Westchester-ellenville Hospital Inc

What it reported doing in 2024

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, occupationa

Financial Efficiency

• Mission deployment rate: 63.7%; rating input score 64
• Program expense ratio: 76.4%; rating input score 76
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 90.9%; rating input score 91; 23rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 14.5%; rating input score 75; 75th percentile among comparable filings
• Total-asset coverage ratio: 1.77; rating input score 57; 57th percentile among comparable filings
• Liabilities to assets ratio: 0.19; rating input score 60; 60th percentile among comparable filings
• Officer compensation ratio: 6.8%; rating input score 37; 37th percentile among comparable filings

Growth

• Program expense growth: 5.9% per year; rating input score 100; 49th percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 11.6% per year; rating input score 100; 71st percentile among comparable filings