2025-10-31T14:21:29-05:00 2024-12-31 331374517 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2024-01-01 134111638 WESTCHESTER-ELLENVILLE HOSPITAL INC WEST 8456476400 10 HEALTHY WAY ELLENVILLE NY 12428 BOB RUE VICE PRESIDENT & CFO 8456476400 2025-10-31 1 1 GARRETT M HIGGINS P00543209 9143818900 2025-10-28 2024 2025-03-06 01:10:19Z ELLENVILLE REGIONAL HOSPITAL STEVEN KELLEY 10 HEALTHY WAY ELLENVILLE NY 12428 37139140 0 X WWW.ERHNY.ORG X 2000 NY TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES. 11 10 301 26 0 0 2794742 1754144 29970959 34400500 584978 941566 45700 11490 33396379 37107700 0 0 0 0 16606696 18439637 0 0 0 12247827 13303122 28854523 31742759 4541856 5364941 47754352 56085994 9429209 10563840 38325143 45522154 X ELLENVILLE REGIONAL HOSPITAL PROVIDES EXCEPTIONAL HEALTH CARE SERVICES TO ALL PEOPLE WHO LIVE IN, WORK IN AND VISIT OUR SURROUNDING COMMUNITIES. THIS HEALTH CARE IS DELIVERED WITH COMPASSION AND RESPECT BASED ON OUR COMMITMENT TO IMPROVING OUR COMMUNITY HEALTH THROUGH EXCELLENCE, INNOVATION AND STATE-OF-THE-ART TECHNOLOGIES. 0 0 24267269 0 34400500 AT ELLENVILLE REGIONAL HOSPITAL (ERH), OUR MISSION REMAINS FIRMLY ROOTED IN DELIVERING COMPASSIONATE, HIGH-QUALITY HEALTHCARE TO OUR RURAL COMMUNITY. IN 2024, WE CONTINUED OUR TRADITION OF EXCELLENCE ACROSS OUR INPATIENT, EMERGENCY, AND OUTPATIENT SERVICES, FURTHER EXPANDING OUR ROLE AS A TEACHING HOSPITAL AND COMMUNITY PARTNER.INPATIENT DEPARTMENTS (MEDICAL/SURGICAL AND SWING REHAB)IN 2024, ERH AND THE ERH FOUNDATION PROVIDED ROBUST TUITION ASSISTANCE AND REIMBURSEMENT PROGRAMS, ENABLING STAFF TO PURSUE ADVANCED DEGREES IN HEALTHCARE-RELATED FIELDS. AS A TEACHING HOSPITAL, ERH PROUDLY HOSTED STUDENTS FROM SUNY SULLIVAN, SUNY ULSTER, THE NEW VISIONS PROGRAM, LEMOYNE COLLEGE, CLARKSON UNIVERSITY, PACE UNIVERSITY, MARIST COLLEGE, AND THE NATIONAL EDUCATION & TRAINING CENTER. THROUGH COLLABORATION WITH THESE INSTITUTIONS, WE OFFERED INVALUABLE CLINICAL EXPERIENCES WITHOUT REQUIRING MONETARY COMPENSATION.OUR PATIENT SATISFACTION SCORES RANKED IN THE 90TH PERCENTILE FOR BOTH INPATIENT SERVICES AND THE EMERGENCY DEPARTMENT. NOTABLY, 80% OF OUR PATIENTS WERE DISCHARGED HOME, SIGNIFICANTLY EXCEEDING NATIONAL BENCHMARKS, WHILE ONLY 8% REQUIRED LONG-TERM CARE PLACEMENT. THESE OUTCOMES REFLECT THE COLLABORATIVE EFFORTS OF NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, RESPIRATORY THERAPY, PHARMACY, CASE MANAGEMENT, AND REGISTERED DIETITIAN SERVICES.OUR COMMITMENT TO PATIENT SAFETY REMAINED STEADFAST. MEDICATION SCANNING COMPLIANCE AVERAGED 80.6%, EXCEEDING THE NATIONAL AVERAGE AND ENHANCING MEDICATION ADMINISTRATION SAFETY. THE SAFE PATIENT HANDLING COMMITTEE MAINTAINED EVIDENCE-BASED PRACTICES, PROMOTING STAFF SAFETY AND PATIENT WELL-BEING THROUGH ONGOING TRAINING, EQUIPMENT UPGRADES, AND BEDSIDE MOBILITY ASSESSMENTS.STAFF EDUCATION CONTINUED TO BE A CORNERSTONE OF CLINICAL EXCELLENCE. ALL REGISTERED NURSES MAINTAINED CERTIFICATIONS IN BASIC AND ADVANCED LIFE SUPPORT AND TELEMETRY. EDUCATIONAL INITIATIVES, INCLUDING IN-SERVICES, WEBINARS, AND THE LIPPINCOTT WEB-BASED EDUCATION PLATFORM, ENSURED STAFF REMAINED CURRENT WITH EMERGING HEALTHCARE STANDARDS.EMERGENCY DEPARTMENTIN OUR RURAL SETTING, LIMITED PUBLIC TRANSPORTATION AND SCARCE EMERGENCY MEDICAL SERVICES POSED ONGOING CHALLENGES. DESPITE THESE BARRIERS, THE EMERGENCY DEPARTMENT (ED) DELIVERED HIGH-QUALITY CARE TO BOTH RESIDENTS AND SEASONAL VISITORS.WHILE ADDRESSING RESPIRATORY ILLNESSES SUCH AS COVID-19, INFLUENZA, AND RSV, ERH REMAINED AT THE FOREFRONT OF THE OPIOID CRISIS. OUR RESCUE INITIATIVE AND MEDICATION-ASSISTED TREATMENT (MAT) PROGRAM YIELDED POSITIVE OUTCOMES, SUPPORTED BY COLLABORATIONS WITH THE ULSTER COUNTY SHERIFF'S DEPARTMENT'S ORACLE PROGRAM AND OUR IN-HOUSE SUBSTANCE USE DISORDER (SUD) PROGRAM. UPON DISCHARGE, PATIENTS RECEIVED SAFE KITS AND EDUCATION ON NALOXONE ADMINISTRATION, EMPHASIZING HARM REDUCTION AND PREVENTION.THE ED MAINTAINED CLOSE COLLABORATION WITH LOCAL EMS AGENCIES, STRENGTHENING EMERGENCY RESPONSE CAPABILITIES WITHIN OUR COMMUNITY.RADIOLOGY AND CARDIOLOGY DEPARTMENTSIN 2024, THE RADIOLOGY AND CARDIOLOGY DEPARTMENTS EXPERIENCED STRONG OUTPATIENT VOLUMES, MAINTAINING SERVICE CONSISTENCY DESPITE PANDEMIC-RELATED CHALLENGES. THE MAMMOGRAPHY PROGRAM PASSED ITS ANNUAL MQSA INSPECTION WITH NO CITATIONS, AND THE DEPARTMENT MAINTAINED A LOW X-RAY REPEAT/REJECT RATE AVERAGING 3%, REFLECTING A COMMITMENT TO HIGH-QUALITY IMAGING PRACTICES.THROUGH THE QUALITY IMPROVEMENT GRANT, ERH CONTINUED OFFERING CRITICAL SCREENINGS AT NO OUT-OF-POCKET COST TO PATIENTS, INCREASING ACCESS TO PREVENTATIVE CARE. MANY FIRST-TIME PATIENTS RECEIVING CALCIUM SCORE SCREENINGS RETURNED FOR ADDITIONAL SERVICES, DRAWN BY THE QUALITY AND COMPASSION OF CARE RECEIVED.OUR ONGOING INVESTMENTS IN ADVANCED TECHNOLOGY POSITIONED RADIOLOGY AND CARDIOLOGY FOR CONTINUED GROWTH IN 2024 AND BEYOND.ADDITIONAL