ELLIS HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ELLIS HOSPITAL (EIN 14-1338428)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201423189349303312
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T08:41:05-08:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 BROADWAYAddressLine1
CityALBANYCity
StateNYState
ZIP Code12207ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlELLIBusinessNameControlTxt
Phone5186128668PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMarc MesickPersonNm
Person TitleVice President/CFOPersonTitleTxt
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Phone5184274600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$421,219,240GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
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. Our vision is to be an world class healthcare system by providing patient-centered care and collaborating with our physicians.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee4069TotalEmployeeCnt
Total Volunteers281TotalVolunteersCnt
Total Gross UBI$5,158,053TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$539,415NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,942,872PYContributionsGrantsAmt
CY Contributions Grants$6,590,373CYContributionsGrantsAmt
PY Program Service Revenue$361,268,338PYProgramServiceRevenueAmt
CY Program Service Revenue$367,549,089CYProgramServiceRevenueAmt
PY Investment Income$3,665,665PYInvestmentIncomeAmt
CY Investment Income$5,125,209CYInvestmentIncomeAmt
PY Other Revenue$8,988,024PYOtherRevenueAmt
CY Other Revenue$6,244,044CYOtherRevenueAmt
PY Total Revenue$379,864,899PYTotalRevenueAmt
CY Total Revenue$385,508,715CYTotalRevenueAmt
PY Grants And Similar Paid$38,913PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,795CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$214,474,178PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$223,085,372CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$154,567,380PYOtherExpensesAmt
CY Other Expenses$153,792,169CYOtherExpensesAmt
PY Total Expenses$369,080,471PYTotalExpensesAmt
CY Total Expenses$376,898,336CYTotalExpensesAmt
PY Revenues Less Expenses$10,784,428PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,610,379CYRevenuesLessExpensesAmt
Total Assets BOY$276,233,584TotalAssetsBOYAmt
Total Assets EOY$304,324,675TotalAssetsEOYAmt
Total Liabilities BOY$162,690,098TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,380,088TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$113,543,486NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$151,944,587NetAssetsOrFundBalancesEOYAmt
MissionThe 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$291,745,819ExpenseAmt
Grant$20,795GrantAmt
Revenue$340,148,987RevenueAmt
DescHealth care services: Ellis is a community and teaching hospital with 438 licensed beds (of which 324 were staffed in 2013) 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 (2007-2014), 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 Ellis (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; 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 5 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 82,622 visits in 2013, the Bellevue Womans Care Center which delivered 2,569 babies in 2013, five primary care practices (in Schenectady (2),Clifton Park, Glenville, and Latham), an 82-bed skilled nursing facility and short-stay rehabilitation facility, 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 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 28,391 patient visits in 2013. 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 Ellis Belanger School of Nursing prepares students for licensure as professional Registered Nurses (RN). Typically, well over 90% of the schools graduates pass 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 Part V) and the State-mandated three-year Community Service Plan. Ellis is a member of the Healthy Capital District Initiative (HCDI) (a three-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 Health Center campus, featuring health services navigators and a community service navigator, a free community shuttle van, and community-focused programs such as a combined kindergarten registration and immunization event, 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 20,758 inpatient discharges (consisting of 18,158 acute care and 2,220 psychiatric) and 591,607 outpatient visits during 2013. In pursuing its mission, the hospital provides services to anyone who walks through its doors, regardless of their ability to pay. In 2013, Ellis provided $38,737,000 in Financial Assistance, consisting of $6,435,000 in Charity Care and $32,302,000 in Uninsured Discounts. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$23,629,671ExpenseAmt
Revenue$21,526,172RevenueAmt
