIS STAFF MET WITH REPRESENTATIVES FROM THE CITY MISSION AND THE LOCAL HINDU TEMPLE TO EXPLORE DIABETES PROGRAMMING THROUGH THEIR ORGANIZATIONS.IN 2014, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES RECEIVED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH SUPPORTED INCREASED SCREENING FOR DIABETES IN HIGH RISK POPULATIONS. ELLIS IS A SUBCONTRACTOR UNDER THE GRANT.THE PICH GRANT ALSO SUPPORTED TRAINING OF ELLIS DIABETES CARE STAFF AS LIFESTYLE COACHES FOR THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), WHICH IS OFFERED AT ELLIS MEDICINE LOCATIONS STARTING IN OCTOBER 2016.AN EMBEDDED DIABETES CARE MANAGER WAS PLACED AT ELLIS FAMILY HEALTH CENTER AS PART OF THE PICH GRANT TO WORK ON POLICIES AND SYSTEMS RELATED TO DIABETES MANAGEMENT IN A PRIMARY CARE SETTING, INCLUDING REFERRALS TO THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM.WITH ASSISTANCE FROM ELLIS MEDICINE IT STAFF, A REGISTRY OF PATIENTS WITH DIABETES WAS DEVELOPED FOR ELLIS FAMILY HEALTH CENTER TO FACILITATE IMPROVED CARE.ELLIS STAFF AND LOCAL COLLEGE STUDENTS MET WITH NEIGHBORHOOD ASSOCIATIONS TO CONDUCT A COMMUNITY ASSET MAPPING; THIS INVENTORY IS TO BE USED TO ASSESS THE VIABILITY OF A CITY-WIDE PHYSICAL ACTIVITY PROGRAM.ELLIS HELD A PHYSICAL ACTIVITY FIELD DAY FOR LOCAL YOUTH IN PARTNERSHIP WITH UNION COLLEGE.ELLIS ENGAGED ITS OWN EMPLOYEES IN COMPETITIVE WALKING EVENTS AND OTHER WEIGHT-LOSS ACTIVITY; PARTICIPATION COUNTS TOWARD REDUCTIONS IN HEALTH INSURANCE PREMIUMS.THE HEALTHY FOOD ACCESS WORKGROUP, RENAMED THE DIABETES/OBESITY WORKGROUP, MET THREE TIMES DURING 2017. AVERAGE ATTENDANCE FOR THE MEETINGS WAS 13 PEOPLE. THIS GROUP'S MAIN FOCUS DURING THE YEAR WAS TO STEER THE FOOD ACCESS FOCUSED WORK OF THE "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH HAD BEEN AWARDED TO SCHENECTADY COUNTY PUBLIC HEALTH SERVICES. THIS GROUP WORKED WITH SIX FOOD PANTRIES IN SCHENECTADY COUNTY TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS DISTRIBUTED TO CLIENTS. THIS INCLUDES INCREASING OPTIONS FOR FRUITS AND VEGETABLES AS WELL AS WHOLE GRAINS AND LOW-FAT DAIRY. IMPLEMENTATION EFFORTS AT FOOD PANTRIES INCLUDE "POLICY, SYSTEMS AND ENVIRONMENTAL" (PSE) IMPROVEMENTS. EXAMPLES OF THESE PSE STRATEGIES INCLUDE SIGNAGE TO PROMOTE THE FOOD GROUPS WITH A NUTRITION MESSAGE, MOVING ITEMS ON SHELVES TO HIGHLIGHT FRUITS AND VEGETABLES AT EYE LEVEL, AND IMPROVING THE DISPLAYS FOR FRESH PRODUCE TO MAKE THE FOOD PANTRIES LOOK MORE LIKE A MARKET. RECIPES AND COOKING DEMONSTRATIONS WERE ALSO DONE AT FOOD PANTRIES TO INCREASE THE LIKELIHOOD OF CLIENTS CHOOSING THE HEALTHIER OPTIONS. EACH PANTRY THAT IS ENGAGED IN THIS WORK IN SCHENECTADY COUNTY IS DOING A DIFFERENT COMBINATION OF INTERVENTIONS TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS BECAUSE EACH PANTRY USES A SLIGHTLY DIFFERENT MODEL TO DELIVER FOODS TO CLIENTS. SOME PANTRIES ARE A CHOICE MODEL, WHERE CLIENTS GET TO CHOOSE ALL THE FOODS THEY TAKE WITH THEM WHILE SOME PROVIDE PRE-PACKED FOOD BOXES AND SOME ARE A MIX OF BOTH MODELS. THE DIFFERENT PANTRY MODELS LEND THEMSELVES TO DIFFERENT INTERVENTIONS WORKING BETTER THAN OTHERS. THE DIABETES/OBESITY WORKGROUP ASSISTED PANTRIES IN DECIDING WHAT INTERVENTIONS WOULD WORK BEST FOR THEIR MODEL.IN OCTOBER 2016, ELLIS HOSPITAL'S DIABETES CARE PROGRAM STARTED THE FIRST DIABETES PREVENTION PROGRAM (DPP) IN THE COMMUNITY IN A NUMBER OF YEARS. THE DPP IS A LIFESTYLE CHANGE PROGRAM TO PREVENT DIABETES. IT RUNS 16 CONSECUTIVE WEEKS AND THEN MONTHLY FOLLOW UP SESSIONS FOR THE REMAINDER OF A YEAR. FROM OCTOBER 2016 ON, THERE HAVE BEEN THREE CLASSES STARTED WITH AN AVERAGE OF 14 PEOPLE ATTENDING EACH CLASS. AS OF OCTOBER 2017, ONE CLASS WAS COMPLETED, ONE WAS IN THE MAINTENANCE PHASE AND ONE WAS IN THE INITIAL 16 WEEKS. SCHENECTADY'S DPP IS WORKING TOWARD BECOMING A CDC-RECOGNIZED PROGRAM SO THEY WILL BE REIMBURSED FOR THEIR SERVICES WHEN MEDICARE BEGINS TO COVER THEM IN 2018.IN ADDITION TO THE DPP, ELLIS DIABETES CARE ALSO OFFERS DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAMS FOR INDIVIDUALS ALREADY DIAGNOSED WITH DIABETES. THEY RECEIVE REFERRALS FROM ELLIS PRACTICES ALONG WITH COMMUNITY BASED ORGANIZATIONS AND OTHER MEDICAL PROVIDERS IN THE COMMUNITY. ONE OF THE GOALS WAS TO INCREASE REFERRALS TO DSME AND TO INCREASE THE NUMBER OF INDIVIDUALS WHO FOLLOW THROUGH ON THEIR REFERRAL AND ATTEND AT LEAST ONE SESSION OF DSME. FROM OCTOBER 2016 - SEPTEMBER 2017, DSME RECEIVED 647 REFERRALS FROM ALL SOURCES. OF THOSE, 168 (26%) PATIENTS ATTENDED AT LEAST ONE DSME SESSION. (THE DATA IS ONLY AVAILABLE UP UNTIL SEPTEMBER 2017 BECAUSE OF LACK OF STAFFING AVAILABLE TO ENTER DATA SO SOME 2016 DATA IS INCLUDED TO MAKE A FULL 12 MONTHS OF DATA.) SCPHS PROVIDED FUNDING THROUGH THE PICH GRANT TO TRAIN ELLIS MEDICINE STAFF AS "LIFESTYLE COACHES" TO DELIVER THE DPP. SCPHS ALSO SUPPORTED THE PROMOTION OF THE CLASSES THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND SHARING FLYERS WITH LOCAL PARTNERS. THE PICH GRANT WAS ABLE TO PURCHASE INCENTIVES FOR THE PROGRAM TO HELP PEOPLE TO CONTINUE COMING TO THE PROGRAM. ELLIS MEDICINE PROVIDES STAFF FOR RUNNING BOTH THE DPP AND DSME PROGRAMS, BOTH OF WHICH ARE HOUSED IN ELLIS DIABETES CARE. THEY ALSO PROVIDE RESOURCES TO PROMOTE THESE PROGRAMS IN THE COMMUNITY AND TO THEIR EMPLOYEES. ELLIS DIABETES CARE COLLECTS ALL THE DATA THAT IS NEEDED FOR THESE PROGRAMS AND MONITORS PROGRESS WITH REFERRALS. SUNNYVIEW HOSPITAL ALSO PROVIDES REFERRALS TO THE DPP AND DSME PROGRAMS.SEE CONTINUATION ON SCHEDULE O
ELLIS HOSPITALPART V, SECTION B, LINE 13B: WE DO NOT USE FPG TO DETERMINE QUALIFICATION FOR OUR TIER 2 "SELF PAY DISCOUNT." TIER 2 PATIENTS ARE: (1) UNINSURED PATIENTS RESIDING IN ALBANY, SCHENECTADY, FULTON, MONTGOMERY, SARATOGA AND SCHOHARIE COUNTIES WHOSE INCOME IS ABOVE 300% OF THE FEDERAL POVERTY GUIDELINES; (2) UNINSURED PATIENTS RESIDING OUTSIDE THOSE COUNTIES; (3) FOREIGN NATIONALS VISITING THE AREA; OR (4) STUDENTS AT COLLEGES AND UNIVERSITIES (LESS THAN 26 YEARS OLD). THE FINANCIAL OBLIGATION OF TIER 2 PATIENTS WILL BE BASED ON THE REDUCTION OF CHARGES TO THE REIMBURSEMENT RATE OF OUR HIGHEST VOLUME HMO.
FieldValueIRS element (for citing)
Facility15FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ELLIS HOSPITAL MENTAL HEALTH CLINIC
1023 STATE STSCHENECTADYNY12307MENTAL HEALTH SERVICES
2 - GLENVILLE HEALTHCARE CENTER
115 SARATOGA ROAD SUITE 200GLENVILLENY12302PRIMARY CARE SERVICES, BLOOD DRAW
3 - ELLIS HOSPITAL BARIATRIC CENTER
2125 RIVER RDNISKAYUNANY12309BARIATRIC CARE SERVICES
4 - ELLIS BLOOD DRAW STATION
2 CHELSEA PLACECLIFTON PARKNY12065BLOOD DRAW
5 - ELLIS HOSPITAL PRIMARY CARE
1201 NOTT STREETSCHENECTADYNY12308PRIMARY CARE SERVICES
6 - ELLIS HOSPITAL NEUROLOGY
1101 NOT STREET B6SCHENECTADYNY12308OUTPATIENT NEUROLOGY
7 - ELLIS HOSPITAL PROS PROGRAM
1023 STATE STSCHENECTADYNY12307MENTAL HEALTH SERVICES
8 - ELLIS HOSPITAL REHABILITATION SERVICES
650 MCCLELLAN STREETSCHENECTADYNY12304PHYSICAL THERAPY SERVICES
9 - MEDICAL CENTER OF CLIFTON PARK
103 SITTERLY ROADCLIFTON PARKNY1206524/7 EMERGENT CARE, LAB, MEDICAL IMAGING, PRIMARY CARE AND SPECIALTY SERVICE
10 - BLOOD DRAW- NISKAYUNA
2123 RIVER RDNISKAYUNANY12309PROVIDE BLOOD DRAW SERVICES
12 - ELLIS CUSHING MEDICAL ARTS BUILDING
624 MCCLELLAN STREETSCHENECTADYNY12304FAMILY AND PRIMARY CARE SERVICES
13 - ELLIS MEDICINE PRIMARY CARE BALLSTON SPA
990 STATE ROUTE 67BALLSTON SPANY12020PRIMARY CARE MEDICINE
14 - ELLIS HOSPITAL MCCLELLAN ST HEALTH CENT
600 MCCLELLAN STREETSCHENECTADYNY12304MEDICAL CENTER
15 - ELLIS MEDICINE PRIMARY CARE- MALTA
2537 ROUTE 9MALTANY12020PRIMARY CARE MEDICINE
16 - ELLIS PRIMARY CARE PLUS
624 MCCLELLAN STREETSCHENECTADYNY12304PRIMARY CARE MEDICINE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ALL UNINSURED PATIENTS ARE AUTOMATICALLY ELIGIBLE FOR A REDUCTION OF CHARGES TO THE REIMBURSEMENT RATE FROM ELLIS' HIGHEST VOLUME HEALTH MAINTENANCE ORGANIZATION. UNINSURED PATIENTS WITH INCOMES AT OR BELOW 300% FPG ARE ELIGIBLE TO RECEIVE CHARITY (FREE) CARE.
PART I, LINE 7:ELLIS HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM OUR WORKSHEET 2- RATIO OF PATIENT CARE COST TO CHARGES. THE ADJUSTED PATIENT CARE COST IS DIVIDED BY ADJUSTED PATIENT CARE CHARGES RESULTING IN THE RATIO.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,533,088.
