TY 2023 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) PAUL A MILTON...................................................................... PRESIDENT / CEO	55.00 ................. 5.00	X	X	803,882	29,929
(2) NICHOLAS MONTALTO MD...................................................................... TRUSTEE	3.00 .................	X		41,726	5,861
(3) DAVID BROWN...................................................................... TRUSTEE	1.44 .................	X		0	0
(4) PATRICIA BUHR...................................................................... TRUSTEE	3.31 .................	X		0	0
(5) CRISTINE CIOFFI ESQ...................................................................... TRUSTEE	2.43 .................	X		0	0
(6) MICHAEL COCCA...................................................................... TRUSTEE	3.00 .................	X		0	0
(7) THOMAS HARTMAN...................................................................... TRUSTEE	3.00 .................	X		0	0
(8) DAVID HORAN...................................................................... CHAIR AS OF JUNE 2022	3.00 .................	X	X	0	0
(9) JAMES HURLEY...................................................................... TRUSTEE	3.00 .................	X		0	0
(10) MARK LITTLE...................................................................... TRUSTEE, CHAIR THRU JUNE 2	2.38 .................	X		0	0
(11) STEPHEN PAGANO...................................................................... TRUSTEE	3.00 .................	X		0	0
(12) STEPHANIE ROBERTS ESQ...................................................................... TREASURER	2.73 .................	X	X	0	0
(13) ANTHONY SANTILLI MD...................................................................... TRUSTEE	3.00 .................	X		0	0
(14) JANET SAPIO-MAYTA...................................................................... SECTETARY	3.05 .................	X	X	0	0
(15) MARY THERRIAULT RN...................................................................... TRUSTEE	2.31 .................	X		0	0
(16) JOHN TOBISON...................................................................... TRUSTEE	2.03 .................	X		0	0
(17) GARY WOOD MD...................................................................... VICE CHAIR	3.27 .................	X	X	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
CERNER CORPORATION PO BOX 959156 ST LOUIS,MO631959156	INFORMATIONAL TECHNOLOGY	5,411,799
COMMUNITY CARE PHYSICANS PC 2125 RIVER ROAD 103 SCHENECTADY,NY12309	PHYSICIAN SERVICES	4,165,904
O'GRADY-PEYTON INTERNATIONAL 12400 HIGH BLUFF DRIVE SAN DIEGO,CA92130	AGENCY LABOR STAFFING	1,946,294
SCHENECTADY ANESTHESIA 1201 NOTT STREET SUITE 106 SCHENECTADY,NY12308	AGENCY LABOR STAFFING	1,786,667
EMERGENCY MEDICAL ASSOCIATES PO BOX 429 7032 COLLECTION CENTER D CLIFTON PARK,NY12065	PHYSICIAN SERVICES	1,662,805
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 40

- 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

2023

Open to Public
Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

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

2023

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization ELLIS HOSPITAL D/B/A ELLIS MEDICINE

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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization ELLIS HOSPITAL D/B/A ELLIS MEDICINE		Employer identification number 14-1338428

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization ELLIS HOSPITAL D/B/A ELLIS MEDICINE			Employer identification number 14-1338428
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) (2023)

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

right arrow

Complete if the organization is described below. 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

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

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

203,548

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

203,548

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

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:	ELLIS HOSPITAL PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, IROQUOIS HEALTHCARE ALLIANCE, AMERICAN HOSPITAL ASSOCIATION AND ENVISION STRATEGY. THE PORTION OF THE DUES THAT WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES ARE SHOWN ON FORM 990, PART IX, LINE 11 D AND ABOVE IN SCHEDULE C, PART II-B, LINE 1I AND INCLUDE $11,212 - IROQUOIS, $9,542 - HANYS, $17,132 - AHA, $165,200- ENVISION STRATEGY, AND $462 -LEADINGAGE NY.

Return Reference

Explanation

PART II-B, LINE 1:

ELLIS HOSPITAL PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, IROQUOIS HEALTHCARE ALLIANCE, AMERICAN HOSPITAL ASSOCIATION AND ENVISION STRATEGY. THE PORTION OF THE DUES THAT WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES ARE SHOWN ON FORM 990, PART IX, LINE 11 D AND ABOVE IN SCHEDULE C, PART II-B, LINE 1I AND INCLUDE $11,212 - IROQUOIS, $9,542 - HANYS, $17,132 - AHA, $165,200- ENVISION STRATEGY, AND $462 -LEADINGAGE NY.

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
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

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	19,705,681	22,425,000	20,793,290	14,976,093	13,046,893
b	Contributions ...	2,486,917	2,781,278	20,174,096	12,474,744	2,526,103
c	Net investment earnings, gains, and losses	224,871	-533,433	118,075	283,304	424,057
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,016,823	4,967,164	18,660,461	6,940,851	1,020,960
f	Administrative expenses ....
g	End of year balance ......	21,400,646	19,705,681	22,425,000	20,793,290	14,976,093

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

29.085 %

Term endowment right arrow

70.915 %

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)

Yes

(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 .....	6,460,334		6,460,334
b	Buildings ....	239,535,098	138,049,818	101,485,280
c	Leasehold improvements	1,313,843	1,182,534	131,309
d	Equipment ....	289,082,232	263,109,800	25,972,432
e	Other .....	2,194,447		2,194,447
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				136,243,802

Schedule D (Form 990) 2022

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 FOUNDATION				22,736,028
(2)DEFERRED TAX ASSET				373,743
(3)RIGHT OF USE ASSETS				7,850,561
(4)PENSION ASSET				1,258,631
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				32,218,963

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
ESTIMATED SELF-INSURANCE	11,873,782
ACCRUED VACATION PAYABLE	7,067,521
ACCRUED SICK PAYABLE	2,791,757
ESTIMATED PAYABLES TO 3RD PARTY PAYERS	700,000
CLAIMS PAYABLE	907,537
ACCRUED INTEREST PAYABLE	165,596
ASSET RETIREMENT OBLIGATION	1,444,531
ACCRUED SALARIES	5,714,220
OTHER LIABILITIES	1,110,007
457 PLAN DEFERRED COMPENSATION	6,510,391
FINANCE LEASE OBLIGATIONS	16,554,417
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	54,839,759
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) 2022

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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 IV, LINE 2B:	THE ELLIS RESIDENTIAL AND REHABILITATION CENTER RESIDENTS SPENDING ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON FORM 990, PART X. THE TOTAL IS $2,515. THESE FUNDS BELONG TO THE RESIDENTS AND ARE DEPOSITED AND DISBURSED BY THE ELLIS RESIDENTIAL AND REHABILITATION DIRECTOR'S DESIGNEE. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR TRACKING THE FUNDS. MEDICAL/DENTAL STAFF DUES ACCOUNT IS INCLUDED IN LINE 2 AND LINE 21 ON FORM 990, PART X. THE TOTAL IS $330,540. THIS FUND CONTAINS DEPOSITS AND DISBURSEMENTS AS DIRECTED BY THE MEDICAL/DENTAL STAFF APPOINTED OFFICERS. THE ELLIS HOSPITAL ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR DEPOSITING AND DISBURSING THE FUNDS ON THE MEDICAL/DENTAL OFFICER'S BEHALF. THE ACCOUNTING DEPARTMENT ALSO ISSUES IRS FORMS 1099 BASED ON THE DISBURSEMENTS.
PART V, LINE 4:	TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR GENERAL HEALTH SERVICES, PURCHASE OF EQUIPMENT, AWARDS AND EQUIPMENT, AND HEALTH EDUCATION AND RESEARCH. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES.
PART X, LINE 2:	THE HOSPITAL AND VNS ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE PHARMACY IS A DISREGARDED ENTITY AND, AS SUCH, TAKES ON THE SECTION 501(C)(3) STATUS ACCORDED TO THE HOSPITAL. ELLIS MEDICINE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. ELLIS MEDICINE DID NOT RECOGNIZE THE EFFECT OF ANY UNCERTAIN INCOME TAX POSITIONS IN EITHER 2023 OR 2022. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. ELLIS MEDICINE IS SUBJECT TO INCOME TAX ON ANY INCOME FROM UNRELATED BUSINESS ACTIVITIES. AT DECEMBER 31, 2023 AND 2022, ELLIS MEDICINE HAS A NET DEFERRED TAX ASSET OF APPROXIMATELY $374,000 AND $667,000, RESPECTIVELY, WHICH RELATE TO NET OPERATING LOSSES AVAILABLE FOR INCOME TAX PURPOSES. THE LOSSES EXPIRE IN VARYING AMOUNTS THROUGH 2037. A VALUATION ALLOWANCE IS RECORDED AGAINST DEFERRED TAX ASSETS WHEN THERE IS UNCERTAINTY REGARDING USE IN FUTURE PERIODS.

Schedule D (Form 990) 2022

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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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 30000.0000000000 %

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: . . . . . . . .

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? . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . .	2,084,832	413,692	1,671,140	0.380 %
b	Medicaid (from Worksheet 3, column a) . . . . .	98,627,700	28,997,335	69,630,365	15.660 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	100,712,532	29,411,027	71,301,505	16.040 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	507,719	0	507,719	0.110 %
f	Health professions education (from Worksheet 5) . . .	11,335,210	3,703,443	7,631,767	1.720 %
g	Subsidized health services (from Worksheet 6) . . . .	4,870	0	4,870	0 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,125	0	1,125	0 %
j	Total. Other Benefits . .	11,848,924	3,703,443	8,145,481	1.830 %
k	Total. Add lines 7d and 7j .	112,561,456	33,114,470	79,446,986	17.870 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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? ..........................

Yes

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

10,870,354

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. ......

1,132,787

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).....

53,745,887

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

65,269,412

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

-11,523,525

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) 2023

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)						Other (describe)
1	ELLIS HOSPITAL 1101 NOTT STREET SCHENECTADY,NY12308 WWW.ELLISMEDICINE.ORG 4601001H	X	X	X	X	82 BED SKILLED NURSING FACILITY

Schedule H (Form 990) 2023

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)

	ELLIS HOSPITAL
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..................................

Yes

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): HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX

Other website (list url): HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/INDEX.PHP?MODULE=RESOURCELIBRARY&CON

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): HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ELLIS HOSPITAL
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 300.000000000000%
and FPG family income limit for eligibility for discounted care of %

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):

HTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/FAQS.ASPX

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

HTTP://ELLISMEDICINE.ORG/PDF/CHARITY-CARE-APPLICATION.PDF

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.ELLISMEDICINE.ORG/BLOB/PUBLICNOTICESFILES.ASHX?ID=274

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	ELLIS HOSPITAL
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) 2023

Page 7

Part VFacility Information (continued)

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

	ELLIS HOSPITAL
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? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

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
ELLIS HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (A LOCAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT), WITH KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THAT COMMUNITY; ORGANIZATIONS REPRESENTING THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY; AND ANY WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY. 1. COMMUNITY MEETINGS: THE FOLLOWING MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) WERE CONDUCTED TO PLAN FOR, DEVELOP, COMMENT UPON, AND ADOPT THE 2022-2024 COMMUNITY HEALTH ASSESSMENT, COMMUNITY HEALTH IMPROVEMENT PLAN, AND COMMUNITY SERVICE PLAN, AS WELL AS THE MEETINGS IN 2022 AND 2023 THAT WERE HELD TO CONTINUE ADDRESSING THE PRIORITY NEEDS IDENTIFIED. DATES, TOPICS, AND ATTENDEE ORGANIZATIONS ARE LISTED. ALL MEETINGS WERE EITHER HELD VIA VIDEO CONFERENCE OR HAD A HYBRID OPTION DUE TO THE COVID-19 PANDEMIC:OCTOBER 21, 2021 (VIDEO CONFERENCE)TOPICS:-UPDATE ON COVID-19 RESPONSE (DATA, VACCINE, ETC.) -2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN PLANNING CYCLE -SURVEY TO GATHER COMMUNITY FEEDBACK -1 GROUP PRIORITIZATION MEETING ON DECEMBER 16, 2021 WITH MORE TIME FOR DISCUSSION -WRITING WILL HAPPEN IN 2022 -UPDATE ON CHIP SUD PREVENTION WORKATTENDEES: ATTENDANCE WAS NOT CAPTURED AT THIS MEETING DUE TO TECHNICAL DIFFICULTIES.DECEMBER 16, 2021 (VIDEO CONFERENCE)TOPICS: THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY MET VIA WEBEX ON DECEMBER 16, 2021, AND HCD PRESENTED THE 9 HEALTH ISSUES AND THEIR RANKING AND DATA POINTS. DISCUSSION FROM THE GROUP INCLUDED IF ANY OTHER LOCAL CONSIDERATIONS SHOULD BE MADE (NEWER DATA, CURRENT WORK, ETC.) AND VOTING ON WHAT PRIORITY AREAS SHOULD BE CHOSEN FOR THIS CYCLE. THE COMPLETE PRESENTATION CAN BE FOUND HERE:(HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/PRIORITIZATION-PROCESS-SCHENECTADY-SUMMARY.PDF). ATTENDEES: CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, CRHC HEALTH HOME, ELLIS FAMILY HEALTH CENTER, ELLIS MEDICINE, ELLIS MEDICINE FOOD FARMACY, ELLIS PEDIATRIC HEALTH CENTER, HEALTHY CAPITAL DISTRICT, HOMETOWN HEALTH CENTERS, NEW CHOICES PREVENTION, SAFE HOUSE SCHENECTADY, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY PROBATION DEPARTMENT, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY PUBLIC LIBRARY, SHEILA FERRUCCI, ESQ., ST. MARY'S HEALTHCARE, CANCER PREVENTION IN ACTION, ST. PETERS HEALTH PARTNERS COMMUNITY PROGRAMS, ST. PETERS HEALTH PARTNERS, SUNNYVIEW REHABILITATION HOSPITAL, THE DAILY GAZETTE, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH.JANUARY 20, 2022 (VIDEO CONFERENCE)TOPICS: THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY MET VIA WEBEX ON JANUARY 20, 2022. THE DISCUSSION INCLUDED AN OVERVIEW OF PREVENTION AGENDA AND LAST CHIP CYCLE'S TOPIC AREAS PRESENTED BY SCHENECTADY COUNTY HEALTH SERVICES, AS WELL AS AN OVERVIEW OF THIS CYCLE'S PROCESS & DATA REVIEW. SCHENECTADY COUNTY PUBLIC HEALTH SERVICES ALSO LED A DISCUSSION OF THE PRIORITY AREAS AND NYSDOH PRESCRIBED INTERVENTIONS, AND THEN THE ATTENDEES SELECTED THE TWO PRIORITY. ATTENDEES: CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICE, CATHOLIC CHARITIES CARE COORDINATION SERVICES/PROJECT SAFE POINT, THE FOOD PANTRIES FOR THE CAPITAL DISTRICT, ELLIS MEDICINE, HEALTHY CAPITAL DISTRICT, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, THE SCHENECTADY FOUNDATION, ST. PETER'S HEALTH PARTNERS, ELLIS FOOD FARMACY, ELLIS FAMILY HEALTH CENTER, CANCER SERVICES PROGRAM, CDPHPAPRIL 21, 2022 (VIDEO CONFERENCE)TOPICS: AN OVERVIEW OF PRIORITY AREAS WAS PRESENTED BY SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, INCLUDING COVID-19 AND MENTAL HEALTH & SUBSTANCE MISUSE.ATTENDEES: ATTENDANCE WAS NOT CAPTURED AT THIS MEETING DUE TO TECHNICAL DIFFICULTIES.JULY 21, 2022 (VIDEO CONFERENCE)TOPICS: AN OVERVIEW OF COMMUNITY HEALTH NEEDS ASSESSMENT/COMMUNITY HEALTH IMPROVEMENT PLAN PROGRESS WAS GIVEN BY SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND ELLIS MEDICINE INCLUDING: -FOCUS AREA 1: PREVENT COMMUNICABLE DISEASES VACCINE PREVENTABLE DISEASES: COVID-19-FOCUS AREA 2: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS ACTION PLANTHERE WAS ALSO A PRESENTATION BY NEW CHOICES PREVENTION SERVICES AND A DISCUSSION OF MENTAL HEALTH & SUBSTANCE USE PEER SERVICES FROM THE ELLIS MEDICINE PEER PROGRAM AND CATHOLIC CHARITIES CARE COORDINATION SERVICES.ATTENDEES: CATHOLIC CHARITIES CARE COORDINATION SERVICES, ELLIS MEDICINE, SCHENECTADY ARC, SCHENECTADY COUNTY PUBLIC HEALTH, ELLIS LIVING ROOM, NEW CHOICES RECOVERY CENTER, CDPHP, ST. PETER'S HEALTH PARTNERS, CANCER PREVENTION IN ACTION, ALTAMONT PROGRAM, C.O.C.O.A. HOUSE INC., SAVE OUR STREETS INC., CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, HEALTHY CAPITAL DISTRICT, ELLIS FAMILY HEALTH CENTER, HOMETOWN HEALTH CENTERS, CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY PUBLIC LIBRARYOCTOBER 20, 2022 (VIDEO CONFERENCE)TOPICS: -CHA/CHIP/CSP UPDATE NATALIE PREHODA, SCPHS-HOMETOWN HEALTH CENTERS SCHOOL HEALTH CLINICS DR. EVANS, HOMETOWN HEALTH CENTER-YOUTH TOBACCO SERVICES CARA ZAMPI, TOBACCO FREE COMMUNITIES-ELLIS MEDICINE BACK TO SCHOOL CLINICS KRISTINE CHAMBERS, ELLIS FAMILY HEALTH CENTER-HEALTHY ALLIANCE OVERVIEW AND SCHENECTADY MATERNAL AND CHILD HEALTH COMMUNITY HEALTH WORKER HUB JULIE ADAMEC, HEALTHY ALLIANCE-NARCAN TRAININGS JENNIFER HAYDEN, SCPHS OFFICE OF COMMUNITY SERVICES-MENTAL HEALTH FIRST AID JENNIFER HAYDEN, SCPHS OFFICE OF COMMUNITY SERVICES-OTHER AGENCY UPDATES FROM ATTENDEESATTENDEES: CATHOLIC CHARITIES CARE COORDINATION SERVICES, ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH, ELLIS LIVING ROOM, NEW CHOICES RECOVERY CENTER, ST. PETER'S HEALTH PARTNERS, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, ELLIS FAMILY HEALTH CENTER, HEALTHY ALLIANCE, BETHESDA HOUSE, CAPITAL DISTRICT CENTER FOR INDEPENDENCE, HOMETOWN HEALTH CENTER, PROJECT SAFEPOINT, FOOD PANTRIES OF THE CAPITAL DISTRICT, SCHENECTADY COUNTY PROBATION DEPARTMENT, CHILDREN'S HEALTH HOME OF UPSTATE NY. 2. ENGAGEMENT OF CONSUMERS THROUGH COMMUNITY SURVEY: THE HEALTHY CAPITAL DISTRICT (HCD) CONDUCTED ITS FOURTH COMMUNITY HEALTH SURVEY OF CAPITAL REGION RESIDENTS FROM SEPTEMBER 13TH TO NOVEMBER 3RD, 2021. THE SURVEY WAS CONDUCTED ONLINE AND IN PAPER FORMAT AND WAS OFFERED IN ENGLISH- AND SPANISH-LANGUAGE VERSIONS. THE SURVEY WAS COLLABORATIVELY CREATED AND DISTRIBUTED BY HCD AND ITS HOSPITAL AND HEALTH DEPARTMENT PARTNERS. THE AIM OF THE SURVEY WAS TO IDENTIFY THE MAJOR NEEDS, GAPS, AND PRIORITIES FACING CAPITAL REGION RESIDENTS REGARDING THE FOLLOWING ASPECTS OF PUBLIC HEALTH: PUBLIC HEALTH PRIORITIES, SOCIAL DETERMINANTS OF HEALTH, HEALTHCARE ACCESS & BARRIERS, MENTAL HEALTH, SUBSTANCE MISUSE, COVID-19 VACCINATION, PREVENTION & COMMUNICATION STRATEGIES. A RANDOM SAMPLING DESIGN WAS APPLIED TO RECRUIT A REPRESENTATIVE SAMPLE OF RESIDENTS OF THE CAPITAL DISTRICT (INCLUDING THE COUNTIES OF ALBANY, COLUMBIA, GREENE, RENSSELAER, SARATOGA, AND SCHENECTADY).SOCIODEMOGRAPHIC INFORMATION WAS ALSO COLLECTED TO GAUGE THE REPRESENTATIVENESS OF THE SURVEYED SAMPLE OF RESIDENTS AND TO COMPARE RESULTS BY COUNTY, INCOME LEVEL, AND RACE/ETHNICITY. SURVEY QUESTIONS AND RESPONSE OPTIONS WERE DEVELOPED BY HCD, IN COLLABORATION WITH THE PREVENTION AGENDA WORKGROUP, AND WERE BASED ON PRIOR EDITIONS FROM 2018, 2016, AND 2013, AS WELL AS OTHER RESOURCES FROM MONTEFIORE MEDICAL CENTER, THE KAISER FAMILY FOUNDATION, AND THE U.S. PREVENTIVE SERVICES TASK FORCE.RESPONSE PERCENTAGES ARE BASED ON 2,104 RESPONSES FROM INDIVIDUALS WHO INDICATED THEY LIVE IN THE COUNTY OF ALBANY (N=547), RENSSELAER (N=268), SCHENECTADY (N=426), SARATOGA (N=194), COLUMBIA (N=387), OR GREENE (N=282). THE SURVEY TOOK APPROXIMATELY 7 MINUTES TO COMPLETE AND 62% OF THOSE WHO OPENED THE ONLINE SURVEY COMPLETED.WHEN ASKED TO RANK THE SERIOUSNESS OF PUBLIC HEALTH ISSUES "IN YOUR COMMUNITY," SCHENECTADY RESIDENTS SURVEYED CHOSE MENTAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AS MOST SIGNIFICANT. THE TOP FIVE TOPICS LISTED AS "VERY SERIOUS" BY OVERALL PERCENTAGE WERE:#1 COVID-19 50.8%#2 OBESITY 50.4% #3 MENTAL ILLNESS INCLUDING SUICIDE 49.5%#4 MISUSE OF DRUGS OR ALCOHOL 44.2%#4 VIOLENCE 44.2%THE DATA COLLECTED IN THIS SURVEY WAS USED TO INFORM THE RANKING OF HEALTH ISSUES IN SCHENECTADY COUNTY AS PART OF THE COMMUNITY HEALTH IMPROVEMENT PLAN AND COMMUNITY SERVICE PLAN FOR 2022-2024.CONTINUED ON SCHEDULE O
ELLIS HOSPITAL	PART V, SECTION B, LINE 6A: THE PORTION OF THE CHNA WHICH INCLUDES COMPILED PUBLIC HEALTH DATA AND THE RESULTS OF THE COMMUNITY SURVEY WAS PREPARED BY THE HEALTHY CAPITAL DISTRICT (HCD), DESIGNATED AND PARTIALLY FUNDED BY THE STATE OF NEW YORK AS A REGIONAL POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) HEALTH RESEARCH AND PLANNING ENTITY, WHOSE HOSPITAL MEMBERS INCLUDE ELLIS HOSPITAL, ALBANY MEDICAL CENTER (INCLUDING AFFILIATES COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL), AND ST. PETER'S HEALTH PARTNERS (INCLUDING ST. PETER'S HOSPITAL, SUNNYVIEW REHABILITATION HOSPITAL, ALBANY MEMORIAL HOSPITAL, SAMARITAN HOSPITAL OF TROY, AND SETON HEALTH/ST. MARY'S HOSPITAL OF TROY).
ELLIS HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED TO MEET NOT ONLY FEDERAL REQUIREMENTS, BUT ALSO TO SERVE AS THE NEW YORK STATE-REQUIRED COMMUNITY SERVICE PLAN (CSP) FOR ELLIS HOSPITAL AND THE NEW YORK STATE-REQUIRED COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, A UNIT OF COUNTY GOVERNMENT. IN ADDITION, IT WAS INTENDED TO INFORM THE COMMUNITY SERVICE ACTIVITIES OF THE MEMBER ORGANIZATIONS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). AS OF THE 2022 CHNA, ACTIVE MEMBERS OF SCHC PARTICIPATING IN THE SELECTION AND PRIORITIZATION PROCESS WERE:-CAPITAL DISTRICT PHYSICIANS HEALTH PLAN -CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES -CRHC HEALTH HOME-ELLIS HOSPITAL-ELLIS FAMILY HEALTH CENTER-ELLIS MEDICINE FOOD FARMACY -ELLIS PEDIATRIC HEALTH CENTER -HEALTHY CAPITAL DISTRICT -HOMETOWN HEALTH CENTERS-NEW CHOICES PREVENTION-SAFE HOUSE SCHENECTADY-SCHENECTADY CITY SCHOOL DISTRICT-SCHENECTADY COMMUNITY ACTION PROGRAM -SCHENECTADY COUNTY PROBATION DEPARTMENT-SCHENECTADY COUNTY PUBLIC HEALTH SERVICES-SCHENECTADY COUNTY PUBLIC LIBRARY -SHEILA FERRUCCI, ESQ.-ST. MARY'S HEALTHCARE, CANCER PREVENTION IN ACTION -ST. PETERS HEALTH PARTNERS COMMUNITY PROGRAMS-ST. PETERS HEALTH PARTNERS-SUNNYVIEW REHABILITATION HOSPITAL-THE DAILY GAZETTE-UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH
ELLIS HOSPITAL	PART V, SECTION B, LINE 11: THE GLOBAL COVID-19 PANDEMIC EMERGENCY STRUCK EARLY IN 2020 IN NEW YORK STATE INCLUDING SCHENECTADY (WHICH IS ON A DIRECT HIGHWAY ROUTE JUST 150 MILES NORTH OF THE PANDEMIC'S INITIAL U.S. EPICENTER IN NEW YORK CITY), WHERE ELLIS HOSPITAL IS THE ONLY GENERAL HOSPITAL WITH THE ONLY INTENSIVE CARE UNIT (ICU) AND SCPHS IS THE ONLY MUNICIPAL HEALTH DEPARTMENT WITH A PUBLIC HEALTH MISSION AND CAPACITY. ONE OF THE EARLIEST IDENTIFIED COVID-19 DEATHS IN THE CAPITAL REGION WAS OF A SCHENECTADY RESIDENT ON MARCH 23, 2020. FROM MID-MARCH 2020 THROUGH THE END OF 2021, ELLIS, SCPHS, AND COMMUNITY-BASED AGENCIES WERE FORCED TO PIVOT FROM THE PREVIOUSLY DETERMINED COMMUNITY HEALTH PRIORITIES AND TO DEVOTE NEARLY ALL MEDICAL AND NON-MEDICAL COMMUNITY SUPPORT RESOURCES TO GOVERNMENT-MANDATED COVID EMERGENCY RESPONSE ACTIVITIES. ADDITIONALLY, COMMUNITY HEALTH MOMENTUM WHICH HAD DEVELOPED OVER THE PAST SEVERAL YEARS CONTRIBUTED TO A COORDINATED COMMUNITY WIDE COVID RESPONSE, AND TO AT LEAST SOME AMOUNT OF CONTINUED EFFORTS TO ADDRESS THE PRE-COVID NEEDS. ELLIS ALSO UTILIZED ITS UNIQUE RESOURCES TO PROVIDE COMMUNITY EDUCATION AS WELL AS TO SUPPORT ESSENTIAL HEALTH WORKERS THROUGHOUT THE REGION. ELLIS' CHIEF OF MEDICAL STAFF, IS A SPECIALIST IN INFECTIOUS DISEASE, WAS AMONG THE FEW MEDICAL PROFESSIONALS ESPECIALLY KNOWLEDGEABLE DURING THE EARLY STAGES OF THE PANDEMIC. ELLIS PRODUCED WEEKLY TWO-MINUTE VIDEOS FEATURING THIS PHYSICIAN AND OFFERING FACTUAL EDUCATION REGARDING ASPECTS OF THE DISEASE, AND ELECTRONICALLY DISTRIBUTED THESE TO A LIST WHICH REACHED 10,000 PEOPLE. WHEN THE INITIALLY AVAILABLE VACCINES REQUIRED HIGHLY SPECIALIZED REFRIGERATION EQUIPMENT AND HANDLING TECHNIQUES, AVAILABLE IN THE REGION ONLY AT ELLIS AND ONE OTHER HOSPITAL, ELLIS STEPPED UP TO VACCINATE NOT ONLY ITS OWN ESSENTIAL HEALTH WORKERS, BUT ALSO HOSPITAL STAFFS AND HEALTH CARE WORKERS FROM NUMEROUS OTHER HOSPITALS AND HEALTH CARE SYSTEMS IN THE AREA.ELLIS HOSPITAL HAS PROVIDED, AND WILL CONTINUE TO PROVIDE, ACCESS TO CRITICAL TREATMENT AND PREVENTION SERVICES TO THE SCHENECTADY COMMUNITY THROUGH ONE OF THE MOST VIRULENT PANDEMICS IN RECENT MEMORY, COVID-19. SINCE MARCH 2020, THE STAFF AT ELLIS HOSPITAL HAVE PROVIDED INPATIENT CARE TO WELL OVER 2,000 PATIENTS DIAGNOSED WITH COVID-19. ELLIS OPENED A DEDICATED COVID-19 CARE UNIT EARLY IN THE PANDEMIC TO PROVIDE SPECIALIZED CARE TO THESE PATIENTS, AND SEVERAL OVERFLOW UNITS TO ACCOMMODATE ADDITIONAL PATIENT LOAD WHEN THE NUMBER OF CASES SURGED. ELLIS WILL CONTINUE TO CARE FOR HOSPITALIZED PATIENTS WITH COVID-19 IN ITS SPECIALIZED COVID-19 CARE UNIT AND INTENSIVE CARE UNIT. ELLIS WAS THE FIRST HOSPITAL IN THE CAPITAL REGION TO OFFER REMDESIVIR AS A TREATMENT FOR PATIENTS, AS AN EARLY PARTICIPANT IN THE GILEAD EXPANDED ACCESS TRIAL BEGINNING IN APRIL 2020. ELLIS HOSPITAL'S INFECTIOUS DISEASE DEPARTMENT ALSO WORKED WITH REGENERON TO PROVIDE ACCESS TO THEIR MONOCLONAL ANTIBODY INFUSIONS TO PATIENTS DIAGNOSED WITH COVID-19 THROUGH OUR INFUSION CENTER AND IN THE COMMUNITY. ELLIS WILL CONTINUE TO PROVIDE ACCESS TO THIS AND OTHER NEW TREATMENTS FOR COVID-19 TO ITS PATIENTS.BEGINNING ON DECEMBER 14, 2020, THE ELLIS HOSPITAL TEAM ADMINISTERED OVER 14,000 DOSES OF COVID-19 VACCINES, INITIALLY TO STAFF OF CAPITAL REGION HOSPITALS, AND OTHER LOCAL HIGH-RISK WORKERS IN THE HEALTH CARE FIELD, AND THEN TO THE PUBLIC, IN WHAT WAS A CRITICALLY IMPORTANT PUBLIC HEALTH EFFORT FOR THE COMMUNITY. ELLIS CURRENTLY PROVIDES SPACE FOR SCHENECTADY PUBLIC HEALTH SERVICES TO HOST ITS COVID-19 COMMUNITY TESTING AND VACCINATION SITE AT THE MCCLELLAN STREET HEALTH CENTER CAMPUS AND WILL CONTINUE TO DO SO FOR THE FORESEEABLE FUTURE. AS A TEACHING HOSPITAL, ONE OF THE IMPORTANT ROLES ELLIS HOSPITAL PLAYS IS PROVIDING HIGH-QUALITY MEDICAL EDUCATION PROGRAMS TO HELP HEALTH CARE PROVIDERS BETTER SERVE THE NEEDS OF THE COMMUNITY. ELLIS MEDICINE'S DEPARTMENT OF INTERNAL MEDICINE HOSTED ONLINE GRAND ROUNDS EDUCATIONAL WEBINARS ON COVID-19 BEGINNING IN MARCH 2020 TO ENSURE COMMUNITY HEALTH CARE PROVIDERS HAD ACCESS TO THE LATEST INFORMATION ON THE PANDEMIC. THESE EDUCATIONAL PROGRAMS ARE RECORDED AND MADE AVAILABLE THROUGH THE MEDICAL EDUCATION COMMITTEE'S WEBSITE AT HTTPS://WWW.ELLISCME.ORG/. THE PROGRAMS INCLUDED: MARCH 20, 2020 "COVID-19: A GLOBAL PANDEMIC- INFORMATION FOR PROVIDERS" DAVID PRATT, MD, MPHMARCH 27, 2020 "COVID-19 PANDEMIC: UPDATE MARCH 27" DAVID PRATT, MD, MPHAPRIL 3, 2020 "ALLOCATION OF SCARCE MEDICAL RESOURCES IN PANDEMICS" DR. GEORGE GIOKAS, DR. MARTIN STROSBERG, FATHER ANTHONY GREEN, AND GWEN BONDIAPRIL 17, 2020 "LOPIRAMIR/RITINAVIR, REMDESIVIR AND HYDROXYCHLOROQUINE FOR COVID-19 TREATMENT: HELP, HYPE OR HARM?" PETER F. WEINBERG, MD, ROBERT DACHS, MD, & DOUGLAS FINCH, MDAPRIL 24, 2020 "COVID-19: CLINICAL AND THERAPEUTIC ASPECTS A CLINICIAN'S PERSPECTIVE" PETER F. WEINBERG, MDMAY 1, 2020 "COVID-19 UPDATE" CAROLYN JONES-ASSINI, MD, ALI MIRZA, MD, DOUGLAS FINCH, MD, GEORGE GIOKAS, MD, J. ANTONIO REYES, MD & JEHANZEB KHAN, MDMAY 15, 2020 "THE NEED FOR PHYSICIAN SELF CARE IN THE MIDST OF A PANDEMIC" DR. ANTHONY SANTILLI & DR. CAROLYN JONES-ASSINIMAY 22, 2020 "COVID-19: INTERNET STORIES FROM CHINA AND BEYOND" KOKWAI YAP, MDMAY 29, 2020 "IMPROVING COMMUNICATION SKILLS IN THE MIDST OF A PANDEMIC & AHA GUIDELINES FOR COAGULAPATHIES AND DVT PREVENTION IN COVID PATIENTS" DR. PATRICIA FORD AND DR. SUNITHA SUKAMARANJUNE 12, 2020 "MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN" DR. ROBERT DACHSOCTOBER 9, 2020 "SARS-COV-2 PLUS SEASONAL INFLUENZA: DOUBLE TROUBLE FOR THE WINTER OF 2020-2021?" DAVID PRATT, MD, MPHOCTOBER 23, 2020 "NEUROLOGIC MANIFESTATION OF COVID-19" RICHARD B. BROOKS, MDFEBRUARY 12, 2021 "HOW THE PANDEMIC HAS EFFECTED OUR COMMUNITY'S MENTAL HEALTH" DR. DAVID OLSENFEBRUARY 26, 2021 "COVID UPDATE: VACCINES AND VARIANTS" ROBERT DACHS, M.D.MAY 14, 2021 "AMC COVID 19 TREATMENT ALGORITHM" DR. GREGORY WUSEPTEMBER 17, 2021 "COVID-19 UPDATE" ROBERT DACHS, MD, MICHAEL LIN, MD, AND DEAN LIMERI, MDJANUARY 21, 2022 "OUTPATIENT MANAGEMENT OF THE ACUTELY INFECTED COVID-19 PATIENT" DR. ROBERT DACHSAPRIL 1, 2022 "NON-INVASIVE VENTILATION FOR THE NON-INTENSIVIST IN THE AGE OF COVID" DR. GREGORY WUOCTOBER 14, 2022 "THE OUTPATIENT TREATMENT OF COVID-19: WHAT'S NEW SINCE WE LAST SPOKE?" DR. ROBERT DACHSDECEMBER 2, 2022 "RATIONING HEALTHCARE DURING A PANDEMIC" DR. TERENCE MEEHAN & DR. ANTHONY SANTILLIJANUARY 27, 2023 "VACCINE DEVELOPMENT" JEFFREY KENNEDY, M.D.NOVEMBER 10, 2023 "COVID UPDATE" DR. ROBERT DACHSCONTINUED ON SCHEDULE O
ELLIS HOSPITAL	PART V, SECTION B, LINE 24: IN 2023, SELF-PAY PATIENTS MAY BE BILLED CHARGES FOR SERVICES RENDERED. ELLIS DOES NOT HAVE A MECHANISM TO KNOW PRE-SERVICE UNLESS ELLIS HAS SPOKEN TO THE PATIENT PRIOR TO THE DATE OF SERVICE, THAT THERE IS NO INSURANCE COVERAGE. FOR INPATIENT ACCOUNTS, THERE IS A DEPARTMENT THAT IS RESPONSIBLE TO CONTACT THE PATIENT WHILE IN-HOUSE TO ASSIST WITH ANY PAYMENT ARRANGEMENTS. THIS INCLUDES ASSISTING THE PATIENT IN OBTAINING HEALTHCARE COVERAGE THROUGH THE NYS MARKETPLACE, NYS MEDICAID, OR FAP. SELF-PAY PATIENTS ARE PROVIDED A 50% DISCOUNT OF CHARGES IF NO INSURANCE IS OBTAINABLE OR IF THE PATIENT REFUSES TO OBTAIN COVERAGE. ELLIS ALSO HAS PRESUMPTIVE ELIGIBILITY PROCESS FOR PATIENTS WHO HAVE NOT PAID THEIR BILL IN FULL PRIOR TO GOING TO BAD DEBT. THE PATIENT MEETS "SCORING CRITERIA" FOR ELLIS FAP, THE BALANCES WILL BE WRITTEN OFF TO PRESUMPTIVE ELIGIBILITY, TO SAFEGUARD AGAINST SEND POTENTIAL FAP QUALIFYING PATIENTS TO BAD DEBT.

