ELLIS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ELLIS HOSPITAL (EIN 14-1338428)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201303179349304515
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T12:32:18-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 BROADWAY	AddressLine1
City	ALBANY	City
State	NY	State
ZIP Code	122072930	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338428	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Ellis Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ELLI	NameControl
Phone	5186128668	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1101 Nott Street	AddressLine1
City	Schenectady	City
State	NY	State
ZIP Code	12308	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Daniel Rinaldi	Name
Title	CFO	Title
Date Signed	2013-11-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jeffrey Stagg	Name
PTIN	P01326885	PTIN
Phone	5184274766	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	419208210	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.ellismedicine.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1885	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	4160	TotalNbrEmployees
Total Nbr Volunteers	281	TotalNbrVolunteers
Total Gross UBI	4871675	TotalGrossUBI
Net Unrelated Business Txbl Income	-1092983	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7814743	ContributionsGrantsPriorYear
Contributions Grants Current Year	5942872	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	349905580	ProgramServiceRevenuePriorYear
Program Service Revenue CY	361268338	ProgramServiceRevenueCY
Investment Income Prior Year	3247983	InvestmentIncomePriorYear
Investment Income Current Year	3665665	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4084275	OtherRevenuePriorYear
Other Revenue Current Year	8988024	OtherRevenueCurrentYear
Total Revenue Prior Year	365052581	TotalRevenuePriorYear
Total Revenue Current Year	379864899	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	41598	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	38913	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	205281773	SalariesEtcPriorYear
Salaries Etc Current Year	214474178	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	147564099	OtherExpensePriorYear
Other Expenses Current Year	154567380	OtherExpensesCurrentYear
Total Expenses Prior Year	352887470	TotalExpensesPriorYear
Total Expenses Current Year	369080471	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12165111	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10784428	RevenuesLessExpensesCY
Total Assets BOY	224434893	TotalAssetsBOY
Total Assets EOY	276233584	TotalAssetsEOY
Total Liabilities BOY	130317308	TotalLiabilitiesBOY
Total Liabilities EOY	162690098	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	94117585	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	113543486	NetAssetsOrFundBalancesEOY
Mission Description	The Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	284601137	Expense
Grants	38913	Grants
Revenue	333247246	Revenue
Description	Health care services: Ellis is a community and teaching hospital with 438 licensed beds (of which 349 were staffed in 2012) 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. For six years in a row (2007 2012), Ellis has received recognition from the American Stroke Association (ASA) through the ASAs Gold and Gold Plus Achievement awards. Ellis is recognized for using the ASAs Get with the Guidelines program for improving the quality of care and patient outcomes. Ellis is also a designated Stroke Center by the New York State Department of Health. The hospital has been designated a Center of Excellence by the American Society for Metabolic and Bariatric Surgery. In addition, 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 the Ellis Medicine Glenville Health, Family Practice Associates, and Family Health Center all achieved National Commission on Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) recognition. During recent years Ellis has received community service awards from 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 88,119 visits in 2012, the Bellevue Womans Care Center which delivered 2,633 babies in 2012, four primary care practices (in Schenectady (2), 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. Ellis is also the corporate member of the Visiting Nurse Service of Schenectady and Saratoga Counties (VNS), a not-for-profit home health care agency which is the largest State-certified provider of home health care services in Schenectady County. The Ellis Belanger School of Nursing prepares students for licensure as professional Registered Nurses (RN). Ninety-four percent of the schools graduates passed the New York State nursing licensure examination in 2012. Total enrollment in October 2012 was 132 students. The graduates in the Class of 2012 (combined day and evening/weekend programs) were 48, of whom 37 (77%) joined 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 State-mandated three-year Community Service Plan (the 2010-2012 plan was filed in September 2009 and updated in September 2012), 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 Service, such as cooperation in identifying the health care needs of Schenectadys Indo-Guyanese (West Indian) population through a federal REACH grant. 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 18,461 inpatient discharges and 557,909 outpatient visits during 2012. In pursuing its mission, the hospital provides services to anyone who walks through its doors, regardless of their ability to pay. In 2012, Ellis provided $34,447,981 in Financial Assistance, consisting of $8,928,000 in Charity Care and $25,519,981 in Uninsured Discounts. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	22339891	Expense
Revenue	21239034	Revenue
Description	Ellis operates a 52-bed (certified and staffed) inpatient mental health unit, along with expanded outpatient services. This is the only inpatient mental health facility in Schenectady County, and is one of only two inpatient units in a 16-county region providing services to adolescents. Ellis mental health services include: inpatient care for adults and adolescents; outpatient child, adolescent, and adult mental health services; crisis intervention, including a 24-hour crisis information hotline; a peer advocacy program; and a support and education group for those suffering from schizophrenia and other major disorders and their families. In response to a nationally-studied Schenectady suicide cluster of teenage African-American females, Ellis moved the outpatient child and adolescent mental health clinic to substantially expanded facilities at the Ellis Health Center, where it is co-located with an office of the Schenectady City School District and the hospitals Medical Home. In 2012, the Ellis mental health programs had 2,288 inpatient discharges and 56,183 outpatient visits.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	11858381	Expense