PART II, COMMUNITY BUILDING ACTIVITIES:ELLIS HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. ELLIS SUCCESSFULLY RESTRUCTURED HEALTH CARE SERVICES IN SCHENECTADY FOLLOWING THE NEW YORK STATE-MANDATED HOSPITAL CONSOLIDATION IN 2007-2008, AND HAS SINCE BEEN WORKING TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF SERVICES TO ITS COMMUNITY BY ALIGNING ITS INNOVATIVE APPROACHES TO COMMUNITY HEALTH WITH THE SERVICES PROVIDED BY OTHER LOCAL COMMUNITY-BASED PUBLIC AND NOT-FOR-PROFIT ORGANIZATIONS. ELLIS IS NOW THE SOLE ACUTE CARE HOSPITAL IN SCHENECTADY COUNTY, AND IS ONE OF THE LARGEST PRIMARY CARE PROVIDERS, HAVING ASSUMED RESPONSIBILITY FOR THE SERVICES OF TWO FORMER HOSPITALS WHICH CLOSED DURING THE STATE'S "RIGHTSIZING" PROCESS. IN THIS IMPORTANT ROLE, ELLIS HAS ENGAGED THE COMMUNITY AND DEVELOPED COALITIONS WITH COMMUNITY PARTNERS IN ORDER TO ENSURE ACCESS TO A FULL RANGE OF HEALTHCARE SERVICES, WITH SPECIAL ATTENTION PAID TO DISADVANTAGED MEMBERS OF OUR COMMUNITY. ELLIS HAS UNDERTAKEN A NUMBER OF SIGNIFICANT CAPITAL PROJECTS TO CONSOLIDATE CARE, ENHANCE ACCESS TO CARE, AND IMPROVE THE OVERALL QUALITY, EFFICIENCY, AND COST-EFFECTIVENESS OF OUR LOCAL HEALTH CARE SYSTEM.ELLIS SERVES AS CO-LEAD AGENCY (WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES) OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). ELLIS MAINTAINS FOR SCHC AN E-MAIL LIST OF APPROXIMATELY 235 INDIVIDUALS FROM ABOUT 60 (SEE PART V, SECTION B, LINE 6B NARRATIVE) HEALTH CARE PROVIDERS, MANAGED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES LOCATED IN OR SERVING PEOPLE IN SCHENECTADY. SCHC MEETS QUARTERLY AT THE ELLIS MCCLELLAN STREET HEALTH CENTER AUDITORIUM. THE FORMAL AGENDA (SEE PART V, SECTION B, LINE 5 NARRATIVE) INCLUDES PRESENTATIONS ON CURRENT TOPICS AND ACTIVITIES OF INTEREST, ALONG WITH REGULAR PRESENTATIONS ON LOCAL DSRIP AND PHIP INITIATIVES, AND PROVIDES TIME FOR INFORMAL INFORMATION SHARING AMONG THE PARTICIPANTS.SCHC SUPPORTS AD HOC COMMITTEES FOCUSED ON LOCAL POPULATION HEALTH NEEDS. THESE HAVE INCLUDED GROUPS FOCUSED ON THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS - OBESITY/DIABETES AND SUICIDE/MENTAL HEALTH - ALONG WITH THOSE INVESTIGATING EMERGING NEEDS AND RESPONSES, PARTICULARLY TRAUMA-INFORMED COMMUNITIES. THE COMMITTEES ENGAGE DIRECTLY AFFECTED MEMBER ORGANIZATIONS AND REPORT TO THE FULL GROUP. THE COMMITTEES ALSO HELP TO EMPHASIZE ACTIVITIES SUPPORTING THE IMPLEMENTATION STRATEGY.ELLIS IS A VOTING MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI), A COLLABORATIVE MEMBERSHIP ORGANIZATION SUPPORTED BY DUES FROM THE HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, NOT-FOR-PROFIT MANAGED CARE ORGANIZATIONS, AND COUNTY PUBLIC HEALTH DEPARTMENTS IN THE REGION. AN ELLIS EMPLOYEE SERVES ON THE HCDI BOARD OF DIRECTORS. IN ADDITION TO SERVING AS A NEUTRAL CONVENER SUPPORTING REGIONAL COLLABORATION, HCDI HAS BEEN DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) AGENCY FOR THE CAPITAL REGION. THE PHIP RECEIVES STATE FUNDING FOR RESEARCH AND REGIONAL HEALTH PLANNING SUPPORT.IN 2012, ELLIS AND VNS LED SIX COMMUNITY-BASED ORGANIZATIONS AND TEN HOSPITALS IN A TEN-COUNTY REGION COVERING 20% OF THE GEOGRAPHY OF THE STATE OF NEW YORK IN SUCCESSFULLY RECEIVING A CONTRACT AS A MEDICARE COMMUNITY-BASED CARE TRANSITIONS PROGRAM (CCTP). ALTHOUGH THE CCTP WAS HIGHLY SUCCESSFUL IN REDUCING READMISSIONS AMONG THE PATIENTS IT SERVED, IT DID NOT ACHIEVE THE PATIENT VOLUME REQUIRED BY CMS, AND THE CONTRACT FOR THIS REGION WAS NOT RENEWED BY CMS IN 2014. ELLIS AND ITS REGIONAL PARTNERS CONTINUED TO DELIVER CCTP-LIKE SERVICES TO PATIENTS INSURED BY A REGIONAL NOT-FOR-PROFIT MANAGED CARE ORGANIZATION. A DSRIP "CARE TRANSITIONS" PROJECT NOW SUSTAINS FUNDING FOR CERTAIN PATIENTS.ELLIS AND VNS ALSO LED COMMUNITY PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS IN ESTABLISHMENT OF ONE OF THE FIRST THREE STATE-RECOGNIZED HEALTH HOMES IN UPSTATE NEW YORK. HEALTH HOMES RECEIVE CAPITATED STATE FUNDING TO DELIVER CARE MANAGEMENT SERVICES TO AT-RISK MEDICAID BENEFICIARIES, SPECIFICALLY THOSE WITH TWO OR MORE CHRONIC CONDITIONS, A SEVERE AND PERSISTENT MENTAL HEALTH DIAGNOSIS, OR A DIAGNOSIS OF HIV/AIDS. MUCH OF THE CARE MANAGEMENT IS DELIVERED BY "DOWNSTREAM" COMMUNITY-BASED AGENCIES INCLUDING CATHOLIC CHARITIES CAREGIVERS SERVICE AND THE ALLIANCE FOR POSITIVE HEALTH.ELLIS ALSO PROVIDES SERVICES AND EXPERTISE AT NO CHARGE TO COMMUNITY ORGANIZATIONS. MEETING ROOMS, INCLUDING AUDITORIUMS AT BOTH THE NOTT STREET AND MCCLELLAN STREET CAMPUSES, ARE MADE AVAILABLE AT NO CHARGE FOR CERTAIN COMMUNITY MEETINGS AND GROUPS, INCLUDING RED CROSS BLOOD DRIVES. MANY BOARD MEMBERS, PHYSICIANS AND OTHER STAFF DONATE THEIR SERVICES TO COMMUNITY ORGANIZATIONS. AS EXAMPLES, FACULTY PHYSICIANS AT THE FAMILY MEDICINE RESIDENCY SERVE AS OFFICERS OR BOARD MEMBERS OF SUCH ORGANIZATIONS AS CORNELL COOPERATIVE EXTENSION, SOUTHERN MEDICAL ASSOCIATION, NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE EDUCATION AND RESEARCH COMMITTEE, HEPATITIS C TASK FORCE OF THE CAPITAL REGION, NEW YORK STATE ACADEMY OF FAMILY PHYSICIANS, AND HOMETOWN HEALTH CENTERS (FQHC) CREDENTIALING COMMITTEE. A MEMBER OF THE ELLIS BOARD OF TRUSTEES ALSO SERVES AS CHAIR OF THE BOARD OF HOMETOWN HEALTH CENTERS, AND ANOTHER TRUSTEE CHAIRS THE CITY OF SCHENECTADY MAYOR'S SMART CITY ADVISORY COMMITTEE.ANOTHER EXAMPLE OF ELLIS' COALITION BUILDING ACTIVITIES HAS BEEN ITS PARTICIPATION OVER THE YEARS IN THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES' FEDERALLY-FUNDED STRATEGIC ALLIANCE FOR HEALTH (SAH), WHICH BRINGS TOGETHER A HOST OF HEALTH CARE AND COMMUNITY ORGANIZATIONS TO ADDRESS CHRONIC DISEASE AND TO PROMOTE DISEASE PREVENTION AND WELLNESS. AN ELLIS REPRESENTATIVE PARTICIPATED WHEN THE SAH BOARD HELD REGULAR MEETINGS. ADDITIONALLY, ELLIS WORKS WITH A NUMBER OF COMMUNITY PARTNERS, SUCH AS THE AMERICAN HEART ASSOCIATION AND THE YMCA, TO PROVIDE HEALTH SCREENINGS TO UNINSURED AND UNDERINSURED POPULATIONS IN OUR SERVICE AREA. IN RECENT YEARS, ELLIS PROVIDED OFFICE SPACE AND OTHER IN-KIND SUPPORT FOR THE STATE-SPONSORED SCHENECTADY COUNTY CANCER SERVICES PROGRAM; AND IN 2017 PROVIDED NO-CHARGE OFFICE SPACE FOR THE VITA INCOME TAX PREPARATION VOLUNTEERS. IN COLLABORATION WITH COMMUNITY PARTNERS, ELLIS OFFERS OUTPATIENT SMOKING CESSATION COURSES AND SPONSORS PEER-DRIVEN MENTAL HEALTH AND CANCER PATIENT SUPPORT GROUPS. AND, ELLIS COOPERATES WITH COMMUNITY GROUPS TO FACILITATE ACCESS TO HEALTHY FOODS FOR PEOPLE THROUGH THE COMMUNITY. IN PAST YEARS, ACTING IN COLLABORATION WITH THE SCHENECTADY COUNTY PLANNING DEPARTMENT AND THE COOPERATIVE EXTENSION, ELLIS HOSTED A WEEKLY FARMERS' MARKET IN THE PARKING LOT OF THE ELLIS HEALTH CENTER DURING THE SUMMER MONTHS. AS PART OF A COUNTY GRANT, IN 2013 AND 2014 PHYSICIANS AT THE FAMILY HEALTH CENTER "PRESCRIBED" FRESH VEGETABLES TO AT-RISK PATIENTS. THE "PRESCRIPTION" CONSTITUTED A VOUCHER FOR NO-CHARGE LOCALLY-GROWN VEGETABLES WHICH WERE DISTRIBUTED AT A "FARM STAND" LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER. IN OTHER RECENT YEARS, ELLIS OFFERED USE OF THE PARKING LOT AT THE MCCLELLAN STREET HEALTH CENTER TO THE SCHENECTADY INNER CITY MINISTRY (SICM) MOBILE MEALS TRUCK WHICH PROVIDES FREE BREAKFASTS AND LUNCHES FOR CHILDREN AGE 18 OR UNDER DURING THE SUMMER WHEN SCHOOLS ARE CLOSED. ONE-HUNDRED PERCENT OF CHILDREN ATTENDING THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD) SCHOOLS ARE ELIGIBLE FOR FREE SCHOOL LUNCHES.MEDICAL RESIDENTS FROM THE ELLIS FAMILY MEDICINE RESIDENCY DONATE THEIR TIME AND EXPERTISE TO STAFF FREE COMMUNITY-BASED MEDICAL CLINICS. A WEEKLY RESIDENT-STAFFED FREE CLINIC AT THE SCHENECTADY CITY MISSION SERVES UNINSURED, HOMELESS INDIVIDUALS IN THE CITY OF SCHENECTADY. ELLIS STAFF MEMBERS ALSO SIT ON NUMEROUS COMMUNITY BOARDS AND HEALTHCARE COALITIONS TO TARGET IMPROVEMENTS IN SUCH AREAS AS DIABETES, LONG TERM CARE, CANCER, HOSPITAL READMISSION RATES, WORKFORCE DEVELOPMENT, AND HEALTHY LIVING.
PART III, LINE 2:THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS ON PART III, COST TO CHARGE RATIO WAS APPLIED AT 100%. BAD DEBTS ALREADY REPRESENTED AS EXPENSE ON FINANCIALS, THEREFORE NO NEED TO APPLY RCC HERE.
PART III, LINE 3:IN 2017, UNDER THE FINANCIAL ASSISTANCE POLICY, THERE WAS NO SLIDING SCALE. THIS MEANS THAT IF A PATIENT QUALIFIED FOR FINANCIAL ASSISTANCE, THE PATIENT BALANCE WAS WRITTEN OFF AT 100% TO CHARITY CARE. THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 4:SEE ATTACHED FINANCIAL STATEMENTS, PAGE 12.
PART III, LINE 8:ELLIS HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM OUR WORKSHEET 2- RATIO OF PATIENT CARE COST TO CHARGES. THE ADJUSTED PATIENT CARE COST IS DIVIDED BY ADJUSTED PATIENT CARE CHARGES RESULTING IN THE RATIO.ELLIS BELIEVES THAT THE MEDICARE SHORTFALL REPORTED ON PART III LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. FIRST, ELLIS IS THE ONLY ACUTE CARE GENERAL HOSPITAL IN SCHENECTADY, AND THUS PROVIDES VITAL HEALTH CARE SERVICES FOR MEDICARE BENEFICIARIES WHICH WOULD OTHERWISE BE UNAVAILABLE IN THE COMMUNITY. SECOND, THE INCOME LEVEL AND POVERTY RATE IN THE COMMUNITY DEMONSTRATE THE CHALLENGES WHICH WOULD BE FACED IF ELLIS WERE NOT ABLE TO PROVIDE CARE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE MEDIAN HOUSEHOLD INCOME IN THE CITY OF SCHENECTADY IS 32% BELOW THE STATEWIDE COMPARISON, AND THE POVERTY RATE IS 30% ABOVE THE STATE RATE (2012-2016 AMERICAN COMMUNITY SURVEY). THIRD, MEDICARE BENEFICIARIES ARE AMONG THOSE AFFECTED BY INCOME DISPARITIES WITHIN SCHENECTADY. NEARLY HALF (46%) OF THE RESIDENTS OF THE LARGELY MINORITY (67% NON-WHITE) HAMILTON HILL NEIGHBORHOOD ARE BELOW THE FEDERAL POVERTY LEVEL; 7.8% OF THESE RESIDENTS ARE 65 YEARS OF AGE OR OLDER (2009-2013 AMERICAN COMMUNITY SURVEY). RESIDENTS OF THIS NEIGHBORHOOD ARE AMONG THE HEAVIEST USERS OF HOSPITAL SERVICES; FOR EXAMPLE, THE RATE OF EMERGENCY DEPARTMENT UTILIZATION FOR FALLS AMONG PERSONS 65 AND OLDER IN HAMILTON HILL IS 52% ABOVE THE STATEWIDE AVERAGE (2010-2014 SPARCS). FINALLY, 25% OF ELLIS' MEDICARE DISCHARGES IN 2016 WERE DUAL-ELIGIBLES (ENROLLED IN BOTH MEDICARE AND MEDICAID) WHO, BY VIRTUE OF THEIR MEDICAID ELIGIBILITY, ARE LOW-INCOME INDIVIDUALS. HENCE, THE FINANCIAL LOSSES INCURRED IN TREATING MEDICARE PATIENTS DETRACT FROM THE ABILITY OF THE HOSPITAL TO SERVE OTHER LOW-INCOME PATIENTS AND RESIDENTS, AND THE ABILITY OF THE HOSPITAL TO FUNCTION IN SPITE OF THESE LOSSES REPRESENTS A COMMUNITY BENEFIT.
PART III, LINE 9B:ELLIS HOSPITAL'S COLLECTION POLICY REFERS TO THE FINANCIAL OBLIGATION AND FINANCIAL ASSISTANCE POLICY REGARDING COLLECTION PROCEDURES FOR THOSE PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE. IF A PATIENT HAS QUALIFIED, THE ACCOUNT BALANCES ARE ELIMINATED, AND COLLECTION EFFORTS DO NOT OCCUR.
PART VI, LINE 2:THE COMMUNITY HEALTH NEEDS ASSESSMENTS REQUIRED EACH THREE YEARS PURSUANT TO FEDERAL AND STATE LAW CONSTITUTE THE PRIMARY METHOD WHICH ELLIS USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE ASSESSMENTS CONSUME SUBSTANTIAL HOSPITAL RESOURCES AND GENERATE COMPREHENSIVE REPORT DOCUMENTS.TWO ADDITIONAL COMPREHENSIVE ASSESSMENT DOCUMENTS HAVE BEEN PRODUCED FOR THE SCHENECTADY COMMUNITY IN RECENT YEARS. 1) IN 2014, AS PART OF THE STATE-REQUIRED DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), ELLIS AND OTHER HOSPITALS IN NEW YORK'S CAPITAL REGION ENGAGED THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED SPECIFICALLY ON THE NEEDS OF MEDICAID BENEFICIARIES WHICH WERE TO BE SERVED BY THE DSRIP PROGRAM. THE 224-PAGE ASSESSMENT AND ITS 757-PAGE DATA APPENDIX ARE POSTED ON THE ALLIANCE FOR BETTER HEALTH (DSRIP PERFORMING PROVIDER SYSTEM) WEBSITE (HTTPS://ABHEALTH.US/ABOUT/COMMUNITY-NEEDS-ASSESSMENT/).2) THE SCHENECTADY COMMUNITY ACTION PROGRAM (SCAP), A SIGNIFICANT COMMUNITY PARTNER, IS REQUIRED AS A CONDITION OF ITS RECEIPT OF FEDERAL FUNDING TO CONDUCT PARALLEL COMMUNITY NEEDS ASSESSMENTS. A COMPREHENSIVE ASSESSMENT WAS CONDUCTED IN SEPTEMBER 2015 AND UPDATED IN DECEMBER 2016. THE RESULTS, WHICH PARALLEL THE FINDINGS OF THE OTHER CHNAS, ARE AVAILABLE HERE: HTTP://SCAPNY.ORG/PUBLICATIONS/.ELLIS MONITORS OTHER RESOURCES TO IDENTIFY AND ASSESS COMMUNITY HEALTH CARE NEEDS. THESE INCLUDE:1) INFORMATION FROM COMMUNITY ORGANIZATIONS AS REPORTED AT THE QUARTERLY MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY.2) PATIENT SATISFACTION DATA AS REPORTED FROM FORMAL (E.G., CAHPS) AND INFORMAL (E.G., NURSING ROUNDS) SOURCES.3) COMMUNITY LEADER COMMENTS OBTAINED FROM FORMAL MEETINGS (E.G., CHAMBER OF COMMERCE) AND INFORMAL CONTACT (E.G., PERIODIC MEETINGS WITH THE MAYOR, STATE LEGISLATORS, AND THE LOCAL MEMBER OF CONGRESS).4) AN ANNUAL, ANONYMOUS, FORMAL ASSESSMENT OF ELLIS EMPLOYEE SATISFACTION, AS WELL AS EMPLOYEE COMMENTS RECEIVED THROUGH SUCH SOURCES AS THE COMPLIANCE PROGRAM AND UNION MEETINGS.5) COMPARATIVE DATA OBTAINED FROM REGIONAL ORGANIZATIONS INCLUDING THE MEDICARE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK) AND THE MEDICAID DSRIP SYSTEM (ALLIANCE FOR BETTER HEALTH).6) COMPARATIVE DATA OBTAINED FROM REGULATORY AGENCIES, SUCH AS THE NEW YORK STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), AND FEDERAL HOSPITAL COMPARE.7) COMMENTS RECEIVED FROM PATIENTS AND COMMUNITY MEMBERS THROUGH THE ELLIS WEBSITE ( HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX ) AND OTHER ONLINE COMMUNICATIONS TOOLS SUCH AS FACEBOOK AND TWITTER.
