2015-11-16T15:11:08-08:00 2014-12-31 KPMG LLP 515 BROADWAY ALBANY NY 122072930 990 2014-01-01 141338428 Ellis Hospital ELLI 5186128667 1101 Nott Street Schenectady NY 12308 Marc Mesick Vice President/CFO 2015-11-16 true Jeffrey Stagg P01326885 5184274600 2014 2016-03-07 17:11:31Z 388146800 false false X www.ellismedicine.org X 1885 NY The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health and wellness needs of our community with excellence. Our vision is to be an world class healthcare system by providing patient-centered care and collaborating with our physicians. 22 16 4098 281 5936312 -402877 6590373 5780731 367549089 372632922 5125209 4763588 6244044 4953326 385508715 388130567 20795 55697 0 223085372 218389486 0 0 153792169 155911463 376898336 374356646 8610379 13773921 304324675 328714441 152380088 182515166 151944587 146199275 X The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health and wellness needs of our community with excellence. Our vision is to be an world class healthcare system by providing patient-centered care and collaborating with our physicians. false false 282967304 55697 348049214 Ellis is a community and teaching hospital with 438 licensed beds across three campuses, including 52 inpatient mental health beds (see item 4B below). The hospital is overseen by a volunteer Board of Trustees drawn from the community. Ellis is the sole provider of acute hospital care in Schenectady County, following state-mandated restructuring which resulted in consolidation of three hospitals into one in 2007-2008. With the mission to meet the health and wellness needs of our community with excellence, Ellis balances state-of-the-art technology and advanced medical procedures with a tradition of community-based caring and a firm commitment to quality.Ellis has earned numerous recognitions for clinical excellence and community service. Ellis is a New York State designated Primary Stroke Center and recipient of the Gold/Gold Plus Award from the American Stroke Association (2007-2015), recognized for using the ASAs Get with the Guidelines program for improving the quality of care and patient outcomes. The hospital is a fully accredited Center of Excellence by the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery. Additionally, the Sleep Disorders Center is accredited by the American Academy of Sleep Medicine; the Belanger (Ellis) School of Nursing is accredited by the National League for Nursing Accrediting Commission; the Family Medicine Residency is accredited by both the Accreditation Council for Graduate Medical Education and the American Osteopathic Association; and four Ellis Primary Care practices in Glenville, Schenectady and Clifton Park have achieved National Commission on Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition. Ellis is also a 2013 Mass Excellence Gold Baldrige Award winner, recognized for its dedication and work to create a culture and systems where innovation and performance excellence become the accepted norm. Ellis has also been honored with the Five Rings Award by IntelliCentrics, Inc. for excellence in vendor credentialing and creating a culture of vigilance to make hospitals safer for employees and patients. During recent years, Ellis has received community service awards from the Chamber of Schenectady County (Corporation of the Year in 2013), the City Mission of Schenectady (Partners Award, specifically recognizing the hospitals free community shuttle, health service navigators, and other services for the underserved), the Schenectady ARC (Employer of the Year, recognizing the hospital for providing employment, with opportunities for growth and meaningful experience, to individuals with developmental disabilities), the Sight Society of Northeastern New York (Hospital of the Year for commitment and compassion to grieving families along with outstanding accomplishments and best practices to facilitate cornea donations), the Goose Hill Neighborhood Association (Community Award for being a good neighbor and proactive communicator), and the Seventh National Learning Congress of the United States Department of Health and Human Services (Silver Medal for organ donation).Ellis operates two Emergency Departments which had 83,788 visits in 2014, the Bellevue Womans Care Center which delivered 2,634 babies in 2014 (see line 4d), five primary care practices (in Schenectady (2), Glenville, Clifton Park, and Latham) and numerous specialty medical services through the Ellis Medical Group (EMG), an 82-bed skilled nursing facility and short-stay rehabilitation facility (see line 4c), two off-site blood draw stations, a Bariatric Care location, a Sleep Disorders Center, a Wound Care Center, a Family Medicine Residency including an Osteopathic Residency, a General Dental Residency, and a School of Nursing. Residents enrolled in the Family Medicine Residency and the General Dental Residency provide primary medical and dental care to patients, the majority of whom are uninsured or are participants in government programs such as Medicaid, Family Health Plus, and Child Health Plus through three clinics located at the Ellis McClellan Street Health Center: the Family Health Center, the Pediatric Health Center, and the Dental Health Center. In late 2012, Ellis opened the Medical Center of Clifton Park (MCCP), currently the only 24/7 emergent care facility located in Southern Saratoga County, one of the fastest-growing communities in New York State. The emergent care facility saw 35,579 patient visits in 2014, an increase of 23% over the prior year. MCCP is also the location for a primary care practice and several specialty practices. Ellis is currently seeking State Health Department certification of MCCP as a free-standing Emergency Department. If granted, ambulances would be able to deliver appropriate patients directly to MCCP, eliminating the 20-minute trip to hospital Emergency Departments in Albany, Schenectady, or Troy, and enabling local first responders to achieve significantly faster turn-around times. Ellis is the corporate member of the Visiting Nurse Service of Northeastern New York (VNS), a not-for-profit home health care agency which is the largest State-certified provider of home health care services in Schenectady County, and also serves several other counties in the region. The Belanger School of Nursing at Ellis prepares students for licensure as professional Registered Nurses (RN). In 2014, 88% of the schools graduates passed the New York State nursing licensure examination. Total enrollment is about 130 students, with a typical graduating class of about 50. About three-quarters of graduates join the nursing staff at Ellis upon graduation.Ellis serves the community by addressing identified health care priorities, including access to care and prevention and treatment of chronic diseases, through a variety of programs. Identification of needs includes such mechanisms as the federally required Community Health Needs Assessment (see Schedule H, Part V) and the State-mandated three-year Community Service Plan. Ellis is a member of the Healthy Capital District Initiative (HCDI) (a six-county health data collection and planning entity which brings together county health departments, hospitals, FQHCs, and not-for-profit insurers) and the Schenectady County Strategic Alliance for Health (a federally-designated and funded collaborative focused on preventing chronic disease and promoting community health). Ellis also collaborates with the Schenectady County Public Health Services, including joint grant applications and joint development of health needs assessments. Care Central, a multi-agency provider of care management services led by Ellis and VNS, addresses community health needs through: 1) the Medical Home, an innovative community collaboration which centralizes primary care and outpatient health and community services in one location at the Ellis McClellan Street Health Center campus, featuring