Revenue	8410574	Revenue
Description	Long term care: The Ellis Center, an 82-bed skilled nursing facility and short-stay rehabilitation facility specializing in medically complex cases, operates from its renovated facility on the Ellis Health Center campus. The 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 2012 were 28,242. 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	318799409	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	400	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4160	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ellis Medicine Finance Dept	NamePerson
Telephone Number	5186128668	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1101 Nott Street	AddressLine1
City	Schenectady	City
State	NY	State
ZIP Code	12308	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Raymond Sweeney
Trustee	2.00	0.00	X	0	0	0
Anne Phillips
Trustee	1.00	0.00	X	0	0	0
Quintin Bullock PhD
Trustee	1.00	0.00	X	0	0	0
Emile Walraven
Trustee	1.00	0.00	X	0	0	0
Brian McDonald MD
Trustee	2.00	0.00	X	12450	0	0
Richard Toll MD
Trustee	1.00	0.00	X	80730	0	0
Stephen Pagano
Trustee	1.00	0.00	X	0	0	0
Laura Schweitzer PhD
Trustee/Sec	1.00	0.00	X	0	0	0
Sarah Schermerhorn
Trustee	2.00	0.00	X	0	0	0
John A Nolan MD
Trustee	1.00	0.00	X	17316	0	0
Robert Murray
Treas/Trustee	1.00	0.00	X	0	0	0
Deborah Mullaney
Sec/Vice Chair	5.00	0.00	X	0	0	0
Judith B McIlduff
Trustee	2.00	0.00	X	0	0	0
Michael Idelchik
Trustee	1.00	0.00	X	0	0	0
Robert Kennedy MD
Trustee	2.00	0.00	X	0	0	0
Patrick Kehoe
Trustee	1.00	0.00	X	0	0	0
Ernest Lee MD
Trustee	1.00	0.00	X	43700	0	0
Carolyn Jones
Trustee/Treas	2.00	0.00	X	0	0	0
D Joseph Gersuk
Trustee	1.00	0.00	X	0	0	0
Thomas Donovan
Trustee	1.00	0.00	X	0	0	0
William B Faubion
Trustee	2.00	0.00	X	0	0	0
Michael Cocca
Trustee	2.00	0.00	X	0	0	0
Cristine Cioffi
Chairman	5.00	0.00	X	0	0	0
Mark Breslin PE
V Chair/Trustee	1.00	0.00	X	0	0	0
Linda Breault
Trustee	1.00	0.00	X	0	0	0
Daniel J Rinaldi
CFO	55.00	5.00		321959	0	20704	X
Paul A Milton
EVP/COO	55.00	5.00		322583	0	31243	X
James W Connolly
President & CEO	55.00	5.00		587041	0	43504	X
Kelli Valenti
VP Strategic Planning	55.00	0.00		164884	0	19534		X
Anoush Koroghlian - Scott
VP Legal Affairs	55.00	0.00		204658	0	12251		X
David Snyder
Vice President Information Services	55.00	0.00		206089	0	29321		X
Wendy Rosher
Vice President Clinical Services	55.00	0.00		221056	0	31382		X
Donald J McLaughlin
Vice President Facility and Support	55.00	0.00		177500	0	29289		X
Cecilia A Lynch
Vice President, Nursing/CNO	55.00	5.00		215890	0	27519		X
David M Liebers MD
Vice President, Medical Affairs/CMO	55.00	0.00		302933	0	36325		X
Patti S Hammond
Vice President, Physician Relations	55.00	0.00		233787	0	26951		X
Joseph Giansante
Vice President, Human Resources	55.00	0.00		233763	0	32054		X
Terence Clarke MD
MD Surgery	50.00	0.00		644038	0	72607			X
Max S Laguerre MD
Rad. Oncologist	50.00	0.00		468219	0	18885			X
Robert McKay MD
M.D. Surgery	50.00	0.00		547291	0	80899			X
Herbert Reich MD
M.D. Cardiac Surg	50.00	0.00		522965	0	101242			X
Paul Spurgas MD
M.D. Neurosurgery	50.00	0.00		957875	0	18019			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6486727	TotalReportableCompFromOrg
Total Other Compensation	631729	TotalOtherCompensation
Number Individuals GT100 K	241	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Turner Construction Company
22 Corporate Woods Blvd	Albany	NY	12211	Construction	2515845
Strategic Solutions MC
400 Clifton Corporate Parkway	Clifton Park	NY	12065	Billing Service	866080
Smith & Jones
297 River Street	Troy	NY	12180	Marketing	2102769
OB Hospitalist Group
10 Centimeters Drive	Mauldin	SC	29662	Physician Service	1072705
Envision Architects PC
52 James Street	Albany	NY	12207	Architectrual Svc	869991

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	40	NumberOfContractorsGT100K
Government Grants	4089879	GovernmentGrants
All Other Contributions	1852993	AllOtherContributions
Total Contributions	5942872	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Sunnyview Hosp Svcs	621990	2645073	2645073
Mental Health Services	621990	21239034		21239034
Long Term Care	623000	8410574		8410574
Lab-Physician Referrals	621500	2039957	2039957
General Hospital	621990	326243153		326243153

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	690547	TotalRevenueColumn
Related Or Exempt Function Income	690547	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	361268338	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1144678	TotalRevenueColumn
Exclusion	$1,144,678	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	41864298	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	39293709	Securities
Other	49602	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2570589	Securities
Other	-49602	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2520987	TotalRevenueColumn
Exclusion	$2,520,987	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Gain Extinguisment Debt	900099	3300510	$3,300,510
Fd Svc, park,emp pharm,ot		1568003	$1,568,003
Contribution-St. Clare's		1208755	$1,208,755

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2910756	TotalRevenueColumn
Related Or Exempt Function Income	1628516	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	186645	UnrelatedBusinessRevenue
Exclusion	$1,095,595	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8988024	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	379864899	TotalRevenueColumn
Related Or Exempt Function Income	358211824	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4871675	UnrelatedBusinessRevenue
Exclusion	$10,838,528	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	38913	Total
Program Services	38913	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3686418	Total
Program Services	154196	ProgramServices
Management And General	3532222	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	176666280	Total