PART VI, LINE 3:ELLIS MEDICINE PROVIDES FINANCIAL ASSISTANCE INFORMATION (IN BOTH ENGLISH AND SPANISH) ABOUT PROGRAMS AVAILABLE TO ASSIST PATIENTS IN PAYING FOR THEIR BILLS, INCLUDING FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER ELLIS'S FINANCIAL ASSISTANCE POLICY. SUCH INFORMATION IS INCLUDED: 1) THROUGH TELEPHONE CONTACT INFORMATION PRINTED ON PATIENT INVOICES,2) ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/FAQS.ASPX), 3) IN READILY AVAILABLE AND PUBLICLY DISTRIBUTED BROCHURES, AND 4) THROUGH FLYERS AND POSTERS VISIBLE THROUGHOUT THE ORGANIZATION.APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE ONLINE AT THE ELLIS WEBSITE NOTED ABOVE. ADDITIONALLY, ELLIS EMPLOYS FINANCIAL ADVOCATES WHO ASSIST PATIENTS IN DETERMINING THE AVAILABILITY OF AND THEIR ELIGIBILITY FOR GOVERNMENT PROGRAMS INCLUDING MEDICAID, SUBSIDIZED INSURANCE PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH EXCHANGE, AND FREE OR LOW-COST CARE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ADVOCATES THEN ASSIST PATIENTS WITH COMPLETING THE NEEDED PAPERWORK, INCLUDING BEDSIDE VISITS AS NECESSARY.SINCE 2009, ELLIS MEDICINE HAS INCLUDED AFFIRMATIVE FINANCIAL ASSISTANCE OUTREACH AS PART OF ITS COMMUNITY-BASED POPULATION HEALTH PROGRAMS. INITIALLY, THE INNOVATIVE "MEDICAL HOME" AT THE MCCLELLAN CAMPUS WAS INTENDED TO INCREASE ACCESS TO CARE AND PROVIDE HEALTH CARE NAVIGATION SERVICES TO PATIENTS (ESPECIALLY THE UNDERSERVED AND UNINSURED/UNDERINSURED), INCLUDING EDUCATION ABOUT AND ASSISTANCE WITH HEALTH INSURANCE AND FINANCIAL ASSISTANCE SERVICES. SEPARATE "NAVIGATORS" AT THIS LOCATION SPECIALIZED IN "HEALTH CARE NAVIGATION," "COMMUNITY SERVICE NAVIGATION, AND "INSURANCE NAVIGATION." EVEN WITH THE MANY CHANGES WHICH HAVE OCCURRED SINCE, AN ENROLLMENT REPRESENTATIVE FROM FIDELIS, THE SECOND-LARGEST NON-PROFIT MEDICAID MANAGED CARE ORGANIZATION SERVING SCHENECTADY COUNTY, CONTINUES TO WORK OUT OF THE SAME OFFICE AT MCCLELLAN.PRIOR TO CREATION OF THE HEALTH INSURANCE ENROLLMENT PROGRAMS BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (PPACA), ELLIS OFFERED MEDICAID ENROLLMENT THROUGH EMPLOYEES "DEPUTIZED" BY THE SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES, THROUGH MEDICAID FACILITATED ENROLLERS EMPLOYED BY THE NOT-FOR-PROFIT HEALTH CAPITAL DISTRICT INITIATIVE (HCDI), AND THROUGH FIDELIS, ONE OF NEW YORK'S NOT-FOR-PROFIT MEDICAID MANAGED CARE ORGANIZATIONS.STARTING IN 2013, ELLIS HAS INVITED ON-SITE SERVICES OF HEALTH INSURANCE NAVIGATORS (ALSO KNOWN AS "IN PERSON ASSISTORS") FROM ALL FOUR NOT-FOR-PROFIT ORGANIZATIONS (PUBLIC POLICY AND EDUCATION FUND, HEALTHY CAPITAL DISTRICT INITIATIVE, CAPITAL DISTRICT BLACK CHAMBER OF COMMERCE, AND UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE) DESIGNATED AS SERVING SCHENECTADY COUNTY PURSUANT TO THE PPACA. NAVIGATORS SEE UNINSURED RESIDENTS AT BOTH THE NOTT STREET AND ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUSES, AS WELL AS AT OTHER COMMUNITY LOCATIONS. ELLIS-EMPLOYED FINANCIAL ADVOCATES ALSO COMPLETED STATE-APPROVED TRAINING AND ARE QUALIFIED AS NEW YORK STATE CERTIFIED APPLICATION COUNSELORS (CACS); TRAINED TO HELP PEOPLE ENROLL BOTH IN MEDICAID AS WELL AS IN "EXCHANGE" INSURANCE PRODUCTS.AS OF 2016, ELLIS LOCATIONS WHICH PARTICIPATE AS PRACTICE SITES FOR THE NATIONAL HEALTH SERVICE CORPS (NHSC) HAVE DISPLAYED THE HRSA-REQUIRED SIGNAGE REGARDING FREE OR SLIDING-SCALE FEES. THESE SITES ARE THE DENTAL HEALTH CENTER AND THE OUTPATIENT MENTAL HEALTH CLINIC.ADDITIONALLY, ELLIS OFFERS ITS FINANCIAL ADVOCATES INFORMATION LINE (518-243-3460) THROUGH WHICH PATIENTS WITHOUT INSURANCE CAN RECEIVE INFORMATION ABOUT HOW MUCH THEIR CARE WILL COST AT ELLIS MEDICINE, INCLUDING INSURANCE ENROLLMENT AND PAYMENT DISCOUNTS. ANOTHER TELEPHONE RESOURCE (518-243-1695) PROVIDES CALLERS WITH ESTIMATES OF THE TOTAL COST OF PROCEDURES AND HOSPITALIZATIONS, AS MORE AND MORE PATIENTS ARE PAYING HIGHER DEDUCTIBLES AND ARE CONCERNED ABOUT THE COST TO THEM OUT-OF-POCKET. THIS IS PARTICULARLY SIGNIFICANT IN ELLIS' PRIMARY SERVICE AREA, AS THE LARGEST LOCAL EMPLOYER HAS CONVERTED TO A HIGH-DEDUCTIBLE HEALTH INSURANCE PLAN FOR MOST OF ITS EMPLOYEES.
PART VI, LINE 4:FOR THE PURPOSES OF DETERMINING COMMUNITY NEEDS PURSUANT TO THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ELLIS HOSPITAL DEFINES THE "COMMUNITY" IT SERVES AS CONSISTING OF SCHENECTADY COUNTY, INCLUDING THE CITY OF SCHENECTADY AND THE TOWNS OF DUANESBURG, GLENVILLE, PRINCETOWN, NISKAYUNA, AND ROTTERDAM. THERE ARE SEVERAL REASONS FOR THIS DEFINITION:1) THE GEOGRAPHY OF SCHENECTADY COUNTY IS VERY SIMILAR TO THE PRIMARY SERVICE AREA (PSA) OF THE HOSPITAL. ELLIS USES AN INDUSTRY-STANDARD DEFINITION (THE CONTIGUOUS ZIP CODES IN WHICH THE FIRST 60% OF THE HOSPITAL'S INPATIENTS LIVE) TO DETERMINE ITS PSA. ELLIS' PSA CONSISTS OF THE ENTIRE RANGE OF 123NN ZIP CODES (12302, 12303, 12304, 12305, 12306, 12307, 12308, AND 12309), WHICH CONSTITUTES ALL OF THE CITY OF SCHENECTADY AND MOST OF THE POPULATION OF THE REST OF SCHENECTADY COUNTY. (THE DESIGN OF THE ZIP CODE SYSTEM IS NOT ALIGNED WITH COUNTY OR OTHER POLITICAL BOUNDARIES. THE RURAL WESTERNMOST PORTION OF SCHENECTADY COUNTY IS NOT INCLUDED IN THE ZIP CODE-DEFINED PSA DUE TO LOW POPULATION, WHILE CERTAIN AREAS OF ALBANY AND SARATOGA COUNTIES DO FALL WITHIN THE SCHENECTADY ZIP CODES.) ALTHOUGH ELLIS ACTIVELY SERVES PEOPLE WITHIN ITS SECONDARY SERVICE AREA (SSA), THE GEOGRAPHIC BOUNDARIES OF THOSE ADDITIONAL ZIP CODES (THE ADDITIONAL CONTIGUOUS ZIP CODES IN WHICH THE NEXT 20% OF INPATIENTS LIVE, FOR AN APPROXIMATE TOTAL OF 80% OF INPATIENT VOLUME) STRETCH ACROSS FIVE COUNTIES AND INCLUDE PORTIONS OF THE SERVICE AREAS OF AT LEAST SIX OTHER HOSPITALS. RETAINING A FOCUS ON THE SCHENECTADY COMMUNITY WILL PERMIT DEVELOPMENT OF AN ACTIONABLE IMPLEMENTATION PLAN WHICH CAN TARGET COHESIVE POPULATIONS.2) POPULATION AND HEALTH DATA ARE COMMONLY AVAILABLE BY COUNTY. THE NEW YORK STATE DEPARTMENT OF HEALTH AND OTHER STATE GOVERNMENT AGENCIES MAINTAIN DATA BY COUNTY, THE HEALTHY CAPITAL DISTRICT INITIATIVE PROVIDES COMPARISON DATA BY COUNTY WITHIN THE REGION, AND DATA COLLECTED BY THE UNITED STATES CENSUS ARE FREQUENTLY AT THE COUNTY AND CITY LEVEL. ALTHOUGH CONVENIENCE IS NOT IN AND OF ITSELF A REASON TO DEFINE "COMMUNITY," THE AVAILABILITY OF SOLID DATA, INCLUDING BASELINE AND COMPARISON DATA, WILL PROVIDE A BETTER BASIS FOR PLANNING, AND AN EXTERNALLY-VERIFIABLE SOURCE FOR OUTCOME MEASURES.3) ELLIS HAS ESTABLISHED STRONG PARTNERSHIPS WITH OTHER HEALTHCARE AND COMMUNITY SERVICE ORGANIZATIONS WHICH ARE LOCATED IN AND SERVE SCHENECTADY COUNTY. THE "MEDICAL HOME GROUP," A LOOSE AFFILIATION OF COMMUNITY ORGANIZATIONS CREATED AT THE TIME OF THE THREE-HOSPITAL CONSOLIDATION IN 2008, HAS EVOLVED INTO THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY; OVER 60 COMMUNITY GROUPS INCLUDING BUSINESSES, LOCAL GOVERNMENT AGENCIES, HEALTHCARE AND SOCIAL SERVICES PROVIDERS AND COMMUNITY AGENCIES, FAITH-BASED ORGANIZATIONS, AND ADVOCACY GROUPS WHOSE LEADERS MEET QUARTERLY AT ELLIS. BY FOCUSING "COMMUNITY" ON A POPULATION WELL-SERVED BY A COORDINATED ARRAY OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND COMMUNITY SERVICE ORGANIZATIONS IN COORDINATION WITH STRONG LOCAL GOVERNMENT AGENCIES, A COMMUNITY-WIDE ACTION PLAN CAN LEVERAGE THE HOSPITAL'S IMPLEMENTATION PLAN THROUGH THE EFFICIENT AND EFFECTIVE USE OF MULTIPLE RESOURCES.4) SELECTION OF SCHENECTADY COUNTY AS THE "COMMUNITY" IS CONSISTENT WITH REGULATORY REQUIREMENTS TO ASSURE INCLUSION OF "MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS," AS THESE POPULATIONS REPRESENT A GREATER SHARE OF THE POPULATION IN SCHENECTADY COUNTY THAN THEY WOULD IF DIFFUSED AMONG THE FIVE COUNTIES OF THE SECONDARY SERVICE AREA.SCHENECTADY COUNTY (2017 ESTIMATED POPULATION: 155,565) IS, GEOGRAPHICALLY, THE SECOND SMALLEST COUNTY IN UPSTATE NEW YORK. IT CONSISTS OF FIVE TOWNS, TWO PRIMARILY RURAL AND THREE PRIMARILY SUBURBAN, SURROUNDING THE CENTRALLY-LOCATED CITY OF SCHENECTADY (2017 ESTIMATED POPULATION: 65,625). THE COUNTY IS LOCATED IMMEDIATELY WEST OF THE STATE CAPITAL OF ALBANY AND MANY OF ITS RESIDENTS COMMUTE TO JOBS IN ALBANY AND THE OTHER COUNTIES COMPRISING NEW YORK'S CAPITAL REGION.SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), A UNIT OF COUNTY GOVERNMENT, IS RESPONSIBLE FOR ALL PUBLIC HEALTH AND ENVIRONMENTAL HEALTH ACTIVITIES AND ENFORCEMENT THROUGHOUT THE CITY AND COUNTY. THE COUNTY CONTAINS A SINGLE NON-PROFIT ACUTE CARE HOSPITAL - ELLIS HOSPITAL (ALSO KNOWN BY THE TRADE NAME ELLIS MEDICINE), AND A SINGLE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) - SCHENECTADY FAMILY HEALTH SERVICES D/B/A HOMETOWN HEALTH CENTER. THERE IS ALSO A NON-PROFIT SPECIALTY HOSPITAL (SUNNYVIEW REHABILITATION HOSPITAL) WHICH IS A MEMBER OF THE ALBANY-BASED ST. PETER'S HEALTH PARTNERS SYSTEM. THERE IS ONE MEDICALLY UNDERSERVED POPULATION; THE HOMEBOUND POPULATION OF SCHENECTADY COUNTY (ID #06211). THE ENTIRE CITY OF SCHENECTADY IS DESIGNATED A HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR THE MEDICAID POPULATION FOR MENTAL HEALTH AND DENTAL HEALTH. IN ADDITION, EIGHT CENSUS TRACTS IN THE HAMILTON HILL/MONT PLEASANT NEIGHBORHOODS, WHICH ARE IMMEDIATELY ADJACENT TO THE ELLIS MCCLELLAN STREET HEALTH CENTER, ARE DESIGNATED HEALTH PROFESSIONS SHORTAGE AREAS FOR THE MEDICAID POPULATION FOR PRIMARY CARE. HOMETOWN HEALTH CENTER, THE ELLIS DENTAL HEALTH CENTER, AND THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC HAVE BEEN DESIGNATED BY HRSA AS NATIONAL HEALTH SERVICE CORPS PRACTICE SITES.SCHENECTADY COUNTY IS DIRECTLY SERVED BY ONE DSRIP PERFORMING PROVIDER SYSTEM (PPS), THE ALLIANCE FOR BETTER HEALTH (AFBH), AND IS ADJACENT TO THE SERVICE AREA OF THE ALBANY MEDICAL CENTER PPS.RESIDENTS OF THE CITY OF SCHENECTADY ARE GENERALLY LESS AFFLUENT AND LESS HEALTHY THAN RESIDENTS OF THE SURROUNDING TOWNS, WHILE RESIDENTS OF THE COUNTY AS A WHOLE ARE LESS AFFLUENT THAN THE STATE AS A WHOLE, HOWEVER THE COUNTY'S POVERTY RATE IS BELOW THAT OF THE STATE (SEE FIGURE 1). FOR EXAMPLE, THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE, WHICH IS BELOW THAT OF THE STATE. THE POVERTY RATE (2014 DATA) IN THE CITY (23.8%) IS NEARLY DOUBLE THAT OF THE COUNTY AS A WHOLE (13.2%). STATE HEALTH DEPARTMENT DATA (2008-09) SHOW THAT HOSPITALIZATIONS FOR CONDITIONS WHICH COULD HAVE BEEN TREATED IN THE COMMUNITY ("PREVENTION QUALITY INDICATORS") RANGE AS HIGH AS 202% OF THE EXPECTED RATE IN CERTAIN CITY NEIGHBORHOODS, BUT ARE AS LOW AS 49% OF THE EXPECTED RATE IN THE RURAL TOWNS. IN ONE DRAMATIC DISPARITY, HOSPITALIZATIONS FOR CONDITIONS RELATED TO DIABETES RANGE FROM 604/100,000 IN THE CITY'S HAMILTON HILL NEIGHBORHOOD (12307) TO 62/100,000 IN THE NEARBY SUBURB OF NISKAYUNA (12309).A SIGNIFICANT MINORITY POPULATION IN THE CITY OF SCHENECTADY IS COMPRISED OF GUYANESE OF WEST INDIAN DESCENT. THE RESULT OF SECONDARY MIGRATION FROM NEW YORK CITY PROMOTED BY A PREVIOUS MAYOR ALONG WITH PRIMARY MIGRATION FROM GUYANA, THE INFLUX IS CREDITED WITH REVERSING YEARS OF POPULATION DECLINE IN THE CITY. SCHENECTADY COUNTY PUBLIC HEALTH SERVICES LED MULTIPLE INITIATIVES TO IDENTIFY AND ADDRESS HEALTH DISPARITIES RELATING TO THE WEST INDIAN POPULATION. RESEARCH CONDUCTED BY PHYSICIANS AT ELLIS MEDICINE REVEALED SPECIFIC HEALTH ISSUES REGARDING THE WEST INDIAN POPULATION. IN PARTICULAR, THE UNEXPECTED PREVALENCE OF DIABETES AMONG NON-OBESE GUYANESE MALES IS THE SUBJECT OF JOURNAL ARTICLES (SEE FOR EXAMPLE: HOSLER, PRATT, SEN, BUCKENMEYER, SIMAO, BACK, SAVADATTI, KAHN, HUNT, "HIGH PREVALENCE OF DIABETES AMONG INDO-GUYANESE ADULTS, SCHENECTADY, NEW YORK," PREVENTING CHRONIC DISEASE 2013; 10:120211) AND HELPED LEAD TO AWARDING OF A FEDERAL RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) GRANT TO SCPHS IN 2010. THE INITIAL PLANNING STAGE OF THE REACH GRANT FUNDED AN EXTENSIVE COMMUNITY SURVEY OF DIABETES PREVALENCE, PILOT TRAINING OF A DOZEN INDIGENOUS DIABETES HEALTH PROMOTERS, AN ELEMENTARY SCHOOL DIABETES PREVENTION EDUCATION PROGRAM, AND A DIABETES HEALTH SCREENING PROGRAM FOR AT-RISK WEST INDIAN RESIDENTS. THE WEST INDIAN DIABETES ACTION COALITION UTILIZED A MAPP PROCESS TO DEVELOP A COMMUNITY ACTION PLAN (CAP). UNFORTUNATELY, SHIFTING PRIORITIES AT THE CENTERS FOR DISEASE CONTROL (CDC) ENDED FUNDING FOR THE PROJECT BEFORE ITS IMPLEMENTATION PHASE. IN 2014, SCPHS WAS AWARDED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT, FUNDED BY THE CDC. ONE OF THE GOALS OF THIS GRANT IS TO INCREASE SCREENING RATES FOR TYPE-2 DIABETES IN THE WEST INDIAN POPULATION THAT ARE SEEN AT ELLIS FAMILY HEALTH CENTER, AN ELLIS MEDICINE PRIMARY CARE SITE.OVERALL, HOWEVER, SCHENECTADY COUNTY RESIDENTS ARE MORE LIKELY THAN THE AVERAGE NEW YORK STATE RESIDENT TO HAVE HEALTH INSURANCE (SEE FIGURE 2). THE VAST MAJORITY OF PRIMARY MEDICAL CARE AND DENTAL CARE FOR LOW-INCOME RESIDENTS IS PROVIDED BY THE HOMETOWN HEALTH FQHC AND THE COMMUNITY PRACTICES OF THE ELLIS MEDICAL GROUP. BOTH HAVE ACHIEVED RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS PATIENT-CENTERED MEDICAL HOMES (PCMH).SEE SCHEDULE O.