Schedule H (Form 990) 2023

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?16
Name and address		Type of Facility (describe)
1	1 - ELLIS HOSPITAL MENTAL HEALTH CLINIC 1023 STATE ST SCHENECTADY,NY12307	MENTAL HEALTH SERVICES
2	2 - GLENVILLE HEALTHCARE CENTER 115 SARATOGA ROAD SUITE 200 GLENVILLE,NY12302	PRIMARY CARE SERVICES, BLOOD DRAW
3	3 - ELLIS HOSPITAL BARIATRIC CENTER 2125 RIVER RD NISKAYUNA,NY12309	BARIATRIC CARE SERVICES
4	4 - ELLIS BLOOD DRAW STATION 2 CHELSEA PLACE CLIFTON PARK,NY12065	BLOOD DRAW
5	5 - ELLIS HOSPITAL PRIMARY CARE 1201 NOTT STREET SCHENECTADY,NY12308	PRIMARY CARE SERVICES
6	6 - ELLIS HOSPITAL NEUROLOGY 1101 NOT STREET B6 SCHENECTADY,NY12308	OUTPATIENT NEUROLOGY
7	7 - ELLIS HOSPITAL PROS PROGRAM 1023 STATE ST SCHENECTADY,NY12307	MENTAL HEALTH SERVICES
8	8 - ELLIS HOSPITAL REHABILITATION SERVICES 650 MCCLELLAN STREET SCHENECTADY,NY12304	PHYSICAL THERAPY SERVICES
9	9 - MEDICAL CENTER OF CLIFTON PARK 103 SITTERLY ROAD CLIFTON PARK,NY12065	24/7 EMERGENT CARE, LAB, MEDICAL IMAGING, PRIMARY CARE AND SPECIALTY SERVICE
10	10 - BLOOD DRAW- NISKAYUNA 2123 RIVER RD NISKAYUNA,NY12309	PROVIDE BLOOD DRAW SERVICES
11	11 - ELLIS CUSHING MEDICAL ARTS BUILDING 624 MCCLELLAN STREET SCHENECTADY,NY12304	FAMILY AND PRIMARY CARE SERVICES
12	12 - ELLIS MEDICINE PRIMARY CARE BALLSTON SPA 990 STATE ROUTE 67 BALLSTON SPA,NY12020	PRIMARY CARE MEDICINE
13	13 - ELLIS HOSPITAL MCCLELLAN ST HEALTH CENT 600 MCCLELLAN STREET SCHENECTADY,NY12304	MEDICAL CENTER
14	14 - ELLIS MEDICINE PRIMARY CARE- MALTA 2537 ROUTE 9 MALTA,NY12020	PRIMARY CARE MEDICINE
15	15 - ELLIS PRIMARY CARE PLUS 624 MCCLELLAN STREET SCHENECTADY,NY12304	PRIMARY CARE MEDICINE
16	16 - ELLIS MEDICINE URGENT AND PRIMARY CARE 200 HARBORSIDE DRIVE SCHENECTADY,NY13205	URGENT AND PRIMARY CARE