SERVICESELLENVILLE REGIONAL HOSPITAL ALSO PROVIDED ESSENTIAL SERVICES INCLUDING AMBULATORY SURGERY, LABORATORY SERVICES, IV THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, CARDIAC REHABILITATION, AND SPECIALTY CARE. THESE SERVICES STRENGTHENED OUR ABILITY TO MEET A WIDE ARRAY OF PATIENT NEEDS WHILE MAINTAINING OUR HIGH STANDARDS OF CLINICAL EXCELLENCE.COMMITMENT TO COMMUNITY BENEFITERH REMAINS COMMITTED TO ENSURING ACCESS TO HEALTHCARE REGARDLESS OF PATIENTS' FINANCIAL CIRCUMSTANCES. WE CONTINUE TO OFFER FINANCIAL ASSISTANCE PROGRAMS AND MAINTAIN A SLIDING FEE SCALE, REINFORCING OUR MISSION TO SERVE ALL MEMBERS OF OUR COMMUNITY WITH DIGNITY AND RESPECT.LOOKING AHEADAS WE MOVE FORWARD, ERH WILL EXPAND ITS CLINICAL EDUCATION PROGRAMS, STRENGTHEN COMMUNITY PARTNERSHIPS, AND CONTINUE INVESTING IN ADVANCED TECHNOLOGIES. OUR FOCUS REMAINS ON IMPROVING HEALTH OUTCOMES, SUPPORTING WORKFORCE DEVELOPMENT, AND DELIVERING EXCEPTIONAL CARE TO ALL WE SERVE. 24267269 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 30 0 301 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X BOB RUE CFO 8456476400 10 HEALTHY WAY ELLENVILLE NY 12428 STEVEN KELLEY PRESIDENT & CEO 36.00 5.00 X X 548866 0 34622 REVEREND JULIUS A COLLINS JR CHAIRPERSON 4.00 0.00 X X 0 0 0 MYRNA JARGOWSKY VICE CHAIRPERSON 2.00 6.00 X X 0 0 0 WILLIAM D BROWN TREASURER 3.00 8.00 X X 0 0 0 JOHN B GILLETTE SECRETARY 3.00 0.00 X X 0 0 0 RICHARD BRADFORD TRUSTEE 2.00 6.00 X 0 0 0 DR NEIL CALMAN MD TRUSTEE 2.00 0.00 X 0 0 0 PHILIP COOMBE III TRUSTEE 2.00 5.00 X 0 0 0 DAVID EIKSZTA TRUSTEE 2.00 5.00 X 0 0 0 JULIE C LONSTEIN TRUSTEE 2.00 0.00 X 0 0 0 KRISTINA URSITTI DO TRUSTEE 2.00 0.00 X 0 0 0 BOB RUE CFO 36.00 5.00 X 268936 0 48130 ASHIMA BUTLER COO 36.00 0.00 X 288808 0 15119 MARIE BROWN REGISTERED NURSE 57.00 0.00 X 161512 0 43496 MARIA GONZALEZ CHIEF NURSING OFFICER 40.00 0.00 X 156001 0 45963 THERESA AVERSANO DIRECTOR PHYSICAL MEDICINE & REHAB 40.00 0.00 X 150085 0 38203 MARTHA TOALA REGISTERED NURSE 36.00 0.00 X 161195 0 38453 CLARE FARRELL MANAGER OF LABORATORY SERVICES 37.50 0.00 X 152485 0 1314 1887888 0 265300 43 0 1 0 WHITE GLOVE PLACEMENT INC 89 BARTLETT STREET BROOKLYN NY 11206 TRAVELING NURSES 752265 THE INSTITUTE FOR FAMILY HEALTH INC 2006 MADISON AVENUE 5TH FLOOR NEW YORK NY 10035 MEDICAL SERVICES 586250 EMERGENCY MEDICAL ASSOCIATION OF NY PC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 PHYSICIAN SERVICES 510000 CONSTABLE CUSTODIAL SERVICES INC PO BOX 1115 LIBERTY NY 12754 CLEANING SERVICES 402630 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 272162140 LAB TESTING SERVICES 400451 14 17307 1711097 25740 1754144 PATIENT SERVICE REVENUE 621990 34400500 34400500 34400500 941566 941566 34098 31440 2658 2658 2658 MISCELLANEOUS INCOME 900099 8005 8005 MEDICAL RECORD ABSTRACTS 900099 827 827 8832 37107700 34400500 0 953056 X 1204481 415942 788539 14114726 11039677 3075049 19110 19110 1901322 1442058 459264 1199998 899998 300000 25000 18750 6250 140000 105000 35000 78519 78519 19296 19296 4950405 3692010 1258395 159246 119434 39812 484900 440159 44741 336608 250835 85773 123032 92274 30758 1058373 791740 266633 574502 430876 143626 BAD DEBT EXPENSE 1981860 1981860 MEDICAL SUPPLIES 1496098 1122073 374025 PRESCRIPTION DRUGS 894379 670784 223595 GRANT PROGRAM EXPENSES 437178 327883 109295 543726 406806 136920 31742759 24267269 7475490 0 4338331 1590322 5552750 11836441 162312 46873 3559376 3303046 262443 230310 652234 778400 23527502 11674173 12411684 11853329 18349904 23900567 2465318 2546706 47754352 56085994 2879416 3041845 1093601 1506979 5456192 6015016 9429209 10563840 X 36539993 43446527 1785150 2075627 38325143 45522154 47754352 56085994 X 5364941 1566701 265369 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 72050 0 1 6469 78519 0 PART II-B, LINE 1: THE AMOUNT REPORTED ON LINE 1G REFLECTS FEES PAID BY THE ORGANIZATION TO A LOBBYING FIRM ENGAGED TO REPRESENT ITS INTERESTS BEFORE NEW YORK STATE AND MUNICIPAL GOVERNMENTS. THE AMOUNT REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ENTITIES THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 12395429 4518844 7876585 9682645 7155329 2527316 1449428 1449428 11853329 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 5656016 INSURANCE CLAIM LIABILITY 359000 6015016 X 37194293 1566701 897564 2464265 34730028 19296 2358376 2377672 37107700 29850981 109378 109378 29741603 19296 1981860 2001156 31742759 PART X, LINE 2: THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR YEARS PRIOR TO 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTED TO CONSOLIDATED ENTITIES 525,383. CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 315,609. RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 31,440. NET ASSETS RELEASED FROM RESTRICTIONS 25,132. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE 1,981,860. LOSS ON DISPOSAL OF FIXED ASSETS 40,907. ELIMINATIONS 326,276. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES 9,333. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 77,938. RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 31,440. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE 1,981,860. 1 1 1 X 1 X 1 0 1 1 898475 898475 0.02830 7881752 5014866 2866886 0.09030 203803 203803 0.00640 8984030 5014866 3969164 0.12500 20466306 17815531 2650775 0.08350 20466306 17815531 2650775 0.08350 29450336 22830397 6619939 0.20850 1 930554 411244 9940714 9899834 40880 X 1 1 1 1 WESTCHESTER-ELLENVILLE HOSPITAL INC 10 HEALTHY WAY ELLENVILLE NY 12428 HTTPS://ERHNY.ORG 5526700C X X X X X WESTCHESTER-ELLENVILLE HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 WESTCHESTER-ELLENVILLE HOSPITAL, INC. PART V, SECTION B, LINE 5: AS REQUIRED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AND IRS, ELLENVILLE REGIONAL HOSPITAL (ERH) MUST CONDUCT A THOROUGH COMMUNITY HEALTH ASSESSMENT (CHA) EVERY THREE YEARS. THE INFORMATION IS UTILIZED TO DEVELOP A COMMUNITY SERVICE PLAN (CSP) OUTLINING INTERVENTIONS DESIGNED TO IMPROVE HEALTH OUTCOMES IN THE SERVICE AREA. IN RECENT YEARS, THE NEW YORK STATE DEPARTMENT OF HEALTH HAS ENCOURAGED LOCAL HOSPITALS AND HEALTH DEPARTMENTS TO COLLABORATE IN CREATING JOINT COMMUNITY HEALTH IMPROVEMENT (CHIP)/CSP DOCUMENTS. ULSTER COUNTY DEPARTMENT OF HEALTH (UCDOH) HOSTED A SERIES OF MEETINGS WITH KEY STAKEHOLDER ORGANIZATIONS IN ULSTER COUNTY TO DISCUSS THE SELECTION OF HEALTH IMPROVEMENT PRIORITIES. ERH, WITH ITS PARTNERS UCDOH AND HEALTHALLIANCE HOSPITAL: MARY'S AVE CAMPUS (HA), JOINTLY SELECTED PREVENTING CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS AS THE TWO PRIORITY AREAS FOR THE 2022-2024 CHIP/CSP. COMMUNITY-BASED ORGANIZATIONS, HEALTH CARE PROVIDERS, SEVERAL COUNTY OF ULSTER DEPARTMENTS, AND ULSTER COUNTY COALITIONS WERE ALSO INVOLVED IN THE DECISION-MAKING PROCESS AND WORKED TO SUPPORT THE SELECTED INITIATIVES. THIS COLLABORATION HAS CONTINUED TO INCLUDE MANY SERVICE AGENCIES IN ULSTER COUNTY.IN 2017, THE SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON REGION, INCLUDING DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER COUNTIES, CREATED THE HUDSON VALLEY PUBLIC HEALTH COLLABORATIVE WITH THE ENDEAVOR OF CREATING THE FIRST REGIONAL CHA FOR THE MID-HUDSON REGION. THE COLLABORATIVE CONTRACTED THE SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A RANDOM DIGIT DIAL REGIONAL COMMUNITY HEALTH SURVEY TO SUPPLEMENT THE REGIONAL CHA AND TO GAUGE THE PERCEPTION OF RESIDENTS SURROUNDING HEALTH AND RESOURCES IN THEIR COMMUNITIES. TO FURTHER INCREASE THE DATA COLLECTED FROM THE COMMUNITY, COLLABORATIVE MEMBERS HELD FOCUS GROUPS WITH SERVICE PROVIDERS TO FURTHER UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. IN 2024, ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN), EXECUTED ON THE PLANNED ACTIVITIES AS NOTED IN THE CHA. THE HEALTHY ULSTER COUNCIL, A BROAD-BASED COALITION FORMED BY REPRESENTATIVES FROM VARIOUS ORGANIZATIONS AND AGENCIES IN 2010, CONTINUED THEIR FOCUSED WORK ON HEALTH PROBLEMS IN ULSTER COUNTY AND WAYS TO IMPROVE HEALTH OUTCOMES. REGULAR MEETINGS OF THE COALITION, ALONG WITH PRESENTATIONS AND DISCUSSIONS, HAVE KEPT THE LARGER COMMUNITY INVOLVED IN TRACKING HEALTH CONCERNS AND SOLUTIONS, INCLUDING ELLENVILLE AND THE TOWN OF WAWARSING. WESTCHESTER-ELLENVILLE HOSPITAL, INC. PART V, SECTION B, LINE 6B: 1) HEALTH ALLIANCE OF THE HUDSON VALLEY2) ULSTER COUNTY DEPARTMENT OF HEALTH AND MENTAL HEALTH3) THE INSTITUTE FOR FAMILY HEALTH4) DUTCHESS COUNTY DEPARTMENT OF HEALTH 5) ORANGE DEPARTMENT OF HEALTH6) PUTNAM DEPARTMENT OF HEALTH7) ROCKLAND DEPARTMENT OF HEALTH8) SULLIVAN DEPARTMENT OF HEALTH9) WESTCHESTER DEPARTMENT OF HEALTH WESTCHESTER-ELLENVILLE HOSPITAL, INC. PART V, SECTION B, LINE 11: FOR ERH SPECIFICALLY, THE FOCUS AREAS CHOSEN WITHIN THE TWO PREVENTION AGENDA PRIORITIES FOR THE YEARS 2022-2024 ARE:1) PREVENT CHRONIC DISEASES FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENT2) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USER DISORDERSPREVENT CHRONIC DISEASES FOCUS AREA 4, THE ELLENVILLE REGIONAL RURAL HEALTH NETWORK (ERRHN) WELLNESS PROGRAM, AND ITS EDUCATIONAL PROGRAMMING WILL BE CONTINUALLY DEVELOPED AND IMPLEMENTED. THE COLLABORATIVE WILL WORK TO INCREASE PARTICIPATION IN LIFESTYLE CHANGES, INCLUDING INCREASED PHYSICAL ACTIVITY, IMPROVED DIET, AND IMPROVED HEALTH AND WELL-BEING AWARENESS, UTILIZING THE EVIDENCE-BASED COMMUNITY HEALTH WORKER (CHW) MODEL.INTERVENTION 1 SUMMARY: ERH HAS IDENTIFIED OVER 200 FAMILIES WORKING WITH A COMMUNITY HEALTH WORKER TO PRACTICE HEALTHY GOAL SETTING, INCREASING PHYSICAL ACTIVITY, AND BUILDING MOTIVATION. THE FAMILIES MAY ALSO ACCESS THE ERRHN NUTRITIONIST AT NO COST TO THEM. ALL OF THIS IS DONE TO DECREASE THE RISK OF DEVELOPING CHRONIC DISEASE.INTERVENTION 2 SUMMARY: ERH UTILIZES COLLABORATIVE EFFORTS BETWEEN DIFFERENT HOSPITAL DEPARTMENTS AND OTHER