PART VI, LINE 5:ELLIS MEDICINE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH:1) A VOLUNTEER BOARD OF TRUSTEES THAT IS COMPRISED OF COMMUNITY MEMBERS, EX-OFFICIO MEDICAL STAFF MEMBERS AND ONE EX OFFICIO HOSPITAL ADMINISTRATOR WHO SERVE THREE YEAR TERMS, UP TO A THREE TERM MAXIMUM. THE ELLIS BOARD CONSISTS OF 25 VOTING TRUSTEES - 18 NON-CLINICIAN RESIDENTS OF THE CAPITAL REGION, SIX PHYSICIANS, AND ONE NURSE; AND ONE NON-VOTING MEMBER, THE HOSPITAL'S PRESIDENT AND CEO. ELLIS DOES NOT HAVE A PARENT CORPORATION.2) MEDICAL PRIVILEGES AT ELLIS HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AND OTHER CLINICAL PROVIDERS IN THE AREA. AN OPEN MEDICAL STAFF CONSISTS OF APPROXIMATELY 877 AFFILIATED PHYSICIANS AND OTHER PROVIDERS. THESE ARE COMPRISED OF 527 ON-SITE M.D.S AND D.O.S, 118 TELEMEDICINE PROVIDERS, 203 ADVANCED PRACTICE PROVIDERS AND 29 PROVIDERS IN OTHER CATEGORIES SUCH AS TEACHING AND CONSULTING. APPROXIMATELY 318 OF THESE PHYSICIANS AND OTHER PROVIDERS ARE EMPLOYED BY ELLIS, INCLUDING 30 MEDICAL RESIDENTS PARTICIPATING IN THE FAMILY MEDICINE RESIDENCY AND FOUR IN THE GENERAL DENTAL RESIDENCY. ELLIS' MEDICAL STAFF IS LED BY A MEDICAL-DENTAL EXECUTIVE COMMITTEE (MDEC). THE MDEC PLAYS AN INTEGRAL PART IN THE HOSPITAL'S CORPORATE STRUCTURE AND DAILY OPERATIONS. THE MDEC AND THE DEPARTMENT CHAIRS, WHO OVERSEE SPECIFIC CLINICAL SERVICES, WORK COLLABORATIVELY WITH THE HOSPITAL'S VOLUNTEER BOARD OF TRUSTEES, ADMINISTRATORS, AND STAFF TO ENSURE THE HIGHEST QUALITY OF CARE IS DELIVERED TO PATIENTS AND THAT THE COMMUNITY'S HEALTHCARE NEEDS ARE MET WITH EXCELLENCE. PHYSICIANS ALSO SERVE AS MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES, AND THEY ARE DIRECTLY INVOLVED IN THE HOSPITAL'S ANNUAL BUDGET PROCESS: THEY RANK AND PRIORITIZE ALL CAPITAL ITEMS IN THE HOSPITAL'S CAPITAL BUDGET AND THEY SIGN OFF ON VOLUME PROJECTIONS FOR THE HOSPITAL'S ANNUAL OPERATING BUDGET.3)OPERATION OF A STATE-OF-THE-ART FULL SERVICE, FULLY STAFFED EMERGENCY ROOM - INCLUDING A MENTAL HEALTH CRISIS UNIT - AT THE NOTT STREET CAMPUS WHICH IS OPEN 24 HOURS-A-DAY, SEVEN DAYS-A-WEEK, 365 DAYS-A-YEAR. THE NEW FACILITY, WHICH COST $61 MILLION AND OPENED IN DECEMBER 2014, REPLACED TWO SMALLER AND LESS EFFICIENT FACILITIES WHICH HAD BEEN LOCATED WITHIN A MILE OF EACH OTHER. IN ADDITION, ELLIS PROVIDES 24/7 EMERGENT CARE SERVICES AT THE MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY. ELLIS' IS FULLY COMPLIANT WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) AND OTHER LAWS AND REGULATIONS REQUIRING SERVICES TO ALL THOSE IN NEED OF EMERGENCY CARE REGARDLESS OF THEIR ABILITY TO PAY.4) THE WORK OF THE FOUNDATION FOR ELLIS MEDICINE, A 501 (C) (3) TAX-EXEMPT CHARITABLE ORGANIZATION WHOSE SOLE PURPOSE IS TO ENCOURAGE PHILANTHROPIC SUPPORT FOR ELLIS HOSPITAL. THE FOUNDATION WAS INITIALLY ESTABLISHED IN 1982 AS THE ELLIS HOSPITAL FOUNDATION AND IS GOVERNED BY A SEPARATE BOARD OF TRUSTEES. FUNDS RAISED THROUGH THE FOUNDATION'S ACTIVITIES ARE USED TO ASSIST THE HOSPITAL IN ACQUIRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND TO SUPPORT A WIDE RANGE OF HEALTH CARE PROGRAMS AND SERVICES.5) REINVESTING ITS SURPLUS FUNDS TO EXPAND/REPLACE/MODERNIZE ITS FACILITIES AND MEDICAL EQUIPMENT; SUPPORT PROGRAMS/ACTIVITIES AIMED AT IMPROVING QUALITY OF CARE AND PATIENT SAFETY; TRAIN AND EDUCATE ITS MEDICAL AND NURSING STAFFS; AND TO IMPROVE THE OVERALL DELIVERY OF AND ACCESSIBILITY TO HEALTH CARE SERVICES IN THE COMMUNITY.ELLIS MEDICINE DEMONSTRATES LEADERSHIP AS A CHARITABLE INSTITUTION BY ORGANIZING AND PARTICIPATING IN COMMUNITYWIDE EFFORTS FOR LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS; REACHING OUT TO THE UNDERSERVED TO PROVIDE NEEDED PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AND HEALTH EDUCATION; ATTRACTING AND USING FUNDS TO PROVIDE FINANCIAL ASSISTANCE AND OTHER SUPPORT; PARTICIPATING IN MEDICAID AND OTHER FEDERAL, STATE, AND LOCAL HEALTH CARE REIMBURSEMENT PROGRAMS SUCH AS CHILD HEALTH PLUS; AND FORMALLY PLANNING FOR AND PROVIDING FINANCIAL ASSISTANCE WHILE MAINTAINING A POLICY OF PROVIDING CARE TO ALL PERSONS IN NEED.
PART VI, LINE 6:ELLIS HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL AND IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. NOTE, HOWEVER, THAT THE VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY COUNTY (D/B/A VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK OR "VNS") IS A NEW YORK STATE CERTIFIED HOME HEALTH AGENCY (CHHA) OF WHICH ELLIS HOSPITAL IS THE SOLE CORPORATE MEMBER. FINANCIAL REPORTING FOR THE TWO ENTITIES IS ON A CONSOLIDATED BASIS. CERTAIN ACTIVITIES DESCRIBED HEREIN, SUCH AS THE MEDICAID HEALTH HOME, ARE PROVIDED BY THE VNS.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL A MILTON
PRESIDENT / CEO$590,828$0$82,000$0$18,806$0$50,600$0$35,567$0$777,801$0$0$0
MARC MESICK
VICE PRESIDENT / CFO$295,529$0$31,800$0$301$0$10,600$0$8,882$0$347,112$0$0$0
WENDY A ROSHER
EXECUTIVE VICE PRESIDENT$302,299$0$34,884$0$18,575$0$15,900$0$22,254$0$393,912$0$0$0
LESLYN WILLIAMSON
EXECUTIVE VICE PRESIDENT / CNO$135,168$0$20,000$0$17$0$0$0$382$0$155,567$0$0$0
CARLTON RULE MD
VICE PRESIDENT / EXECUTIVE DIRECTOR$271,647$0$0$0$25$0$0$0$663$0$272,335$0$0$0
JOSEPH GIANSANTE
VICE PRESIDENT / CHIEF HUMAN RESOURC$270,991$0$33,660$0$29,606$0$10,600$0$30,783$0$375,640$0$0$0
RONALD MCKINNON
VICE PRESIDENT / CHIEF I.T.$227,350$0$16,320$0$31$0$9,185$0$24,383$0$277,269$0$0$0
AVINASH BACHWANI MD
VICE PRESIDENT / CHIEF MEDICAL INFO$280,691$0$20,000$0$211$0$10,600$0$7,225$0$318,727$0$0$0
DAVID M LIEBERS MD
VICE PRESIDENT / CMO$365,019$0$27,669$0$1,219$0$11,150$0$31,156$0$436,213$0$0$0
TERRENCE CLARKE MD
SURGEON$571,539$0$59,400$0$21,071$0$74,752$0$15,381$0$742,143$0$59,400$0
FRANK GENOVESE MD
SURGEON$574,025$0$40,000$0$18,743$0$42,333$0$15,381$0$690,482$0$40,000$0
HERBERT REICH MD
SURGEON$545,985$0$112,857$0$37,678$0$87,051$0$17,981$0$801,552$0$67,857$0
KYRIL CHOUMAROV
SURGEON$473,584$0$117,857$0$18,211$0$87,051$0$15,381$0$712,084$0$0$0
IFTIKHAR SYED MD
SURGEON$625,587$0$109,800$0$1,174$0$129,378$0$15,381$0$881,320$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AELLIS HOSPITAL HAS A CORPORATE MEMBERSHIP AT THE MOHAWK GOLF CLUB THAT IS IN THE CEO'S NAME, HOWEVER THE CLUB IS USED FOR BUSINESS PURPOSES AND FUNCTIONS ONLY.
PART I, LINE 6THE CEO, COO, CFO, AND VICE PRESIDENTS ARE PROVIDED AN INCENTIVE COMPENSATION PLAN (ICP). THE ICP PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. THE PLAN IS BASED ON PRESET GOALS, FINANCIAL BENCHMARKS, AND INDIVIDUAL GOALS. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. PAYMENTS ARE MADE ANNUALLY AFTER THE YEAR HAS BEEN COMPLETED.
SCHEDULE J, PART IIIDR. TERENCE CLARKE IS SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $59,400 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2016. THIS AMOUNT WAS INCLUDED IN HIS 2017 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2016 990 SCHEDULE J PART II IN COLUMN C DR. FRANK GENOVESE IS NEURO-SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $40,000 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2016. THIS AMOUNT WAS INCLUDED IN HIS 2017 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2016 990 SCHEDULE J PART II IN COLUMN C. DR. HERBERT REICH IS SURGEON EMPLOYED BY ELLIS HOSPITAL. IN ADDITION TO HIS BASE SALARY, HE PARTICIPATES IN AN INCENTIVE COMPENSATION PLAN. IN SCHEDULE J COLUMN F, THE $67,857 REPRESENTS THE INCENTIVE COMPENSATION HE EARNED IN 2016. THIS AMOUNT WAS INCLUDED IN HIS 2017 W-2 AND IS INCLUDED IN COLUMN B (II). THIS AMOUNT WAS REPORTED AS DEFERRED COMPENSATION IN THE 2016 990 SCHEDULE J PART II IN COLUMN C.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CRISTINE CIOFFI
TRUSTEE$61,427SON IS EMPLOYEE0
JONATHAN KEMP
TRUSTEE$159,350MEDICAL SERVICES0
ROBERT JOY MD
TRUSTEE$1,179,668MEDICAL SERVICES0
BRIAN MCDONALD MD
TRUSTEE$971,667MEDICAL SERVICES0
JANET SAPIO-MAYTA
TRUSTEE$133,317SISTER IS EMPLOYEE0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationCRISTINE CIOFFI: SON PATRICK SHARKEY IS AN ER NURSE. ($61,427-COMPENSATION). DR. JOY IS A PARTNER OF CARDIOLOGY ASSOCIATES OF SCHENECTADY (CAS). CAS RECEIVES A STIPEND FOR THE DIRECTION OF THE CARDIOLOGY PROGRAM AT ELLIS MEDICINE. ELLIS MEDICINE ALSO LEASES PHYSICIANS' ASSISTANTS FROM CAS. DR. JOY WAS PAID $50,000 FOR CHIEF OF STAFF STIPEND.DR. JONATHAN KEMP IS AN ANESTHESIOLOGIST FOR SCHENECTADY ANESTHESIA ASSOCIATES, WHO PERFORMS SERVICES AT ELLIS HOSPITAL. HE IS ALSO THE CHIEF OF STAFF AND RECEIVED COMPENSATION OF $15,000.BRIAN MCDONALD IS A PARTNER IN PHYSICIAN PRACTICE-SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES(SPCCA). SPCCA PROVIDES 24/7 COVERAGE TO ELLIS.JANET SAPIO-MAYTA'S SISTER IS AN EMPLOYEE ($133,317-COMPENSATION). EMPLOYEE IS NANCY SAPIO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2IN SEPTEMBER 2017 ELLIS HOSPITAL OPENED A NEW BUSINESS. THE COMPANY IS CONTROLLED BY ELLIS HOSPITAL AND IS A FOR PROFIT ENTITY. IT IS CALLED ELLIS NOTT STREET RETAIL PHARMACY. FOR PURPOSES OF THE TAX RETURN IT IS LABELED AS DISREGARDED ENTITY. IT'S FINANCIAL NUMBERS HAVE BEEN CONOLIDATED WITH THOSE OF ELLIS HOSPITAL IN THE 2017 - 990 TAX FILING. THE MISSION OF THE RETAIL PHARMACY IS TO SERVE THE PATIENTS, EMPLOYEES, AND COMMUNITY THAT ELLIS HOSPITAL PROVIDES HEALTH CARE TO.