Schedule H (Form 990) 2023

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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 3C:	APPEALS PROCESS IF INCOME OVER 300% FPG:1. A FORMAL LETTER WRITTEN TO THE PATIENT FINANCIAL SERVICES DEPARTMENT FOR RE-CONSIDERATION MUST BE RECEIVED WITHIN 2 WEEKS OF DENIAL NOTIFICATION2. CONSIDERATION OF CHANGE IN WAGES THAT WOULD PROVIDE A DIFFERENT RESULT THAN THE CURRENT PAYSTUB OR OTHER PROOF OF INCOME. PROOF OF CHANGE IN WAGES MUST BE RECEIVED IN THIS CASE.3. A REVIEW OF PRIOR PAYMENT HISTORY WILL BE CONDUCTED.4. ALL CASES NEED TO BE BELOW 400% OF THE FEDERAL POVERTY LEVEL TO BE CONSIDERED.5. WITHIN 14 DAYS OF RECEIVING THE LETTER, REVIEW OF THE SUPPORTING DOCUMENTATION WILL TAKE PLACE AND THE DIRECTOR WILL INFORM THE MANAGER OF SELF PAY/CUSTOMER SERVICE OF THE DECISION MADE AND ADVISE TO UPHOLD OR OVERTURN THE ORIGINAL DENIAL DECISION.
PART I, LINE 7:	ELLIS HOSPITAL USED A COST-TO-CHARGE RATIO DERIVED FROM OUR WORKSHEET 2- RATIO OF PATIENT CARE COST TO CHARGES. THE ADJUSTED PATIENT CARE COST IS DIVIDED BY ADJUSTED PATIENT CARE CHARGES RESULTING IN THE RATIO.
PART I, LN 7 COL(F):	THE EXPLANATION OF BAD DEBT EXPENSE CAN BE FOUND IN THE ATTACHED FINANCIAL STATEMENTS, PAGES 15 THROUGH 20.
SCHEDULE H, PART I, LINE 6A	DURING THE TAX YEAR, ELLIS FILED ITS COMMUNITY SERVICE PLAN/COMMUNITY HEALTH IMPROVEMENT PLAN ANNUAL REPORT (EQUIVALENT TO A COMMUNITY BENEFIT REPORT) WITH THE NEW YORK STATE DEPARTMENT OF HEALTH, JOINTLY WITH THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICE. ELLIS MADE AVAILABLE TO THE PUBLIC A COPY OF THE MOST RECENT (2022, 2019, 2016, 2013) FOUR CHNAS AND THE MOST RECENTLY COMPLETED AND FILED IRS FORM 990 (2022) LISTING COMMUNITY BENEFITS BY POSTING THEM TO ITS PUBLIC WEBSITE.
PART II, COMMUNITY BUILDING ACTIVITIES:	ELLIS HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. ELLIS SUCCESSFULLY RESTRUCTURED HEALTH CARE SERVICES IN SCHENECTADY FOLLOWING THE NEW YORK STATE-MANDATED HOSPITAL CONSOLIDATION AND HAS SINCE BEEN WORKING TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF SERVICES TO ITS COMMUNITY BY ALIGNING ITS INNOVATIVE APPROACHES TO COMMUNITY HEALTH WITH THE SERVICES PROVIDED BY OTHER LOCAL COMMUNITY-BASED PUBLIC AND NOT-FOR-PROFIT ORGANIZATIONS. ELLIS IS NOW THE SOLE ACUTE CARE HOSPITAL IN SCHENECTADY COUNTY, AND IS ONE OF THE LARGEST PRIMARY CARE PROVIDERS, HAVING ASSUMED RESPONSIBILITY FOR THE SERVICES OF TWO FORMER HOSPITALS WHICH CLOSED DURING THE STATE'S "RIGHTSIZING" PROCESS. IN THIS IMPORTANT ROLE, ELLIS HAS ENGAGED THE COMMUNITY AND DEVELOPED COALITIONS WITH COMMUNITY PARTNERS IN ORDER TO ENSURE ACCESS TO A FULL RANGE OF HEALTHCARE SERVICES, WITH SPECIAL ATTENTION PAID TO DISADVANTAGED MEMBERS OF OUR COMMUNITY. ELLIS HAS UNDERTAKEN A NUMBER OF SIGNIFICANT CAPITAL PROJECTS TO CONSOLIDATE CARE, ENHANCE ACCESS TO CARE, AND IMPROVE THE OVERALL QUALITY, EFFICIENCY, AND COST-EFFECTIVENESS OF OUR LOCAL HEALTH CARE SYSTEM. ELLIS SERVED AS CO-LEAD AGENCY (WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES) OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). ELLIS HELPS TO MAINTAIN FOR SCHC AN E-MAIL LIST OF APPROXIMATELY 335 INDIVIDUALS FROM ABOUT 60 (SEE PART V, SECTION B, LINE 6B NARRATIVE) HEALTH CARE PROVIDERS, MANAGED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES LOCATED IN OR SERVING PEOPLE IN SCHENECTADY. PRIOR TO THE COVID-19 PANDEMIC EMERGENCY, SCHC MET QUARTERLY AT THE ELLIS MCCLELLAN STREET HEALTH CENTER AUDITORIUM. THE FORMAL AGENDA (SEE PART V, SECTION B, LINE 5 NARRATIVE) INCLUDED PRESENTATIONS ON CURRENT TOPICS AND ACTIVITIES OF INTEREST, ALONG WITH REGULAR PRESENTATIONS ON LOCAL DSRIP AND PHIP INITIATIVES, AND PROVIDED TIME FOR INFORMAL INFORMATION SHARING AMONG THE PARTICIPANTS. AS A RESULT OF COVID-19 ALL MEETINGS DURING 2022 WERE CONDUCTED BY VIDEOCONFERENCE. IN 2023, TWO OF THE QUARTERLY MEETINGS WERE HELD VIA HYBRID MEETING, ALLOWING MEMBERS TO ATTEND IN PERSON FOR THE FIRST TIME SINCE THE PANDEMIC. MEETINGS ARE STILL BEING HELD VIRTUALLY WHEN COMMUNITY SPREAD OF COVID-19 OR INFLUENZA ARE HIGH.SCHC SUPPORTS AD HOC COMMITTEES FOCUSED ON ADDRESSING LOCAL POPULATION HEALTH NEEDS. THESE HAVE INCLUDED GROUPS FOCUSED ON THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS OBESITY/DIABETES, TOBACCO/NICOTINE, AND SUICIDE/MENTAL HEALTH ALONG WITH THOSE INVESTIGATING EMERGING NEEDS AND RESPONSES, PARTICULARLY TRAUMA-INFORMED COMMUNITIES. THE COMMITTEES ENGAGE DIRECTLY AFFECTED MEMBER ORGANIZATIONS AND REPORT TO THE FULL GROUP. THE COMMITTEES ALSO HELP TO EMPHASIZE ACTIVITIES SUPPORTING THE IMPLEMENTATION STRATEGY.ELLIS IS A VOTING MEMBER OF THE HEALTHY CAPITAL DISTRICT (HCD), A COLLABORATIVE MEMBERSHIP ORGANIZATION SUPPORTED BY DUES FROM THE HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, NOT-FOR-PROFIT MANAGED CARE ORGANIZATIONS, AND COUNTY PUBLIC HEALTH DEPARTMENTS IN THE REGION. AN ELLIS EMPLOYEE SERVES ON THE HCDI BOARD OF DIRECTORS. IN ADDITION TO SERVING AS A NEUTRAL CONVENER SUPPORTING REGIONAL COLLABORATION, HCDI HAS BEEN DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) AGENCY FOR THE CAPITAL REGION. THE PHIP RECEIVES STATE FUNDING FOR RESEARCH AND REGIONAL HEALTH PLANNING SUPPORT.IN 2012, ELLIS AND ITS THEN-AFFILIATED VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK (VNS) LED SIX COMMUNITY-BASED ORGANIZATIONS AND TEN HOSPITALS IN A TEN-COUNTY REGION COVERING 20% OF THE GEOGRAPHY OF THE STATE OF NEW YORK IN SUCCESSFULLY RECEIVING A CONTRACT AS A MEDICARE COMMUNITY-BASED CARE TRANSITIONS PROGRAM (CCTP). ALTHOUGH THE CCTP WAS HIGHLY SUCCESSFUL IN REDUCING READMISSIONS AMONG THE PATIENTS IT SERVED, IT DID NOT ACHIEVE THE PATIENT VOLUME REQUIRED BY CMS, AND THE CONTRACT FOR THIS REGION WAS NOT RENEWED BY CMS IN 2014. ELLIS AND ITS REGIONAL PARTNERS CONTINUED TO DELIVER CCTP-LIKE SERVICES TO PATIENTS INSURED BY A REGIONAL NOT-FOR-PROFIT MANAGED CARE ORGANIZATION. A DSRIP "CARE TRANSITIONS" PROJECT SUSTAINED FUNDING FOR CERTAIN PATIENTS.ELLIS AND VNS ALSO LED COMMUNITY PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS IN ESTABLISHMENT OF ONE OF THE FIRST THREE STATE-RECOGNIZED HEALTH HOMES IN UPSTATE NEW YORK. HEALTH HOMES RECEIVE CAPITATED STATE FUNDING TO DELIVER CARE MANAGEMENT SERVICES TO AT-RISK MEDICAID BENEFICIARIES, SPECIFICALLY THOSE WITH TWO OR MORE CHRONIC CONDITIONS, A SEVERE AND PERSISTENT MENTAL HEALTH DIAGNOSIS, OR A DIAGNOSIS OF HIV/AIDS. MUCH OF THE CARE MANAGEMENT IS DELIVERED BY "DOWNSTREAM" COMMUNITY-BASED AGENCIES INCLUDING CATHOLIC CHARITIES CAREGIVERS SERVICE AND THE ALLIANCE FOR POSITIVE HEALTH. IN 2018, ELLIS WITHDREW FROM PROVIDING HEALTH HOME SERVICES IN SCHENECTADY, BUT REMAINS AS A "DOWNSTREAM PROVIDER" FOR THE REGIONAL CAPITAL REGION HEALTH CONNECTIONS HEALTH HOME.ELLIS ALSO PROVIDES SERVICES AND EXPERTISE AT NO CHARGE TO COMMUNITY ORGANIZATIONS. MEETING ROOMS, INCLUDING AUDITORIUMS AT BOTH THE NOTT STREET AND MCCLELLAN STREET CAMPUSES, ARE MADE AVAILABLE AT NO CHARGE FOR CERTAIN COMMUNITY MEETINGS AND GROUPS, INCLUDING RED CROSS BLOOD DRIVES. MANY BOARD MEMBERS, PHYSICIANS AND OTHER STAFF DONATE THEIR SERVICES TO COMMUNITY ORGANIZATIONS. AS EXAMPLES, FACULTY PHYSICIANS AT THE FAMILY MEDICINE RESIDENCY SERVE AS OFFICERS OR BOARD MEMBERS OF SUCH ORGANIZATIONS AS CORNELL COOPERATIVE EXTENSION, SOUTHERN MEDICAL ASSOCIATION, NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE EDUCATION AND RESEARCH COMMITTEE, HEPATITIS C TASK FORCE OF THE CAPITAL REGION, NEW YORK STATE ACADEMY OF FAMILY PHYSICIANS, AND HOMETOWN HEALTH CENTERS (FQHC) CREDENTIALING COMMITTEE. A FORMER MEMBER OF THE ELLIS BOARD OF TRUSTEES SERVED AS CHAIR OF THE BOARD OF HOMETOWN HEALTH CENTERS, AND THE CURRENT MEMBER OF THE ELLIS BOARD CHAIRS THE CITY OF SCHENECTADY MAYOR'S SMART CITY ADVISORY COMMITTEE.ANOTHER EXAMPLE OF ELLIS' COALITION BUILDING ACTIVITIES HAS BEEN ITS PARTICIPATION OVER THE YEARS IN THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES' FEDERALLY-FUNDED STRATEGIC ALLIANCE FOR HEALTH (SAH), WHICH BRINGS TOGETHER A HOST OF HEALTH CARE AND COMMUNITY ORGANIZATIONS TO ADDRESS CHRONIC DISEASE AND TO PROMOTE DISEASE PREVENTION AND WELLNESS. AN ELLIS REPRESENTATIVE PARTICIPATED WHEN THE SAH BOARD HELD REGULAR MEETINGS. ADDITIONALLY, ELLIS WORKS WITH A NUMBER OF COMMUNITY PARTNERS, SUCH AS THE AMERICAN HEART ASSOCIATION AND THE YMCA, TO PROVIDE HEALTH SCREENINGS TO UNINSURED AND UNDERINSURED POPULATIONS IN OUR SERVICE AREA. IN RECENT YEARS, ELLIS PROVIDED OFFICE SPACE AND OTHER IN-KIND SUPPORT FOR THE STATE-SPONSORED SCHENECTADY COUNTY CANCER SERVICES PROGRAM; AND ALSO PROVIDED NO-CHARGE OFFICE SPACE FOR THE VITA INCOME TAX PREPARATION VOLUNTEERS. IN COLLABORATION WITH COMMUNITY PARTNERS, ELLIS OFFERS OUTPATIENT SMOKING CESSATION COURSES AND SPONSORS PEER-DRIVEN MENTAL HEALTH AND CANCER PATIENT SUPPORT GROUPS. AND, ELLIS COOPERATES WITH COMMUNITY GROUPS TO FACILITATE ACCESS TO HEALTHY FOODS FOR PEOPLE THROUGH THE COMMUNITY. IN PAST YEARS, ACTING IN COLLABORATION WITH THE SCHENECTADY COUNTY PLANNING DEPARTMENT AND THE COOPERATIVE EXTENSION, ELLIS HOSTED A WEEKLY FARMERS' MARKET IN THE PARKING LOT OF THE ELLIS HEALTH CENTER DURING THE SUMMER MONTHS. AS PART OF A COUNTY GRANT, PHYSICIANS AT THE FAMILY HEALTH CENTER "PRESCRIBED" FRESH VEGETABLES TO AT-RISK PATIENTS. THE "PRESCRIPTION" CONSTITUTED A VOUCHER FOR NO-CHARGE LOCALLY-GROWN VEGETABLES WHICH WERE DISTRIBUTED AT A "FARM STAND" LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER. DURING 2018-2023, A "FOOD FARMACY" FOOD PANTRY, SPECIFICALLY FOCUSED ON ENSURING THE AVAILABILITY OF HEALTHY FOOD TO PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL, WAS LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER, FUNDED BY A DSRIP GRANT. IN OTHER RECENT YEARS, ELLIS OFFERED USE OF THE PARKING LOT AT THE MCCLELLAN STREET HEALTH CENTER TO THE SCHENECTADY INNER CITY MINISTRY (SICM) MOBILE MEALS TRUCK WHICH PROVIDES FREE BREAKFASTS AND LUNCHES FOR CHILDREN AGE 18 OR UNDER DURING THE SUMMER WHEN SCHOOLS ARE CLOSED. ONE-HUNDRED PERCENT OF CHILDREN ATTENDING THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD) SCHOOLS ARE ELIGIBLE FOR FREE SCHOOL LUNCHES.MEDICAL RESIDENTS FROM THE ELLIS FAMILY MEDICINE RESIDENCY DONATE THEIR TIME AND EXPERTISE TO STAFF FREE COMMUNITY-BASED MEDICAL CLINICS. RESIDENT-STAFFED FREE CLINICS AT THE SCHENECTADY CITY MISSION AND, SINCE 2018, AT BETHESDA HOUSE SERVE UNINSURED, HOMELESS INDIVIDUALS IN THE CITY OF SCHENECTADY. ELLIS STAFF MEMBERS ALSO SIT ON NUMEROUS COMMUNITY BOARDS AND HEALTHCARE COALITIONS TO TARGET IMPROVEMENTS IN SUCH AREAS AS DIABETES, LONG TERM CARE, CANCER, HOSPITAL READMISSION RATES, WORKFORCE DEVELOPMENT, AND HEALTHY LIVING.
PART III, LINE 2:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS ON PART III, COST TO CHARGE RATIO WAS APPLIED AT 100%. BAD DEBTS ALREADY REPRESENTED AS EXPENSE ON FINANCIALS, THEREFORE NO NEED TO APPLY RCC HERE.
PART III, LINE 3:	IN 2023, UNDER THE FINANCIAL ASSISTANCE POLICY, THERE WAS NO SLIDING SCALE. THIS MEANS THAT IF A PATIENT QUALIFIED FOR FINANCIAL ASSISTANCE, THE PATIENT BALANCE WAS WRITTEN OFF AT 100% TO CHARITY CARE. THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 4:	SEE ATTACHED FINANCIAL STATEMENTS, PAGES 15 THROUGH 20.
PART III, LINE 8:	ELLIS BELIEVES THAT THE MEDICARE SHORTFALL REPORTED ON PART III LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. FIRST, ELLIS IS THE ONLY ACUTE CARE GENERAL HOSPITAL IN SCHENECTADY, AND THUS PROVIDES VITAL HEALTH CARE SERVICES FOR MEDICARE BENEFICIARIES WHICH WOULD OTHERWISE BE UNAVAILABLE IN THE COMMUNITY. SECOND, THE INCOME LEVEL AND POVERTY RATE IN THE COMMUNITY DEMONSTRATE THE CHALLENGES WHICH WOULD BE FACED IF ELLIS WERE NOT ABLE TO PROVIDE CARE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. FOR EXAMPLE, THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE WHICH IN TURN IS BELOW THAT OF THE STATE. THE POVERTY RATE IN THE CITY IS OVER 1.83 TIMES HIGHER THAN THAT OF THE COUNTY AS A WHOLE. (US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED AUGUST 2, 2024) THIRD, MEDICARE BENEFICIARIES ARE AMONG THOSE AFFECTED BY INCOME DISPARITIES WITHIN SCHENECTADY. OVER ONE THIRD (33.5%) OF THE RESIDENTS OF THE LARGELY MINORITY (84% NON-WHITE) HAMILTON HILL NEIGHBORHOOD ARE BELOW THE FEDERAL POVERTY LEVEL (2020 U.S. CENSUS). RESIDENTS OF THIS NEIGHBORHOOD ARE AMONG THE HEAVIEST USERS OF HOSPITAL SERVICES. FINALLY, ABOUT 21% OF ELLIS' DISCHARGES ARE ENROLLED IN MEDICAID, WHO, BY VIRTUE OF THEIR MEDICAID ELIGIBILITY, ARE LOW-INCOME INDIVIDUALS. HENCE, THE FINANCIAL LOSSES INCURRED IN TREATING MEDICARE PATIENTS DETRACT FROM THE ABILITY OF THE HOSPITAL TO SERVE OTHER LOW-INCOME PATIENTS AND RESIDENTS, AND THE ABILITY OF THE HOSPITAL TO FUNCTION IN SPITE OF THESE LOSSES REPRESENTS A COMMUNITY BENEFIT.
PART III, LINE 9B:	THE COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR PRESUMPTIVE CHECK, THOSE ACCOUNTS ARE WRITTEN OFF IMMEDIATELY AND THERE ARE NO COLLECTION EFFORTS. IF THE PATIENT DOESN'T QUALITY BASED ON THE PRESUMPTIVE CHECK, THOSE PATIENTS ARE TREATED THE SAME AS EVERYONE ELSE UNTIL SUCH TIME AS THEY APPLY FOR ASSISTANCE. IF A PATIENT HAD ASSISTANCE IN THE PAST AND THE TIMEFRAME HAS EXPIRED, THEY ARE REQUIRED TO RE-APPLY AS THERE ARE MANY SITUATIONS THAT MAY IMPACT WHETHER OR NOT A PATIENT WILL QUALIFY FOR ASISSTANCE. AS SOON AS ASSISTANCE IS APPROVED, ANY COLLECTION EFFORTS THAT MAY HAVE BEGAN ARE HAULTED IMMEDIATELY.
PART VI, LINE 2:	THE COMMUNITY HEALTH NEEDS ASSESSMENTS REQUIRED EACH THREE YEARS PURSUANT TO FEDERAL AND STATE LAW CONSTITUTE THE PRIMARY METHOD WHICH ELLIS USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE ASSESSMENTS CONSUME SUBSTANTIAL HOSPITAL RESOURCES AND GENERATE COMPREHENSIVE REPORT DOCUMENTS.TWO ADDITIONAL COMPREHENSIVE ASSESSMENT DOCUMENTS HAVE BEEN PRODUCED FOR THE SCHENECTADY COMMUNITY IN RECENT YEARS. 1) IN 2014, AS PART OF THE STATE-REQUIRED DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), ELLIS AND OTHER HOSPITALS IN NEW YORK'S CAPITAL REGION ENGAGED THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED SPECIFICALLY ON THE NEEDS OF MEDICAID BENEFICIARIES WHICH WERE TO BE SERVED BY THE DSRIP PROGRAM. THE 224-PAGE ASSESSMENT IS POSTED ON THE STATE HEALTH DEPARTMENT WEBSITE: HTTPS://WWW.HEALTH.NY.GOV/HEALTH_CARE/MEDICAID/REDESIGN/DSRIP/PPS_APPLICATIONS/DOCS/ALBANY_MEDICAL_CENTER_HOSPITAL/3.8_ALBANY_MED_CNA.PDF2) THE SCHENECTADY COMMUNITY ACTION PROGRAM (SCAP), A SIGNIFICANT COMMUNITY PARTNER, IS REQUIRED AS A CONDITION OF ITS RECEIPT OF FEDERAL FUNDING TO CONDUCT PARALLEL COMMUNITY NEEDS ASSESSMENTS. A COMPREHENSIVE ASSESSMENT WAS CONDUCTED IN 2021. THE RESULTS, WHICH PARALLEL THE FINDINGS OF THE OTHER CHNAS, ARE AVAILABLE HERE: HTTP://SCAPNY.ORG/PUBLICATIONS/ .ELLIS MONITORS OTHER RESOURCES TO IDENTIFY AND ASSESS COMMUNITY HEALTH CARE NEEDS. THESE INCLUDE:1) INFORMATION FROM COMMUNITY ORGANIZATIONS AS REPORTED AT THE QUARTERLY MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY.2) PATIENT SATISFACTION DATA AS REPORTED FROM FORMAL (E.G., CAHPS) AND INFORMAL (E.G., NURSING ROUNDS) SOURCES.3) COMMUNITY LEADER COMMENTS OBTAINED FROM FORMAL MEETINGS (E.G., CHAMBER OF COMMERCE) AND INFORMAL CONTACT (E.G., PERIODIC MEETINGS WITH THE MAYOR, STATE LEGISLATORS, AND THE LOCAL MEMBER OF CONGRESS).4) AN ANNUAL, ANONYMOUS, FORMAL ASSESSMENT OF ELLIS EMPLOYEE SATISFACTION, AS WELL AS EMPLOYEE COMMENTS RECEIVED THROUGH SUCH SOURCES AS THE COMPLIANCE PROGRAM AND UNION MEETINGS.5) COMPARATIVE DATA OBTAINED FROM REGIONAL ORGANIZATIONS INCLUDING THE MEDICARE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK) AND THE MEDICAID DSRIP SYSTEM (ALLIANCE FOR BETTER HEALTH).6) COMPARATIVE DATA OBTAINED FROM REGULATORY AGENCIES, SUCH AS THE NEW YORK STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), AND FEDERAL HOSPITAL COMPARE.7) COMMENTS RECEIVED FROM PATIENTS AND COMMUNITY MEMBERS THROUGH THE ELLIS WEBSITE ( HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX ) AND OTHER ONLINE COMMUNICATIONS TOOLS SUCH AS FACEBOOK AND TWITTER.
PART VI, LINE 3:	ELLIS MEDICINE PROVIDES FINANCIAL ASSISTANCE INFORMATION (IN BOTH ENGLISH AND SPANISH) ABOUT PROGRAMS AVAILABLE TO ASSIST PATIENTS IN PAYING FOR THEIR BILLS, INCLUDING FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER ELLIS'S FINANCIAL ASSISTANCE POLICY. SUCH INFORMATION IS INCLUDED: 1) THROUGH TELEPHONE CONTACT INFORMATION PRINTED ON PATIENT INVOICES,2) ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/FINANCIAL-ASSISTANCE/DEFAULT.ASPX) 3) IN READILY AVAILABLE AND PUBLICLY DISTRIBUTED BROCHURES, AND 4) THROUGH FLYERS AND POSTERS VISIBLE THROUGHOUT THE ORGANIZATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE ONLINE AT THE ELLIS WEBSITE NOTED ABOVE. ADDITIONALLY, ELLIS EMPLOYS FINANCIAL ADVOCATES WHO ASSIST PATIENTS IN DETERMINING THE AVAILABILITY OF AND THEIR ELIGIBILITY FOR GOVERNMENT PROGRAMS INCLUDING MEDICAID, SUBSIDIZED INSURANCE PROGRAMS THROUGH THE NEW YORK STATE OF HEALTH EXCHANGE, AND FREE OR LOW-COST CARE THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ADVOCATES THEN ASSIST PATIENTS WITH COMPLETING THE NEEDED PAPERWORK, INCLUDING BEDSIDE VISITS AS NECESSARY. FOR MORE THAN A DECADE, ELLIS MEDICINE HAS INCLUDED AFFIRMATIVE FINANCIAL ASSISTANCE OUTREACH AS PART OF ITS COMMUNITY-BASED POPULATION HEALTH PROGRAMS. PRIOR TO CREATION OF THE HEALTH INSURANCE ENROLLMENT PROGRAMS BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (PPACA), ELLIS OFFERED MEDICAID ENROLLMENT THROUGH EMPLOYEES "DEPUTIZED" BY THE SCHENECTADY COUNTY DEPARTMENT OF SOCIAL SERVICES, THROUGH MEDICAID FACILITATED ENROLLERS EMPLOYED BY THE NOT-FOR-PROFIT HEALTH CAPITAL DISTRICT INITIATIVE (HCDI), AND THROUGH FIDELIS, AT THAT TIME THE LARGEST NOT-FOR-PROFIT MEDICAID MANAGED CARE ORGANIZATION SERVING SCHENECTADY COUNTY.WITH THE ADVENT OF THE PPACA, ELLIS BEGAN INVITING ON-SITE SERVICES OF HEALTH INSURANCE NAVIGATORS (ALSO KNOWN AS "IN PERSON ASSISTORS") FROM ALL FOUR NOT-FOR-PROFIT ORGANIZATIONS (PUBLIC POLICY AND EDUCATION FUND, HEALTHY CAPITAL DISTRICT INITIATIVE, CAPITAL DISTRICT BLACK CHAMBER OF COMMERCE, AND UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE) DESIGNATED AS SERVING SCHENECTADY COUNTY PURSUANT TO THE PPACA. NAVIGATORS SEE UNINSURED RESIDENTS AT BOTH THE NOTT STREET AND ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUSES, AS WELL AS AT OTHER COMMUNITY LOCATIONS. ELLIS-EMPLOYED FINANCIAL ADVOCATES ALSO COMPLETED STATE-APPROVED TRAINING AND ARE QUALIFIED AS NEW YORK STATE CERTIFIED APPLICATION COUNSELORS (CACS); TRAINED TO HELP PEOPLE ENROLL BOTH IN MEDICAID AS WELL AS IN "EXCHANGE" INSURANCE PRODUCTS.ADDITIONALLY, ELLIS OFFERS ITS FINANCIAL ADVOCATES INFORMATION LINE (518-243-3460) THROUGH WHICH PATIENTS WITHOUT INSURANCE CAN RECEIVE INFORMATION ABOUT HOW MUCH THEIR CARE WILL COST AT ELLIS MEDICINE, INCLUDING INSURANCE ENROLLMENT AND PAYMENT PLANS. ANOTHER TELEPHONE RESOURCE (518-243-1695) PROVIDES CALLERS WITH ESTIMATES OF THE TOTAL COST OF PROCEDURES AND HOSPITALIZATIONS, AS MORE AND MORE PATIENTS ARE PAYING HIGHER DEDUCTIBLES AND ARE CONCERNED ABOUT THE COST TO THEM OUT-OF-POCKET. THIS IS PARTICULARLY SIGNIFICANT IN ELLIS' PRIMARY SERVICE AREA, AS THE LARGEST LOCAL EMPLOYER HAS CONVERTED TO A HIGH-DEDUCTIBLE HEALTH INSURANCE PLAN FOR MOST OF ITS EMPLOYEES.
PART VI, LINE 4:	FOR THE PURPOSES OF DETERMINING COMMUNITY NEEDS PURSUANT TO THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ELLIS HOSPITAL DEFINES THE "COMMUNITY" IT SERVES AS CONSISTING OF SCHENECTADY COUNTY, INCLUDING THE CITY OF SCHENECTADY AND THE TOWNS OF DUANESBURG, GLENVILLE, PRINCETOWN, NISKAYUNA, AND ROTTERDAM. THERE ARE SEVERAL REASONS FOR THIS DEFINITION:-THE GEOGRAPHY OF SCHENECTADY COUNTY IS VERY SIMILAR TO THE PRIMARY SERVICE AREA (PSA) OF THE HOSPITAL. ELLIS USES AN INDUSTRY-STANDARD DEFINITION (THE CONTIGUOUS ZIP CODES IN WHICH THE FIRST 60% OF THE HOSPITAL'S INPATIENTS LIVE) TO DETERMINE ITS PSA. ELLIS' PSA CONSISTS OF THE ENTIRE RANGE OF 123NN ZIP CODES (12302, 12303, 12304, 12305, 12306, 12307, 12308, AND 12309), WHICH CONSTITUTES ALL OF THE CITY OF SCHENECTADY AND MOST OF THE POPULATION OF THE REMAINDER OF SCHENECTADY COUNTY, AS WELL AS THE 12065 ZIP CODE REPRESENTING THE TOWN OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY. (THE DESIGN OF THE ZIP CODE SYSTEM IS NOT ALIGNED WITH COUNTY OR OTHER POLITICAL BOUNDARIES. THE RURAL WESTERNMOST PORTION OF SCHENECTADY COUNTY IS NOT INCLUDED IN THE ZIP CODE-DEFINED PSA DUE TO LOW POPULATION, WHILE CERTAIN AREAS OF ALBANY AND SARATOGA COUNTIES DO FALL WITHIN THE SCHENECTADY ZIP CODES.) ALTHOUGH ELLIS ACTIVELY SERVES PEOPLE WITHIN ITS SECONDARY SERVICE AREA (SSA), THE GEOGRAPHIC BOUNDARIES OF THOSE ADDITIONAL ZIP CODES (THE ADDITIONAL CONTIGUOUS ZIP CODES IN WHICH THE NEXT 20% OF INPATIENTS LIVE, FOR AN APPROXIMATE TOTAL OF 80% OF INPATIENT VOLUME) STRETCH ACROSS FIVE COUNTIES AND INCLUDE PORTIONS OF THE SERVICE AREAS OF AT LEAST SIX OTHER HOSPITALS. RETAINING A FOCUS ON THE SCHENECTADY COMMUNITY WILL PERMIT DEVELOPMENT OF AN ACTIONABLE IMPLEMENTATION PLAN WHICH CAN TARGET COHESIVE POPULATIONS.-POPULATION AND HEALTH DATA ARE COMMONLY AVAILABLE BY COUNTY. THE NEW YORK STATE DEPARTMENT OF HEALTH AND OTHER STATE GOVERNMENT AGENCIES MAINTAIN DATA BY COUNTY, THE HEALTHY CAPITAL DISTRICT INITIATIVE PROVIDES COMPARISON DATA BY COUNTY WITHIN THE REGION, AND DATA COLLECTED BY THE UNITED STATES CENSUS ARE FREQUENTLY AT THE COUNTY AND CITY LEVEL. ALTHOUGH CONVENIENCE IS NOT IN AND OF ITSELF A REASON TO DEFINE "COMMUNITY," THE AVAILABILITY OF SOLID DATA, INCLUDING BASELINE AND COMPARISON DATA, WILL PROVIDE A BETTER BASIS FOR PLANNING, AND AN EXTERNALLY VERIFIABLE SOURCE FOR OUTCOME MEASURES.-ELLIS HAS ESTABLISHED STRONG PARTNERSHIPS WITH OTHER HEALTHCARE AND COMMUNITY SERVICE ORGANIZATIONS WHICH ARE LOCATED IN AND SERVE SCHENECTADY COUNTY. THE "MEDICAL HOME GROUP," A LOOSE AFFILIATION OF COMMUNITY ORGANIZATIONS CREATED AT THE TIME OF THE THREE-HOSPITAL CONSOLIDATION, HAS EVOLVED INTO THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY; OVER 60 COMMUNITY GROUPS INCLUDING BUSINESSES, LOCAL GOVERNMENT AGENCIES, HEALTHCARE AND SOCIAL SERVICES PROVIDERS AND COMMUNITY AGENCIES, FAITH-BASED ORGANIZATIONS, AND ADVOCACY GROUPS WHOSE LEADERS MEET QUARTERLY AT ELLIS. BY FOCUSING "COMMUNITY" ON A POPULATION WELL-SERVED BY A COORDINATED ARRAY OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND COMMUNITY SERVICE ORGANIZATIONS IN COORDINATION WITH STRONG LOCAL GOVERNMENT AGENCIES, A COMMUNITY-WIDE ACTION PLAN CAN LEVERAGE THE HOSPITAL'S IMPLEMENTATION PLAN THROUGH THE EFFICIENT AND EFFECTIVE USE OF MULTIPLE RESOURCES.-SELECTION OF SCHENECTADY COUNTY AS THE "COMMUNITY" IS CONSISTENT WITH REGULATORY REQUIREMENTS TO ASSURE INCLUSION OF "MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS," AS THESE POPULATIONS REPRESENT A GREATER SHARE OF THE POPULATION IN SCHENECTADY COUNTY THAN THEY WOULD IF DIFFUSED AMONG THE FIVE COUNTIES OF THE SECONDARY SERVICE AREA.SCHENECTADY COUNTY (2023 ESTIMATED POPULATION: 159,902) IS, GEOGRAPHICALLY, THE SECOND SMALLEST COUNTY IN UPSTATE NEW YORK. IT CONSISTS OF FIVE TOWNS, TWO PRIMARILY RURAL AND THREE PRIMARILY SUBURBAN, SURROUNDING THE CENTRALLY-LOCATED CITY OF SCHENECTADY (2023 ESTIMATED POPULATION: 68,544). THE COUNTY IS LOCATED IMMEDIATELY WEST OF THE STATE CAPITAL OF ALBANY AND MANY OF ITS RESIDENTS COMMUTE TO JOBS IN ALBANY AND THE OTHER COUNTIES COMPRISING NEW YORK'S CAPITAL REGION.SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), A UNIT OF COUNTY GOVERNMENT, IS RESPONSIBLE FOR ALL PUBLIC HEALTH AND ENVIRONMENTAL HEALTH ACTIVITIES AND ENFORCEMENT THROUGHOUT THE CITY AND COUNTY. THE COUNTY CONTAINS A SINGLE NON-PROFIT ACUTE CARE HOSPITAL ELLIS HOSPITAL (ALSO KNOWN BY THE TRADE NAME ELLIS MEDICINE), AND A SINGLE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HOMETOWN HEALTH CENTER. THERE IS ALSO A NON-PROFIT SPECIALTY HOSPITAL (SUNNYVIEW REHABILITATION HOSPITAL) WHICH IS A MEMBER OF THE ALBANY-BASED ST. PETER'S HEALTH PARTNERS SYSTEM. THERE IS ONE MEDICALLY UNDERSERVED POPULATION; THE HOMEBOUND POPULATION OF SCHENECTADY COUNTY (ID #06211). THE ENTIRE CITY OF SCHENECTADY IS A FEDERALLY-DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR THE MEDICAID POPULATION FOR MENTAL HEALTH, DENTAL HEALTH, AND PRIMARY CARE. ELLIS HOSPITAL'S FQHC PARTNER, HOMETOWN HEALTH CENTERS, HAS BEEN DESIGNATED BY HRSA AS A NATIONAL HEALTH SERVICE CORPS PRACTICE SITE. SEE SCHEDULE O.
PART VI, LINE 5:	ELLIS MEDICINE FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH:1) A VOLUNTEER BOARD OF TRUSTEES THAT IS COMPRISED OF COMMUNITY MEMBERS AND EX-OFFICIO MEDICAL STAFF MEMBERS WHO SERVE THREE-YEAR TERMS, UP TO A THREE-TERM MAXIMUM. THE ELLIS BOARD CONSISTS OF 15 VOTING TRUSTEES 12 NON-CLINICIAN RESIDENTS OF THE CAPITAL REGION, PLUS TWO PHYSICIANS AND ONE NURSE. ELLIS DOES NOT HAVE A PARENT CORPORATION.2) MEDICAL PRIVILEGES AT ELLIS HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS AND OTHER CLINICAL PROVIDERS. AN OPEN MEDICAL STAFF CONSISTS OF OVER 700 AFFILIATED PHYSICIANS AND OTHER PROVIDERS; INCLUDING ON-SITE PHYSICIANS AND PODIATRISTS; TELEMEDICINE PROVIDERS; ADVANCED PRACTICE PROVIDERS; AND OTHER MEDICAL PROFESSIONALS INCLUDING THOSE IN RESEARCH AND TEACHING. ELLIS' MEDICAL STAFF IS LED BY A MEDICAL EXECUTIVE COMMITTEE (MEC). THE MEC PLAYS AN INTEGRAL PART IN THE HOSPITAL'S CORPORATE STRUCTURE AND DAILY OPERATIONS. THE MEC AND THE DEPARTMENT CHAIRS, WHO OVERSEE SPECIFIC CLINICAL SERVICES, WORK COLLABORATIVELY WITH THE HOSPITAL'S VOLUNTEER BOARD OF TRUSTEES, ADMINISTRATORS, AND STAFF TO ENSURE THE HIGHEST QUALITY OF CARE IS DELIVERED TO PATIENTS AND THAT THE COMMUNITY'S HEALTHCARE NEEDS ARE MET WITH EXCELLENCE. PHYSICIANS ALSO SERVE AS MEMBERS OF THE HOSPITAL'S BOARD OF TRUSTEES, AND THEY ARE DIRECTLY INVOLVED IN THE HOSPITAL'S ANNUAL BUDGET PROCESS: THEY RANK AND PRIORITIZE ALL CAPITAL ITEMS IN THE HOSPITAL'S CAPITAL BUDGET AND THEY SIGN OFF ON VOLUME PROJECTIONS FOR THE HOSPITAL'S ANNUAL OPERATING BUDGET.3) OPERATION OF A STATE-OF-THE-ART FULL SERVICE, FULLY STAFFED EMERGENCY ROOM INCLUDING A MENTAL HEALTH CRISIS UNIT AT THE NOTT STREET CAMPUS WHICH IS OPEN 24 HOURS-A-DAY, SEVEN DAYS-A-WEEK, 365 DAYS-A-YEAR. THE NEW FACILITY, WHICH COST $61 MILLION AND OPENED IN DECEMBER 2014, REPLACED TWO SMALLER AND LESS EFFICIENT FACILITIES WHICH HAD BEEN LOCATED WITHIN A MILE OF EACH OTHER. IN ADDITION, ELLIS PROVIDES SEVEN-DAYS-A-WEEK EMERGENT CARE SERVICES AT THE MEDICAL CENTER OF CLIFTON PARK (THE ONLY SUCH SERVICES IN SOUTHERN SARATOGA COUNTY), AND SEVEN-DAYS-A-WEEK URGENT CARE SERVICES AT MOHAWK HARBOR IN SCHENECTADY. ELLIS' INTENDS TO BE FULLY COMPLIANT WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) AND OTHER LAWS AND REGULATIONS REQUIRING SERVICES TO ALL THOSE IN NEED OF EMERGENCY CARE REGARDLESS OF THEIR ABILITY TO PAY. 4) THE WORK OF THE FOUNDATION FOR ELLIS MEDICINE, A 501 (C) (3) TAX-EXEMPT CHARITABLE ORGANIZATION WHOSE SOLE PURPOSE IS TO ENCOURAGE PHILANTHROPIC SUPPORT FOR ELLIS HOSPITAL. THE FOUNDATION WAS INITIALLY ESTABLISHED IN 1982 AS THE ELLIS HOSPITAL FOUNDATION AND IS GOVERNED BY A SEPARATE BOARD OF TRUSTEES. FUNDS RAISED THROUGH THE FOUNDATION'S ACTIVITIES ARE USED TO ASSIST THE HOSPITAL IN ACQUIRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND TO SUPPORT A WIDE RANGE OF HEALTH CARE PROGRAMS AND SERVICES. 5) REINVESTING ITS SURPLUS FUNDS TO EXPAND/REPLACE/MODERNIZE ITS FACILITIES AND MEDICAL EQUIPMENT; SUPPORT PROGRAMS/ACTIVITIES AIMED AT IMPROVING QUALITY OF CARE AND PATIENT SAFETY; TRAIN AND EDUCATE ITS MEDICAL AND NURSING STAFFS; AND TO IMPROVE THE OVERALL DELIVERY OF AND ACCESSIBILITY TO HEALTH CARE SERVICES IN THE COMMUNITY.ELLIS MEDICINE DEMONSTRATES LEADERSHIP AS A CHARITABLE INSTITUTION BY ORGANIZING AND PARTICIPATING IN COMMUNITYWIDE EFFORTS FOR LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS; REACHING OUT TO THE UNDERSERVED TO PROVIDE NEEDED PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AND HEALTH EDUCATION; ATTRACTING AND USING FUNDS TO PROVIDE FINANCIAL ASSISTANCE AND OTHER SUPPORT; PARTICIPATING IN MEDICAID AND OTHER FEDERAL, STATE, AND LOCAL HEALTH CARE REIMBURSEMENT PROGRAMS SUCH AS CHILD HEALTH PLUS; AND FORMALLY PLANNING FOR AND PROVIDING FINANCIAL ASSISTANCE WHILE MAINTAINING A POLICY OF PROVIDING CARE TO ALL PERSONS IN NEED.
PART VI, LINE 6:	ELLIS HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL AND DURING 2023 WAS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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 .....

