TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) STEVEN KELLEY...................................................................... PRESIDENT & CEO	36.00 ................. 5.00	X	X		506,729	161,750
(2) REVEREND JULIUS A COLLINS JR...................................................................... CHAIRPERSON	4.00 ................. 0.00	X	X		0	0
(3) MYRNA JARGOWSKY...................................................................... VICE CHAIRPERSON	2.00 ................. 5.00	X	X		0	0
(4) WILLIAM D BROWN...................................................................... TREASURER	3.00 ................. 8.00	X	X		0	0
(5) JOHN B GILLETTE...................................................................... SECRETARY	3.00 ................. 0.00	X	X		0	0
(6) RICHARD BRADFORD...................................................................... TRUSTEE	2.00 ................. 5.00	X			0	0
(7) DR NEIL CALMAN MD...................................................................... TRUSTEE	2.00 ................. 0.00	X			0	0
(8) PHILIP COOMBE III...................................................................... TRUSTEE	2.00 ................. 6.00	X			0	0
(9) DAVID EIKSZTA...................................................................... TRUSTEE	2.00 ................. 5.00	X			0	0
(10) JULIE C LONSTEIN...................................................................... TRUSTEE	2.00 ................. 0.00	X			0	0
(11) CRAIG LOPEZ...................................................................... TRUSTEE	2.00 ................. 6.00	X			0	0
(12) KRISTINA URSITTI DO...................................................................... TRUSTEE	2.00 ................. 0.00	X			0	0
(13) BOB RUE...................................................................... CFO	36.00 ................. 5.00		X		225,071	47,408
(14) ASHIMA BUTLER...................................................................... COO	36.00 ................. 0.00		X		236,191	13,466
(15) MARIE BROWN...................................................................... REGISTERED NURSE	40.00 ................. 0.00			X	169,708	36,102
(16) MARIA GONZALEZ...................................................................... CHIEF NURSING OFFICER	40.00 ................. 0.00			X	142,290	41,210
(17) KERRY BYTHEWOOD-SAVERINO...................................................................... DIRECTOR OF PHARMACY	40.00 ................. 0.00			X	136,567	0

(A) Name and business address	(B) Description of services	(C) Compensation
LAB CORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON,NC27216	LAB SERVICES	541,375
ADAPTIVE WORKFORCE SOLUTIONS LLC 111 E RIVULON BOULEVARD SUITE 107 GILBERT,AZ85297	STAFFING SERVICES	396,361
THE INSTITUTE FOR FAMILY HEALTH INC 2006 MADISON AVENUE NEW YORK,NY10035	MEDICAL SERVICES	396,269
CONSTABLE CUSTODIAL SERVICES INC PO BOX 1115 LIBERTY,NY12754	CLEANING SERVICES	384,150
ATHENAHEALTH INC PO BOX 415615 BOSTON,MA02241	SOFTWARE SERVICES	250,923
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 10

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization WESTCHESTER-ELLENVILLE HOSPITAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization WESTCHESTER-ELLENVILLE HOSPITAL INC		Employer identification number 13-4111638

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization WESTCHESTER-ELLENVILLE HOSPITAL INC			Employer identification number 13-4111638
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

4,265

Total. Add lines 1c through 1i ....................................................................................................

4,265

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

Yes

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	AMOUNT REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....	13,645,789	4,399,986	9,245,803
c	Leasehold improvements
d	Equipment ....	9,174,986	5,850,555	3,324,431
e	Other .....	110,109		110,109
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				12,680,343

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION				1,399,407
(2)INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES				99,966
(3)INSURANCE RECOVERY RECEIVABLE				643,129
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,142,502

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,187,210
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	28,003,162
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-2,281,472
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	39,329
e	Add lines 2a through 2d .....................			2e	-2,242,143
3	Subtract line 2e from line 1..................			3	30,245,305
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	1,277,433
c	Add lines 4a and 4b....................			4c	1,277,433
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	31,522,738

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	26,003,767
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	67,332
e	Add lines 2a through 2d....................			2e	67,332
3	Subtract line 2e from line 1...................			3	25,936,435
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	1,268,281
c	Add lines 4a and 4b.....................			4c	1,268,281
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	27,204,716

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR YEARS PRIOR TO 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 29,028. CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 1,149. ELIMINATIONS 9,152.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,268,281. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES 9,152.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 29,028. EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 18,304. HOSPITAL RESTRICTED NET ASSETS RELEASED TO RELATED FOUNDATION 20,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,268,281.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	557,232		557,232	2.050 %
b	Medicaid (from Worksheet 3, column a) . . . . .	6,578,061	1,177,935	5,400,126	19.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	166,131		166,131	0.610 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	7,301,424	1,177,935	6,123,489	22.510 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	18,189,671	13,931,668	4,258,003	15.650 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	18,189,671	13,931,668	4,258,003	15.650 %
k	Total. Add lines 7d and 7j .	25,491,095	15,109,603	10,381,492	38.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

585,123

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

66,667

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

10,839,627

Enter Medicare allowable costs of care relating to payments on line 5.....

10,800,368

Subtract line 6 from line 5. This is the surplus (or shortfall)........

39,259

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	WESTCHESTER-ELLENVILLE HOSPITAL INC 10 HEALTHY WAY ELLENVILLE,NY12428 HTTPS://ERHNY.ORG 5526700C	X	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	WESTCHESTER-ELLENVILLE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, PAGE 8

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, PAGE 8

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WESTCHESTER-ELLENVILLE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, PAGE 8

The FAP application form was widely available on a website (list url):