health services and community services navigators, a free community shuttle van, and community-focused programs such as health fairs and seminars, 2) a Medicaid Health Home which also provides both care management and direct chronic care services to uninsured patients, and 3) a Medicare Community-based Care Transitions Program (CCTP). Community needs are also addressed by such programs as: the Wright Heart Center, which offers complete cardiac care and which has partnered with local volunteer ambulance corps to improve response times through installation of advanced EKG equipment on ambulances and location of AEDs at community sites such as recreation fields, and which also participated with IPRO in a three-year project funded by CMS to evaluate the transition of patients for each level of care and make improvements to reduce hospital readmissions; the Stroke Center, which is the regions most comprehensive source for stroke education; and the Ellis Center for Diabetes, which helps children and adults with diabetes improve their quality of life through education and support, including the areas only summer day camp for children with type 1 diabetes which provides full-tuition scholarships for low-income children.Ellis counted 19,643 inpatient discharges (consisting of 17,834 acute care and 1,809 psychiatric) and 520,142 outpatient visits during 2014. In pursuing its mission, the hospital provides services to anyone who walks through its doors, regardless of their ability to pay. In 2014, Ellis provided $8,448,000 in Financial Assistance, consisting of $2,505,000 in Charity Care and $5,943,000 in Uninsured Discounts. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009. 20595917 17933231 Ellis operates a 52-bed (certified and staffed) inpatient mental health unit, along with expanded outpatient services. This is the only inpatient mental health facility in Schenectady County, and is one of only two inpatient units in a 16-county region providing services to adolescents. Ellis mental health services include: inpatient care for adults and adolescents; outpatient child, adolescent, and adult mental health services; crisis intervention, including a 24-hour crisis information hotline; a peer advocacy program; and a support and education group for those suffering from schizophrenia and other major disorders and their families. In response to a nationally-studied Schenectady suicide cluster of teenage African-American females, Ellis moved the outpatient child and adolescent mental health clinic to substantially expanded facilities at the Ellis Health Center, where it is co-located with the Pediatric and Family Health Centers, and with the hospitals Medical Home. In 2014, the Ellis mental health programs had 1,809 inpatient discharges 11208964 8889139 The Ellis Center, an 82-bed skilled nursing facility and short-stay rehabilitation facility specializing in medically complex cases, operates from its renovated facility on the Ellis Health Center campus. The facility provides residents with more private rooms and such amenities as a cyber-center, a larger hair salon, and a roof-top garden. Inpatient days for 2014 were 28,290. The relocation in 2010 freed up two floors at Ellis Hospital which, while now used for clinical and administrative offices, could be made available for surge capacity in the event of a community disaster or epidemic 314772185 true true false true false false false false true true true false false true true true false true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true false false true 389 0 true 4098 true true true false false false false false false 0 false false false false false false false false false false X 22 16 false false false false false false false true true false false true true true true true true true true false X X Ellis Medicine Finance Dept 5186128668 1101 Nott Street Schenectady NY 12308 X Linda Breault Trustee 2.00 0.00 X 0 0 0 Janet Sapio-Mayta Trustee 3.00 0.00 X 0 0 0 Cristine Cioffi Trustee 3.00 0.00 X 0 0 0 Michael Cocca Trustee 2.00 0.00 X 0 0 0 William B Faubion Treasurer 3.00 0.00 X 0 0 0 Thomas Donovan Trustee 2.00 0.00 X 0 0 0 D Joseph Gersuk Trustee 2.00 0.00 X 0 0 0 Carolyn Jones Trustee 3.00 0.00 X 0 0 0 Ernest Lee MD Trustee 1.00 0.00 X 286208 0 4981 Patrick Kehoe Trustee 2.00 0.00 X 0 0 0 Robert Kennedy MD Trustee 2.00 0.00 X 0 0 0 Michael Idelchik Trustee 0.50 0.00 X 0 0 0 Robert Joy MD Trustee 3.00 0.00 X 15000 0 0 Deborah Mullaney Chairman 7.00 0.00 X 0 0 0 John K Tobison Trustee 2.00 0.00 X 0 0 0 Barbara Zittel Trustee 3.00 0.00 X 0 0 0 Sarah Schermerhorn Trustee 2.00 0.00 X 0 0 0 Laura Schweitzer PhD Secretary 2.00 0.00 X 0 0 0 Stephen Pagano Vice Chair 1.50 0.00 X 0 0 0 Richard Toll MD Trustee 1.00 0.00 X 5796 0 0 Brian McDonald MD Trustee 2.00 0.00 X 50400 0 0 Emile Walraven Trustee 2.00 0.00 X 0 0 0 Judith McIlduff Trustee 0.50 0.00 X 0 0 0 Raymond Sweeney Trustee 1.00 0.00 X 0 0 0 James W Connolly President & CEO 55.00 5.00 X 646764 0 42108 Paul A Milton EVP/COO 55.00 5.00 X 370652 0 38333 Daniel J Rinaldi CFO 55.00 5.00 X 250081 0 10875 Marc Mesick CFO 55.00 5.00 X 188823 0 12364 Joseph Giansante Vice President, Human Resources 55.00 0.00 X 251815 0 34638 Patti S Hammond Vice President, Physician Relations 55.00 0.00 X 115373 0 10734 David M Liebers MD CMO/VP Quality Services/Med Affairs 55.00 0.00 X 341457 0 38579 Cecilia A Lynch Vice President, Nursing/CNO 55.00 5.00 X 69246 0 3617 Donald J McLaughlin Vice President Facility and Support 55.00 0.00 X 189867 0 31106 Wendy Rosher Vice President Clinical Services 55.00 0.00 X 246536 0 35234 David Snyder Vice President Information Services 55.00 0.00 X 235637 0 145698 Anoush Koroghlian - Scott VP Legal Affairs & General Counsel 55.00 0.00 X 232962 0 14930 Kelli Valenti VP Strategic Planning/Progam Dev 55.00 0.00 X 191847 0 33250 Roger Barrowman VP/CEO- Ellis Med Group 55.00 0.00 X 433474 0 38217 Kathleen Hale CNO 55.00 0.00 X 214476 0 31 Terence Clarke MD Surgeon 50.00 0.00 X 678296 0 77608 Frank Genovese MD Neurosurgeon 50.00 0.00 X 715462 0 47933 Chanderdeep Singh MD Cardiothoracic Sur 50.00 0.00 X 548355 0 79896 Herbert Reich MD Surgeon-Cardiothor 50.00 0.00 X 637388 0 75173 Paul Spurgas MD Neurosurgeon 50.00 0.00 X 838895 0 40408 7754810 815713 266 false true false Clarus Linen Systems - Atlas 60 Grider Street Buffalo NY 14215 Linen / Laundry Svc 1965440 Smith & Jones 297 River Street Troy NY 12180 Marketing 1083068 OB Hospitalist Group 10 Centimeters Drive Mauldin SC 29662 Medical 1109636 Staff Care PO Box 281923 Atlanta GA 303841923 Staffing Agency 980348 Schenectady Pulmonary 124 Rosa Rd Suite 382 Schenectady NY 12308 Physician Service 1172393 61 3229962 2550769 5780731 General Hospital 621990 339819093 339819093 Lab-Physician Referrals 621500 2773259 2773259 Long Term Care 623000 8889139 8889139 Mental Health Services 621990 17933231 17933231 Sunnyview Hosp Svcs 621990 2433684 2433684 784516 784516 372632922 1654702 1654702 0 0 0 3125119 16233 3108886 3108886 3108886 0 0 0 Eddy SeniorCare/Other 624210 547659 547659 Fd Svc, park,emp pharm,ot 1718418 1718418 Purch Disc / Leased Emp 900099 1242493 1242493 1444756 448510 729369 266877 4953326 388130567 369664641 5936312 6748883 0 55697 55697 0 0 4824964 274985 4549979 0 180849345 161053436 19795909 7336022 6590769 745253 12192461 10869983 1322478 13186694 11493011 1693683 1508023 1508023 374177 374177 212996 212996 47962 47962 0 320148 320148 6942329 6336240 606089 1602629 3112 1599517 62502054 60252401 2249653 3920104 3920104 0 10144120 8826726 1317394 1341934 1075516 266418 0 0 1144457 1144457 0 16543343 14634255 1909088 4440347 4440347 Purchased Services 17137109 12662722 4474387 Equip Rental/Maint 12878484 8856356 4022128 Bad Debt Expense 8164980 8164980 Other Fees-Non Medical 3083273 690572 2392701 3602994 278944 3324050 374356646 314772185 59584461 0 15377 15792 17675796 26817361 0 32233432 29834538 0 0 310900 127567 5977039 6620973 1583337 1978239 438428017 