DescEllis 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 an office of the Schenectady City School District and the hospitals Medical Home. In 2013, the Ellis mental health programs had 2,220 inpatient discharges.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,340,300ExpenseAmt
Revenue$8,679,930RevenueAmt
DescThe 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 new 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 2013 were 28,450. 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$325,715,790TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document404IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4069EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEllis Medicine Finance DeptPersonNm
Phone5186128668PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Linda Breault
Trustee2.000.00Yes (X)$0$0$0
Janet Sapio-Mayta
Trustee2.000.00Yes (X)$0$0$0
Cristine Cioffi
Trustee4.000.00Yes (X)$0$0$0
Michael Cocca
Trustee2.000.00Yes (X)$0$0$0
William B Faubion
Treasurer2.000.00Yes (X)$0$0$0
Thomas Donovan
Trustee2.000.00Yes (X)$0$0$0
D Joseph Gersuk
Trustee1.000.00Yes (X)$0$0$0
Carolyn Jones
Trustee2.000.00Yes (X)$0$0$0
Ernest Lee MD
Trustee1.000.00Yes (X)$501,871$0$1,207
Patrick Kehoe
Trustee2.000.00Yes (X)$0$0$0
Robert Kennedy MD
Trustee2.000.00Yes (X)$0$0$0
Michael Idelchik
Trustee1.000.00Yes (X)$0$0$0
Judith B McIlduff
Trustee2.000.00Yes (X)$0$0$0
Deborah Mullaney
Chairman5.000.00Yes (X)$0$0$0
John K Tobison
Trustee1.000.00Yes (X)$0$0$0
Barbara Zittel
Trustee3.000.00Yes (X)$0$0$0
Sarah Schermerhorn
Trustee2.000.00Yes (X)$0$0$0
Laura Schweitzer PhD
Secretary2.000.00Yes (X)$0$0$0
Stephen Pagano
Vice Chair2.000.00Yes (X)$0$0$0
Richard Toll MD
Trustee1.000.00Yes (X)$83,884$0$0
Brian McDonald MD
Trustee2.000.00Yes (X)$19,000$0$0
Emile Walraven
Trustee1.000.00Yes (X)$0$0$0
Quintin Bullock PhD
Trustee1.000.00Yes (X)$0$0$0
Raymond Sweeney
Trustee1.000.00Yes (X)$0$0$0
James W Connolly
President & CEO55.005.00$666,053$0$44,856Yes (X)
Paul A Milton
EVP/COO55.005.00$376,738$0$38,926Yes (X)
Daniel J Rinaldi
CFO55.005.00$378,732$0$23,729Yes (X)
Joseph Giansante
Vice President, Human Resources55.000.00$251,563$0$35,006Yes (X)
Patti S Hammond
Vice President, Physician Relations55.000.00$246,746$0$29,327Yes (X)
David M Liebers MD
CMO/VP Quality Services/Med Affairs55.000.00$341,214$0$41,080Yes (X)
Cecilia A Lynch
Vice President, Nursing/CNO55.005.00$233,772$0$33,510Yes (X)
Donald J McLaughlin
Vice President Facility and Support55.000.00$186,153$0$31,211Yes (X)
Wendy Rosher
Vice President Clinical Services55.000.00$244,531$0$34,909Yes (X)
David Snyder
Vice President Information Services55.000.00$235,333$0$33,618Yes (X)
Anoush Koroghlian - Scott
VP Legal Affairs & General Counsel55.000.00$231,859$0$18,672Yes (X)
Kelli Valenti
VP Strategic Planning/Progam Dev55.000.00$180,986$0$30,343Yes (X)
Howard Haft MD
VP/CEO- Ellis Med Group50.000.00$346,124$0$8,517Yes (X)
Terence Clarke MD
Surgeon50.000.00$636,126$0$107,934Yes (X)
Frank Genovese MD
Neurosurgeon50.000.00$688,344$0$41,932Yes (X)
Kyril Choumarov MD
Surgeon-Cardiothor50.000.00$521,194$0$105,872Yes (X)
Herbert Reich MD
Surgeon-Cardiothor50.000.00$610,931$0$115,932Yes (X)
Paul Spurgas MD
Neurosurgeon50.000.00$905,833$0$47,661Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,886,987TotalReportableCompFromOrgAmt
Total Other Compensation$824,242TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K267IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Noresco LLC
PO BOS 223084PittsburghPA15251Construction$2,828,255
Smith & Jones
297 River StreetTroyNY12180Marketing$1,594,326
Turner Construction Company
22 Corporate Woods BlvdAlbanyNY12211Construction$14,355,684
OB Hospitalist Group
10 Centimeters DriveMauldinSC29662Physician Service$1,243,880
Schenectady Pulmonary
124 Rosa Rd Suite 382SchenectadyNY12308Physician Service$1,026,493
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Government Grants$4,064,790GovernmentGrantsAmt
All Other Contributions$2,525,583AllOtherContributionsAmt
Total Contributions$6,590,373TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
General Hospital621990$331,811,068$331,811,068
Lab-Physician Referrals621500$2,573,918$2,573,918
Long Term Care623000$8,679,930$8,679,930
Mental Health Services621990$21,526,172$21,526,172
Sunnyview Hosp Svcs621990$2,199,291$2,199,291

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$758,710TotalRevenueColumnAmt
Related Or Exempt Func Income$758,710RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$367,549,089TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,049,639TotalRevenueColumnAmt
Exclusion$3,049,639ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$37,775,784SecuritiesAmt
Other$10,311OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,710,525SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,065,259SecuritiesAmt
Other$10,311OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,075,570TotalRevenueColumnAmt
Exclusion$2,075,570ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtBusinessBusinessCdRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fd Svc, park,emp pharm,ot$1,625,178$1,625,178