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	WESTCHESTER-ELLENVILLE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	WESTCHESTER-ELLENVILLE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
WESTCHESTER-ELLENVILLE HOSPITAL, INC.	PART V, SECTION B, LINE 5: AS REQUIRED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AND IRS, ELLENVILLE REGIONAL HOSPITAL (ERH) MUST CONDUCT A THOROUGH COMMUNITY HEALTH ASSESSMENT (CHA) EVERY THREE YEARS. THE INFORMATION IS UTILIZED TO DEVELOP A COMMUNITY SERVICE PLAN (CSP) OUTLINING INTERVENTIONS DESIGNED TO IMPROVE HEALTH OUTCOMES IN THE SERVICE AREA. IN RECENT YEARS, THE NEW YORK STATE DEPARTMENT OF HEALTH HAS ENCOURAGED LOCAL HOSPITALS AND HEALTH DEPARTMENTS TO COLLABORATE IN CREATING JOINT COMMUNITY HEALTH IMPROVEMENT (CHIP)/CSP DOCUMENTS. ULSTER COUNTY DEPARTMENT OF HEALTH (UCDOH) HOSTED A SERIES OF MEETINGS WITH KEY STAKEHOLDER ORGANIZATIONS IN ULSTER COUNTY TO DISCUSS THE SELECTION OF HEALTH IMPROVEMENT PRIORITIES. ERH, WITH ITS PARTNERS UCDOH AND HEALTHALLIANCE HOSPITAL: MARY'S AVE CAMPUS (HA), JOINTLY SELECTED PREVENTING CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS AS THE TWO PRIORITY AREAS FOR THE 2022-2024 CHIP/CSP. COMMUNITY-BASED ORGANIZATIONS, HEALTH CARE PROVIDERS, SEVERAL COUNTY OF ULSTER DEPARTMENTS, AND ULSTER COUNTY COALITIONS WERE ALSO INVOLVED IN THE DECISION-MAKING PROCESS AND WORKED TO SUPPORT THE SELECTED INITIATIVES. THIS COLLABORATION HAS CONTINUED TO INCLUDE MANY SERVICE AGENCIES IN ULSTER COUNTY.IN 2017, THE SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION, INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER COUNTIES, CREATED THE HUDSON VALLEY PUBLIC HEALTH COLLABORATIVE WITH THE ENDEAVOR OF CREATING THE FIRST REGIONAL CHA FOR THE MID-HUDSON REGION. THE COLLABORATIVE CONTRACTED THE SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A RANDOM DIGIT DIAL REGIONAL COMMUNITY HEALTH SURVEY TO SUPPLEMENT THE REGIONAL CHA AND TO GAUGE THE PERCEPTION OF RESIDENTS SURROUNDING HEALTH AND RESOURCES IN THEIR COMMUNITIES. TO FURTHER INCREASE THE DATA COLLECTED FROM THE COMMUNITY, COLLABORATIVE MEMBERS HELD FOCUS GROUPS WITH SERVICE PROVIDERS TO FURTHER UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. IN 2022, ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN), WHICH SERVES AS THE POPULATION HEALTH DEPARTMENT OF ELLENVILLE REGIONAL HOSPITAL (CREATED IN 2017), ASSISTED WITH THE REJOINING OF THIS GROUP TO MAKE ANOTHER REGIONAL CHA FOR 2022. SCRI WAS AGAIN CONTRACTED, AND 5,699 SURVEYS WERE COLLECTED FROM THE MID-HUDSON REGION'S POPULATION, WITH AN AVERAGE OF 814 SURVEYS COLLECTED FOR EACH OF THE SEVEN COUNTIES. ERRHN ALSO REQUESTED SCRI RESPONSES SPECIFIC TO THE ZIP CODES WITHIN ERH'S SERVICE AREA AND RECEIVED THE RESPONSES FROM 313 SURVEYS. AS A REGULAR PART OF THE MANY GRANT PROJECTS RUN BY ERRHN, GAP ANALYSES ARE PERFORMED ON POPULATION-LEVEL DATA TO UNDERSTAND BETTER THE COMMUNITY'S NEEDS THAT NEED TO BE ADDRESSED TO ENSURE A COMPREHENSIVE PUBLIC HEALTH PROGRAM.ADDITIONALLY, THE HEALTHY ULSTER COUNCIL, A BROAD-BASED COALITION FORMED BY REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES IN 2010, HAS BEEN ONGOING IN ITS FOCUS ON HEALTH PROBLEMS IN ULSTER COUNTY AND WAYS TO IMPROVE HEALTH OUTCOMES. REGULAR MEETINGS OF THE COALITION, ALONG WITH PRESENTATIONS AND DISCUSSIONS, HAVE KEPT THE LARGER COMMUNITY INVOLVED IN TRACKING HEALTH CONCERNS AND SOLUTIONS, INCLUDING ELLENVILLE AND THE TOWN OF WAWARSING.
WESTCHESTER-ELLENVILLE HOSPITAL, INC.	PART V, SECTION B, LINE 6B: 1) HEALTH ALLIANCE OF THE HUDSON VALLEY2) ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH3) THE INSTITUTE FOR FAMILY HEALTH4) DUTCHESS COUNTY DEPARTMENT OF HEALTH 5) ORANGE DEPARTMENT OF HEALTH6) PUTNAM DEPARTMENT OF HEALTH7) ROCKLAND DEPARTMENT OF HEALTH8) SULLIVAN DEPARTMENT OF HEALTH9) WESTCHESTER DEPARTMENT OF HEALTH
WESTCHESTER-ELLENVILLE HOSPITAL, INC.	PART V, SECTION B, LINE 11: FOR ERH SPECIFICALLY, THE FOCUS AREAS CHOSEN WITHIN THE TWO PREVENTION AGENDA PRIORITIES FOR THE YEARS 2022-2024 ARE:1) PREVENT CHRONIC DISEASES FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENT2) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USER DISORDERSPREVENT CHRONIC DISEASES FOCUS AREA 4, THE ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN) WELLNESS PROGRAM, AND ITS EDUCATIONAL PROGRAMMING WILL BE CONTINUALLY DEVELOPED AND IMPLEMENTED. THE COLLABORATIVE WILL WORK TO INCREASE PARTICIPATION IN LIFESTYLE CHANGES, INCLUDING INCREASED PHYSICAL ACTIVITY, IMPROVED DIET, AND IMPROVED HEALTH AND WELL-BEING AWARENESS, UTILIZING THE EVIDENCE-BASED COMMUNITY HEALTH WORKER (CHW) MODEL.INTERVENTION 1 SUMMARY: ERH HAS IDENTIFIED OVER 40 FAMILIES WORKING WITH A COMMUNITY HEALTH WORKER TO PRACTICE HEALTHY GOAL SETTING, INCREASING PHYSICAL ACTIVITY, AND BUILDING MOTIVATION. THE FAMILIES MAY ALSO ACCESS THE ERRHN NUTRITIONIST AT NO COST TO THEM. ALL OF THIS IS DONE TO DECREASE THE RISK OF DEVELOPING CHRONIC DISEASE.INTERVENTION 2 SUMMARY: ERH UTILIZES COLLABORATIVE EFFORTS BETWEEN DIFFERENT HOSPITAL DEPARTMENTS AND OTHER COMMUNITY-BASED ORGANIZATIONS TO OFFER SERVICES TO THE COMMUNITY THAT AIMS TO HELP OVERCOME SOCIAL DETERMINANT-RELATED HEALTH BARRIERS. THE PROGRAMS INCLUDE PHYSICAL ACTIVITY CLASSES, COOKING CLASSES, GARDENING CLASSES, AND EVEN A FREE PRODUCE HANDOUT ALL OF THESE ACTIVITIES ARE PROVIDED TO THE COMMUNITY AT NO DIRECT COST.INDIVIDUALS AND FAMILIES IDENTIFIED AS AT RISK IN THE COMMUNITY, AT THE ERH ED, OR A LOCAL PCP ARE REFERRED TO THE RHN WELLNESS PROGRAM. INDIVIDUALS WHO ACCEPT THE REFERRAL ARE ENROLLED INTO THE COHORT AND COMPLETE AN INTAKE ASSESSMENT WITH A COMMUNITY HEALTH WORKER (CHW) THAT INCLUDES COLLECTING CLINICAL METRICS, AN SDOH SCREENING (PRAPARE), AND HEALTH KNOWLEDGE AND BEHAVIOR ASSESSMENTS. THE CHW WORKS WITH THE INDIVIDUAL TO DEVELOP AN ACTION PLAN TO BEGIN MAKING LIFESTYLE CHANGES THAT REDUCE THEIR RISK OF CHRONIC DISEASE. THE CHW SUPPORTS THE COHORT BY OFFERING MEETINGS AT THEIR HOUSE, COMMUNITY LOCATION, LOCAL STORES, OR HOSPITAL. PROGRAMS INCLUDE:1) ELIMINATING TRANSPORTATION BARRIERS.2) ARRANGING MEDICATION RECONCILIATION AND BLISTER PACKAGING WITH THE ERH PHARMACIST.3) GROCERY SHOPPING EDUCATION AT THE LOCAL GROCERY STORE. ADDITIONALLY, THE COHORT CAN MEET WITH A NUTRITIONIST ONSITE OR AT A SITE OF THEIR CHOOSING (TO OVERCOME TRANSPORTATION) TO MAKE MEAL PLANS AND HAVE NUTRITION COUNSELING. IN ADDITION, TO THE SUPPORT PROVIDED BY THE CHW AND NUTRITIONIST, THERE ARE MANY NO-COST HEALTH PROGRAMS COHORT MEMBERS CAN ATTEND THAT FOCUS ON HEALTH EDUCATION, NUTRITION (COOKING DEMONSTRATIONS, SUPPORT GROUP, ETC.), AND PHYSICAL ACTIVITY CLASSES.TO PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2, ERH WILL CONTINUE TO IMPLEMENT AND EXPAND PROJECT RESCUE (24/7 BUPRENORPHINE INDUCTION WITH A WARM HANDOFF TO A PEER AND TREATMENT PROVIDER). THE PROGRAM WILL CONTINUE TO SUPPLY HARM REDUCTION SUPPLIES AND EDUCATION ON HARM REDUCTION TO INDIVIDUALS SEEN IN THE ED AND THE COMMUNITY. ADDITIONALLY, ERH STAFF WILL CONTINUE TO SUPPORT THE ULSTER COUNTY SHERIFF'S ORACLE PROGRAM (OPIOID RESPONSE AS COUNTY LAW ENFORCEMENT), WHICH AIMS TO DIVERT INDIVIDUALS FROM POTENTIAL INCARCERATION TO DETOX AND TREATMENT SERVICES.INTERVENTION 1 SUMMARY: IMPLEMENT PROJECT RESCUE, A COLLABORATIVE PARTNERSHIP BETWEEN ERH AND CATHOLIC CHARITIES OF ORANGE, SULLIVAN, AND ULSTER. MEDICATION ASSISTED RECOVERY (MAR) (BUPRENORPHINE) WILL BE AVAILABLE IN THE ED FOR INDUCTION 24/7 (WITH ASSESSMENT FOR WITHDRAWAL SYMPTOMS) WITH A WARM HANDOFF TO A CERTIFIED RECOVERY PEER ADVOCATE (CRPA) AND A REFERRAL TO START TREATMENT. MAR IS AVAILABLE FOR UP TO THREE DAYS IN THE ED, WITH A GUARANTEE TO START TREATMENT WITH PARTNERING AGENCIES ON DAY FOUR. CONTINUE TO LINK INDUCTED PATIENTS TO THE MAT CARE MANAGER AS NECESSARY. INTERVENTION 2 SUMMARY: PROVIDE NECESSARY HARM REDUCTION SUPPLIES AND GUIDANCE TO PREVENT FATAL OVERDOSES AND THE OCCURRENCE AND TRANSMISSION OF INFECTIOUS COMPLICATIONS (I.E., HEPC, HIV, ENDOCARDITIS).INTERVENTION 3 SUMMARY: SUPPORT OF THE ULSTER COUNTY SHERIFF'S PROJECT ORACLE FACILITATE LAW ENFORCEMENT-ASSISTED DIVERSION FOR SUBSTANCE USE DISORDER BY PARTICIPATING IN THE COUNTYWIDE "HIGH-RISK MITIGATION TEAM," A CARE-COORDINATION MODEL THAT AIMS TO REDUCE RATES OF RELAPSE, OVERDOSE, AND DEATH.
PART V, LINE 7, CHNA REPORT WEBSITE:	HTTPS://ULSTERCOUNTYNY.GOV/HEALTH/RESEARCH-AND-REPORTS PLEASE NOTE LINKS ARE SUBJECT TO CHANGE DUE TO WEBSITE REDESIGN/CHANGES CAUSING DATA TO BE MOVED TO ALTERNATE LOCATIONS.
PART V, LINE 10, IMPLEMENTATION STRATEGY WEBSITE:	HTTPS://ERHNY.ORG/ABOUT-US/ PLEASE NOTE LINKS ARE SUBJECT TO CHANGE DUE TO WEBSITE REDESIGN/CHANGES CAUSING DATA TO BE MOVED TO ALTERNATE LOCATIONS.
PART V, SECTION B, LINE 16A:	HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2022/08/2022-ERH-FINANCIAL-ASSISTANCE-POLICY-PROCEDURE-ENGLISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-ENGLISH-AND-SPANISH.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.
PART V, SECTION B, LINE 16B&C:	HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-DIRECTIONS-ENGLISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2020/03/2020-ERH-FA-APP-DIRECTIONS-SPANISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2022/08/2022-ERH-FA-SUMMARY-ENGLISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2022/08/2022-ERH-FA-SUMMARY-SPANISH.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2022

