Elizabethtown Community Hospital

Nonprofit profile at a glance

EIN
141364513
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Elizabethtown, NY, USA
Phone
5188736377
Rating
76
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospital, General

Reported finances

Revenue
$93,963,838
Expenses
$76,373,322
Assets
$125,316,621
Liabilities
$23,793,477

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • BOB ORTMYER (PRESIDENT)
  • DR ROB DEMURO (MED STAFF PRESIDENT)
  • DR RAMSEY HERRINGTON (MG PRESIDENT & CEO (AS OF 7/2025))
  • DR JASON SANDERS (UVMMG PRESIDENT & CEO (TIL 3/2025))
  • JOHN REMILLARD (FMR PRESIDENT, ECH)

Highest reported compensation

  • DR DAVID CLAUSS (FORMER MEDICAL DIRECTOR): $858,107 total reported compensation
  • DR RAMSEY HERRINGTON (MG PRESIDENT & CEO (AS OF 7/2025)): $777,218 total reported compensation
  • DR JASON SANDERS (UVMMG PRESIDENT & CEO (TIL 3/2025)): $751,166 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The mission of ech is to promote health and wellness in the community and to provide quality healthcare with skill, compassion and dignity. In creating our community benefits plan we keep this mission in mind, continually looking for ways to meet community health needs and to be a good neighbor. Ech is driven by people who live in the service area and who want to see their friends and neighbors get the care and services they need.

What it reported doing in 2024

Outpatient: services provided to those patients who require care, on a walk-in basis, either in the hospital or in one of the clinic settings. These include routine office visits, laboratory tests, radiology exams, op rehabilitation, clinic visits, and emergency room visits. Ech operates the elizabethtown community health center, the high peakes health center, the smith house health center, the au sable forks health center, the westport health center, and the cown point health center. We also operate an outpatient chemotherapy program.

Operating model

Revenue model
Other-operating. 90% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 71
  • Accountability: 91
  • Sustainability: 69
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.5%; rating input score 64
  • Program expense ratio: 75.9%; rating input score 76
  • Fundraising efficiency: $70.25 raised per $1 spent on fundraising; rating input score 80; 80th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 18.7%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 1.64; rating input score 56; 56th percentile among comparable filings
  • Liabilities to assets ratio: 0.19; rating input score 70; 70th percentile among comparable filings
  • Officer compensation ratio: 3.5%; rating input score 31; 31st percentile among comparable filings

Growth

  • Program expense growth: 9.2% per year; rating input score 100; 71st percentile among comparable filings
  • Revenue growth: 11% per year; rating input score 100; 80th percentile among comparable filings
  • Asset growth: 12% per year; rating input score 100; 78th percentile among comparable filings

Details

  • Where the money goes: 63.5% of revenue deployed · 75.9% of spending went to programs
  • Governance: 10 of 10 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $58M in reported program spending
  • Leadership: top reported pay $858K · 27 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $573K reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 10 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 24 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 56/100.
  • Moderate — Sustainability: Officer compensation ratio scored 31/100.