Community Benefit Insight - Tax-exempt hospital

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Eastern Long Island Hospital Assoc Inc

Eastern Long Island Hospital

201 Manor Place
Greenport, NY 11944

Bed count	85	Medicare provider number	330088	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 111633563

Display data for year:

Community Benefit Spending- 2019
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

29.98%

Spending by Community Benefit Category- 2019
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2019

Additional data

Community Benefit Expenditures: 2019

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,022,871 3.46 %
Medicaid as % of operating expenses	$ 7,776,027 26.28 %
Costs of other means-tested government programs as % of operating expenses	$ 73,467 0.25 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2019

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 6,421,506 21.70 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 129,475 2.02 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2019

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2019

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 20984993 including grants of $ 0) (Revenue $ 24209386)
TO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 1,410 ADMISSIONS, 8,891 PATIENT DAYS AND 20,861 EMERGENCY AND AMBULATORY CARE VISITS DURING 2019.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, LINE 5:
As part of the assessment process, ELIH engages in periodic surveys, meets with advisory boards and collaborative committees and conducts a Community Health Needs Assessment (CHNA) in cooperation with Suffolk County Department of Health Services and the Nassau Suffolk Hospital Council members. ELIH continues its annual process with community partners and advisory boards to assess active programs and gaps identified through both solicited and unsolicited feedback. Notifications and requests to participate are mailed to over 200 clubs and organizations, including faith-based organizations as well as open invitations by email. Ongoing meetings and relationships through the following partnerships provide valuable perspectives and real-time evaluations of community healthcare needs. Within this collaboration, partnerships are forged, service gaps are indentified, and community outreach needs and programming efforts are coordinated. ELIH community partners and community-based organizations include: C.A.S.T. Community Action Southold Town Congregation Tifereth Israel Temple Cutchogue Homemakers Cutchogue-New Suffolk Library Cutchogue Presbyterian Church Earthrite Textile Recycling, Inc. Eastern Suffolk BOCES Floyd Memorial Library, Greenport The Guidance Center Services, Inc. Greenport and Southold Rotary Clubs Holy Trinity Episcopal Church, Greenport HUGS of America Island Gift of Life Foundation Long Island Blood Services Long Island Health Collaborative Mattituck Chamber of Commerce Mattituck Community Fund Mattituck Library Mattituck-Cutchogue School District Mattituck, Cutchogue, Southold, Greenport, East Marion, Orient and Shelter Island Emergency Medical Squads and Fire Departments Mattituck Presbyterian Church Maurer Foundation Mollie Biggane Foundation Mattituck Lyons Club Mental Health Association Suffolk New York Organ Donor Network North Fork Breast Coalition North Fork Chamber of Commerce North Fork Promotion Council North Fork Suicide Prevention Coalition Orient Congregational Church Peconic Retreat Peconic Landing The Retreat RSVP of Suffolk County San Simeon SNF Shelter Island Library Shelter Island School District Shelter Island Senior Services Southold First Presbyterian Church Southold School District Southold Town Senior Services Southold Mothers Club Southold-Mattituck-Greenport High School Business Advisory St. Agnes Roman Catholic Church St. Peters Lutheran Church Stony Brook Medicine Suffolk County Office for the Aging United Way of Long Island Utopia (Home Care) Winthrop University Hospital Physicians

Part V, Lines 6A AND 6B:
"In 2013, hospitals and both County Departments of Health on Long Island convened to work collaboratively on the community health needs assessment. Over time, this syndicate grew into an expansive membership of academic partners, community-based organizations, physicians and other community leaders who hold a vested interest in improving community health and supporting the NYS Department of Health Prevention Agenda. Designated ""The Long Island Health Collaborative,"" this multi-disciplinary entity has been meeting monthly to work collectively toward improving health outcomes for Long Islanders. In 2015, the Long Island Health Collaborative was awarded the New York State Department of Health Population Health Improvement Program (PHIP) grant by the New York State Department of Health. The PHIP is a data-driven entity, pledged to pursue the New York State of Healths Prevention Agenda, making the program a natural driver for the Community Health Needs Assessment cycle."