Yes

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? ....

Yes

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? ..................

Yes

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 ............

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) 2023

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)
1PAUL A MILTON PRESIDENT / CEO	(i) (ii)	626,165 ------------- 0	152,500 ------------- 0	25,217 ------------- 0	13,200 ------------- 0	16,729 ------------- 0	833,811 ------------- 0	0 ------------- 0
2KEITH C WILLARD REGISTERED NURSE	(i) (ii)	618,278 ------------- 0	0 ------------- 0	1,205 ------------- 0	19,800 ------------- 0	1,654 ------------- 0	640,937 ------------- 0	0 ------------- 0
3MARC MESICK VICE PRESIDENT / CFO	(i) (ii)	421,210 ------------- 0	91,155 ------------- 0	845 ------------- 0	13,200 ------------- 0	2,600 ------------- 0	529,010 ------------- 0	0 ------------- 0
4DAVID M LIEBERS MD CMO	(i) (ii)	420,284 ------------- 0	0 ------------- 0	2,717 ------------- 0	1,960 ------------- 0	15,570 ------------- 0	440,531 ------------- 0	0 ------------- 0
5NANCY O BARNARD REGISTERED NURSE	(i) (ii)	248,236 ------------- 0	0 ------------- 0	795 ------------- 0	10,166 ------------- 0	16,128 ------------- 0	275,325 ------------- 0	0 ------------- 0
6BINDU JOHN REGISTERED NURSE	(i) (ii)	253,982 ------------- 0	0 ------------- 0	429 ------------- 0	8,834 ------------- 0	1,920 ------------- 0	265,165 ------------- 0	0 ------------- 0
7HASSAN ABBAS MEDICAL PHYSICIST	(i) (ii)	235,287 ------------- 0	0 ------------- 0	701 ------------- 0	9,867 ------------- 0	17,482 ------------- 0	263,337 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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 1A

ELLIS HOSPITAL HAS A CORPORATE MEMBERSHIP AT THE MOHAWK GOLF CLUB THAT IS IN THE CEO'S NAME. HOWEVER THE CLUB IS USED FOR BUSINESS PURPOSES AND FUNCTIONS ONLY.

PART I, LINE 6

THE CEO, CFO, AND VICE PRESIDENTS ARE PROVIDED AN INCENTIVE COMPENSATION PLAN. (ICP) THE ICP PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. THE PLAN IS BASED ON PRESET GOALS, FINANCIAL BENCHMARKS, AND INDIVIDUAL GOALS. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. PAYMENTS ARE MADE ANNUALLY AFTER THE YEAR HAS BEEN COMPLETED.

Schedule J (Form 990) 2023

Additional Data

Software ID:
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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CRISTINE CIOFFI	TRUSTEE	89,235	SON IS EMPLOYEE		No
(2) NICHOLAS MONTALTO MD	TRUSTEE	41,726	MEDICAL SERVICES		No
(3) ANTHONY SANTILLI MD	TRUSTEE	1,340,760	BUSINESS CONTRACT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

CRISTINE CIOFFI'S SON PATRICK SHARKEY IS AN INTERVENTIONAL RADIOLOGY NURSE. ($89,235 -COMPENSATION). DR. NICHOLAS MONTALTO IS A PHYSICIAN FOR ELLIS HOSPITAL. HE IS ALSO THE CHIEF OF STAFF AND RECEIVED COMPENSATION OF $41,726.DR. ANTHONY SANTILLI OWNS SCHENECTADY PULMONARY AND CRITICAL CARE ASSOCIATES WHICH IS CONTRACTED WITH ELLIS HOSPITAL. HE IS ALSO THE CHIEF OF STAFF ELECT AND RECEIVED COMPENSATION OF $1,340,761.