Program Services	161062253	ProgramServices
Management And General	15604027	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6587057	Total
Program Services	5990589	ProgramServices
Management And General	596468	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14915932	Total
Program Services	13585192	ProgramServices
Management And General	1330740	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12618491	Total
Program Services	11308706	ProgramServices
Management And General	1309785	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2224226	Total
Program Services	2224226	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	280482	Total
Management And General	280482	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	238032	Total
Management And General	238032	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	48970	Total
Management And General	48970	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	210745	Total
Management And General	210745	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3359399	Total
Program Services	3299240	ProgramServices
Management And General	60159	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2240042	Total
Program Services	8568	ProgramServices
Management And General	2231474	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	62500211	Total
Program Services	60464883	ProgramServices
Management And General	2035328	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6244322	Total
Management And General	6244322	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9309048	Total
Program Services	8131620	ProgramServices
Management And General	1177428	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1237377	Total
Program Services	798408	ProgramServices
Management And General	438969	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	371909	Total
Program Services	371909	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13959372	Total
Program Services	12492357	ProgramServices
Management And General	1467015	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5010396	Total
Management And General	5010396	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
NYS Assessment	1941310	1941310
Equip Rental/Maint	9944080	1620904	8323176
Bad Debt Expense	14152292		14152292
Purchased Services	17948545	2502271	15446274

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3346622	Total
Program Services	946607	ProgramServices
Management And General	2400015	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	369080471	Total
Program Services	318799409	ProgramServices
Management And General	50281062	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10970	BOY
EOY	13145	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10940255	BOY
EOY	14494525	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	328379	BOY
EOY	22243	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	36728375	BOY
EOY	37274181	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	44233	BOY
EOY	310900	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5142782	BOY
EOY	5018169	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1197612	BOY
EOY	1710375	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	366105977	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	224868383	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	93374596	BOY
EOY	141237594	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	56869401	BOY
EOY	53353491	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	19798290	BOY
EOY	22798961	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	224434893	BOY
EOY	276233584	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30418391	BOY
EOY	37048792	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3467257	BOY
EOY	756910	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	29818673	BOY
EOY	26458684	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	118964	BOY
EOY	114354	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	9730497	BOY
EOY	37799216	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56763526	BOY
EOY	60512142	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	130317308	BOY
EOY	162690098	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	77487333	BOY
EOY	97941345	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11421977	BOY
EOY	10152542	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5208275	BOY
EOY	5449599	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	94117585	BOY
EOY	113543486	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	224434893	BOY
EOY	276233584	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	10784428	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	538541	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8102932	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$48,970	OtherActivitiesAmount
Total Lobbying Expenditures IIB	48970	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Ellis Hospital pays dues to the Healthcare Association of New York State, Iroquois Healthcare Alliance, and American Hospital Association. The portion of the dues that were attributable to lobbying activities are shown on form 990, Part IX, Line 11 D and above in Schedule C, Part II-B, Line 1i.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5208275	BeginningOfYearBalance
Investment Earnings Or Losses	241324	InvestmentEarningsOrLosses
End Of Year Balance	5449599	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3969599	BeginningOfYearBalance
Investment Earnings Or Losses	1238676	InvestmentEarningsOrLosses
End Of Year Balance	5208275	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3919510	BeginningOfYearBalance
Investment Earnings Or Losses	50089	InvestmentEarningsOrLosses
End Of Year Balance	3969599	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3819437	BeginningOfYearBalance
Investment Earnings Or Losses	100073	InvestmentEarningsOrLosses
End Of Year Balance	3919510	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4143281	BeginningOfYearBalance
Investment Earnings Or Losses	-323844	InvestmentEarningsOrLosses
End Of Year Balance	3819437	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4296826	OtherCostOrOtherBasis
Book Value	4296826	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	130328030	OtherCostOrOtherBasis
Depreciation	67739702	Depreciation
Book Value	62588328	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1316425	OtherCostOrOtherBasis
