2012-11-13T10:06:59-08:00 2011-12-31 KPMG LLP 515 BROADWAY ALBANY NY 122072930 990 2011-01-01 141338428 Ellis Hospital ELLI 5186128668 1101 Nott Street Schenectady NY 12308 Daniel Rinaldi 2012-11-13 true Jeffrey Stagg 5184274766 2011 2016-02-24 21:20:13Z James W Connolly 1101 Nott Street Schenectady NY 123082425 397587139 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 18 3784 298 5450961 -864837 2423015 7814743 339223921 349905580 2348370 3247983 3728742 4084275 347724048 365052581 46340 41598 0 197881755 205281773 0 0 143261987 147564099 341190082 352887470 6533966 12165111 217214711 224434893 120618747 130317308 96595964 94117585 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 274792849 41598 324757378 Healthcare services - Ellis is a community and teaching hospital with 438 certified beds (of which 349 were staffed in 2011) across three hospital campuses, including 52 inpatient mental health beds (see 4B below). The hospital is overseen by a volunteer Board of Trustees from the community. Ellis is the sole provider of acute hospital care in Schenectady County, following a state-mandated restructuring which resulted in consolidation of three hospitals into one in 2007-2008. Ellis balances state-of-the-art technology and advanced medical procedures with a tradition of community-based caring and a firm committment to quality. Ellis has earned numerous recognitions for clinical excellence and community service. Ellis is a "Top 50 Cardiovascular Hospital for 2011" as rated by Thomson Reuters. From 2007 through 2011, Ellis has received recognition from the American Stroke Association (ASA) through the ASA's Gold and Gold Plus Achievement awards. Ellis is recognized for using the ASA's "Get with the Guidelines" program for improving the quality care and patient outcomes. Ellis is also a designated Stroke Center by the New York State Department of Health. The hospital is also a designated "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" certification. During 2011 and 2010, Ellis received community service awards from: the City Mission of Schenectady ("Partners Award," specifically recognizing the hospital's free community shuttle, health service navigators, and other services for the underserved), the Schenectady ARC ("Employer of the Year," recognizing the hospital for providing employment, with opportunities for growth and meaningful experience, to individuals with developmental disabilities), the Sight Society of Northeastern New York ("Hospital of the Year" for commitment and compassion to grieving families along with outstanding accomplishments and best practices use to facilitate cornea donations), and the Goose Hill Neighborhood Association ("Community Award" for being a good neighbor and proactive communicator).Ellis operates two Emergency Departments which had 85,978 visits in 2011, the Bellevue Woman's Care Center which delivered 2,483 babies in 2011, 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, two Bariatric Care locations, a Sleep Disorders Center, a Wound Care Center, a Family Medicine Residency including Osteopathic Residency, a General Dental Residency, and a School of Nursing. Residents enrolled in the Family Medical Residency and the General Dental Residency provide primary and dental care to patients, the majority of whom are uninsured or are patients 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. Ellis is also the sole sponsor of the Visiting Nurse Service of Schenectady and Saratoga Counties (VNS), a not-for-profit home health care agency which is the only State-licensed provider of home health care services to the general population in Schenectady County.The Ellis Belanger School of Nursing prepares students for licensure as professional Registered Nurses. Ninety-five percent of the school's graduates passed the New York State nursing licensure examination in 2011. Total enrollment in October 2011 was 120 students. The graduates in the class of 2011 (combined day and evening/weekend programs) were 39, of which 27 joined the nursing staff at Ellis.