FORM 990, PART III, LINE 4AELLIS HOSPITAL (D/B/A ELLIS MEDICINE), THE SOLE REMAINING PROVIDER OF ACUTE HOSPITAL CARE IN SCHENECTADY COUNTY, IS A VOLUNTARY, NOT-FOR-PROFIT, COMMUNITY AND TEACHING HOSPITAL WITH 423 LICENSED BEDS BETWEEN TWO INPATIENT CAMPUSES (ELLIS HOSPITAL AND BELLEVUE WOMAN'S CENTER), INCLUDING 52 INPATIENT MENTAL HEALTH BEDS (SEE ITEM 4B BELOW). ELLIS ALSO OPERATES SEVERAL PRIMARY CARE AND OUTPATIENT SITES, INCLUDING TWO COMPREHENSIVE OUTPATIENT MEDICAL CAMPUSES (MCCLELLAN STREET HEALTH CENTER IN THE CITY OF SCHENECTADY AND MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY) AND AN OUTPATIENT MENTAL HEALTH FACILITY (STATE STREET HEALTH CENTER). ALL HEALTH CARE SERVICES ARE PROVIDED UNDER A SINGLE CORPORATE TAXPAYER IDENTIFICATION NUMBER (TIN) AND A SINGLE OPERATING CERTIFICATE ISSUED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, THE HOSPITAL'S PRIMARY REGULATOR. THE HOSPITAL IS OVERSEEN BY A 25-MEMBER VOLUNTEER BOARD OF TRUSTEES DRAWN FROM THE COMMUNITY, INCLUDING SIX PHYSICIAN TRUSTEES. WITH THE MISSION TO "MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE," ELLIS BALANCES STATE-OF-THE-ART TECHNOLOGY AND ADVANCED MEDICAL PROCEDURES WITH A 132-YEAR TRADITION OF COMMUNITY-BASED CARING AND A FIRM COMMITMENT TO QUALITY. ELLIS HAS EARNED NUMEROUS RECOGNITIONS FOR CLINICAL EXCELLENCE AND COMMUNITY SERVICE. ELLIS HAS BEEN A NEW YORK STATE DESIGNATED STROKE CENTER SINCE 2005, AND WAS THE FIRST HOSPITAL IN NEW YORK STATE TO RECEIVE THE AMERICAN STROKE ASSOCIATION'S (ASA) PERFORMANCE ACHIEVEMENT AWARD FOR STROKE (IN 2006). THE ELLIS STROKE CENTER CONTINUES AS A RECIPIENT OF THE GOLD/GOLD PLUS AWARD (2007-2017), RECOGNIZED FOR USING THE ASA'S "GET WITH THE GUIDELINES" PROGRAM FOR IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES. THE HOSPITAL IS AN ACCREDITED BARIATRIC SURGERY CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. ADDITIONALLY, THE SLEEP DISORDERS CENTER IS ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE; THE BELANGER SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION; THE FAMILY MEDICINE RESIDENCY IS ACCREDITED BY BOTH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION; SIX ELLIS PRIMARY CARE PRACTICES IN GLENVILLE, SCHENECTADY AND CLIFTON PARK HAVE ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) "PATIENT-CENTERED MEDICAL HOME" (PCMH) RECOGNITION; AND FIVE PRIMARY CARE PRACTICES PARTICIPATE IN THE FEDERAL CMS "CPC+" QUALITY PROGRAM. ELLIS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A "FIT-FRIENDLY WORKSITE AND RECEIVED THE AHA'S "INNOVATION AWARD" FOR PRESENTING A UNIQUE PROGRAM OF HEALTH AND WELLNESS TO EMPLOYEES. ELLIS HAS BEEN AWARDED BLUE DISTINCTION CENTER DESIGNATION BY BLUE CROSS BLUE SHIELD FOR CARDIAC CARE, BARIATRIC CARE, KNEE AND HIP REPLACEMENT, AND MATERNITY CARE. ELLIS IS ALSO A PARTNERS IN PERFORMANCE EXCELLENCE GOLD BALDRIGE AWARD WINNER, RECOGNIZED FOR ITS DEDICATION AND WORK TO CREATE A CULTURE AND SYSTEMS WHERE INNOVATION AND PERFORMANCE EXCELLENCE BECOME THE ACCEPTED NORM. ELLIS HAS ALSO BEEN HONORED WITH THE FIVE RINGS AWARD BY INTELLICENTRICS, INC. FOR EXCELLENCE IN VENDOR CREDENTIALING AND CREATING A CULTURE OF VIGILANCE TO MAKE HOSPITALS SAFER FOR EMPLOYEES AND PATIENTS. DURING RECENT YEARS, ELLIS HAS RECEIVED COMMUNITY SERVICE AWARDS FROM THE CHAMBER OF SCHENECTADY COUNTY ("CORPORATION OF THE YEAR"), THE CITY MISSION OF SCHENECTADY ("PARTNERS AWARD," SPECIFICALLY RECOGNIZING THE HOSPITAL'S FREE COMMUNITY SHUTTLE, HEALTH SERVICE NAVIGATORS, AND OTHER SERVICES FOR THE UNDERSERVED), THE SCHENECTADY ARC ("EMPLOYER OF THE YEAR," RECOGNIZING THE HOSPITAL FOR PROVIDING EMPLOYMENT, WITH OPPORTUNITIES FOR GROWTH AND MEANINGFUL EXPERIENCE, TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES), THE SIGHT SOCIETY OF NORTHEASTERN NEW YORK ("HOSPITAL OF THE YEAR" FOR COMMITMENT AND COMPASSION TO GRIEVING FAMILIES ALONG WITH OUTSTANDING ACCOMPLISHMENTS AND BEST PRACTICES TO FACILITATE CORNEA DONATIONS), THE GOOSE HILL NEIGHBORHOOD ASSOCIATION ("COMMUNITY AWARD" FOR BEING A GOOD NEIGHBOR AND PROACTIVE COMMUNICATOR), AND THE SEVENTH NATIONAL LEARNING CONGRESS OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ("SILVER MEDAL" FOR ORGAN DONATION). ELLIS OPERATES A STATE-OF-THE-ART EMERGENCY DEPARTMENT WHICH OPENED IN DECEMBER 2014 AT ELLIS HOSPITAL AND HAD 72,931 VISITS IN 2017; THE BELLEVUE WOMAN'S CENTER WHICH DELIVERED 2,503 BABIES IN 2017 (SEE LINE 4D); EIGHT PRIMARY CARE PRACTICES (IN SCHENECTADY (4), GLENVILLE, CLIFTON PARK, MALTA, AND BALLSTON SPA) AND NUMEROUS SPECIALTY MEDICAL SERVICES THROUGH THE ELLIS MEDICAL GROUP (EMG); A FULL-SERVICE DENTAL CLINIC INCLUDING ADULT AND PEDIATRIC DENTAL SURGERY; AN 82-BED SKILLED NURSING FACILITY AND SHORT-STAY REHABILITATION FACILITY (SEE LINE 4C); TWO OFF-SITE BLOOD DRAW STATIONS; A BARIATRIC CARE LOCATION; A SLEEP DISORDERS CENTER; A WOUND CARE CENTER; A FAMILY MEDICINE RESIDENCY INCLUDING AN OSTEOPATHIC RESIDENCY; A GENERAL DENTAL RESIDENCY; AND A SCHOOL OF NURSING RESIDENTS ENROLLED IN THE FAMILY MEDICINE RESIDENCY AND THE GENERAL DENTAL RESIDENCY PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO PATIENTS, THE MAJORITY OF WHOM ARE UNINSURED OR ARE PARTICIPANTS IN GOVERNMENT PROGRAMS SUCH AS MEDICAID, FAMILY HEALTH PLUS, AND CHILD HEALTH PLUS THROUGH THREE CLINICS LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER: THE FAMILY HEALTH CENTER, THE PEDIATRIC HEALTH CENTER, AND THE DENTAL HEALTH CENTER. ELLIS OPERATES THE MEDICAL CENTER OF CLIFTON PARK (MCCP), THE ONLY 24/7 EMERGENT CARE FACILITY LOCATED IN SOUTHERN SARATOGA COUNTY, ONE OF THE FASTEST-GROWING COMMUNITIES IN NEW YORK STATE. THE EMERGENT CARE FACILITY SAW 35,584 PATIENT VISITS IN 2017. MCCP IS ALSO THE LOCATION FOR A PRIMARY CARE PRACTICE AND SEVERAL SPECIALTY PRACTICES. ELLIS IS THE SOLE CORPORATE MEMBER OF THE VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK (VNS), A NOT-FOR-PROFIT HOME HEALTH CARE AGENCY WHICH SERVES SCHENECTADY AND SEVERAL OTHER COUNTIES IN THE REGION. THE BELANGER SCHOOL OF NURSING AT ELLIS PREPARES STUDENTS FOR LICENSURE AS PROFESSIONAL REGISTERED NURSES (RN). IN 2017, 85.7% OF THE SCHOOL'S GRADUATES PASSED THE NEW YORK STATE NURSING LICENSURE EXAMINATION (FIRST TIME TAKERS). TOTAL FALL 2017 ENROLLMENT WAS 118 STUDENTS, WITH THE 2017 GRADUATING CLASS AT 52 STUDENTS. THIRTY-EIGHT PERCENT OF THESE GRADUATES JOINED THE NURSING STAFF AT ELLIS WITHIN SIX MONTHS OF GRADUATION.
FORM 990, PART III, LINE 4A, CONTINUEDELLIS SERVES THE COMMUNITY BY ADDRESSING IDENTIFIED HEALTH CARE PRIORITIES; INCLUDING ACCESS TO CARE, AND PREVENTION AND TREATMENT OF CHRONIC DISEASES; THROUGH A VARIETY OF PROGRAMS. IDENTIFICATION OF NEEDS INCLUDES SUCH MECHANISMS AS THE FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT (SEE SCHEDULE H, PART V) AND THE STATE-MANDATED THREE-YEAR COMMUNITY SERVICE PLAN. THESE PLANS ARE BUILT COLLABORATIVELY THROUGH REGIONAL AND COMMUNITY PARTNERSHIPS. ON A REGIONAL BASIS, ELLIS IS A MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) A SIX-COUNTY HEALTH DATA COLLECTION AND PLANNING ENTITY WHICH BRINGS TOGETHER COUNTY PUBLIC HEALTH DEPARTMENTS, NOT-FOR-PROFIT HOSPITALS, FQHCS, AND NOT-FOR-PROFIT INSURERS. IN BOTH 2013 AND 2016, HCDI CONDUCTED REGIONAL INFORMATION-GATHERING EXERCISES TO PROVIDE THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS OF ITS MEMBER NOT-FOR-PROFIT HOSPITALS. THESE ARE AVAILABLE HERE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX AND ARE FURTHER DESCRIBED IN SCHEDULE H. IN ADDITION TO THE FEDERALLY-REQUIRED CHNAS, DURING 2014 HCDI CONDUCTED A COMPREHENSIVE 11-COUNTY GREATER CAPITAL REGION COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ON BEHALF OF TWO REGIONAL HEALTH CONSORTIA, ONE OF WHICH WAS LED BY ELLIS. THAT CHNA, A REQUIREMENT OF THE NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM, COVERED THE SPECIFIC HEALTHCARE NEEDS OF THE MEDICAID POPULATION. A COPY IS AVAILABLE HERE: HTTPS://ABHEALTH.US/ABOUT/COMMUNITY-NEEDS-ASSESSMENT/. ON A COMMUNITY COLLABORATION BASIS, ELLIS PARTNERS WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), INCLUDING JOINT GRANT APPLICATIONS AND JOINT NEW YORK STATE DEPARTMENT OF HEALTH NEEDS ASSESSMENTS. THIS INCLUDES THE SCHENECTADY COUNTY STRATEGIC ALLIANCE FOR HEALTH (SAH), A COUNTY-LED, FEDERALLY-DESIGNATED AND FUNDED COLLABORATIVE FOCUSED ON PREVENTING CHRONIC DISEASE AND PROMOTING COMMUNITY HEALTH. ELLIS ALSO PROVIDES CO-LEADERSHIP, MEETING SPACE, AND RESOURCES FOR THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC), A COMMUNITY COLLABORATIVE OF ABOUT 60 HEALTHCARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES. SCHC MET QUARTERLY DURING 2017 TO DISCUSS COMMUNITY HEALTH NEEDS AND TO MONITOR PROGRESS ON ELLIS' 2016 IMPLEMENTATION STRATEGY. ELLIS COUNTED 19,841 INPATIENT DISCHARGES AND 564,050 OUTPATIENT VISITS DURING 2017. IN 2017, ELLIS PROVIDED $20,415,258 IN FINANCIAL ASSISTANCE, CONSISTING OF $5,346,096 IN CHARITY CARE AND $15,069,162 IN UNINSURED DISCOUNTS. ELLIS HAS GRANTED DISCOUNTED RATES TO ALL UNINSURED PATIENTS SINCE NOVEMBER 2009.
FORM 990, PART III, LINE 4BELLIS OPERATES A 52-BED (CERTIFIED AND STAFFED) INPATIENT MENTAL HEALTH UNIT, ALONG WITH EXPANDED OUTPATIENT SERVICES. THIS IS THE ONLY INPATIENT MENTAL HEALTH FACILITY IN SCHENECTADY COUNTY, AND IS ONE OF ONLY TWO INPATIENT UNITS IN A 16-COUNTY REGION PROVIDING SERVICES TO ADOLESCENTS. ELLIS' MENTAL HEALTH SERVICES INCLUDE: INPATIENT CARE FOR ADULTS AND ADOLESCENTS; OUTPATIENT CHILD, ADOLESCENT, AND ADULT MENTAL HEALTH SERVICES; CRISIS INTERVENTION, INCLUDING A 24-HOUR CRISIS INFORMATION HOTLINE; A PEER ADVOCACY PROGRAM; AND A SUPPORT AND EDUCATION GROUP FOR PEOPLE WITH MAJOR DISORDERS AND THEIR FAMILIES. ELLIS CONTRACTS WITH THE SCHENECTADY COUNTY DRUG COURT TO PROVIDE EXPEDITED MENTAL HEALTH SERVICES TO LOW-LEVEL OFFENDERS REFERRED BY THE JUDICIAL SYSTEM, AND WITH THE SCHENECTADY COUNTY CORRECTIONAL FACILITY TO PROVIDE POST-INCARCERATION SUPPORT SERVICES, INCLUDING PEER SERVICES. IN RESPONSE TO A NATIONALLY-STUDIED "SCHENECTADY SUICIDE CLUSTER" OF TEENAGE AFRICAN-AMERICAN FEMALES, ELLIS MOVED THE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH CLINIC TO SUBSTANTIALLY EXPANDED FACILITIES AT THE ELLIS MCCLELLAN STREET HEALTH CENTER, WHERE IT IS CO-LOCATED WITH THE PEDIATRIC AND FAMILY HEALTH CENTERS. THE ELLIS STATE STREET HEALTH CENTER, WHICH HOUSES THE OUTPATIENT MENTAL HEALTH CLINIC AND A PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) SERVICE, WAS OPENED IN 2017. THIS NOT ONLY INCREASED THE SIZE AND IMPROVED THE QUALITY OF FACILITIES FOR ADULT OUTPATIENT MENTAL HEALTH; IT ALSO HAS BECOME PART OF AN INFORMAL "MEDICAL VILLAGE," WITH THE MENTAL HEALTH FACILITY, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ANOTHER LARGE COMMUNITY PRIMARY CARE CLINIC, AND TWO PHARMACIES ALL LOCATED WITHIN ONE CITY BLOCK. IN 2017, THE ELLIS MENTAL HEALTH PROGRAMS HAD 1,908 INPATIENT DISCHARGES AND 42,573 OUTPATIENT VISITS.
FORM 990, PART III, LINE 4CTHE ELLIS CENTER, AN 82-BED LONG-TERM SKILLED NURSING FACILITY (SNF) AND SHORT-STAY REHABILITATION FACILITY SPECIALIZING IN MEDICALLY COMPLEX CASES, OPERATES FROM ITS RENOVATED FACILITY ON THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS. THE FACILITY PROVIDES RESIDENTS WITH MORE PRIVATE ROOMS AND SUCH AMENITIES AS A CYBER-CENTER, A LARGER HAIR SALON, AND A ROOF-TOP GARDEN. RESIDENT DAYS FOR 2017 WERE 29,205.