Depreciation	1047225	Depreciation
Book Value	269200	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	214843961	OtherCostOrOtherBasis
Depreciation	156081456	Depreciation
Book Value	58762505	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15320735	OtherCostOrOtherBasis
Book Value	15320735	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	141237594	TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescription	Book ValueBookValue
Unexpende Lease Proceeds	905889
Security Deposits	183980
Rent receivable	157999
Miscellaneous receivables	214620
Meaningful Use Receivable	2696916
Interest in Net Assets of Foundation	15505677
Grant receivable	638808
Due from Foundation	61739
DSH for OP Mental Health	84938
Deferred financing costs	2560869
Accrued interest receivable	-212474

Field	Value	IRS element (for citing)
Total Book Value Other Assets	22798961	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (12 entries)

DescriptionDescription	AmountAmount
Retainage payable	$1,103,935
Miscellaneous payables	$193,255
Estimated self-insurance	$14,529,230
Estimated payables to 3rd Party Payers	$2,794,795
Employee withholdings	$685,323
Claims payable	$1,535,653
Asset retirement obligation	$798,898
Accrued vacation payable	$10,150,317
Accrued sick payable	$6,770,695
Accrued post retirement benefits	$294,485
Accrued pension	$21,516,827
Accrued interest payable	$138,729

Field	Value	IRS element (for citing)
Total Of Amounts	60512142	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	374143335	TotRevenueEtcAuditedFinclStmt
Other Revenues	-5721564	OtherRevenues
Revenue Not Rptd F990	-5721564	RevenueNotRptdF990
Revenue Subtotal	379864899	RevenueSubtotal
Total Revenue Per Form990	379864899	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	354717434	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-14363037	OtherExpensesIncluded
Expenses Not Rptd F990	-14363037	ExpensesNotRptdF990
Expenses Subtotal	369080471	ExpensesSubtotal
Total Expenses Per Form990	369080471	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	The organization's audited financial statements do not report any liability or have any footnote reporting the organization's liability for uncertain tax positions under FIN48.
Part V, Line 4	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 $687,674 at 12/31/2012. The remaining amount of $4,761,925 are Net Assets held by the Foundation (including $1,232,187 for beneficial interest in perpetual trusts). Grand total was $5,449,599.
Part IV, Line 2b	Part IV, Line 2b: Explanation of escrow account liability	The Ellis Residential and Rehabilitation Center residents spending account is included in line 2 and line 21 on Schedule X. The total is $13,164. 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 $101,190. 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8668977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5571878	DirectOffsettingRevenue
Net Community Benefit Expense	3097099	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68458363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53256182	DirectOffsettingRevenue
Net Community Benefit Expense	15202181	NetCommunityBenefitExpense
Percent Of Total Expense	0.04120	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77127340	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58828060	DirectOffsettingRevenue
Net Community Benefit Expense	18299280	NetCommunityBenefitExpense
Percent Of Total Expense	0.04960	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	267911	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9964	DirectOffsettingRevenue
Net Community Benefit Expense	257947	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10211814	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3989749	DirectOffsettingRevenue
Net Community Benefit Expense	6222065	NetCommunityBenefitExpense
Percent Of Total Expense	0.01690	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1261387	TotalCommunityBenefitExpense
Net Community Benefit Expense	1261387	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	315140	TotalCommunityBenefitExpense
Net Community Benefit Expense	315140	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12056252	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3999713	DirectOffsettingRevenue
Net Community Benefit Expense	8056539	NetCommunityBenefitExpense
Percent Of Total Expense	0.02190	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89183592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62827773	DirectOffsettingRevenue
Net Community Benefit Expense	26355819	NetCommunityBenefitExpense
Percent Of Total Expense	0.07150	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2238	TotalCommunityBuildingExpense
Net Community Building Expense	2238	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	48111	TotalCommunityBuildingExpense
Net Community Building Expense	48111	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1409	TotalCommunityBuildingExpense
Net Community Building Expense	1409	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	51758	TotalCommunityBuildingExpense
Net Community Building Expense	51758	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,929,000	BadDebtExpenseAmount
Amount Attributable To	268000	AmountAttributableTo
Amount Reimbursed By Medicare	73597306	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	78290584	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4693278	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Visiting Nurse Svc Assoc	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	serves home health needs	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	1.00000	OrganizationProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Ellis Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1101 Nott Street	AddressLine1
City	Schenectady	City
State	NY	State
ZIP Code	12308	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	82 Bed Skilled Nursing Facility	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	300.0000	FPGFreePercent
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Medical Center of Clifton Park
103 Sitterly Road	Clifton Park	NY	12065	24/7 emergent care, lab, medical imaging, primary care and specialty services
Ellis Hospital Rehabilitation Services
650 McClellan Street	Schenectady	NY	12304	Physical Therapy Services
Ellis Hospital PROS Program
216 Lafayette Street	Schenectady	NY	12308	Mental Health Services
