2013-11-13T12:32:18-08:00 2012-12-31 KPMG LLP 515 BROADWAY ALBANY NY 122072930 990 2012-01-01 141338428 Ellis Hospital ELLI 5186128668 1101 Nott Street Schenectady NY 12308 Daniel Rinaldi 2013-11-13 true Jeffrey Stagg P01326885 5184274766 2012 2016-02-24 21:20:13Z 419208210 false false X www.ellismedicine.org X 1885 NY 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. 22 16 4160 281 4871675 -1092983 7814743 5942872 349905580 361268338 3247983 3665665 4084275 8988024 365052581 379864899 41598 38913 0 205281773 214474178 0 0 147564099 154567380 352887470 369080471 12165111 10784428 224434893 276233584 130317308 162690098 94117585 113543486 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. false false 284601137 38913 333247246 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. 22339891 21239034 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. 11858381 8410574 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. 318799409 true true false true false false false false true true true false false true true true true true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true false false true 400 0 true 4160 true true false false false false false false 0 false false false false false false false false false false X 22 16 false false false false false false false true true false false true true true true true true true true false NY X X Ellis Medicine Finance Dept 5186128668 1101 Nott Street Schenectady NY 12308 X Raymond Sweeney 2.00 0.00 X 0 0 0 Anne Phillips 1.00 0.00 X 0 0 0 Quintin Bullock PhD 1.00 0.00 X 0 0 0 Emile Walraven 1.00 0.00 X 0 0 0 Brian McDonald MD 2.00 0.00 X 12450 0 0 Richard Toll MD 1.00 0.00 X 80730 0 0 Stephen Pagano 1.00 0.00 X 0 0 0 Laura Schweitzer PhD 1.00 0.00 X 0 0 0 Sarah Schermerhorn 2.00 0.00 X 0 0 0 John A Nolan MD 1.00 0.00 X 17316 0 0 Robert Murray 1.00 0.00 X 0 0 0 Deborah Mullaney 5.00 0.00 X 0 0 0 Judith B McIlduff 2.00 0.00 X 0 0 0 Michael Idelchik 1.00 0.00 X 0 0 0 Robert Kennedy MD 2.00 0.00 X 0 0 0 Patrick Kehoe 1.00 0.00 X 0 0 0 Ernest Lee MD 1.00 0.00 X 43700 0 0 Carolyn Jones 2.00 0.00 X 0 0 0 D Joseph Gersuk 1.00 0.00 X 0 0 0 Thomas Donovan 1.00 0.00 X 0 0 0 William B Faubion 2.00 0.00 X 0 0 0 Michael Cocca 2.00 0.00 X 0 0 0 Cristine Cioffi 5.00 0.00 X 0 0 0 Mark Breslin PE 1.00 0.00 X 0 0 0 Linda Breault 1.00 0.00 X 0 0 0 Daniel J Rinaldi 55.00 5.00 X 321959 0 20704 Paul A Milton 55.00 5.00 X 322583 0 31243 James W Connolly 55.00 5.00 X 587041 0 43504 Kelli Valenti 55.00 0.00 X 164884 0 19534 Anoush Koroghlian - Scott 55.00 0.00 X 204658 0 12251 David Snyder 55.00 0.00 X 206089 0 29321 Wendy Rosher 55.00 0.00 X 221056 0 31382 Donald J McLaughlin 55.00 0.00 X 177500 0 29289 Cecilia A Lynch 55.00 5.00 X 215890 0 27519 David M Liebers MD 55.00 0.00 X 302933 0 36325 Patti S Hammond 55.00 0.00 X 233787 0 26951 Joseph Giansante 55.00 0.00 X 233763 0 32054 Terence Clarke MD 50.00 0.00 X 644038 0 72607 Max S Laguerre MD 50.00 0.00 X 468219 0 18885 Robert McKay MD 50.00 0.00 X 547291 0 80899 Herbert Reich MD 50.00 0.00 X 522965 0 101242 Paul Spurgas MD 50.00 0.00 X 957875 0 18019 6486727 631729 241 false true false 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 40 4089879 1852993 5942872 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 690547 690547 361268338 1144678 1144678 0 0 0 41864298 39293709 49602 2570589 -49602 2520987 2520987 0 0 0 Gain Extinguisment Debt 900099 3300510 3300510 Fd Svc, park,emp pharm,ot 1568003 1568003 Contribution-St. Clare's 1208755 1208755 2910756 1628516 186645 1095595 8988024 379864899 358211824 4871675 10838528 0 38913 38913 0 0 3686418 154196 3532222 0 176666280 161062253 15604027 6587057 5990589 596468 14915932 13585192 1330740 12618491 11308706 1309785 2224226 2224226 280482 280482 238032 238032 48970 48970 0 210745 210745 3359399 3299240 60159 2240042 8568 2231474 62500211 60464883 2035328 6244322 6244322 0 9309048 8131620 1177428 1237377 798408 438969 0 0 371909 371909 0 13959372 12492357 1467015 5010396 5010396 NYS Assessment 1941310 1941310 Equip Rental/Maint 9944080 8323176 1620904 Bad Debt Expense 14152292 14152292 Purchased Services 17948545 15446274 2502271 3346622 946607 2400015 369080471 318799409 50281062 0 10970 13145 10940255 14494525 328379 22243 36728375 37274181 0 0 44233 310900 5142782 5018169 1197612 1710375 366105977 224868383 93374596 141237594 56869401 53353491 0 0 0 19798290 22798961 224434893 276233584 30418391 37048792 3467257 756910 29818673 26458684 118964 114354 9730497 37799216 56763526 60512142 130317308 162690098 X 77487333 97941345 11421977 10152542 5208275 5449599 94117585 113543486 224434893 276233584 X 10784428 538541 8102932 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 48970 48970 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Ellis Hospital pays dues to the Healthcare Association of New York State, Iroquois Healthcare Alliance, and American Hospital Association. The portion of the dues that were attributable to lobbying activities are shown on form 990, Part IX, Line 11 D and above in Schedule C, Part II-B, Line 1i. false true X 5208275 241324 