COMMUNITY-BASED ORGANIZATIONS TO OFFER SERVICES TO THE COMMUNITY THAT AIMS TO HELP OVERCOME SOCIAL DETERMINANT-RELATED HEALTH BARRIERS. THE PROGRAMS INCLUDE PHYSICAL ACTIVITY CLASSES, COOKING CLASSES, GARDENING CLASSES, AND EVEN A FREE PRODUCE HANDOUT ALL OF THESE ACTIVITIES ARE PROVIDED TO THE COMMUNITY AT NO DIRECT COST.INDIVIDUALS AND FAMILIES IDENTIFIED AS AT RISK IN THE COMMUNITY, AT THE ERH ED, OR A LOCAL PCP ARE REFERRED TO THE RHN WELLNESS PROGRAM. INDIVIDUALS WHO ACCEPT THE REFERRAL ARE ENROLLED INTO THE COHORT AND COMPLETE AN INTAKE ASSESSMENT WITH A COMMUNITY HEALTH WORKER (CHW) THAT INCLUDES COLLECTING CLINICAL METRICS, AN SDOH SCREENING, AND HEALTH KNOWLEDGE AND BEHAVIOR ASSESSMENTS. THE CHW WORKS WITH THE INDIVIDUAL TO DEVELOP AN ACTION PLAN TO BEGIN MAKING LIFESTYLE CHANGES THAT REDUCE THEIR RISK OF CHRONIC DISEASE. THE CHW SUPPORTS THE COHORT BY OFFERING MEETINGS AT THEIR HOUSE, COMMUNITY LOCATION, LOCAL STORES, OR HOSPITAL. PROGRAMS INCLUDE: ELIMINATING TRANSPORTATION BARRIERS. ARRANGING MEDICATION RECONCILIATION AND BLISTER PACKAGING WITH THE ERH PHARMACIST. GROCERY SHOPPING EDUCATION AT THE LOCAL GROCERY STORE.ADDITIONALLY, THE COHORT CAN MEET WITH A NUTRITIONIST ONSITE OR AT A SITE OF THEIR CHOOSING (TO OVERCOME TRANSPORTATION) TO MAKE MEAL PLANS AND HAVE NUTRITION COUNSELING. IN ADDITION, TO THE SUPPORT PROVIDED BY THE CHW AND NUTRITIONIST, THERE ARE MANY NO-COST HEALTH PROGRAMS COHORT MEMBERS CAN ATTEND THAT FOCUS ON HEALTH EDUCATION, NUTRITION (COOKING DEMONSTRATIONS, SUPPORT GROUP, ETC.), AND PHYSICAL ACTIVITY CLASSES.TO PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2, ERH WILL CONTINUE TO IMPLEMENT AND EXPAND PROJECT RESCUE (24/7 BUPRENORPHINE INDUCTION WITH A WARM HANDOFF TO A PEER AND TREATMENT PROVIDER). THE PROGRAM WILL CONTINUE TO SUPPLY HARM REDUCTION SUPPLIES AND EDUCATION ON HARM REDUCTION TO INDIVIDUALS SEEN IN THE ED AND THE COMMUNITY. ADDITIONALLY, ERH STAFF WILL CONTINUE TO SUPPORT THE ULSTER COUNTY SHERIFF'S ORACLE PROGRAM (OPIOID RESPONSE AS COUNTY LAW ENFORCEMENT), WHICH AIMS TO DIVERT INDIVIDUALS FROM POTENTIAL INCARCERATION TO DETOX AND TREATMENT SERVICES.INTERVENTION 1 SUMMARY: IMPLEMENT PROJECT RESCUE, A COLLABORATIVE PARTNERSHIP BETWEEN ERH AND CATHOLIC CHARITIES OF ORANGE, SULLIVAN, AND ULSTER. MEDICATION ASSISTED RECOVERY (MAR) (BUPRENORPHINE) WILL BE AVAILABLE IN THE ED FOR INDUCTION 24/7 (WITH ASSESSMENT FOR WITHDRAWAL SYMPTOMS) WITH A WARM HANDOFF TO A CERTIFIED RECOVERY PEER ADVOCATE (CRPA) AND A REFERRAL TO START TREATMENT. MAR IS AVAILABLE FOR UP TO THREE DAYS IN THE ED, WITH A GUARANTEE TO START TREATMENT WITH PARTNERING AGENCIES ON DAY FOUR. CONTINUE TO LINK INDUCTED PATIENTS TO THE MAT CARE MANAGER AS NECESSARY. INTERVENTION 2 SUMMARY: PROVIDE NECESSARY HARM REDUCTION SUPPLIES AND GUIDANCE TO PREVENT FATAL OVERDOSES AND THE OCCURRENCE AND TRANSMISSION OF INFECTIOUS COMPLICATIONS (I.E., HEPC, HIV, ENDOCARDITIS).INTERVENTION 3 SUMMARY: SUPPORT OF THE ULSTER COUNTY SHERIFF'S PROJECT ORACLE FACILITATE LAW ENFORCEMENT-ASSISTED DIVERSION FOR SUBSTANCE USE DISORDER BY PARTICIPATING IN THE COUNTYWIDE "HIGH-RISK MITIGATION TEAM," A CARE-COORDINATION MODEL THAT AIMS TO REDUCE RATES OF RELAPSE, OVERDOSE, AND DEATH. PART V, LINE 7, CHNA REPORT WEBSITE: HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2023/11/ELLENVILLE-REGIONAL-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022-2024-CHNA-1.PDFPLEASE NOTE LINKS ARE SUBJECT TO CHANGE DUE TO WEBSITE REDESIGN/CHANGES CAUSING DATA TO BE MOVED TO ALTERNATE LOCATIONS. PART V, LINE 10, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://ERHNY.ORG/ABOUT-US/ PLEASE NOTE LINKS ARE SUBJECT TO CHANGE DUE TO WEBSITE REDESIGN/CHANGES CAUSING DATA TO BE MOVED TO ALTERNATE LOCATIONS. PART V, SECTION B, LINE 16A: HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/12/HOSPITAL-FINANCIAL-ASSISTANCE-FINAL-11.24.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/12/ERH-FA-APP-SPANISH.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED. PART V, SECTION B, LINE 16B&C: HTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/12/ERH-FA-APP-ENGLISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/12/ERH-FA-APP-SPANISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/01/2024-ERH-FA-SUMMARY-ENGLISH.PDFHTTPS://ERHNY.ORG/WP-CONTENT/UPLOADS/2024/01/2024-ERH-FA-SUMMARY-SPANISH.PDFPLEASE NOTE THAT THERE'S A POSSIBILITY THAT THE LINK COULD CHANGE AFTER THE RETURN IS FILED. PART I, LINE 5: ERH DID NOT BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE PROVIDED UNDER ITS FINANCIAL ASSISTANCE POLICY. THE HOSPITAL IS PREPARED TO PROVIDE FREE OR DISCOUNTED CARE FOR ALL ELIGIBLE PATIENTS. THE IMPACT OF FREE AND DISCOUNTED CARE IS NOT PREDICTABLE FOR THE HOSPITAL IN ORDER TO ESTIMATE THIS AMOUNT FOR BUDGETING PURPOSES. PART III, LINE 2: THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT. PART III, LINE 3: THE AMOUNT REPORTED IN PART