Ellis Hospital Collage Social Program
1328 State Street	Schenectady	NY	12308	Mental Health Services
Ellis Hospital Neurology
1201 Nott Street	Schenectady	NY	12308	Outpatient Neurology
Ellis Hospital Primary Care
1201 Nott Street	Schenectady	NY	12308	Primary Care Services
Mobile Mammography Van
2210 Troy Road	Niskayuna	NY	12309	Mammography Services
Pelvic Health Center
930 Albany Shaker Road	Latham	NY	12110	Pelvic Health Services
Ellis Hospital Bariatric Center
1405 Fulton Avenue	Schenectady	NY	12308	Bariatric Care Services
Glenville Healthcare Center
460 Saratoga Road	Glenville	NY	12302	Primary Care Services
Ellis Hospital Mental Health Clinic
216 Lafayette Street	Schenectady	NY	12305	Mental Health Services
Bellevue Womans Center
2210 Troy Rd	Niskayuna	NY	12309	Maternity and Womens' Hospital
Ellis Health Center
600 McClellan Street	Schenectady	NY	12304	Medical Home and 24/7 Emergency Department

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Part VI, Line 7-In accordance with NYS regulations, Ellis follows a triennial community service plan, along with annual updates. Ellis will also submit a community health needs assessment (CHNA) in 2013 as required by applicable regulations
Part VI - Affilated Health Care System Roles and Promotion	Not Applicable
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Ellis Medicine furthers its exempt purpose by promoting the health of the community through:A volunteer Board of Trustees that is comprised of community members, medical staff members and hospital administrators who serve three year terms, up to a three term maximum. Currently, the Ellis Board is comprised of 22 trustees 17 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 700 affiliated physicians and other providers. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 220 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 - Community Building Activities	Ellis Medicine (the trade name for Ellis Hospital) successfully restructured healthcare services following the New York State-mandated hospital consolidation in Schenectady in 2007-2008, and has since been working to improve the efficiency and effectiveness of services to its community by aligning its innovative approaches to community health with the services provided by other local community-based public and not-for-profit organizations. Ellis is now the sole acute care hospital in Schenectady County, and is one of the largest primary care providers, having assumed responsibility for the services of two former hospitals which closed during the States rightsizing process. In this important role, Ellis has engaged the community and developed coalitions with community partners in order to ensure access to a full range of healthcare services, with special attention paid to disadvantaged members of our community. Ellis has undertaken and is planning a number of significant capital projects to consolidate care, enhance access to care, and improve the overall quality, efficiency, and cost-effectiveness of our local healthcare system. One of Ellis Medicines key community building activities is Care Central, a community-focused, multi-partner, care management program built from Ellis innovative Medical Home, 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 the State-required Community Service Plan (CSP) to identify health priorities. (These activities are described further on Line 2.)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 will be prescribing fresh vegetables to at-risk patients as part of a foundation-funded grant program. The prescription will constitute a voucher for no-charge locally-grown vegetables which will be distributed at a farm stand to be 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 - Community Information	In accordance with industry standards, Ellis Hospitals community is defined as the hospitals Primary and Secondary Service Areas, accounting for 80% of the hospitals discharge volume. These include all or portions of Schenectady, Saratoga, Albany, Fulton, and Montgomery counties and are comprised of 22 zip codes. Since the State-mandated consolidation of Schenectadys hospitals, Ellis has become the sole provider of acute hospital care in Schenectady County, and it is the largest hospital within its Service Areas.The Primary Service Area is focused on the City of Schenectady, an older industrial city with a population of about 60,000, a substantial decline from the 1940 high of over 90,000. According to the City of Schenectadys 2010-2014 Consolidated Plan, 67% of households in the city are considered low or moderate income, while the poverty rate in the Hamilton Hill neighborhood, adjacent to Ellis Hospital, is over 28%. Nearly all (95%) of the Citys housing stock was built before 1978, and Schenectady neighborhoods have been identified as having among the highest concentration of elevated blood levels for lead in New York State.An impact of the level of poverty in the City of Schenectady has been the extent to which Ellis patients are either covered by government health programs or are uninsured. During 2012, Medicare patients accounted for 41.1% of inpatient discharges, 30.3% of outpatient visits, and 35.9% of net patient revenues. Medicaid covered 22.0% of inpatient discharges, 20.0% of outpatient visits, and 15.7% of net patient revenues. Uninsured patients accounted for 3.2% of inpatient discharges and 5.3% of outpatient visits. Overall, uninsured or government insured patients made up 66.3% of inpatient discharges and 55.6% of outpatient visits, while generating 54.3% 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. 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.Overall census data for the combined Service Areas for 2012 estimate a total population of 363,289. This is projected to increase to 372,181 by 2017. The 2012 median income was $56,774, while the mean income was $70,024, demonstrating the impact of outliers. The gender distribution is 49% male and 51% female. The area is fairly well educated, with 31% of the population having a bachelors degree or more. There will, however, likely be increased need for healthcare services as the community ages. The greatest change in population from 2012 to 2017 is expected to be in the over 55 age range (14% increase), while decreases are expected in the number of children aged 0-17 (2%) and in adults in the 35-54 age range (8%).