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 5:	ERH DID NOT BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE PROVIDED UNDER ITS FINANCIAL ASSISTANCE POLICY. THE HOSPITAL IS PREPARED TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL ELIGIBLE PATIENTS. THE IMPACT OF FREE AND DISCOUNTED CARE IS NOT PREDICTABLE FOR THE HOSPITAL IN ORDER TO ESTIMATE THIS AMOUNT FOR BUDGETING PURPOSES.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF ELEVEN MEMBERS; TEN OF THESE MEMBERS ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. ELLENVILLE REGIONAL HOSPITAL PARTNERS WITH CATSKILL HUDSON AREA HEALTH EDUCATION CENTER AND THE INSTITUTE FOR FAMILY HEALTH TO RECRUIT PRIMARY CARE PHYSICIANS. ELLENVILLE REGIONAL HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVING THE QUALITY OF CARE FOR ALL PATIENTS AN EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED LICENSED MEDICAL PROVIDERS IN THE COMMUNITY.
PART III, LINE 2:	THE AMOUNT REPORTED IN PART III, SECTION B, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT.
PART III, LINE 3:	THE AMOUNT REPORTED IN PART III, SECTION B, LINE 3 IS ESTIMATE OF ACCOUNTS MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE KNOWLEDGE OF THE HOSPITAL PATIENTS AND THE COMMUNITY THAT THE HOSPITAL SERVES.
SCHEDULE H, PART II:	ELLENVILLE REGIONAL HOSPITAL'S POPULATION HEALTH PROGRAM IS BASED ON A BELIEF IN FOUR PILLARS FOR IMPROVED HEALTH:1. PROPER DIET2. MODERATE EXERCISE3. RISK REDUCTION4. STRESS MANAGEMENTA PROPER DIET IS BASED ON A BALANCED NUTRITIONAL PROGRAM AND EDUCATION TO COMMUNITY MEMBERS TO CONNECT THEM TO THE FOOD THEY EAT AND MAKE BETTER CHOICES.MODERATE EXERCISE IS ESSENTIAL FOR GOOD HEALTH AND FITNESS.RISK REDUCTION REFERS TO CONTROLLABLE RISKS, INCLUDING ALCOHOL, TOBACCO, SALT, SUGAR, EXCESS FAT, RISKY SEX, OPIATE AND OTHER DRUG USE, DANGEROUS DRIVING, AND OTHER ACTIVITIES THAT INCREASE RISKS TO HEALTH.STRESS MANAGEMENT REFERS TO OUR RESPONSE TO THE SOCIAL DETERMINANTS OF HEALTH; THESE INCLUDE INSECURITIES RELATED TO HOUSING, FOOD, RELATIONSHIP, JOB, FINANCES, AND RELATED FACTORS. WE REALIZE WE MAY NOT BE ABLE TO CHANGE THESE DYNAMICS; HOWEVER, WE MAKE EVERY EFFORT TO HELP OUR COMMUNITY MEMBERS COPE WITH THEIR CHALLENGES. OUR POPULATION HEALTH PROGRAMS ARE TAILORED TO ADDRESS ONE OR MORE OF THESE PILLARS.WE ALSO WORK IN CONCERT WITH THE INSTITUTE FOR FAMILY HEALTH (INSTITUTE), A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ON THE HOSPITAL'S CAMPUS, ON SUCH WELLNESS INITIATIVES AS OUR ANNUAL HARVEST HEALTH FAIR. THE HARVEST HEALTH FAIR IS A FREE COMMUNITY HEALTH EVENT ON OUR CAMPUS THAT PROVIDES HEALTH SCREENINGS FOR ADULTS, SUCH AS BLOOD PRESSURE, GLUCOSE, AND MENTAL HEALTH SCREENINGS. CHILDREN'S RESOURCES INCLUDE ASTHMA AWARENESS ACTIVITIES. DIABETES EDUCATION AND PHARMACY CONSULTATIONS ARE ALSO AVAILABLE. IN ADDITION TO MEDICATION RECONCILIATION, STAFF FROM THE POPULATION HEALTH DEPARTMENT ALSO OFFER NARCAN TRAINING AND MEDICATION DISPOSAL TRAINING, WITH THE ONSITE PHARMACIST ABLE TO COLLECT OLD AND UNUSED MEDICATIONS. IN ADDITION, WE COLLABORATE WITH THE ELLENVILLE/ WAWARSING YOUTH COMMISSION, ELLENVILLE POLICE DEPARTMENT, ELLENVILLE, AND NAPANOCH FIRE DEPARTMENTS, ULSTER COUNTY SHERIFF'S DEPARTMENT, ELLENVILLE RESCUE SQUAD, AND ELLENVILLE SCHOOL DISTRICT PARENT TEACHER ORGANIZATION (PTO). THESE AGENCIES WORK TOGETHER TO PROVIDE FREE YOUTH ACTIVITIES, FREE CAR SAFETY SEAT CHECKS, AND FREE BIKE HELMETS AT THE FAIR. MEMBERS OF THE WAWARSING COUNCIL ARE ALSO INVITED TO PARTICIPATE AND SHARE THEIR RESOURCES WITH THE ATTENDEES. SINCE THE START OF THE COVID-19 PANDEMIC, THIS EVENT HAS BEEN ON HOLD. TO HELP TO REDUCE AND PREVENT CHRONIC DISEASES, INCLUDING DIABETES AND HYPERTENSION, THE POPULATION HEALTH DEPARTMENT COMPLETES OUTREACH EFFORTS, INCLUDING FREE BLOOD PRESSURE AND HEART AGE SCREENINGS AND FREE HEALTH EDUCATION AND EDUCATIONAL MATERIALS. WE ALSO PARTICIPATE IN OR HOST VARIOUS HEALTH FAIRS THROUGHOUT THE YEAR. THE POPULATION HEALTH DEPARTMENT NUTRITIONIST COORDINATES COOKING AND NUTRITION DEMONSTRATIONS AT VARIOUS EVENTS AND OFFERS FOLLOW-UP CONSULTATIONS WITH INDIVIDUALS.OUR EMERGENCY DEPARTMENT PROVIDERS REFER PATIENTS WHO NEED FOLLOW-UP CARE AND DO NOT HAVE A PRIMARY CARE PROVIDER TO THE INSTITUTE FOR CARE. PATIENTS SEEN IN THE EMERGENCY DEPARTMENT WITH MENTAL HEALTH SYMPTOMS ARE REFERRED TO THE BEHAVIORAL HEALTH STAFF AT THE INSTITUTE, WHO PROVIDE A WARM HANDOFF FOR PATIENTS WHO SCREENED POSITIVE FOR DEPRESSION OR SUICIDAL INDICATORS AND DO NOT REQUIRE IMMEDIATE INTERVENTION.ERH CONTINUES TO WORK COLLABORATIVELY WITH THE WAWARSING COUNCIL OF AGENCIES AND ULSTER COUNTY DEPARTMENT OF HEALTH TO ADDRESS TEEN PREGNANCY, SEXUAL ACTIVITY, AND SEX EDUCATION. OUR PARTNER, THE INSTITUTE, SITUATED ON OUR CAMPUS, OFFERS TEEN SERVICES. SINCE 2020, THE POPULATION HEALTH DEPARTMENT HAS PROVIDED COMPREHENSIVE SEXUAL EDUCATION TO TEENS IN THE ELLENVILLE CENTRAL SCHOOL DISTRICT THROUGH A PARTNERSHIP WITH PLANNED PARENTHOOD OF GREATER NEW YORK, UTILIZING FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION.WE ARE IMPROVING THE OUTCOMES FOR OUR INPATIENTS THROUGH OUR SWING BED OUTCOMES IMPROVEMENT PROJECT, WHICH HAS BEEN DEVELOPED TO QUANTIFY OUR SUB-ACUTE REHAB (SWING BED) PATIENTS' FUNCTIONAL OUTCOMES FROM ADMISSION TO DISCHARGE. THIS PROJECT INVOLVES MULTIPLE DISCIPLINES, INCLUDING NURSING AND REHAB. ONE OF THE MAIN GOALS OF THE PROJECT IS TO IMPROVE THE FUNCTIONAL INDEPENDENCE OF OUR SWING BED PATIENTS SO THAT THEY ARE DISCHARGED TO HOME, NOT A NURSING HOME. THIS PROJECT HAS BECOME A STATEWIDE MODEL FOR CAH FACILITIES. THE UNIVERSITY OF MINNESOTA IS CURRENTLY BUILDING ON THIS FOUNDATION, MEASURING QUALITY OUTCOMES IN A NATIONAL PROJECT SPONSORED BY HRSA. NYS OUTCOMES WERE SIGNIFICANTLY HIGHER THAN ANY OTHER STATE IN PRELIMINARY RESULTS. ERH PARTICIPATED IN THE WESTCHESTER DSRIP, AND OUR PROJECT FOCUSED ON REDUCING THE USE OF OPIOIDS BY CHRONIC PAIN PATIENTS SEEN IN OUR EMERGENCY DEPARTMENT. THE LEADERSHIP STAFF OF ELLENVILLE REGIONAL HOSPITAL AND THE INSTITUTE FOR FAMILY HEALTH DEVELOPED NEW AND INNOVATIVE PROTOCOLS TO ADDRESS CHRONIC PAIN PATIENTS, WHO OFTEN PRESENT IN THE EMERGENCY DEPARTMENT, SEEKING PAIN RELIEF. CHRONIC PAIN PATIENTS, IN MANY CASES, HAVE DEVELOPED AN ADDICTION TO OPIATE-BASED PAIN RELIEVERS. THE MODEL INCLUDES A COMPLETE REDESIGN OF TREATMENT PROTOCOLS IN THE EMERGENCY DEPARTMENT UTILIZING NON-ADDICTIVE PAIN MEDICATIONS. THE RESULT HAS DRAMATICALLY REDUCED OPIATE PRESCRIBING IN THE EMERGENCY DEPARTMENT. THE PROTOCOL ALSO INCLUDES A "WARM" HANDOFF/REFERRAL TO A PATIENT CARE NAVIGATOR WHO HELPS THE PATIENT GET INTO PRIMARY CARE AT THE INSTITUTE OR OTHER COMMUNITY-BASED PROVIDERS. THE PRIMARY CARE TREATMENT PLAN INCLUDES FOUR PATHWAYS TO ADDRESS:1. MEDICAL ISSUES WITH A FOCUS ON TRANSITIONING AWAY FROM OPIATES2. A PSYCHIATRIC PATHWAY TO ADDRESS ADDICTION3. AN INTERVENTION PATHWAY TO ADDRESS PAIN AT ITS SOURCE4. A PSYCHO/SOCIAL PATHWAY TO ADDRESS THE NUMEROUS OTHER PROBLEMS OF CHRONIC PAIN PATIENTS.THE DSRIP OPIATE REDUCTION PROJECT RESULTS HAVE BEEN A 97% REDUCTION IN THE ADMINISTRATION OF OPIATES IN THE EMERGENCY DEPARTMENT AND AN 84% REDUCTION IN EMERGENCY DEPARTMENT VISITS FOR THIS POPULATION. IN ADDITION, THERE HAS BEEN A SUCCESS IN TRANSITIONING PATIENTS TO SAFER PAIN REGIMENS AND IMPROVED HEALTH. (SEE PART V, SECTION B, LINE 11 FOR ADDITIONAL INFORMATION).AS A RESULT OF THE SUCCESSES OF THE DSRIP PROJECT, ERH TOOK THE NEXT STEP AND LAUNCHED PROJECT RESCUE IN APRIL 2019. PROJECT RESCUE AIMED TO REDUCE MORBIDITY AND MORTALITY OF SUBSTANCE USE AND OVERDOSE THROUGH EXPANDED ACCESS TO MEDICATION-ASSISTED TREATMENT (MAT). THROUGH THIS PROJECT, INDIVIDUALS IN ACTIVE OPIOID WITHDRAWAL CAN PRESENT TO THE EMERGENCY DEPARTMENT FOR EVALUATION BY CLINICAL STAFF. IF THEIR SYMPTOMS REGISTER AS OPIOID WITHDRAWAL, THE INDIVIDUAL CAN RECEIVE MAT (BUPRENORPHINE) WITH A WARM HANDOFF TO A CERTIFIED PEER RECOVERY ADVOCATE (CRPA) FROM CATHOLIC CHARITIES. ED AT ERH WILL PROVIDE MAT FOR UP TO 72 HOURS, WHILE THE SUD COORDINATOR AND CRPA ARRANGE FOR THE CLIENT TO START TREATMENT WITH AN EXTERNAL PROVIDER NO LATER THAN DAY FOUR.SINCE THE IMPLEMENTATION OF PROJECT RESCUE, SERVICES HAVE EXPANDED TO INCLUDE LINKING PATIENTS TO A MAT CARE MANAGER THROUGH THE INSTITUTE FOR FAMILY HEALTH. THIS CARE MANAGER PROVIDES EXTRA INDIVIDUAL SUPPORT WHILE TRANSITIONING TO THE INSTITUTE'S MAT PROGRAM. THE INDIVIDUAL HAS DIRECT PHONE ACCESS TO THE MAT CARE MANAGER, WHO CAN HELP RESOLVE MEDICATION ISSUES AND SCHEDULE TRANSPORTATION IF NECESSARY. IN 2022, 38 PEOPLE WERE