Schedule L (Form 990) 2023

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

Return Reference	Explanation
FORM 990, PART III, LINE 4A	ELLIS HOSPITAL (D/B/A ELLIS MEDICINE), THE SOLE PROVIDER OF ACUTE HOSPITAL CARE IN SCHENECTADY COUNTY, IS A VOLUNTARY, NOT-FOR-PROFIT, COMMUNITY AND TEACHING HOSPITAL WITH MORE THAN 400 LICENSED BEDS BETWEEN TWO INPATIENT CAMPUSES (ELLIS HOSPITAL AND BELLEVUE WOMAN'S CENTER), INCLUDING 52 INPATIENT MENTAL HEALTH BEDS (SEE ITEM 4B BELOW). ELLIS ALSO OPERATES SEVERAL PRIMARY CARE AND OUTPATIENT SITES, INCLUDING TWO OUTPATIENT CAMPUSES (MCCLELLAN STREET HEALTH CENTER IN THE CITY OF SCHENECTADY AND MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY) AND AN OUTPATIENT MENTAL HEALTH FACILITY (STATE STREET HEALTH CENTER). HEALTH CARE SERVICES ARE PROVIDED UNDER A SINGLE CORPORATE TAXPAYER IDENTIFICATION NUMBER (TIN) AND A SINGLE OPERATING CERTIFICATE ISSUED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, THE HOSPITAL'S PRIMARY REGULATOR. THE HOSPITAL IS OVERSEEN BY A VOLUNTEER BOARD OF TRUSTEES DRAWN FROM THE COMMUNITY AND THE MEDICAL STAFF, INCLUDING THREE PHYSICIAN TRUSTEES. WITH THE MISSION TO "MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE," ELLIS BALANCES STATE-OF-THE-ART TECHNOLOGY AND ADVANCED MEDICAL PROCEDURES WITH A 138-YEAR TRADITION OF COMMUNITY-BASED CARING AND A FIRM COMMITMENT TO QUALITY. ELLIS COUNTED 8,754 MEDICAL/SURGICAL INPATIENT DISCHARGES FROM THE ELLIS HOSPITAL (NOTT STREET) INPATIENT FACILITY, PERFORMED 5,749 AMBULATORY (OUTPATIENT) PROCEDURES, AND HANDLED 148,254 "REFERRED AMBULATORY VISITS" (E.G., LABORATORY TESTS, MEDICAL IMAGING) AT ALL LOCATIONS DURING 2023. IN 2023, ELLIS PROVIDED $8,397,735 IN FINANCIAL ASSISTANCE (CHARITY CARE) ON A "CHARGE" BASIS, TRANSLATING TO A "COST" BASIS OF $2,875,987. ELLIS HAS EARNED NUMEROUS RECOGNITIONS FOR CLINICAL EXCELLENCE AND COMMUNITY SERVICE. IN RECENT YEARS, THE ELLIS HOSPITAL EMERGENCY DEPARTMENT ACHIEVED CERTIFICATION AS A CERTIFIED AUTISM CENTER, THE FIRST HOSPITAL EMERGENCY DEPARTMENT IN THE NATION TO EARN THAT DESIGNATION GRANTED BY THE INTERNATIONAL BOARD OF CREDENTIALING AND CONTINUING EDUCATION STANDARDS (IBCCES). ELLIS WAS A NEW YORK STATE DESIGNATED STROKE CENTER, AND WAS THE FIRST HOSPITAL IN NEW YORK STATE TO RECEIVE THE AMERICAN STROKE ASSOCIATION'S (ASA) PERFORMANCE ACHIEVEMENT AWARD FOR STROKE. THE ELLIS STROKE CENTER HAS BEEN A RECIPIENT OF THE GOLD/GOLD PLUS AWARD, RECOGNIZED FOR USING THE ASA'S "GET WITH THE GUIDELINES" PROGRAM FOR IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES. THEY BECAME A JOINT COMMISSION-CERTIFIED STROKE CENTER IN 2023. THE HOSPITAL'S BARIATRIC PROGRAM WAS AN ACCREDITED BARIATRIC SURGERY CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. ADDITIONALLY, THE BELANGER SCHOOL OF NURSING WAS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION; THE FAMILY MEDICINE RESIDENCY WAS ACCREDITED BY BOTH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION; ELLIS PRIMARY CARE PRACTICES HAVE ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) "PATIENT-CENTERED MEDICAL HOME" (PCMH) RECOGNITION; AND MOHAWK HARBOR PRIMARY CARE PRACTICE PARTICIPATES IN THE FEDERAL CMS "PRIMARY CARE FIRST (PFC)" QUALITY PROGRAM. ELLIS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A "FIT-FRIENDLY WORKSITE AND RECEIVED THE AHA'S "INNOVATION AWARD" FOR PRESENTING A UNIQUE PROGRAM OF HEALTH AND WELLNESS TO EMPLOYEES. ELLIS HAS BEEN AWARDED BLUE DISTINCTION CENTER DESIGNATION BY BLUE CROSS BLUE SHIELD FOR CARDIAC CARE, BARIATRIC CARE, KNEE AND HIP REPLACEMENT, AND MATERNITY CARE. ELLIS WAS ALSO A PARTNERS IN PERFORMANCE EXCELLENCE GOLD BALDRIGE AWARD WINNER, RECOGNIZED FOR ITS DEDICATION AND WORK TO CREATE A CULTURE AND SYSTEMS WHERE INNOVATION AND PERFORMANCE EXCELLENCE BECOME THE ACCEPTED NORM. ELLIS HAS ALSO BEEN HONORED WITH THE FIVE RINGS AWARD BY INTELLICENTRICS, INC. FOR EXCELLENCE IN VENDOR CREDENTIALING AND CREATING A CULTURE OF VIGILANCE TO MAKE HOSPITALS SAFER FOR EMPLOYEES AND PATIENTS. THE ELLIS HOSPITAL COVID CARE TEAM RECEIVED THE "GOOD NEWS" AWARD FROM THE CHAMBER OF SCHENECTADY COUNTY FOR THEIR HEROIC ACTIONS DURING THE PANDEMIC. DURING RECENT YEARS, ELLIS HAS RECEIVED OTHER COMMUNITY SERVICE AWARDS FROM THE CHAMBER OF SCHENECTADY COUNTY ("CORPORATION OF THE YEAR"), THE CITY MISSION OF SCHENECTADY ("PARTNERS AWARD," SPECIFICALLY RECOGNIZING THE HOSPITAL'S SERVICES FOR THE UNDERSERVED), THE SCHENECTADY ARC ("EMPLOYER OF THE YEAR," RECOGNIZING THE HOSPITAL FOR PROVIDING EMPLOYMENT, WITH OPPORTUNITIES FOR GROWTH AND MEANINGFUL EXPERIENCE, TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES), THE SIGHT SOCIETY OF NORTHEASTERN NEW YORK ("HOSPITAL OF THE YEAR" FOR COMMITMENT AND COMPASSION TO GRIEVING FAMILIES ALONG WITH OUTSTANDING ACCOMPLISHMENTS AND BEST PRACTICES TO FACILITATE CORNEA DONATIONS), THE GOOSE HILL NEIGHBORHOOD ASSOCIATION ("COMMUNITY AWARD" FOR BEING A GOOD NEIGHBOR AND PROACTIVE COMMUNICATOR), AND THE SEVENTH NATIONAL LEARNING CONGRESS OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ("SILVER MEDAL" FOR ORGAN DONATION). ELLIS OPERATES A STATE-OF-THE-ART EMERGENCY DEPARTMENT AT ELLIS HOSPITAL ON NOTT STREET WHICH TREATED 38,829 PATIENT VISITS IN 2023 (OF WHICH 6,013 (15%) WERE ADMITTED FOR INPATIENT CARE); THE BELLEVUE WOMAN'S CENTER WHICH DISCHARGED1,880 NEWBORN BABIES IN 2023 (SEE LINE 4D); PRIMARY CARE PRACTICES (IN SCHENECTADY, GLENVILLE, AND CLIFTON PARK) AND NUMEROUS SPECIALTY MEDICAL SERVICES THROUGH THE ELLIS MEDICAL GROUP (EMG); AN 82-BED SKILLED NURSING FACILITY AND SHORT-STAY REHABILITATION FACILITY (SEE LINE 4C); TWO STAND-ALONE OFF-SITE BLOOD DRAW STATIONS; A BARIATRIC CARE LOCATION; A SLEEP DISORDERS CENTER; A MEDICAL ONCOLOGY PRACTICE (A MEMBER OF THE ROSWELL PARK CANCER CENTER NETWORK); A FAMILY MEDICINE RESIDENCY INCLUDING AN OSTEOPATHIC RESIDENCY AND A SCHOOL OF NURSING. MEDICAL AND DENTAL RESIDENTS ENROLLED IN THE FAMILY MEDICINE RESIDENCY AND THE GENERAL DENTAL RESIDENCY PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO PATIENTS, THE MAJORITY OF WHOM ARE UNINSURED OR ARE PARTICIPANTS IN GOVERNMENT PROGRAMS SUCH AS MEDICAID AND CHILD HEALTH PLUS, THROUGH TWO CLINICS LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER: THE FAMILY HEALTH CENTER AND THE PEDIATRIC HEALTH CENTER. ELLIS OPERATES THE MEDICAL CENTER OF CLIFTON PARK (MCCP), THE ONLY 24/7 EMERGENT CARE FACILITY LOCATED IN SOUTHERN SARATOGA COUNTY, ONE OF THE FASTEST-GROWING COMMUNITIES IN NEW YORK STATE. MCCP IS ALSO THE LOCATION FOR A PRIMARY CARE PRACTICE AND SEVERAL SPECIALTY PRACTICES. ELLIS OPENED A COMBINED URGENT CARE, PRIMARY CARE, AND LABORATORY FACILITY ON THE BUS LINE AT THE MOHAWK HARBOR DEVELOPMENT IN SCHENECTADY. WITH THE URGENT CARE COMPONENT OPEN SEVEN DAYS A WEEK, THE FACILITY OFFERS SCHENECTADY RESIDENTS (AS WELL AS EMPLOYEES OF THE DEVELOPMENT'S BUSINESSES, AND VISITORS TO ITS CASINO AND HOTELS), A CONVENIENT AND EASILY ACCESSIBLE "ONE-STOP ALTERNATIVE TO THE EMERGENCY DEPARTMENT FOR URGENT, BUT NON-EMERGENCY, HEALTH CARE NEEDS. URGENT AND EMERGENT CARE VISITS TO THE MCCP AND MOHAWK HARBOR LOCATIONS TOTALED 39,315 DURING 2023. ELLIS SERVES THE COMMUNITY BY ADDRESSING IDENTIFIED HEALTH CARE PRIORITIES; INCLUDING ACCESS TO CARE, AND PREVENTION AND TREATMENT OF CHRONIC DISEASES; THROUGH A VARIETY OF PROGRAMS. IDENTIFICATION OF NEEDS INCLUDES SUCH MECHANISMS AS THE FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT WITH ITS IMPLEMENTATION STRATEGY (SEE SCHEDULE H) AND THE STATE-MANDATED TRIENNIAL COMMUNITY SERVICE PLAN. THESE PLANS ARE BUILT COLLABORATIVELY THROUGH REGIONAL AND COMMUNITY PARTNERSHIPS. ON A REGIONAL BASIS, ELLIS IS A MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) A STATE-FUNDED HEALTH DATA COLLECTION AND PLANNING ENTITY WHICH BRINGS TOGETHER THE COUNTY PUBLIC HEALTH DEPARTMENTS, NOT-FOR-PROFIT HOSPITALS, FQHCS, AND NOT-FOR-PROFIT INSURERS IN THE SIX-COUNTY CAPITAL REGION. IN 2013, 2016, 2019 AND 2022, HCDI CONDUCTED REGIONAL INFORMATION-GATHERING EXERCISES TO PROVIDE THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) OF ITS MEMBER NOT-FOR-PROFIT HOSPITALS. THESE ARE AVAILABLE HERE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX AND THEY ARE FURTHER DESCRIBED IN SCHEDULE H.
FORM 990, PART III, LINE 4A, CONTINUED	ON A COMMUNITY COLLABORATION BASIS, ELLIS PARTNERS WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), INCLUDING JOINT GRANT APPLICATIONS AND JOINT NEW YORK STATE DEPARTMENT OF HEALTH NEEDS ASSESSMENTS. THIS INCLUDES THE SCHENECTADY COUNTY STRATEGIC ALLIANCE FOR HEALTH (SAH), A COUNTY-LED, FEDERALLY-DESIGNATED AND FEDERALLY-FUNDED COLLABORATIVE FOCUSED ON PREVENTING CHRONIC DISEASE AND PROMOTING COMMUNITY HEALTH. ELLIS ALSO PROVIDES CO-LEADERSHIP, MEETING SPACE, AND RESOURCES FOR THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC), A COMMUNITY COLLABORATIVE OF ABOUT 60 HEALTHCARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES. SCHC TYPICALLY MEETS QUARTERLY TO DISCUSS COMMUNITY HEALTH NEEDS AND TO MONITOR PROGRESS ON ELLIS' IMPLEMENTATION STRATEGY. DURING 2022, ALL SCHC MEETINGS WERE HELD VIA TELECONFERENCE.
FORM 990, PART III, LINE 4B	ELLIS OPERATES A 52-BED INPATIENT MENTAL HEALTH UNIT, ALONG WITH DEDICATED OUTPATIENT MENTAL HEALTH SERVICES. THIS IS THE ONLY INPATIENT MENTAL HEALTH FACILITY IN SCHENECTADY COUNTY, AND IS ONE OF ONLY TWO INPATIENT UNITS IN A 16-COUNTY REGION PROVIDING SERVICES TO ADOLESCENTS. ELLIS' MENTAL HEALTH SERVICES INCLUDE: INPATIENT CARE FOR ADULTS AND ADOLESCENTS; OUTPATIENT CHILD, ADOLESCENT, AND ADULT MENTAL HEALTH SERVICES; CRISIS INTERVENTION, INCLUDING A 24-HOUR CRISIS INFORMATION HOTLINE; A PEER ADVOCACY PROGRAM; AND A SUPPORT AND EDUCATION GROUP FOR PEOPLE WITH MAJOR DISORDERS AND THEIR FAMILIES. THE "LIVING ROOM" PROGRAMS, WHICH ARE MENTAL HEALTH CRISIS DIVERSION PROGRAMS OPERATED FROM THE STATE STREET HEALTH CENTER, PROVIDES ADOLESCENT AND ADULT PATIENTS WITH AN ALTERNATIVE TO THE EMERGENCY ROOM. ELLIS HAS RECEIVED A GRANT FROM THE SCHENECTADY COUNTY DRUG COURT TO PROVIDE ENHANCED MENTAL HEALTH SERVICES TO LOW-LEVEL OFFENDERS REFERRED BY THE JUDICIAL SYSTEM, AND A CONTRACT WITH THE SCHENECTADY COUNTY CORRECTIONAL FACILITY TO PROVIDE POST-INCARCERATION SUPPORT SERVICES, BOTH INCLUDING PEER SERVICES. THE ELLIS STATE STREET HEALTH CENTER, WHICH HOUSES THE OUTPATIENT MENTAL HEALTH CLINIC AND A PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) SERVICE, WAS OPENED IN 2017. THIS NOT ONLY INCREASED THE SIZE AND IMPROVED THE QUALITY OF FACILITIES FOR ADULT OUTPATIENT MENTAL HEALTH; IT ALSO HAS BECOME PART OF AN INFORMAL "MEDICAL VILLAGE," WITH THE MENTAL HEALTH FACILITY, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ANOTHER LARGE COMMUNITY PRIMARY CARE CLINIC, AND A PHARMACY ALL LOCATED WITHIN ONE CITY BLOCK. IN 2023, THE ELLIS MENTAL HEALTH PROGRAMS HAD 699 INPATIENT DISCHARGES AND 34,473 OUTPATIENT VISITS.
FORM 990, PART III, LINE 4C	THE ELLIS RESIDENTIAL AND REHABILITATION CENTER (ERRC), AN 82-BED LONG-TERM SKILLED NURSING FACILITY (SNF) AND SHORT-STAY REHABILITATION FACILITY, HAS BEEN PROVIDING LONG TERM NURSING CARE SINCE 1989 AND SHORT STAY REHABILITATION SERVICES SINCE 2001. SPECIALIZING IN MEDICALLY COMPLEX CASES, ERRC OPERATES FROM ITS RENOVATED FACILITY ON THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS. THE FACILITY PROVIDES RESIDENTS WITH PRIVATE ROOMS AND SUCH AMENITIES AS A CYBER-CENTER, A HAIR SALON, AND A ROOF-TOP GARDEN. RESIDENT DAYS FOR 2023 WERE 25,895.
FORM 990, PART VI, SECTION B, LINE 11B	LINE 11A EXPLANATION - A COPY OF THE ELLIS HOSPITAL'S 990 WAS PREPARED AND SUBMITTED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER. AFTER CFO REVIEW WAS COMPLETED, THE FORM 990 INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS GIVEN TO EACH VOTING MEMBER OF ELLIS' BOARD OF TRUSTEES FOR REVIEW. AFTER REVIEW BY THE BOARD OF TRUSTEES, AND UPON THE RECOMMENDATION OF THE AUDIT COMMITTEE, APPROVAL IS GIVEN FOR FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ELLIS HOSPITAL'S CONFLICT OF INTEREST POLICY APPLIES TO ALL HOSPITAL TRUSTEES, OFFICERS, EMPLOYEES, MEDICAL/DENTAL STAFF MEMBERS, DIRECTORS, MANAGERS, APPOINTEES WITH ADMINISTRATIVE AND/OR DECISION-MAKING RESPONSIBILITIES, VOLUNTEERS OR ANY OF THESE PARTIES' IMMEDIATE FAMILIES (COLLECTIVELY CALLED HOSPITAL AGENTS). THE ELLIS HOSPITAL CORPORATE BYLAWS REQUIRE HOSPITAL AGENTS AND OTHER SELECTED INDIVIDUALS AS IDENTIFIED BY THE VICE PRESIDENT, HUMAN RESOURCES AND THE CORPORATE COMPLIANCE OFFICER/DIRECTOR OF INTERNAL AUDIT (CCO), TO FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE HOSPITAL ON A ANNUAL BASIS. WHEN THE STATEMENTS ARE COMPLETED THEY ARE RETURNED TO THE CCO. UPON RECEIPT, THE CCO WILL REVIEW THE DISCLOSURE AND, IF A POTENTIAL CONFLICT IS DISCLOSED, WILL MEET WITH THE HOSPITAL AGENT AND/OR HIS/HER APPROPRIATE SUPERVISOR TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION IF ANY. ALL STATEMENTS FOR TRUSTEES ARE ALSO REVIEWED BY THE CCO, AND IF A POTENTIAL CONFLICT HAS BEEN DISCLOSED, HE/SHE WILL MEET WITH THE BOARD CHAIRPERSON TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION, IF ANY. ALL POTENTIAL CONFLICTS INVOLVING THE BOARD OF TRUSTEES WILL BE SUMMARIZED BY THE CCO AND REPORTED TO THE AUDIT COMMITTEE OF THE BOARD. THIS COMMITTEE WILL THEN SHARE THIS INFORMATION WITH THE BOARD CHAIRPERSON. WHEN A POTENTIAL OR ACTUAL CONFLICT EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AT A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE UPON, THE TRANSACTION OR ARRANGEMENT THAT COULD CONSTITUTE THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE MEMBERS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE CURRENT EXECUTIVE COMPENSATION PLAN IS IN FULL COMPLIANCE WITH ALL EXISTING RULES AND REGULATIONS APPLICABLE TO A 501(C) CORPORATION. THE FOLLOWING IS A SUMMARY OF EACH PLAN: EXECUTIVE COMPENSATION PLAN-THE PRESIDENT, AND ALL OTHER SENIOR EXECUTIVIES ARE GOVERNED BY OUR EXECUTIVE COMPENSATION PROGRAM ESTABLISHED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMPENSATION PLAN IS ADMINISTERED ALSO BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. THE REVIEW OF THE COMPENSATION AGREEMENTS AND GATHERING OF COMPARABILITY DATA IN DETERMINING THE REASONABLENESS OF COMPENSATION FOLLOW THE PROCEDURES DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6.
FORM 990, PART VI, SECTION C, LINE 19	CORPORATE COMPLIANCE POLICIES (INCLUDING CONFLICTS OF INTEREST POLICY) AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA POSTING ON THE ELLIS HOSPITAL WEBSITE: WWW.ELLISMEDICINE.ORG. IN ADDITION, THESE DOCUMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN FOUNDATION 2,687,855. PENSION AND POSTRETIREMENT RELATED CHANGES 4,434,357. INCOME TAX BENEFIT -292,839. OTHER COMPONENTS OF NET PERIODIC BENEFIT COST 426,350.
FORM 990, PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
CONTINUATION OF SCHEDULE H, PART VI, LINE 4	SCHENECTADY COUNTY WAS DIRECTLY SERVED BY ONE NEW YORK STATE-DESIGNATED DSRIP PERFORMING PROVIDER SYSTEM (PPS), THE ALLIANCE FOR BETTER HEALTH (AFBH), AND IS ADJACENT TO THE SERVICE AREA OF THE ALBANY MEDICAL CENTER PPS. SCHENECTADY COUNTY POPULATION 159,902 (2023) PERSONS PER SQUARE MILE 772.6 (2020) PERSONS UNDER 18 YEARS 21.3% (2023) PERSONS 65 YEARS AND OVER 18.2% (2023) WHITE ALONE (NOT HISPANIC OR LATINO) 69.3% (2023) HISPANIC OR LATINO 8.3% (2023) BLACK OR AFRICAN AMERICAN ALONE 14.0% (2023) BACHELOR'S DEGREE OR + (AGE 25+) 34.2% (2018-22) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $204,400 (2018-22) MEDIAN HOUSEHOLD INCOME $75,056 (2018-22) PERSONS IN POVERTY 11.6% (2023) CITY OF SCHENECTADY POPULATION 68,544 (2023) PERSONS PER SQUARE MILE 6,212.7 (2020) PERSONS UNDER 18 YEARS 20.1% (2022) PERSONS 65 YEARS AND OVER 14.2% (2022) WHITE ALONE (NOT HISPANIC OR LATINO) 49.6% (2023) HISPANIC OR LATINO 12.6% (2023) BLACK OR AFRICAN AMERICAN ALONE 20.2% (2023) BACHELOR'S DEGREE OR + (AGE 25+) 22.6% (2018-22) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $140,000 (2018-22) MEDIAN HOUSEHOLD INCOME $54,650 (2018-22) PERSONS IN POVERTY 21.2% (2023) NEW YORK STATE POPULATION 19,571,216 (2023) PERSONS PER SQUARE MILE 428.7 (2020) PERSONS UNDER 18 YEARS 20.2 % (2023) PERSONS 65 YEARS AND OVER 18.6 % (2023) WHITE ALONE (NOT HISPANIC OR LATINO) 54.0 % (2023) HISPANIC OR LATINO 19.8 % (2023) BLACK OR AFRICAN AMERICAN ALONE 17.7 % (2023) BACHELOR'S DEGREE OR + (AGE 25+) 38.8% (2018-22) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $384,100 (2018-22) MEDIAN HOUSEHOLD INCOME $81,386 (2018-22) PERSONS IN POVERTY 14.3% (2023) FIGURE 1: SCHENECTADY COUNTY, CITY, AND STATE DEMOGRAPHICS (SOURCE: US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED JULY 29, 2024) RESIDENTS OF THE CITY OF SCHENECTADY ARE GENERALLY LESS AFFLUENT AND LESS HEALTHY THAN RESIDENTS OF THE SURROUNDING TOWNS, WHILE RESIDENTS OF THE COUNTY AS A WHOLE ARE LESS AFFLUENT THAN THE STATE AS A WHOLE; HOWEVER THE COUNTY'S POVERTY RATE IS BELOW THAT OF THE STATE (SEE FIGURE 1). FOR EXAMPLE, THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS ONLY ABOUT TWO-THIRDS THAT OF THE COUNTY AS A WHOLE WHICH, IN TURN, IS BELOW THAT OF THE STATE. THE POVERTY RATE IN THE CITY IS NEARLY 85% HIGHER THAN THAT OF THE COUNTY AS A WHOLE. FIGURE 2: SCHENECTADY COUNTY INSURANCE, PROVIDER, AND DIAGNOSIS INFORMATION (SOURCE: HCD, 2023 COMMUNITY HEALTH PROFILE) SCHENECTADY COUNTY ADULTS 18-64 WITH HEALTH INSURANCE (2021) 94.6% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2021) 87% ADULTS WHO VISITED DENTIST W/IN 1 YEAR (AGE-ADJUSTED, 2018) 75.5% NEW YORK STATE ADULTS 18-64 WITH HEALTH INSURANCE (2021) 92.6% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2021) 85% ADULTS WHO VISITED DENTIST W/IN 1 YEAR (AGE-ADJUSTED, 2018) 69.6% STATE HEALTH DEPARTMENT DATA (2016-2019) SHOW THAT HOSPITALIZATIONS FOR CONDITIONS WHICH COULD HAVE BEEN TREATED IN THE COMMUNITY ("PREVENTION QUALITY INDICATORS") RANGE AS HIGH AS 205% OF THE EXPECTED RATE IN CERTAIN CITY NEIGHBORHOODS, BUT ARE AS LOW AS 60% OF THE EXPECTED RATE IN THE RURAL TOWNS. IN ONE DRAMATIC DISPARITY CONFIRMED BY MORE RECENT (2019-2021) SPARCS HOSPITAL DISCHARGE DATA, EMERGENCY DEPARTMENT VISITS FOR ASTHMA RANGE FROM 98.6/10,000 IN THE CITY'S HAMILTON HILL NEIGHBORHOOD (12307) TO 12.3 /10,000 IN THE NEARBY SUBURB OF NISKAYUNA (12309). A SIGNIFICANT MINORITY POPULATION IN THE CITY OF SCHENECTADY IS COMPRISED OF GUYANESE OF WEST INDIAN DESCENT. THE RESULT OF SECONDARY MIGRATION FROM NEW YORK CITY PROMOTED BY A PREVIOUS MAYOR ALONG WITH PRIMARY MIGRATION FROM GUYANA, THE INFLUX IS CREDITED WITH REVERSING YEARS OF POPULATION DECLINE IN THE CITY. SCHENECTADY COUNTY PUBLIC HEALTH SERVICES LED MULTIPLE INITIATIVES TO IDENTIFY AND ADDRESS HEALTH DISPARITIES RELATING TO THE WEST INDIAN POPULATION. RESEARCH CONDUCTED BY PHYSICIANS AT ELLIS MEDICINE REVEALED SPECIFIC HEALTH ISSUES REGARDING THE WEST INDIAN POPULATION. IN PARTICULAR, THE UNEXPECTED PREVALENCE OF DIABETES AMONG NON-OBESE GUYANESE MALES IS THE SUBJECT OF JOURNAL ARTICLES (SEE FOR EXAMPLE: HOSLER, PRATT, SEN, BUCKENMEYER, SIMAO, BACK, SAVADATTI, KAHN, HUNT, "HIGH PREVALENCE OF DIABETES AMONG INDO-GUYANESE ADULTS, SCHENECTADY, NEW YORK," PREVENTING CHRONIC DISEASE 2013; 10:120211) AND HELPED LEAD TO AWARDING OF A FEDERAL RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) GRANT TO SCPHS IN 2010. THE INITIAL PLANNING STAGE OF THE REACH GRANT FUNDED AN EXTENSIVE COMMUNITY SURVEY OF DIABETES PREVALENCE, PILOT TRAINING OF A DOZEN INDIGENOUS DIABETES HEALTH PROMOTERS, AN ELEMENTARY SCHOOL DIABETES PREVENTION EDUCATION PROGRAM, AND A DIABETES HEALTH SCREENING PROGRAM FOR AT-RISK WEST INDIAN RESIDENTS. THE WEST INDIAN DIABETES ACTION COALITION UTILIZED A MAPP PROCESS TO DEVELOP A COMMUNITY ACTION PLAN (CAP). UNFORTUNATELY, SHIFTING PRIORITIES AT THE CENTERS FOR DISEASE CONTROL (CDC) ENDED FUNDING FOR THE PROJECT BEFORE ITS IMPLEMENTATION PHASE. IN 2014, SCPHS WAS AWARDED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT, FUNDED BY THE CDC. ONE OF THE GOALS OF THIS GRANT IS TO INCREASE SCREENING RATES FOR TYPE-2 DIABETES IN THE WEST INDIAN POPULATION THAT ARE SEEN AT ELLIS FAMILY HEALTH CENTER, AN ELLIS MEDICINE PRIMARY CARE SITE. OVERALL, SCHENECTADY COUNTY RESIDENTS ARE SLIGHTLY MORE LIKELY THAN THE AVERAGE NEW YORK STATE RESIDENT TO HAVE HEALTH INSURANCE, TO SEE A DOCTOR, AND TO SEE A DENTIST; AND SIGNIFICANTLY MORE LIKELY TO VISIT AN EMERGENCY DEPARTMENT FOR MENTAL HEALTH CARE (SEE FIGURE 2). THE VAST MAJORITY OF PRIMARY MEDICAL CARE AND DENTAL CARE FOR LOW-INCOME RESIDENTS IS PROVIDED BY THE HOMETOWN HEALTH FQHC AND THE COMMUNITY PRACTICES OF THE ELLIS MEDICAL GROUP. BOTH HAVE ACHIEVED RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS PATIENT-CENTERED MEDICAL HOMES (PCMH).
CONTINUATION OF SCHEDULE H, PART V, LINE 5	3. ENGAGEMENT OF COMMUNITY ORGANIZATIONS AND CONSUMERS THROUGH WRITTEN COMMENTS RECEIVED ON 2013, 2016, 2019, AND 2022 CHNAS AND IMPLEMENTATION STRATEGIES: AS REQUIRED, ELLIS HOSPITAL POSTED THE 2013, 2016, 2019, AND 2022 CHNAS AND IMPLEMENTATION STRATEGIES ON ITS PUBLIC WEBSITE. (SEE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX). IN ADDITION, THE IMPLEMENTATION STRATEGIES WERE INCLUDED IN THE IRS FORMS 990 SCHEDULE H AND ALSO POSTED ON THE HOSPITAL'S WEBSITE. ELLIS HOSPITAL SOLICITED PUBLIC COMMENT VIA A "CONTACT US" FORM ON ITS WEBSITE (HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX), THROUGH ITS FACEBOOK PRESENCE (HTTPS://WWW.FACEBOOK.COM/ELLISMEDICINENY) AND ON TWITTER (HTTPS://TWITTER.COM/ELLISMEDICINE) WITH ALL ACCOUNTS ACTIVELY MONITORED BY STAFF FROM THE COMMUNICATIONS AND MARKETING OFFICE. THE HOSPITAL ALSO SOLICITED PUBLIC COMMENTS THROUGH THE REGULAR MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). NO WRITTEN COMMENTS WERE RECEIVED REGARDING THE 2013, 2016, AND 2022 CHNAS AND IMPLEMENTATION STRATEGIES. VERBAL COMMENTS WERE RECEIVED, HOWEVER, DURING MEETINGS OF SCHC AND WERE USED TO MODIFY AND MAKE MID-COURSE CORRECTIONS TO THE OVERALL IDENTIFICATION, EVALUATION, AND PRIORITIZATION OF HEALTH NEEDS. THE MOST SIGNIFICANT COMMENTS RELATED TO PRIORITY MODIFICATIONS SO AS TO BE ABLE TO TAKE ADVANTAGE OF OPPORTUNITIES WHICH OCCURRED BETWEEN ADOPTION OF THE 2013 AND 2016 DOCUMENTS. THIS PARTICULARLY INVOLVED ELEVATION OF THE PRIORITY OF FOOD INSECURITY (INITIALLY LISTED AS TIER B) AS SEVERAL FUNDING OPPORTUNITIES BECAME AVAILABLE. GREATER KNOWLEDGE OF THE IMPACT OF FOOD INSECURITY ON THE OVERALL WELL-BEING OF INDIVIDUALS AND FAMILIES IN SCHENECTADY THEN LED TO IT INCLUSION AS A COMPONENT IN THE OBESITY/DIABETES INITIATIVE FOR 2016. GIVEN THIS EXPERIENCE, THE PARTNERS UNDERTOOK A COLLABORATIVE REGIONAL EFFORT TO MORE AGGRESSIVELY ENCOURAGE WRITTEN COMMENTS ON THE 2019 REGIONAL CHNA EARLY IN ITS DEVELOPMENT PROCESS. HCD PROVIDED A LINK TO THE NEAR-FINAL DRAFT AND AN ACCOMPANYING ON-LINE QUESTIONNAIRE, WHILE ALL OF THE REGIONAL HOSPITALS AND PUBLIC HEALTH DEPARTMENTS (INCLUDING ELLIS) PROMINENTLY POSTED THE LINK ON QUESTIONNAIRE ON THEIR PUBLIC WEBSITES DURING MAY AND JUNE 2019. THIS POSTING THROUGHOUT THE ENTIRE SIX-COUNTY REGION RESULTED IN 30 WRITTEN COMMENTS. THE WRITTEN COMMENTS INDICATE THAT COMMENTERS FOUND THE DRAFT CHNA EASY TO UNDERSTAND (67% = EASY OR VERY EASY VS. 3% DIFFICULT) AND GENERALLY INFORMATIVE (33% = EXTREMELY INFORMATIVE, 53% = INFORMATIVE, 13% = SOMEWHAT INFORMATIVE). SOME COMMENTERS IDENTIFIED APPARENT ERRORS AND MADE SUGGESTIONS FOR IMPROVEMENT WHICH WERE INCORPORATED IN THE FINAL REGIONAL CHNA. JANUARY 19, 2023 (VIDEO CONFERENCE) TOPICS: -WELCOME AND SCPHS UPDATES/HIGHLIGHTS KEITH BROWN, PUBLIC HEALTH DIRECTOR -CHA/CHIP/CSP GENERAL UPDATE NATALIE PREHODA, SCPHS -FLU/COVID-19/RSV UPDATE FROM ELLIS MEDICINE DR. FINCH, ELLIS MEDICINE -IMMUNIZATION GRANT OVERVIEW AND COVID-19 AND FLU VACCINE PROMOTION EFFORTS NATASHA SOOKNANAN, SCPHS -AGENCY UPDATES FROM ATTENDEES ATTENDEES: SCHENECTADY COUNTY, CORNELL COOPERATIVE EXTENSION OF SCHENECTADY COUNTY, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, HEALTHY ALLIANCE, CAPITAL DISTRICT CENTER FOR INDEPENDENCE, CANCER PREVENTION IN ACTION, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS MEDICINE, HOMETOWN HEALTH, THE COMMUNITY FOUNDATION FOR THE GREATER CAPITAL REGION, SCHENECTADY COMMUNITY ACTION PROGRAM, THE EDDY COMMUNITY SERVICE DIVISION (EDDY VNRA, EDDY SENIORCARE, HOSPICE), CAPITAL DISTRICT PHYSICIAN HEALTH PLAN, HEALTHY CAPITAL DISTRICT APRIL 20, 2023 (HYBRID VIA ZOOM. IN PERSON AT ELLIS MCCLELLAN STREET HEALTH CENTER) TOPICS: WELCOME AND SCPHS UPDATES/HIGHLIGHTS KEITH BROWN, PUBLIC HEALTH DIRECTOR INTRODUCTION TO NYS OFFICE OF CANNABIS MANAGEMENT & OVERVIEW OF CANNABIS IN NYS NEVILLENE WHITE, COMMUNITY RELATIONS MANAGER AND MEAGHAN CARROLL, DEPUTY DIRECTOR OF OPERATIONS FOR EXTERNAL AFFAIRS FOR NYS OFFICE OF CANNABIS MANAGEMENT -THE CURRENT LEGALITIES OF CANNABIS USE AND COMMUNITY TRENDS SINCE LEGALIZATION SCHENECTADY POLICE DEPARTMENT LT. RYAN MACHERONE -NEW CHOICES RECOVERY CENTER MARIJUANA PREVENTION PROGRAM LAURA COMBS, EXECUTIVE DIRECTOR -AGENCY UPDATES FROM ATTENDEES ATTENDEES: ELLIS MEDICINE, ST PETER'S HEALTH PARTNERS, NEW YORK STATE OFFICE OF CANNABIS MANAGEMENT, NEW CHOICES RECOVERY CENTER, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL REGION CRIME ANALYSIS CENTER, SCHENECTADY POLICE DEPARTMENT, SCHENECTADY COUNTY OFFICE OF PROBATION, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CANCER PREVENTION IN ACTION, THE EDDY, MOHAWK OPPORTUNITIES, CONIFER PARK, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, SAFE INC OF SCHENECTADY, THE COMMUNITY FOUNDATION, PLANNED PARENTHOOD, THE FOOD PANTRIES FOR THE CAPITAL DISTRICT, CAPITAL DISTRICT CENTER FOR INDEPENDENCE INC., HEALTHY CAPITAL DISTRICT JULY 20, 2023 (HYBRID VIA ZOOM. IN PERSON AT ELLIS MCCLELLAN STREET HEALTH CENTER) TOPICS -WELCOME AND SCPHS UPDATES/HIGHLIGHTS KEITH BROWN, PUBLIC HEALTH DIRECTOR -CAPITAL REGION MENTAL HEALTH TASK FORCE ALYSSA STARRANTINO, ELLIS MEDICINE -SUN SAFETY FOR THE OUTDOOR WORKER GINGER CHAMPAIN, CANCER PREVENTION IN ACTION -TICKBORNE ILLNESS AND PREVENTION CLAIRE PROFFITT, DEPUTY DIRECTOR OF PUBLIC HEALTH -AGENCY UPDATES FROM ATTENDEES ATTENDEES: ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CANCER PREVENTION IN ACTION, SCHENECTADY COUNTY CORNELL COOPERATIVE EXTENSION, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CONIFER PARK, ST PETER'S HEALTH PARTNERS, ALBANY LEAD, HEALTHY CAPITAL DISTRICT, BRIGHTSIDE UP OCTOBER 18, 2023 (VIDEO CONFERENCE) TOPICS: -WELCOME AND SCPHS UPDATES/HIGHLIGHTS KEITH BROWN, PUBLIC HEALTH DIRECTOR -CRIME VICTIM SERVICESADRIANA DORAZIO, ST. PETER'S HEALTH -OPIOID OVERDOSE UPDATES -ED FOX, CATHOLIC CHARITIES PROJECT SAFE POINT -LAURA COMBS, NEW CHOICES RECOVERY CENTER -LT RYAN MACHERONE, SCHENECTADY CITY POLICE DEPARTMENT -JENN HAYDEN, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES -OPTIONAL NARCAN TRAININGJENN HAYDEN, OFFICE OF COMMUNITY SERVICES -AGENCY UPDATES FROM ATTENDEES ATTENDEES: ELLIS MEDICINE, HEALTHY CAPITAL DISTRICT, SCHENECTADY COUNTY POLICE DEPARTMENT, CATHOLIC CHARITIES PROJECT SAFE POINT, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, NEW CHOICES RECOVERY CENTER, SPHP CRIME VICTIM SERVICES, EMBLEM HEALTH, NORTHERN RIVERS, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT PHYSICIAN HEALTH PLAN, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, ST. PETER'S HEALTH PARTNERS, YMCA OF NORTHEASTERN NEW YORK, ZION LUTHERAN CHURCH
