Community Benefit Insight - Tax-exempt hospital

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Eastern Niagara Hospital Inc

Eastern Niagara Hospital

521 East Avenue
Lockport, NY 14094

Bed count	134	Medicare provider number	330163	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 161137084

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.29%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

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	$ 86,092 0.24 %
Medicaid as % of operating expenses	$ 1,817,446 5.05 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
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: 2021

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	$ 2,552,441 7.10 %
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	$ 7,402 0.29 %

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: 2021

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: 2021

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 $ 27659497 including grants of $ 0) (Revenue $ 24492428)
EASTERN NIAGARA HOSPITAL IS DEDICATED TO OFFERING QUALITY HEALTH CARE SERVICES TO THE COMMUNITIES OF EASTERN NIAGARA COUNTY. EASTERN NIAGARA HOSPITAL PROVIDES CHARITABLE INPATIENT AND OUTPATIENT CARE, INCLUDING 24 HOUR EMERGENCY SERVICE TO ANY INDIVIDUAL REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE HOSPITAL OPERATES A COMMUNITY MEDICAL CLINIC AND OFFERS NUMEROUS HEALTH CARE AWARENESS PROGRAMS, SMOKING CESSATION, PREGNANCY, HEALTHY HEART AND NUTRITIONAL COUNSELING.

Facility Information

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

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 5: VOLUNTEERS, AUXILIARY, LOCAL BUSINESSES, AND MEMBERS OF THE PUBLIC WHO COMPLETED SURVEYS.

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 6A: OTHER NIAGARA COUNTY, NY HOSPITALS

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 6B: POPULATION HEALTH COLLABORATIVE, LOCAL HEALTH DEPARTMENT, MENTAL HEALTH, AND OTHERS

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 7D: PEOPLE HAVE THE ABILITY TO OBTAIN AS NOTED ON THE WEBSITE.

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 11: DIABETES SCREENING, FALLS PREVENTION EDUCATION, BLOOD PRESSURE SCREENINGS, AND MENTAL HEALTH EDUCATION

EASTERN NIAGARA HOSPITAL - LOCKPORT SITE
PART V, SECTION B, LINE 24: THOSE PATIENTS WITHOUT INSURANCE ARE BILLED CHARGES UNLESS THEY APPLY FOR THE CHARITY CARE PROGRAM.

Supplemental Information

Schedule H (Form 990) Part VI

PART II, COMMUNITY BUILDING ACTIVITIES:
N/A

PART III, LINE 2:
THE COSTING METHODOLOGY FOR PART III, LINES 2 & 3: COST IS BASED ON OVERALL RATIO OF TOTAL COST TO TOTAL GROSS CHARGES APPLIED TO ACTUAL WRITE-OFFS FOR THE YEAR.

PART III, LINE 3:
THE COSTING METHODOLOGY FOR PART III, LINES 2 & 3: COST IS BASED ON OVERALL RATIO OF TOTAL COST TO TOTAL GROSS CHARGES APPLIED TO ACTUAL WRITE-OFFS FOR THE YEAR.

PART III, LINE 8:
THE COSTING METHODOLOGY IS BASED ON THE OVERALL RATIO OF TOTAL COST TO TOTAL GROSS CHARGES APPLIED TO TOTAL MEDICARE CHARGES.

PART III, LINE 9B:
THE BILLING OFFICE NOTIFIES ALL SELF PAY PATIENTS WITH BALANCES OVER $500 IN WRITING REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, THE HOSPITAL'S WEBSITE (WWW.ENHS.ORG) LISTS THE POLICY AND APPLICATION. ALL REGISTRATION AREAS HAVE POSTED INFORMATION ON THE FINANCIAL ASSISTANCE PROGRAM.