257725064 162633118 180702953 52868438 60245008 0 0 0 31027238 22372010 304324675 328714441 29936205 26332191 157619 157619 22501438 6598339 100002 106951 58249657 95410665 41435167 53909401 152380088 182515166 X 136965014 130541705 9369152 9904048 5610421 5753522 151944587 146199275 304324675 328714441 X 13773921 -2057167 -17462066 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 47962 47962 false false Part II-B, Line 1i - Other Activities Description Ellis Hospital pays dues to the Healthcare Association of New York State, Iroquois Healthcare Alliance, and American Hospital Association. The portion of the dues that were attributable to lobbying activities are shown on form 990, Part IX, Line 11 D and above in Schedule C, Part II-B, Line 1i. false true X 5610421 143101 5753522 5449599 160822 5610421 5208275 241324 5449599 3969599 1238676 5208275 3919510 50089 3969599 true false false 6474443 6474443 183558835 76828649 106730186 1316425 1101308 215117 240434226 179795107 60639119 6644088 6644088 180702953 Accrued interest receivable -196513 Allowance Uncollectable -538975 Deferred financing costs 1528034 DSH for OP Mental Health 826481 Due from Foundation 78792 Grant receivable 584576 IHANY 55540 Interest in Net Assets of Foundation 17575660 Meaningful Use Receivable 478205 MIsc 12801 Miscellaneous receivables 1095508 Pension Assets Rent receivable 133925 Security Deposits 146658 Yankee Alliance investment 591318 22372010 Accrued interest payable 176580 Accrued pension 11094737 Accrued post retirement benefits 215572 Accrued sick payable 6997711 Accrued vacation payable 9518895 Asset retirement obligation 894986 Claims payable 1920301 DEF Con payable - employer 211161 Employee withholdings 602863 Estimated payables to 3rd Party Payers 5619513 Estimated self-insurance 14575816 Retainage payable 2081266 53909401 X 360766502 -2057167 -25627046 -27684213 388450715 -320148 -320148 388130567 366511814 -8164980 -8164980 374676794 -320148 -320148 374356646 Part IV, Line 2b: Explanation of escrow account liability The Ellis Residential and Rehabilitation Center residents spending account is included in line 2 and line 21 on Schedule X. The total is $6,578. These funds belong to the residents and are deposited and disbursed by the Ellis Residential and Rehabilitation Director's designee. The Ellis Hospital Accounting Department is responsible for tracking the funds.Medical/Dental Staff Dues Account is included in line 2 and line 21 on Schedule X. The total is $102353. This fund contains deposits and disbursements as directed by the Medical/Dental Staff appointed officers. The Ellis Hospital Accounting department is responsible for depositing and disbursing the funds on the Medical/Dental officer's behalf. The accounting department also issues IRS form 1099 based on the disbursements. Part V, Line 4: Intended uses of the endowment fund. Permanently Restricted Net Assets (Endowment Funds) are investments to be held in perpetuity, the income from which is expendable to support health care services (reported as Other Operating Revenue). These Net Assets amounted to $477,514 at 12/31/2014. The remaining amount of $5,276,008 are Net Assets held by the Foundation (including $1,341,054 for beneficial interest in perpetual trusts). Grand total was $5,753,522. Part X : FIN48 Footnote The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amounts that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain income tax positions in either 2014 or 2013. true true X true X 300.000000000 false true true true false true true 2612058 262929 2349129 0.00630 73437575 60321580 13115995 0.03500 76049633 60584509 15465124 0.04130 292843 292843 0.00080 12023590 3820292 8203298 0.02240 429107 429107 0.00120 12745540 3820292 8925248 0.02440 88795173 64404801 24390372 0.06570 276 276 1355 1355 434 434 2065 2065 true 8164980 1108123 68287842 69332947 -1045105 X true true Visiting Nurse Svc Assoc serves home health needs 1.00000 1 1 Ellis Hospital 1101 Nott Street Schenectady NY 12308 www.ellismedicine.org 4601001H X X X X 82 Bed Skilled Nursing Facility Ellis Hospital 1 false false true X X X X X X X X X 13 true true true true X http://www.ellismedicine.org/blob/Public X true 13 true http://www.ellismedicine.org/pages/community-report.aspx false false true X 300.0000 X X true true X X X true X X X X X X X true X X X true X X X X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Yes, the hospital took into account input from persons who represent the broad interests of the community served, including those with special knowledge of or expertise in public health. Meetings in 2012, 2013, and 2014, including listings of the participating community organizations, are listed below:Schenectady Coalition for a Healthy Community (full group)November 15, 2012Topics: Overview of the community assessment project and timeline. Visioning (targets and outcomes), survey topics, and subcommittees. Organize subcommittee for survey questions and development. Establishment of a separate committee of community members (the Community Committee). Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady Inner City Ministry, Visiting Nurse Service of Schenectady and Saratoga, Price Chopper Supermarkets, Union Graduate Collage, Schenectady Free Clinic, Schenectady ARC, Schenectady Community Action Program, Schenectady YMCA, Tobacco Free Coalition, League of Women Voters, University at Albany School of Public Health, Cornell Cooperative Extension, Schenectady Municipal Housing Authority, Schenectady County Probation Department, Mohawk Valley Physicians Health Plan, Union Graduate College, HCDI, United Way of the Greater Capital Region, Capital Region BOCESDecember 13, 2012Topics: Naming of the Coalition. Detailed review of the survey goals, targets, and topics. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Price Chopper Supermarkets, Schenectady YMCA, Tobacco Free Coalition, University at Albany School of Public Health, Schenectady Free Clinic, Cornell Cooperative Extension, League of Women Voters, Schenectady ARC, Catholic Charities, Northern Rivers (Parsons Center), Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Schenectady County Youth Bureau, Schenectady County Probation DepartmentJanuary 17, 2013Topics: UMatter survey project updates: Schenectady Foundation grant, IRB approval of survey, start date of data collection and kickoff event, Community Health Workers, Student Volunteers, iPads and survey app, spreading the word and ideas for advertisement, venue planning. Update on the HCDI profile and survey. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, The Chamber of Schenectady County, Schenectady ARC, League of Women Voters, University at Albany School of Public Health, Cornell Cooperative Extension, Catholic Charities Senior Services, Schenectady Inner City Ministry, HCDI, Schenectady County Department of Social Services, Capitol Region BOCES, Schenectady Community Action ProgramMarch 21, 2013Topics: UMatter survey updates including survey progress and venue/event planning. Review of substance of preliminary survey data. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady Inner City Ministry, Schenectady ARC, Mohawk Ambulance, Schenectady Community Action Program, Rehabilitation Support Services, Cornell Cooperative Extension, Capital Region BOCES, University at Albany School of Public Health, independent consultant, The Chamber of Schenectady County, League of Women Voters, Habitat for Humanity, Schenectady Community Action Program, Schenectady County Office of Senior and Long Term Care, Catholic Charities Senior ServicesApril 18, 2013Topics: UMatter survey updates and review of preliminary data. Initial establishment of post-survey analysis and evaluation subcommittees. Report on UMatter website and Facebook page. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, HCDI, Schenectady Community Action program, League of Women Voters, University at Albany School of Public Health, independent consultant, Schenectady YMCA, Capitol Region BOCES, SAFE, Inc., Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Habitat for Humanity, Schenectady Day Nursery, Catholic Charities Senior Services, Schenectady Municipal Housing Authority, Schenectady ARC, The Chamber of Schenectady County, The Schenectady FoundationMay 16, 2013Topics: Project updates on UMatter survey completion, HCDI data, and CMS Innovation Awards. Establish post-survey analysis and evaluation subcommittees, including meeting schedule. Seek recruitment of additional Coalition partners and attendance at June 20th meeting for presentation of survey results. Availability of Community Health Workers for employment. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, HCDI, Schenectady Community Action program, League of Women Voters, University at Albany School of Public Health, independent consultant, Schenectady YMCA, Capitol Region BOCES, SAFE, Inc., Schenectady Inner City Ministry, Mohawk Valley Physicians Health Plan, Habitat for Humanity, Schenectady Day Nursery, Catholic Charities Senior Services, Schenectady Municipal Housing Authority, Schenectady ARC, The Chamber of Schenectady County, The Schenectady FoundationJune 20, 2013Topics: Presentation of the initial results of the UMatter survey.Attendees: Ellis Medicine, Schenectady County Public Health Services, CDPHP, Schenectady ARC, University at Albany School of Public Health, Schenectady Free Clinic, Schenectady Day Nursery, The Chamber of Schenectady, Schenectady Community Action Program, Mohawk Ambulance, Tobacco Free Coalition, Schenectady Inner City Ministry, The Schenectady Foundation, Schenectady YMCA, HCDI, Visiting Nurse Service of Schenectady and Saratoga.July 18, 2013Topics: Discussion of work of Strategic Issues Development subcommittee. Voting (Multi-Voting Method) to determine the highest priority community health needs. Open discussion.Attendees: Ellis Medicine, Schenectady County Public Health Services, Schenectady YMCA, Schenectady ARC, University at Albany School of Public Health, Capital Region BOCES, Schenectady Free Clinic, CDPHP, Union Graduate College, Mohawk Ambulance, Schenectady Community Action Program, HCDI, Visiting Nurse Service of Schenectady and Saratoga, Tobacco Free CoalitionAugust 15, 2013Topics: Review recommendations of the Implementation Plan Development subcommittee. Discussion of Action Plan contents for the top five significant community health needs.Attendees: Ellis Medicine, Schenectady County Public Health Services, Tobacco Free Coalition, Seton Health Center for Smoking Cessation, Mohawk Valley Physicians Health Plan, Community Fathers, Schenectady Free Clinic, Schenectady Community Action Program, Bigelow Corners Partnership, Schenectady Day Nursery, Schenectady ARC, Habitat for Humanity, Chamber of Schenectady County, The Schenectady Foundation, Union Graduate College, Schenectady Inner City Ministry, Foundation for Ellis Medicine, CDPHP, HCDI, Schenectady Community Action Program, Schenectady County Office of Community Services, Northeast Parent and Child Society, Schenectady YMCASeptember 19, 2013Topics: Review and comment on draft of CHNA document. Meet new PPACA health insurance navigators for Schenectady County.Attendees: Schenectady County Public Health Services, Ellis Medicine, Schenectady ARC, SCAP Head Start, Bigelow Corners Partnership, University at Albany School of Public Health, Schenectady Free Health Clinic, Habitat for Humanity, Schenectady County Senior and Long Term Care Services, Citizen Action Public Policy and Education Fund, Capital District Tobacco Free Coalition, The Schenectady Foundation, Schenectady League of Women Voters, Center for Smoking Cessation, University at Albany School of Social Welfare, MVP Health Care, Mohawk Ambulance, Schenectady County Department of Social Services, Chamber of Schenectady, Schenectady YMCA, Healthy Capital District Initiative, Schenectady Day Nursery, Catholic Charities Senior Services, Price Chopper SupermarketsOctober 17, 2013Topics: Final review and approval of the Community Action Plan. Particular discussion of upcoming agenda regarding Smoking and Asthma issues. Presentation by Schenectady High School students regarding planned approach to adolescent pregnancy issues.Attendees: Schenectady County Public Health Services, Ellis Medicine, Catholic Charities, League of Women Voters, University at Albany School of Public Health, Visiting Nurse Service of Schenectady and Saratoga Counties, Bigelow Corners Partnership, Union Graduate College, Schenectady Free Health Clinic, The Chamber of Schenectady, Capital District YMCA, Schenectady Inner City Ministry, Mohawk Ambulance, MVP Health Care, Schenectady Community Action Program, Schenectady County Community College, Sunnyview Rehabilitation Hospital, Healthy Capital District Initiative, Capital District Tobacco Free Coalition, The Foundation for Ellis Medicine, Schenectady Day Nursery, Capital District Physicians Health PlanMarch 27, 2014Topics: Care Central care management for Medicaid managed care, 1115 Waiver update, Workgroup updates, Partner updates.Attendees: Cornell Cooperative Exten Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The portion of the CHNA which includes compiled public health data and information was prepared by the Healthy Capital District Initiative (HCDI), a regional health research and planning entity whose hospital system members include Ellis Medicine, St. Peters Health Partners, and Albany Medical Center Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why We have identified at least one action for each of the needs. In some cases the action is trivial (e.g., staff to attend meetings) but there is some response. Due to time restrictions not all have been resolved but are in process. Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG 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 Guideline; (2) uninsured patients residing outside those counties*; (3) foreign nationals visiting the area*; or (4) students at colleges and universities (less than 26 years old)*. * Emergent/urgent services only. The financial obligation of Tier 2 patients will be based the reduction of charges to the reimbursement rate of our highest volume HMO Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Facility: 1All uninsured patients are automatically eligible for a reduction of charges to thereimbusement rate from Ellis's highest volume health maintenance organization.Uninsured patients with income at or below 300% FPG are eligible to recieve charity(free) care. 15 Ellis Hospital Mental Health Clinic 216 Lafayette Street Schenectady NY 12305 Mental Health Services Glenville Healthcare Center 115 Saratoga Road Glenville NY 12302 Primary Care Services Ellis Hospital Bariatric Center 2125 River Rd Niskayuna NY 12309 Bariatric Care Services Pelvic Health Center 930 Albany Shaker Road Latham NY 12110 Pelvic Health Services Ellis Hospital Primary Care 1201 Nott Street Schenectady NY 12308 Primary Care Services Ellis Hospital Neurology 1101 Nott Street B6 Schenectady NY 12308 Outpatient Neurology Ellis Hospital PROS Program 216 Lafayette Street Schenectady NY 12308 Mental Health Services Ellis Hospital Rehabilitation Services 650 McClellan Street Schenectady NY 12304 Physical Therapy Services Medical Center of Clifton Park 103 Sitterly Road Clifton Park NY 12065 24/7 emergent care, lab, medical imaging, primary care and specialty services Blood Draw - Niskayuna 2123 River Rd Niskayuna NY 12309 Provide blood draw services Spine and Pain Care 939 RT 146 Clifton Park NY 12065 Spine and Pain Care located in Clifton Park NY Ellis Cushing Medical Arts Building 624 McClellan Street Schenectady NY 12304 Family and Primary care services Ellis Medicine Primary Care - Ballston Spa 990 State Route 67 Ballston Spa NY 12020 Primary Care Medicine Ellis Hospital McClellan St Health Center 600 McClellan Street Schenectady NY 12304 Medical Center Ellis Medicine Primary Care - Malta 2537 Route 9 Malta NY 12020 Primary Care Medicine Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) All uninsured patients are automatically eligible for a reduction of charges to the reimbursement rate from Ellis' highest volume health maintenance organization. Uninsured patients with incomes at or below 300% FPG are eligible to receive charity (free) care. Part I, Line 7 - Explanation of Costing Methodology 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 - Explanation of Bad Debt Expense In calculating our community benefit percent in column (f), Ellis used total expense reduced by bad debt. In calculating the percent of total expense for line 7 column f, total expense was reduced by bad debt expense of $8,164,980 Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used in determining the amounts on Part III, cost to charge ration was applied at 100%. Bad debts already represented as expense on financials therefore no need to apply RCC here. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Ellis Hospital does not use presumptive eligibility for charity care. All patients eligible for charity care must submit an application which is then reviewed by Ellis to verify charity care eligibility. Without a submitted application, charity care is not approved and patients are subject to routine collection efforts as outlined in Ellis' collection policies. However, once approved for charity care, patients balances are eliminated and no collection efforts take place. Part VI - Needs Assessment On November 5, 2013, the Board of Trustees of Ellis Hospital adopted by Resolution a Community Health Needs Assessment and associated Implementation Strategy, the latter in the form of a grid. The document is being made widely available on the Ellis Medicine website http://www.ellismedicine.org/pages/community-report.aspx and as a paper copy for public inspection at the administrative office of Ellis Hospital (1101 Nott Street, Schenectady, New York 12308) as of November 15, 2013.Development of this assessment and plan has been a unique undertaking for the Schenectady healthcare and human services community. The document, a consolidated, multi-year, multi-agency, community-wide plan for action to improve the health of people in Schenectady, New York is the result of the combined efforts of 62 organizations. The Schenectady Coalition for a Healthy Community, informed by multiple credible data sources including a door-to-door survey of community residents, developed this assessment and plan to serve the people of the City and County of Schenectady.Three of the top priorities identified in Schenectady are consistent with the three Prevention Agenda priorities of the other Capital Region counties; Albany and Rensselaer. This consistency will enable consideration of a Region-wide approach to implementation strategies.Central to this assessment and plan, the UMatter Schenectady survey consisted of more than 280 questions and was administered to over 2,000 residents of the City of Schenectady between February and May 2013 by Community Health Workers and volunteer college students. In addition to the survey results, this plan was informed by secondary data from such sources as the U.S. Census and the New York State Department of Health, and from specialized data sources including a recent federally-funded study of diabetes in Schenectadys West Indian population.All told, between November 2012 and October 2013 the Coalition held 28 meetings of healthcare experts, representatives of community interests, and community residents; utilizing government-recommended group-voting techniques to compile a list of 20 significant community health needs, and to prioritize five of these as most requiring community-wide corrective action over the next three years. Part VI - Patient Education of Eligibility for Assistance Ellis Medicine provides financial assistance information about programs available to assist patients in paying for their bills, including discount programs and charity care, on its external website (www.ellismedicine.org) (specifically at http://www.ellismedicine.org/financial-assistance/faqs.aspx), in readily available and publicly distributed brochures, and through flyers and posters visible throughout the organization. Applications for financial assistance are available online at the Ellis website. Additionally, Ellis employs Financial Advocates who assist patients in determining the availability of and their eligibility for free or low-cost care, and then assist them with completing the necessary paperwork. Since 2009, Ellis Medicine has included affirmative financial assistance outreach as part of the innovative Medical Home through which it aims to increase access to care and provide healthcare navigation services to patients (especially the underserved and uninsured / underinsured), including education about and assistance with charity care and financial assistance services. Prior to creation of the health insurance enrollment programs by the Patient Protection and Affordable Care Act of 2010 (PPACA), Ellis offered Medicaid enrollment through employees deputized by the Schenectady County Department of Social Services, through Facilitated Enrollers employed by the not-for-profit Health Capital District Initiative (HCDI), and through Fidelis, one of New Yorks not-for-profit Medicaid Managed Care Organizations. Starting in 2013, Ellis arranged for on-site services of Health Insurance Navigators engaged by all four not-for-profit organizations designated pursuant to the PPACA. Navigators saw uninsured residents at both the Nott Street and Ellis Health Center Campuses. Ellis employees also completed training as Certified Application Counselors (CACs) and are qualified to help people enroll both in Medicaid as well as in Exchange insurance products.Additionally, Ellis publicizes its Financial Call Center & Information Line (sharing with our 3,300 employees; our local, state and federal lawmakers offices in case they receive constituent inquiries related to hospital costs and/or financial services at Ellis; and the general public), highlighting a number to call (518-243-1695) through which patients can receive information about how much their care will cost at Ellis Medicine as a way to be transparent and helpful in providing this information, as more and more patients are paying higher deductibles and are concerned about the cost to them out-of-pocket. This is particularly significant in Ellis Primary Service Area, as the largest local employer has converted to a high-deductible health insurance plan for most of its employees.Ellis has also participated in health fairs and employer information functions to advise small businesses and their employees of Ellis Financial Call Center & Information Line. Ellis Call Center has trained specialists who can help enroll qualifying patients in Financial Assistance programs, estimate a patients out-of-pocket expenses based on their medical plan, provide pricing for procedures and tests at Ellis Medicine and assist patients in completing Medicaid applications when applicable. Ellis Information Line helps with physician referrals, scheduling outpatient testing and providing general information about programs and services at Ellis Medicine. Part VI - Community Information In accordance with industry standards, Ellis Hospitals community is defined as the hospitals Primary and Secondary Service Areas, accounting for 80% of the hospitals discharge volume. These include all or portions of Schenectady, Saratoga, Albany, Fulton, and Montgomery counties and are comprised of 22 zip codes. Since the State-mandated consolidation of Schenectadys hospitals, Ellis has become the sole provider of acute hospital care in Schenectady County, and it is the largest hospital within its Service Areas.The Primary Service Area is focused on the City of Schenectady, an older industrial city