SUCCESSFULLY CONNECTED WITH SUBSTANCE USE TREATMENT OR SUPPORTS. THE TREATMENT SERVICES INCLUDED DETOXICATION, INPATIENT AND OUTPATIENT SERVICES, AND BRIDGE PRESCRIPTIONS FOR BUPRENORPHINE OR METHADONE. NOTICING THE HESITANCY AND AMBIVALENCE EXPERIENCED BY THOSE WHO USE SUBSTANCES, ERH IMPLEMENTED A HARM REDUCTION APPROACH TO SUBSTANCE USE DISORDER, AIMING TO RESPECT INDIVIDUAL AUTONOMY AND PROTECT THOSE WHO USE ALCOHOL AND ILLICIT SUBSTANCES FROM THE DANGERS OF USING. INDIVIDUALS CAN ACCESS LIFE-SAVING SUPPLIES THROUGH THE EMERGENCY DEPARTMENT AND A CONFIDENTIAL TEXT LINE (DISCUSSED LATER). SUPPLIES INCLUDE NALOXONE (NARCAN), FENTANYL TEST STRIPS, SAFE USE KITS, SAFE SNORTING KITS, SAFE SEX KITS, MEDICATION LOCK BAGS, AND MEDICATION DISPOSAL BAGS.ERH IS A LEAD AGENCY IN DISTRIBUTING NALOXONE (NARCAN), A LIFE-SAVING MEDICATION USED TO REVIVE INDIVIDUALS FROM OPIOID OVERDOSE, AND DISTRIBUTED 203 NARCAN KITS TO THE WAWARSING-ELLENVILLE AREA IN 2022. BEING THE FIRST ULSTER COUNTY ORGANIZATION TO LAUNCH VIRTUAL NARCAN TRAINING, ERH HAS IMPROVED AND EXPANDED ACCESS TO HARM REDUCTION SUPPLIES AMID A NATIONAL CRISIS. DURING THE COVID-19 PANDEMIC, ERH LAUNCHED A PROJECT RESCUE TEXT LINE WHICH ALLOWS FOR CONFIDENTIAL AND SECURE ACCESS TO HARM REDUCTION SUPPLIES. THROUGH AN ONLINE FORM, HARM REDUCTION SUPPLIES CAN BE REQUESTED, AS WELL AS A REQUEST FOR ASSISTANCE WITH LOCATING A SUBSTANCE USE TREATMENT PROGRAM AND INFORMATION REGARDING THE HOSPITAL'S BUPRENORPHINE PROGRAM. THIS SERVICE CONTINUES TO BE AVAILABLE TO THE COMMUNITY.
SCHEDULE H, PART II, CONTINUATION:	ELLENVILLE REGIONAL HOSPITAL ALSO CHAMPIONS EDUCATING THE PUBLIC ON PROPER MEDICATION DISPOSAL. IN 2022, ERH PROVIDED 1,561 MEDICATION DISPOSAL PACKETS TO COMMUNITY MEMBERS, ALLOWING FOR PROPER MEDICATION DISPOSAL IN THE PRIVACY OF ONE'S HOME.ERH CONTINUES TO OFFER INPATIENT AND OUTPATIENT MEDICATION RECONCILIATION SERVICES AND EDUCATION REGARDING THE SAFE USE OF MEDICATIONS. ERH HAS A ROBUST SYSTEM TO IDENTIFY AND REPORT MEDICATION ERRORS AND NEAR MISSES. SOURCES AND PROBABLE CAUSES OF THE ABOVE ARE IDENTIFIED THROUGH A FOCUSED REVIEW BY AN INTERDISCIPLINARY COMMITTEE. ERH HAS ESTABLISHED A SEAMLESS MEDICATION MANAGEMENT PROCESS FOR PATIENTS TRANSITIONING FROM THE HOSPITAL TO ANOTHER CARE SETTING WITHIN OR OUTSIDE THE HOSPITAL. PROVIDERS USE OUR MEDICATION RECONCILIATION FORMS AS A TRUSTED SOURCE OF DATE MEDICATIONS FOR THEIR PATIENTS.IN FEBRUARY 2017, WE IMPLEMENTED A NEW HOUSE-WIDE ELECTRONIC HEALTH RECORDS SYSTEM TO HELP US DELIVER HIGH-QUALITY CARE TO OUR PATIENTS. THIS SINGLE-PLATFORM ELECTRONIC HEALTH SYSTEM ALLOWS STAFF SEAMLESS ACCESS TO INFORMATION FROM ALL PATIENT VISITS AT ELLENVILLE REGIONAL HOSPITAL. THUS ALLOWING FOR MORE FORMATIVE EVALUATIONS AND STAFF TIME AS THEY NO LONGER NEED TO SIFT THROUGH CHARTS OR OTHER ELECTRONIC MEDICAL RECORD PROGRAMS TO OBTAIN PERTINENT PATIENT DATA. WE ALSO PARTNERED WITH HIXNY, A REGIONAL HEALTH INFORMATION EXCHANGE PLATFORM THAT ALLOWS HOSPITAL STAFF TO ACCESS RELEVANT MEDICAL DATA FROM OUTSIDE PROVIDERS TO PROVIDE OUR PATIENTS WITH THE MOST EFFECTIVE AND EFFICIENT CARE. IF PATIENTS CONSENT TO ALLOWING THE HOSPITAL ACCESS, OUR STAFF CAN LOOK AT HISTORIC MEDICAL HISTORY AND VISITS OUTSIDE ELLENVILLE REGIONAL HOSPITAL, MEDICATION HISTORY, AND LANDMARK LABORATORY AND RADIOLOGY RESULTS. UTILIZING SUCH A PROGRAM ENHANCES THE OVERALL QUALITY AND SAFETY OF CARE OUR PATIENTS CAN RECEIVE AT ELLENVILLE REGIONAL HOSPITAL.
PART III, LINE 4:	EFFECTIVE JANUARY 1, 2019, THE HOSPITAL ADOPTED NEW U.S. GAAP REVENUE RECOGNITION GUIDANCE ACCOUNTING STANDARD UPDATE. AS A RESULT, UPON THE HOSPITAL'S ADOPTION OF ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND THEREFORE IS INCLUDED AS A REDUCTION TO PATIENT SERVICE REVENUE IN 2022. BAD DEBT EXPENSE IS $1,268,281. THE AMOUNT REPORTED IN PART III, SECTION B, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT. THE AMOUNT DOES NOT INCLUDE WRITE OFF DUE TO DISCOUNT OR ALLOWANCE.
PART III, LINE 8:	$19,629, WHICH IS 50% OF THE SURPLUS REPORTED ON PART III, SECTION B, LINE 7, PERTAINS TO PATIENTS THAT COULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE AND BE TREATED AS COMMUNITY BENEFIT.THE AMOUNT ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NYS INSTITUTIONAL COST REPORT AND OTHER APPLICABLE ADJUSTMENTS.
PART III, LINE 9B:	NO COLLECTION PROCESS IS UNDERTAKEN FOR KNOWN PATIENT WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ONCE A PATIENT IS QUALIFIED OR DESIGNATED FOR FINANCIAL ASSISTANCE, STATEMENTS WILL STOP BEING SENT UNTIL A DETERMINATION IS MADE THAT THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	ELLENVILLE REGIONAL HOSPITAL USES VARIOUS METHODS TO ASSESS THE COMMUNITY'S HEALTH NEEDS. ELLENVILLE REGIONAL HOSPITAL SEEKS THE VIEWS OF COMMUNITY MEMBERS TO GAIN THEIR THOUGHTS REGARDING THEIR COMMUNITY'S HEALTH CARE AND FEEDBACK REGARDING ERH SERVICES. THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF TEN MEMBERS; NINE ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. THE 10TH MEMBER IS THE CEO OF THE INSTITUTE FOR FAMILY HEALTH, THE LARGEST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IN NY STATE. COMMUNITY FEEDBACK IS A TOPIC OF DISCUSSION AT MOST BOARD MEETINGS. THE PRESIDENT AND CEO OF ERH, STEVEN L. KELLEY, IS A PROMINENT COMMUNITY MEMBER. MR. KELLEY AND OTHER ADMINISTRATIVE TEAM MEMBERS BELONG TO NUMEROUS ORGANIZATIONS, SERVE ON OTHER NOT-FOR-PROFIT BOARDS, AND ARE ACTIVE PARTICIPANTS. ALL CLINICAL DEPARTMENTS DO PATIENT SATISFACTION QUESTIONNAIRES. THESE QUESTIONNAIRES PROVIDE VALUABLE FEEDBACK FROM THE POPULATION THAT UTILIZES THE HOSPITAL SERVICES. IN ADDITION, STATISTICAL DATA FROM STATE AND COUNTY DATABASES ARE CONTINUALLY ANALYZED, LOOKING FOR TRENDS AND CHANGES IN THE DEMOGRAPHIC MAKEUP OF OUR PATIENTS. IN ADDITION, THE ERRHN OFTEN UTILIZES COMMUNITY SURVEYS AND HOSTS COMMUNITY FORUMS TO GATHER MORE INFORMATION ON THE HEALTH TOPICS THAT THE COMMUNITY FEELS ARE PERTINENT. THESE FORUMS HAVE BEEN THE BASIS FOR CHANGES TO THE POPULATION HEALTH PROGRAM.FOR EXAMPLE, FORUMS HELD IN EARLY 2019 POINTED OUT A NEED FOR EASIER ACCESS TO NUTRITION EDUCATION. FOLLOWING THIS, ERRHN HIRED A FULL-TIME NUTRITIONIST WHO COULD WORK WITH COMMUNITY MEMBERS AT NO COST. WE ALSO MONITOR THE TOP TEN INPATIENT DIAGNOSES ANNUALLY TO PLAN OUR SERVICES AROUND THE DISEASES MOST PREVALENT IN OUR LOCAL COMMUNITY. ERH WORKS CLOSELY WITH AN FQHC ON OUR CAMPUS. THE CEOS OF ERH AND FQHC PARTICIPATE ON THE BOARD OF DIRECTORS FOR BOTH ORGANIZATIONS. THIS COLLABORATIVE WORKING ARRANGEMENT HAS BEEN INVALUABLE IN ASSESSING THE NEEDS OF THE MEDICAL PROVIDERS AND THE PATIENTS IN THE COMMUNITY.
PART VI, LINE 3:	BY ITS EXEMPTION FROM FEDERAL AND STATE TAXES AND AS PART OF THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY'S HEALTHCARE NEEDS, ERH PROVIDES CARE TO ALL PATIENTS IN NEED WITHOUT REGARD FOR THEIR ABILITY TO PAY. ELLENVILLE REGIONAL HOSPITAL (ERH) INFORMS ITS PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN SEVERAL WAYS. SIGNS ARE POSTED IN REGISTRATION, AND INFORMATION ON FINANCIAL AID IS LOCATED ON OUR WEBSITE. THESE SIGNS DIRECT THE PATIENTS TO SPEAK WITH DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVES. ALL PATIENTS WITHOUT INSURANCE ARE GIVEN A PACKET THAT INCLUDES A CHARITY CARE APPLICATION AND IS AVAILABLE UPON REQUEST BY THE PATIENT AND ON OUR WEBSITE. PATIENT STATEMENTS ALSO INCLUDE CONTACT INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, THE REGISTRATION STAFF DIRECTS PATIENTS TO A DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVE FOR MEDICAID APPLICATIONS.HTTPS://ERHNY.ORG/PATIENT-GUESTS/FINANCIAL-ASSISTANCE-PROGRAM/