Part VI - Patient Education of Eligibility for Assistance	Ellis Medicine provides financial assistance information about programs available to assist patients in paying for their bills, including discount programs and charity care, on its external website (www.ellismedicine.org) (specifically at http://www.ellismedicine.org/financial-assistance/faqs.aspx), in readily available and publicly distributed brochures, and through flyers and posters visible throughout the organization. Applications for financial assistance are available online at the Ellis website. Additionally, Ellis employs Financial Advocates who assist patients in determining the availability of and their eligibility for free or low-cost care, and then assist them with completing the necessary paperwork. Since 2009, Ellis Medicine has included affirmative financial assistance outreach as part of the innovative Medical Home through which it aims to increase access to care and provide healthcare navigation services to patients (especially the underserved and uninsured / underinsured), including education about and assistance with charity care and financial assistance services. Medicaid Facilitated Enrollers from HCDI and from Fidelis (a not-for-profit Medicaid Managed Care Organization) are located on-site at Ellis facilities.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 - Needs Assessment	Ellis Medicine assesses the healthcare needs of its community through analysis of federal, State and local healthcare data, through collaboration with healthcare and community partners, and through the engagement of the public in meetings and surveys. Ellis files a Community Service Plan (http://www.ellismedicine.org/pdf/CommunityServicePlan.pdf) with the New York State Department of Health, along with annual Plan Updates, as required of all hospitals in New York State. Ellis has begun working with community partners in preparation for Community Health Needs Assessment (CHNA) and Implementation Plan reporting which will be required for the tax year 2013. The Schenectady community intends to use this opportunity to develop a comprehensive, multi-agency, plan for a full range of coordinated services. As the basis for the CHNA, Ellis engaged an epidemiologist who has designed a comprehensive health needs survey which will be administered door-to-door in the City of Schenectady, the area of highest need, by Community Health Workers (CHW) and student volunteers. Ellis participates as a dues-paying member of the Healthy Capital District Initiative (HCDI), a State-recognized regional health planning and research agency. HCDI members include county health departments from New Yorks Capital Region (Albany, Schenectady and Rensselaer Counties), local hospitals and FQHCs, not-for-profit health insurers, and other healthcare and community partners. HCDI coordinates regional needs assessments and collaborative responses to identified service gaps. Ellis is represented on the Board of HCDI, where an Ellis representative attends bi-monthly meetings, and Ellis has provided staff expertise for various workgroups. HCDI also serves as a Medicaid Facilitated Enroller for Schenectady County.HCDI published a report on an intensive study of Emergency Department (ED) utilization in the three-county region. Ellis participated by distributing HCDIs surveys to patients in both Emergency Departments, and by assigning staff to work on several HCDI workgroups. The analysis found that nearly half of ED visits could have been treated in a primary care setting or prevented by appropriate primary care, and also found that an unusually large share of Ellis ED visits were by uninsured patients as compared with other hospitals in the area. In response, Ellis has increased efforts to make primary care services available in Schenectady, and has met with Schenectady County officials and community organizations to develop ways to encourage uninsured patients to obtain Medicaid coverage. The Ellis Family Health Center, a primary care clinic which largely serves uninsured and Medicaid patients, provided over 35,000 patient visits in 2012.As part of the 2013 CHNA process, HCDI will update its Community Health Profile (last published in 2009) through which multiple data sources were analyzed to identify and rank the top health concerns in Albany, Schenectady and Rensselaer Counties. In preparing the 2009 document, a public health forum, How Healthy Is the Capital District? was held at a local television station, allowing audience and call-in participation during the hour-long broadcast. Additionally, a public survey of community members was also administered. Of the more than 1,100 community members surveyed, 41.6% of respondents resided in Schenectady County. The main issues covered by the survey included access to care, health insurance coverage, barriers to healthcare, Emergency Department utilization, and chronic disease experiences.In addition to this Capital Region-wide effort, Ellis has long worked with Schenectady County Public Health Services to identify health priorities and strategies to address them. From this process, Ellis produces a State-required Community Service Plan and the County Public Health Service produces its separate State-required Community Health Assessment. In accordance with New York State law, Ellis filed a three year (2010-2012) Community Service Plan with the State Department of Health in September 2009, and then filed annual updates to the Plan in September 2010, September 2011, and September 2012. Following review, the New York State Department of Health has accepted each of Ellis updates without requiring any revisions.Finally, Ellis holds regular meetings in the community and has engaged the Siena Research Institute to conduct periodic public surveys regarding local health concerns and priorities. During 2012, Ellis conducted 12 community outreach meetings between community groups, such as neighborhood associations, service clubs, and senior citizens organizations, and Ellis executives. In addition, the CEO and CFO met with the Mayor of the City of Schenectady. The most recent Siena Survey was conducted in late 2010 to assess community satisfaction with overall healthcare services and with specialty care services. The survey found that 79% of Schenectady residents are satisfied or very satisfied with the overall healthcare system in the community. The largest categories of service for which patients travel outside the community are oncology (26%) and general surgery (24%). The results of these surveys and the public input via community meetings provide feedback from the general public about hospital services/health needs/health concerns. Ellis also holds regular meetings with employees and physicians, and administers annual satisfaction surveys to its employees and physicians.