with a population of about 60,000, a substantial decline from the 1940 high of over 90,000. According to the City of Schenectadys 2010-2014 Consolidated Plan, 67% of households in the city are considered low or moderate income, while the poverty rate in the Hamilton Hill neighborhood, adjacent to Ellis Hospital, is over 28%. Nearly all (95%) of the Citys housing stock was built before 1978, and Schenectady neighborhoods have been identified as having among the highest concentration of elevated blood levels for lead in New York State.An impact of the level of poverty in the City of Schenectady has been the extent to which Ellis patients are either covered by government health programs or are uninsured. During 2013, Medicare patients accounted for 40.8% of inpatient discharges, 30.1% of outpatient visits, and 35.5% of net patient revenues before bad debts. Medicaid covered 21.0% of inpatient discharges, 27.4% of outpatient visits, and 16.3% of net patient revenues before bad debts. Uninsured patients accounted for 3.8% of inpatient discharges and 5.6% of outpatient visits, and 1.7% of net patient revenues before bad debts. Overall, uninsured or government insured patients made up 65.6% of inpatient discharges and 63.1% of outpatient visits, while generating 53.5% of net patient revenues before bad debts.There is one Medically Underserved Population (MUP) within Ellis Primary Service Area. The homebound population of Schenectady County is designated MUP 06211. In response, physicians on the staff of the Ellis Family Health Center make house calls, and residents in the hospitals Family Medicine Residency may include house calls in their training. During 2013, two Health Professions Shortage Areas (HPSA) were re-designated in the City of Schenectady: the entire City is now identified as an HPSA for Dental and Mental Health services. The Primary Care HPSAs remain limited to a small number of Census Tracts in the Hamilton Hill/Mont Pleasant neighborhoods.The Secondary Service Area is a much wider geographic area, including rural and farming communities, as well as affluent suburbs. Overall, the combined Service Areas represent a study in contrasts. A nearly equal number of people have incomes below $25,000 as above $100,000. Health status variations are similarly dramatic. For example, according to the New York State Department of Health the rates of asthma-related hospital admissions per 10,000 people vary from 458 in the 12307 ZIP code to 49 in the 12309 ZIP code, a distance of about five miles.Census data for the combined Primary and Secondary Service Areas for 2013 estimate a total population of 377,974. This is projected to increase to 380,182 by 2018. The 2013 median income was $62,648 while the mean income was $73,485, demonstrating the impact of outliers. The gender distribution is 49% male and 51% female. Twenty-one percent of the population has a bachelors degree or higher. There will, however, likely be increased need for healthcare services as the community ages. The greatest increase in population from 2013 to 2018 is expected to be in the 65 and over age range (2.08%), while the greatest decrease is expected in the 35-54 age range (2.43%). Part VI - Community Building Activities Ellis Medicine (the trade name for Ellis Hospital) successfully restructured healthcare services following the New York State-mandated hospital consolidation in Schenectady in 2007-2008, and has since been working to improve the efficiency and effectiveness of services to its community by aligning its innovative approaches to community health with the services provided by other local community-based public and not-for-profit organizations. Ellis is now the sole acute care hospital in Schenectady County, and is one of the largest primary care providers, having assumed responsibility for the services of two former hospitals which closed during the States rightsizing process. In this important role, Ellis has engaged the community and developed coalitions with community partners in order to ensure access to a full range of healthcare services, with special attention paid to disadvantaged members of our community. Ellis has undertaken and is planning a number of significant capital projects to consolidate care, enhance access to care, and improve the overall quality, efficiency, and cost-effectiveness of our local healthcare system. One of Ellis Medicines key community building activities is Care Central, a community-focused, multi-partner, care management program derived from Ellis original Medical Home initiative, which is a central location for primary care and outpatient services on a single campus aimed at improving access to healthcare, especially among the uninsured and underinsured. The Ellis Medical Home offers primary care (adult and pediatric), dental care, outpatient child/adolescent mental health services, and diabetes education,along with a number of outpatient services such as medical imaging, laboratory, a sleep disorders center, wound care, and day surgery. The Medical Home features specially trained Health Services Navigators, one an Ellis employee and the other contracted from Schenectady County Public Health Services, and a Community Services Navigator, a counselor employed by the local community action agency, who help patients connect to the healthcare and social services programs they need, including Medicaid facilitated enrollment services, and a free Community Shuttle which provides transportation from a number of community sites including homeless shelters and soup kitchens to the healthcare campus. The Medical Home is an effective partnership among Ellis Medicine and numerous community groups, including the Schenectady Community Action Program, the Salvation Army, the City Mission, YWCA, YMCA, Schenectady City School District, and Schenectady County Public Health Services, among other social service and community agencies.The success of the Medical Home in building community coalitions helped lead to a successful application by a community partnership for designation by the New York State Department of Health as one of the first three upstate Medicaid Health Homes. The Health Home program, which was established by the Patient Protection and Affordable Care Act (PPACA) of 2010 and conforming State law, is intended to provide a comprehensive array of healthcare and community support services to Medicaid patients with designated high-cost conditions. New York State has chosen to initially focus on patients with multiple chronic conditions, behavioral health issues, and/or HIV/AIDS. A coalition of over 40 healthcare and community agencies led by Ellis, the Visiting Nurse Service of Schenectady and Saratoga Counties, Inc., and Hometown Health (the Schenectady FQHC) now provides comprehensive care management services to high risk Medicaid patients in Schenectady County.A third component of Care Central is a Medicare Community-based Care Transitions Program (CCTP) which serves patients discharged from ten different hospitals in a ten-county region. Ellis is the largest participating hospital.Another example of Ellis coalition building activities is its participation in the Schenectady County Public Health Services federally funded Strategic Alliance for Health (SAH), which brings together a host of healthcare and community organizations to address chronic disease and to promote disease prevention and wellness. An Ellis representative participates in regular meetings of the SAH board. Ellis also works closely with the Schenectady County Public Health Services and the Healthy Capital District Initiative (HCDI) to assess community needs and to develop both the federally-required Community Health Needs Assessment and the State-required Community Service Plan (CSP) to identify health priorities (see Part V).Additionally, Ellis partners with a number of community partners, such as the American Cancer Society and the YWCA, to provide health screenings