PART VI, LINE 4:	ELLENVILLE REGIONAL HOSPITAL (ERH), A 25-BED CRITICAL ACCESS HOSPITAL BUILT IN 1964(-1966), IS LOCATED IN THE TOWN OF WAWARSING, IN ULSTER COUNTY. ERH IS A NON-PROFIT SOLE PROVIDER HOSPITAL FOR ELLENVILLE AND ITS SURROUNDING COMMUNITIES LOCATED BETWEEN SHAWANGUNK RIDGE AND THE CATSKILL MOUNTAIN RANGE. THE ERH SERVICE AREA, DEFINED AS THE TOP TEN ZIP CODES OF PATIENT RESIDENCY TO WHICH ERH PROVIDES CLINICAL SERVICES EACH YEAR, HAS A POPULATION OF 28,000. THESE ZIP CODES COVER TOWNS AND VILLAGES IN ULSTER COUNTY AND INTO PARTS OF SULLIVAN AND ORANGE COUNTIES, INCLUDING ELLENVILLE, KERHONKSON, NAPANOCH, ACCORD, PINE BUSH, WAWARSING, GRAHAMSVILLE, SUNDOWN, DENNING, WOODBOURNE, WOODRIDGE, WURTSBORO, WURTSBORO HILLS, PHILLIPSPORT, SUMMITVILLE, HAVEN, AND YANKEE LAKE. ERH IS GEOGRAPHICALLY ISOLATED, WITH ITS POPULATION CENTER CONSISTING OF A 37% NON-WHITE POPULATION AND A 20% BELOW-POVERTY LEVEL, ACCORDING TO THE US CENSUS BUREAU. THE NEAREST HOSPITAL IS OVER 25 MILES AWAY ON PRIMARILY SECONDARY ROADS, AND DUE TO THE RURAL GEOGRAPHICAL ISOLATION, ERH SERVES A CRUCIAL NEED FOR THE COMMUNITY. IN 2022, THE EMERGENCY DEPARTMENT (ED) PATIENT VOLUME AT ELLENVILLE REGIONAL HOSPITAL (ERH) WAS 14,543. IN 2022, THE HOSPITAL SERVED 13,148 UNIQUE PATIENTS WHO MADE 31,456 VISITS. IT IS ALSO A TEACHING HOSPITAL WITH EDUCATIONAL PROGRAMS FOR RESIDENTS, MEDICAL STUDENTS, PHARMACISTS, PHYSICAL THERAPISTS, PHYSICAL THERAPIST ASSISTANTS, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, RADIOLOGY TECHNICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, PHYSICIAN ASSISTANTS, PHLEBOTOMISTS, HIGH SCHOOL NEW VISION STUDENTS AND MORE.ERH WAS GRANTED CRITICAL ACCESS HOSPITAL (CAH) STATUS IN 2004 AND HAD 25 INPATIENT BEDS. THESE BEDS CAN BE USED FOR ACUTE CARE OR SWING BUT MAY NOT EXCEED 25. THE RULING IS SIGNIFICANT SINCE THE HOSPITAL IS LOCATED IN A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA). THERE WOULD BE A SUBSTANTIAL PROBLEM WITH UNINSURED AND UNDERINSURED HAVING ACCESS TO QUALITY HEALTHCARE WITHOUT ERH.THE TOWN OF WAWARSING IS LOCATED WITHIN ULSTER COUNTY IN THE MID-HUDSON VALLEY, APPROXIMATELY 90 MILES NORTHWEST OF NEW YORK CITY. THE TOWN OF WAWARSING, A RURAL TOWN DESIGNATED AS HAVING A MEDICALLY UNDER-SERVED POPULATION (MUP ID# 07223), HAS A POPULATION OF APPROXIMATELY 13,004, OF WHICH 4,097 RESIDE WITHIN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER IN THE TOWN (ACS 2018). THE TOWN INCLUDES 11,091 HOUSEHOLDS AND 2,946 FAMILIES.CENSUS DATA INDICATES THAT OF THE WAWARSING POPULATION, 69.8% IDENTIFY AS WHITE, 9.9% IDENTIFY AS BLACK, 2.3% AS ASIAN, 0.5% AS NATIVE AMERICAN (OR ALASKAN NATIVE) AND 9.7% IDENTIFY AS TWO OR MORE RACES; WITH 22.6% OF RESIDENTS IDENTIFYING AS LATINX, AND 14% OF INDIVIDUALS SPEAKING SPANISH AT HOME. THE MEDIAN AGE IS 41.5 YEARS IN WAWARSING, WITH 37% OF ADULTS OVER 50. CHILDREN <18 ARE 18.8% OF THE POPULATION, 18-64 ARE 66%, AND FEMALES OF ALL AGES ACCOUNT FOR 44% OF THE POPULATION. IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, INCLUDING 23% OF CHILDREN UNDER 18. ELLENVILLE CENTRAL SCHOOL DISTRICT HAD 1,516 STUDENTS ENROLLED FOR THE 2019-20 SCHOOL YEAR, 71% ECONOMICALLY DISADVANTAGED. ROUGHLY 16% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION.THE UNEMPLOYMENT RATE FOR THE CIVILIAN LABOR FORCE IN WAWARSING IS 9.6%, WITH A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE FOR INDIVIDUALS 20-24 (32%) AND A SUBSTANTIALLY LOWER RATE FOR INDIVIDUALS 25-29 YEARS OLD (1.9%). IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, INCLUDING 23% OF CHILDREN UNDER 18 AND 18.8% OF SENIORS. 47.9% OF INDIVIDUALS BELOW THE POVERTY LEVEL DID NOT WORK IN THE PAST 12 MONTHS. 83.8% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA (OR EQUIVALENT). HOWEVER, RATES DIFFER SIGNIFICANTLY FOR MALES AND FEMALES, WITH ONLY 3% OF 25+ FEMALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA BUT 18% OF 25+ MALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA. 18.2% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER.WAWARSING HAS A TOTAL OF 6,299 HOUSING UNITS, 65% OF WHICH ARE SINGLE UNITS, 71.9% OF WHICH ARE OCCUPIED, AND 28.1% VACANT. OF THE 4,530 OCCUPIED HOUSEHOLDS, 60% ARE DEFINED AS 'FAMILY HOUSEHOLDS' (2,719); 29.1% (1,319) HAVE RELATED CHILDREN UNDER 18 YEARS OLD, AND 9.3% (421) ARE SINGLE FEMALES WITH CHILD(REN) HOUSEHOLDS. ABOUT 44% OF THE POPULATION IS MARRIED. THE AVERAGE HOUSEHOLD SIZE WAS 2.4, AND THE AVERAGE FAMILY SIZE 2.96.IN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER (4,000) IN THE TOWN OF WAWARSING, THE MEDIAN AGE IS 37 YEARS, WITH 41.5% OF THE POPULATION UNDER 25. THE POPULATION IS 52% MALE. ETHNIC AND RACIAL DEMOGRAPHICS INCLUDE 58.4% WHITE, 7.9% BLACK, AND 4% TWO OR MORE RACES, WITH 29.4% OF THE POPULATION IDENTIFYING AS LATINO. JUST OVER 16% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, PREDOMINANTLY SPANISH. ACCORDING TO THE 2010 CENSUS, THERE WERE 4,135 PEOPLE IN THE VILLAGE OF ELLENVILLE, INDICATING THE POPULATION HAS CONTINUED TO DECREASE.OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED, AND ROUGHLY 18% HAVE LESS THAN A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE FOR INDIVIDUALS 30-34 IS HIGHER THAN THE VILLAGE RATE, AT 21.2%. THE RATE IS EVEN HIGHER FOR INDIVIDUALS WITHOUT A HIGH SCHOOL DEGREE, AT 25.5%. VETERANS REPRESENT 3.4% OF THE POPULATION. IN THE 12428 ZIP CODE AREA, INCLUDING THE VILLAGE OF ELLENVILLE, OVER 40% OF RESIDENTS ARE LOW-INCOME, MORE THAN 18.9% LIVE BELOW THE POVERTY LINE, 24% OF CHILDREN LIVE IN POVERTY, AND 37% OF SENIORS LIVE IN POVERTY.IN THE 2017 ACS 5-YEAR ESTIMATES, 1,841 HOUSEHOLDS IN THE VILLAGE, 53% OF WHICH ARE SINGLE UNITS, AND 85.1% (1,566) OF WHICH ARE OCCUPIED. 39.9% OF HOMEOWNERS AND 54.3% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT EXCEED 35% OF THE HOUSEHOLD INCOME. OF OCCUPIED UNITS, 63% ARE CONSIDERED 'FAMILY HOUSEHOLDS (50% OF WHICH ARE ESTIMATED TO BE SINGLE-PARENT HOUSEHOLDS), AND 21.9% OF OCCUPIED UNITS WERE DEFINED AS FEMALE HOUSEHOLDERS WITH NO MALE PRESENT. ABOUT 50% OF THE POPULATION IS MARRIED. OF OCCUPIED UNITS, 29.1 % HAD RELATED CHILDREN UNDER 18 LIVING WITH THEM, AND 24.8% OF HOUSEHOLDS HAD INDIVIDUALS AGED 65 OR OLDER: AVERAGE HOUSEHOLD SIZE 2.6 AND AVERAGE FAMILY SIZE 3.4.ERH'S CATCHMENT AREA INCLUDES A SUBSTANTIAL IMPOVERISHED POPULATION. FOR EXAMPLE, ELLENVILLE AND WAWARSING HAVE MEDIAN HOUSEHOLD INCOMES (TOWN $46,889 AND VILLAGE $45,531) THAT ARE SUBSTANTIALLY LOWER THAN (ABOUT THREE-QUARTERS) THE ULSTER COUNTY MEDIAN HOUSEHOLD INCOME OF $61,652 AND THE NYS MEDIAN HOUSEHOLD INCOME OF $62,765 (ACS 2017).IT IS ESSENTIAL TO NOTE THE ELLENVILLE FAMILY HEALTH CENTER (IFH), A PRIMARY CARE HEALTH CENTER OPERATED BY THE INSTITUTE FOR FAMILY HEALTH, IS ONE OF THE LARGEST FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN NEW YORK STATE. THE FQHC IS ALSO LOCATED ON THE ERH CAMPUS. THE INSTITUTE IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE FOR ALL. IT STRIVES FOR EXCELLENCE AT ITS 26 PRACTICES WHILE ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE ELLENVILLE IFH OFFERS PRIMARY CARE, MENTAL HEALTH CARE, DENTAL, AND SOCIAL WORK SERVICES, ALONG WITH MANY OTHER HEALTH SERVICES FOR PATIENTS OF ALL AGES. AS PART OF A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER NETWORK, IT MEETS NATIONAL STANDARDS FOR AFFORDABLE, ACCESSIBLE, AND COMPREHENSIVE HEALTH CARE SERVICES. THE CENTER IS ACCREDITED BY THE JOINT COMMISSION AND RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A LEVEL 3 PATIENT-CENTERED MEDICAL HOME; THE HIGHEST RECOGNITION AVAILABLE. THE IFH SEES APPROXIMATELY 3,600 PATIENTS PER YEAR AND OFFERS SAME-DAY APPOINTMENTS. ACCORDING TO THE INSTITUTE OF FAMILY HEALTH, A FEDERALLY QUALIFIED HEALTHCARE CENTER'S ELLENVILLE SITE DATA, NEARLY 59% OF HEALTH CENTER PATIENTS RESIDING IN THE 12428 ZIP CODE RECEIVE MEDICAID OR OTHER PUBLIC INSURANCE, AND 7.6% ARE UNINSURED. FURTHERMORE, ROUGHLY 10% OF ADULTS IN THE ZIP CODE HAVE NO USUAL SOURCE OF CARE. THE SAME PERCENTAGE OF ADULTS HAVE DELAYED OR NOT SOUGHT CARE DUE TO HIGH COSTS.WAWARSING AND THE VILLAGE OF ELLENVILLE WERE PREVIOUSLY HOME TO SEVERAL MANUFACTURING BUSINESSES, INCLUDING IMPERIAL SCHRADE AND HYDRO ALUMINUM, WHICH EMPLOYED MANY RESIDENTS. THE SURROUNDING AREA ALSO BOASTED SEVERAL LARGE RESORT HOTELS. DUE TO THESE BUSINESSES CLOSING THEIR DOORS AND A SIGNIFICANT DECLINE IN THE AREA'S TOURIST INDUSTRY, THE ELLENVILLE COMMUNITY HAS LOST OVER 2,000 JOBS SINCE THE 1990S. THE TOWN AND VILLAGE STRUGGLE WITH THE ISSUES THAT ACCOMPANY POVERTY AND UNEMPLOYMENT IN RURAL AREAS. OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED. MAJOR EMPLOYERS SUPPORTING THE REGION'S RESIDENTS ARE THE NYS DEPARTMENT OF CORRECTIONS, ELLENVILLE CENTRAL SCHOOL DISTRICT, AND ELLENVILLE REGIONAL HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 4, CONTINUATION:	AN AFFORDABLE SENIOR HOUSING PROJECT, A JOINT VENTURE BETWEEN THE HOSPITAL AND WARWICK PROPERTIES, INC., IS LOCATED ON THE ELLENVILLE REGIONAL HOSPITAL CAMPUS. ALL THREE PHASES OF THE PROJECT REMAIN FULLY OCCUPIED, WITH APPROXIMATELY 156 SENIOR CITIZENS LIVING INDEPENDENTLY IN ONE-BEDROOM APARTMENTS. THE PROJECT COLLABORATORS SECURED FUNDING FOR THE COMPLEX FROM THE NEW YORK STATE DIVISION OF HOUSING'S COMMUNITY RENEWAL HOUSING TRUST FUND. THE PARTNERSHIP SPONSORING THE HOUSING PROJECT IS DEVELOPING PLANS TO BUILD ADDITIONAL AFFORDABLE HOUSING CLOSE TO THE HOSPITAL, TARGETING SENIORS, SPECIAL NEEDS POPULATIONS, AND POSSIBLY RETURNING VETS.