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	ELLIS WILL CONTINUE TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR COMMUNITY PROVIDERS TO KEEP THEM UP TO DATE ON THE LATEST MEDICAL ADVANCES FOR COVID-19. PURSUANT TO GUIDANCE FROM THE NEW YORK STATE DEPARTMENT OF HEALTH, SCHENECTADY'S 2019 AND 2016 CHNAS FOCUSED SPECIFICALLY ON THE TWO MOST SIGNIFICANT COMMUNITY HEALTH NEEDS: 1) CHRONIC DISEASE (OBESITY AND DIABETES FOR 2016, AND TOBACCO PREVENTION FOR 2019) AND 2) MENTAL HEALTH. IN 2022, THE TWO MOST SIGNIFICANT HEALTH NEEDS IDENTIFIED WERE 1) VACCINE PREVENTABLE DISEASES (COVID-19) AND 2) MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE INITIAL 2013 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIFTEEN HEALTH NEEDS, AND, CONSISTENT WITH FEDERAL REQUIREMENTS, THE 2019 AND 2016 CHNAS CONTINUE TO IDENTIFY ALL FIFTEEN (CONSOLIDATED TO FOURTEEN THROUGH COMBINATION OF THE INTERCONNECTED OBESITY/DIABETES AND FOOD INSECURITY TOPICS) HEALTH NEEDS AS REMAINING IN NEED OF ATTENTION BY THE HOSPITAL. THIS NUMBER WAS REDUCED TO 9 TOPICS FOR THE 2022 CHNA, AND INCLUDED: DIABETES, OBESITY, SEXUALLY TRANSMITTED INFECTIONS, TICK-BORNE ILLNESSES, BREAST CANCER, TOBACCO USE, AND CHILDHOOD LEAD EXPOSURE. DURING 2023 AND DATING BACK TO THE INITIAL PPACA REQUIREMENTS FOR 2013, ELLIS HOSPITAL AND ITS PARTNERS INCLUDING OTHER HOSPITALS, COUNTY PUBLIC HEALTH AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS TOOK ACTIONS TO ADDRESS SUCH NEEDS, COMMENSURATE WITH THE PRIORITY OF EACH NEED AND THE AVAILABILITY OF RESOURCES. ACTIONS ADDRESSING THE SIGNIFICANT NEEDS INCLUDED THE FOLLOWING: CHRONIC DISEASE OBESITY AND DIABETES: -ELLIS EMBARKED ON A TWO-PRONGED APPROACH TO ISSUES OF DIABETES AND OBESITY: 1) SPECIFIC DIABETES EDUCATION PROGRAMS WERE DEVELOPED AND DELIVERED IN THE COMMUNITY AND 2) WEIGHT LOSS AND PHYSICAL EXERCISE PROGRAMS WERE IMPLEMENTED FOR VARYING TARGET GROUPS. -ELLIS AND PARTNERS PILOTED THE "LEARN TO LIVE WELL" DIABETES PROGRAM FOR PARISHIONERS AND COMMUNITY MEMBERS AT THE ZION LUTHERAN CHURCH; THE FOUR-SESSION CURRICULUM INCLUDED A PRESENTATION BY ELLIS CERTIFIED DIABETES EDUCATORS. -ELLIS STAFF MET WITH REPRESENTATIVES FROM THE CITY MISSION AND THE LOCAL HINDU TEMPLE TO EXPLORE DIABETES PROGRAMMING THROUGH THEIR ORGANIZATIONS. -IN 2014, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES RECEIVED A "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH SUPPORTED INCREASED SCREENING FOR DIABETES IN HIGH-RISK POPULATIONS. ELLIS WAS A SUBCONTRACTOR UNDER THE GRANT. -THE PICH GRANT ALSO SUPPORTED TRAINING OF ELLIS DIABETES CARE STAFF AS LIFESTYLE COACHES FOR THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), WHICH IS OFFERED AT ELLIS MEDICINE LOCATIONS STARTING IN OCTOBER 2016. IN LATE 2018, THE ELLIS DDP PROGRAM RECEIVED RECOGNITION FROM THE CENTERS FOR DISEASE CONTROL (CDC). THIS PROGRAM ENDED WHEN THE OUTPATIENT DIABETES EDUCATION PROGRAM WAS CLOSED IN EARLY 2024. PATIENTS ARE NOW REFERRED TO THE SPHP DPP PROGRAM. -AN EMBEDDED DIABETES CARE MANAGER WAS PLACED AT ELLIS FAMILY HEALTH CENTER AS PART OF THE PICH GRANT TO WORK ON POLICIES AND SYSTEMS RELATED TO DIABETES MANAGEMENT IN A PRIMARY CARE SETTING, INCLUDING REFERRALS TO THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. -WITH ASSISTANCE FROM ELLIS MEDICINE IT STAFF, A REGISTRY OF PATIENTS WITH DIABETES WAS DEVELOPED FOR ELLIS FAMILY HEALTH CENTER TO FACILITATE IMPROVED CARE. -ELLIS STAFF AND LOCAL COLLEGE STUDENTS MET WITH NEIGHBORHOOD ASSOCIATIONS TO CONDUCT A COMMUNITY ASSET MAPPING; THIS INVENTORY IS TO BE USED TO ASSESS THE VIABILITY OF A CITY-WIDE PHYSICAL ACTIVITY PROGRAM. -ELLIS HELD A PHYSICAL ACTIVITY FIELD DAY FOR LOCAL YOUTH IN PARTNERSHIP WITH UNION COLLEGE. -ELLIS ENGAGED ITS OWN EMPLOYEES IN COMPETITIVE WALKING EVENTS AND OTHER WEIGHT-LOSS ACTIVITY; PARTICIPATION COUNTS TOWARD REDUCTIONS IN HEALTH INSURANCE PREMIUMS. -THE HEALTHY FOOD ACCESS WORKGROUP, RENAMED THE DIABETES/OBESITY WORKGROUP, MET THREE TIMES DURING 2017. AVERAGE ATTENDANCE FOR THE MEETINGS WAS 13 PEOPLE. THIS GROUP'S FOCUS DURING THE YEAR WAS TO STEER THE FOOD ACCESS FOCUSED WORK OF THE "PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH" (PICH) GRANT WHICH HAD BEEN AWARDED TO SCHENECTADY COUNTY PUBLIC HEALTH SERVICES. THIS GROUP WORKED WITH SIX FOOD PANTRIES IN SCHENECTADY COUNTY TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS DISTRIBUTED TO CLIENTS. THIS INCLUDES INCREASING OPTIONS FOR FRUITS AND VEGETABLES AS WELL AS WHOLE GRAINS AND LOW-FAT DAIRY. IMPLEMENTATION EFFORTS AT FOOD PANTRIES INCLUDE "POLICY, SYSTEMS AND ENVIRONMENTAL" (PSE) IMPROVEMENTS. EXAMPLES OF THESE PSE STRATEGIES INCLUDE SIGNAGE TO PROMOTE THE FOOD GROUPS WITH A NUTRITION MESSAGE, MOVING ITEMS ON SHELVES TO HIGHLIGHT FRUITS AND VEGETABLES AT EYE LEVEL, AND IMPROVING THE DISPLAYS FOR FRESH PRODUCE TO MAKE THE FOOD PANTRIES LOOK MORE LIKE A MARKET. RECIPES AND COOKING DEMONSTRATIONS WERE ALSO DONE AT FOOD PANTRIES TO INCREASE THE LIKELIHOOD OF CLIENTS CHOOSING THE HEALTHIER OPTIONS. EACH PANTRY THAT IS ENGAGED IN THIS WORK IN SCHENECTADY COUNTY IS DOING A DIFFERENT COMBINATION OF INTERVENTIONS TO INCREASE THE AVAILABILITY OF HEALTHY OPTIONS BECAUSE EACH PANTRY USES A SLIGHTLY DIFFERENT MODEL TO DELIVER FOODS TO CLIENTS. SOME PANTRIES ARE A CHOICE MODEL, WHERE CLIENTS GET TO CHOOSE ALL THE FOOD THEY TAKE WITH THEM. SOME PROVIDE PRE-PACKED FOOD BOXES AND SOME ARE A MIX OF BOTH MODELS. THE DIFFERENT PANTRY MODELS LEND THEMSELVES TO DIFFERENT INTERVENTIONS WORKING BETTER THAN OTHERS. THE DIABETES/OBESITY WORKGROUP ASSISTED PANTRIES IN DECIDING WHAT INTERVENTIONS WOULD WORK BEST FOR THEIR MODEL. GIVEN THE COMPLETION OF THE GRANT PERIOD, AND THE ABILITY OF MEMBER ORGANIZATIONS TO PURSUE EVIDENCE-BASED FOOD POLICIES, THE WORKGROUP DISCONTINUED MEETING AFTER 2017. -DURING 2018, SIX FOOD PANTRIES CONTINUED TO SUSTAIN POLICY, SYSTEMS AND ENVIRONMENTAL CHANGES TO OFFER HEALTHIER FOOD OPTIONS TO FOOD PANTRY CLIENTS. THESE INTERVENTIONS WERE A CONTINUATION OF THOSE IMPLEMENTED DURING THE PICH GRANT INCLUDING SIGNAGE TO INDICATE HEALTHY OPTIONS WITH A NUTRITION MESSAGE, MOVING HEALTHY ITEMS TO EYE LEVEL ON SHELVING, AND IMPROVING DISPLAYS OF FRESH PRODUCE TO MAKE THEM LOOK MORE APPEALING. RECIPES AND FOOD DEMONSTRATIONS CONTINUED TO TAKE PLACE, AND EACH PANTRY FURTHER ADAPTED THE INTERVENTION TO THE PARTICULAR DISTRIBUTION MODEL BEING USED. IN 2018, NEW WORK BEGAN WITH FOUR (THREE OVERLAPPING WITH PREVIOUS WORK) FOOD PANTRIES IN SCHENECTADY COUNTY TO OFFER CHRONIC DISEASE-SPECIFIC FOOD PACKAGES. FOOD PACKAGES FOR DIABETES AND HYPERTENSION ARE GIVEN OUT TO CLIENTS INDICATING THEY HAVE SOMEONE IN THEIR FAMILY WITH EITHER CONDITION OR SOMEONE AT RISK FOR THE CONDITIONS. THE FOOD PACKAGES INCLUDE HEALTHIER OPTIONS TO ASSIST IN THE MANAGEMENT OR PREVENTION OF DIABETES AND HYPERTENSION THROUGH NUTRITION. EXAMPLES OF FOODS IN THE DIABETES/HYPERTENSION PACKAGES INCLUDE WHOLE WHEAT PASTA, BROWN RICE, NO SUGAR ADDED CANNED FRUIT AND NO SALT ADDED CANNED VEGETABLES. INFORMATION ABOUT THE CONDITIONS AND MANAGEMENT OF THEM IS ALSO INCLUDED IN THE FOOD PACKAGES. CLIENTS CAN GET THE FOOD PACKAGES EACH TIME THEY COME TO THE FOOD PANTRY BY INDICATING THEIR INTEREST IN THE PROGRAM WHEN ASKED. IN ADDITION TO THE FOOD, A REGISTERED DIETICIAN FROM CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY PROVIDED TECHNICAL ASSISTANCE TO THE FOOD PANTRIES TO MODIFY THE FOOD PACKAGES AND PROVIDES NUTRITION EDUCATION AT EACH OF THE FOOD PANTRIES ONE TIME A MONTH. INDIVIDUALS WHO ARE EXPERIENCING FOOD INSECURITY ARE BEING IDENTIFIED THROUGH THIS WORK BY SCREENING INDIVIDUALS AT COMMUNITY-BASED ORGANIZATIONS AND HEALTH INSURERS AND REFERRING THEM TO FOOD PANTRIES THAT ARE OFFERING HEALTHY OPTIONS AND CHRONIC DISEASE SPECIFIC FOOD PACKAGES IF THEY HAVE THAT NEED. -IN OCTOBER 2016, ELLIS DIABETES CARE STARTED THE FIRST DIABETES PREVENTION PROGRAM (DPP) IN THE COMMUNITY IN A NUMBER OF YEARS. THE DPP IS A LIFESTYLE CHANGE PROGRAM TO PREVENT DIABETES. IT RAN 16 CONSECUTIVE WEEKS AND THEN MONTHLY MAINTENANCE SESSIONS FOR THE REMAINDER OF A YEAR. IN 2018, THERE WERE 2 CLASSES STARTED. THE FIRST CLASS STARTED IN APRIL 2018 AND HAD AN AVERAGE ATTENDANCE OF 14 PARTICIPANTS; THIS GROUP WAS IN THE MAINTENANCE PHASE AT THE END OF THE YEAR. A SECOND CLASS STARTED IN SEPTEMBER 2018 AND HAS AN AVERAGE ATTENDANCE OF 12 PARTICIPANTS. AS OF DECEMBER 31, 2018, THIS CLASS IS IN THE INITIAL 16 WEEKS, MEETING ONCE A WEEK. IN JULY 2018, SCHENECTADY'S DPP WAS GRANTED PRELIMINARY RECOGNITION FROM THE CDC AND CONTINUED TO SUBMIT DATA EVERY SIX MONTHS TO THE CDC TO REACH FULL RECOGNITION, WHICH WAS GRANTED AT THE END OF 2018. CDC-RECOGNIZED PROGRAMS CAN APPLY FOR REIMBURSEMENT THROUGH MEDICARE. THE PROGRAM CLOSED IN 2020 DUE TO THE COVID-19 PANDEMIC AND ONGOING STAFFING ISSUES.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	-ELLIS DIABETES CARE ALSO OFFERS DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAMS FOR INDIVIDUALS ALREADY DIAGNOSED WITH DIABETES. EDUCATION TOPICS INCLUDE; BEING ACTIVE, HEALTHY COPING, HEALTHY EATING, MONITORING, PROBLEM SOLVING, REDUCING RISKS AND TAKING MEDICATION. THEY RECEIVE REFERRALS FROM ELLIS PRACTICES BUT ALSO COMMUNITY-BASED ORGANIZATIONS AND OTHER MEDICAL PROVIDERS IN THE COMMUNITY. ONE OF OUR GOALS IS INCREASE REFERRALS TO DSME AND INCREASE THE NUMBER OF INDIVIDUALS WHO FOLLOW THROUGH ON THEIR REFERRAL AND ATTEND AT LEAST ONE SESSION OF DSME. BETWEEN AUGUST 2019 AND JULY 2021, 368 PATIENTS WERE ESTABLISHED IN THE ELLIS DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. THE PROGRAM HAS ACHIEVED RECOGNITION BY THE AMERICAN DIABETES RECOGNITION, MOST RECENTLY IN OCTOBER 2021, WHICH ALLOWS ELLIS TO BILL FOR DSME SERVICES THROUGH MEDICAID, MEDICARE AND PRIVATE INSURERS. IN 2022, THE OUTPATIENT DIABETES EDUCATOR MET WITH 351 DIABETIC PATIENTS. THE OUTPATIENT DIABETES EDUCATION PROGRAM HAS SINCE BEEN CLOSED. -ELLIS ALSO EMPLOYS A CERTIFIED DIABETES EDUCATOR IN THE INPATIENT SETTING. THE EDUCATOR'S TIME IS DIVED BETWEEN PATIENT EDUCATION, STAFF DEVELOPMENT, AND QUALITY IMPROVEMENT INITIATIVES. IN 2023, THE EDUCATOR CONDUCTED 511 PATIENT CONSULTS TO PROVIDE EDUCATION TO NEWLY DIAGNOSED DIABETICS IN THE INPATIENT SETTING. THE 2022-2025 GOAL IS TO MAINTAIN THE NUMBER OF DIABETES EDUCATION PATIENT CONSULTS THAT THE CERTIFIED DIABETES EDUCATOR PROVIDES. IN 2022- 2023, THE DIABETES EDUCATOR IS WORKING ON A PROJECT TO START ELIGIBLE PATIENTS ON FREESTYLE LIBRE 2 AND DEXCOM CONTINUOUS GLUCOSE MONITORS WHILE IN THE HOSPITAL FOR TRANSITIONING THE PATIENTS TO HOME MONITORING. -THE INPATIENT DIABETES EDUCATOR PROVIDES EDUCATION TO HEALTH CARE WORKERS AT ELLIS MEDICINE THROUGH REGISTERED NURSE ORIENTATIONS, MONTHLY GRADUATE NURSE MEETINGS, QUARTERLY HOSPITALIST EDUCATION MEETINGS, MEDICAL GRAND ROUNDS PRESENTATIONS, RESIDENT ORIENTATION, AND PHARMACY/NURSING IN-SERVICE EDUCATION HUDDLES FOR INSULIN PUMP USE. ADDITIONALLY, THE EDUCATOR ALSO WORKS WITH THE BELANGER SCHOOL OF NURSING TO OFFER GUEST LECTURES ON DIABETES, AND WITH SAGE COLLEGE TO PROVIDE ORIENTATION FOR INTERNS AND SHADOWING OPPORTUNITIES FOR NUTRITION STUDENTS IN THE HOSPITAL SETTING. FOR 2022-2025, THE GOAL IS TO BEGIN PROVIDING CME CREDIT FOR EDUCATIONAL PROGRAMS PROVIDED TO THE HOSPITALISTS. -SCPHS PROVIDED FUNDING THROUGH THE PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH GRANT TO TRAIN ELLIS MEDICINE STAFF AS "LIFESTYLE COACHES" TO DELIVER THE DPP. SCPHS ALSO SUPPORTED THE PROMOTION OF THE CLASSES THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND SHARING FLYERS WITH LOCAL PARTNERS. THE PICH GRANT WAS ABLE TO PURCHASE INCENTIVES FOR THE PROGRAM TO HELP PEOPLE TO CONTINUE COMING TO THE PROGRAM. -FUNDING FROM THE COMMUNITY FOUNDATION FOR THE GREATER CAPITAL REGION TO SUPPORT THE CONTINUED WORK WITH FOOD PANTRIES IS HELPFUL IN MAINTAINING FORWARD MOMENTUM. FUNDED ACTIVITIES INCLUDE EDUCATION FOR FOOD PANTRY CLIENTS, THE PURCHASE OF HEALTHIER FOOD OPTIONS, AND SUPPORT FROM CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY. ELLIS MEDICINE'S MULTIPLE PRIMARY CARE OFFICES AND OUTPATIENT EDUCATION SERVICES INTERFACE DIRECTLY WITH COMMUNITY MEMBERS EXPERIENCING FOOD INSECURITY WHO COULD BENEFIT FROM ACCESS TO HEALTHY FOODS AT LOCAL FOOD PANTRIES. ELLIS CARE MANAGERS ALSO PROVIDE THEIR CLIENTS WITH REFERRALS TO COMMUNITY-BASED ORGANIZATIONS INCLUDING FOOD PANTRIES. CDPHP RECENTLY BEGAN UTILIZING THEIR CARE MANAGERS TO SCREEN FOR FOOD INSECURITY AND MAKE APPROPRIATE REFERRALS BASED ON THE OUTCOME. UTILIZING THE MEDICAL COMMUNITY AS A POINT OF ENTRY FOR HAS ENSURED COMMUNITY MEMBERS ARE CONNECTED WITH THE SERVICES THAT THEY NEED. CITY MISSION'S EMPOWER HEALTH PROGRAM HAS ALSO BEEN INSTRUMENTAL IN SCREENING FOR FOOD INSECURITY IN THE COMMUNITY AND PROVIDING REFERRALS TO FOOD PANTRIES AS NEEDED. THE FOOD PANTRIES ARE VERY INTERESTED IN THIS WORK AND SEE THE IMPORTANCE OF OFFERING HEALTHY OPTIONS FOR THEIR CLIENTS. THE NUTRITION EXPERTISE THAT CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY BRINGS WAS VERY IMPORTANT IN MOVING THE WORK WITH THE FOOD PANTRIES FORWARD. -THE ELLIS BARIATRIC CARE CENTER PROVIDES A COMPREHENSIVE BARIATRICS PROGRAM WITH SERVICES TO HELP IMPROVE THE HEALTH OF OBESE PATIENTS IN THE COMMUNITY, INCLUDING WEIGHT-LOSS SURGERY, NUTRITION SERVICES, HEALTHY LIFESTYLE EDUCATION, AND PATIENT SUPPORT GROUPS. DUE TO THE ONGOING COVID-19 PANDEMIC, THE MONTHLY PATIENT SUPPORT GROUPS WILL TRANSITION TO AN ONLINE FORMAT TO ENSURE CONTINUED, SAFE ACCESS FOR PATIENTS. THE ELLIS BARIATRIC CARE CENTER EMPLOYS A FULL-TIME DIETICIAN WHO SEES PATIENTS EVERY MONTH UNTIL THEY REACH THEIR WEIGHT LOSS GOAL, AND FOR ONE YEAR AFTER SURGERY. THE PRACTICE PROVIDES FOLLOW-UP CARE FOR EVERY PATIENT FOR A LIFETIME. THEY RECEIVE PATIENT REFERRALS FROM ELLIS PRIMARY CARE PRACTICES AND OTHER PROVIDERS IN THE COMMUNITY. IN 2023, SURGEONS AT ELLIS PROVIDED WEIGHT-LOSS SURGERIES FOR 120 PATIENTS. ELLIS MEDICINE ALSO EMPLOYS TWO OUTPATIENT DIETICIANS IN ITS DINING AND NUTRITION DEPARTMENT WHO PROVIDE MEDICAL NUTRITION SERVICES FOR A VARIETY OF MEDICAL CONDITIONS, INCLUDING OBESITY. THEY RECEIVE PATIENT REFERRALS FROM ELLIS PRIMARY CARE PRACTICES. MENTAL HEALTH AND SUBSTANCE USE - SUICIDE AND MENTAL/EMOTIONAL/BEHAVIORAL INFRASTRUCTURE: -THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES (THE LOCAL GOVERNMENT'S MENTAL HEALTH AND SUBSTANCE USE DISORDERS UNIT) AND ELLIS UNDERTOOK A COLLABORATION TO FORM WORK GROUPS EVALUATING MENTAL HEALTH NEEDS. -IN COLLABORATION WITH RESEARCHERS FROM THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND STUDENTS AT UNION COLLEGE, A PROJECT TO FOCUS ON THE CHNA-IDENTIFIED EXCESS NUMBER OF NEWBORNS BORN PHYSICALLY DEPENDENT ON SUBSTANCES IN SCHENECTADY RECEIVED ELLIS INSTITUTIONAL REVIEW BOARD (IRB) APPROVAL TO CONDUCT CHART REVIEWS OF NEWBORNS WITH A POSITIVE DRUG SCREEN. -THE STUDY EVALUATED THE MOST USED DRUGS AND THE DEMOGRAPHICS OF THE NEWBORNS' MOTHERS. BECAUSE OF THE SMALL SAMPLE SIZE, NO FINAL CONCLUSIONS WERE REACHED. -IN 2015, ELLIS AND SCPHS WORKED WITH HCD WHICH WAS COMPILING MENTAL HEALTH AND SUBSTANCE USE DATA FROM SUCH STANDARDIZED SURVEY TOOLS AS BRFSS AND SCHOOL CLIMATE SURVEY TO ANALYZE AMONG THE CAPITAL REGION COUNTIES. THE SURVEY INFORMATION FLAGGED THE NEWBORN DRUG-RELATED DIAGNOSIS RATE IN SCHENECTADY COUNTY AS A CRITICAL ISSUE COMPARED WITH THE REGION, ALTHOUGH THE SINGLE YEAR RATE DID DIP SLIGHTLY (6.3%) BETWEEN 2012 AND 2013. OTHER INDICATORS FOR WHICH SCHENECTADY COUNTY EXCEEDS THE REGIONAL RATE ARE POST TRAUMATIC STRESS DISORDER (3.8% VS. 3.1%) AND SUBSTANCE USE DISORDER-OTHER (9.3% VS. 7.7%). SPECIFIC SCHENECTADY NEIGHBORHOODS, HOWEVER, GREATLY EXCEED REGIONAL RATES ON MULTIPLE INDICATORS; FOR EXAMPLE, THE SCHENECTADY STOCKADE RATES EXCEED REGIONAL RATES ON 14 OF 18 INDICATORS, WHILE THE DEMENTIA RATE IN SCOTIA/GLENVILLE IS 83% ABOVE THE REGIONAL RATE. -DURING 2016, THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. -THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) INITIATED A MENTAL/ EMOTIONAL/BEHAVIORAL (MEB) WORKGROUP IN THE FALL OF 2016 TO DISCUSS SUICIDE PREVENTION EFFORTS IN THE COMMUNITY. THIS GROUP MET TWICE DURING LATE 2016 AND EARLY 2017. IN MARCH 2017, SCHC AND SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HELD A SUICIDE PREVENTION DAY OF DIALOGUE THAT BROUGHT TOGETHER COALITION PARTNERS, STATE LEADERS, COMMUNITY-BASED ORGANIZATIONS, MEMBERS OF THE COMMUNITY TO DISCUSS THE ISSUE OF SUICIDE IN THE COMMUNITY AND WHAT CAN BE DONE TO PREVENT IT. ABOUT 30 INDIVIDUALS ATTENDED THE FORUM. THE SECOND HALF OF THE DAY WAS SPENT ON TRAINING THE GROUP IN THE EVIDENCE-BASED SUICIDE PREVENTION TRAINING CALL "QUESTION, PERSUADE, REFER." IT WAS IMPORTANT TO GIVE PARTICIPANTS PRACTICAL SKILLS TO TAKE BACK TO USE IN THEIR ORGANIZATIONS OR LIVES AS WELL AS START THE BROADER CONVERSATION ABOUT SUICIDE PREVENTION IN THE COMMUNITY. FROM THIS DAY OF DIALOGUE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HAS DECIDED TO RE-ENGAGE A PREVIOUSLY FORMED SUICIDE PREVENTION COALITION. THIS GROUP WILL LOOK AT COUNTY LEVEL DATA AND DEVELOP STRATEGIES TO IMPROVE SUICIDE PREVENTION EFFORTS INCLUDING TRAINING IN THE COMMUNITY. THIS GROUP MET FOR THE FIRST-TIME DURING JANUARY 2018.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	DURING 2018, THERE WERE FOUR MEETINGS OF THE SUICIDE PREVENTION COALITION. THE DATES AND ATTENDANCE ARE AS FOLLOWS: JUNE 5 (40 ATTENDEES), AUGUST 20 (25 ATTENDEES), OCTOBER 15 (15 ATTENDEES), AND NOVEMBER 13, (15 ATTENDEES). THE SUICIDE PREVENTION COALITION ESTABLISHED FOUR PRIORITY AREAS TO WORK ON AS A GROUP. THESE INCLUDE: 1) CHANGE AND ELIMINATE STIGMA, 2) INCREASE COMMUNITY INVOLVEMENT, 3) ENCOURAGE NETWORKING BETWEEN PROVIDERS OF SERVICE AND THE COMMUNITY, AND 4) INCREASE PEER SERVICES. THE COALITION SHORTLY THEREFORE WENT ON A HIATUS 2019 DUE TO LOW MEMBERSHIP INVOLVEMENT. IN 2022/2023 THE OFFICE OF COMMUNITY SERVICES WILL EXPLORE THE CURRENT COMMUNITY NEEDS AND POTENTIAL BENEFITS OF RE-INSTITUTING THE COALITION. -THE ELLIS PEDIATRIC HEALTH CENTER RECEIVED A GRANT FROM THE NEW YORK STATE OFFICE OF MENTAL HEALTH TO IMPLEMENT THE HEALTHY STEPS PROGRAM SUPPORTING AT-RISK FAMILIES WITH CHILDREN FROM BIRTH TO THREE YEARS OLD. THE GRANT ENABLED HIRING A HEALTHY STEPS SPECIALIST WHO IS ENGAGED IN EXPANDING AWARENESS OF THE ADVERSE CHILDHOOD EXPERIENCES (ACES) CONCEPT THROUGHOUT THE COMMUNITY. -THE OFFICE OF COMMUNITY SERVICES PROVIDED TRAUMA-INFORMED CARE TRAINING TWO TIMES FOR SCHENECTADY COUNTY FOSTER PARENTS, ONE ON MARCH 26, 2018 (15 PARTICIPANTS) AND ONE ON OCTOBER 30, 2018 (ALSO 15 PARTICIPANTS). ADDITIONALLY, OCS TRAINED ELLIS MEDICINE'S OUTPATIENT ADULT MENTAL HEALTH CLINIC STAFF ON TRAUMA-INFORMED CARE AND SUICIDE PREVENTION ON AUGUST 8, 2018; 45 PARTICIPANTS ATTENDED THAT TRAINING. A TRAUMA-INFORMED CARE TRAINING CLASS WAS HOSTED BY THE UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE ON MARCH 12, 2018; 10 PEOPLE FROM SCHENECTADY COUNTY ATTENDED. THE TITLE WAS "TRAUMA PAST TRAUMA PRESENT: UNDERSTANDING AND APPLYING IMPORTANT SKILLS IN TRAUMA INFORMED PHASE ORIENTED TREATMENT." THE TRAINER WAS DR. ALLISON JACKSON. -SCHENECTADY CITY SCHOOL DISTRICT IS ALSO ENGAGED IN WORK AROUND TRAUMA, CREATING TRAUMA-SENSITIVE SCHOOLS. IN MAY 2018, SCHENECTADY HIGH SCHOOL HELD A MENTAL HEALTH FAIR IN THE EVENING FOR BOTH STUDENTS AND PARENTS. NUMEROUS COMMUNITY RESOURCES WERE SHARED AND THEN A SCREENING OF THE FILM "RESILIENCE" WAS HELD WITH A DISCUSSION PANEL AFTER. OVER 100 PEOPLE ATTENDED THE EVENT. -THE DUAL RECOVERY TASK FORCE, LED BY THE OFFICE OF COMMUNITY SERVICES, MET A TOTAL OF NINE TIMES DURING 2018 WITH AN AVERAGE ATTENDANCE OF 16 INDIVIDUALS. THE DUAL RECOVERY TASK FORCE INCLUDES PROVIDERS FROM BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER SYSTEMS, MAKING AN IMPORTANT CONNECTION FOR TREATING THOSE WITH DUAL DIAGNOSES. THE GROUP HAD 13 DIFFERENT PRESENTATIONS AT THEIR MEETINGS REGARDING COMMUNITY RESOURCES FOR THOSE WITH A DUAL DIAGNOSIS. PROGRAMS THAT WERE PRESENTED RANGED FROM OUTPATIENT MENTAL HEALTH CLINICS TO HARM REDUCTION SERVICES AND HOUSING. THESE PRESENTATIONS BY COMMUNITY PROVIDERS ARE AN IMPORTANT STEP IN PROMOTING THEIR PROGRAMS AND MAKING SURE THE COMMUNITY IS AWARE OF ALL AVAILABLE RESOURCES. -IN 2018, THE TRAUMA INFORMED CARE WORKGROUPS THAT WERE ESTABLISHED IN 2017 MERGED INTO ONE GROUP UNDER THE NEW TITLE OF "TRAUMA-INFORMED COMMUNITY WORKGROUP." THIS GROUP MET A TOTAL OF EIGHT TIMES: FEBRUARY 21 (14 ATTENDEES), FEBRUARY 27 (7 ATTENDEES), JUNE 22 (5 ATTENDEES), JUNE 26 (14 ATTENDEES), JULY 31 (10 ATTENDEES), AUGUST 28 (15 ATTENDEES), OCTOBER 30 (18 ATTENDEES) AND NOVEMBER 26 (12 ATTENDEES). THIS GROUP HELD A BRAINSTORMING SESSION IN JUNE 2018 TO DETERMINE A MISSION, VISION, GOALS AND COMMON DEFINITIONS OF TRAUMA LANGUAGE (TRAUMA-INFORMED CARE, ACES, TOXIC STRESS, AND RESILIENCE). ONE OF THE GOALS OF THE GROUP WAS TO DETERMINE A BASELINE OF TRAUMA-INFORMED PRACTICES EACH PARTICIPATING ORGANIZATION IS USING. THIS BASELINE WOULD HELP DETERMINE NEXT STEPS FOR TRAINING NEEDS OF COMMUNITY BASED ORGANIZATIONS. THE GROUP DECIDED TO UTILIZE COORDINATED CARE SERVICES, INC.'S TOOL CALLED THE "TRAUMA-INFORMED CARE ORGANIZATIONAL SELF-ASSESSMENT TOOL" (TIC OSAT) FOR EACH ORGANIZATION. DURING THE FALL OF 2018, 11 ORGANIZATIONS REPRESENTED ON THE WORKGROUP COMPLETED SURVEYS USING THE TIC OSAT. THE SURVEY DIVIDES RESULTS INTO STAFF AND LEADERSHIP. LEADERSHIP AT THE 11 ORGANIZATIONS COMPLETED 36 SURVEYS AND STAFF COMPLETED 175. THE TIC OSAT SOFTWARE GENERATES REPORTS FOR EACH ORGANIZATION AND AN OVERALL REPORT COMBINING ALL ORGANIZATIONS. THE WORKGROUP ANALYZED THE RESULTS AT A MEETING IN NOVEMBER 2018 AND DETERMINED THAT WORKFORCE DEVELOPMENT AROUND TRAUMA-INFORMED CARE WAS WHERE THE WORK OF THE GROUP SHOULD START. ONE EXCITING RESOURCE THAT THE GROUP WILL USE, AND SOME HAVE USED ALREADY, IS AN ONLINE LEARNING PROGRAM CALLED "INTRODUCTION TO ADVERSE CHILDHOOD EXPERIENCES FOR HEALTHCARE PROFESSIONALS." IT WAS DEVELOPED BY THE ALLIANCE FOR BETTER HEALTH'S (THE LOCAL DSRIP PPS) MEB WORKGROUP AND IS BROKEN DOWN INTO THREE MODULES THAT CAN BE TAKEN ALL TOGETHER OR AT DIFFERENT TIMES. THE COURSE PROVIDES A PRE- AND POST-TEST TO ASSESS KNOWLEDGE. THE OFFICE OF COMMUNITY SERVICES WILL ALSO BE UTILIZED IN 2019 FOR THEIR EXPERTISE AND ABILITY TO PROVIDE ADDITIONAL TRAINING ON TRAUMA TOPICS WORKFORCE DEVELOPMENT. -A "SAFE TALK" TRAINING CLASS WAS HELD ON AUGUST 27, 2018 AT THE MAIN BRANCH OF THE SCHENECTADY COUNTY LIBRARY WHERE 30 PEOPLE WERE TRAINED. THIS TRAINING WAS HOSTED BY NORTHERN RIVERS AND THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES. -THE SUBSTANCE USE DISORDER PREVENTION COALITION IS ANOTHER GROUP WORKING ON MEB AND SUBSTANCE USE PREVENTION IN THE COMMUNITY. THE COALITION IS CO-LED BY THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES AND NEW CHOICES RECOVERY CENTER. THE GROUP MET FOUR TIMES IN 2018: JANUARY 5 (25 ATTENDEES), APRIL 6 (24 ATTENDEES), AUGUST 1 (35 ATTENDEES), AND OCTOBER 29 (18 ATTENDEES). THE GROUP DEVELOPED AND DISTRIBUTED A RESOURCE LIST FOR PARTNERS TO PROMOTE THE EXISTING MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES IN THE COMMUNITY. ADDITIONAL ACTIVITIES INCLUDE PROMOTING COMMUNITY EVENTS, SUCH AS RECOVERY NETWORKS, AND DRUG TAKE BACK DAYS, AND REVIEWING DATA TO SET PRIORITIES FOR 2019. -ON JULY 25, 2018, A MENTAL HEALTH FIRST AID TRAINING WAS HELD IN SCHENECTADY WITH 32 PARTICIPANTS. THIS TRAINING WAS OFFERED FOR FREE THROUGH MENTAL HEALTH ASSOCIATION IN NEW YORK STATE (MHANYS). IN 2018, 2021 AND 2022, THE OFFICE OF COMMUNITY SERVICES STAFF BECAME CERTIFIED TRAINERS IN BOTH YOUTH AND ADULT MENTAL HEALTH FIRST AID AND ARE WILLING TO OFFER THIS TRAINING FREE OF CHARGE FOR COMMUNITY MEMBERS THAT ARE INTERESTED IN TAKING IT. -IN 2021, ELLIS OPENED A NEW CHILD, ADOLESCENT AND FAMILY MENTAL HEALTH CENTER TO HELP WITH THE GROWING DEMAND FOR MENTAL HEALTH SERVICES ACROSS THE CAPITAL REGION. THIS OUTPATIENT MENTAL HEALTH PROGRAM SERVES PATIENTS AGES 4-18 WITH THE GOAL OF PROVIDING PATIENTS AND THEIR FAMILIES WITH COMPREHENSIVE, EFFECTIVE MENTAL HEALTH SERVICES IN A NURTURING, SAFE AND SUPPORTIVE ENVIRONMENT. AMONG THE SERVICES PROVIDED ARE INITIAL PSYCHIATRIC ASSESSMENTS WITH DIAGNOSIS, MEDICATION MANAGEMENT, PSYCHOTHERAPY/COUNSELING SERVICES, CRISIS SERVICES (FOR EXISTING PATIENTS), CONSULTATION/COLLATERAL SERVICES FOR SCHOOLS AND OTHER PROFESSIONAL AGENCIES, WELLNESS PLANNING, AND COMMUNITY EDUCATION. -IN 2022, ELLIS MEDICINE HOSTED A VIRTUAL NALOXONE TRAINING FOR EMPLOYEES. 