III, SECTION B, LINE 3 IS ESTIMATE OF ACCOUNTS MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON THE KNOWLEDGE OF THE HOSPITAL PATIENTS AND THE COMMUNITY THAT THE HOSPITAL SERVES. PART III, LINE 4: EFFECTIVE JANUARY 1, 2019, THE HOSPITAL ADOPTED NEW U.S. GAAP REVENUE RECOGNITION GUIDANCE ACCOUNTING STANDARD UPDATE. AS A RESULT, UPON THE HOSPITAL'S ADOPTION OF ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND THEREFORE IS INCLUDED AS A REDUCTION TO PATIENT SERVICE REVENUE IN 2024. BAD DEBT EXPENSE IS $1,981,860. THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS BASED ON THE AMOUNTS OF PATIENT ACCOUNTS WRITTEN OFF DUE TO BAD DEBT. THE AMOUNT DOES NOT INCLUDE WRITE OFF DUE TO DISCOUNT OR ALLOWANCE. PART III, LINE 8: $20,440, WHICH IS 50% OF THE SURPLUS REPORTED ON PART III, SECTION B, LINE 7, PERTAINS TO PATIENTS THAT COULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE AND BE TREATED AS COMMUNITY BENEFIT.THE AMOUNT ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NYS INSTITUTIONAL COST REPORT AND OTHER APPLICABLE ADJUSTMENTS. PART III, LINE 9B: NO COLLECTION PROCESS IS UNDERTAKEN FOR KNOWN PATIENT WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ONCE A PATIENT IS QUALIFIED OR DESIGNATED FOR FINANCIAL ASSISTANCE, STATEMENTS WILL STOP BEING SENT UNTIL A DETERMINATION IS MADE THAT THE PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: ELLENVILLE REGIONAL HOSPITAL USES VARIOUS METHODS TO ASSESS THE COMMUNITY'S HEALTH NEEDS. ELLENVILLE REGIONAL HOSPITAL SEEKS THE VIEWS OF COMMUNITY MEMBERS TO GAIN THEIR THOUGHTS REGARDING THEIR COMMUNITY'S HEALTH CARE AND FEEDBACK REGARDING ERH SERVICES. THE BOARD OF TRUSTEES OF ERH IS COMPRISED OF ELEVEN MEMBERS; TEN ARE VERY VISIBLE IN THE COMMUNITY AND ARE A DIRECT LINK FOR PATIENTS TO THE HOSPITAL ADMINISTRATION. THE 10TH MEMBER IS THE CEO OF THE INSTITUTE FOR FAMILY HEALTH, THE LARGEST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IN NY STATE. COMMUNITY FEEDBACK IS A TOPIC OF DISCUSSION AT MOST BOARD MEETINGS. THE PRESIDENT AND CEO OF ERH, STEVEN L. KELLEY, IS A PROMINENT COMMUNITY MEMBER. MR. KELLEY AND OTHER ADMINISTRATIVE TEAM MEMBERS BELONG TO NUMEROUS ORGANIZATIONS, SERVE ON OTHER NOT-FOR-PROFIT BOARDS, AND ARE ACTIVE PARTICIPANTS. ALL CLINICAL DEPARTMENTS DO PATIENT SATISFACTION QUESTIONNAIRES. THESE QUESTIONNAIRES PROVIDE VALUABLE FEEDBACK FROM THE POPULATION THAT UTILIZES THE HOSPITAL SERVICES. IN ADDITION, STATISTICAL DATA FROM STATE AND COUNTY DATABASES ARE CONTINUALLY ANALYZED, LOOKING FOR TRENDS AND CHANGES IN THE DEMOGRAPHIC MAKEUP OF OUR PATIENTS. IN ADDITION, THE ERRHN OFTEN UTILIZES COMMUNITY SURVEYS AND HOSTS COMMUNITY FORUMS TO GATHER MORE INFORMATION ON THE HEALTH TOPICS THAT THE COMMUNITY FEELS ARE PERTINENT. THESE FORUMS HAVE BEEN THE BASIS FOR CHANGES TO THE POPULATION HEALTH PROGRAM.ERH CONTINUES TO SUPPORT THE FOUR PILLARS OF HEALTH PROVIDING SERVICES TO THE MEMBERS AT NO COST. WE ALSO MONITOR THE TOP TEN INPATIENT DIAGNOSES ANNUALLY TO PLAN OUR SERVICES AROUND THE DISEASES MOST PREVALENT IN OUR LOCAL COMMUNITY. ERH WORKS CLOSELY WITH AN FQHC ON OUR CAMPUS. THE CEOS OF ERH AND FQHC PARTICIPATE ON THE BOARD OF DIRECTORS FOR BOTH ORGANIZATIONS. THIS COLLABORATIVE WORKING ARRANGEMENT HAS BEEN INVALUABLE IN ASSESSING THE NEEDS OF THE MEDICAL PROVIDERS AND THE PATIENTS IN THE COMMUNITY. PART VI, LINE 3: BY ITS EXEMPTION FROM FEDERAL AND STATE TAXES AND AS PART OF THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY'S HEALTHCARE NEEDS, ERH PROVIDES CARE TO ALL PATIENTS IN NEED WITHOUT REGARD FOR THEIR ABILITY TO PAY. ELLENVILLE REGIONAL HOSPITAL (ERH) INFORMS ITS PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN SEVERAL WAYS. SIGNS ARE POSTED IN REGISTRATION, AND INFORMATION ON FINANCIAL AID IS LOCATED ON OUR WEBSITE. THESE SIGNS DIRECT THE PATIENTS TO SPEAK WITH DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVES. ALL PATIENTS WITHOUT INSURANCE ARE GIVEN A PACKET THAT INCLUDES A CHARITY CARE APPLICATION AND IS AVAILABLE UPON REQUEST BY THE PATIENT AND ON OUR WEBSITE. PATIENT STATEMENTS ALSO INCLUDE CONTACT INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, THE REGISTRATION STAFF DIRECTS PATIENTS TO A DESIGNATED PATIENT FINANCIAL SERVICES REPRESENTATIVE FOR MEDICAID APPLICATIONS.HTTPS://ERHNY.ORG/PATIENT-GUESTS/FINANCIAL-ASSISTANCE-PROGRAM/ PART VI, LINE 4: ELLENVILLE REGIONAL HOSPITAL (ERH), A 25-BED CRITICAL ACCESS HOSPITAL BUILT IN 1964(-1966), IS LOCATED IN THE TOWN OF WAWARSING, IN ULSTER COUNTY. ERH IS A NON-PROFIT SOLE PROVIDER HOSPITAL FOR ELLENVILLE AND ITS SURROUNDING COMMUNITIES LOCATED BETWEEN SHAWANGUNK RIDGE AND THE CATSKILL MOUNTAIN RANGE. THE ERH SERVICE AREA, DEFINED AS THE TOP TEN ZIP CODES OF PATIENT RESIDENCY TO WHICH ERH PROVIDES CLINICAL SERVICES EACH YEAR, HAS A POPULATION OF 28,000. THESE ZIP CODES COVER TOWNS AND VILLAGES IN ULSTER COUNTY AND INTO PARTS OF SULLIVAN AND ORANGE