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 2011), 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 Schenectady's Indo-Guyanese (West Indian) population through a federal REACH grant. Needs are addressed by such programs as: 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; 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 region's 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 area's only summer day camp for children with type 1 diabetes which provides full-tuition scholarships for low-income children.As the only provider of maternity care in Schenectady County, Ellis has centralized services at the Bellevue Woman's Care Center. Bellevue has 55 beds (certified and staffed) including a 15-bed neonatal intensive care unit, one of only three ICUs in the area specializing in the care of premature and low birth weight infants. Ellis instituted the area's first Ob/Gyn hospitalist program, aimed at enhancing patient care and safety. Through this program, a hospital-employed board-certified Ob/Gyn physician is on-site at Bellevue 24/7, ready to provide emergency obstetrical care or deliveries in the event a patient's private physician is unavailable. Ellis has also committed to a substantial upgrade of the physical facilities at Bellevue, with a $15 million project started in 2012. Ellis counted 18,591 inpatient discharges and 539,147 outpatient visit during 2011. In pursuing its mission, the hospital provides services to anyone who walks through its' doors, regardless of their ability to pay. The level of charity care, measured on the basis of established costs, was approximately $6,894,365 in 2011. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009. 22159372 20822070 Ellis operates a 52-bed (certified and staffed) inpatient mental health unit and expanded outpatient services. This is the only inpatient mental health facility in Schenectady County, and 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 hospital's Medical Home. As part of a multi-agency adolescent suicide response team, and in order to accommodate increased service needs as identified by the School District, Ellis opened the expanded facility in advance of final State Health Department architectural approval for the physical move from one location to another and, hence, did not qualify to receive Medicaid reimbursement for services rendered during 2010 and 2011 at this location. Medicaid patients, as well as those unable to pay, were treated at no charge. In 2011, the mental health programs had 16,905 inpatient days and 55,016 outpatient visits. 11892538 9490460 Long Term Care - 2011 was the first full year that the Ellis Residential and Rehabilitation Center, an 82-bed skilled nursing facility and short-stay rehabilitation facility specializing in medically complex cases, operated 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 2011 were 28,880. The relocation 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. 308844759 true true false true false false false false true true true false false true true true true false false false false false false false false false true true false true true true true false true false false false false false false true false false false false false false false false false false true 375 0 true 3784 true true true false false false false false false false false false 0 false false false false false false false false false false false X 22 18 false false false false false false false true true false false false true true true true true true true true false false NY X X Ellis Medicine Finance Dept 5186128668 1101 Nott Street Schenectady NY 12308 X Raymond Sweeney 1.00 X 0 0 0 Anne Phillips 2.00 X 0 0 0 Quintin Bullock PhD 1.00 X 0 0 0 George B Boyar MD 1.00 X 18750 0 0 Richard Toll MD 1.00 X 75405 0 0 Stephen Pagano 2.00 X 0 0 0 Laura Schweitzer PhD 2.00 X 0 0 0 Sarah Schermerhorn 2.00 X 0 0 0 John A Nolan MD 3.00 X 65861 0 0 Robert Murray 4.00 X 0 0 0 Deborah Mullaney 3.00 X 0 0 0 Judith B McIlduff 1.00 X 0 0 0 Michael Idelchik 1.00 X 0 0 0 Robert Kennedy MD 2.00 X 0 0 0 Patrick Kehoe 2.00 X 0 0 0 Marshall G Jones PhD 1.00 X 0 0 0 Carolyn Jones 2.00 X 0 0 0 D Joseph Gersuk 2.00 X 0 0 0 Howard Foote 2.00 X 0 0 0 William B Faubion 2.00 X 0 0 0 Michael Cocca 2.00 X 0 0 0 Cristine Cioffi 9.00 X 0 0 0 Mark Breslin PE 3.00 X 0 0 0 Linda Breault 1.00 X 0 0 0 Daniel J Rinaldi 50.00 X 290019 0 20050 Paul A Milton 50.00 X 310135 0 34992 James W Connolly 50.00 X 516520 0 42077 David Snyder 50.00 X 190773 0 20304 Mary Ellen Crittenden 50.00 X 156248 0 15958 Wendy Rosher 50.00 X 200314 0 28097 Donald J McLaughlin 50.00 X 176204 0 28840 Cecilia A Lynch 50.00 X 203411 0 25460 David M Liebers MD 50.00 X 315354 0 35667 Patti S Hammond 50.00 X 200282 0 25976 Joseph Giansante 50.00 X 210584 0 30920 Terence Clarke MD 50.00 X 869368 0 67858 Max S Laguerre MD 50.00 X 467234 0 19703 Robert McKay MD 50.00 X 671123 0 68991 Herbert Reich MD 50.00 X 532520 0 23432 Paul Spurgas MD 50.00 X 871200 0 8717 6341305 497042 225 false true false Strategic Solutions MC 400 Clifton Corporate Parkway Clifton Park NY 12065 