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance	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 recieve charity (free) care.	Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Ellis Hospital does not use presumptive eligibility for charity care. All patients eligible for charity care must submit an application which is then reviewed by Ellis to verify charity care eligibility. Without a submitted application, charity care is not approved and patients are subject to routine collection efforts as outlined in Ellis' collection policies. However, once approved for charity care, patients balances are eliminated and no collection efforts take place.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	The costing methodology used to determine Medicare allowable cost reported on Part III, line 6 is the ratio of costs 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 item of community benefit provided by the organization.
Part III, Line 4 - Bad Debt Expense	The following footnote related to bad debt expense is included in the audited financial statements.The Hospital grants credit without collateral to patients, most of whom are local residents and are insured under third party payor agreements. Additions to the the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance. The amount of the provision for bad debts is based upon management's assessment of historical expected net collections, business and economic conditions, trends in Federal and state governmental health care coverage, and other collection indicators. Services rendered to individuals when payment is expected and ultimately not recieved are written off to the allowance for doubtful accounts.The Bad Debt Expense included on form 990, Part IX, line 25, column (A) but removed from the percent of expense on Schedule H, Line 7 a through k, column (F) was $14,152,292.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The costing methodology used in determining the amounts on Part III, Section A, lines 2 and 3, is Ellis's cost to charge ratio.
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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	School of Nursing Scholarship	TypeOfGrant
Number Of Recipients	103	NumberOfRecipients
Amount Of Cash Grant	4750	AmountOfCashGrant
Amount Of Non Cash Assistance	34163	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	Tuition Reduction	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	The School of Nursing (SON) works with the office of the Vice President for Nursing and the Ellis Hospital Foundation to track awards and to assure that the grants and monies are used for the intended purpose. It is the responsibility of the Ellis Finance Department to release the funds and account for the remaining balance. In the case of the Auer Scholarship, the faculty interviews the potential recipients and makes a recommendation (in rank order) of who should receive the scholarship. The Director of the SON meets with the VP for Nursing and they make a decision on how many scholarships to award to the top candidates. The Finance Department then credits the student tuition receivable account and draws the money from the Scholarship fund. There are scholarship monies that community organizations give. The organizations either send a check or hand it to the student at commencement.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Wendy Rosher
Vice President Clinical Services	197447	18918	4691	12996	18386	252438
Terence Clarke MD
MD Surgery	557742	58700	27596	61300	11307	716645	49950
Robert McKay MD
M.D. Surgery	478676	33587	35028	80245	654	628190	57960
Paul Spurgas MD
M.D. Neurosurgery	800656	139000	18219	8958	9061	975894
Paul A Milton
EVP/COO	287752	26430	8401	9974	21269	353826
Patti S Hammond
Vice President, Physician Relations	208239	21065	4483	9302	17649	260738
Max S Laguerre MD
Rad. Oncologist	441654		26565	10000	8885	487104
Kelli Valenti
VP Strategic Planning	146799	15314	2771		19534	184418
Joseph Giansante
Vice President, Human Resources	192910	21105	19748	9396	22658	265817
James W Connolly
President & CEO	503023	45649	38369	11149	32355	630545
Herbert Reich MD
M.D. Cardiac Surg	448204	57960	16801	86935	14307	624207
Donald J McLaughlin
Vice President Facility and Support	142426	17061	18013	7041	22248	206789
David Snyder
Vice President Information Services	187906	17738	445	8216	21105	235410
David M Liebers MD
Vice President, Medical Affairs/CMO	284031	18127	775	10675	25650	339258
Daniel J Rinaldi
CFO	295798	23844	2317	10000	10704	342663
Cecilia A Lynch
Vice President, Nursing/CNO	196431	15272	4187	8618	18901	243409
Anoush Koroghlian - Scott
VP Legal Affairs	172327	15300	17031		12251	216909

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Sch J, Part III, Additional Information	Part III, Additional Information	Dr. Terence Clarke is a Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $49,950 represents the incentive compensation he earned in 2011. This amount was included in his 2012 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2011 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 $57960 represents the incentive compensation he earned in 2011. This amount was included in his 2012 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2011 990 Schedule J Part II in Column C.