21 ELLIS STAFF TOOK THE TRAINING, AND 10 EMPLOYEES RECEIVED NARCAN KITS. -IN 2023, ELLIS MEDICINE'S MENTAL HEALTH OUTPATIENT TEAM HELPED TO FORM THE CAPITAL REGION MENTAL HEALTH TASK FORCE, A GROUP ORGANIZED TO LOOK FOR SOLUTIONS TO PROBLEMS FACED BY MENTAL HEALTH SERVICE PROVIDERS THROUGHOUT THE CAPITAL REGION. ASTHMA AND SMOKING: -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS, AND OTHER COMMUNITY ORGANIZATIONS APPLIED FOR AND RECEIVED A GRANT FROM NEW YORK STATE HEALTH FOUNDATION TO SUPPORT A "SCHENECTADY ASTHMA SUPPORT COLLABORATIVE" (SASC). A REQUIRED LOCAL CASH MATCH WAS PROVIDED BY THE SCHENECTADY FOUNDATION, THE GE FOUNDATION, AND MVP HEALTHCARE. SERVICES OF A COLLABORATIVE MODEL COMBINING CARE MANAGEMENT, PATIENT EDUCATION, AND IN-HOME NURSING SERVICES BEGAN IN LATE 2014, WITH THE GRANT PERIOD ENDING IN DECEMBER 2015. -SASC CREATED A SEAMLESS THREE-TIERED CARE MODEL (CENTRALIZED CARE COORDINATION, HOME VISITS/ASSESSMENTS, AND ASTHMA EDUCATION). OVER THE COURSE OF THE PROJECT, 68 PATIENTS CONSENTED TO PARTICIPATE IN CARE COORDINATION. WHILE 57 (84%) OF THESE REMAINED ENGAGED AFTER TWO MONTHS, ONLY 13 (19%) COMPLETED BOTH THE HOME VISITS AND ASTHMA EDUCATION COMPONENTS. THE PROJECT'S FINAL REPORT CONCLUDED THAT CULTURAL DYNAMICS ("FATALISM") AND STRUCTURAL BARRIERS (ISSUES OF TRUST) MAY HAVE PREVENTED INDIVIDUALS FROM ACCESSING OPTIMAL CARE. -ALTHOUGH THE PROJECT CLEARLY DEMONSTRATED THE CHALLENGES OF ENGAGING PATIENTS, THE CLINICAL ASPECTS OF THE THREE-TIERED MODEL REMAIN VALID. THE DESIGN OF THE SCHENECTADY MODEL WAS USED TO INFORM DEVELOPMENT OF ASTHMA PROJECTS ACROSS THE SIX-COUNTY SERVICE AREA OF THE REGIONAL DSRIP PARTNERSHIP, THE ALLIANCE FOR BETTER HEALTH.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	-ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD), AND PRICE CHOPPER PHARMACY PARTICIPATED IN THE "SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM," WHICH ENROLLS A SMALL BUT INCREASING NUMBER OF THE 1,150 DIAGNOSED ASTHMATIC STUDENTS IN SCSD. THE PROGRAM ADMINISTERS ALBUTEROL TREATMENTS, ENABLING STUDENTS TO RETURN TO CLASS 98.7% OF THE TIME. IN ADDITION TO THE IN-SCHOOL COMPONENT, NEARLY A THIRD OF THE STUDENTS AND THEIR PARENTS COMPLETED OUTPATIENT ASTHMA SELF-MANAGEMENT TRAINING SESSIONS THROUGH ELLIS ASTHMA CARE. -THE ELLIS ASTHMA EDUCATION PROGRAM FOUND THAT "GRADUATES" ACHIEVE A 60-70% REDUCTION IN EMERGENCY DEPARTMENT VISITS OVER 12 MONTHS POST-DISCHARGE. -A CARE MANAGER FROM THE ELLIS-SPONSORED HEALTH HOME COMPLETED A TWO-DAY ASTHMA TRAINING COURSE. -ELLIS CONTINUED ITS STRONG ASTHMA EDUCATION PROGRAM AND CONTINUED TO COLLABORATE WITH THE CAPITAL DISTRICT TOBACCO FREE COALITION. INFORMAL "SUASION" WITHIN THE COMMUNITY ENCOURAGED VARIOUS SMOKE-FREE INITIATIVES; A NEWLY CONSTRUCTED AFFORDABLE HOUSING PROJECT ON ALBANY STREET IN SCHENECTADY IS SMOKE-FREE FROM THE START, AND THE ENTIRE UNION COLLEGE CAMPUS WAS SMOKE-FREE AS OF JANUARY 1, 2017. SINCE AUGUST 2016, THE LEGAL AGE FOR THE SALE OF TOBACCO PRODUCTS IN SCHENECTADY COUNTY IS SET BY LOCAL LAW AT 21. -ELLIS EMPLOYS AN EMBEDDED RESPIRATORY THERAPIST/EDUCATOR IN A5 RESPIRATORY CARE FLOOR WHO ALSO GOES TO THE EMERGENCY DEPARTMENT TO PROVIDE BEDSIDE DISEASE MANAGEMENT EDUCATION AND SMOKING CESSATION COUNSELING TO PATIENTS WITH COPD AND ASTHMA-COPD OVERLAP (ACO) RECEIVING TREATMENT AT THE ELLIS HOSPITAL EMERGENCY DEPARTMENT. THE EMBEDDED RESPIRATORY THERAPIST PROVIDED PATIENTS WITH DISEASE SELF-MANAGEMENT EDUCATION AND REFERRALS FOR PULMONARY FUNCTION TESTS AND OUTPATIENT RESPIRATORY EDUCATION SERVICES. -UNTIL RECENTLY, ELLIS MEDICINE OFFERED "THE BUTT STOPS HERE", AN IN-PERSON TOBACCO CESSATION PROGRAM LED BY A CERTIFIED FACILITATOR. THE PROGRAM FEE IS $45, MEDICAID PARTICIPANTS PAY A $20 FEE, AND IT IS FREE FOR MVP MEMBERS, CDPHP MEMBERS, AND ELLIS MEDICINE EMPLOYEES. THE PROGRAM IS SIX WEEKS AND INCLUDES A WORKBOOK, RELAXATION CD, AND TWO WEEKS OF NICOTINE PATCHES OR GUM. -IN 2019, THERE WERE 32 PARTICIPANTS ENROLLED IN THE PROGRAM, FOUR OF WHICH WERE MEDICAID PARTICIPANTS. IN 2020, PRIOR TO THE START OF THE COVID-19 PANDEMIC, THERE WERE 9 PARTICIPANTS ENROLLED IN THE PROGRAM. DUE TO RESTRICTIONS ON IN-PERSON MEETINGS, NO CLASSES WERE HELD IN 2020 AND IN 2021 CLASSES WERE HELD VIRTUALLY. BECAUSE OF A LACK OF PATIENT INTEREST, THE IN-PERSON GROUPS WERE DISCONTINUED IN 2023. PATIENTS ARE NOW REFERRED TO ST. PETER'S HEALTH PARTNERS "VIRTUAL BUTT STOPS HERE PROGRAM AND THE NYS QUIT LINE. -ELLIS REVISED ITS TOBACCO USE POLICY TO PROHIBIT THE USE OF TOBACCO PRODUCTS AND ELECTRONIC CIGARETTES ANYWHERE ON ELLIS PROPERTY. EMPLOYEES NOW ARE PROHIBITED FROM SMOKING DURING THE WORKDAY. ELLIS ALSO PRODUCED CARDS WITH INFORMATION ABOUT THE TOBACCO USE POLICY, INCLUDING RESOURCE TO SUPPORT QUITTING, THAT SECURITY STAFF PRESENT TO ANYONE USING TOBACCO PRODUCTS ON ELLIS MEDICINE PROPERTY. CARDIOVASCULAR DISEASE: -ELLIS MEDICINE HAS ACHIEVED THE AMERICAN HEART ASSOCIATION'S 2023 GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS STATUS WITH HEART FAILURE HONOR ROLL AND TYPE 2 DIABETES HONOR ROLL. THIS IS THE HIGHEST LEVEL OF ACHIEVEMENT FOR THIS PROGRAM. THE PROGRAM FOCUSES ON QUALITY METRICS THAT PERTAIN TO THE HEART FAILURE PATIENT POPULATION (I.E. PATIENTS DISCHARGED ON GUIDELINE DIRECTED MEDICAL THERAPY, CARDIAC REHABILITATION REFERRALS, PATIENT EDUCATION, AND FOLLOW-UP APPOINTMENTS POST-DISCHARGE, AMONG OTHER METRICS). -ELLIS'S ECHOCARDIOLOGY DEPARTMENT RECEIVED ACCREDITATION BY THE INTERNATIONAL ACCREDITATION COMMISSION IN 2023. ELLIS IS THE ONLY HOSPITAL ACCREDITED FOR ADULT TRANSESOPHAGEAL, ADULT STRESS, AND TRANSTHORACIC ECHOCARDIOGRAPHY IN SCHENECTADY COUNTY. THESE TESTS HELP SUPPORT THE DIAGNOSIS OF CARDIAC DISEASE, AS WELL AS THE STRUCTURAL HEART TREATMENT PROGRAM, WHICH INCLUDES THE PLACEMENT OF WATCHMAN DEVICES AND MITRAL CLIPS. PREVENTABLE EMERGENCY DEPARTMENT UTILIZATION: -ELLIS LED CREATION OF TWO REGION-WIDE HEALTH INNOVATIONS COLLABORATIONS A MEDICARE MSSP ACO ("INNOVATIVE HEALTH ALLIANCE OF NEW YORK" (IHANY)) AND A MEDICAID DSRIP PPS ("ALLIANCE FOR BETTER HEALTH" (AFBH)) BOTH WITH GOALS OF REDUCING INAPPROPRIATE HOSPITAL UTILIZATION. -BOTH COLLABORATIONS WERE APPROVED FOR INAUGURATION IN 2015 THE ACO ON JANUARY 1 AND THE PPS ON APRIL 1. -IHANY ADOPTED THE GOAL OF REDUCING INAPPROPRIATE HOSPITAL EMERGENCY DEPARTMENT UTILIZATION AS PART OF A COMPREHENSIVE PROGRAM INTENDING TO REDUCE COSTS AND PRODUCE SHARED SAVINGS. AFBHC IS REQUIRED BY THE STATE TO REDUCE INAPPROPRIATE HOSPITAL UTILIZATION (BOTH EMERGENCY DEPARTMENT AND INPATIENT) BY 25% OVER A FIVE-YEAR PERIOD. IHANY WAS SUCCESSFUL IN REDUCING EMERGENCY DEPARTMENT USE BY ITS ATTRIBUTED PATIENTS DURING ITS FIRST YEAR OF OPERATIONS.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	ADOLESCENT (TEEN) PREGNANCY: -ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT, PLANNED PARENTHOOD MOHAWK HUDSON, THE ALLIANCE FOR POSITIVE HEALTH, AND THE SCHENECTADY TEEN AND ADULT COALITION (STAC) WORKED TO CONSIDER CAUSES AND SOLUTIONS TO THE CONSISTENTLY HIGH RATES OF ADOLESCENT PREGNANCY IN CERTAIN NEIGHBORHOODS. -THE PROJECT ENGAGED ADOLESCENTS/TEENAGERS IN FOCUS GROUP AND MULTIPLE MEETINGS. A GAP IN HEALTH EDUCATION AT LOCAL SCHOOLS WAS IDENTIFIED. AFTER MOST HEALTH EDUCATION TEACHERS HAD BEEN LAID OFF DUE TO BUDGET CUTS, STUDENTS ARE RECEIVING NO HEALTH EDUCATION CLASSES BETWEEN 6TH GRADE AND 10TH GRADE. PLANNED PARENTHOOD ARRANGED STUDENT HEALTH EDUCATION ASSEMBLIES IN 2016 AND 2018 AND IS SEEKING TO REINTRODUCE MIDDLE SCHOOL HEALTH CLASSES. -THE SCHENECTADY FOUNDATION'S "CALL TO ACTION FOR SCHENECTADY'S YOUTH" GRANT PROGRAM PROVIDED FUNDING FOR THE "CRADLE PROJECT," A MULTIMEDIA PROJECT THAT IS FOCUSING A LENS ON SCHENECTADY'S HIGH RATE OF TEENAGE PREGNANCY THE HIGHEST IN THE CAPITAL REGION AND ITS TOLL ON THE COMMUNITY. DOZENS OF LOCAL YOUTH WERE INVOLVED IN WRITING ORIGINAL MUSIC AND DIALOG, AS WELL AS PERFORMING AND PRODUCING "CRADLE," A DOCUMENTARY FILM ABOUT TEEN PREGNANCY. THE FILM DEBUTED ON SATURDAY, JULY 13, 2019, AT PROCTORS THEATRE IN SCHENECTADY. THE CRADLE PROJECT WILL ALSO INCLUDE MUSIC VIDEOS AND FORUMS ABOUT SEXUAL HEALTH AND PROFESSIONAL DEVELOPMENT. FALLS: -THE 2013 CHNA IDENTIFIED PARTICULARLY HIGH FALLS MORTALITY IN THE COMMUNITY, AND A HIGH NUMBER OF FALLS IN ONE NEIGHBORHOOD. DATA ANALYSIS IDENTIFIED A LARGE SENIOR HOUSING FACILITY IN THIS NEIGHBORHOOD AS THE FALLS "HOT SPOT." -ELLIS STAFF MET WITH ADMINISTRATORS AT THE FACILITY ON SEVERAL OCCASIONS. UNION COLLEGE STUDENTS WERE ENGAGED TO ASSIST THE FACILITY STAFF TO TRACK INDICATORS AND TRENDS. -HAVING IDENTIFIED THE ISSUE AT ONE SENIOR HOUSING FACILITY, AMBULANCE CALL DATA WERE OBTAINED FROM THE LOCAL AMBULANCE COMPANY TO ANALYZE THE PREVALENCE OF FALLS AT OTHER SENIOR FACILITIES. -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND SCHENECTADY COUNTY SENIOR AND LONG-TERM CARE SERVICES PARTNERED TO OFFER TAI CHI FOR ARTHRITIS CLASSES IN THE COMMUNITY TO HELP PREVENT FALLS IN OLDER ADULTS. -AS PART OF THE WORK OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY COUNTY LEAGUE OF WOMEN VOTERS (LWV) UNDERTOOK LEAD ACTIVITIES FOR A "FALLS PREVENTION WORK GROUP." THE WORK GROUP MET REGULARLY AND ENGAGED EXPERTS FROM THE STATE DEPARTMENT OF HEALTH, SENIOR CITIZEN ORGANIZATIONS, REHABILITATION FACILITIES, AND LOCAL GOVERNMENT AGENCIES. THE LWV BECAME UNABLE TO LEAD THE GROUP AS OF EARLY 2017, AND THE GROUP CEASED TO MEET. FOOD INSECURITY: -THE FOCUS ON FOOD INSECURITY CAME FROM A 2013 UMATTER SCHENECTADY SURVEY. THE RESULTS OF THE SURVEY INDICATED THAT THE MAJORITY OF RESIDENTS AMONG THREE SCHENECTADY NEIGHBORHOODS (HAMILTON HILL, EASTERN AVENUE, AND CENTRAL STATE) HAD RUN OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR. THIS FINDING CORRELATED WITH THE PREVALENCE OF SEVERE OBESITY (BMI >35) WHICH IS MORE THAN DOUBLE FOR PEOPLE WHO RUN OUT OF FOOD EVERY MONTH OR NEARLY EVERY MONTH COMPARED TO THOSE WHO DON'T REPORT RUNNING OUT OF FOOD. -A PARTNERSHIP INCLUDING SCHENECTADY COMMUNITY ACTION PROGRAM, CITY MISSION OF SCHENECTADY, ELLIS MEDICINE, AND THE SCHENECTADY FOUNDATION OBTAINED A GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT A "COMMUNITY COACH" FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE "COACH" CONVENED A SERIES OF TELEPHONE CONFERENCES AND AN ON-SITE VISIT TO HELP FOCUS COMMUNITY RESOURCES AND THINKING. -AS A RESULT OF THE COACHING, THE PARTNERSHIP DEVELOPED A COMMUNITY PLAN INCLUDING ASSET MAPPING AND A ROOT CAUSE ANALYSIS AND DEVELOPED COLLABORATION WITH THE SCHENECTADY COUNTY FOOD PROVIDERS GROUP. NO CLEAR, SINGLE, CAUSE WAS FOUND, ALTHOUGH THERE WAS SOME EVIDENCE THAT SOME SERVICE GAPS (E.G., FEW FOOD PANTRIES ARE OPEN ON WEEKENDS) AND INEFFICIENCIES IN THE DISTRIBUTION SYSTEM MAY BE CONTRIBUTORS. -DURING 2015, ELLIS MEDICINE, SCPHS, AND THEIR PARTNERS WORKED WITH TWO GRANTS (A ROBERT WOOD JOHNSON FOUNDATION ROADMAPS TO HEALTH ACTION AWARD AND PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH) TO IMPROVE ACCESS TO HEALTHY FOODS. THESE EFFORTS RESULTED IN AN ONLINE TOOL ACCESSIBLE FROM PORTABLE DEVICES SUCH AS SMARTPHONES, WHICH SHOWS THE LOCATIONS OF SUCH RESOURCES AS SOUP KITCHENS, FOOD PANTRIES, AND STORES WHICH ACCEPT ELECTRONIC BENEFIT CARDS. THE RESOURCE MAP WAS DEVELOPED INTO A MOBILE PHONE APPLICATION, CALLED "FOOD 4 SCHDY." THE APPS AND WEBSITE HAVE NOT BEEN UPDATED IN RECENT YEARS AND THE COMMUNITY TRANSITIONED AWAY FROM PROMOTING THEIR USE. -THE PICH GRANT ALSO SUPPORTED POLICY, SYSTEMS, AND ENVIRONMENTAL IMPROVEMENTS AT FOOD PANTRIES WITHIN THE COUNTY TO INCREASE ACCESS TO HEALTHY FOODS. THIS GRANT SUPPORTED THE OPENING OF A NEW FOOD PANTRY IN THE 12308 ZIP CODE (NORTHSIDE NEIGHBORHOOD), WHICH IS AN UNDERSERVED AREA OF THE COUNTY. -AS PART OF THE PICH GRANT, A COMMUNITY WIDE FOOD PLAN WAS DEVELOPED WITH GOALS, STRATEGIES AND EVIDENCE-BASED ACTIVITIES TO ADDRESS FOOD INSECURITY IN THE COMMUNITY. -PHYSICIANS AT THE ELLIS FAMILY HEALTH CENTER CONTINUE TO PROMOTE FRESH FRUIT AND VEGETABLE CONSUMPTION AMONG PATIENTS. -IN JANUARY 2019, ELLIS HOSPITAL, THE ALLIANCE FOR BETTER HEALTH AND CATHOLIC CHARITIES OPENED AN INNOVATIVE NEW FOOD PANTRY, THE FOOD FARMACY, ON ELLIS' MCCLELLAN STREET CAMPUS. THE FOOD FARMACY SERVES MEDICAID-ELIGIBLE PATIENTS REFERRED BY ELLIS FOR REASONS SUCH AS LIMITED ACCESS TO NUTRITIOUS FOOD AND LIMITED UNDERSTAND OF WHAT GOOD NUTRITION ENTAILS. IT PROVIDES UP TO THREE DAYS' WORTH OF FRESH PRODUCE AND OTHER NUTRITIOUS FOOD TO PEOPLE WHO NEED IT. -IN 2021, A GROUP OF COMMUNITY-BASED ORGANIZATIONS WERE BROUGHT TOGETHER BY THE SCHENECTADY FOUNDATION TO WORK TOWARD BUILDING A FOOD POLICY COUNCIL FOR SCHENECTADY COUNTY. THE GROUP CONTINUES TO MEET IN 2023 AND IS UTILIZING THE SCHENECTADY COUNTY HEALTHY AND EQUITABLE FOOD ACTION PLAN DEVELOPED UNDER THE PICH GRANT AS A GUIDING DOCUMENT. SEXUALLY TRANSMITTED INFECTIONS -AT THE ELLIS FAMILY HEALTH CENTER AND IN ELLIS PRIMARY CARE PRACTICES, EXTENSIVE SCREENINGS FOR SEXUALLY TRANSMITTED INFECTIONS (STIS) ARE PROVIDED TO PATIENTS. ALL PATIENTS ARE SCREENED FOR HIV AND HEPATITIS C AT LEAST ONCE IN ADULTHOOD. ALL SEXUALLY ACTIVE WOMEN UNDER THE AGE OF 25 ARE SCREENED ANNUALLY FOR GONORRHEA AND CHLAMYDIA. ANY WOMAN 25 AND OLDER WHO IS AT INCREASED RISK (DETERMINED THROUGH SHARED DECISION-MAKING WITH PHYSICIAN) IS SCREENED FOR GONORRHEA, CHLAMYDIA, AND HIV. ALL PREGNANT WOMEN ARE SCREENED FOR GONORRHEA, CHLAMYDIA, HIV, SYPHILIS, AND HEPATITIS C AT THEIR INITIAL VISIT AND THEN RETESTED IN THE THIRD TRIMESTER FOR ALL, WITH THE EXCEPTION HEPATITIS C. ALL WOMEN 30 AND OVER ARE SCREENED FOR HPV AT THE TIME OF THEIR CERVICAL CANCER SCREENING EVERY 5 YEARS. ALL WOMEN AGES 21-29 YEARS ARE SCREENED FOR HPV IF THEY HAVE AN ABNORMAL PAP SMEAR. ALL WOMEN WITH A COMPLAINT OF VAGINAL DISCHARGE ARE SCREENED FOR GONORRHEA, CHLAMYDIA, AND TRICHOMONAS. ALL PATIENTS WITH A POSITIVE STI TEST ARE SCREENED FOR THE OTHER STIS, INCLUDING GONORRHEA, CHLAMYDIA, SYPHILIS, AND HIV. MEN WHO SELF- IDENTIFY AS HAVING SEX WITH MEN (MSM) ARE SCREENED AT LEAST ANNUALLY FOR GONORRHEA, CHLAMYDIA, HIV, AND SYPHILIS. ALL PATIENTS THAT IDENTIFY AS TRANSGENDER ARE SCREENED BASED ON ANATOMY. ALL PATIENTS WITH HIV ARE SCREENED ANNUALLY FOR GONORRHEA, CHLAMYDIA, AND SYPHILIS. ALL MSM WITH HIV ARE SCREENED ANNUALLY FOR HEPATITIS C. STI AND SAFER SEX EDUCATION IS PROVIDED TO ALL PATIENTS. THE DECISION TO TEST IS ALWAYS REACHED COLLABORATIVELY BETWEEN PHYSICIAN AND PATIENT. -ELLIS MEDICINE PROVIDES TREATMENT FOR PATIENTS WHO TEST POSITIVE FOR SEXUALLY TRANSMITTED INFECTIONS, INCLUDING CHRONIC CARE OF HIV AND TREATMENT OF HEPATITIS C (WHICH ARE SPECIALIZED TREATMENTS, AND ARE NOT DONE BY MOST PRIMARY CARE PHYSICIANS IN THE AREA). UNINTENDED PREGNANCY: -THE AMERICAN ACADEMY OF PEDIATRICIANS (AAP) AND THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS (ACOG) BOTH RECOMMEND THE USE OF LONG-ACTING REVERSIBLE CONTRACEPTION (LARCS) AS FIRST LINE PREVENTION OF UNPLANNED PREGNANCY. AS MANY BARRIERS EXISTS TO PATIENTS OBTAINING LARCS, INCLUDING EXPENSE, TIME CONSTRAINTS, LACK OF ACCESS TO PROVIDER, BOTH ORGANIZATIONS ENCOURAGE IMPLEMENTING METHODS TO INCREASE AVAILABILITY TO LARCS. ELLIS FAMILY HEALTH CENTER REGULARLY OFFERS IN-OFFICE PLACEMENT OF LARCS TO PATIENTS IN THEIR PRACTICE.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	-IN JANUARY 2019, A TASK FORCE AT BELLEVUE WOMAN'S CENTER IMPLEMENTED A PILOT PROGRAM TO INCORPORATE IMMEDIATE POST-PARTUM IUD PLACEMENT. THE PILOT PROGRAM INCLUDES PATIENTS FROM THE ELLIS FAMILY HEALTH CENTER. THESE PATIENTS ARE INFORMED OF THE AVAILABILITY OF THIS CONTRACEPTION OPTION AS PART OF THE ROUTINE PRENATAL DISCUSSION OF POSTPARTUM CONTRACEPTION. THOSE WOMEN DESIRING THIS METHOD AND WHO HAVE NO CONTRAINDICATIONS AT THE TIME OF DELIVERY, WILL BE ABLE TO HAVE IUD PLACED IMMEDIATELY FOLLOWING DELIVERY. ANECDOTALLY, THE PATIENTS AT THE ELLIS FAMILY HEALTH CENTER HAVE SHORTER INTERCONCEPTION SPACING AND HIGH PROPORTION OF UNPLANNED PREGNANCIES. THIS PROGRAM AIMS TO DECREASE THE SHORT INTERCONCEPTION SPACING OF SUBSEQUENT PREGNANCIES AND REDUCE UNINTENDED PREGNANCIES FOR THIS PATIENT POPULATION. PRENATAL CARE, PERINATAL AND INFANT HEALTH -ELLIS' BELLEVUE WOMAN'S CENTER PARTNERS WITH OTHER MATERNITY PROVIDERS INCLUDING HOMETOWN HEALTH AND PLANNED PARENTHOOD MOHAWK HUDSON TO OFFER SEAMLESS CARE FROM INITIAL PRENATAL CARE TO BIRTH AND THEN FOLLOW-UP. THE ELLIS FAMILY HEALTH CENTER AND THE ELLIS PEDIATRIC CARE CENTER ARE IN THE SAME BUILDING, ALLOWING WARM HANDOFFS FROM THE MOTHER'S PRENATAL CARE TO THE BABY'S WELL CARE. IN ADDITION TO DIRECT CLINICAL CARE FOR PREGNANT MEDICAID BENEFICIARIES AND THEIR BABIES, THE HEALTH HOME PROVIDES CARE MANAGEMENT AND COORDINATES WITH THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICE'S HOME VISITING PROGRAM. RESOURCES EXPENDED BY ELLIS INCLUDE THE NET UNREIMBURSED COST OF THE VARIOUS MATERNITY CARE SERVICES; METRICS INCLUDE MATERNITY OUTCOMES DATA. NEIGHBORHOOD SAFETY: -ELLIS AND THE CITY OF SCHENECTADY PARTICIPATED ON SEVERAL INITIATIVES TO STABILIZE THE NORTHSIDE/GOOSE HILL NEIGHBORHOOD WHERE THE NOTT STREET CAMPUS IS LOCATED. THESE INCLUDE A "WALK TO WORK" INITIATIVE AND A PROGRAM TO PROMOTE HOME OWNERSHIP ("HOME OWNERSHIP MADE EASY" (HOME)). IN ADDITION, CONSTRUCTION AT THE NOTT STREET CAMPUS INCLUDED NEW SIDEWALKS AND IMPROVED STREET LIGHTING, BOTH ISSUES OF NEIGHBORHOOD SAFETY WHICH HAD BEEN IDENTIFIED IN THE CHNA. -ELLIS WAS INVITED BY THE NEW YORK STATE HEALTH FOUNDATION TO APPLY FOR A COMMUNITY-WIDE "HEALTHY NEIGHBORHOODS FUND" GRANT. THE APPLICATION WAS SUBMITTED BUT NOT FUNDED. PROGRAMS FOR YOUTH AND ADOLESCENTS: -IN DECEMBER 2014, THE SCHENECTADY FOUNDATION HOSTED A CONFERENCE ENTITLED "BRIDGES TO YOUTHS" TO BETTER UNDERSTAND THE NEEDS OF SCHENECTADY'S YOUTH. -THE CONFERENCE LED TO THE "CALL TO ACTION FOR SCHENECTADY'S YOUTH." SINCE ITS LAUNCH, THE SCHENECTADY FOUNDATION HAS SO FAR INVESTED $770,000 IN EIGHT PROGRAMS WITH THE POTENTIAL TO BRING POWERFUL AND POSITIVE CHANGE TO SCHENECTADY'S YOUTH. CALL TO ACTION FOR YOUTH IS A THREE-YEAR, $2 MILLION COMMUNITY-WIDE EFFORT TO EMPOWER CHILDREN AND TEENS THAT FACE SIGNIFICANT BARRIERS TO SUCCESS. GRANTS INCLUDE SUPPORT OF SCHOLARSHIPS, JOB TRAINING, AND SPORTS PROGRAMS FOR YOUTH. -IN 2023, ELLIS ANNOUNCED A NEW PARTNERSHIP WITH THE SCHENECTADY CITY SCHOOL DISTRICT AND THE STATE UNIVERSITY OF NEW YORK SCHENECTADY, THE ELLIS PROMISE. THE ELLIS PROMISE TAKES A HOLISTIC APPROACH THAT INCLUDES DIVERSE RECRUITERS, SUCCESS COACHES, COMMUNITY NAVIGATORS AND FINANCIAL SUPPORT TO HELP GRADUATES OF BOTH INSTITUTIONS, ALONG WITH UNDER-RESOURCED ADULTS, OVERCOME COMMON BARRIERS AND ACHIEVE LONG-TERM SUCCESS AS ELLIS EMPLOYEES. THE GOAL IS TWOFOLD: TO HELP ELLIS ATTRACT A SUSTAINABLE AND DIVERSE WORKFORCE AND TO GIVE SCHENECTADY RESIDENTS MORE EXTENSIVE OPPORTUNITIES TO FIND AND MAINTAIN LIVING-WAGE EMPLOYMENT. BREAST CANCER: -IN 2021, ELLIS BECAME A MEMBER OF ROSWELL PARK CARE NETWORK TO ADDRESS THE UNMET NEED FOR MEDICAL ONCOLOGY SERVICES IN SCHENECTADY COUNTY. ROSWELL PARK COMPREHENSIVE CANCER CENTER IS A NATIONALLY DESIGNATED CANCER INSTITUTE (NCI); ONE OF ONLY FIVE IN NYS AND THE ONLY ONE UPSTATE. THE NEW CENTER PROVIDES ACCESS TO WORLD-CLASS CANCER CARE, WHICH PREVIOUSLY WAS ONLY AVAILABLE HOURS AWAY. ELLIS ALSO PROVIDES MAMMOGRAMS AND OTHER ADVANCED DIAGNOSTIC SERVICES AND TREATMENTS FOR OUR LOW-INCOME AND UNDERSERVED PATIENTS. ELLIS RECENTLY BEGAN A BREAST CANCER-SPECIFIC TUMOR BOARD, AND WE HAVE VERY ENGAGED BREAST SURGEONS IN DRS. KAUH AND SANCHEZ. ELLIS IS WORKING TOWARD ENHANCING THE PROGRAM AND ACHIEVING NATIONAL ACCREDITATION FOR THE BREAST PROGRAM IN THE NEXT FEW YEARS. -IN OCTOBER 2023, ELLIS MEDICINE CELEBRATED BREAST CANCER AWARENESS MONTH BY HOLDING ITS ANNUAL BREAST CANCER SCREENING DRIVE CALLED MAMMOTHON 2023, IN PARTNERSHIP WITH ROSWELL PARK AND WTEN/CH. 10, WAS A BIG SUCCESS. WE EXCEEDED OUR GOAL FOR MAMMOGRAM SIGN-UPS IN OCTOBER, WITH 1091 WOMEN MAKING APPOINTMENTS FOR THEIR ANNUAL SCREENING. THIS IS MORE THAN DOUBLE THE NUMBER OF WOMEN WHO MADE APPOINTMENTS DURING THE 2022 MAMMOTHON. CHILDHOOD LEAD EXPOSURE: -PROVIDERS AT ELLIS PEDIATRICS DO POINT-OF-CARE LEAD TESTING AT 1- YEAR-OLD AND 2-YEAR-OLD WELL CHILD VISITS. THIS IS A REQUIREMENT OF NEW YORK STATE AND A RECOMMENDATION BASED ON THE PERCENT OF CHILDREN SERVED WHO ARE ON MEDICAID. IF A CHILD HAS A KNOWN EXPOSURE (I.E., A SIBLING WITH AN ELEVATED LEAD LEVEL) OR DEVELOPMENTAL ISSUE, PROVIDERS WILL ALSO DO TESTING AT THE TIME. IF THEIR LEVEL IS ELEVATED BASED ON POC, THEY NEED A SERUM CONFIRMATION AND DEPENDING ON THE LEVEL SCHENECTADY COUNTY PUBLIC HEALTH SERVICES WILL GET INVOLVED WITH EDUCATION AND ABATEMENT. TICK-BORNE DISEASES: -ELLIS MEDICINE SEES PATIENTS AT ITS CLIFTON PARK EMERGENT CARE CENTER AND ITS MOHAWK HARBOR URGENT CARE FOR TICK REMOVAL. ELLIS HAS FIVE PRIMARY CARE LOCATIONS, WHERE PROVIDERS CAN PROVIDE TREATMENT FOR LYME DISEASE. ELLIS ALSO HAS AN INFECTIOUS DISEASE PRACTICE WHERE PATIENTS CAN BE REFERRED FOR LYME DISEASE COMPLICATIONS. ELLIS INFECTIOUS DISEASE SPECIALISTS ENDORSE THE INFECTIOUS DISEASE SOCIETY OF AMERICA SCIENTIFIC GUIDELINES FOR THE TREATMENT OF LYME DISEASE AND ITS COMPLICATIONS. COMMUNITY AND COALITION BUILDING: -ELLIS AND SCPHS CONTINUE TO CO-FACILITATE THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY. THESE MEETING WERE NOW HELD VIRTUALLY DUE TO COVID-19 PRECAUTIONS, BUT THE GROUP BEGAN HYBRID MEETINGS IN THE SPRING OF 2023, AND ARE HELD VIRTUALLY WHEN COMMUNITY COVID-LEVELS ARE HIGH. -IN 2014 ELLIS UNDERTOOK TWO MAJOR BUSINESS INITIATIVES PROMOTING BROAD COALITIONS OF HEALTHCARE PROVIDERS. A MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTNERED THREE HOSPITAL SYSTEMS, AN FQHC, AND SEVERAL COMMUNITY MEDICAL PRACTICES. A NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM PERFORMING PROVIDER SYSTEM (DSRIP PPS) PARTNERED THE SAME THREE HOSPITAL SYSTEMS, TWO FQHCS, AND TWO LARGE COMMUNITY MEDICAL PRACTICES, ALONG WITH MORE THAN 50 COMMUNITY AGENCIES. BOTH WERE APPROVED BY THEIR RESPECTIVE REGULATORS TO START OPERATIONS IN 2015. -THE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK, OR IHANY) WAS APPROVED TO START OPERATIONS ON JANUARY 1, 2015, AND THE DSRIP PPS (ALLIANCE FOR BETTER HEALTH, OR AFBH) TO BEGIN ON APRIL 1, 2015. EACH WAS ESTABLISHED AS A SEPARATE LIMITED LIABILITY COMPANY (LLC) AND EACH UNDERTOOK TO ADOPT AN OPERATING AGREEMENT AND SEAT A BOARD OF DIRECTORS. THE DSRIP PPS RECEIVED SCHEDULED FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH UNDER A FIVE-YEAR AGREEMENT. THE MSSP ACO WAS FUNDED BY CAPITAL CONTRIBUTIONS FROM THE TWO MEMBERS OF THE LLC (ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS) AND HAS NOT ACHIEVED "SHARED SAVINGS." IN 2017, ELLIS WITHDREW AS AN EQUITY PARTNER OF THE MSSP ACO, BUT REMAINS A CLINICAL PARTNER. IHANY WAS RECENTLY IDENTIFIED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AS AN ACCOUNTABLE CARE ORGANIZATION (ACO) THAT HAD A POSITIVE IMPACT ON PATIENT CARE AND MEDICARE SAVINGS IN 2020. -IN NOVEMBER 2021, ELLIS MEDICINE AND ST. PETER'S HEALTH PARTNERS (SPHP) ENTERED INTO A PROVIDER TRANSITION AGREEMENT (PTA) TO PRESERVE VITAL HEALTH CARE SERVICES BY KEEPING PROVIDERS PRACTICING IN THE SCHENECTADY COMMUNITY AND IMPROVING RECRUITMENT EFFORTS THAT WILL ATTRACT NEW PROVIDERS TO THE REGION. IN ADDITION, THE AGREEMENT ALLOWS ELLIS PROVIDERS THE OPPORTUNITY TO COLLABORATE MORE CLOSELY WITH THEIR SPHP COUNTERPARTS, AND ALLOWS FOR ACCESS TO INFORMATION, DATA, AND BEST PRACTICES FROM A NATIONAL NETWORK IN TRINITY HEALTH. UNDER THE AGREEMENT, 170 PROVIDERS EMPLOYED BY ELLIS MEDICINE, ALONG WITH SELECT MANAGEMENT TEAM MEMBERS, WILL BECOME EMPLOYEES OF ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES (SPHPMA). ELLIS PATIENTS WILL SEE NO DISRUPTION IN SERVICES AND CAN CONTINUE TO SEE THEIR SAME PROVIDERS IN THE SAME LOCATIONS. THE BIGGEST THREAT TO BOTH ELLIS AND HEALTH CARE ACCESS IN SCHENECTADY IS THE DEPARTURE OF PHYSICIANS FROM OUR COMMUNITY. THE AGREEMENT GIVES ELLIS PROVIDERS ADDITIONAL INCENTIVE TO CONTINUE PRACTICING IN THE COMMUNITIES ELLIS SERVES BY CONNECTING THEM TO THE RESOURCES OF A NATIONAL HEALTH CARE NETWORK.
CONTINUATION OF SCHEDULE H, SECTION B, LINE 11	-IN DECEMBER 2021, ELLIS AND ST. PETER'S HEALTH PARTNERS (SPHP) RECEIVED APPROVAL FROM THE NEW YORK STATE DEPARTMENT OF HEALTH FOR A MANAGEMENT SERVICES AGREEMENT (MSA). THE AGREEMENT ALLOWS THE TWO ORGANIZATIONS TO WORK TOGETHER ON PROJECTS DESIGNED TO PRESERVE AND EXPAND THE COMMUNITY'S ACCESS TO HEALTH CARE, WHILE ALSO STRENGTHENING ELLIS' FINANCIAL STANDING AND QUALITY METRICS. ELLIS WILL REMAIN INDEPENDENT FROM SPHP THROUGHOUT THE TWO-YEAR TERM OF THE AGREEMENT, WITH ITS BOARD OF TRUSTEES RETAINING LOCAL CONTROL. -THESE LATEST AGREEMENTS BUILD ON A LONG RELATIONSHIP BETWEEN THE TWO HEALTH CARE SYSTEMS. BOTH ELLIS AND SPHP SHARE A VISION FOR A MORE FULLY INTEGRATED, REGION-WIDE APPROACH TO CARE THAT AIMS TO IMPROVE THE HEALTH OF ITS NEIGHBORS; EMBRACES NEW MODELS SUCH AS VALUE-BASED CARE; AND LOWERS OVERALL HEALTH CARE COSTS FOR THE COMMUNITY. COMMUNITY HEALTH IMPROVEMENT: -ELLIS CONTINUED PROGRAMS OF COMMUNITY AND PATIENT EDUCATION AND SUPPORT. HEALTH PROFESSIONS EDUCATION: -ELLIS, THE ONLY HOSPITAL IN THE REGION TO SPONSOR BOTH PHYSICIAN EDUCATION AND NURSING EDUCATION, CONTINUED TO PROVIDE A BROAD VARIETY OF HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING THE BELANGER SCHOOL OF NURSING, THE FAMILY MEDICINE RESIDENCY, GRAND ROUNDS AND OTHER CONTINUING PROFESSIONAL EDUCATION PROGRAMS. ELLIS ALSO SERVES AS A TRAINING AND PRECEPTORSHIP SITE FOR NUMEROUS COMMUNITY-BASED HEALTH PROFESSIONS EDUCATION PROGRAMS. UNREIMBURSED COSTS OF HEALTH PROFESSIONS EDUCATION ARE REPORTED ON IRS FORM 990, SCHEDULE H. SUBSIDIZED AND FREE HEALTH SERVICES: -ELLIS CONTINUED TO PARTICIPATE IN GOVERNMENT INSURANCE PROGRAMS INCLUDING MEDICARE AND MEDICAID, WHILE PROVIDING REDUCED RATES AND CHARITY CARE FOR SELF-PAY PATIENTS, AS DETAILED IN IRS FORM 990, SCHEDULE H. MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE (CHARITY CARE) COVERED OVER TWO-THIRDS OF INPATIENT DISCHARGES DURING 2023.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ELLIS HOSPITAL
D/B/A ELLIS MEDICINE