Purch Disc / Leased Emp$1,591,571900099$1,591,571
Rental Income$1,012,084$1,012,084

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,015,211TotalRevenueColumnAmt
Related Or Exempt Func Income$1,214,429RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$384,844UnrelatedBusinessRevenueAmt
Exclusion$415,938ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,244,044OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$385,508,715TotalRevenueColumnAmt
Related Or Exempt Func Income$365,581,880RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,158,053UnrelatedBusinessRevenueAmt
Exclusion$8,178,409ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,795TotalAmt
Program Services$20,795ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,860,471TotalAmt
Program Services$536,962ProgramServicesAmt
Management And General$4,323,509ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$183,029,516TotalAmt
Program Services$166,804,556ProgramServicesAmt
Management And General$16,224,960ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,444,360TotalAmt
Program Services$6,753,997ProgramServicesAmt
Management And General$690,363ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,564,331TotalAmt
Program Services$13,263,424ProgramServicesAmt
Management And General$1,300,907ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,186,694TotalAmt
Program Services$11,777,648ProgramServicesAmt
Management And General$1,409,046ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,878,851TotalAmt
Program Services$1,878,851ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$209,746TotalAmt
Management And General$209,746ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$198,330TotalAmt
Management And General$198,330ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,234TotalAmt
Management And General$48,234ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$227,795TotalAmt
Management And General$227,795ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,657,676TotalAmt
Program Services$4,595,276ProgramServicesAmt
Management And General$62,400ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,459,303TotalAmt
Program Services$5,063ProgramServicesAmt
Management And General$1,454,240ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,430,060TotalAmt
Program Services$60,598,565ProgramServicesAmt
Management And General$1,831,495ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,324,698TotalAmt
Management And General$6,324,698ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,402,151TotalAmt
Program Services$8,170,379ProgramServicesAmt
Management And General$1,231,772ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,083,305TotalAmt
Program Services$757,495ProgramServicesAmt
Management And General$325,810ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,179,784TotalAmt
Program Services$1,179,784ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,467,238TotalAmt
Program Services$14,566,932ProgramServicesAmt
Management And General$1,900,306ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,284,839TotalAmt
Management And General$4,284,839ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$16,726,568$13,884,296$2,842,272
Bad Debt Expense$11,651,969$11,651,969
Equip Rental/Maint$10,387,023$8,541,754$1,845,269
NYS Assessment$2,023,706$2,023,706

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,150,893TotalAmt
Program Services$728,044ProgramServicesAmt
Management And General$2,422,849ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$376,898,336TotalAmt
Program Services$325,715,790ProgramServicesAmt
Management And General$51,182,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,145BOYAmt
EOY$15,377EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,494,525BOYAmt
EOY$17,675,796EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,243BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,274,181BOYAmt
EOY$32,233,432EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$310,900BOYAmt
EOY$310,900EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,018,169BOYAmt
EOY$5,977,039EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,710,375BOYAmt
EOY$1,583,337EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$403,872,418LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$241,239,300LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$141,237,594BOYAmt
EOY$162,633,118EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$53,353,491BOYAmt
EOY$52,868,438EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,798,961BOYAmt
EOY$31,027,238EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$276,233,584BOYAmt
EOY$304,324,675EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,048,792BOYAmt
EOY$29,936,205EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$756,910BOYAmt
EOY$157,619EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,458,684BOYAmt
EOY$22,501,438EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$114,354BOYAmt