Schedule H (Form 990) 2022

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1STEVEN KELLEY PRESIDENT & CEO	(i) (ii)	368,295 ------------- 0	130,000 ------------- 0	8,434 ------------- 0	161,750 ------------- 0	0 ------------- 0	668,479 ------------- 0	0 ------------- 0
2BOB RUE CFO	(i) (ii)	183,891 ------------- 0	40,000 ------------- 0	1,180 ------------- 0	9,821 ------------- 0	37,587 ------------- 0	272,479 ------------- 0	0 ------------- 0
3ASHIMA BUTLER COO	(i) (ii)	182,293 ------------- 0	40,000 ------------- 0	13,898 ------------- 0	9,558 ------------- 0	3,908 ------------- 0	249,657 ------------- 0	0 ------------- 0
4MARIE BROWN REGISTERED NURSE	(i) (ii)	158,829 ------------- 0	10,875 ------------- 0	4 ------------- 0	0 ------------- 0	36,102 ------------- 0	205,810 ------------- 0	0 ------------- 0
5MARIA GONZALEZ CHIEF NURSING OFFICER	(i) (ii)	128,696 ------------- 0	13,000 ------------- 0	594 ------------- 0	6,274 ------------- 0	34,936 ------------- 0	183,500 ------------- 0	0 ------------- 0
6THERESA AVERSANO DIRECTOR PHYSICAL MEDICINE & REHAB	(i) (ii)	126,244 ------------- 0	8,500 ------------- 0	158 ------------- 0	0 ------------- 0	36,573 ------------- 0	171,475 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 7	EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II).
PART II, COLUMN B(II)	THE AMOUNT REPORTED FOR STEVEN L. KELLY IN PART II, COLUMN B(II), BONUS AND INCENTIVE COMPENSATION, WAS ALSO REPORTED ON THE 2021 FORM 990 IN PART II, COLUMN C, AS OTHER DEFERRED COMPENSATION. THE AMOUNT REPRESENTS BONUS EARNED IN 2021 AND PAID IN 2022. THE AMOUNT REPORTED IN PART II, COLUMN C REPRESENTS BONUS EARNED IN 2022, PAYABLE IN 2023.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Return Reference	Explanation
FORM 990, PART III, LINE 4A	ERH CONTINUED TO EXPAND ON THE SERVICES PROVIDED BY THE QUALITY IMPROVEMENT GRANT, WHICH WAS AWARDED 3 YEARS PRIOR. WITH THIS GRANT, ERH PERFORMED AN OUTSTANDING 890 EXAMS IN 2022. OFFERING THE EXAMS AT NO OUT OF POCKET COST TO THE PATIENTS PROVED TO BE SUCCESSFUL WITH MANY PATIENTS RECEIVING CRUCIAL SCREENING AND PREVENTATIVE CARE BASED ON THE TEST RESULTS. MANY OF THE CALCIUM SCORE PATIENTS HAD BEEN FIRST TIME PATIENTS AT ERH AND RETURNED FOR OTHER OUTPATIENT SERVICES AS A RESULT OF THE HIGH LEVEL OF CARE AND REMARKABLE EXPERIENCE. OVERALL, RADIOLOGY AND CARDIOLOGY POSITIONED THEMSELVES TO HAVE A STRONG 2023 AND DID SO WHILE KEEPING PATIENTS AND STAFF HEALTHY AND SAFE. ERH STRIVES TO OFFER THE HIGHEST LEVEL OF CARE AND OBTAIN THE NEWEST EQUIPMENT AVAILABLE TO PROVIDE THE BEST SERVICE TO OUR COMMUNITY. THE HOSPITAL ALSO PROVIDES AMBULATORY SURGERY, LAB SERVICES, IV THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY SERVICES, CARDIAC REHABILITATION, AND SPECIALTY CARE TO OUR PATIENTS.
FORM 990, PART VI, SECTION B, LINE 11B	WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC. ACCOUNTING DEPARTMENT LEADERSHIP AND HOSPITAL ADMINISTRATORS CREATE AND/OR REVIEW REQUIRED FILING MATERIAL FOR YEAR REPORTING. ACCOUNTING DEPARTMENT LEADERSHIP SUBMITS TO INDEPENDENT AUDITORS FILING MATERIAL TO CREATE A DRAFT 990 WHICH IS RETURNED FOR CORPORATE REVIEW. A SECOND REVIEW IS CONDUCTED BY ACCOUNTING DEPARTMENT LEADERSHIP AND HOSPITAL ADMINISTRATORS FOR ACCURACY. THEN ELECTRONIC OR HAND DELIVERED COPIES OF THE FORM 990 ARE PRESENTED TO THE BOARD MEMBERS OF THE ORGANIZATION FOR COMMENT. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED, AND REPORTED TO THE INDEPENDENT AUDITORS FOR APPROPRIATE CHANGES. INDEPENDENT AUDITORS MAKE CHANGES SEND FINAL 990 FOR ONE LAST INTERNAL REVIEW AND APPROVAL FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING "PERSONNEL" OF THE HOSPITAL: MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, "SENIOR MANAGEMENT" (DEFINED TO BE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS), ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN THE HOSPITAL AND A VENDOR. A DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY THE APPLICABLE PERSONNEL STATING IF THEY ARE AWARE OF ANY ACTUAL OR POTENTIAL CONFLICTS. IF DURING THE YEAR, ANY MEMBER OF THE BOARD OF TRUSTEES, MEDICAL STAFF MEMBER OR EMPLOYEE BECOMES AWARE OF A CONFLICT, THEY PROMPTLY DISCLOSE IN WRITING TO THE ADMINISTRATOR OR PRESIDENT OF THE BOARD OF TRUSTEES ANY ACTUAL OR CONTEMPLATED TRANSACTION WHICH POSES A CONFLICT OF INTEREST. THE REPORT CONTAINS A STATEMENT OF ALL MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST WHICH CREATES THE POSSIBLE CONFLICT OF INTEREST. THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD OF TRUSTEES, WHICH DETERMINES WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL HAVE AN ADVERSE EFFECT ON THE FACILITY. THE BOARD OF TRUSTEES CAUSES NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION IS ALLOWED TO CONTINUE OR SHOULD BE TERMINATED, AND OF ANY OTHER ACTION THAT WILL BE TAKEN BY THE BOARD OF TRUSTEES OR SHOULD BE TAKEN BY THE BOARD MEMBER, MEDICAL STAFF MEMBER OR EMPLOYEE.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE IS PROVIDED AN INDEPENDENT REPORT OF COMPARABLE HOSPITAL SALARY FOR THE CEO, INCLUDING FORM 990S OF SIMILAR SIZED ORGANIZATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS VARIOUS PERFORMANCE MEASURES AND OTHER INFORMATION AND ARRIVES AT A SALARY AND BENEFIT PACKAGE FOR THE CEO. THE COMPENSATION COMMITTEE APPROVES AND DECIDES THE COMPENSATION FOR CEO IN THE EXECUTIVE SESSION. THIS PROCESS WAS LAST UNDERTAKEN IN 2020 TO REVIEW CONTRACT'S COMPENSATION THROUGH 12/31/23. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE ACCOMPLISHED THROUGH MINUTES OF THE COMMITTEE'S MEETINGS. THE DIRECTOR OF HUMAN RESOURCES OBTAINS SALARY INFORMATION FROM AN INDEPENDENT SOURCE OF LOCAL COMPARABLE HOSPITALS FOR EACH HIGHER-LEVEL POSITION AT THE HOSPITAL. THE INDEPENDENT INFORMATION CONTAINS SALARY LEVELS FOR EACH POSITION AT THE 25TH, 50TH, AND 75TH PERCENTILE. THE CEO THEN CONSIDERS THIS INFORMATION AND THE PERFORMANCE FOR EACH OF THESE EMPLOYEES AND DETERMINES THE APPROPRIATE SALARY LEVEL FOR OTHER OFFICERS AND KEY EMPLOYEE. THE SALARY INFORMATION IS THEN PRESENTED TO THE BOARD CHAIR FOR APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2022. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE FINANCE DEPARTMENT RECORDS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FINANCIAL STATEMENTS AND BYLAWS AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 1,149. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES -9,152. HOSPITAL RESTRICTED NET ASSETS RELEASED TO RELATED FOUNDATION -20,000.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WESTCHESTER-ELLENVILLE HOSPITAL INC