Billing Service 964308 Smith & Jones 297 River Street Troy NY 12180 Marketing 1755230 OB Hospitalist Group 10 Centimeters Drive Mauldin SC 29662 Physician Service 1060119 Envision Architects PC 52 James Street Albany NY 12207 Archetectrual Svc 2088287 Bond Schoeneck & King 111 Washington Ave Albany NY 12210 Legal Services 1314039 41 4584353 3230390 7814743 Sunnyview Hosp Svcs 621990 2924841 2924841 Mental Health Services 621990 20822070 20822070 Long Term Care 623000 9490460 9490460 Lab-Physician Referrals 621500 2304770 2304770 General Hospital 621990 313828654 313828654 534785 534785 349905580 1580685 1580685 0 0 0 34178791 23065 32534558 1644233 23065 1667298 1667298 0 0 0 Rent-Nonresidential Space 531120 721795 721795 Purchase Discounts 900099 669976 669976 Food Service Commissions 573755 573755 2118749 1246369 221350 651030 4084275 365052581 349840297 5450961 1946580 0 41598 41598 0 0 3153590 75405 3078185 0 170453777 155651813 14801964 4933064 4515149 417915 14414790 13157884 1256906 12326552 11082896 1243656 2284684 2284434 250 400074 400074 228000 228000 53445 53445 0 251558 251558 3208330 3144151 64179 1759849 2258 1757591 58143515 57727417 416098 4737744 4737744 0 11185797 9737362 1448435 867545 608061 259484 0 0 54105 54105 0 13662844 12057175 1605669 3653185 3653185 Purchased Services 15451184 12317932 3133252 Other Fees-Non Medical 1480179 294620 1185559 NYS Assessment 1768258 449110 1319148 Equip Rental/Maint 8920231 7240847 1679384 Bad Debt Expense 16990182 16990182 2463390 1412360 1051030 352887470 308844759 44042711 0 11165 10970 4820260 10940255 408198 328379 39949115 36728375 0 0 44233 4796799 5142782 1080238 1197612 304519601 211145005 91153218 93374596 57062260 56869401 0 0 0 17933458 19798290 217214711 224434893 29557479 30418391 2977724 3467257 32960140 29818673 119072 118964 8099280 9730497 46905052 56763526 120618747 130317308 X 81189149 77487333 11437216 11421977 3969599 5208275 96595964 94117585 217214711 224434893 X 12165111 -14643490 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 53445 53445 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 3969599 1238676 5208275 3919510 50089 3969599 3819437 100073 3919510 1.00000 false false false 2956826 2956826 104718694 63880513 40838181 1177542 1027199 150343 184565738 146237293 38328445 11100801 11100801 93374596 Security Deposits 132918 Rent receivable 46028 Miscellaneous receivables 188476 Meaningful Use Receivable 666565 Loan receivable Interest in Net Assets of Foundation 15110592 Grant receivable 487116 Due from Insurance group Due from Foundation 754634 DSH for OP Mental Health 542375 Deferred financing costs 1590904 Accrued rebates and credits 245606 Accrued interest receivable 33076 19798290 Retainage payable 78845 Miscellaneous payables 182310 Estimated self-insurance 13500287 Estimated payables to 3rd Party Payers 4809269 Employee withholdings 613992 Claims payable 1352897 Asset retirement obligation 1336026 Accrued vacation payable 9096120 Accrued sick payable 5729354 Accrued post retirement benefits 280148 Accrued pension 19638723 Accrued interest payable 145555 56763526 365052581 352887470 12165111 -2048883 -12594607 -14643490 -2478379 333167351 -2048883 -12594607 -14643490 347810841 251558 16990182 17241740 365052581 335645730 335645730 251558 16990182 17241740 352887470 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 XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Bad Debt Expense $16990182 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Bad Debt Expense $16990182 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Change in Interest in Foundation $ -580164 Pension & Post Retirement $ -12014443 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 $692,674 at 12/31/2011. The remaining amount of $4,515,601 are Net Assets held by the Foundation (including $1,158,853 for beneficial interest in perpetual trusts in 2011). Grand total was $5,208,275. 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 $16,822. 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 $102,142. 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 false true true true false true true 8577120 4326545 4250575 0.01270 61087354 55326716 5760638 0.01710 69664474 59653261 10011213 0.02980 577529 7556 569973 0.00170 9212452 3828858 5383594 0.01600 3997973 25000 3972973 0.01180 2472 2472 189555 189555 0.00060 13979981 3861414 10118567 0.03010 83644455 63514675 20129780 0.05990 4152 4152 1741 1741 18460 18460 0.00010 1418 1418 7310 7310 33081 33081 0.00010 false 4679800 236000 71815399 77338867 -5523468 X true true 1 0 Ellis Hospital