EOY$100,002EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$37,799,216BOYAmt
EOY$58,249,657EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,512,142BOYAmt
EOY$41,435,167EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$162,690,098BOYAmt
EOY$152,380,088EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,941,345BOYAmt
EOY$136,965,014EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,152,542BOYAmt
EOY$9,369,152EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,449,599BOYAmt
EOY$5,610,421EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,543,486BOYAmt
EOY$151,944,587EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$276,233,584BOYAmt
EOY$304,324,675EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,610,379ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,663,943NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$27,126,779OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$48,234OtherActivitiesAmt
Total Lobbying Expenditures$48,234TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
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.ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,449,599BeginningYearBalanceAmt
Investment Earnings Or Losses$160,822InvestmentEarningsOrLossesAmt
End Year Balance$5,610,421EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,208,275BeginningYearBalanceAmt
Investment Earnings Or Losses$241,324InvestmentEarningsOrLossesAmt
End Year Balance$5,449,599EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,969,599BeginningYearBalanceAmt
Investment Earnings Or Losses$1,238,676InvestmentEarningsOrLossesAmt
End Year Balance$5,208,275EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,919,510BeginningYearBalanceAmt
Investment Earnings Or Losses$50,089InvestmentEarningsOrLossesAmt
End Year Balance$3,969,599EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,819,437BeginningYearBalanceAmt
Investment Earnings Or Losses$100,073InvestmentEarningsOrLossesAmt
End Year Balance$3,919,510EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,305,000OtherCostOrOtherBasisAmt
Book Value$7,305,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,630,985OtherCostOrOtherBasisAmt
Depreciation$72,079,404DepreciationAmt
Book Value$65,551,581BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,316,425OtherCostOrOtherBasisAmt
Depreciation$1,074,267DepreciationAmt
Book Value$242,158BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,127,358OtherCostOrOtherBasisAmt
Depreciation$168,085,629DepreciationAmt
Book Value$60,041,729BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,492,650OtherCostOrOtherBasisAmt
Book Value$29,492,650BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$162,633,118TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDescBook ValueBookValueAmt
Accrued interest receivable-$212,527
Allowance Uncollectable-$385,294
Deferred financing costs$2,356,896
DSH for OP Mental Health$807,990
Due from Foundation$98,589
Grant receivable$128,235
Interest in Net Assets of Foundation$17,319,185
Meaningful Use Receivable$1,743,046
Miscellaneous receivables$1,045,423
Pension Assets$6,844,163
Rent receivable$201,737
Security Deposits$319,237
Unexpende Lease Proceeds
Yankee Alliance investment$760,558
FieldValueIRS element (for citing)
Total Book Value Other Assets$31,027,238TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
Accrued interest payable$189,956
Accrued post retirement benefits$266,692
Accrued sick payable$7,209,295
Accrued vacation payable$9,579,318
Asset retirement obligation$845,770
Claims payable$1,908,020
DEF Con payable - employer$178,712
Employee withholdings$674,993
Estimated payables to 3rd Party Payers$5,266,188
Estimated self-insurance$13,068,893
Retainage payable$2,247,330
FieldValueIRS element (for citing)
Total Liability$41,435,167TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$403,376,456TotalRevEtcAuditedFinclStmtAmt
Other Revenue$17,867,741OtherRevenueAmt
Revenue Not Reported$17,867,741RevenueNotReportedAmt
Revenue Subtotal$385,508,715RevenueSubtotalAmt
Total Revenue Per Form990$385,508,715TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$365,018,572TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$11,879,764OtherExpensesIncludedAmt
Expenses Not Reported-$11,879,764ExpensesNotReportedAmt
Expenses Subtotal$376,898,336ExpensesSubtotalAmt
Total Expenses Per Form990$376,898,336TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b: Explanation of escrow account liabilityThe Ellis Residential and Rehabilitation Center residents spending account is included in line 2 and line 21 on Schedule X. The total is $12,988. 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 $87014. 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 12/31/2013. The remaining amount of $5,132,907 are Net Assets held by the Foundation (including $1,341,054 for beneficial interest in perpetual trusts). Grand total was $5,610,421.