COUNTIES, INCLUDING ELLENVILLE, KERHONKSON, NAPANOCH, ACCORD, PINE BUSH, WAWARSING, GRAHAMSVILLE, SUNDOWN, DENNING, WOODBOURNE, WOODRIDGE, WURTSBORO, WURTSBORO HILLS, PHILLIPSPORT, SUMMITVILLE, HAVEN, AND YANKEE LAKE. ERH IS GEOGRAPHICALLY ISOLATED, WITH ITS POPULATION CENTER CONSISTING OF A 37% NON-WHITE POPULATION AND A 20% BELOW-POVERTY LEVEL, ACCORDING TO THE US CENSUS BUREAU. THE NEAREST HOSPITAL IS OVER 25 MILES AWAY ON PRIMARILY SECONDARY ROADS, AND DUE TO THE RURAL GEOGRAPHICAL ISOLATION, ERH SERVES A CRUCIAL NEED FOR THE COMMUNITY. IN 2024, THE EMERGENCY DEPARTMENT (ED) PATIENT VOLUME AT ELLENVILLE REGIONAL HOSPITAL (ERH) WAS 16,212. IN 2024, THE HOSPITAL SERVED 13,580 UNIQUE PATIENTS WHO MADE 33,468 VISITS. IT IS ALSO A TEACHING HOSPITAL WITH EDUCATIONAL PROGRAMS FOR MEDICAL RESIDENTS, MEDICAL STUDENTS, PHARMACISTS, PHYSICAL THERAPISTS, PHYSICAL THERAPY ASSISTANTS, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, RADIOLOGICAL TECHNICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, PHYSICIAN ASSISTANTS, PHLEBOTOMISTS, HIGH SCHOOL NEW VISION STUDENTS AND MORE.ERH WAS GRANTED CRITICAL ACCESS HOSPITAL (CAH) STATUS IN 2004 AND HAD 25 INPATIENT BEDS. THESE BEDS CAN BE USED FOR ACUTE CARE OR SWING BUT MAY NOT EXCEED 25. THE RULING IS SIGNIFICANT SINCE THE HOSPITAL IS LOCATED IN A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREA (MUA). THERE WOULD BE A SUBSTANTIAL PROBLEM WITH UNINSURED AND UNDERINSURED HAVING ACCESS TO QUALITY HEALTHCARE WITHOUT ERH.THE TOWN OF WAWARSING IS LOCATED WITHIN ULSTER COUNTY IN THE MID-HUDSON VALLEY, APPROXIMATELY 90 MILES NORTHWEST OF NEW YORK CITY. THE TOWN OF WAWARSING, A RURAL TOWN DESIGNATED AS HAVING A MEDICALLY UNDER-SERVED POPULATION (MUP ID# 07223), HAS A POPULATION OF APPROXIMATELY 13,004, OF WHICH 4,097 RESIDE WITHIN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER IN THE TOWN (ACS 2018). THE TOWN INCLUDES 11,091 HOUSEHOLDS AND 2,946 FAMILIES.CENSUS DATA INDICATES THAT OF THE WAWARSING POPULATION, 69.8% IDENTIFY AS WHITE, 9.9% IDENTIFY AS BLACK, 2.3% AS ASIAN, 0.5% AS NATIVE AMERICAN (OR ALASKAN NATIVE) AND 9.7% IDENTIFY AS TWO OR MORE RACES; WITH 22.6% OF RESIDENTS IDENTIFYING AS LATINX, AND 14% OF INDIVIDUALS SPEAKING SPANISH AT HOME. THE MEDIAN AGE IS 41.5 YEARS IN WAWARSING, WITH 37% OF ADULTS OVER 50.CHILDREN <18 ARE 18.8% OF THE POPULATION, 18-64 ARE 66%, AND FEMALES OF ALL AGES ACCOUNT FOR 44% OF THE POPULATION. IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, INCLUDING 23% OF CHILDREN UNDER 18. ELLENVILLE CENTRAL SCHOOL DISTRICT HAD 1,516 STUDENTS ENROLLED FOR THE 2019-20 SCHOOL YEAR, 71% ECONOMICALLY DISADVANTAGED. ROUGHLY 16% OF RESIDENTS HAVE LESS THAN A HIGH SCHOOL EDUCATION.THE UNEMPLOYMENT RATE FOR THE CIVILIAN LABOR FORCE IN WAWARSING IS 9.6%, WITH A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE FOR INDIVIDUALS 20-24 (32%) AND A SUBSTANTIALLY LOWER RATE FOR INDIVIDUALS 25-29 YEARS OLD (1.9%). IN THE TOWN OF WAWARSING, 17.9% OF INDIVIDUALS LIVE BELOW THE POVERTY LINE, INCLUDING 23% OF CHILDREN UNDER 18 AND 18.8% OF SENIORS. 47.9% OF INDIVIDUALS BELOW THE POVERTY LEVEL DID NOT WORK IN THE PAST 12 MONTHS. 83.8% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA (OR EQUIVALENT). HOWEVER, RATES DIFFER SIGNIFICANTLY FOR MALES AND FEMALES, WITH ONLY 3% OF 25+ FEMALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA BUT 18% OF 25+ MALES HAVING LESS THAN A HIGH SCHOOL DIPLOMA. 18.2% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER.WAWARSING HAS A TOTAL OF 6,299 HOUSING UNITS, 65% OF WHICH ARE SINGLE UNITS, 71.9% OF WHICH ARE OCCUPIED, AND 28.1% VACANT. OF THE 4,530 OCCUPIED HOUSEHOLDS, 60% ARE DEFINED AS 'FAMILY HOUSEHOLDS' (2,719); 29.1% (1,319) HAVE RELATED CHILDREN UNDER 18 YEARS OLD, AND 9.3% (421) ARE SINGLE FEMALES WITH CHILD(REN) HOUSEHOLDS. ABOUT 44% OF THE POPULATION IS MARRIED. THE AVERAGE HOUSEHOLD SIZE WAS 2.4, AND THE AVERAGE FAMILY SIZE 2.96.IN THE VILLAGE OF ELLENVILLE, THE LARGEST POPULATION CENTER (4,000) IN THE TOWN OF WAWARSING, THE MEDIAN AGE IS 37 YEARS, WITH 41.5% OF THE POPULATION UNDER 25. THE POPULATION IS 52% MALE. ETHNIC AND RACIAL DEMOGRAPHICS INCLUDE 58.4% WHITE, 7.9% BLACK, AND 4% TWO OR MORE RACES, WITH 29.4% OF THE POPULATION IDENTIFYING AS LATINO. JUST OVER 16% OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, PREDOMINANTLY SPANISH. ACCORDING TO THE 2010 CENSUS, THERE WERE 4,135 PEOPLE IN THE VILLAGE OF ELLENVILLE, INDICATING THE POPULATION HAS CONTINUED TO DECREASE.OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED, AND ROUGHLY 18% HAVE LESS THAN A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE FOR INDIVIDUALS 30-34 IS HIGHER THAN THE VILLAGE RATE, AT 21.2%. THE RATE IS EVEN HIGHER FOR INDIVIDUALS WITHOUT A HIGH SCHOOL DEGREE, AT 25.5%. VETERANS REPRESENT 3.4% OF THE POPULATION. IN THE 12428 ZIP CODE AREA, INCLUDING THE VILLAGE OF ELLENVILLE, OVER 40% OF RESIDENTS ARE LOW-INCOME, MORE THAN 18.9% LIVE BELOW THE POVERTY LINE, 24% OF CHILDREN LIVE IN POVERTY, AND 37% OF SENIORS LIVE IN POVERTY.IN THE 2017 ACS 5-YEAR ESTIMATES, 1,841 HOUSEHOLDS IN THE VILLAGE, 53% OF WHICH ARE SINGLE UNITS, AND 85.1% (1,566) OF WHICH ARE OCCUPIED. 