5449599 3969599 1238676 5208275 3919510 50089 3969599 3819437 100073 3919510 4143281 -323844 3819437 1.00000 false false false 4296826 4296826 130328030 67739702 62588328 1316425 1047225 269200 214843961 156081456 58762505 15320735 15320735 141237594 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 22798961 Retainage payable 1103935 Miscellaneous payables 193255 Estimated self-insurance 14529230 Estimated payables to 3rd Party Payers 2794795 Employee withholdings 685323 Claims payable 1535653 Asset retirement obligation 798898 Accrued vacation payable 10150317 Accrued sick payable 6770695 Accrued post retirement benefits 294485 Accrued pension 21516827 Accrued interest payable 138729 60512142 X 374143335 -5721564 -5721564 379864899 379864899 354717434 -14363037 -14363037 369080471 369080471 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. true true X true X 300.000000000 false true true true false true true 8668977 5571878 3097099 0.00840 68458363 53256182 15202181 0.04120 77127340 58828060 18299280 0.04960 267911 9964 257947 0.00070 10211814 3989749 6222065 0.01690 1261387 1261387 0.00340 315140 315140 0.00090 12056252 3999713 8056539 0.02190 89183592 62827773 26355819 0.07150 2238 2238 48111 48111 0.00010 1409 1409 51758 51758 0.00010 true 3929000 268000 73597306 78290584 -4693278 X true true Visiting Nurse Svc Assoc serves home health needs 1.00000 1 1 Ellis Hospital

1101 Nott Street Schenectady NY 12308

X X X X 82 Bed Skilled Nursing Facility 1 false true true 300.0000 false true X X true true X X X X X X true X X X true X X X X X X X true X false false 13 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 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. Number of Hospital Faciltiy - 1 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. 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. true 0 0 School of Nursing Scholarship 103 4750 34163 FMV Tuition Reduction Grantmaker's Description of How Grants are Used The School of Nursing (SON) works with the office of the Vice President for Nursing and the Ellis Hospital Foundation to track awards and to assure that the grants and monies are used for the intended purpose. It is the responsibility of the Ellis Finance Department to release the funds and account for the remaining balance. In the case of the Auer Scholarship, the faculty interviews the potential recipients and makes a recommendation (in rank order) of who should receive the scholarship. The Director of the SON meets with the VP for Nursing and they make a decision on how many scholarships to award to the top candidates. The Finance Department then credits the student tuition receivable account and draws the money from the Scholarship fund. There are scholarship monies that community organizations give. The organizations either send a check or hand it to the student at commencement. X true true X X X X X false false false false false true false false false false Wendy Rosher 197447 18918 4691 12996 18386 252438 Terence Clarke MD 557742 58700 27596 61300 11307 716645 49950 Robert McKay MD 478676 33587 35028 80245 654 628190 57960 Paul Spurgas MD 800656 139000 18219 8958 9061 975894 Paul A Milton 287752 26430 8401 9974 21269 353826 Patti S Hammond 208239 21065 4483 9302 17649 260738 Max S Laguerre MD 441654 26565 10000 8885 487104 Kelli Valenti 146799 15314 2771 19534 184418 Joseph Giansante 192910 21105 19748 9396 22658 265817 James W Connolly 503023 45649 38369 11149 32355 630545 Herbert Reich MD 448204 57960 16801 86935 14307 624207 Donald J McLaughlin 142426 17061 18013 7041 22248 206789 David Snyder 187906 17738 445 8216 21105 235410 David M Liebers MD 284031 18127 775 10675 25650 339258 Daniel J Rinaldi 295798 23844 2317 10000 10704 342663 Cecilia A Lynch 196431 15272 4187 8618 18901 243409 Anoush Koroghlian - Scott 172327 15300 17031 12251 216909 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. B Schen Cnty Cap Res Corp 273478847 806418AU3 2012-06-01 15320000 Refinance of 1995 Debt false false false A Dorm Auth of NYS 146000293 64983TQ97 2004-11-23 16834363 Construction of new ICU false false false B 15320000 571000 306400 134554 14308046 false false true true A 16834363 1224505 861840 57858 14407431 282729 false false true true B false false false false false false true true A false false false false false true B true false false false false A false false false false false false false false B false A false Supplemental Information Part VI The bond issuer, Dormitory Authority of the State of New York, has completed arbitrage rebate calculations for this bond issue as required and it has been determined that no arbitrage rebate exists. 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 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. 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. Visiting Nurse Service Assoc of Schen 108 Erie Boulevard Schenectady NY 12305 141338478 Home Health Care NY 501(c)(3) 3 Ellis Hospital true false false false false false false false false false false false false false false false false false false false