PART VI, LINE 2:
EASTERN NIAGARA HOSPITAL ASSESSES HEALTH NEEDS IN MANY WAYS. THE HOSPITAL UTILIZES A NUMBER OF VEHICLES, INCLUDING PUBLIC FUNCTIONS AND HEALTH RELATED EVENTS, AS WELL AS OUTREACH TO SERVICES GROUPS, SCHOOLS, CHURCHES AND BUSINESSES. THE HOSPITAL ALSO CONDUCTED A HEALTH NEEDS ASSESSMENT IN 2020 IN COOPERATION WITH MULTIPLE PROVIDERS AND INSTITUTIONS FROM THE COMMUNITY TO OBTAIN COMMENTS AND INPUT FROM A WIDE RANGE OF STAKEHOLDERS. THE WRITTEN SURVEY WAS DISTRIBUTED PERIODICALLY TO VOLUNTEER ORGANIZATIONS, BUSINESS LEADERS AND THE GENERAL PUBLIC. A WRITTEN SURVEY WAS DISTRIBUTED TO MEMBERS OF THE PUBLIC. MOST WHO RESPONDED INDICATED THE HOSPITAL WAS MEETING THEIR NEEDS. SUGGESTIONS FOR NEW SERVICES INCLUDED ADDITIONAL MENTAL HEALTH SERVICES AND ADDITIONAL INPATIENT AND OUTPATIENT DRUG REHAB SERVICES. THE RESULTS OF THIS SURVEY ARE POSTED ON THE HOSPITAL'S WEBSITE IN THE 2019-2022 COMMUNITY SERVICE PLAN. THE HOSPITAL ALSO HAS A PATIENT ADVOCATE PROGRAM WITH TRAINED VOLUNTEERS. PRIOR TO THE START OF THE COVID-19 PANDEMIC, THE PATIENT ADVOCATES VISITED INPATIENTS WITHIN 24-48 HOURS OF ADMISSION TO DETERMINE IF THEIR NEEDS WERE BEING MET OR IF THE PATIENT HAD ISSUES WHICH NEEDED FURTHER ATTENTION FROM THE CLINICAL STAFF. THIS PROGRAM HAS BEEN AN INTEGRAL PART OF ENH'S QUALITY IMPROVEMENT PROGRAM AND IT IS ALSO USEFUL IN IDENTIFYING OPERATIONAL, PLANNING AND SERVICE ENHANCEMENT ISSUES AND NEEDS.

PART VI, LINE 3:
THE HOSPITAL COMMUNICATES ITS FINANCIAL ASSISTANCE PROGRAM THROUGH ITS WEBSITE, INFORMATION IS POSTED AT EACH REGISTRATION LOCATION, EMPLOYEE EDUCATION, AND VIA THE BILLING PROCESS. THE HOSPITAL ALSO SUBSIDIZES A NIAGARA COUNTY DEPARTMENT OF SOCIAL SERVICES EMPLOYEE ON SITE ONE DAY PER WEEK. THIS PERSON PROVIDES A CONVENIENT OPTION FOR ENROLLING PATIENTS IN NYS MEDICAID AND REVIEWS ELIGIBILITY FOR CHILD AND FAMILY HEALTH PLUS. IF ELIGIBLE, A REFERRAL IS MADE TO A LOCAL INSURANCE PLAN FOR ENROLLMENT.

PART VI, LINE 5:
THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY HAVING AN OPEN MEDICAL STAFF AND A BOARD OF DIRECTORS INCLUDING UNPAID COMMUNITY VOLUNTEERS. ALL SURPLUS FUNDS ARE USED TO IMPROVE THE HEALTH CARE PROVIDED TO THE COMMUNITY AND IS REINVESTED INTO NEW EQUIPMENT, PROGRAM ENHANCEMENT AND THE RECRUITMENT OF NEW PHYSICIANS AND CLINICAL STAFF.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
NY