Employer identification number

13-4111638

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC 10 HEALTHY WAY ELLENVILLE,NY124285612 37-1562427	FUNDRAISING FOR WESTCHESTER-ELLENVILLE HOSPITAL, INC.	NY	501(C)(3)	LINE 7	WESTCHESTER-ELLENVILLE HOSPITAL INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ELLENVILLE REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE,NY124285612 26-1411484	LOW INCOME HOUSING (INACTIVE)	NY	WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC	C			100.000 %	Yes
(2) ELLENVILLE II REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE,NY124285612 27-0754224	LOW INCOME HOUSING (INACTIVE)	NY	WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC	C			100.000 %	Yes
(3) ELLENVILLE III REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE,NY124285612 30-0649484	LOW INCOME HOUSING (INACTIVE)	NY	WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC	C			100.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,992,336	4,720,686
9	Program service revenue (Part VIII, line 2g) .........	25,610,543	26,459,157
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	673,142	292,875
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	74,550	50,020
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	33,350,571	31,522,738
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	14,061,301	16,000,673
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	11,533,784	11,204,043
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	25,595,085	27,204,716
19	Revenue less expenses. Subtract line 18 from line 12.......	7,755,486	4,318,022
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	45,889,582	41,883,049
21	Total liabilities (Part X, line 26).............	15,018,166	9,003,086
22	Net assets or fund balances. Subtract line 21 from line 20.....	30,871,416	32,879,963

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 20,713,350 including grants of $ 0 ) (Revenue $ 26,459,157 )
	IN-PATIENT DEPARTMENTS (MED/SURG AND SWING REHAB): IN 2022, THE HOSPITAL AND THE FOUNDATION SUPPORTED OUR STAFF WITH TUITION ASSISTANCE AND REIMBURSEMENT FOR EDUCATION RELATED TO HEALTH CARE SERVICES. THIS GENEROUS ASSISTANCE MADE IT POSSIBLE FOR NINE OF OUR STAFF MEMBERS TO PURSUE HIGHER DEGREES IN HEALTH CARE RELATED FIELDS. ERH TAKES PRIDE IN SERVING AS A TEACHING HOSPITAL AND HOSTING NURSING, PHARMACY AND PA STUDENTS FROM MANY SCHOOLS. IN 2022, ERH HOSTED STUDENTS FROM SUNY SULLIVAN, SUNY ULSTER, ORANGE, BOCES NEW VISIONS PROGRAM, LE MOYNE COLLEGE, CLARKSON UNIVERSITY, PACE UNIVERSITY, LONG ISLAND UNIVERSITY, AND MARIST COLLEGE. ERH COLLABORATED WITH THESE SCHOOLS TO PROVIDE ESSENTIAL AND MUCH NEEDED CLINICAL EXPERIENCE ROTATIONS. THE STUDENTS BENEFITED FROM WORKING SIDE BY SIDE WITH OUR SKILLED AND COMPASSIONATE CLINICAL TEAM. THEY OBSERVED FIRSTHAND THE DELIVERY OF EXCEPTIONAL CARE IN OUR INPATIENT, EMERGENCY DEPARTMENT, OPERATING ROOM, AND SPECIALTY SERVICES AS PART OF THEIR CLINICAL ROTATION. AS IN PAST YEARS, ERH PROVIDED THESE SERVICES WITHOUT REQUIRING ANY MONETARY COMPENSATION. PATIENT SATISFACTION AND POSITIVE OUTCOMES REMAIN SIGNIFICANT QUALITY INDICATORS WITH PATIENT SATISFACTION SCORES REACHING 99.3% FOR THE INPATIENT SERVICES AND 96.1% FOR EMERGENCY DEPARTMENT. DUE TO THE LINGERING IMPACT OF THE COVID, THE SUB-ACUTE UNIT SAW A SIGNIFICANT INCREASE IN ACUITY AND NUMBER OF COMPLEX CASES. ERH'S LONG TERM CARE PLACEMENT RATE WAS 7.5% WHILE THE PATIENTS DISCHARGE TO HOME RATE WAS AT A STELLAR 80.3%. THESE STELLAR RESULTS ARE THE PRODUCT OF A MULTIDISCIPLINARY COLLABORATIVE EFFORT AMONG NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, RESPIRATORY THERAPY, PHARMACY, CASE MANAGEMENT AND REGISTERED DIETITIAN SERVICES. ERH CONTINUED TO HOLD STEADFAST COLLABORATING WITH COMMUNITY-BASED AGENCIES AND PROVIDING QUALITY, COMPASSIONATE CARE AND GENERATING POSITIVE OUTCOMES. BY COMBINING EVIDENCE-BASED RESEARCH, EXCELLENT NURSING SKILLS, AND EXPANDING OUR CLINICAL EDUCATION PROGRAMS, THE INPATIENT UNIT AT ELLENVILLE REGIONAL HOSPITAL MADE IT THEIR GOAL TO IMPROVE PATIENT OUTCOMES ACROSS THE CARE SPECTRUM. SOME OF THE MITIGATION STRATEGIES IMPLEMENTED DURING THE ONSET OF THE PANDEMIC COMBINED WITH THE COVID-19 WAIVER ALLOWED OUR FACILITY TO OFFER A MUCH-NEEDED SERVICE. ERH WAS A GREAT RESOURCE FOR TERTIARY FACILITIES DESPERATELY SEEKING TO BALANCE THEIR PATIENT LOADS. WE SERVED PATIENTS WHO WERE READY TO LEAVE THE ACUTE CARE SETTING; HOWEVER, THEIR POSITIVE COVID-19 STATUS DID NOT ALLOW THEM TO RETURN TO LONG TERM CARE FACILITIES (LTC) FOR REHABILITATION. ERH PROVIDED THE CARE THEY NEEDED, HELPED THEM REGAIN THE STAMINA THEY HAD LOST AND ULTIMATELY, AFTER TESTING NEGATIVE FOR COVID-19, THESE PATIENTS MADE IT BACK TO LTC FACILITIES. PATIENT SAFETY CONTINUED TO BE PARAMOUNT IN OUR FACILITY. WE TRACKED AND REPORTED COMPLIANCE WITH MEDICATION SCANNING, A PRACTICE THAT ENHANCES SAFE MEDICATION ADMINISTRATION BY HELPING VERIFY PATIENT IDENTIFICATION AND CORRECT MEDICATION AND SUBSEQUENTLY ENSURING CORRECT MEDICATION ADMINISTRATION AND MITIGATING POTENTIAL ERRORS. OUR SCANNING AVERAGE OF 80.6% REMAINED WELL ABOVE THE NATIONAL AVERAGE. ERH'S SAFE PATIENT HANDLING COMMITTEE REVIEWED AND MAINTAINED SUCCESSFUL PRACTICES THAT MAXIMIZED A SAFE ENVIRONMENT FOR OUR PATIENTS AND STAFF. THE FOCUS OF THIS INITIATIVE IS TO ENSURE THAT OUR STAFF ARE INJURY FREE. THE COMMITTEE HAS MADE A TREMENDOUS EFFORT TO DELIVER GUIDANCE AND TRAINING STAFF ON TRANSFERS, BODY MECHANICS, AND THE USE OF ASSISTIVE DEVICES. THEY HAVE DONE THIS VERY EFFECTIVELY BY INCORPORATING EVIDENCE-BASED PRACTICES IN OUR EVERYDAY TASKS AND ROUTINES LIKE THE BMAT MODEL (BED SIDE MOBILITY ASSESSMENT TOOL). THE SAFE PATIENT HANDLING COMMITTEE CONTINUES TO MEET REGULARLY TO DISCUSS EDUCATIONAL NEEDS AND PROVIDE HANDS-ON TRAINING TO ALL CLINICAL STAFF. ADDITIONALLY, OUR BEDS ARE NOW EQUIPPED WITH ALARMS AND SPECIALTY MATTRESSES TO ASSURE SAFETY AND MAINTAIN SKIN INTEGRITY. WE ALSO CONTINUE TO USE THE VIDEO MONITORING SYSTEM TO HELP INCREASE SAFETY MEASURES FOR OUR PATIENTS IN ISOLATION. STAFF EDUCATION IS ALSO AN ESSENTIAL ELEMENT IN MAINTAINING AND PROMOTING CLINICAL COMPETENCY. ONE HUNDRED PERCENT OF OUR REGISTERED NURSES MAINTAINS CERTIFICATION IN BASIC AND ADVANCED LIFE SUPPORT THROUGH THE AMERICAN HEART ASSOCIATION AND TELEMETRY. OUR NURSE EDUCATOR PROVIDES EDUCATION OPPORTUNITIES VIA IN-SERVICES, WEBINARS, LECTURES, AND SCHOLARLY ARTICLES. THE HANDS-ON TRAINING AND ACADEMIC OFFERINGS ENSURE OUR CLINICAL STAFF IS KNOWLEDGEABLE OF CURRENT TRENDS AND STANDARDS OF CARE. WE LINK ALL NEW HIRES WITH AN EXPERIENCED PRECEPTOR AND ADJUST THE ORIENTATION PROCESS TO MEET THE NEEDS OF EACH INDIVIDUAL. IN OUR FACILITY, EDUCATION DELIVERY INVOLVES EVERYONE. THE NURSE EDUCATOR COLLABORATES WITH THE NURSING TEAM, PHARMACY, REHABILITATION SERVICES, CLINICAL IT APPLICATIONS SPECIALIST, AND RESPIRATORY SERVICES TO OFFER COMPREHENSIVE ANNUAL EDUCATION FOR ALL NURSING STAFF. EMERGENCY DEPARTMENT:LIMITED ACCESS TO PUBLIC TRANSPORT AND SCANT EMERGENCY MEDICAL SERVICE COVERAGE ARE MONUMENTAL CHALLENGES IN ALL RURAL SETTINGS. IN 2022, OUR NEWLY RENOVATED AND EXPANDED EMERGENCY DEPARTMENT PROVIDED HIGH-QUALITY EMERGENCY CARE TO OUR RURAL RESIDENTS AND SEASONAL VISITORS. BY COMBINING QUALITY CARE, EVIDENCE-BASED RESEARCH, EXCELLENT NURSING SKILLS, AND EXPANDING OUR CLINICAL EDUCATION PROGRAMS, THE EMERGENCY DEPARTMENT AT ERH FOCUSED ON IMPROVING PATIENT OUTCOMES ACROSS THE CARE SPECTRUM. THE EMERGENCY DEPARTMENT TREATED 14,530 AT ELLENVILLE REGIONAL HOSPITAL. WE CONTINUED TO PROVIDE EXCELLENT CARE IN A MORE EXPEDIENT MANNER THAN OTHER EMERGENCY DEPARTMENTS ACROSS THE COUNTRY. OUR 2022 AVERAGE FOR ARRIVAL TO TRIAGE WAS A STELLAR 15.5 MINUTES. ADDITIONALLY, THE AVERAGE LENGTH OF STAY WAS 113.9 MINUTES. THESE REMARKABLE TURNAROUND TIMES DERIVE FROM THE DEDICATION OF OUR MULTIDISCIPLINARY TEAM COMPRISED OF ED PROVIDERS, NURSES, PATIENT CARE TECHNICIANS, REGISTRATION, LAB, AND RADIOLOGY. THE TEAM'S PRIMARY FOCUS IS OPTIMAL PATIENT CARE. OUR PATIENTS' NEEDS AND OUR COMMUNITY ALWAYS REMAIN TOP PRIORITY. IMPROVING PATIENT OUTCOMES IS THE PRIMARY DRIVER IN OUR EVERYDAY OPERATIONS. WHILE MANAGING THE LASTING EFFECTS OF THE COVID PANDEMIC, ERH CONTINUED TO FOCUS ON THE RELENTLESS OPIOID CRISIS. OUR EMERGENCY DEPARTMENT'S RESCUE INITIATIVE REMAINS IN EFFECT AND CONTINUES TO GENERATE POSITIVE OUTCOMES. THE ED PROVIDERS ARE CERTIFIED TO PROVIDE MAT (MEDICATION ASSISTED TREATMENT). THIS HAS GREATLY FACILITATED TREATMENT OF PATIENTS PRESENTING TO THE ED AFTER AN OVERDOSE. WE HAVE CONTINUED OUR COLLABORATION EFFORTS WITH THE ULSTER COUNTY SHERIFF'S DEPARTMENT'S IN THE ORACLE PROGRAM AND UTILIZE THE SERVICES OF OUR IN-HOUSE SUBSTANCE USE DISORDER (SUD) PROGRAM. OUR COLLABORATIVE EFFORTS HAVE HELPED WITH INDUCTION OF MAT AND SECURING INPATIENT AND OUTPATIENT REHABILITATION SERVICES FOR THOSE WHO ARE IN NEED. OUR ED AND POPULATION HEALTH TEAMS CONTINUE COLLABORATING, PROVIDING SAFE KITS UPON DISCHARGE TO PATIENTS WHO EXPERIENCED AN OVERDOSE EVENT, AND EDUCATING PATIENTS AND FAMILY MEMBERS ON NALOXONE ADMINISTRATION. THE FOCUS REMAINED ON HARM-REDUCTION, EDUCATION, AND PREVENTION. WE ALSO CONTINUED TO WORK CLOSELY WITH OUR LOCAL EMS AGENCIES. RADIOLOGY:IN 2022, THE RADIOLOGY & CARDIOLOGY DEPARTMENTS AT ERH STARTED THE YEAR WITH OUTPATIENT MODALITIES HOVERING OR EXCEEDING VOLUME FOR ALL MODALITIES FROM THE PAST SEVERAL YEARS. EVEN WITH THE SPIKES IN COVID AND EXTREME FLUCTUATION, THE VOLUME REMAINED CONSISTENT. WITH MANY STAFF CONTRACTING COVID PERSONALLY MADE IT CHALLENGING TO OPERATE, HOWEVER ERH STAFF ARE RESILIENT AND HELD STRONG KEEPING UP WITH OUR PATIENT DEMAND AND CONTINUED TO PROVIDE SERVICES WITHOUT INTERRUPTION OR DELAY.MAMMOGRAPHY HAD ITS ANNUAL MQSA INSPECTION COMPLETED WITH NO CITATIONS. WE CONTINUED OUR REDUCED X-RAY REPEAT/REJECT RATE, WHICH AVERAGED ABOUT 3% OVER THE YEAR. THIS CONTINUED REDUCTION IN REPEATED EXAMS ALLOWED US TO PROVIDE THE HIGHEST LEVEL OF CARE TO OUR PATIENTS. ERH ACQUIRED 5 NEW EKG MACHINES TO MONITOR PATIENT'S HEARTBEATS WITH MORE CLARITY AND IMPROVED DIAGNOSTIC ABILITIES. THE PURCHASE OF THESE MACHINES ELEVATED OUR OUTPATIENT OFFERINGS TO A HIGHER STANDARD. ADDITIONALLY, ERH ACQUIRED SERVICE CONTRACTS AND APPLICATIONS SUPPORT ON ALL OF THE EQUIPMENT. THIS ALLOWED FOR IMMEDIATE SERVICE ACCESS IF THERE WAS AN INTERRUPTION AND INCLUDED GUIDANCE ON NEW PROTOCOLS AND USING SPECIAL FEATURES ON THE MACHINES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses20,713,350