1101 Nott Street Schenectady NY 12308

X X X X 82 Bed Skilled Nursing Facility Ellis Hospital 1 false true true 200.0000 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 Ellis Hospital Rehabilitation Services

650 McClellan Street Schenectady NY 12304

Physical Therapy Services Ellis Hospital Continuing Day Treatment

216 Lafayette Street Schenectady NY 12308

Mental Health Services Ellis Hospital Blood Draw Station

949 Route 146 Clifton Park NY 12065

Patient Service Center Ellis Hospital Collage Social Program

1328 State Street Schenectady NY 12304

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 12308

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. 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:1. 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 hospital's President and CEO). Ellis does not have a parent corporation.2. An open medical staff consisting of approximately 700 affiliated physicians. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 150 of these physicians 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 hospital's corporate structure and daily operations. The MDEC and the department chairs, who oversee specific clinical services, work collaboratively with the hospital's volunteer Board of Trustees, administrators, and staff to ensure the highest quality of care is delivered to patients and that the community's healthcare needs are met with excellence. Physicians also serve as members of the hospital's Board of Trustees, and they are directly involved in the hospital's annual budget process: they rank and prioritize all capital items in the hospital's capital budget and they sign off on volume projections for the hospital's annual operating budget.3. Operation of two, full service, fully staffed emergency rooms on two separate campuses, both of which are open 24 hours-a-day, seven days-a-week, 365 days-a-year. Ellis' emergency rooms care for all those in need of emergency care regardless of their ability to pay. Similarly, Ellis Hospital's admission policy is not restrictive. Ellis does not deny admission to any patient based on his/her ability to pay. 4. The work of The Foundation for Ellis Medicine, a 501 (c) (3) tax-exempt charitable organization whose sole purpose is to encourage philanthropic support for Ellis Hospital. The Ellis Hospital Foundation was established in 1982 and is governed by a separate board of trustees. Funds raised through the Foundation's activities are used to assist the hospital in acquiring state-of-the-art medical equipment and support a wide range of health care programs and services. 5. Reinvesting its surplus funds to expand/replace/modernize its facilities and medical equipment; support programs/activities aimed at improving quality of care and patient safety; train and educate its medical and nursing staffs; and to improve the overall delivery of and accessibility to health care services in the community.Ellis Medicine demonstrates leadership as a charitable institution by organizing and participating in communitywide efforts for 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 provides essential healthcare services by cooperating with other community healthcare providers to maximize the meeting of essential community health needs; rendering healthcare services and educational services that are specifically designed to meet assessed community needs and improving community health status; and operating two 24 hour, 7 day-a-week Emergency Departments that cares for anyone who walks through its doors in need of emergency care, regardless of one's ability to pay.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 in its community following the New York State-mandated hospital consolidation in 2008, and has since been working to align its innovative approaches to community health with the full array of 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 this State-driven "rightsizing" process. In this important role, Ellis has worked tirelessly to engage the community and to develop 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 Medicine's key community building activities is its 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 42 healthcare and community agencies led by Ellis, the Visiting Nurse Service of Schenectady and Saratoga Counties, Inc., and Hometown Health (the Schenectady FQHC) will be providing comprehensive care management services to high risk Medicaid patients in Schenectady County.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. During 2011, Ellis worked with the SAH to implement a highly visible "healthy foods" initiative in the Ellis public cafeteria.