PART VI, LINE 4:
REPRESENTATIVES OF THE HOSPITAL MET WITH COMMUNITY LEADERS AND ELECTED OFFICIALS DURING 2020 TO PROVIDE UPDATES ON THE STATUS OF THE INSTITUTION, SERVICE CHANGES, ETC. THE HOSPITAL ALSO SOLICITED INPUT FROM THESE REPRESENTATIVES REGARDING MEETING THE COMMUNITY'S HEALTH CARE NEEDS.EASTERN NIAGARA HOSPITAL'S ASSESSMENT OF COMMUNITY HEALTH CARE NEEDS HAS FOCUSED ON COLLABORATION AND INVOLVEMENT WITH THE LOCAL HEALTH DEPARTMENT'S OUTREACH AND EDUCATION STAFF, VARIOUS SERVICE CLUBS, BUSINESS ORGANIZATIONS, LOCAL CHURCHES AND SCHOOLS. EASTERN NIAGARA HOSPITAL CONTINUED ITS EFFORTS TO ASSESS COMMUNITY HEALTH NEEDS IN 2021 BY CONDUCTING SURVEYS AT ALL SITES.RESULTS OF THESE SURVEYS INDICATED THE HOSPITAL WAS CONTINUING TO MEET THE MAJORITY OF THE POPULATION'S HEALTH CARE NEEDS. REQUESTS FOR NEW SERVICES NOT CURRENTLY OFFERED BY THE HOSPITAL INCLUDED: ADDITIONAL DRUG REHAB SERVICES, AND ADDITIONAL MENTAL HEALTH SERVICES. THE SURVEY RESULTS ALSO INDICATED THAT OVER 90% OF RESPONDENTS HAD A PRIMARY CARE PHYSICIAN. 85% OF THOSE SURVEYED HAD MADE APPOINTMENTS WITH THEIR PHYSICIAN IN THE LAST YEAR. THE SURVEY ALSO INDICATED THAT RESPONDENTS FELT THAT THE MOST PROMINENT HEALTH CONCERNS IN THE COMMUNITY RELATED TO DRUG AND ALCOHOL ABUSE AND MENTAL HEALTH ISSUES. AT THE END OF 2021, THESE CONCERNS ESCALATED TO COVID-19. NON-MEDICAL CONCERNS RELATED TO AN INCREASE IN ILLEGAL DRUG ACTIVITY, CRIME AND A NEED FOR CHILD CARE AND AFTER SCHOOL PROGRAMS.SURVEYS WERE ALSO DISTRIBUTED TO THE PUBLIC IN THE EASTERN NIAGARA HOSPITAL LOBBY AND DISTRIBUTED TO LOCAL COMMUNITY RESIDENTS IN THE HOSPITAL'S SERVICE AREA BY MEMBERS OF THE ENH GUILD, STUDENTS AND STAFF. IN COMPLIANCE WITH ENH'S GOALS SET FORTH IN THE PREVIOUS COMMUNITY SERVICE PLAN, THE HOSPITAL ALSO COMPLETED EFFORTS ON THE FOLLOWING PRIORITIES:PRIORITY 1: PREVENT CHRONIC DISEASE:- FOCUS AREA: INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS- DISPARITY: WOMEN - INCLUDING MEDICALLY UNDERSERVED AND MENTAL HEALTH POPULATIONSPRIORITY 2: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEEASTERN NIAGARA HOSPITAL HAD DEVELOPED A THREE YEAR PLAN OF ACTION WITH THE TWO PREVENTION AGENDA PRIORITIES, SPECIFIC GOALS, OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES WITH MEASURABLE AND TIME-FRAMED TARGETS. THESE STRATEGIES ARE DETAILED IN THE HOSPITAL'S COMMUNITY SERVICE PLAN WHICH IS AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEBSITE AND BY REQUEST.THE HOSPITAL OPERATES AN EMERGENCY ROOM AT ITS LOCKPORT SITE OPEN TO ALL WHO SEEK SERVICES WITHOUT REGARD TO ABILITY TO PAY. THE EMERGENCY ROOMS ARE AVAILABLE 24 HOURS/DAY FOR 365 DAYS PER YEAR. UNDER NO CIRCUMSTANCE, DOES THE HOSPITAL REQUIRE AN INDIVIDUAL TO PAY IN ADVANCE OR TO MAKE ARRANGEMENTS TO PAY BEFORE ANY EMERGENCY SERVICES ARE PROVIDED.THE HOSPITAL, TO THE EXTENT OF ITS FINANCIAL ABILITY, OPERATES FOR THOSE NOT ABLE TO PAY FOR THE SERVICES RENDERED AND NOT EXCLUSIVELY FOR THOSE WHO ARE ABLE AND EXPECTED TO PAY. IT DOES NOT DENY MEDICAL CARE OR TREATMENT TO THOSE UNABLE TO PAY. ENH IS COMMITTED TO ASSURING ACCESS TO SERVICES FOR RESIDENTS OF EASTERN NIAGARA COUNTY. PROGRAMS WHICH HAVE BEEN IMPLEMENTED TO INCREASE ACCESS INCLUDE:SEE CONTINUATION BELOW.

PART VI, LINE 4 CONTINUED
- EDUCATIONAL PROGRAMS AND SCREENINGS OFFERED AT NO CHARGE.- SOME SCREENINGS OFFERED AT NO CHARGE.- HEALTH INFORMATION AND CHARITY CARE FORMS AVAILABLE ON THE HOSPITAL'S WEBSITE - EMERGENCY VISITS FOR THE UNINSUREDTHE HOSPITAL PARTICIPATES IN THE FAMILY HEALTH PLUS AND CHILD HEALTH PLUS PROGRAMS WHICH ARE OFFERED THROUGH NEW YORK STATE. THESE PROGRAMS WERE DESIGNED TO INCREASE ACCESS BY PROVIDING AFFORDABLE INSURANCE FOR LOW INCOME FAMILIES. THE AVAILABILITY OF CHARITY CARE IS COMMUNICATED TO THE PUBLIC. THIS OCCURS IN MANY WAYS. THE HOSPITAL POSTS SIGNAGE, DISTRIBUTES BROCHURES, AND HAS ADDITIONAL INFORMATION WITH DOWNLOADABLE FORMS ON ITS WEBSITE. INDIVIDUALS WITH A PATIENT RESPONSIBILITY AMOUNT EXCEEDING $500 ARE ALSO SENT A LETTER EXPLAINING THE AVAILABILITY OF CHARITY CARE. THE HOSPITAL'S SURPLUS OF REVENUE OVER EXPENSES IS RE-INVESTED IN THE ORGANIZATION FOR CAPITAL IMPROVEMENTS, ADDITIONS TO HOSPITAL FACILITIES, EDUCATION, TRAINING OF HEALTH CARE PROFESSIONALS, PATIENT CARE AND DEVELOPMENT OF PROGRAMS. ADDITIONALLY, THE HOSPITAL PROVIDES A NUMBER OF BENEFITS AND SERVICES TO THE COMMUNITY. IN 2021, THESE INCLUDED:A.) THE HOSPITAL PROVIDED EDUCATIONAL ROTATIONS FOR STUDENTS IN VARIOUS HEALTH CARE FIELDS, AS WELL AS EDUCATIONAL OPPORTUNITIES FOR STUDENTS FROM MULTIPLE AREA UNIVERSITIES AND COLLEGES TRAINING AS NURSES, NURSES AIDES, AND PHYSICAL THERAPY. ADDITIONALLY, THE HOSPITAL ALLOWS COLLEGE AND HIGH SCHOOL STUDENTS TO OBTAIN SHADOWING AND VOLUNTEER SERVICE CREDITS TO MEET SCHOOL REQUIREMENTS. B.) THE HOSPITAL PROVIDED COMMUNITY EDUCATION SERVICES, SUCH AS BLOOD PRESSURE SCREENINGS, AND INFORMATIONAL DISPLAYS AT VARIOUS HEALTH FAIRS THROUGHOUT THE YEAR. THESE SCREENINGS WERE PROVIDED BY THE ENH CLINICAL STAFF. EACH YEAR ENH ALSO PROVIDES FLU VACCINES FOR EMPLOYEES AND VOLUNTEERS AT NO COST. THE HOSPITAL ALSO BEGAN A COVID-19 VACCINE PROGRAM FOR THE COMMUNITY IN DECEMBER OF 2020.C.) EASTERN NIAGARA HOSPITAL PROVIDES A WIDE RANGE OF HEALTH EDUCATION PROGRAMS FOR THE COMMUNITY ON AN ONGOING BASIS. THESE PROGRAMS ARE TAUGHT BY MEMBERS OF THE MEDICAL STAFF, AND THE HOSPITAL GUILD OFFERS A COMMUNITY EDUCATION CLASSES AT EACH MONTHLY MEETING