FORM 990, PART VI, SECTION B, LINE 11BLINE 11A EXPLANATION - A COPY OF THE ELLIS HOSPITAL'S 990 WAS PREPARED AND SUBMITTED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER. AFTER CFO REVIEW WAS COMPLETED, THE FORM 990 WAS SENT TO EACH MEMBER OF THE AUDIT COMMITTEE FOR REVIEW. AFTER REVIEW BY THE AUDIT COMMITTEE, A COPY OF THE FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS GIVEN TO EACH VOTING MEMBER OF ELLIS' BOARD OF TRUSTEES, PRIOR TO ITS FILING WITH THE IRS. AFTER REVIEW BY THE BOARD OF TRUSTEES, AND UPON THE RECOMMENDATION OF THE AUDIT COMMITTEE, APPROVAL IS GIVEN FOR FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CELLIS HOSPITAL'S CONFLICT OF INTEREST POLICY APPLIES TO ALL HOSPITAL TRUSTEES, OFFICERS, EMPLOYEES, MEDICAL/DENTAL STAFF MEMBERS, DIRECTORS, MANAGERS, APPOINTEES WITH ADMINISTRATIVE AND/OR DECISION-MAKING RESPONSIBILITIES, VOLUNTEERS OR ANY OF THESE PARTIES' IMMEDIATE FAMILIES (COLLECTIVELY CALLED HOSPITAL AGENTS). THE ELLIS HOSPITAL CORPORATE BYLAWS REQUIRE HOSPITAL AGENTS AND OTHER SELECTED INDIVIDUALS AS IDENTIFIED BY THE VICE PRESIDENT, HUMAN RESOURCES AND THE CORPORATE COMPLIANCE OFFICER/DIRECTOR OF INTERNAL AUDIT (CCO), TO FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE HOSPITAL ON A ANNUAL BASIS. WHEN THE STATEMENTS ARE COMPLETED THEY ARE RETURNED TO THE CCO. UPON RECEIPT, THE CCO WILL REVIEW THE DISCLOSURE AND, IF A POTENTIAL CONFLICT IS DISCLOSED, WILL MEET WITH THE HOSPITAL AGENT AND/OR HIS/HER APPROPRIATE SUPERVISOR TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION IF ANY. ALL STATEMENTS FOR TRUSTEES ARE ALSO REVIEWED BY THE CCO, AND IF A POTENTIAL CONFLICT HAS BEEN DISCLOSED, HE/SHE WILL MEET WITH THE BOARD CHAIRPERSON TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION, IF ANY. ALL POTENTIAL CONFLICTS INVOLVING THE BOARD OF TRUSTEES WILL BE SUMMARIZED BY THE CCO AND REPORTED TO THE AUDIT COMMITTEE OF THE BOARD. THIS COMMITTEE WILL THEN SHARE THIS INFORMATION WITH THE BOARD CHAIRPERSON. WHEN A POTENTIAL OR ACTUAL CONFLICT EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AT A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE UPON, THE TRANSACTION OR ARRANGEMENT THAT COULD CONSTITUTE THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE MEMBERS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE CURRENT EXECUTIVE COMPENSATION PLAN IS IN FULL COMPLIANCE WITH ALL EXISTING RULES AND REGULATIONS APPLICABLE TO A 501(C) CORPORATION. THE FOLLOWING IS A SUMMARY OF EACH PLAN: EXECUTIVE COMPENSATION PLAN-THE PRESIDENT, AND ALL OTHER SENIOR EXECUTIVIES ARE GOVERNED BY OUR EXECUTIVE COMPENSATION PROGRAM ESTABLISHED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMPENSATION PLAN IS ADMINISTERED ALSO BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. THE REVIEW OF THE COMPENSATION AGREEMENTS AND GATHERING OF COMPARABILITY DATA IN DETERMINING THE REASONABLENESS OF COMPENSATION FOLLOW THE PROCEDURES DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6.
FORM 990, PART VI, SECTION C, LINE 19CORPORATE COMPLIANCE POLICIES (INCLUDING CONFLICTS OF INTEREST POLICY) AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA POSTING ON THE ELLIS HOSPITAL WEBSITE: WWW.ELLISMEDICINE.ORG. IN ADDITION, THESE DOCUMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN FOUNDATION 315,184. PENSION AND POSTRETIREMENT RELATED CHANGES 7,050,684. INVESTMENT IN AFFILIATE -1,050,094. YANKEE ALLIANCE TAX INCOME -716,743. ALLIANCE FOR BETTER HEALTH CARE -1,877. UROLOGY ASSOCIATES -359,668.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
CONTINUATION OF SCHEDULE H, PART VI, LINE 4SCHENECTADY COUNTY CITY OF SCHENECTADY NEW YORK STATE POPULATION 155,565 (2017) 65,625 (2017) 19,849,399 (2017) PERSONS PER SQUARE MILE 756.6 (2010) 6,135.5 (2010) 411.2 (2010) PERSONS UNDER 18 YEARS 21.7% (2015) 24.4% (2010) 21.3% (2015) PERSONS 65 YEARS AND OVER 16.0% (2015) 11.4% (2010) 15.0% (2015) WHITE ALONE 79.6% (2015) 61.4% (2010) 70.1% (2015) BLACK OR AFRICAN AMERICAN ALONE 11.4% (2015) 20.2% (2010) 17.6% (2015) BACHELOR'S DEGREE OR HIGHER (AGE 25+) 30.6% (2012-16) 21.1% (2012-16) 34.7% (2012-16) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $165,000 (2012-16) $112,900 (2012-16) $286,300 (2012-16) MEDIAN HOUSEHOLD INCOME $59,959 (2012-16) $41,243 (2012-16) $60,741 (2012-16) PERSONS IN POVERTY 11.4% (2016) 23.8% (2014) 14.8% (2016) FIGURE 1: SCHENECTADY COUNTY, CITY, AND STATE DEMOGRAPHICS SOURCE: US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS ----------------------------------------------------------------------- SCHENECTADY COUNTY NEW YORK STATE ADULTS 18-64 WITHOUT ANY HEALTH INSURANCE (2009-13) 8.4% 11.1% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2013-14) 79.8% 84.6% (EXCL. NYC) ADULTS WHO VISITED DOCTOR FOR ROUTINE CHECK-UP W/IN 1 YEAR (AGE-ADJUSTED, 2013-14) 68.7% 72.3% ADULT DENTAL VISIT W/IN PAST YEAR (2013-14) 70.0% 70.9% (EXCL. NYC) FIGURE 2: SCHENECTADY COUNTY AND STATE HEALTH INSURANCE AND ACCESS MEASURES SOURCE: HCDI, 2016 COMMUNITY HEALTH PROFILE
CONTINUATION OF SCHEDULE H, PART V, LINE 5SEPTEMBER 29, 2016 MEB (MENTAL HEALTH AND SUBSTANCE ABUSE) WORK GROUP: SPECIFIC PARTICIPATION IN CHIP/CSP PROJECTS, REPORTS ON PROJECTS AND OPPORTUNITIES ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, NEW CHOICES RECOVERY CENTER, CONIFER PARK, SCHENECTADY ARC, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, UNITED WAY OF THE GREATER CAPITAL REGION, ELLIS MEDICINE, COMMUNITY MEMBER WITH SUICIDE PREVENTION EXPERTISE SEPTEMBER 29, 2016 TOPICS: STATUS OF DRAFT CHIP/CSP DOCUMENT, REPORTS FROM CHIP/CSP WORK GROUPS, OBESITY/DIABETES, MEB (MENTAL HEALTH AND SUBSTANCE ABUSE), REPORTS FROM OTHER WORK GROUPS, ASTHMA, FALLS PREVENTION, TEEN PREGNANCY, TOBACCO, REPORT ON PICH FOOD FORUM, STATUS OF SCHENECTADY DSRIP PROJECTS, NEXT STEPS/SCHEDULE - WORK GROUPS AND FULL COALITION, MEMBER UPDATES AND INFORMATION SHARING ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, UNITED WAY OF THE GREATER CAPITAL REGION, NEW CHOICES RECOVERY CENTER, SCHENECTADY ARC, CONIFER PARK, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY PUBLIC LIBRARY, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS MEDICINE, CAPITAL DISTRICT CHILD CARE COUNCIL, BETHESDA HOUSE, CAPITAL DISTRICT TOBACCO-FREE COMMUNITY, PRICE CHOPPER, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, ST. PETER'S HEALTH PARTNERS CREATING HEALTHY SCHOOLS PROGRAM, ELLIS HOSPITAL DIABETES EDUCATION PROGRAM, LEAGUE OF WOMEN VOTERS OF SCHENECTADY, SUNNYVIEW REHABILITATION HOSPITAL, HEALTHY CAPITAL DISTRICT INITIATIVE JANUARY 10, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): PICH GRANT UPDATES, WORK GROUP MEMBER UPDATES, HCDI UPDATES, DATA COLLECTION REQUIREMENTS FOR CHIP ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, BETHESDA HOUSE, UNITED WAY, HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, PRICE CHOPPER, CORNELL COOPERATIVE EXTENSION JANUARY 19, 2017 TOPICS (SUICIDE/MENTAL-EMOTIONAL-BEHAVIORAL WORK GROUP): RELATIONSHIP TO OTHER COMMUNITY GROUPS, DATA COLLECTION REQUIREMENTS FOR CHIP ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CATHOLIC CHARITIES, CONIFER PARK, SAFE INC., ELLIS HOSPITAL JANUARY 19, 2017 TOPICS: PRESENTATION ON NUVAL HEALTHY FOODS DESIGNATION SYSTEM, OVERVIEW OF HEALTHY SCHENECTADY FAMILIES HOME VISITING PROGRAM, PRESENTATION FROM CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, WORK GROUP UPDATES, HCDI UPDATES, UPDATE ON CHIP/CSP, DSRIP UPDATE, REORGANIZATION OF CARE CENTRAL HEALTH HOME ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY SUICIDE PREVENTION, ELLIS HOSPITAL, CONIFER PARK, CATHOLIC CHARITIES HOUSING OPTIONS, CANCER PEER EDUCATION, PRICE CHOPPER, PLANNED PARENTHOOD, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY ARC, UNITED WAY, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, VISITING NURSE SERVICE OF SCHENECTADY, HEALTHY SCHENECTADY FAMILIES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM MARCH 27, 2017 TOPICS (SUICIDE PREVENTION TASK FORCE): OVERVIEW OF SUICIDE PREVENTION EFFORTS IN NEW YORK STATE, DATA OVERVIEW, SWOT ANALYSIS, LOGIC MODEL, BUILDING AND MAINTAINING A COALITION ATTENDEES: SAFE INC., PLANNED PARENTHOOD, ELLIS HOSPITAL, REHABILITATION SUPPORT SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCOTIA-GLENVILLE SCHOOLS, NEW CHOICES RECOVERY, COLUMBIA-GREENE COMMUNITY COLLEGE, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY COMMUNITY COLLEGE, BURNT HILLS-BALLSTON LAKE HIGH SCHOOL, NISKAYUNA HIGH SCHOOL, NORTHEAST CAREER PLANNING, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY YOUTH BUREAU, SARATOGA COUNTY OFFICE OF COMMUNITY SERVICES, COLUMBIA-GREENE PUBLIC HEALTH, SOLOS SUICIDE SURVIVORS GROUP APRIL 6, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): ST. PETER'S HEALTH PARTNERS EXERCISE PROGRAM IN SCHENECTADY SCHOOLS (LINCOLN, ELMER AVENUE), CAPITAL ROOTS PROJECTS ON ADULT OBESITY - CONNECT TRAILS, "HEALTHY REFRIGERATORS", DATA FROM FOOD PROVIDERS, COMMUNITY SHUTTLE STOP AT CENTRAL PARK ATTENDEES: ELLIS HOSPITAL, BETHESDA HOUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CORNELL COOPERATIVE EXTENSION, HEALTHY CAPITAL DISTRICT INITIATIVE, ST. PETER'S HEALTH PARTNERS HEALTHY SCHOOLS PROGRAM, UNITED WAY MAY 4, 2017 TOPICS: CANCER PEER EDUCATION PROGRAM OVERVIEW, CREATING BREASTFEEDING-FRIENDLY COMMUNITIES GRANT OVERVIEW, WORK GROUP UPDATES, HCDI UPDATES, DSRIP UPDATES ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, NEW YORK STATEWIDE SENIOR ACTION PROGRAM, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY COMMUNITY ACTION PROGRAM, UNITED WAY, CANCER PEER EDUCATION, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SCHENECTADY ARC, CATHOLIC CHARITIES, ST. PETER'S HEALTH PARTNERS HEALTHY SCHOOLS PROGRAM, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH JUNE 22, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): PICH GRANT UPDATES - WRAP-UP AND SUSTAINABILITY, NEXT ELLIS DIABETES PREVENTION PROGRAM (DPP) STARTING SEPTEMBER 26, HCDI UPDATE - CONSUMER SURVEY ON PHYSICAL ACTIVITY AND OBESITY ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, BETHESDA HOUSE, ELLIS HOSPITAL JULY 20, 2017 TOPICS: NEW ELLIS OUTPATIENT MENTAL HEALTH CENTER ON STATE STREET, DSRIP UPDATE - INCENTIVE PAYMENT PROGRAM, HCDI UPDATE, WORK GROUP UPDATES ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, HEALTHY CAPITAL DISTRICT INITIATIVE, THE SCHENECTADY FOUNDATION, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CONIFER PARK, BOYS AND GIRLS CLUB OF SCHENECTADY, ASTHMA COALITION OF THE CAPITAL DISTRICT, CAPITAL REGION CHAMBER OF COMMERCE, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, SCHENECTADY ARC, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY CITY MISSION, CATHOLIC CHARITIES OCTOBER 19, 2017 TOPICS: COUNTY HEALTH RANKINGS AND ROADMAPS PRESENTATION - RWJF COMMUNITY COACH, DIRECTION OF THE COALITION - TRAUMA-INFORMED COMMUNITIES, ELLIS PEDIATRICS HEALTHY STEPS GRANT PROGRAM, DSRIP UPDATE ATTENDEES: ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, NEW CHOICES RECOVERY CENTER, BETHESDA HOUSE, HEALTHY CAPITAL DISTRICT INITIATIVE, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, ALLIANCE FOR BETTER HEALTH, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ST. PETER'S HEALTH PARTNERS, SCHENECTADY ARC, CORNELL COOPERATIVE EXTENSION, CANCER PEER EDUCATION, CATHOLIC CHARITIES, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, SCHENECTADY CITY MISSION NOVEMBER 14, 2017 TOPICS: SECONDARY PREVENTION WORK GROUP KICKOFF ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY CITY MISSION, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS HOSPITAL, ALLIANCE FOR BETTER HEALTH, CENTRAL NEW YORK CHILDREN'S HEALTH HOME NOVEMBER 15, 2017 TOPICS: PRIMARY PREVENTION WORK GROUP KICKOFF ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, NEW CHOICES RECOVERY CENTER, SCHENECTADY COMMUNITY ACTION PROGRAM NOVEMBER 17, 2017 TOPICS: TERTIARY PREVENTION WORK GROUP KICKOFF ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM 2. COMMUNITY TELEPHONE SURVEY: THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) CONDUCTED ITS SECOND COMMUNITY HEALTH SURVEY OF RESIDENTS IN THE CAPITAL DISTRICT DURING MARCH TO APRIL 2016 FOR THE SPECIFIC PURPOSE OF GATHERING PUBLIC INPUT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE AIM OF THE SURVEY WAS TO LEARN MORE ABOUT BEHAVIORAL HEALTH/LIFESTYLE PRACTICES, HEALTH CARE UTILIZATION AND NEEDS, CHALLENGES TO PRACTICING HEALTHY BEHAVIORS AND ACCESSING CARE AND ACCEPTABILITY OF COMMUNITY HEALTH PROGRAMS. THE SIENA COLLEGE RESEARCH INSTITUTE WAS CONTRACTED TO COLLECT THE DATA FOR THIS COMMUNITY HEALTH SURVEY. A RANDOM SAMPLING DESIGN WAS APPLIED TO RECRUIT A REPRESENTATIVE SAMPLE OF 2,408 PARTICIPANTS. APPROXIMATELY 400 RESIDENTS IN EACH OF THE SIX COUNTIES (ALBANY, COLUMBIA, GREENE, RENSSELAER, SARATOGA AND SCHENECTADY) PARTICIPATED IN THE SURVEY. THE SAMPLE FROM EACH COUNTY WAS STATISTICALLY WEIGHTED TO THE PROPORTIONATE SHARE OF THE POPULATION OF THE ENTIRE REGION, MAKING THE OVERALL MARGIN OF ERROR INCLUDING THE DESIGN EFFECTS OF WEIGHTING +/-2.7 PERCENTAGE POINTS AT THE 95% CONFIDENCE LEVEL.