to uninsured and underinsured populations in our service area. Ellis provides office space and other in-kind support for the State-sponsored Schenectady County Cancer Services Program. In collaboration with community partners, Ellis offers outpatient smoking cessation courses and sponsors peer-driven mental health and cancer patient support groups. And, Ellis cooperates with community groups to facilitate access to healthy foods for people through the community. In past years, acting in collaboration with the Schenectady County Planning Department and the Cooperative Extension, Ellis hosted a weekly Farmers Market in the parking lot of the Ellis Health Center during the summer months. Starting in 2013, physicians at the Family Health Center began prescribing fresh vegetables to at-risk patients as part of a foundation-funded grant program. The prescription constitutes a voucher for no-charge locally-grown vegetables which are distributed at a farm stand located at the Ellis Health Center.Medical residents from the Ellis Family Medicine Residency donate their time and expertise to staff two free community-based medical clinics. A weekly clinic at the Schenectady City Mission serves uninsured, homeless individuals in the City of Schenectady. And a rural seasonal clinic provides care to uninsured migrant workers in collaboration with the Columbia County Department of Health.Ellis staffs a Green Team that works to promote recycling and other eco-friendly practices throughout the organization. Ellis staff members also sit on numerous community boards and healthcare coalitions to target improvements in such areas as diabetes, long term care, cancer, hospital readmission rates, and healthy living. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Ellis Medicine furthers its exempt purpose by promoting the health of the community through:A volunteer Board of Trustees that is comprised of community members, medical staff members and hospital administrators who serve three year terms, up to a three term maximum. Currently, the Ellis Board is comprised of 23 trustees 18 non-physician citizens of the community, four physicians, and one senior hospital administrator (the hospitals President and CEO). Ellis does not have a parent corporation.An open medical staff consisting of approximately 595 affiliated physicians and other providers. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 230 physicians and other providers are employed by Ellis, including 30 residents participating in the Family Medicine Residency and three in the General Dental Residency. Ellis medical staff is led by a Medical-Dental Executive Committee (MDEC). The MDEC plays an integral part in the hospitals corporate structure and daily operations. The MDEC and the department chairs, who oversee specific clinical services, work collaboratively with the hospitals volunteer Board of Trustees, administrators, and staff to ensure the highest quality of care is delivered to patients and that the community's healthcare needs are met with excellence. Physicians also serve as members of the hospitals Board of Trustees, and they are directly involved in the hospitals annual budget process: they rank and prioritize all capital items in the hospitals capital budget and they sign off on volume projections for the hospitals annual operating budget.Operation of two, full service, fully staffed emergency rooms on two separate Schenectady campuses, both of which are open 24 hours-a-day, seven days-a-week, 365 days-a-year, along with 24/7 emergent care services now available for the first time in Southern Saratoga County. Ellis emergency rooms care for all those in need of emergency care regardless of their ability to pay. Similarly, Ellis Hospitals admission policy is not restrictive. Ellis does not deny admission to any patient based on his/her ability to pay. The work of The Foundation for Ellis Medicine, a 501 (c) (3) tax-exempt charitable organization whose sole purpose is to encourage philanthropic support for Ellis Hospital. The Ellis Hospital Foundation was established in 1982 and is governed by a separate board of trustees. Funds raised through the Foundations activities are used to assist the hospital in acquiring state-of-the-art medical equipment and support a wide range of health care programs and services. Reinvesting its surplus funds to expand/replace/modernize its facilities and medical equipment; support programs/activities aimed at improving quality of care and patient safety; train and educate its medical and nursing staffs; and to improve the overall delivery of and accessibility to health care services in the community.Ellis Medicine demonstrates leadership as a charitable institution by organizing and participating in communitywide efforts for the needy; reaching out to the underserved to provide needed primary and preventative healthcare services and health education, especially through its Medical Home; attracting and using funds to serve the needy; participating in Medicaid and other federal, state, and local healthcare reimbursement programs for the needy such as Child Health Plus; and formally planning for and providing charity care and maintaining a policy of administering care to all persons in need.Ellis Medicine is accountable to the community by having a volunteer governing board comprised of members of the Schenectady community; inviting and responding to community input and involvement in planning and review of hospital activities; voluntarily disclosing information to the public on hospital services, financial status, community benefit activities and charity care; and advocating for healthcare cost containment and promoting the efficient use of healthcare resources within the community. Part VI - Affilated Health Care System Roles and Promotion Not Applicable Part VI - States Where Community Benefit Report Filed NY true 0 0 School of Nursing Scholarship 103 55697 FMV Tuition Reduction Grantmaker's Description of How Grants are Used The School of Nursing (SON) works with the office of the Vice President for Nursing and the Ellis Hospital Foundation to track awards and to assure that the grants and monies are used for the intended purpose. It is the responsibility of the Ellis Finance Department to release the funds and account for the remaining balance. In the case of the Auer Scholarship, the faculty interviews the potential recipients and makes a recommendation (in rank order) of who should receive the scholarship. The Director of the SON meets with the VP for Nursing and they make a decision on how many scholarships to award to the top candidates. The Finance Department then credits the student tuition receivable account and draws the money from the Scholarship fund. There are scholarship monies that community organizations give. The organizations either send a check or hand it to the student at commencement. X true true X X X X X true false false false false true false false false false Anoush Koroghlian - Scott VP Legal Affairs & General Counsel 211740 20777 445 2679 12251 247892 Chanderdeep Singh MD Cardiothoracic Sur 530554 17801 64188 15708 628251 90600 Daniel J Rinaldi CFO 190258 39216 20607 4175 6700 260956 David M Liebers MD CMO/VP Quality Services/Med Affairs 315212 25440 805 12068 26511 380036 David Snyder Vice President Information Services 99884 21322 114431 122704 22994 381335 Donald J McLaughlin Vice President Facility and Support 151227 16654 21986 7508 23598 220973 Ernest Lee MD Trustee 217223 68985 4000 981 291189 Frank Genovese MD Neurosurgeon 697931 17531 34725 13208 763395 27800 Herbert Reich MD Surgeon-Cardiothor 528843 90600 17945 63315 11858 712561 90600 James W Connolly President & CEO 521246 96414 29104 10400 31708 688872 Joseph Giansante Vice President, Human Resources 205504 23303 23008 10093 24545 286453 Kathleen Hale CNO 214476 31 214507 Kelli Valenti VP Strategic Planning/Progam Dev 174558 17114 175 8093 25157 225097 Marc