HELD AT THE LOCAL LIBRARY IN LOCKPORT. THE HOSPITAL ALSO SPONSORED EDUCATION PROGRAMS FOR LOCAL EMS PROVIDERS.D.) ENH PUBLISHES A BI-WEEKLY HEALTH COLUMN IN THE LOCAL NEWSPAPER, THE UNION SUN & JOURNAL. THE COLUMNS ARE WRITTEN BY ENH PHYSICIANS OR OTHER PROFESSIONALS ON STAFF. THE SUBJECTS PERTAIN TO HEALTH AND WELLNESS TOPICS CURRENTLY OF INTEREST IN THE COMMUNITY. E.) ENH CONDUCTED 10 BLOOD DRIVES FOR CONNECT LIFE, (FORMERLY UPSTATE NEW YORK TRANSPLANT SERVICES) DURING 2021. THE HOSPITAL ACTIVELY PROMOTES THESE DRIVES BY SPONSORING ADVERTISEMENTS IN THE LOCAL MEDIA, ON FACEBOOK, ETC. AND OFFERING PROMOTIONS FOR DONORS WHO PARTICIPATE IN THE DRIVES. F.) MEMBERS OF THE ENH ADMINISTRATION SERVED ON VARIOUS COMMUNITY GROUPS SUCH AS THE ZONTA CLUB, LONG TERM CARE ADVISORY COUNCIL/NY CONNECTS, ROTARY CLUB, AND THE CITY OF LOCKPORT TASK FORCE ON EMERGENCY PREPAREDNESS.G.) HOSPITAL EMPLOYEES AND VOLUNTEERS PARTICIPATED IN NUMEROUS COMMUNITY BENEFIT EVENTS, SUCH AS THE LOCKPORT MOTHER'S DAY WALK FOR BREAST CANCER, AMERICAN CANCER SOCIETY WALK, THE AMERICAN HEART WALK, SUICIDE AWARENESS FOUNDATION, ETC. H.) IN 2021, THE HOSPITAL SPONSORED DRIVES FOR DONATIONS TO BENEFIT THE LOCAL ST. JOHN'S OUTREACH PROGRAM FOR NEEDY FAMILIES OF THE REGION, THE NIAGARA COUNTY SPCA, SALVATION ARMY, LOCKPORT CARES, AND MADE DONATIONS TO THE LOCAL FOOD BANK. ENH ALSO CONDUCTS AN ANNUAL FUND DRIVE TO BENEFIT THE NIAGARA COUNTY UNITED WAY. EMPLOYEES DONATED OVER $1,000 TO THIS ORGANIZATION IN 2021. I.) OTHER COMMUNITY SERVICES: - THE HOSPITAL ACCEPTS SHARPS (INSULIN NEEDLES) FROM COMMUNITY RESIDENTS AND DISPOSES OF THEM SAFELY AND AT NO COST. - EACH YEAR, THE HOSPITAL ALSO ASSISTS INPATIENTS WHO MAY BE INCOMPETENT, HOMELESS ETC. AND HAVE NO ONE TO CARE FOR THEM. THROUGH THE EFFORTS OF STAFF AND LEGAL EXPERTISE, ENH OBTAINS A GUARDIAN FOR THESE INDIVIDUALS OR MAKES OTHER EFFORTS TO ASSIST THESE INDIVIDUALS THROUGH THEIR PROBLEM.J.) THE HOSPITAL DIRECTS AND SUPPORTS A SUCCESSFUL VOLUNTEER PROGRAM. DURING 2021, OVER 6,000 HOURS OF SERVICE WERE CONTRIBUTED TO ENH AND THE COMMUNITY.

Operating expenses	$ 35,973,539
Total amount spent on community benefits as % of operating expenses	$ 1,903,538 5.29 %