Part X : FIN48 FootnoteThe 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 2013 or 2012.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Changes in Pension and Post Retirement $26743188 Unrealized gain on investments $2663943 Bad Debts $-11651969 Investment Management Fees $-227795 Changes in Interest in Foundation $340374 Contributed Plant and Equipment $0

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,794,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$194,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,599,891NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,556,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,859,073DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,697,607NetCommunityBenefitExpnsAmt
Total Expense0.03370TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,350,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,053,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,297,498NetCommunityBenefitExpnsAmt
Total Expense0.03790TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$273,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,353DirectOffsettingRevenueAmt
Net Community Benefit Expns$272,605NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,625,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,310,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,315,026NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$264,307TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$264,307NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,163,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,312,033DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,851,938NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,514,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,365,391DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,149,436NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,838TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,838NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,847TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,847NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,685TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,685NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,153,477BadDebtExpenseAmt
Bad Debt Expense Attributable$1,077,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$70,657,509ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$73,871,179CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,213,670MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Svc AssocBusinessNameLine1
FieldValueIRS element (for citing)
Primary Activitiesserves home health needsPrimaryActivitiesTxt
Org Profit Or Ownership1.00000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode
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 Line11BusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (true)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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.ellismedicine.org/pages/commuOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300.0000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CarefalseFPGUsedDetermEligDscntCareInd
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit LawsuitYes (X)PermitLawsuitInd
Permit Lien On ResidenceYes (X)PermitLienOnResidenceInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
LawsuitYes (X)LawsuitInd
Liens On ResidencesYes (X)LiensOnResidencesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the CommunityDevelopment of this assessment and plan has been a unique undertaking for the Schenectady healthcare and human services community. This 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. Ellis worked with the Schenectady County Public Health Services, the Schenectady County Department of Social Services, the University at Albany School of Public Health, the public health program at Union Graduate College, and he Mayor of the City of Schenectady. UMatter Schenectady was a carefully designed, face-to-face city-wide survey of health concerns funded by The Schenectady Foundation and the Carlilian Foundation with direct assistance from SCPHS (which provided the services of its medical consultant to provide survey analysis and participate in writing of this document),Schenectady Community Action Program (SCAP) (which recruited and coordinated Community Health Workers), several local colleges an universities (which provided student volunteers and faculty assistance), and Ellis Medicine(which administered the survey-taking and provided the services of its epidemiologist). Other local organizations facilitated data collection, including the Schenectady Municipal Housing Authority (which allowed use of its facilities) and the Mayor of the City of Schenectady, whopersonally accompanied the door-to-door surveyors on several occasions. The survey was designed by team of epidemiologists from Ellis and the University at Albanys School of Public Health, working in consultation with a subcommittee of the Schenectady Coalition. Inspired byneighborhood-based health needs surveys conducted in Chicago for over a decade, the Schenectady project completed 2,229 surveys which, depending on branching from certain responses, covered as many as 283 questions. The sampling frames were designed to oversample the least affluent and most underserved neighborhoods and ZIP codes to assure that we heard the voices of those often missed in phone surveys. Responses were captured on iPads and directly loaded to a cloud-based database using the internet at the point of survey. Further data analysis was conducted using SPSS, a software package for statistical analysis marketed by IBM and widely used for academic and business purposes
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentData for the CHNA was assembled in part by the Healthy Capital District Initiative (HCDI). Other hospitals which are members of HCDI are Albany Medical Center and St. Peters Health Partners. The UMatter Schenectady data which was used for our CHNA was shared with Sunnyview Rehabilitation Hospital, part of SPHP, for use in their CHNA.