Part V, Line 11:
"The 2016 findings from a community-wide survey conducted by Eastern Long Island Hospital (ELIH) in collaboration with Long Island Health Collaborative (LIHC) resulted in chronic disease health concerns in the following areas: - Drug and Alcohol Abuse - Cancer- Heart Disease and Stroke - Womens Health and Wellness- Obesity/Weight-loss Issues The goal of the assessment is to improve the health of the community as reflected in Eastern Long Island Hospitals mission and vision. ELIH will use and analyze the results of the health needs assessment for strategic decision-making purposes with the intention of addressing the most pressing health issues and current trends in the communities it serves. CHRONIC HEALTH GOAL #1 - Drug and Alcohol Abuse - Reduce prevalence and increase community awareness. OBJECTIVES: Increase access to preventive care through screening, education and the integration of Primary Care Services and Behavioral Health. ELIH Focus: Drug and Alcohol Abuse prevention and education - Screening Brief Intervention and Referral for Treatment (SBIRT). This program has been defined by SAMHSA as a comprehensive, integrated, public health approach to the delivery of early intervention for individuals with risky alcohol and drug use, and the timely referral to more intensive substance abuse treatment for those who have Substance Use Disorders (SUD). Substance Use Screening is incorporated in assessments for all clinical services within Eastern Long Island Hospital. Substance Use Disorder (SUD) treatment is provided at ELIH via the continuum of Quannacut Services. ELIH is in process of revising SUD Screening to include the evidence-based screening tools required for inclusion in the Suffolk Care Collaborative SBIRT Project - Provide community-based education to prevent Substance Abuse. CHRONIC HEALTH GOAL #2 - Cancer Provide workshops to the North Fork and Shelter Island residents providing ways to change lifestyle habits, increase and provide educational materials. OBJECTIVES: Increase access to early detection screening. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, skin cancer screening and smoking cessation. - Melanoma Awareness and free Skin Cancer Screening. - Host ""Learn to Be --- Tobacco Free"" program in collaboration with the Suffolk County Department of Health. - Host Early Detection & Prevention Program for Breast Health Awareness. CHRONIC HEALTH GOAL #3 - Heart Disease & Stroke - Targeting the North Fork and Shelter Island for heart disease and stroke by directly addressing programs that will speak to healthier objectives for heart disease and stroke prevention. OBJECTIVES: Increase programs throughout the area. ELIH Focus: Stroke screening and healthy heart seminars. - Host ""Learn to Be --- Tobacco Free"" program in collaboration with the Suffolk County Department of Health. - Actively participate in American Heart Association Walk-Run. - Create walk-run for the North Fork and Shelter Island communities. - Host healthy eating and heart disease prevention programs. CHRONIC HEALTH GOAL #4 - Womens Health & Wellness - Help women of all ages achieve better physical, emotional, social, and spiritual health by encouraging healthy practices. OBJECTIVES: Increase access to early detection screening and healthy living habits. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, smoking cessation, healthy eating and heart disease prevention and physical fitness. - Host ""Learn to Be --- Tobacco Free"" program in collaboration with the Suffolk County Department of Health. - Host Early Detection & Prevention Program for Breast Health Awareness - Host healthy eating and heart disease prevention programs Women and Heart Disease Campaign in February - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents. CHRONIC HEALTH GOAL #5 - Obesity/Weight-loss Reduce incidence of obesity and related co-morbidities. OBJECTIVES: Provide tools and knowledge to positively impact food choices and activity levels. ELIH Focus: Promote weight reduction strategies through nutritional counseling and fitness coaching strategies. - Promotion and participation in the WALK Long Island Campaign through distribution of promotional materials at community events and through social media. - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents, with special emphasis on Seniors; develop fitness class for seniors. - Coordinate Senior Wellness Education Series for Seniors & Caregivers. - Balance, Exercise & Aging Seminar The Community Health Needs Assessment and Implementation Plan is available on the Hospital's website at www.elih.org."

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 6A:
EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, WWW.ELIH.STONYBROOKMEDICINE.EDU. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT.

PART I, LINE 7, COLUMN(F):
THE HOSPITAL USED COST OF CHARGE RATIO.

PART I, LINE 7:
THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2016, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $204,000.

PART III, LINE 2:
THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS. THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 3 ON PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 3:
This is the actual bad debt expense for patients under financial assistance policy.

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.

PART III, LINE 8:
THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY.

PART III, LINE 9B:
CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES.

PART VI, LINE 2 - NEEDS ASSESSMENT:
"EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH. INPUT ON THE COMMUNITY SERVICE PLAN IS RECEIVED FROM BOTH INTERNAL AND EXTERNAL SOURCES. NEEDS ARE ASSESSED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF ""MEALS ON WHEELSPARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY."

Part VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:
EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF.

PART VI, LINE 4 - COMMUNITY INFORMATION:
EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND.

PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH:
ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED.

Part VI, Line 7 - State filing of community benefit report
ny

Operating expenses	$ 29,593,967
Total amount spent on community benefits as % of operating expenses	$ 8,872,365 29.98 %