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 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. Although in 2011 the mobile mammography van was retired due to the high cost of required repairs, Ellis runs special events to host groups from rural and underserved areas for screenings. Ellis provides rent-free 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, acting in collaboration with the Schenectady County Planning Department and the Cooperative Extension, during 2011 Ellis hosted a weekly Farmers' Market in the parking lot of the Ellis Health Center during the summer months.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 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.Ellis is an active and results-driven member of H2E: Hospitals for a Healthy Environment, a program to eliminate mercury, reduce waste and pollution and to improve utilization of environmentally friendly products and vendors. Additionally, Ellis staffs a Green Team that works to promote recycling and other eco-friendly practices throughout the organization. Part VI - Community Information In accordance with industry standards, Ellis Hospital's community is defined as the hospital's Primary and Secondary Service Areas, accounting for 80% of the hospital's 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 Schenectady's 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 Schenectady's "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 City's 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 2011, Medicare patients accounted for 41.7% of inpatient discharges, 28.7% of outpatient visits, and 34.7% of net patient revenues. Medicaid covered 21.9% of inpatient discharges, 26.7% of outpatient visits, and 18.1% of net patient revenues. Uninsured patients accounted for 2.9% of inpatient discharges and 5.8% of outpatient visits. Overall, uninsured or government insured patients made up 66.5% of inpatient discharges and 61.2% of outpatient visits, while generating 54.5% of net patient revenues before bad debts.There is one Medically Underserved Population (MUP) within Ellis' Primary Service Area. The homebound population of Schenectady County is designated MUP 06211. In response, at least three physicians on the staff of the Ellis Family Health Center make house calls, and residents in the hospital's 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. An equal number of people have incomes below $25,000 as above $100,000 (20%). Health status variations are similarly dramatic. For example, the rates of asthma-related hospital admissions per 10,000 people vary from 423 in the 12307 ZIP code to 54 in the 12309 ZIP code, a distance of about five miles.Overall Census data for the combined Service Areas for 2011 estimate a total population of 351,828. This is projected to increase to 357,855 by 2016. The 2011 average (mean) income was $69,824. 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 2011 to 2016 is expected to be in the over 55 age range (3% increase), while decreases are expected in the number of children aged 0-17 (0.8%) and in adults in the 35-54 age range (2.9%). 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), 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.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 patient's 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. As with all hospitals in New York State, Ellis files a three-year Community Service Plan with the New York State Department of Health, along with annual Plan Updates. Ellis has begun working with community partners in preparation for Community Health Needs Assessment and Implementation Plan reporting which will be required for the tax year 2013. 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 York's Capital Region (Albany, Schenectady and Rensselaer Counties), local hospitals, health insurance companies, and other healthcare and community partners. HCDI coordinates regional needs assessments and collaborative responses to identified service gaps. An Ellis representative attends bi-monthly meetings of the HCDI Board, and Ellis has provided staff expertise for various workgroups.In November 2011, as part of the State's HEAL-9 initiative, HCDI published a report on an intensive study of Emergency Department (ED) utilization in the three-county region. Ellis participated by distributing HCDI's 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. Between 2009 and 2011, patient visits to the Ellis Family Health Center, a primary care clinic which largely serves uninsured and Medicaid patients, increased by 22%.HCDI continued to make available to the public the 2009 Community Health Profile through which multiple