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons WhyWe 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 11 - Criteria Used For Discounted Care If Not FPGWe 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 20d - Other Billing Determination of Individuals Without InsuranceAll uninsured patients are automatically eligible for a reduction of charges to the reimbusement 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.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Ellis Hospital Mental Health Clinic
216 Lafayette StreetSchenectadyNY12305Mental Health Services
Glenville Healthcare Center
460 Saratoga RoadGlenvilleNY12302Primary Care Services
Ellis Hospital Bariatric Center
2125 River RdNiskayunaNY12309Bariatric Care Services
Pelvic Health Center
930 Albany Shaker RoadLathamNY12110Pelvic Health Services
Ellis Hospital Primary Care
1201 Nott StreetSchenectadyNY12308Primary Care Services
Ellis Hospital Neurology
1101 Nott Street B6SchenectadyNY12308Outpatient Neurology
Ellis Hospital PROS Program
216 Lafayette StreetSchenectadyNY12308Mental Health Services
Ellis Hospital Rehabilitation Services
650 McClellan StreetSchenectadyNY12304Physical Therapy Services
Medical Center of Clifton Park
103 Sitterly RoadClifton ParkNY1206524/7 emergent care, lab, medical imaging, primary care and specialty services
Blood Draw - Niskayuna
2123 River RdNiskayunaNY12309Provide blood draw services
Blood Draw - Clifton Park
2 Chelsea PlaceClifton ParkNY12065Provide Blood Draw service
Spine and Pain Care
939 RT 146Clifton ParkNY12065Spine and Pain Care located in Clifton Park NY
Ellis Cushing Medical Arts Building
624 McClellan StreetSchenectadyNY12304Family and Primary care services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 MethodologyEllis Hospital used a cost - to - charge ratio derived from our worksheet 2- Ratio of Patien Care Cost to Charges. The adjusted patient care costis divided by adjusted patient care charges resulting in the ratio.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseIn 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 $11,651,969.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methodology used in determining the amounts on Part III, Section A, lines 2 and 3, is Ellis's cost to charge ratio.
Part III, Line 4 - Bad Debt ExpenseThe footnote related to bad debt expense is included in the audited financial statements. It begins on pages 11 and continues to page 12 numbered (n).
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology used to determine Medicare allowable cost reported on Part III, line 6 is the ratio of cost to charges. Consistent with the charitable health care mission of Ellis Hospital, Ellis provides care for all patients covered by Medicare who seek medical care. Such care is provided regardless of whether the reimbursement provided for such services meets or exceeds the cost incurred by Ellis to provide such services. As a result, Ellis views any shortfall reported in Line 7 as an additional community benefit provided by the organization.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsEllis 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 AssessmentOn 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 AssistanceEllis 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 InformationIn 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 ActivitiesEllis 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, diabetes education, and emergency services 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 PurposeEllis 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 PromotionNot Applicable
Part VI - States Where Community Benefit Report FiledNY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSchool of Nursing ScholarshipGrantTypeTxt
Recipient103RecipientCnt
Cash Grant$6,885CashGrantAmt
Non Cash Assistance$13,910NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceTuition ReductionNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Anoush Koroghlian - Scott
VP Legal Affairs & General Counsel$207,066$24,668$125$6,421$12,251$250,531
Cecilia A Lynch
Vice President, Nursing/CNO$208,214$25,257$301$9,632$23,878$267,282
Daniel J Rinaldi
CFO$319,682$56,733$2,317$10,200$13,529$402,461
David M Liebers MD
CMO/VP Quality Services/Med Affairs$308,182$32,227$805$12,393$28,687$382,294
David Snyder
Vice President Information Services$188,931$25,313$21,089$9,559$24,059$268,951
Donald J McLaughlin
Vice President Facility and Support$148,241$19,693$18,219$7,436$23,775$217,364
Ernest Lee MD
Trustee$434,340$67,531$1,207$503,078
Frank Genovese MD
Neurosurgeon$670,813$17,531$27,800$14,132$730,276
Herbert Reich MD
Surgeon-Cardiothor$516,086$76,900$17,945$100,800$15,132$726,863$76,900
Howard Haft MD