CONTINUATION OF SCHEDULE H, PART V, LINE 5THE DATA COLLECTION INSTRUMENT WAS DEVELOPED BY HCDI IN COLLABORATION WITH THE PREVENTION AGENDA STEERING COMMITTEE AND SIENA COLLEGE. THE QUESTIONS WERE ASKED IN REFERENCE TO A 12 MONTH PERIOD TO IMPROVE CONSISTENCY IN RESPONSE. THE QUESTIONNAIRE WAS PILOT TESTED BEFORE ADOPTED FOR USE. TRAINED INTERVIEWERS AT SIENA COLLEGE ADMINISTERED THE QUESTIONNAIRES TO ENSURE FIDELITY OF THE DATA. PARTICIPANTS WHO WERE ?18 YEARS AND ELIGIBLE TO TAKE PART IN THE STUDY WERE INTERVIEWED ON THEIR CELLPHONES OR LANDLINES. THE QUESTIONNAIRE TOOK APPROXIMATELY 15 MINUTES TO COMPLETE AND A RESPONSE RATE OF 13.7% WAS OBTAINED. UP TO SEVEN ATTEMPTS WERE MADE BEFORE PARTICIPANTS WERE CLASSIFIED AS NON-RESPONSE. FORTY-FOUR PERCENT OF THE RESPONDENTS CONSENTED TO BE CONTACTED IN FUTURE SURVEYS OR OTHER RESEARCH STUDIES. THE PARTICIPANTS WERE NOT COMPENSATED TO TAKE PART IN THE SURVEY. DESCRIPTIVE STATISTICS WERE USED TO SUMMARIZE THE DATA. 3. WRITTEN COMMENTS RECEIVED ON 2013 CHNA AND IMPLEMENTATION STRATEGY: AS REQUIRED, ELLIS POSTED THE 2013 CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX). IN ADDITION, THE IMPLEMENTATION STRATEGY WAS INCLUDED IN THE IRS FORMS 990 SCHEDULE H ALSO POSTED ON THE WEBSITE. ELLIS SOLICITS PUBLIC COMMENTS VIA THE WEBSITE ITSELF (HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX), FACEBOOK (HTTPS://WWW.FACEBOOK.COM/ELLISMEDICINENY) AND TWITTER (HTTPS://TWITTER.COM/ELLISMEDICINE) WITH ALL ACCOUNTS ACTIVELY MONITORED BY STAFF FROM THE COMMUNICATIONS AND MARKETING OFFICE. ELLIS ALSO SOLICITED PUBLIC COMMENTS THROUGH THE REGULAR MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). NO WRITTEN COMMENTS WERE RECEIVED BETWEEN THE WEBSITE POSTING OF THE 2013 CHNA AND IMPLEMENTATION STRATEGY IN NOVEMBER 2013 AND THE PREPARATION OF THE 2016 CHNA IN SEPTEMBER 2016. COMMENTS WERE RECEIVED, HOWEVER, DURING MEETINGS OF SCHC AND WERE USED TO MODIFY AND MAKE MID-COURSE CORRECTIONS TO THE OVERALL IDENTIFICATION, EVALUATION, AND PRIORITIZATION OF HEALTH NEEDS. THE MOST SIGNIFICANT COMMENTS RELATED TO PRIORITY MODIFICATIONS SO AS TO BE ABLE TO TAKE ADVANTAGE OF OPPORTUNITIES WHICH OCCURRED AFTER ADOPTION OF THE 2013 DOCUMENT. THIS PARTICULARLY INVOLVED ELEVATION OF THE PRIORITY OF FOOD INSECURITY (INITIALLY LISTED AS TIER B) AS SEVERAL FUNDING OPPORTUNITIES BECAME AVAILABLE. GREATER KNOWLEDGE OF THE IMPACT OF FOOD INSECURITY ON THE OVERALL WELL-BEING OF INDIVIDUALS AND FAMILIES IN SCHENECTADY THEN LED TO IT INCLUSION AS A COMPONENT IN THE OBESITY/DIABETES INITIATIVE FOR 2016. GIVEN THIS EXPERIENCE, ELLIS EXPECTS TO MORE AGGRESSIVELY ENCOURAGE WRITTEN COMMENTS ON THE 2016 CHNA AND IMPLEMENTATION STRATEGY
CONTINUATION OF SCHEDULE H, PART V, LINE 11-MENTAL HEALTH AND SUBSTANCE ABUSE - SUICIDE AND MENTAL/EMOTIONAL/BEHAVIORAL INFRASTRUCTURE: THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES (THE LOCAL GOVERNMENT'S MENTAL HEALTH UNIT) AND ELLIS UNDERTOOK A COLLABORATION TO FORM WORK GROUPS EVALUATING MENTAL HEALTH NEEDS. IN COLLABORATION WITH RESEARCHERS FROM THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND STUDENTS AT UNION COLLEGE, A PROJECT TO FOCUS ON THE CHNA-IDENTIFIED EXCESS NUMBER OF DRUG-ADDICTED NEWBORNS IN SCHENECTADY RECEIVED ELLIS IRB APPROVAL TO CONDUCT CHART REVIEWS OF NEWBORNS WITH POSITIVE DRUG SCREEN. THE STUDY EVALUATED THE MOST COMMONLY ABUSED DRUGS AND DEMOGRAPHICS OF THE NEWBORNS' MOTHERS. BECAUSE OF THE SMALL SAMPLE SIZE, NO FINAL CONCLUSIONS WERE REACHED. IN 2015, ELLIS AND SCPHS WORKED WITH HCDI WHICH IS COMPILING MENTAL HEALTH AND SUBSTANCE ABUSE DATA FROM SUCH STANDARDIZED SURVEY TOOLS AS BRFSS AND SCHOOL CLIMATE SURVEY TO ANALYZE AMONG THE CAPITAL REGION COUNTIES. THE SURVEY INFORMATION CONTINUES TO FLAG THE NEWBORN DRUG-RELATED DIAGNOSIS RATE IN SCHENECTADY COUNTY AS A CRITICAL ISSUE COMPARED WITH THE REGION, ALTHOUGH THE SINGLE YEAR RATE DID DIP SLIGHTLY (6.3%) BETWEEN 2012 AND 2013. OTHER INDICATORS FOR WHICH SCHENECTADY COUNTY EXCEEDS THE REGIONAL RATE ARE POST TRAUMATIC STRESS DISORDER (3.8% VS. 3.1%) AND SUBSTANCE ABUSE-OTHER (9.3% VS. 7.7%). SPECIFIC SCHENECTADY NEIGHBORHOODS, HOWEVER, GREATLY EXCEED REGIONAL RATES ON MULTIPLE INDICATORS; FOR EXAMPLE THE SCHENECTADY STOCKADE RATES EXCEED REGIONAL RATES ON 14 OF 18 INDICATORS, WHILE THE DEMENTIA RATE IN SCOTIA/GLENVILLE IS 83% ABOVE THE REGIONAL RATE. DURING 2016, THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) INITIATED A MENTAL/ EMOTIONAL/BEHAVIORAL (MEB) WORKGROUP IN THE FALL OF 2016 TO DISCUSS SUICIDE PREVENTION EFFORTS IN THE COMMUNITY. THIS GROUP MET TWICE DURING LATE 2016 AND EARLY 2017. IN MARCH 2017, SCHC AND SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HELD A SUICIDE PREVENTION DAY OF DIALOGUE THAT BROUGHT TOGETHER COALITION PARTNERS, STATE LEADERS, COMMUNITY BASED ORGANIZATIONS, MEMBERS OF THE COMMUNITY TO DISCUSS THE ISSUE OF SUICIDE IN THE COMMUNITY AND WHAT CAN BE DONE TO PREVENT IT. ABOUT 30 INDIVIDUALS ATTENDED THE FORUM. THE SECOND HALF OF THE DAY WAS SPENT ON TRAINING THE GROUP IN THE EVIDENCE-BASED SUICIDE PREVENTION TRAINING CALL "QUESTION, PERSUADE, REFER." IT WAS IMPORTANT TO GIVE PARTICIPANTS PRACTICAL SKILLS TO TAKE BACK TO USE IN THEIR ORGANIZATIONS OR LIVES AS WELL AS START THE BROADER CONVERSATION ABOUT SUICIDE PREVENTION IN THE COMMUNITY. FROM THIS DAY OF DIALOGUE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HAS DECIDED TO RE-ENGAGE A PREVIOUSLY FORMED SUICIDE PREVENTION COALITION. THIS GROUP WILL LOOK AT COUNTY LEVEL DATA AND DEVELOP STRATEGIES TO IMPROVE SUICIDE PREVENTION EFFORTS INCLUDING TRAINING IN THE COMMUNITY. THIS GROUP WILL MEET FOR THE FIRST TIME DURING JANUARY 2018. THE COALITION IS STILL INTERESTED IN OFFERING MENTAL HEALTH FIRST AID TRAININGS IN THE COMMUNITY AS AN ADDITIONAL EVIDENCE-BASED INTERVENTION; HOWEVER THE COST OF DOING SO HAS BECOME A BARRIER. IN 2018, THIS WILL BE EXPLORED AGAIN AS WELL AS WAYS TO FUND THESE TRAININGS. ELLIS MEDICINE HAS ASSISTED IN PLANNING WORKGROUP MEETINGS AS WELL AS PROVIDING INPUT DURING THESE GROUPS. THEIR ACCESS TO PRIMARY CARE DOCTORS AS WELL AS MENTAL HEALTH PROFESSIONALS REMAINS OF KEY IMPORTANCE IN MOVING THIS WORK FORWARD. SUNNYVIEW HOSPITAL AND ST. PETERS HEALTH PARTNERS ALSO PARTICIPATE IN THE WORKGROUPS OF THE COALITION AND SUPPORT TRAININGS BY SENDING STAFF WHEN RELEVANT. THE SCHENECTADY COMMUNITY RECOGNIZES SUICIDE PREVENTION AS AN IMPORTANT TOPIC TO INVESTIGATE. A SPECIFIC STRENGTH WE HAVE IN THIS AREA IS TOPIC EXPERTISE. WE HAVE A COALITION MEMBER WHO RETIRED FROM THE NEW YORK STATE SUICIDE PREVENTION CENTER AND THUS HAS VAST KNOWLEDGE IN THIS TOPIC THEY ARE ABLE TO SHARE. THIS PERSON IS ALSO CERTIFIED TO TEACH IN A NUMBER OF SUICIDE PREVENTION TRAININGS INCLUDING: ASIST (APPLIED SUICIDE INTERVENTION SKILLS TRAINING), SAFE TALK (SUICIDE AWARENESS FOR EVERYONE TELL ASK LISTEN KEEP SAFE), AND QPR (QUESTION, PERSUADE, REFER). A CHALLENGE WE FACED IN 2017 WAS GETTING MOMENTUM GOING FOR THE TOPIC OF SUICIDE PREVENTION AND PREVENTION OF M/E/B DISEASE. THE COMMUNITY UNDERSTANDS THE MAGNITUDE OF THE ISSUE BUT DOESN'T FEEL CONFIDENT IN THE PREVENTION EFFORTS. THIS WAS ADDRESSED BY INTRODUCING THE TOPIC OF ADVERSE CHILDHOOD EXPERIENCES (ACES) AND TRAUMA PREVENTION TO THE COALITION. THESE TOPICS IMPACT THE DEVELOPMENT OF MEB DISEASES AND SUICIDE RATES BUT HAVE ROOT CAUSES THAT ARE BROADER THAN JUST SUICIDE. THE GOAL OF PRESENTING HIGHER UPSTREAM CAUSES WAS TO HAVE COALITION MEMBERS IDENTIFY THE TOPICS THEY CAN WORK ON THAT WILL ULTIMATELY AFFECT SUICIDE RATES. THIS WILL BE FURTHER EXPLORED IN 2018 AS WELL AS ADDITIONAL SUICIDE PREVENTION SPECIFIC TRAININGS. THE ELLIS PEDIATRIC HEALTH CENTER RECEIVED A $354,500 GRANT FROM THE NEW YORK STATE OFFICE OF MENTAL HEALTH TO IMPLEMENT THE HEALTHY STEPS PROGRAM SUPPORTING AT-RISK FAMILIES WITH CHILDREN FROM BIRTH TO THREE YEARS OLD. THE GRANT ENABLED HIRING A HEALTHY STEPS SPECIALIST FOR THREE YEARS. -ASTHMA AND SMOKING: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS, AND OTHER COMMUNITY ORGANIZATIONS APPLIED FOR AND RECEIVED A GRANT FROM NEW YORK STATE HEALTH FOUNDATION TO SUPPORT A "SCHENECTADY ASTHMA SUPPORT COLLABORATIVE" (SASC). A REQUIRED LOCAL CASH MATCH WAS PROVIDED BY THE SCHENECTADY FOUNDATION, THE GE FOUNDATION, AND MVP HEALTHCARE. SERVICES OF A COLLABORATIVE MODEL COMBINING CARE MANAGEMENT, PATIENT EDUCATION, AND IN-HOME NURSING SERVICES BEGAN IN LATE 2014, WITH THE GRANT PERIOD ENDING IN DECEMBER 2015. SASC CREATED A SEAMLESS THREE-TIERED CARE MODEL (CENTRALIZED CARE COORDINATION, HOME VISITS/ASSESSMENTS, AND ASTHMA EDUCATION). OVER THE COURSE OF THE PROJECT, 68 PATIENTS CONSENTED TO PARTICIPATE IN CARE COORDINATION. WHILE 57 (84%) OF THESE REMAINED ENGAGED AFTER TWO MONTHS, ONLY 13 (19%) COMPLETED BOTH THE HOME VISITS AND ASTHMA EDUCATION COMPONENTS. THE PROJECT'S FINAL REPORT CONCLUDED THAT CULTURAL DYNAMICS ("FATALISM") AND STRUCTURAL BARRIERS (ISSUES OF TRUST) MAY HAVE PREVENTED INDIVIDUALS FROM ACCESSING OPTIMAL CARE. ALTHOUGH THE PROJECT CLEARLY DEMONSTRATED THE CHALLENGES OF ENGAGING PATIENTS, THE CLINICAL ASPECTS OF THE THREE-TIERED MODEL REMAIN VALID. THE DESIGN OF THE SCHENECTADY MODEL WAS USED TO INFORM DEVELOPMENT OF ASTHMA PROJECTS ACROSS THE SIX-COUNTY SERVICE AREA OF THE REGIONAL DSRIP PARTNERSHIP, THE ALLIANCE FOR BETTER HEALTH. ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD), AND PRICE CHOPPER PHARMACY PARTICIPATED IN THE "SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM," WHICH FOR THE 2016-17 SCHOOL YEAR ENROLLED 80 OF THE 1,151 DIAGNOSED ASTHMATICS IN SCSD. THIS ENROLLMENT TRIPLED THAT OF THE 2014-15 SCHOOL YEAR. THE PROGRAM ADMINISTERED 232 ALBUTEROL TREATMENTS, ENABLING STUDENTS TO RETURN TO CLASS 98.7% OF THE TIME. (IN THREE CASES THE STUDENT WAS SENT HOME TO RECOVER, BUT NO TREATED STUDENT NEEDED TO GO TO THE EMERGENCY DEPARTMENT.) IN ADDITION TO THE IN-SCHOOL COMPONENT, NEARLY A THIRD OF THE STUDENTS AND THEIR PARENTS COMPLETED OUTPATIENT ASTHMA SELF-MANAGEMENT TRAINING SESSIONS THROUGH ELLIS ASTHMA CARE. THE ELLIS ASTHMA EDUCATION PROGRAM FOUND THAT "GRADUATES" ACHIEVE A 60-70% REDUCTION IN EMERGENCY DEPARTMENT VISITS OVER 12 MONTHS POST-DISCHARGE. A CARE MANAGER FROM THE ELLIS-SPONSORED HEALTH HOME COMPLETED A TWO-DAY ASTHMA TRAINING COURSE. ELLIS CONTINUED ITS STRONG ASTHMA EDUCATION PROGRAM, AND CONTINUED TO COLLABORATE WITH THE CAPITAL DISTRICT TOBACCO FREE COALITION. INFORMAL "SUASION" WITHIN THE COMMUNITY ENCOURAGED VARIOUS SMOKE-FREE INITIATIVES; A NEWLY-CONSTRUCTED AFFORDABLE HOUSING PROJECT ON ALBANY STREET IN SCHENECTADY WILL BE SMOKE-FREE, AND THE ENTIRE UNION COLLEGE CAMPUS WAS SMOKE-FREE AS OF JANUARY 1, 2017. SINCE AUGUST 2016, THE LEGAL AGE FOR THE SALE OF TOBACCO PRODUCTS IN SCHENECTADY COUNTY IS SET BY LOCAL LAW AT 21.