data sources were analyzed to identify and rank the top health concerns in Albany, Schenectady and Rensselaer Counties. As part of this process, a public health forum, "How Healthy Is the Capital District?" was held in spring 2009 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 works with Schenectady County Public Health Services to identify health priorities and strategies to address them. From this process, Ellis produces a Community Service Plan and the County Health Department produces its 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 and September 2011. Following review, the State Department of Health accepted Ellis' 2011 update without requiring any revisions.Finally, Ellis holds regular meetings in the community and has engaged the Siena Research Institute to conduct public surveys regarding local health concerns and priorities. During 2011, Ellis conducted seven community outreach meetings between community groups, such as neighborhood associations and senior citizens organizations, and Ellis executives. In addition, the CEO met with the Mayor and Council of the City of Schenectady. Ellis received the results of a "Siena Survey" conducted in late 2010 to assess community satisfaction with overall healthcare services and with specialty care services. The survey, the fourth since 2008, 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 - 0 Part V, Line 19d - 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 200% FPG are eligible to receive 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 healthcare 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 costs incurred by Ellis to privide such services. As a rsult, 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 costing methodology used in determining the amounts reported on Part III, Section A, lines 2 and 3, is Ellis' cost to charge ratio.The following footnote relating to bad debt expense is included in the audited financial statements:Ellis Hospital grants credit without collateral to patients, most of which are local residents and are insured under third-party payor agreements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectable 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 government health care coverage, and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received 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 $16,990,182. 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 200% FPG are eligible to receive charity (free) care. true X 0 0 School of Nursing Scholarship 102 7050 34548 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 173129 26756 429 10055 18042 228411 Terence Clarke MD 569788 299376 204 59903 7955 937226 292876 Robert McKay MD 305878 348316 16929 68337 654 740114 Paul Spurgas MD 714527 139000 17673 8717 879917 Paul A Milton 253524 39682 16929 10158 24834 345127 Patti S Hammond 179930 19923 429 8257 17719 226258 Max S Laguerre MD 440715 26519 10084 9619 486937 Mary Ellen Crittenden 137097 18722 429 5151 10807 172206 Joseph Giansante 165235 26346 19003 8606 22314 241504 James W Connolly 400227 78868 37425 10397 31680 558597 Herbert Reich MD 454529 61200 16791 9800 13632 555952 61200 Donald J McLaughlin 142949 20147 13108 6990 21850 205044 David Snyder 165650 24694 429 20304 211077 David M Liebers MD 284602 29977 775 11350 24317 351021 Daniel J Rinaldi 250164 38682 1173 10021 10029 310069 Cecilia A Lynch 177473 25647 291 7763 17697 228871 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 $292,876 represents the incentive compensation he earned in 2010. This amount was included in his 2011 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2010 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 $61,200 represents the incentive compensation he earned in 2010. This amount was included in his 2011 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2010 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. Dorm Auth of NYS 146000293 64983TQ97 2004-11-23 16834363 Construction of new ICU false true false 1415000 16834363 1224505 861840 57858 14407431 282729 2006 false false true true false false false false false true false false false false true false X Mark Breslin Trustee 165550 Construction Management false John A Nolan MD Trustee 275961 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 2011.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 Turner was paid $165,550 for preconstruction services. Part IV Line 20 b Audited Financial Statements included 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 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 11 Form 990, Part VI, Line 11: 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.