Employer identification number

14-1338428

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
(1) ELLIS NOTT STREET PHARMACY LLC 1101 NOTT STREET SCHENECTADY,NY12308 81-5395445	RETAIL PHARMACY	NY	79,103	1,345,913	ELLIS HOSPITAL

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)VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY 108 ERIE BOULEVARD SCHENECTADY,NY12305 14-1338478	HOME HEALTH CARE	NY	501(C)(3)	3	ELLIS HOSPITAL	Yes
(2)VOLUNTEER AIDES OF ELLIS HOSPITAL 1101 NOTT STREET SCHENECTADY,NY12308 14-6004058	PROVIDE VOLUNTEER SUPPORT TO THE HOSPITAL	NY	501(C)(3)	PF	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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

Schedule R (Form 990) 2023

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) ............................

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

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

Yes

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) ...................

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

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
(1) VISITING NURSE SERVICE ASSOCIATION	E	8,700,245	CASH

Schedule R (Form 990) 2023

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) 2023

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART V, LINE 2(1)

ELLIS MANAGEMENT ANNUALLY ASSESSES THE COLLECTABILITY OF THE RECEIVABLE FROM VNS (WHOLLY OWNED SUBSIDIARY). THE RECEIVABLE IS ELIMINATED IN CONSOLIDATION, HOWEVER IS PRESENTED IN THE CONSOLIDATING SCHEDULES OF THE FINANCIAL STATEMENTS. MANAGEMENT CONSIDERS VNS' FINANCIAL RESULTS, CURRENT RATIO, LIQUIDITY, AND BUDGETED FINANCIALS FOR THE COMING CALENDAR YEAR. BASED ON THOSE FACTORS, MANAGEMENT HAS DETERMINED THAT A) THE AMOUNT DUE FROM VNS SHOULD BE CLASSIFIED AS LONG-TERM, B) THE AMOUNT DUE FROM VNS SHOULD BE FULLY RESERVED, C) MANAGEMENT HAS NOT FORGIVEN THE DEBT AND VNS WILL CONTINUE TO PRESENT A CURRENT LIABILITY IN THE CONSOLIDATING SCHEDULES AS THE AMOUNT IS CONSIDERED DUE CURRENT BY ELLIS, HOWEVER, BASED ON VNS INABILITY TO PAY, ELLIS HAS RECORDED A $8,700,245 RESERVE.

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF ELLIS HOSPITAL (D/B/A ELLIS MEDICINE) IS TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	3,263
6	Total number of volunteers (estimate if necessary) .............	6	167
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,464,387
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,872,128	22,714,909
9	Program service revenue (Part VIII, line 2g) .........	373,612,190	406,587,417
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	42,013	2,245,753
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,382,007	12,800,325
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	387,908,338	444,348,404
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)	259,327,813	250,757,733
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)....	191,714,231	204,614,209
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	451,042,044	455,371,942
19	Revenue less expenses. Subtract line 18 from line 12.......	-63,133,706	-11,023,538
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	292,453,783	277,508,795
21	Total liabilities (Part X, line 26).............	195,848,984	183,096,178
22	Net assets or fund balances. Subtract line 21 from line 20.....	96,604,799	94,412,617

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 343,191,756 including grants of $ ) (Revenue $ 386,495,050 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ 22,130,904 including grants of $ ) (Revenue $ 12,267,587 )
	SEE SCHEDULE O

4c	(Code: ) (Expenses $ 13,628,395 including grants of $ ) (Revenue $ 9,283,463 )
	SEE SCHEDULE O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses378,951,055

(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)			(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) ROGER BARROWMAN MD........................................................................ TRUSTEE	2.00 .......................	X			0	0	0
(19) MARC MESICK........................................................................ VICE PRESIDENT / CFO	55.00 .......................5.00		X		513,210	0	15,800
(20) CAROLYN JONES-ASSINI MD........................................................................ CMO	55.00 .......................		X		101,192	0	13,314
(21) DAVID M LIEBERS MD........................................................................ CMO	55.00 .......................		X		423,001	0	17,530
(22) KEITH C WILLARD........................................................................ REGISTERED NURSE	116.00 .......................			X	619,483	0	21,454
(23) NANCY O BARNARD........................................................................ REGISTERED NURSE	63.00 .......................			X	249,031	0	26,294
(24) BINDU JOHN........................................................................ REGISTERED NURSE	45.00 .......................			X	254,411	0	10,754
(25) HASSAN ABBAS........................................................................ MEDICAL PHYSICIST	40.00 .......................			X	235,988	0	27,349
(26) JULIE NEWHART........................................................................ REGISTERED NURSE	59.00 .......................			X	104,628	0	27,006

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	3,346,552	0	195,291

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	21,409,525

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,305,384

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

h Total. Add lines 1a-1f.......		22,714,909

		Business Code
2a	GENERAL HOSPITAL	621990	381,910,280	381,910,280
b	MENTAL HEALTH SERVICES	621990	12,267,587	12,267,587
c	LONG TERM CARE	623000	9,283,464	9,283,464
d	LAB-PHYSICIAN REFERRALS	621500	2,118,520		2,118,520
e	SCHOOL OF NURSING	611430	994,476	994,476
f	All other program service revenue.		13,090		13,090
g	Total. Add lines 2a–2f .....		406,587,417

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,886,155			1,886,155
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	794,976
b	Less: rental expenses	6b	329,825
c	Rental income or (loss)	6c	465,151
d	Net rental income or (loss).......			465,151			206,004
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	10,550,202	74,790
b	Less: cost or other basis and sales expenses	7b	10,236,817	28,577
c	Gain or (loss)	7c	313,385	46,213
d	Net gain or (loss).........			359,598			359,598
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	5,244,919
b	Less: cost of goods sold ..		10b	4,796,066
c	Net income or (loss) from sales of inventory..			448,853	448,853

Business Code
11a	340B REVENUE		621990	7,203,775			7,203,775
b	PURCHASE DISCOUNTS, REBATED, REFU		621990	1,252,283	1,252,283
c	FOOD SERVICES REVENUE		624210	1,185,865			1,185,865
d	All other revenue ....			2,244,398	1,889,157	73,630	281,611
e	Total. Add lines 11a–11d ......			11,886,321
12	Total revenue. See instructions.....			444,348,404	408,046,100	2,464,387	11,123,008

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 ...........	2,079,422		2,079,422
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........	219,775,340	192,804,891	26,970,449
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,358,276	4,656,812	701,464
9	Other employee benefits .......	11,746,123	10,201,983	1,544,140
10	Payroll taxes ...........	11,798,572	10,253,995	1,544,577
11	Fees for services (non-employees):
a	Management ......	1,389,984	1,389,984
b	Legal .........	687,864		687,864
c	Accounting ...........	204,360	360	204,000
d	Lobbying ...........	203,548		203,548
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	78,874		78,874
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	21,559,079	21,284,158	274,921
12	Advertising and promotion ....	1,154,294		1,154,294
13	Office expenses .......	875,239	171,726	703,513
14	Information technology ......	10,323,814		10,323,814
15	Royalties ..
16	Occupancy ...........	11,816,149	10,136,183	1,679,966
17	Travel ............	266,941	83,829	183,112
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	303,248	299,506	3,742
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,652,167	14,956,472	1,695,695
23	Insurance ...	3,547,868		3,547,868
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	MEDICAL SUPPLIES	87,722,440	86,307,936	1,414,504
b	EQUIPMENT RENTAL AND MA	15,889,397	8,741,052	7,148,345
c	PURCHASED SERVICES	15,797,555	6,057,962	9,739,593
d	BAD DEBTS	10,870,354	10,870,354	0
e	All other expenses	5,271,034	733,852	4,537,182
25	Total functional expenses. Add lines 1 through 24e	455,371,942	378,951,055	76,420,887	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 ........			544,580	1	410,509
2	Savings and temporary cash investments .........			3,010,677	2	5,004,845
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			38,436,356	4	46,867,434
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 ............			12,425,216	8	10,060,943
9	Prepaid expenses and deferred charges ......			1,196,167	9	2,036,635
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	538,585,954
b	Less: accumulated depreciation	10b	402,342,152	146,771,173	10c	136,243,802
11	Investments—publicly traded securities .			53,345,350	11	38,155,273
12	Investments—other securities. See Part IV, line 11 .....			6,063,043	12	6,510,391
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			30,661,221	15	32,218,963
16	Total assets. Add lines 1 through 15 (must equal line 33)...			292,453,783	16	277,508,795

17	Accounts payable and accrued expenses .....	60,967,495	17	61,145,318
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D	356,401	21	333,055
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 ..	70,595,016	23	66,778,046
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	63,930,072	25	54,839,759
26	Total liabilities. Add lines 17 through 25..	195,848,984	26	183,096,178

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	76,898,878	27	72,762,586
28	Net assets with donor restrictions ...........	19,705,921	28	21,650,031
	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 ...........	96,604,799	32	94,412,617
33	Total liabilities and net assets/fund balances ........	292,453,783	33	277,508,795