Mesick CFO 185852 2971 7514 4850 201187 Paul A Milton EVP/COO 308229 44118 18305 10400 27933 408985 Paul Spurgas MD Neurosurgeon 810059 27617 1219 29883 10525 879303 27617 Roger Barrowman VP/CEO- Ellis Med Group 409703 23771 11034 27183 471691 Terence Clarke MD Surgeon 566498 83702 28096 64400 13208 755904 83702 Wendy Rosher Vice President Clinical Services 206431 21800 18305 14961 20273 281770 Part I, Line 1a: Relevant information in regards to selections on 1a. Ellis Hospital has a corporate membership at the Mohawk Golf Club that is in the CEO's name, however, the club is used for business purposes and functions only. Part III, Additional Information Dr. Terence Clarke is a Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $83,702 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 990 Schedule J Part II in Column C.Dr. Herbert Reich is a Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $90,600 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 990 Schedule J Part II in Column C.Dr. Frank Genovese is a Neuro-surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $27,800 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). Dr. Chanderdeep Singh is a Cardiothoracic-surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $90,600 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). Dr. Paul Spurgas is a Neuro-Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $27,617 represents the incentive compensation he earned in 2013. This amount was included in his 2014 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2013 990 Schedule J Part II in Column C. A Schen Cnty Cap Res Corp 273478847 806418AU3 2012-06-01 15320000 Refinance of 1995 Debt false false false A 8721661 15320000 571000 306400 134554 14308046 false false true true A false false false false false false false true A false false true false false false false false A false Part VI The bond issuer, Dormitory Authority of the State of New York, has completed arbitrage rebate calculations for this bond issue as required and it has been determined that no arbitrage rebate exists. Brian McDonald MD Trustee 1222393 Medical Services false Sarah Schermerhorn Trustee 72152 family member comp false Cristine Cioffi Trustee 40666 son is employee false Janet Sapio-Mayta Trustee 108948 Sister is Employee false Robert Joy MD Trustee 814524 Medical Services false Schedule L, Part V Supplemental Information Dr. Brian McDonald is a partner in physician practice-Schenectady Pulmonary & Critical Care Associates (SPCCA). SPCCA provides 24/7 coverage to Ellis and was paid $1,172,393 in 2014. Dr. McDonald also individually receives compensation as Chief of Medical Staff Elect. ($50,000)Sarah Schermerhorn's son Paul is an employee of Ellis and his annual salary was $72152. Sarah Schermerhorn did not have any impact in the hiring of Paul and does not have any influence in the determination of his annual salary.Cristine Cioffi's son Patrick Sharkey is an ER nurse. His annual salary was $40,666 in 2014. Christine Cioffi did not have any impact in the hiring of Patrick and does not have any influence in the determination of his annual salary.Janet Sapio-Mayta sister Nancy is an employee of Ellis. Her annual salary was $108,948 in 2013. Janet did not have any impact in the hiring of Jane and does not have any influence in the determination of her annual salary.Dr. Robery Joy is a partner of Cardiology Associates of Schenectady (CAS). CAS receives a stipend for the direction of the cardiology program at Ellis Medicine. Ellis Medicine also leases physicians's assistants from CAS. Total recieved from CAS was $799,524. Dr. Joy also received $15,000 from Medical Staff fund as Chief Staff Elect Form 990, Part VI, Line 11b: Form 990 Review Process A copy of the Ellis Hospital's 990 was prepared and submitted for review to the Senior Management team comprised of the Chief Executive Officer, the Chief Operating Officer, Chief Financial Officer, and Vice Presidents. After their review was completed, the Form 990 was sent to each member of the Audit Committee for review. After review by the Audit committee, a copy of the Form 990, including all required schedules, as ultimately filed with the IRS, was given to each voting member of Ellis' Board of Trustees, prior to its filing with the IRS. After review by the Board of Trustees, and upon the recommendation of the Audit Committee, approval is given for filing the return with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Ellis Hospital's Conflict of Interest Policy applies to all Hospital Trustees, Officers, employees, Medical/Dental staff members, Directors, Managers, appointees with administrative and/or decision-making responsibilities, Volunteers or any of these parties' immediate families (collectively called Hospital Agents). The Ellis Hospital Corporate Bylaws require Hospital Agents and other selected individuals as identified by the Vice President, Human Resources and the Corporate Compliance Officer/Director of Internal Audit (CCO), to file a conflict of interest disclosure statement with the Hospital on a annual basis. When the statements are completed they are returned to the CCO. Upon receipt, the CCO will review the disclosure and, if a potential conflict is disclosed, will meet with the Hospital Agent and/or his/her appropriate supervisor to discuss the disclosure and need for action if any. All statements for Trustees are also reviewed by the CCO, and if a potential conflict has been disclosed, he/she will meet with the Board Chairperson to discuss the disclosure and need for action, if any. All potential conflicts involving the Board of Trustees will be summarized by the CCO and reported to the Audit Committee of the Board. This Committee will then share this information with the Board Chairperson. When a potential or actual conflict exists, An interested person may make a presentation to the Board or at a Committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote upon, the transaction or arrangement that could constitute the conflict of interest. The Board or Committee members shall determine by a majority vote whether the transaction or arrangement is in the Hospital's best interest. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The current Executive Compensation Plan is in full compliance with all existing rules and regulations applicable to a 501(c) corporation. The following is a summary of each plan:Executive Compensation Plan-The President, and all other senior executivies are governed by our Executive Compensation Program established by the Board of Trustees. The Executive Compensation Plan is administered also by the Executive Compensation Committee under the direction of the Board of Trustees.All payments from this program are based on audited results and reviewed by the Board of Trustees prior to any payments being made. The review of the compensation agreemtents and gathering of compoarability data in determining the reasonableness of compensation follow the procedures described in treasury regulation section 53.4958-6. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Corporate Compliance Policies (including Conflicts of Interest Policy) and audited Financial Statements are available to the general public via posting on the Ellis Hospital website: www.ellismedicine.org. In addition, these documents and governing documents are available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Additional Min. Postretire Liability = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Interest in Foundation = $256475 Other Changes In Net Assets Or Fund Balances - Other Increases misc = $2 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retire Liabiity = -$17718543 Visiting Nurse Service Assoc of Schen 108 Erie Boulevard Schenectady NY 12305 141338478 Home Health Care NY 501(c)(3) 3 Ellis Hospital true false false false false false false false false false false false false false false false false false false false