39.9% OF HOMEOWNERS AND 54.3% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT EXCEED 35% OF THE HOUSEHOLD INCOME. OF OCCUPIED UNITS, 63% ARE CONSIDERED 'FAMILY HOUSEHOLDS (50% OF WHICH ARE ESTIMATED TO BE SINGLE-PARENT HOUSEHOLDS), AND 21.9% OF OCCUPIED UNITS WERE DEFINED AS FEMALE HOUSEHOLDERS WITH NO MALE PRESENT. ABOUT 50% OF THE POPULATION IS MARRIED. OF OCCUPIED UNITS, 29.1 % HAD RELATED CHILDREN UNDER 18 LIVING WITH THEM, AND 24.8% OF HOUSEHOLDS HAD INDIVIDUALS AGED 65 OR OLDER: AVERAGE HOUSEHOLD SIZE 2.6 AND AVERAGE FAMILY SIZE 3.4.ERH'S CATCHMENT AREA INCLUDES A SUBSTANTIAL IMPOVERISHED POPULATION. FOR EXAMPLE, ELLENVILLE AND WAWARSING HAVE MEDIAN HOUSEHOLD INCOMES (TOWN $46,889 AND VILLAGE $45,531) THAT ARE SUBSTANTIALLY LOWER THAN (ABOUT THREE-QUARTERS) THE ULSTER COUNTY MEDIAN HOUSEHOLD INCOME OF $61,652 AND THE NYS MEDIAN HOUSEHOLD INCOME OF $62,765 (ACS 2017).IT IS ESSENTIAL TO NOTE THE ELLENVILLE FAMILY HEALTH CENTER (IFH), A PRIMARY CARE HEALTH CENTER OPERATED BY THE INSTITUTE FOR FAMILY HEALTH, IS ONE OF THE LARGEST FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN NEW YORK STATE. THE FQHC IS ALSO LOCATED ON THE ERH CAMPUS. THE INSTITUTE IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE FOR ALL. IT STRIVES FOR EXCELLENCE AT ITS 26 PRACTICES WHILE ACCEPTING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE ELLENVILLE IFH OFFERS PRIMARY CARE, MENTAL HEALTH CARE, DENTAL, AND SOCIAL WORK SERVICES, ALONG WITH MANY OTHER HEALTH SERVICES FOR PATIENTS OF ALL AGES. AS PART OF A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER NETWORK, IT MEETS NATIONAL STANDARDS FOR AFFORDABLE, ACCESSIBLE, AND COMPREHENSIVE HEALTH CARE SERVICES. THE CENTER IS ACCREDITED BY THE JOINT COMMISSION AND RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE AS A LEVEL 3 PATIENT-CENTERED MEDICAL HOME; THE HIGHEST RECOGNITION AVAILABLE. THE IFH SEES APPROXIMATELY 3,600 PATIENTS PER YEAR AND OFFERS SAME-DAY APPOINTMENTS. ACCORDING TO THE INSTITUTE OF FAMILY HEALTH, A FEDERALLY QUALIFIED HEALTHCARE CENTER'S ELLENVILLE SITE DATA, NEARLY 59% OF HEALTH CENTER PATIENTS RESIDING IN THE 12428 ZIP CODE RECEIVE MEDICAID OR OTHER PUBLIC INSURANCE, AND 7.6% ARE UNINSURED. FURTHERMORE, ROUGHLY 10% OF ADULTS IN THE ZIP CODE HAVE NO USUAL SOURCE OF CARE. THE SAME PERCENTAGE OF ADULTS HAVE DELAYED OR NOT SOUGHT CARE DUE TO HIGH COSTS.WAWARSING AND THE VILLAGE OF ELLENVILLE WERE PREVIOUSLY HOME TO SEVERAL MANUFACTURING BUSINESSES, INCLUDING IMPERIAL SCHRADE AND HYDRO ALUMINUM, WHICH EMPLOYED MANY RESIDENTS. THE SURROUNDING AREA ALSO BOASTED SEVERAL LARGE RESORT HOTELS. DUE TO THESE BUSINESSES CLOSING THEIR DOORS AND A SIGNIFICANT DECLINE IN THE AREA'S TOURIST INDUSTRY, THE ELLENVILLE COMMUNITY HAS LOST OVER 2,000 JOBS SINCE THE 1990S. THE TOWN AND VILLAGE STRUGGLE WITH THE ISSUES THAT ACCOMPANY POVERTY AND UNEMPLOYMENT IN RURAL AREAS. OVER 12% OF RESIDENTS IN THE VILLAGE ARE UNEMPLOYED. MAJOR EMPLOYERS SUPPORTING THE REGION'S RESIDENTS ARE THE NYS DEPARTMENT OF CORRECTIONS, ELLENVILLE CENTRAL SCHOOL DISTRICT, AND ELLENVILLE REGIONAL HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES NY PART VI, LINE 4, CONTINUATION: AN AFFORDABLE SENIOR HOUSING PROJECT, A JOINT VENTURE BETWEEN THE HOSPITAL AND WARWICK PROPERTIES, INC., IS LOCATED ON THE ELLENVILLE REGIONAL HOSPITAL CAMPUS. ALL THREE PHASES OF THE PROJECT REMAIN FULLY OCCUPIED, WITH APPROXIMATELY 156 SENIOR CITIZENS LIVING INDEPENDENTLY IN ONE-BEDROOM APARTMENTS. THE PROJECT COLLABORATORS SECURED FUNDING FOR THE COMPLEX FROM THE NEW YORK STATE DIVISION OF HOUSING'S COMMUNITY RENEWAL HOUSING TRUST FUND. THE PARTNERSHIP SPONSORING THE HOUSING PROJECT IS DEVELOPING PLANS TO BUILD ADDITIONAL AFFORDABLE HOUSING CLOSE TO THE HOSPITAL, TARGETING SENIORS, SPECIAL NEEDS POPULATIONS, AND POSSIBLY RETURNING VETS. X X X X 0 0 0 0 0 0 0 1 0 STEVEN KELLEY PRESIDENT & CEO 388146 0 150000 0 10720 0 23000 0 11622 0 583488 0 0 0 BOB RUE CFO 195313 0 60003 0 13620 0 10552 0 37578 0 317066 0 0 0 ASHIMA BUTLER COO 213023 0 60003 0 15782 0 11211 0 3908 0 303927 0 0 0 MARIE BROWN REGISTERED NURSE 160453 0 1000 0 59 0 0 0 43496 0 205008 0 0 0 MARIA GONZALEZ CHIEF NURSING OFFICER 139880 0 15400 0 721 0 7630 0 38333 0 201964 0 0 0 MARTHA TOALA REGISTERED NURSE 158684 0 2400 0 111 0 0 0 38453 0 199648 0 0 0 THERESA AVERSANO DIRECTOR PHYSICAL MEDICINE & REHAB 139507 0 10304 0 274 0 0 0 38203 0 188288 0 0 0 CLARE FARRELL MANAGER OF LABORATORY SERVICES 142687 0 9000 0 798 0 0 0 1314 0 153799 0 0 0 PART I, LINE 7 EMPLOYEES OF THE ORGANIZATION RECEIVED A BOARD-APPROVED DISCRETIONARY BONUS, AWARDED BASED ON PERFORMANCE, AS REPORTED FOR THEM IN PART II, COLUMN B(II). FORM 990, PART VI, SECTION B, LINE 11B WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE ACCOUNTING DEPARTMENT LEADERSHIP AND HOSPITAL ADMINISTRATORS CREATE AND/OR REVIEW REQUIRED FILING MATERIAL FOR YEARLY REPORTING. ACCOUNTING DEPARTMENT LEADERSHIP SUBMITS TO INDEPENDENT AUDITORS FILING MATERIAL TO CREATE A DRAFT 990 WHICH IS RETURNED FOR CORPORATE REVIEW. A SECOND REVIEW IS CONDUCTED BY ACCOUNTING DEPARTMENT LEADERSHIP AND HOSPITAL ADMINISTRATORS FOR ACCURACY. THEN ELECTRONIC OR HAND DELIVERED COPIES OF THE 990 ARE PRESENTED TO THE BOARD MEMBERS OF THE ORGANIZATION FOR COMMENT. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED, AND REPORTED TO THE INDEPENDENT AUDITORS FOR APPROPRIATE CHANGES. INDEPENDENT AUDITORS MAKE CHANGES SEND FINAL 990 FOR ONE LAST INTERNAL REVIEW AND APPROVAL FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING "PERSONNEL" OF THE HOSPITAL: MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, "SENIOR MANAGEMENT" (DEFINED TO BE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS), ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN THE HOSPITAL AND A VENDOR. A DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY THE APPLICABLE PERSONNEL STATING IF THEY ARE AWARE OF ANY ACTUAL OR POTENTIAL CONFLICTS. IF DURING THE YEAR, ANY MEMBER OF THE BOARD OF TRUSTEES, MEDICAL STAFF MEMBER OR EMPLOYEE BECOMES AWARE OF A CONFLICT, THEY PROMPTLY DISCLOSE IN WRITING TO THE ADMINISTRATOR OR PRESIDENT OF THE BOARD OF TRUSTEES ANY ACTUAL OR CONTEMPLATED TRANSACTION WHICH POSES A CONFLICT OF INTEREST. THE REPORT CONTAINS A STATEMENT OF ALL MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST WHICH CREATES THE POSSIBLE CONFLICT OF INTEREST. THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD OF TRUSTEES, WHICH DETERMINES WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL HAVE AN ADVERSE EFFECT ON THE FACILITY. THE BOARD OF TRUSTEES CAUSES NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION IS ALLOWED TO CONTINUE OR SHOULD BE TERMINATED, AND OF ANY OTHER ACTION THAT WILL BE TAKEN BY THE BOARD OF TRUSTEES OR SHOULD BE TAKEN BY THE BOARD MEMBER, MEDICAL STAFF MEMBER OR EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE IS PROVIDED AN INDEPENDENT REPORT OF COMPARABLE HOSPITAL SALARY FOR THE CEO, INCLUDING FORM 990S OF SIMILAR SIZED ORGANIZATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS VARIOUS PERFORMANCE MEASURES AND OTHER INFORMATION AND ARRIVES AT A SALARY AND BENEFIT PACKAGE FOR THE CEO. THE COMPENSATION COMMITTEE APPROVES AND DECIDES THE COMPENSATION FOR CEO IN THE EXECUTIVE SESSION. THIS PROCESS WAS LAST UNDERTAKEN IN 2023 TO REVIEW CONTRACT'S COMPENSATION THROUGH 12/31/2025. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE ACCOMPLISHED THROUGH MINUTES OF THE COMMITTEE'S MEETINGS. THE DIRECTOR OF HUMAN RESOURCES OBTAINS SALARY INFORMATION FROM AN INDEPENDENT SOURCE OF LOCAL COMPARABLE HOSPITALS FOR EACH HIGHER-LEVEL POSITION AT THE HOSPITAL. THE INDEPENDENT INFORMATION CONTAINS SALARY LEVELS FOR EACH POSITION AT THE 25TH, 50TH, AND 75TH PERCENTILE. THE CEO THEN CONSIDERS THIS INFORMATION AND THE PERFORMANCE FOR EACH OF THESE EMPLOYEES AND DETERMINES THE APPROPRIATE SALARY LEVEL FOR OTHER OFFICERS AND KEY EMPLOYEE. THE SALARY INFORMATION IS THEN PRESENTED TO THE BOARD CHAIR FOR APPROVAL. THIS PROCESS WAS LAST UNDERTAKEN IN 2023 FOR CONTRACT YEARS 2024 AND 2025. SUBSEQUENT CONTRACT YEARS WILL BE REVIEWED BY COMMITTEE IN LATE 2025. CONTEMPORANEOUS SUBSTANTIATION OF THESE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE FINANCE DEPARTMENT RECORDS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 56,683. MANAGEMENT AND GENERAL EXPENSES 18,894. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,577. PHYSICIAN FEES AND OTHER: PROGRAM SERVICE EXPENSES 836,400. MANAGEMENT AND GENERAL EXPENSES 278,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,115,200. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 19,016. MANAGEMENT AND GENERAL EXPENSES 6,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,355. CONTRACT/PURCHASED SVCS: PROGRAM SERVICE EXPENSES 2,779,911. MANAGEMENT AND GENERAL EXPENSES 954,362. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,734,273. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF ELLENVILLE REGIONAL HOSPITAL FOUNDATION 315,609. CHANGE IN EQUITY INVESTMENT IN ELLENVILLE REGIONAL FAMILY HEALTH PROPERTIES -9,333. LOSS ON DISPOSAL OF FIXED ASSETS -40,907. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC 10 HEALTHY WAY ELLENVILLE NY 124285612 371562427 FUNDRAISING FOR WESTCHESTER-ELLENVILLE HOSPITAL, INC. NY 501(C)(3) LINE 7 WESTCHESTER-ELLENVILLE HOSPITAL INC 1 AUXILIARY OF THE ELLENVILLE COMMUNITY HOSPITAL 10 HEALTHY WAY ELLENVILLE NY 124285612 222315333 SUPPORT WESTCHESTER-ELLENVILLE HOSPITAL NY 501(C)(3) LINE 12C, III-FI WESTCHESTER-ELLENVILLE HOSPITAL INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0