VP/CEO- Ellis Med Group$177,823$168,301$8,517$354,641
James W Connolly
President & CEO$508,931$127,256$29,866$10,200$34,656$710,909
Joseph Giansante
Vice President, Human Resources$201,202$27,564$22,797$10,097$24,909$286,569
Kelli Valenti
VP Strategic Planning/Progam Dev$160,494$20,317$175$7,566$22,777$211,329
Kyril Choumarov MD
Surgeon-Cardiothor$442,064$76,900$2,230$91,740$14,132$627,066
Patti S Hammond
Vice President, Physician Relations$215,439$26,670$4,637$9,691$19,636$276,073
Paul A Milton
EVP/COO$311,244$56,733$8,761$10,200$28,726$415,664
Paul Spurgas MD
Neurosurgeon$846,689$40,425$18,719$36,975$10,686$953,494
Terence Clarke MD
Surgeon$574,230$51,300$10,596$93,802$14,132$744,060$51,300
Wendy Rosher
Vice President Clinical Services$213,266$26,267$4,998$14,272$20,637$279,440

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 InformationDr. 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 $51,300 represents the incentive compensation he earned in 2012. This amount was included in his 2013 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2012 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 $76,900 represents the incentive compensation he earned in 2012. This amount was included in his 2013 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2012 990 Schedule J Part II in Column C.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Dorm Auth of NYS
A14600029364983TQ972004-11-23$16,834,363Construction of new ICUfalsefalsefalse
Schen Cnty Cap Res Corp
B273478847806418AU32012-06-01$15,320,000Refinance of 1995 Debtfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmt
A$16,834,363$1,224,505$861,840$57,858$14,407,431$282,729falsefalseYes (true)Yes (true)
B$15,320,000$571,000$306,400$14,308,046falsefalseYes (true)Yes (true)$134,554

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Afalsefalsefalsefalsefalsefalsefalsefalse
BYes (true)falsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Brian McDonald MD
Trustee$1,045,493Medical Servicesfalse
Sarah Schermerhorn
Trustee$61,557family member compfalse
Cristine Cioffi
Trustee$25,822son is employeefalse
Janet Sapio-Mayta
Trustee$116,773Sister is Employeefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationDr. Brian McDonald is a partner in physician practice-Schenectady Pulmonary & Critical Care Associates (SPCCA). SPCCA provides 24/7 coverage to Ellis and was paid $1,026,496 in 2013. Dr. McDonald also individually receives compensation as Chief of Medical Staff Elect. ($19,000)Sarah Schermerhorn's son Paul is an employee of Ellis and his annual salary was $61,557. 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 $25,822 in 2013. 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 $116,773 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessA 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 ConflictsEllis 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 ManagementThe current Executive Compensation and Executive Incentive/At Risk Compensation plan are 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 corporate officers are governed by our Executive Compensation Program established by the Board of Trustees. A present range is set (less than 50%) based on a comparable salary survey by an external agency. This base salary is reviewed by the Executive Compensation Committee of the Board of Trustees and the full Board of Trustees.Incentive Compensation Plan (ICP)-The ICP program is administered also by the Executive Compensation Committee under the direction of the Board of Trustees. The Plan is based on preset goals and includes corporate qualitative goals, departmental 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.The review of 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, Line 19: Other Organization Documents Publicly AvailableCorporate 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= $0
Other Changes In Net Assets Or Fund Balances - Other IncreasesAdditional Min. Postretire Liability = $26743188
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Interest in Foundation = $1813508
Other Changes In Net Assets Or Fund Balances - Other Decreasestransfer to Foundation = -$1429917

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Service Assoc of SchenBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 Erie BoulevardAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12305ZIPCode
FieldValueIRS element (for citing)
EIN141338478EIN
Primary ActivitiesHome Health CarePrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Service Assoc of SchenBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeqTransactionTypeTxt
Involved$1,347,005InvolvedAmt
Method Of Amount DeterminationActual CostMethodOfAmountDeterminationTxt

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