CONTINUATION OF SCHEDULE H, PART V, LINE 11-INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION: ELLIS LED CREATION OF TWO REGION-WIDE HEALTH INNOVATIONS COLLABORATIONS - A MEDICARE MSSP ACO ("INNOVATIVE HEALTH ALLIANCE OF NEW YORK" (IHANY)) AND A MEDICAID DSRIP PPS ("ALLIANCE FOR BETTER HEALTH" (AFBH)) - BOTH WITH GOALS OF REDUCING INAPPROPRIATE HOSPITAL UTILIZATION. BOTH COLLABORATIONS WERE APPROVED FOR INAUGURATION IN 2015 - THE ACO ON JANUARY 1 AND THE PPS ON APRIL 1. IHANY ADOPTED THE GOAL OF REDUCING INAPPROPRIATE HOSPITAL EMERGENCY DEPARTMENT UTILIZATION AS PART OF A COMPREHENSIVE PROGRAM INTENDING TO REDUCE COSTS AND PRODUCE SHARED SAVINGS. AFBHC IS REQUIRED BY THE STATE TO REDUCE INAPPROPRIATE HOSPITAL UTILIZATION (BOTH EMERGENCY DEPARTMENT AND INPATIENT) BY 25% OVER A FIVE YEAR PERIOD. IHANY WAS SUCCESSFUL IN REDUCING EMERGENCY DEPARTMENT USE BY ITS ATTRIBUTED PATIENTS DURING ITS FIRST YEAR OF OPERATIONS. -ADOLESCENT (TEEN) PREGNANCY: ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT, PLANNED PARENTHOOD MOHAWK HUDSON, THE ALLIANCE FOR POSITIVE HEALTH (FORMERLY THE AIDS COUNCIL), AND THE SCHENECTADY TEEN AND ADULT COALITION (STAC) WORKED TO CONSIDER CAUSES AND SOLUTIONS TO THE CONSISTENTLY HIGH RATES OF ADOLESCENT PREGNANCY IN CERTAIN NEIGHBORHOODS. THE PROJECT ENGAGED ADOLESCENTS/TEENAGERS IN FOCUS GROUP AND MULTIPLE MEETINGS. A GAP IN HEALTH EDUCATION AT LOCAL SCHOOLS WAS IDENTIFIED. AFTER MOST HEALTH EDUCATION TEACHERS HAD BEEN LAID OFF DUE TO BUDGET CUTS, STUDENTS ARE RECEIVING NO HEALTH EDUCATION CLASSES BETWEEN 6TH GRADE AND 10TH GRADE. PLANNED PARENTHOOD ARRANGED A 9TH GRADE STUDENT ASSEMBLY IN NOVEMBER 2016, AND IS SEEKING TO REINTRODUCE MIDDLE SCHOOL HEALTH CLASSES. THE SCHENECTADY FOUNDATION'S "CALL TO ACTION FOR SCHENECTADY'S YOUTH" GRANT PROGRAM IS PROVIDING FUNDING FOR THE "CRADLE PROJECT," A MULTIMEDIA PROJECT THAT IS FOCUSING A LENS ON SCHENECTADY'S HIGH RATE OF TEENAGE PREGNANCY - THE HIGHEST IN THE CAPITAL REGION - AND ITS TOLL ON THE COMMUNITY. DOZENS OF LOCAL YOUTH ARE INVOLVED IN WRITING ORIGINAL MUSIC AND DIALOG, PERFORMING AND PRODUCING "CRADLE," A DOCUMENTARY FILM ABOUT TEEN PREGNANCY. THE CRADLE PROJECT WILL ALSO INCLUDE MUSIC VIDEOS AND FORUMS ABOUT SEXUAL HEALTH AND PROFESSIONAL DEVELOPMENT. -ARTHRITIS AND DISABILITY: AS THIS NEED WAS NOT CATEGORIZED AMONG THE TOP PRIORITIES IN THE DEVELOPMENT OF THE CHNA, RESOURCES WERE DEVOTED TO OTHER HIGHER PRIORITY PROJECTS. -DENTAL HEALTH: IN 2015, ELLIS RECEIVED THE FINAL PAYMENT OF A $250,000 "MEMBER ITEM" GRANT FROM STATE SENATOR HUGH T. FARLEY WHICH WAS USED TO ACQUIRE EQUIPMENT FOR THE PEDIATRIC DENTAL PROGRAM. ELLIS DENTAL CARE NOW PROVIDES EXPANDED SERVICES TO LOW-INCOME PATIENTS; INCLUDING THE NEW FACILITIES FOR PEDIATRIC DENTAL SURGERY AND A PROGRAM FOR PARENTS AND FAMILIES OF PEDIATRIC DENTAL PATIENTS. DURING 2016, THE ELLIS DENTAL HEALTH CENTER APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. -FALLS: THE CHNA IDENTIFIED PARTICULARLY HIGH FALLS MORTALITY IN THE COMMUNITY, AND A HIGH NUMBER OF FALLS IN ONE NEIGHBORHOOD. DATA ANALYSIS AND "DRILLING DOWN" IDENTIFIED A LARGE SENIOR HOUSING FACILITY IN THIS NEIGHBORHOOD AS THE FALLS "HOT SPOT." ELLIS STAFF MET WITH ADMINISTRATORS AT THE FACILITY ON SEVERAL OCCASIONS. UNION COLLEGE STUDENTS WERE ENGAGED TO ASSIST THE FACILITY STAFF TO TRACK INDICATORS AND TRENDS. HAVING IDENTIFIED THE ISSUE AT ONE SENIOR HOUSING FACILITY, AMBULANCE CALL DATA WERE OBTAINED FROM THE LOCAL AMBULANCE COMPANY IN AN EFFORT TO ANALYZE THE PREVALENCE OF FALLS AT OTHER SENIOR FACILITIES. SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES PARTNERED TO OFFER TAI CHI FOR ARTHRITIS CLASSES IN THE COMMUNITY TO HELP PREVENT FALLS IN OLDER ADULTS. AS PART OF THE WORK OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY COUNTY LEAGUE OF WOMEN VOTERS (LWV) UNDERTOOK LEAD ACTIVITIES FOR A "FALLS PREVENTION WORK GROUP." THE WORK GROUP MET REGULARLY AND ENGAGED EXPERTS FROM THE STATE DEPARTMENT OF HEALTH, SENIOR CITIZEN ORGANIZATIONS, REHABILITATION FACILITIES, AND LOCAL GOVERNMENT AGENCIES. THE LWV BECAME UNABLE TO LEAD THE GROUP AS OF EARLY 2017, AND THE GROUP CEASED TO MEET. -FOOD INSECURITY: THE FOCUS ON FOOD INSECURITY CAME FROM A 2013 UMATTER SCHENECTADY SURVEY FINDING THAT THE MAJORITY OF RESIDENTS IN THREE SCHENECTADY NEIGHBORHOODS (HAMILTON HILL, EASTERN AVENUE, AND CENTRAL STATE) HAD RUN OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR. INTERESTINGLY, THIS FINDING CORRELATED WITH THE PREVALENCE OF SEVERE OBESITY (BMI >35) WHICH IS MORE THAN DOUBLE FOR PEOPLE WHO RUN OUT OF FOOD EVERY MONTH OR NEARLY EVERY MONTH THAN FOR THOSE WHO NEVER RUN OUT OF FOOD. A PARTNERSHIP INCLUDING SCHENECTADY COMMUNITY ACTION PROGRAM, CITY MISSION OF SCHENECTADY, ELLIS HOSPITAL, AND THE SCHENECTADY FOUNDATION OBTAINED A GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT A "COMMUNITY COACH" FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE "COACH" CONVENED A SERIES OF TELEPHONE CONFERENCES AND AN ON-SITE VISIT TO HELP FOCUS COMMUNITY RESOURCES AND THINKING. AS A RESULT OF THE COACHING, THE PARTNERSHIP DEVELOPED A COMMUNITY PLAN INCLUDING ASSET MAPPING AND A ROOT CAUSE ANALYSIS, AND DEVELOPED COLLABORATION WITH THE SCHENECTADY COUNTY FOOD PROVIDERS GROUP. NO CLEAR, SINGLE, CAUSE WAS FOUND, ALTHOUGH THERE WAS SOME EVIDENCE THAT SOME SERVICE GAPS (E.G., FEW FOOD PANTRIES ARE OPEN ON WEEKENDS) AND INEFFICIENCIES IN THE DISTRIBUTION SYSTEM MAY BE CONTRIBUTORS. DURING 2015, ELLIS, SCPHS, AND THEIR PARTNERS WORKED WITH TWO GRANTS (A ROBERT WOOD JOHNSON FOUNDATION ROADMAPS TO HEALTH ACTION AWARD AND PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH) TO IMPROVE ACCESS TO HEALTHY FOODS. THESE EFFORTS RESULTED IN DEVELOPMENT OF A SCHENECTADY FOOD RESOURCE MAP (HTTP://SICMFOOD.COM/), AN ONLINE TOOL ACCESSIBLE FROM PORTABLE DEVICES SUCH AS SMARTPHONES, WHICH SHOWS THE LOCATIONS OF SUCH RESOURCES AS SOUP KITCHENS, FOOD PANTRIES, AND STORES WHICH ACCEPT ELECTRONIC BENEFIT CARDS. THE RESOURCE MAP HAS ALSO BEEN DEVELOPED INTO A MOBILE PHONE APPLICATION, CALLED "FOOD 4 SCHDY." THE APP ALLOWS USERS TO VIEW THE RESOURCE MAP USING THEIR SMARTPHONE'S LOCATION AND GET DIRECTIONS TO THE RESOURCES. THE PICH GRANT ALSO SUPPORTS POLICY, SYSTEMS, AND ENVIRONMENTAL IMPROVEMENTS AT FOOD PANTRIES WITHIN THE COUNTY TO INCREASE ACCESS TO HEALTHY FOODS. THIS GRANT SUPPORTED THE OPENING OF A NEW FOOD PANTRY IN THE 12308 ZIP CODE (NORTHSIDE NEIGHBORHOOD), WHICH IS AN UNDERSERVED AREA OF THE COUNTY. AS PART OF THE PICH GRANT, A COMMUNITY WIDE FOOD PLAN WAS DEVELOPED WITH GOALS, STRATEGIES AND EVIDENCE BASED ACTIVITIES TO ADDRESS FOOD INSECURITY IN THE COMMUNITY. PHYSICIANS AT THE ELLIS FAMILY HEALTH CENTER CONTINUE TO PROMOTE FRESH FRUIT AND VEGETABLE CONSUMPTION AMONG PATIENTS. -NEIGHBORHOOD SAFETY: ELLIS AND THE CITY OF SCHENECTADY PARTICIPATED ON SEVERAL INITIATIVES TO STABILIZE THE NORTHSIDE/GOOSE HILL NEIGHBORHOOD WHERE THE NOTT STREET CAMPUS IS LOCATED. THESE INCLUDE A "WALK TO WORK" INITIATIVE AND A PROGRAM TO PROMOTE HOME OWNERSHIP ("HOME OWNERSHIP MADE EASY" (HOME)). IN ADDITION, CONSTRUCTION AT THE NOTT STREET CAMPUS INCLUDED NEW SIDEWALKS AND IMPROVED STREET LIGHTING, BOTH ISSUES OF NEIGHBORHOOD SAFETY WHICH HAD BEEN IDENTIFIED IN THE CHNA. ELLIS WAS INVITED BY THE NEW YORK STATE HEALTH FOUNDATION TO APPLY FOR A COMMUNITY-WIDE "HEALTHY NEIGHBORHOODS FUND" GRANT. THE APPLICATION WAS SUBMITTED BUT NOT FUNDED. -PROGRAMS FOR YOUTH AND ADOLESCENTS: IN DECEMBER 2014, THE SCHENECTADY FOUNDATION HOSTED A CONFERENCE ENTITLED "BRIDGES TO YOUTHS" TO BETTER UNDERSTAND THE NEEDS OF SCHENECTADY'S YOUTH. THE CONFERENCE LED TO THE "CALL TO ACTION FOR SCHENECTADY'S YOUTH." SINCE ITS LAUNCH, THE SCHENECTADY FOUNDATION HAS SO FAR INVESTED $770,000 IN EIGHT PROGRAMS WITH THE POTENTIAL TO BRING POWERFUL AND POSITIVE CHANGE TO SCHENECTADY'S YOUTH. CALL TO ACTION FOR YOUTH IS A THREE-YEAR, $2 MILLION COMMUNITY-WIDE EFFORT TO EMPOWER CHILDREN AND TEENS THAT FACE SIGNIFICANT BARRIERS TO SUCCESS. GRANTS INCLUDE SUPPORT OF SCHOLARSHIPS, JOB TRAINING, AND SPORTS PROGRAMS FOR YOUTH.
CONTINUATION OF SCHEDULE H, PART V, LINE 11-COMMUNITY AND COALITION BUILDING: ELLIS AND SCPHS CONTINUE TO LEAD AND PARTICIPATE IN NUMEROUS COMMUNITY COALITIONS. THESE INCLUDE THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY STRATEGIC ALLIANCE FOR HEALTH, AND THE HEALTHY CAPITAL DISTRICT INITIATIVE. IN ADDITION, DURING 2014 ELLIS UNDERTOOK TWO MAJOR BUSINESS INITIATIVES PROMOTING BROAD COALITIONS OF HEALTHCARE PROVIDERS. A MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTNERED THREE HOSPITAL SYSTEMS, AN FQHC, AND SEVERAL COMMUNITY MEDICAL PRACTICES. A NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM PERFORMING PROVIDER SYSTEM (DSRIP PPS) PARTNERED THE SAME THREE HOSPITAL SYSTEMS, TWO FQHCS, AND TWO LARGE COMMUNITY MEDICAL PRACTICES, ALONG WITH MORE THAN 50 COMMUNITY AGENCIES. BOTH WERE APPROVED BY THEIR RESPECTIVE REGULATORS TO START OPERATIONS IN 2015. THE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK, OR IHANY) WAS APPROVED TO START OPERATIONS ON JANUARY 1, 2015, AND THE DSRIP PPS (ALLIANCE FOR BETTER HEALTH, OR AFBH) TO BEGIN ON APRIL 1, 2015. EACH WAS ESTABLISHED AS A SEPARATE LIMITED LIABILITY COMPANY (LLC) AND EACH UNDERTOOK TO ADOPT AN OPERATING AGREEMENT AND SEAT A BOARD OF DIRECTORS. THE DSRIP PPS RECEIVED SCHEDULED FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH UNDER A FIVE-YEAR AGREEMENT. THE MSSP ACO WAS FUNDED BY CAPITAL CONTRIBUTIONS FROM THE TWO MEMBERS OF THE LLC (ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS), AND HAS NOT ACHIEVED "SHARED SAVINGS." IN 2017, ELLIS WITHDREW AS AN EQUITY PARTNER OF THE MSSP ACO, BUT REMAINS A CLINICAL PARTNER. IN FALL 2017, THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) APPROVED RENEWAL OF IHANY'S MSSP ACO AGREEMENT FOR ANOTHER THREE YEARS. -COMMUNITY HEALTH IMPROVEMENT: ELLIS CONTINUED PROGRAMS OF COMMUNITY AND PATIENT EDUCATION AND SUPPORT. -HEALTH PROFESSIONS EDUCATION: ELLIS, THE ONLY HOSPITAL IN THE REGION TO SPONSOR BOTH PHYSICIAN EDUCATION AND NURSING EDUCATION, CONTINUED TO PROVIDE A BROAD VARIETY OF HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING THE BELANGER SCHOOL OF NURSING, THE FAMILY MEDICINE RESIDENCY, THE GENERAL DENTAL RESIDENCY, GRAND ROUNDS AND OTHER CONTINUING PROFESSIONAL EDUCATION PROGRAMS. ELLIS ALSO SERVES AS A TRAINING AND PRECEPTORSHIP SITE FOR NUMEROUS COMMUNITY-BASED HEALTH PROFESSIONS EDUCATION PROGRAMS. -SUBSIDIZED AND FREE HEALTH SERVICES: ELLIS CONTINUED TO PARTICIPATE IN GOVERNMENT INSURANCE PROGRAMS INCLUDING MEDICARE AND MEDICAID, WHILE PROVIDING REDUCED RATES AND CHARITY CARE FOR SELF-PAY PATIENTS, AS DETAILED IN IRS FORM 990, SCHEDULE H. MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE (CHARITY CARE) COVERED NEARLY TWO-THIRDS OF INPATIENT DISCHARGES DURING 2017.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ELLIS NOTT STREET PHARMACY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 NOTT STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12308ZIPCd
FieldValueIRS element (for citing)
EIN815395445EIN
Primary ActivitiesRETAIL PHARMACYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income-$170,866TotalIncomeAmt
End Of Year Assets$799,450EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY
108 ERIE BOULEVARDSCHENECTADYNY12305141338478HOME HEALTH CARENY501(C)(3)3ELLIS HOSPITALYes (1)
VOLUNTEER AIDES OF ELLIS HOSPITAL
1101 NOTT STREETSCHENECTADYNY12308146004058PROVIDE VOLUNTEER SUPPORT TO THE HOSPITALNY501(C)(3)PF0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UROLOGY ASSOCIATES OF SCHENECTADY PCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ELLIS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
VISITING NURSE SERVICE ASSOCIATION
O$324,369FMV
VISITING NURSE SERVICE ASSOCIATION
Q$72,714FMV