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,688,258	0	338,692

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	4,443,603

f	All other contributions, gifts, grants, and similar amounts not included above		1f	277,083

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,720,686

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	291
6	Total number of volunteers (estimate if necessary) .............	6	26
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,000
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) THERESA AVERSANO........................................................................ DIRECTOR PHYSICAL MEDICINE & REHAB	40.00 .......................0.00	X	134,902	0	36,573
(19) CLARE FARRELL........................................................................ MANAGER OF LABORATORY SERVICES	36.00 .......................0.00	X	136,800	0	2,183

		Business Code
2a	PATIENT SERVICE REVENUE	621990	25,838,485	25,838,485
b	NY INDIGENT CARE POOL REVENUE	621990	620,672	620,672
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		26,459,157

3 Investment income (including dividends, interest, and othersimilar amounts) ......			260,213			260,213
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		34,098	6a
b	Less: rental expenses		29,028	6b
c	Rental income or (loss)		5,070	6c
d	Net rental income or (loss).......			5,070			5,070
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	32,662		7a
b	Less: cost or other basis and sales expenses	0		7b
c	Gain or (loss)	32,662		7c
d	Net gain or (loss).........			32,662			32,662
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS INCOME		900099	12,398			12,398
b	CAFETERIA INCOME		900099	10,698			10,698
c	PURCHASING REBATES		900099	7,749			7,749
d	All other revenue ....			14,105		1,000	13,105
e	Total. Add lines 11a–11d ......			44,950
12	Total revenue. See instructions.....			31,522,738	26,459,157	1,000	341,895

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,190,615	438,666	751,949
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	12,196,115	9,587,594	2,608,521
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,449	12,337	4,112
9	Other employee benefits .......	1,499,051	1,138,075	360,976
10	Payroll taxes ...........	1,098,443	823,832	274,611
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,626	1,219	407
c	Accounting ...........	129,045	96,784	32,261
d	Lobbying ...........	4,265		4,265
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	297,286	222,964	74,322
12	Advertising and promotion ....	117,413	88,060	29,353
13	Office expenses .......	492,195	371,927	120,268
14	Information technology ......	300	225	75
15	Royalties ..
16	Occupancy ...........	390,937	291,322	99,615
17	Travel ............	108,986	81,739	27,247
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,226,765	918,419	308,346
23	Insurance ...	451,903	338,927	112,976
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CONTRACT/PURCHASED SVCS	3,364,385	2,520,756	843,629
b	MEDICAL SUPPLIES	1,300,954	975,715	325,239
c	BAD DEBT EXPENSE	1,268,281	1,268,281
d	PRESCRIPTION DRUGS	1,011,903	758,927	252,976
e	All other expenses	1,037,799	777,581	260,218
25	Total functional expenses. Add lines 1 through 24e	27,204,716	20,713,350	6,491,366	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,268,579	1	2,411,329
2	Savings and temporary cash investments .........			10,251,526	2	7,289,841
3	Pledges and grants receivable, net ......			397,046	3	245,646
4	Accounts receivable, net .............			2,875,194	4	3,755,747
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			156,864	8	225,245
9	Prepaid expenses and deferred charges ......			550,566	9	623,238
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	22,930,884
b	Less: accumulated depreciation	10b	10,250,541	13,103,927	10c	12,680,343
11	Investments—publicly traded securities .			13,568,908	11	12,509,158
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,716,972	15	2,142,502
16	Total assets. Add lines 1 through 15 (must equal line 33)...			45,889,582	16	41,883,049

17	Accounts payable and accrued expenses .....	2,904,602	17	2,634,006
18	Grants payable ...		18
19	Deferred revenue .........	3,215,302	19	1,181,870
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	8,898,262	25	5,187,210
26	Total liabilities. Add lines 17 through 25..	15,018,166	26	9,003,086

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	22,282,794	27	31,455,424
28	Net assets with donor restrictions ...........	8,588,622	28	1,424,539
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	30,871,416	32	32,879,963
33	Total liabilities and net assets/fund balances ........	45,889,582	33	41,883,049