Sch J, Part I, Line 1a	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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Schen Cnty Cap Res Corp
B	273478847	806418AU3	2012-06-01	15320000	Refinance of 1995 Debt	false	false	false
Dorm Auth of NYS
A	146000293	64983TQ97	2004-11-23	16834363	Construction of new ICU	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures
B	15320000	571000	306400	134554	14308046	false	false	true	true
A	16834363	1224505	57858		282729	false	false	true	true	861840	14407431

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
B	false	false	false	false	false	false	true	true
A	false	false	false	false	false			true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue
B	true	false	false	false	false
A	false	false	false	false	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
B	false
A	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part VI	ReturnReference
Explanation	The bond issuer, Dormitory Authority of the State of New York, has completed arbitrage rebate calculations for this bond issue as required and it has been determined that no arbitrage rebate exists.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Sarah Schermerhorn
Trustee	65437	family member comp	false
Brian McDonald MD
Trustee	601825	Medical Services	false
Mark Breslin
Trustee	2515845	Construction Management	false
John A Nolan MD
Trustee	409349	Medical Services	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	Dr. Nolan is a founding member and President of Cardiology Associates of Schenectady (CAS). CAS is a prominent group of 22 cardiologists, with six offices, that provides comprehensive cardiac care to patients in Schenectady, Montgomery, Fulton and Saratoga counties. CAS received payment for the direction of the cardiology program at Ellis Hospital. Ellis Hospital also leased Physicians' Assistants from CAS during 2012.Mr. Breslin serves as Vice President and General Manager for the New York North Business Unit of Turner Construction Company. After going through a selection process, Turner Construction Company was awarded the construction management contract for the new Emergency Renovation Project in 2011. Mr. Breslin recused himself from project-related board votes and did not participate in any discussion of the selection process in 2011. He did not participate in any voting related to the Emergency Renovation Project at Ellis Hospital. In 2012 Turner Construction was paid $2,515,845 for construction services.Dr. Brian McDonald is a partner in physician practice-Schenectady Pulmonary & Critical Care Associates (SPCCA). SPCCA provides 24/7 coverage to Ellis and was paid $601,825 in 2012. Dr. McDonald also individually receives compensation as Chief of Medical Staff Elect. ($12,450) Sarah Schermerhorn's son Paul is an employee of Ellis and his annual salary was $65,436.91. 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Pension and Post Retirement = -$4559153
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Contributed Property Plant and Equipment = $12267000
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Interest in Foundation = $395085
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	= $0
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Corporate Compliance Policies (including Conflicts of Interest Policy) and audited Financial Statements are available to the general public via posting on the Ellis Hospital website: www.ellismedicine.org. In addition, these documents and governing documents are available to the public upon request.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The 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 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Ellis Hospital's Conflict of Interest Policy applies to all Hospital Trustees, Officers, employees, Medical/Dental staff members, Directors, Managers, appointees with administrative and/or decision-making responsibilities, Volunteers or any of these parties' immediate families (collectively called Hospital Agents). The Ellis Hospital Corporate Bylaws require Hospital Agents and other selected individuals as identified by the Vice President, Human Resources and the Corporate Compliance Officer/Director of Internal Audit (CCO), to file a conflict of interest disclosure statement with the Hospital on a annual basis. When the statements are completed they are returned to the CCO. Upon receipt, the CCO will review the disclosure and, if a potential conflict is disclosed, will meet with the Hospital Agent and/or his/her appropriate supervisor to discuss the disclosure and need for action if any. All statements for Trustees are also reviewed by the CCO, and if a potential conflict has been disclosed, he/she will meet with the Board Chairperson to discuss the disclosure and need for action, if any. All potential conflicts involving the Board of Trustees will be summarized by the CCO and reported to the Audit Committee of the Board. This Committee will then share this information with the Board Chairperson. When a potential or actual conflict exists, An interested person may make a presentation to the Board or at a Committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote upon, the transaction or arrangement that could constitute the conflict of interest. The Board or Committee members shall determine by a majority vote whether the transaction or arrangement is in the Hospital's best interest.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	A copy of the Ellis Hospital's 990 was prepared and submitted for review to the Senior Management team comprised of the Chief Executive Officer, the Chief Operating Officer, Chief Financial Officer, and Vice Presidents. After their review was completed, the Form 990 was sent to each member of the Audit Committee for review. After review by the Audit committee, a copy of the Form 990, including all required schedules, as ultimately filed with the IRS, was given to each voting member of Ellis' Board of Trustees, prior to its filing with the IRS. After review by the Board of Trustees, and upon the recommendation of the Audit Committee, approval is given for filing the return with the IRS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Visiting Nurse Service Assoc of Schen	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	108 Erie Boulevard	AddressLine1
City	Schenectady	City
State	NY	State
ZIP Code	12305	ZIPCode

Field	Value	IRS element (for citing)
EIN	141338478	EIN
Primary Activities	Home Health Care	PrimaryActivities
Legal Domicile State	NY	LegalDomicileState
Exempt Code Section	501(c)(3)	ExemptCodeSection
Public Charity Status	3	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Ellis Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg