2022-11-10T08:11:41-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 1 MANHATTAN WEST NEW YORK NY 10001 990 2021-01-01 111631796 NEWYORK-PRESBYTERIANBROOKLYN METHODIST NEWY 2122975962 506 SIXTH STREET BROOKLYN NY 112153609 ROBERT GUIMENTO CFO 2022-11-10 false ROBERT GUIMENTO 999009999 NICOLE SOKOLOWSKI P01683199 2127733000 2021 2022-09-23 18:48:47Z ROBERT GUIMENTO 506 SIXTH STREET BROOKLYN NY 112153609 967295152 false X HTTPS://WWW.NYP.ORG/BROOKLYN X 1881 NY TO PROVIDE EXCELLENT HEALTH CARE SERVICES IN A COMPASSIONATE AND HUMANE MANNER TO THE PEOPLE WHO LIVE AND WORK IN BROOKLYN AND ITS SURROUNDING AREAS. 14 10 5294 253 808961 105650 126666529 23381617 767023306 857262044 22387412 33059347 14502457 18932714 930579704 932635722 507237 958185 0 0 532966455 519209017 0 0 32416 368481765 409518110 901955457 929685312 28624247 2950410 2174121813 1733884296 1037076393 957180722 1137045420 776703574 TO PROVIDE EXCELLENT HEALTHCARE SERVICES WITHOUT REGARD TO AGE, SEX, RACE, CREED, NATIONAL ORIGIN OR DISABILITY; TO SERVE AS AN EDUCATIONAL AND RESEARCH CENTER FOR PHYSICIANS, NURSES AND HEALTHCARE PROFESSIONALS; TO PROVIDE HEALTH EDUCATION TO COMMUNITY RESIDENTS. false false 791851192 958185 856453083 THE MISSION OF NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL, A MEMBER OF THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, IS TO PROVIDE EXCELLENT HEALTH CARE SERVICES IN A COMPASSIONATE AND HUMANE MANNER TO THE PEOPLE WHO LIVE AND WORK IN BROOKLYN AND ITS SURROUNDING AREAS. THE HOSPITAL IS A NON-SECTARIAN, VOLUNTARY INSTITUTION WITH 601 BEDS, WHICH INCLUDES AN ACUTE CARE GENERAL FACILITY AND AN EXTENSIVE ARRAY OF AMBULATORY AND OUTPATIENT SITES AND SERVICES. DURING 2021, 168,720 PATIENT DAYS OF CARE WERE PROVIDED; 30,829 PATIENTS WERE DISCHARGED WITH AN AVERAGE LENGTH OF STAY OF 5.4 DAYS THERE WERE A TOTAL OF 231,341 OUTPATIENT VISITS TO OUR OUTPATIENT SITES, AND 100,353 VISITS TO OUR EMERGENCY ROOM. IN SERVING ITS COMMUNITY, THE HOSPITAL WORKS TO ACHIEVE THESE PRIMARY OBJECTIVES: THE SERVICES ARE ACCESSIBLE TO PATIENTS AND PHYSICIANS WITHOUT REGARD TO AGE, SEX, RACE, CREED, NATIONAL ORIGIN OR DISABILITY. THE COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY OUR UNCOMPENSATED SERVICES PROVIDED TO THE POOR IN THE BROADER COMMUNITY. OUR SERVICES PROVIDED TO THE POOR INCLUDE PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE FINANCIAL RESOURCES AND/OR WHO ARE UNINSURED OR UNDER-INSURED. THESE PERSONS ARE ELIGIBLE FOR CHARITY CARE AND FINANCIAL AID UNDER THE HOSPITAL'S FINANCIAL AID POLICY. THE HOSPITAL PROVIDES PATIENTS WITH AN ENVIRONMENT THAT ASSURES THE CONTINUOUS ENHANCEMENT OF PATIENT SAFETY; ASSESS PERIODICALLY THE HEALTHCARE NEEDS OF THE COMMUNITY AND TO RESPOND TO THESE NEEDS WITH HEALTHCARE SERVICES, INCLUDING HEALTH EDUCATION FOR PATIENTS AND COMMUNITY RESIDENTS. OUR NEEDS ASSESSMENT IS DERIVED THROUGH PUBLIC QUESTIONNAIRES, AND AN ASSORTMENT OF REPORTS FROM PROFESSIONAL AGENCIES AS WELL AS OUTREACH TO AND INVOLVEMENT IN MAJOR COMMUNITY ORGANIZATIONS, INCLUDING THE STATE AND CITY DEPARTMENT OF HEALTH, NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, HEIGHTS AND HILLS SERVICES FOR BROOKLYN'S OLDER ADULTS, GOOD NEIGHBORS OF PARK SLOPE, OUR LOCAL FAITH BASED ORGANIZATIONS, COMMUNITY BOARD 6, AND BROOKLYN PUBLIC LIBRARY. THE HOSPITAL MEETS QUARTERLY WITH ITS COMMUNITY PARTNERS DISCUSS FREE HEALTH PROGRAMS AND SUPPORT SERVICES. COMMUNITY RESIDENTS ARE INFORMED OF THE AVAILABILITY OF THE COMMUNITY SERVICE PLAN VIA OUR WEB SITE, OR CAN OBTAIN A COPY OF THE COMMUNITY REPORT BY CALLING THE HOSPITAL'S ADMINISTRATIVE OFFICE AT (718)780-3301 OR THE COMMUNITY AFFAIRS OFFICE AT (718) 780-5367. SERVE AS AN EDUCATIONAL AND RESEARCH CENTER FOR THE TRAINING AND CONTINUING EDUCATION OF PHYSICIANS, NURSES AND HEALTHCARE PROFESSIONALS COMMITTED TO THE BROOKLYN COMMUNITY. PROVIDE AN ACTIVE ECUMENICAL PROGRAM OF PASTORAL CARE AND TO CONDUCT A CLINICAL PASTORAL EDUCATION PROGRAM. NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL HAS A HISTORIC RELATIONSHIP WITH THE UNITED METHODIST CHURCH. OFFER AN ENVIRONMENT THAT IS RESPONSIVE TO NEW AND CHANGING TECHNOLOGIES AND MANAGEMENT PRINCIPLES THAT WILL STIMULATE CREATIVE SOLUTIONS FOR OUR PATIENTS, PHYSICIANS, AND EMPLOYEES. WORK WITH MEMBERS OF THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM AND OTHER HEALTHCARE INSTITUTIONS, PHYSICIANS AND COMMUNITY GROUPS IN JOINTLY PURSUING THE DELIVERY OF QUALITY HEALTHCARE SERVICES, MEDICAL EDUCATION AND CLINICAL RESEARCH. 791851192 true true false true false false false false true true false false true true false false true false false true false false false false false true true true true true false false false false false false true true false false false false false true true true false false true X 377 0 true 5294 true true true true EI false false false false false false false false false false X 14 10 false false false false true true true true true false false true true true true true true false true true true NY X RICHARD EINWECHTER 2125856489 466 LEXINGTON AVENUE New York NY 10017 ROBERT GUIMENTO DIRECTOR/PRESIDENT 60.0 0.0 X X 0 1129588 67104 ANTHONY SCHLESINGER DIRECTOR 1.0 0 X 0 0 0 BRIAN K REGAN DIRECTOR 1.0 59.0 X 0 458401 64167 CHARLES K O'NEILL DIRECTOR 1.0 0 X 0 0 0 JAMES PERKINS CHAIRMAN 3.0 0 X 0 0 0 JOHN E CARRINGTON DIRECTOR 1.0 0 X 0 0 0 KEVIN J MCKAY DIRECTOR 1.0 0 X 0 0 0 LARK-MARIE ANTON MENCHINI DIRECTOR 1.0 0 X 0 0 0 LAWRENCE MCGAUGHEY DIRECTOR 1.0 0 X 0 0 0 MAXINE FRANK DIRECTOR 1.0 59.0 X 0 1333141 276121 REV DR DENISE SMART SEARS DIRECTOR 1.0 0 X 0 0 0 ROBERT RODGERS JR DIRECTOR 1.0 0 X 0 0 0 SHARON GREENBERGER VICE CHAIRMAN 1.0 0 X 0 0 0 TOYA WILLIFORD DIRECTOR 1.0 0 X 0 0 0 AARON KRANICH VP HUMAN RESOURCES 60.0 0 X 321276 0 60349 ALAN LEE CHIEF OPERATING OFFICER 60.0 0 X 737392 0 51291 EILEEN KANG VP ANCILLARY SERVICES 60.0 0 X 364124 0 68883 ERNESTO PEREZ-MIR CHIEF NURSING OFFICER 60.0 0 X 351062 0 39220 JOHN V CAMPANO ASSISTANT CORPORATE SECRETARY 0.5 59.5 X 0 628480 78685 LISA MAINIERI VP SUPPORT SERVICES 60.0 0 X 342050 0 37796 MARY BRAUNSDORF CORPORATE SECRETARY 0.5 36.5 X 0 172676 23065 MELISSA E WELCH ASSISTANT CORPORATE SECRETARY 0.5 36.5 X 0 180133 32096 MICHAEL FAGAN SVP FINANCE/CFO 59.5 0.5 X 582938 0 112612 PURVI SHAH CHIEF MEDICAL & QUALITY OFFICER 60.0 0 X 594033 0 60271 CONSTANTINE GORELICK DIR. ROBOTIC SURGERY OB/GYN 60.0 0 X 1460067 0 55980 HAJIR DILMANIAN ATTENDING PHYSICIAN 20.0 40.0 X 205550 1257669 34154 HANI ASHAMALLA CHAIRMAN DEPT OF RADIATION ONC 60.0 0 X 1180504 0 49652 IGOR MAMKIN ATTENDING PHYSICIAN 20.0 40.0 X 184191 1316433 53582 TERRENCE J SACCHI CHIEF CARDIOLOGY DEPT OF MEDIC 54.5 5.5 X 1945600 0 44997 KATHLEEN M BURKE FORMER/OFFICER 0.0 60.0 X 0 434266 67606 STEVEN SILBER FORMER KEY EMPLOYEE 2.0 58.0 X 721036 0 94223 8989823 6910787 1371854 1545 true true false LAND LEASE (US) CONSTRUCTION 200 PARK AVE 9TH FLOOR NEW YORK NY 10166 CONSTRUCTION 16286044 WEILL CORNELL MEDICAL COLLEGE 418 EAST 71ST STREET 21 NEW YORK NY 10021 LEASED PHYSICIANS 8670882 VAYA WORKFORCE SOLUTION LLC 5930 CORNERSTONE CT W SAN DIEGO CA 92121 STAFFING 5417041 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LAB SERVICE 5102075 SPECIALTYCARE MISS SERVICES LLC PO BOX 11407 BIRMINGGHAM AL 35246 STAFFING 4545271 116 6872544 15918126 590947 23381617 PATIENT CARE 622110 838139128 838139128 340B DRUGS 622110 3896569 3896569 RENTAL INCOME FROM AFFILIATES 531110 3031743 3031743 ANESTHESIOLOGY 622110 3000000 3000000 LABORATORY SERVICES 621511 9194604 8385643 808961 0 0 0 0 857262044 11263421 11263421 5403207 65765 5337442 0 5337442 5337442 56389591 34593665 21795926 0 21795926 21795926 REBATES 900099 5551725 5551725 MEDICAL PROFESSIONAL REIMBURSEMENT 900099 2591570 2591570 CAFETERIA INCOME 722514 901625 901625 4550352 0 0 4550352 13595272 932635722 856453083 808961 51992061 X 476591 476591 481594 481594 0 0 4875189 4875189 385288653 338334735 46953918 22410976 19679821 2731155 74826139 65707312 9118827 31808060 27931711 3876349 808557 808557 1805733 1805733 836880 836880 150542 150542 8404 8404 113567465 63157222 50410243 0 1237622 1086797 150825 18529457 16271330 2236202 21925 2549681 2238960 300295 10426 25043675 23429555 1614120 322823 322758 65 575647 575647 112919 105641 7278 38690660 36196961 2493699 13311718 12955753 355965 MEDICAL & PHARMACY SUPPLIES 148313200 148313200 LICENSE AND TAXES 360408 337179 23229 MEMBERSHIP/DUES/ACCREDITATION 40024490 35146830 4877660 NON PATIENT BAD DEBT EXPENSE 3268229 3268229 0 0 0 0 929685312 791851192 137801704 32416 11950 12950 69644817 52942256 24181 15641 65395241 79625417 0 0 0 0 644608 589898 15296365 19595392 16454296 21837689 896629701 249197127 616542652 647432574 431346007 198883644 1433789 1550953 0 957327907 711397882 2174121813 1733884296 108148511 167274957 0 0 0 928927882 789905765 1037076393 957180722 X 1104385470 741754304 32659950 34949270 1137045420 776703574 2174121813 1733884296 X 2950410 -10971163 -352321093 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 150542 150542 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST (NYP/BMH) HOSPITAL PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), AND AMERICAN HOSPITAL ASSOCIATION (AHA) IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, HANYS, AND AHA A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. IN CONNECTION WITH COLLECTIVE BARGAINING AGREEMENT BETWEEN NYP/BMH AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTION AMOUNTS THAT WOULD BE OTHERWISE PAYABLE TO THE PENSION FUND ARE INSTEAD ALLOCATED TO THE LABOR MANAGEMENT INITIATIVE (LMI). THE LMI ALLOCATES A PORTION OF ITS FUNDS FOR LOBBING PURPOSES IN CONNECTION WITH NEW YORK STATE AND FEDERAL POLICY ISSUES. 25912256 2924114 1025054 27811316 23023594 3418342 529680 25912256 19596124 4082451 654981 23023594 21982936 -851252 1535560 19596124 20141744 3554295 1713103 21982936 0.0 0.2369 0.7631 false false 7005873 7005873 662195038 164013845 498181193 2754502 2361627 392875 210988080 82605314 128382766 13686208 216341 13469867 647432574 OTHER ASSETS 7135442 INTEREST HELD IN HERS, LLC 372567911 DUE FROM RELATED PROF. CORPS. 9539277 INVESTS. HELD BY CAPTIVE INS. 265856158 OPERATING LEASE ASSET 47440095 PROF. LIAB INSUR. RECOVERIES 8858999 711397882 PROF. INSURANCE LIABILITY 225864054 THIRD PARTY PAYABLE 168186171 DUE TO RELATED ORGANIZATIONS 8136988 DUE TO NEWYORK-PRESBYTERIAN HOSPITAL 317930022 OPERATING LEASE LIABILITIES 51703988 OTHER LIABILITIES 17287873 CAPITAL LEASES PAYABLE 796669 FICA TAX DEFERRALS 789905765 Schedule D, Part V, Line 4 Intended uses of endowment funds THE NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL FOLLOWS "NYPMIFA" NEW YORK PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT AS IT RELATES TO ITS PERMANENTLY RESTRICTED ENDOWMENT CONTRIBUTIONS. PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS HAVE BEEN RESTRICTED BY THE DONOR TO BE MAINTAINED IN PERPETUITY. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE IN ACCORDANCE WITH A STANDARD OF PRUDENCE PRESCRIBED BY NYPMIFA, AS APPLICABLE. Central America and the Caribbean 0 0 Investments 265856158 Europe (Including Iceland and Greenland) 0 0 Investments 1550953 0 0 0 0 0 0 267407111 0 267407111 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true true X true X true X 600 true true true false true true 10888 15226336 235941 14990395 0.0161 158200 250548485 142088275 108460210 0.1167 0 0 0 0.0 0 169088 265774821 142324216 123450605 0.1328 25 9882 1228535 0 1228535 0.0013 96915528 31534135 65381393 0.0703 99830 28390405 11563767 16826638 0.0181 0 0 0 0.0 92700 0 92700 0.0001 25 109712 126627168 43097902 83529266 0.0898 25 278800 392401989 185422118 206979871 0.2226 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2513163 157025 161577716 159572761 2004955 X true true 1 1 NYPBROOKLYN METHODIST 506 SIXTH STREET BROOKLYN NY 11215 WWW.NYP.ORG/BROOKLYN 7001021H X X X X NYPBROOKLYN METHODIST 1 false false true X X X X X X X X X 19 true false false true X HTTP//WWW.NYP.ORG/BROOKLYN/ABOUT/COMMUNITY-SERVICE-PLAN X true 19 true HTTP//WWW.NYP.ORG/BROOKLYN/ABOUT/COMMUNITY-SERVICE-PLAN false true X 100.0 600.0 X X X X true true X X X X true X HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE X HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE X HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NYP/BROOKLYN METHODIST. THE NEWYORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL (NYP-BMH) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE NEEDS OF OUR COMMUNITY AND DEVELOP A COMMUNITY SERVICE PLAN (CSP) AND DETAILED IMPLEMENTATION PLAN. OUR COMMITMENT IS TO PROVIDE QUALITY AND COMPASSIONATE CARE TO OUR COMMUNITY AND THE CHNA PROCESS PROVIDES THE ABILITY TO FOCUS COMMUNITY-BASED EFFORTS TO ADDRESS NEEDS. THE LEADERS OF NYP-BMH ARE DEDICATED TO OUR COMMUNITY WITH A MISSION TO PROVIDE EXCELLENT HEALTHCARE SERVICES IN A COMPASSIONATE AND HUMANE MANNER TO THE PEOPLE WHO LIVE AND WORK IN BROOKLYN AND ITS SURROUNDING AREAS. THIS DOCUMENT OUTLINES THE PROCESS, PRIORITIES, PARTNERS, AND INTENDED COMMUNITY-BASED IMPROVEMENT ACTIVITIES FOR 2019 - 2021. OUR PRIORITIES WERE DETERMINED FROM A DATA DRIVEN PROCESS AND ALIGN WITH THE 2019-2024 NEW YORK STATE PREVENTION AGENDA (NYS PA) AND ALIGN WITH THE STATE'S GOAL TO PROMOTE HEALTH EQUITY WITH A FOCUS ON PHYSICAL HEALTH, MENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. FULL REPORTS RELATED TO THE CHNA PROCESS CAN BE FOUND ON OUR WEBSITE AT HTTPS://WWW.NYP.ORG/ABOUT-US/COMMUNITY-AFFAIRS/COMMUNITY-SERVICE-PLANS. PARTNER INVOLVEMENT & COMMITMENT NYP-BMH COLLABORATED WITH NEWYORK-PRESBYTERIAN LEADERSHIP, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH), CITIZENS' COMMITTEE FOR CHILDREN (CCC), COLUMBIA UNIVERSITY IRVING MEDICAL CENTER (CUIMC), WEILL CORNELL MEDICAL COLLEGE (WCMC), GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), LOCAL COMMUNITY BASED ORGANIZATIONS (CBOS), AND THE NEW YORK ACADEMY OF MEDICINE (NYAM) TO ADOPT A COMMUNITY FOCUSED PROCESS OF COLLECTING AND ANALYZING MEASURABLE DATA (QUANTITATIVE) AND VIEWS VOICED BY THE COMMUNITY (QUALITATIVE) FROM A VARIETY OF SOURCES. THE COLLABORATIVE PROCESS ENSURED SIGNIFICANT INPUT FROM THE KEY STAKEHOLDERS AND LOCAL COMMUNITY THROUGH QUESTIONNAIRES AND FOCUS GROUPS CONDUCTED IN SEVERAL LANGUAGES. THIS ALLOWED NYP-BMH TO DEVELOP A FOCUSED IMPLEMENTATION PLAN TO MEET THE NEEDS OF A TARGETED COMMUNITY WITH HIGH DISPARITIES. DATA DRIVEN PRIORITIES NYP-BMH COMPILED MEASURABLE DATA AND INPUT FROM THE COMMUNITY FROM NUMEROUS SOURCES IN ORDER TO ANALYZE THE HEALTH AND CHALLENGES OF OUR COMMUNITY. THE ANALYSIS UTILIZED FOCUSED NEIGHBORHOOD GEOGRAPHY FOR METRICS AND INCLUDED DATA RELATED TO DEMOGRAPHICS, SOCIOECONOMIC STATUS, INSURANCE STATUS, SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS, HEALTH SERVICE UTILIZATION, AND PRIORITY AREAS FROM THE NY STATE PREVENTION AGENDA. COMMUNITY INPUT SOURCES INCLUDED FOCUS GROUPS AND COMMUNITY QUESTIONNAIRES WHICH ALLOWED FOR A DIVERSE REPRESENTATION OF RACE, LANGUAGE, AGE, GENDER IDENTITY, AND SEXUAL ORIENTATION. DATA SOURCES INCLUDE THE CITIZENS' COMMITTEE FOR CHILDREN KEEPING TRACK ONLINE; OPEN DATA CITY OF NEW YORK; DATA2GO.NYC; NYC HEALTH ATLAS; NYC MAYOR REPORT, THE ASSOCIATION FOR NEIGHBORHOOD & HOUSING DEVELOPMENT; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CLARITAS; NYC COMMUNITY HEALTH PROFILE, STATE CANCER PROFILES, AND U.S. DEPARTMENT OF AGRICULTURE. THE COLLECTED DATA WAS RANKED TO PROVIDE DETAILED INSIGHT INTO THE COMMUNITIES WITH HIGH DISPARITIES AND WAS THEN PRIORITIZED TO DETERMINE THE HIGHEST HEALTH PRIORITIES FOR THE IDENTIFIED COMMUNITIES. THE PRIORITIZED DATA PROVIDED INSIGHT INTO COMMUNITY HEALTH NEEDS AND CHALLENGES AND ALLOWED NYP-BMH TO ESTABLISH FOCUS AREAS AND GOALS TO ALIGN WITH THE NY STATE PREVENTION AGENDA. IN CONDUCTING THE 2019 CHNA, NYP AND ITS REGIONAL HOSPITALS, INCLUSIVE OF NYP-BMH, COLLABORATED WITH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK, COLUMBIA UNIVERSITY IRVING MEDICAL CENTER, WEILL CORNELL MEDICAL COLLEGE, NEW YORK ACADEMY OF MEDICINE, AND GREATER NEW YORK HOSPITAL ASSOCIATION. THROUGH THESE COLLABORATIONS NYP WAS ABLE TO ADOPT A COMMUNITY-ENGAGEMENT APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUALITATIVE INFORMATION AND QUANTITATIVE DATA FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF OUR COMMUNITIES. EACH STAKEHOLDER ADDED TO THE ONGOING WORK BY PROVIDING INSIGHT ON THE PUBLICLY AVAILABLE DATA FOR THE VARIOUS REGIONS SPECIFIC TO THE NYP-BMH HIGH DISPARITY COMMUNITIES, WHILE PROVIDING GUIDANCE ON COLLECTING STAKEHOLDER AND COMMUNITY FEEDBACK AND INCORPORATING BEST PRACTICES FOR THE CHNA. NYP-BMH VALIDATED AND REFINED THE QUANTITATIVE DATA RESULTS THROUGH THE USE OF (1) PRIMARY DATA AND COMMUNITY INPUT FROM FACILITATION OF FOCUS GROUPS AND ADMINISTRATION OF COMMUNITY HEALTH NEED QUESTIONNAIRES (CHNQ) TO AREA RESIDENTS AS WELL AS (2) LEVERAGING OTHER COMMUNITY ASSESSMENTS SUCH AS COMMUNITY ROUNDTABLE DISCUSSIONS HOSTED BY THE CORNELL CENTER FOR HEALTH EQUITY (CCHEQ) IN PARTNERSHIP WITH THE WEILL CORNELL MEYER CANCER CENTER; AND THE CCC'S FROM STRENGTHS TO SOLUTIONS: AN ASSET BASED APPROACH TO MEETING COMMUNITY NEEDS IN BROWNSVILLE. NYP-BMH ENGAGED NYAM TO FACILITATE FOCUS GROUPS OF COMMUNITY MEMBERS TO OBTAIN THEIR PERSPECTIVES ON THE HEALTH AND NEEDS OF THE COMMUNITY AT LARGE. NYP-BMH PARTNERED WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS TO HOST THESE SIX FOCUS GROUPS: 1. 1 NYP-BMH COMMUNITY ADVISORY BOARD 2. CAMBA 3. DOWNTOWN BROOKLYN NEIGHBORHOOD ALLIANCE 4. CARIBBEAN WOMEN'S HEALTH ASSOCIATION 5. BROOKLYN PRIDE CENTER 6. SHOREFRONT Y NYP-BMH ENGAGED IN A DYNAMIC DATA COLLECTION AND ANALYTIC PROCESS TO ENSURE THAT THE COMMUNITY AND ITS NEEDS WERE WELL REPRESENTED THROUGHOUT THE CHNA DEVELOPMENT PROCESS. NYP-BMH UTILIZED BOTH QUANTITATIVE AND QUALITATIVE DATA TO CREATE A PICTURE OF THE HEALTH NEEDS OF THE BROOKLYN COMMUNITY. THE QUANTITATIVE DATA FOCUSED TO MEASURABLE INDICATORS AT THE NEIGHBORHOOD TABULATION AREA (NTA) FOR THE COMMUNITY, WHILE THE QUALITATIVE DATA FOCUSED TO THE PRIMARY PERSPECTIVES AND INPUT FROM THE COMMUNITY MEMBERS OBTAINED THROUGH QUESTIONNAIRES AND FOCUS GROUPS. ADDITIONALLY, NYP-BMH UTILIZED NUMEROUS ADDITIONAL DATA SOURCES TO PROVIDE A ROBUST PICTURE OF THE COMMUNITY INCLUDING A ROUNDTABLE DISCUSSION AND CANCER SURVEY IN PARTNERSHIP WITH CORNELL CENTER FOR HEALTH EQUITY (CCHEQ) AND HICCC RESPECTIVELY, AND IN-DEPTH ANALYSIS FROM CCC OF THE BROWNSVILLE NEIGHBORHOOD. QUANTITATIVE DATA WAS GATHERED, VALIDATED, AND REFINED USING (1) COMMUNITY INPUT FROM FACILITATION OF FOCUS GROUPS AND ADMINISTRATION OF COMMUNITY HEALTH NEED QUESTIONNAIRES (CHNQS) TO AREA RESIDENTS AS WELL AS (2) LEVERAGING OTHER COMMUNITY ASSESSMENTS PERFORMED IN THE COMMUNITY. THE COMMUNITY INPUT FROM MULTIPLE SOURCES ALLOWED FOR A COMPREHENSIVE REPRESENTATION OF OUR COMMUNITY INCLUSIVE OF MULTIPLE LANGUAGES, SOCIOECONOMIC STATUSES, CULTURE, RACE, AGE, AND GENDER IDENTITY. SUMMARIES OF EACH QUALITATIVE INPUT SOURCE IS INCLUDED BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AT HTTPS://WWW.NYP.ORG/ABOUT-S/COMMUNITYAFFAIRS/COMMUNITY-SERVICE-PLANS. NEW YORK ACADEMY OF MEDICINE (NYAM) FOCUS GROUPS & QUESTIONNAIRES NYP-BMH PARTNERED WITH NYAM TO CONDUCT CHNQS AND COMMUNITY MEMBER FOCUS GROUPS. THE CHNQS WERE CONDUCTED AT COMMUNITY EVENTS, WITH FOCUS GROUP PARTICIPANTS AND ONLINE, AND WERE ADMINISTERED IN SEVERAL LANGUAGES. THE CHNQS WERE ALSO DISTRIBUTED ACROSS THE COMMUNITY OF FOCUS TO ENSURE THAT RESPONDENTS FROM ALL DEMOGRAPHICS WERE REPRESENTED IN THE RESPONSE RATE. NYAM COMPLETED SIX FOCUS GROUPS AND RECEIVED 234 RESPONSES TO THE CHNQS WITH 59.8% BEING COMPLETED AT IN PERSON EVENTS, 27.8% BEING COMPLETED ONLINE, AND 12.4% COMPLETED BY THE NYP-BMH COMMUNITY ADVISORY BOARD. NYP-BMH COMMUNITY HEALTH SURVEY IN ADDITION TO THE EFFORTS CONDUCTED BY NYAM, NYP-BMH SPONSORED A COMMUNITY HEALTH SURVEY WHICH APPEARED IN AN EDITION OF THEIR COMMUNITY HEALTH MAGAZINE, THRIVE, WHICH IS MAILED TO 250,000 HOUSEHOLDS IN BROOKLYN. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NYP/BROOKLYN METHODIST. BASED ON THE PRIORITIZATION PROCESS, NYP-BMH HAS NUMEROUS INDICATORS AS THE HIGHEST PRIORITIES FOR THE COMMUNITY. THESE INDICATORS CAN BE BROADLY GROUPED INTO: 1. WOMEN'S HEALTH 2. OBESITY AND CHRONIC DISEASE 3. MENTAL HEALTH AND SUBSTANCE USE 4. HUMAN IMMUNODEFICIENCY VIRUS (HIV) 5. CANCER TO ENSURE THE COMMUNITY SERVICE PLAN IS FOCUSED ON INITIATIVES THAT IMPACT THE HIGHEST COMMUNITIES OF DISPARITY, NYP-BMH UNDERTOOK AN ADDITIONAL ANALYSIS OF COMMUNITY HEALTH NEED AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY BASED UPON A COMPOSITE OF 29 DIFFERENT INDICATORS. INDICATORS WERE CAREFULLY SELECTED, ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. THE DEFINED COMMUNITY'S 32 ZIP CODES WERE CROSS-WALKED TO 49 NTAS AND THEN CATEGORIZED INTO FOUR QUARTILES BASED ON IDENTIFIED DISPARITIES. ADDITIONAL ANALYSIS WAS UNDERTAKEN FOR THE 24 NTAS OF HIGHER DISPARITY IN QUARTILES 3 AND 4, MEANING MOST HIGH NEED. BASED ON THE DATA PROCESS OF ANALYTICS AND PRIORITIZATION, NYP-BMH WILL TARGET EFFORTS IN THE CROWN HEIGHTS NEIGHBORHOOD OF BROOKLYN TO ALLOW OUR TEAMS TO INVEST AND CONCENTRATE EFFORTS AND DIRECTLY IMPACT A HIGH NEED COMMUNITY WITHIN THE THREE-YEARS OF THE SERVICE PLAN. THE DATA OUTLINED ALLOWED THE TEAM TO IDENTIFY A COMMUNITY OF FOCUS AS WELL AS PRIORITY AREAS TO IMPACT THE HEALTHCARE OF THE MOST VULNERABLE POPULATIONS. THE PRIORITY AREAS DIFFER FROM THE PRIOR 2016-2018 COMMUNITY SERVICE PLAN WHICH INCLUDED (A.) PREVENT CHRONIC DISEASE: FOCUS ON DIABETES, (B.) PREVENT CHRONIC DISEASE: FOCUS ON CHILDHOOD OBESITY, AND (C.) PROMOTE A HEALTHY AND SAFE ENVIRONMENT; REDUCING FALL RISK AMONG MOST VULNERABLE POPULATIONS. NYP-BMH IS COMMITTED TO SERVING THE COMMUNITY BY PROVIDING A WIDE RANGE OF HEALTH CARE SERVICES AND ACTIVITIES THAT ARE IMPORTANT AND PROVIDE BENEFIT TO OUR COMMUNITY MEMBERS. OUR ASSESSMENT SHOWS THAT THERE ARE NUMEROUS AND SIGNIFICANT NEEDS, AND THE HOSPITAL HAS CHOSEN A SELECTION OF THESE NEEDS IN ORDER TO CONCENTRATE RESOURCES AND EFFORTS AND FOCUS EVALUATIONS ON THOSE INITIATIVES WHICH WE BELIEVE WE CAN MOST EFFECTIVELY EXECUTE ON AND WHICH WILL PROVIDE THE LARGEST IMPACT TO OUR COMMUNITY. IN ADDITION, THE PRIORITIZATION MODEL APPLIED TO SIGNIFICANT COMMUNITY NEEDS WAS ROOTED IN THE QUANTITATIVE AS WELL AS THE QUALITATIVE VOICE OF THE COMMUNITY HELPING TO ENSURE THAT OUR SELECTION WAS ALIGNED WITH THOSE NEEDS RANKED HIGHLY BY OUR COMMUNITY MEMBERS. THE SELECTED INITIATIVES AND RESULTING COMMUNITY SERVICE PLAN WERE REVIEWED AND APPROVED BY SENIOR LEADERS, HOSPITAL COMMUNITY ADVISORY BOARD MEMBERS, AND OUR CHNA STEERING COMMITTEE IN THE CONTEXT OF OUR ORGANIZATIONAL MISSION, OUR CLINICAL STRENGTHS, AND PARTNERSHIPS. 2019-2021 COMMUNITY SERVICE PLAN INITIATIVES: PREVENT CHRONIC DISEASE - FOCUS AREA 1: REDUCE OBESITY & THE RISK OF CHRONIC DISEASE GOAL 1.1 - INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES OBJECTIVE - UTILIZE A CULTURALLY SENSITIVE PROCESS TO EMPOWER ORGANIZATIONS TO FOCUS ON NUTRITION AND PHYSICAL ACTIVITY, PROMOTE WELLNESS THROUGH COMMUNITY BASED PARTNERSHIPS, AND ADDRESS FOOD INSECURITIES. INTERVENTION EXPLAINED: CHOOSING HEALTHY & ACTIVE LIFESTYLES FOR KIDS (CHALK) IS NEW YORK-PRESBYTERIAN'S OBESITY PREVENTION PROGRAM. CHALK AIMS TO ADDRESS OBESITY USING A SOCIO ECOLOGICAL MODEL AS ITS THEORETICAL FRAMEWORK. THE PROGRAM WILL DRIVE SYSTEM AND ENVIRONMENTAL CHANGES THAT PRODUCE LONG LASTING IMPROVEMENTS AROUND WELLNESS IN THE TARGETED COMMUNITY OF CROWN HEIGHTS, WHERE FOOD INSECURITY AND OBESITY RATES ARE HIGH. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - FOCUS AREA 1: MATERNAL & WOMEN'S HEALTH GOAL 1.1. - INCREASE USE OF PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES BY WOMEN OF ALL AGES WITH A FOCUS ON WOMEN OF REPRODUCTIVE AGE OBJECTIVE: THIS PROGRAM AIMS TO REDUCE RACIAL, ETHNIC, AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES, AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS. INTERVENTION EXPLAINED: PROMOTE HEALTHY WOMEN INFANTS AND CHILDREN BY PROVIDING PEER AND EXPERT SUPPORT TO PREGNANT PERSONS IN ORDER TO PROMOTE OPTIMAL INFANT FEEDING, CHILDBIRTH PRACTICES, AND PARENTAL MENTAL WELL-BEING. THIS PROGRAM SEEKS TO IMPACT AT LEAST 10% OF NYP BROOKLYN METHODIST HOSPITAL BIRTHING POPULATION, WHICH AMOUNTS TO OVER 500 EXPECTANT PERSONS. PREVENT COMMUNICABLE DISEASES - FOCUS AREA 2: HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND FOCUS AREA 4: HEPATITIS C (HCV) FOCUS AREA 2: GOAL 2.2 - INCREASE VIRAL SUPPRESSION FOCUS AREA 4: GOAL 4.1 - INCREASE THE NUMBER OF PERSONS TREATED FOR HEPATITIS C VIRUS (HCV), GOAL 4.2 REDUCE THE NUMBER OF NEW HCV CASES AMONG PEOPLE WHO INJECT DRUGS INTERVENTION EXPLAINED: ENDING THE HIV AND HCV EPIDEMICS IN NYS IS NOW A LEGITIMATE POSSIBILITY AND NYP IS PLAYING A LEADING ROLE IN THIS EFFORT. THE NYP ETE INITIATIVE WOULD CREATE A MULTI-CAMPUS HIV AND HCV ELIMINATION STRATEGY THAT WOULD A) INCREASE HIV AND HCV TESTING AND LINKAGE TO CARE, B) RE-ENGAGE HIV+ AND HCV+ INDIVIDUALS TO CARE, AND C) EXPAND EFFECTIVE HIV AND HCV PREVENTION SERVICES, LIKE PREP AND MAT. UTILIZING EXISTING MULTI-CAMPUS DASHBOARDS AN NYP PILOT WOULD LINK, IN REAL-TIME, ALL NEW HIV AND HCV DIAGNOSES, THOSE (THOUSANDS) INDIVIDUALS OUT OF CARE, AND THOSE IN NEED OF PREVENTIVE SERVICES. EXPANDED DEPLOYMENT OF A HEALTH PRIORITY SPECIALIST IN EXISTING SITES, LIKE NYP EMERGENCY DEPARTMENTS (NYP ED), WOULD BE THE EFFECTOR ARM FOR THE INTERVENTION. A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU) WOULD ALSO HELP BRING THESE NEEDED SERVICES TO COMMUNITIES SURROUNDING OUR MEDICAL CENTERS AND ADDITIONALLY ACT AS THE NIDUS FOR NEW PREP PROGRAM GROWTH AT NYP-BMH. COLLECTIVELY THIS MULTIMODAL, EVIDENCE BASED INTERVENTION COULD HELP NYP END THE HIV AND HCV EPIDEMICS IN OUR TARGETED COMMUNITIES. PREVENT CHRONIC DISEASE - FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT GOAL 4.3 PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE: THE 30-DAY TRANSITIONAL CARE INITIATIVE IS USED BY THE CARE TEAM AS A TIME FRAME REQUIRED TO PROVIDE CARE COORDINATION. INTERVENTION EXPLAINED: THE AMERICAN COLLEGE OF PHYSICIANS, SOCIETY OF GENERAL INTERNAL MEDICINE, SOCIETY OF HOSPITAL MEDICINE, AMERICAN GERIATRICS SOCIETY, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, AND SOCIETY OF ACADEMIC EMERGENCY MEDICINE HAVE WORKED TOGETHER TO DEVELOP CONSENSUS STANDARDS FOR TRANSITIONAL CARE.(SNOW ET. AL. 2009) THE COORDINATION OF CARE ACROSS THE HEALTH CARE CONTINUUM IS CRUCIAL TO THE IMPLEMENTATION, MANAGEMENT, AND EVALUATION OF A PATIENT'S TREATMENT PLAN. THE TRANSFER AND RECEIPT OF PATIENT INFORMATION BETWEEN DIFFERENT LEVELS OF CARE AND LOCATIONS ENSURE CONTINUITY AND PROMOTE SUCCESSFUL TREATMENT. UNFORTUNATELY, BREAKDOWNS IN THESE PROCESSES, AS WELL AS THE INEFFECTIVE HANDOFF OF INFORMATION BETWEEN CARE PROVIDERS, CAN LEAD TO POOR TRANSITIONS AND MISCOMMUNICATION AMONG PROVIDERS (MANSUKHANI ET. AL.2015) NYP-BMH'S 30-DAY TRANSITIONAL CARE INITIATIVE IS USED BY THE CARE TEAM AS A TIME FRAME REQUIRED TO PROVIDE CARE COORDINATION. THE TRANSITIONS CARE TEAM (TCT) IDENTIFIES HIGH UTILIZERS AND/OR PATIENTS, WHO ARE 18 YEARS OF AGE AND OLDER, WITH A HIGH LACE SCORE, FROM MEDICAID LISTS. BETWEEN 2017 AND 2018, THE NYP-BMH CARE TEAM HAS TOUCHED 2215 DISTINCT PATIENTS ACROSS 5146 VISITS. THIS PROGRAM WILL CONTINUE TO IDENTIFY AND TREAT PATIENTS WHILE ENSURING CONTINUITY OF CARE. PROMOTE WELL-BEING & PREVENT MENTAL & SUBSTANCE USE DISORDERS - FOCUS AREA: 1 STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN GOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN OBJECTIVE: EXPAND MENTAL HEALTH FIRST AID TRAININGS TO EXPAND MENTAL HEALTH EDUCATION, INCREASE PREVENTION AND ADDRESS STIGMA INTERVENTION EXPLAINED: MENTAL HEALTH FIRST AID (MHFA) IS AN INTERNATIONAL, EVIDENCE BASED, TRAINING PROGRAM PROVEN TO BE AN EFFECTIVE INTERVENTION FOR MENTAL HEALTH EDUCATION, PREVENTION AND ADDRESSING STIGMA. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NYP/BROOKLYN METHODIST. NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HAS A FINANCIAL ADVOCACY PROGRAM STAFFED BY REPRESENTATIVES WHO REACH OUT TO PATIENTS TO PROVIDE INFORMATION REGARDING MEDICAID, EXCHANGE PLANS, FINANCIAL AID AND TO ASSIST THOSE PATIENTS WHO NEED HELP TO APPLY TO SUCH PROGRAMS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - NYP/BROOKLYN METHODIST. THE HOSPITAL FOLLOWS TWO BASIC APPROACHES TO PUBLICIZING THE AVAILABILITY OF FINANCIAL AID. FIRST, IT MAKES THE FINANCIAL AID POLICY ITSELF, A PLAIN LANGUAGE SUMMARY, AND THE FINANCIAL AID APPLICATION AVAILABLE AT VARIOUS HOSPITAL PATIENT ACCESS POINTS, POSTS SIGNS CONSPICUOUSLY IN PUBLIC AREAS OF THE HOSPITAL, INCLUDES INFORMATION ON BILLING STATEMENTS, POSTS INFORMATION (INCLUDING HOW TO OBTAIN THE POLICY, SUMMARY AND APPLICATION) ON THE WEBSITE, AND RESPONDS TO INQUIRIES FROM PATIENTS AND MEMBERS OF THE COMMUNITY ON FINANCIAL AID. SECONDLY, THE HOSPITAL PROVIDES UPDATES AND INFORMATION (INCLUDING THE POLICY, THE SUMMARY AND/OR THE APPLICATION) ON A REGULAR BASIS TO LEADERS OF COMMUNITY ADVISORY BOARDS, LOCAL COMMUNITY BOARDS, ELECTED OFFICIALS and THE CITY HEALTH DEPARTMENT. 4 NYPBMH CARDIO-VASCULAR SERVICES 8721 FIFTH AVENUE BROOKLYN NY 11209 CARDIOLOGY PULMONARY CLINIC NYPBMH INFUSION SERVICES 343 4TH AVENUE BROOKLYN NY 11215 CHEMO CLINIC NYPBMH REHAB CTRWOMEN&CHILDREN CLINIC 263 7TH AVENUE 2ND 3RD FL BROOKLYN NY 11215 PHYSICAL & OCCUPATIONAL THERAPY CLINIC PEDIATRIC NYPBMH CTR FOR COMMUNITY HEALTH 515 6TH STREET BROOKLYN NY 11215 CLINIC COMMUNITY HEALTH Schedule H, Part VI, Line 8 VACCINE ACCESS AND OVERCOMING VACCINE HESITANCY Description: NYPH LEASED THE ARMORY AT 168TH STREET IN WASHINGTON HEIGHTS AND TRANSFORMED THIS APPROXIMATELY 65,000 SQUARE FOOT SPACE INTO ONE OF NEW YORK CITY'S LARGEST PUBLIC COVID-19 VACCINATION SITES, PROVIDING VACCINES FROM JANUARY 2021 UNTIL MAY 2021. NYP MANAGED AND STAFFED THE ARMORY OPERATION, AS WELL AS OTHER POP-UP VACCINATION VENUES IN NEW YORK CITY AND WESTCHESTER COUNTY. NYPH COLLABORATED WITH OVER 100 COMMUNITY AND FAITH-BASED ORGANIZATIONS TO HELP NEW YORKERS SCHEDULE VACCINATION APPOINTMENTS AT THESE SITES AND PROVIDED EDUCATION ON VACCINE SAFETY TO THOUSANDS OF MEMBERS OF THE PUBLIC. NYPH ALSO COLLABORATED WITH THE NORTHERN MANHATTAN IMPROVEMENT CORPORATION ("NMIC"), A COMMUNITY-BASED ORGANIZATION IN WASHINGTON HEIGHTS, TO CREATE A BILINGUAL SCHEDULING HOTLINE WHERE MEMBERS OF LOCAL COMMUNITIES COULD SCHEDULE APPOINTMENTS. AS OF MAY 1, 2021, THAT HOTLINE MADE VACCINATION APPOINTMENTS FOR OVER 11,000 NEW YORKERS, MANY OF WHOM HAD LANGUAGE OR LIMITED INTERNET ACCESS ISSUES. NYP'S EFFORTS HAVE LED TO THE VACCINATION OF MORE THAN 100,000 PATIENTS AND MEMBERS OF THE PUBLIC. NYPH HAS ALSO DEPLOYED ITS FINANCIAL AND STAFFING RESOURCES TO BOLSTER CITY AND REGIONAL EFFORTS TO HELP NEW YORKERS OVERCOME VACCINE HESITANCY. Schedule H, Part I, Line 7g Subsidized Health Services INCLUDED IN Subsidized health services IS CLINIC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Description: BAD DEBT PRICE CONCESSIONS ARE OFFSET AGAINST REVENUE AND NOT INCLUDED IN EXPENSES. THE FOLLOWING IS A DETAIL OF THE SOURCES USED FOR DETERMINING THE AMOUNTS REPORTED ON SCHEDULE H: LINE 7A - ADJUSTED RATIO OF PATIENT CARE COST TO CHARGES LINE 7B - COST ACCOUNTING SYSTEM LINE 7E - ACTUAL EXPENSES LINE 7F - INSTITUTIONAL COST REPORT- WORKSHEET B, PART 1 LINE 7G - COST ACCOUNTING SYSTEM LINE 7I - ACTUAL EXPENSE Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Description: FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTABLE AMOUNTS ARE BAD DEBT PRICE CONCESSIONS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Description: THE AMOUNT INCLUDED REPRESENTS PATIENTS AT COST WHO QUALIFY FOR CHARITY CARE/FINANCIAL ASSISTANCE AND HAVE A BAD DEBT WRITE-OFF. BAD DEBT EXPENSE PRICE CONCESSIONS) ASSOCIATED WITH PATIENTS THAT RECEIVED CHARITY CARE/FINANCIAL ASSISTANCE IS REPRESENTED IN THIS $156,996 FIGURE. THESE PATIENTS WENT THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROCESS AND WERE DETERMINED TO HAVE FINANCIAL NEED. AS A RESULT, WE PROVIDED THEM WITH A DISCOUNT BASED ON OUR SLIDING SCALE CHARITY CARE POLICY. IF THEY WERE UNABLE TO PAY THE REDUCED BALANCES, THEY WERE WRITTEN OFF AS BAD DEBT (PRICE CONCESSIONS) AND INCLUDED AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Description: PLEASE REFER TO AUDITED FINANCIAL STATEMENTS PAGE 22. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. TOTAL INPATIENT AND OUTPATIENT COSTS. THESE DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUE AND COSTS AND THUS DO NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS WITH THE PARTICIPATION IN MEDICARE PROGRAMS. THE REVENUE AND COSTS EXCLUDES PROFESSIONAL HEALTH EDUCATION, SUBSIDIZED HEALTH SERVICES, AND MEDICARE MANAGED CARE ACTIVITY. IF ALL THESE REVENUE AND COSTS WERE INCLUDED THE MEDICARE Surplus of 2M WOULD BE A MEDICARE SHORTFALL OF 40M. MEDICARE NET SURPLUS PER SCHEDULE H 2,004,955 MEDICARE GME NET COST (23,650,423) MEDICARE NET COSTS OF SUBSIDIZED SERVICES (5,687,130) MEDICARE MANAGED CARE NET COSTS (12,193,412) TOTAL NET COSTS ASSOCIATED WITH THE MEDICARE PROGRAM (39,526,010) NET IS DEFINED AS REVENUE NET OF COSTS Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Description: THE PURPOSE OF THE COLLECTION POLICY (POLICY) IS TO PROMOTE PATIENT ACCESS TO QUALITY HEALTH CARE WHILE MINIMIZING BAD DEBT AT NYP-BMH. THIS POLICY PLACES REQUIREMENTS UPON HOSPITAL AND THOSE AGENCIES AND ATTORNEYS UNDERTAKING DEBT COLLECTION ACTIVITIES THAT ARE CONSISTENT WITH THE CORE MISSION, VALUES, AND PRINCIPLES OF HOSPITAL INCLUDING, BUT NOT LIMITED TO, HOSPITAL'S CHARITY CARE POLICY(HEREAFTER CHARITY CARE POLICY). THIS POLICY APPLIES TO HOSPITAL AND ANY AGENCY, LAWYER, OR LAW FIRM ASSISTING HOSPITAL IN THE COLLECTION OF AN OUTSTANDING PATIENT ACCOUNT DEBT. PROCEDURE: A. GENERAL GUIDELINES 1. HOSPITAL, COLLECTION AGENCIES (AGENCY), AND LAWYERS AND LAW FIRMS (OUTSIDE COUNSEL) WILL COMPLY WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND ACCREDITING AGENCY REQUIREMENTS GOVERNING THE COLLECTION OF DEBTS INCLUDING, BUT NOT LIMITED TO, THE FAIR DEBT COLLECTION PRACTICES ACT (FDCPA), THE FAIR CREDIT BILLING ACT, THE CONSUMER CREDIT PROTECTION ACTS, PUBLIC HEALTH LAW SECTION 2807-K-9-A, INTERNAL REVENUE SERVICE CODE 501(R), ARTICLE 52 OF THE NEW YORK CIVIL PRACTICE LAW AND RULES, AND THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA). HOSPITAL, AGENCY AND OUTSIDE COUNSEL WILL ALSO COMPLY WITH HOSPITAL'S CHARITY CARE POLICY. TO THE EXTENT THAT THERE ARE ANY INCONSISTENCIES BETWEEN HOSPITAL'S COLLECTION POLICY AND CHARITY CARE POLICY, THE CHARITY CARE POLICY SHALL SUPERSEDE AND CONTROL. 2. HOSPITAL SHALL ENTER LEGALLY BINDING WRITTEN AGREEMENTS WITH ANY PARTIES (INCLUDING AGENCY OR OUTSIDE COUNSEL) TO WHICH IT REFERS AN INDIVIDUAL'S DEBT RELATED TO CARE THAT ARE REASONABLY DESIGNED TO PREVENT EXTRAORDINARY COLLECTION ACTIONS (ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE. Schedule H, Part V, Section B, Line 16a FAP website - NYP/BROOKLYN METHODIST: Line 16a URL: HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE; Schedule H, Part V, Section B, Line 16b FAP Application website - NYP/BROOKLYN METHODIST: Line 16b URL: HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - NYP/BROOKLYN METHODIST: Line 16c URL: HTTP://WWW.NYP.ORG/BROOKLYN/PAYING-FOR-CARE; Schedule H, Part VI, Line 2 Needs assessment Description: THE NEWYORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL (NYP-BMH) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE NEEDS OF OUR COMMUNITY AND DEVELOP A COMMUNITY SERVICE PLAN (CSP) AND DETAILED IMPLEMENTATION PLAN. OUR COMMITMENT IS TO PROVIDE QUALITY AND COMPASSIONATE CARE TO OUR COMMUNITY AND THE CHNA PROCESS PROVIDES THE ABILITY TO FOCUS COMMUNITY-BASED EFFORTS TO ADDRESS NEEDS. THE LEADERS OF NYP-BMH ARE DEDICATED TO OUR COMMUNITY WITH A MISSION TO PROVIDE EXCELLENT HEALTHCARE SERVICES IN A COMPASSIONATE AND HUMANE MANNER TO THE PEOPLE WHO LIVE AND WORK IN BROOKLYN AND ITS SURROUNDING AREAS. THIS DOCUMENT OUTLINES THE PROCESS, PRIORITIES, PARTNERS, AND INTENDED COMMUNITY-BASED IMPROVEMENT ACTIVITIES FOR 2019 - 2021. OUR PRIORITIES WERE DETERMINED FROM A DATA DRIVEN PROCESS AND ALIGN WITH THE 2019-2024 NEW YORK STATE PREVENTION AGENDA (NYS PA) AND ALIGN WITH THE STATE'S GOAL TO PROMOTE HEALTH EQUITY WITH A FOCUS ON PHYSICAL HEALTH, MENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. FULL REPORTS RELATED TO THE CHNA PROCESS CAN BE FOUND ON OUR WEBSITE AT HTTPS://WWW.NYP.ORG/ABOUT-US/COMMUNITY-AFFAIRS/COMMUNITY-SERVICE-PLANS. NYP-BMH COLLABORATED WITH NEWYORK-PRESBYTERIAN LEADERSHIP, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH), CITIZENS' COMMITTEE FOR CHILDREN (CCC), COLUMBIA UNIVERSITY IRVING MEDICAL CENTER (CUIMC), WEILL CORNELL MEDICAL COLLEGE (WCMC), GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), LOCAL COMMUNITY BASED ORGANIZATIONS (CBOS), AND THE NEW YORK ACADEMY OF MEDICINE (NYAM) TO ADOPT A COMMUNITY FOCUSED PROCESS OF COLLECTING AND ANALYZING MEASURABLE DATA (QUANTITATIVE) AND VIEWS VOICED BY THE COMMUNITY (QUALITATIVE) FROM A VARIETY OF SOURCES. THE COLLABORATIVE PROCESS ENSURED SIGNIFICANT INPUT FROM THE KEY STAKEHOLDERS AND LOCAL COMMUNITY THROUGH QUESTIONNAIRES AND FOCUS GROUPS CONDUCTED IN SEVERAL LANGUAGES. THIS ALLOWED NYP-BMH TO DEVELOP A FOCUSED IMPLEMENTATION PLAN TO MEET THE NEEDS OF A TARGETED COMMUNITY WITH HIGH DISPARITIES. NYP-BMH COMPILED MEASURABLE DATA AND INPUT FROM THE COMMUNITY FROM NUMEROUS SOURCES IN ORDER TO ANALYZE THE HEALTH AND CHALLENGES OF OUR COMMUNITY. THE ANALYSIS UTILIZED FOCUSED NEIGHBORHOOD GEOGRAPHY FOR METRICS AND INCLUDED DATA RELATED TO DEMOGRAPHICS, SOCIOECONOMIC STATUS, INSURANCE STATUS, SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS, HEALTH SERVICE UTILIZATION, AND PRIORITY AREAS FROM THE NY STATE PREVENTION AGENDA. COMMUNITY INPUT SOURCES INCLUDED FOCUS GROUPS AND COMMUNITY QUESTIONNAIRES WHICH ALLOWED FOR A DIVERSE REPRESENTATION OF RACE, LANGUAGE, AGE, GENDER IDENTITY, AND SEXUAL ORIENTATION. DATA SOURCES INCLUDE THE CITIZENS' COMMITTEE FOR CHILDREN KEEPING TRACK ONLINE; OPEN DATA CITY OF NEW YORK; DATA2GO.NYC; NYC HEALTH ATLAS; NYC MAYOR REPORT, THE ASSOCIATION FOR NEIGHBORHOOD & HOUSING DEVELOPMENT; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CLARITAS; NYC COMMUNITY HEALTH PROFILE, STATE CANCER PROFILES, AND U.S. DEPARTMENT OF AGRICULTURE. THE COLLECTED DATA WAS RANKED TO PROVIDE DETAILED INSIGHT INTO THE COMMUNITIES WITH HIGH DISPARITIES AND WAS THEN PRIORITIZED TO DETERMINE THE HIGHEST HEALTH PRIORITIES FOR THE IDENTIFIED COMMUNITIES. THE PRIORITIZED DATA PROVIDED INSIGHT INTO COMMUNITY HEALTH NEEDS AND CHALLENGES AND ALLOWED NYPBMH TO ESTABLISH FOCUS AREAS AND GOALS TO ALIGN WITH THE NY STATE PREVENTION AGENDA. OUR TEAM IS COMMITTED TO THE SUCCESSFUL IMPLEMENTATION OF EACH INITIATIVE AND WILL UTILIZE QUALITY PROCESS IMPROVEMENT EFFORTS ANNUALLY TO REPORT ON PROCESS AND OUTCOME MEASURES IN ORDER TO ADAPT EACH PROGRAM TO MEET THE ANNUAL EXPECTATIONS OUTLINED AS WELL AS MEET THE NEEDS OF OUR COMMUNITY. THE NYP-BMH COMMUNITIES OF HIGH DISPARITIES ARE DIVERSE NEIGHBORHOODS WITH HIGH RATES OF MEDICAID ENROLLMENT, PEOPLE LIVING IN POVERTY, LOW HIGH SCHOOL GRADUATION RATES, AND HIGH UNEMPLOYMENT RATES. THE CROWN HEIGHTS NEIGHBORHOOD (NORTH AND SOUTH) HAS HIGH RATES OF ADULT OBESITY AT 26% AND 32% RESPECTIVELY, HIGH CRUDE RATES OF MATERNAL MORBIDITY PER 10,000 DELIVERIES AT 372.5 AND 234.6 RESPECTIVELY, AND SELF-REPORTED POOR MENTAL HEALTH AT 10.5% FOR KINGS COUNTY AS A WHOLE. TO ALIGN WITH THE CONSTANTLY CHANGING DYNAMICS OF THE COMMUNITY, NYP-BMH HAS REVISED THE INITIATIVES AS COMPARED TO THE 2013 - 2016 CSP AND WILL TARGET EFFORTS IN THE CROWN HEIGHTS NEIGHBORHOOD OF BROOKLYN WITH PRIORITY AREAS RELATED TO THE PREVENTION OF (1) CHRONIC DISEASE, (2) PROMOTION OF HEALTHY WOMEN, INFANTS, AND CHILDREN, (3) PREVENT COMMUNICABLE DISEASES, AND (4) PROMOTION OF WELL-BEING TO PREVENT MENTAL HEALTH AND SUBSTANCE ABUSE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Description: WRITTEN MATERIALS, INCLUDING THE APPLICATION, FULL POLICY, AND PLAIN LANGUAGE SUMMARY (SUMMARY), SHALL BE AVAILABLE TO PATIENTS IN NYP-BMH'S PRIMARY LANGUAGES, UPON REQUEST AND WITHOUT CHARGE, FROM ADMITTING AND EMERGENCY DEPARTMENTS AT NYP-BMH DURING THE INTAKE AND REGISTRATION PROCESS, AT DISCHARGE AND/OR BY MAIL. ADDITIONALLY, THOSE MATERIALS SHALL BE AVAILABLE ON NYP-BMH'S WEBSITE (WWW.NYP.ORG/BROOKLYN). ALSO, NOTIFICATION TO PATIENTS REGARDING THIS POLICY SHALL BE MADE THROUGH CONSPICUOUS POSTING OF LANGUAGE APPROPRIATE INFORMATION IN EMERGENCY ROOMS AND ADMITTING DEPARTMENTS OF NYP-BMH, AND INCLUSION OF INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS EXPLAINING THAT FINANCIAL AID MAY BE AVAILABLE TO QUALIFIED PATIENTS AND HOW TO OBTAIN FURTHER INFORMATION. Schedule H, Part VI, Line 4 Community information Description: THE COMMUNITY DEFINITION FOR NEWYORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL WAS DERIVED USING 80% OF ZIP CODES FROM WHICH NYP-BMH'S PATIENTS ORIGINATE AND ADDING ZIP CODES NOT AMONG THE ORIGINAL PATIENT ORIGIN TO CREATE CONTINUITY IN GEOGRAPHICAL BOUNDARIES, RESULTING IN A TOTAL OF 32 COMMUNITY ZIP CODES, MAINLY WITHIN KINGS COUNTY. 2.3M PEOPLE - THE DEFINED COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 2.3M PEOPLE. 2.2% GROWTH POPULATION - FORECASTED TO GROW FASTER, 2.2%, THAN THE STATE AVERAGE,1.5%, BETWEEN 2019-2024. 14.0% 65+ POPULATION I- S SLIGHTLY YOUNGER WITH ONLY 14.0% OF THE POPULATION AGED 65+ COMPARED TO 16.3%. $91,909 HOUSEHOLD INCOME - THE AVERAGE HOUSEHOLD INCOME, $91,909, IS LOWER THAN THE AVERAGE OF NEW YORK STATE, $101,507. 7.4% UNEMPLOYMENT RATE THE UNEMPLOYMENT RATE, 7.4%, IS 19% HIGHER THAN THE STATE BENCHMARK, AND THERE ARE FEWER WHITE-COLLAR WORKERS THAN THE STATE AVERAGE. HIGHER MINORITY POPULATION HIGHER NON-WHITE POPULATION, 65.9%, THAN THE STATE 45.6%, DRIVEN BY AFRICAN AMERICANS, 31.8%, FOLLOWED BY HISPANICS, 17.2%. TO ENSURE THE COMMUNITY SERVICE PLAN IS FOCUSED ON INITIATIVES THAT IMPACT THE HIGHEST COMMUNITIES OF DISPARITY, NYP-BMH UNDERTOOK AN ADDITIONAL ANALYSIS OF COMMUNITY HEALTH NEED AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY BASED UPON A COMPOSITE OF 29 DIFFERENT INDICATORS. INDICATORS WERE CAREFULLY SELECTED, ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. THE DEFINED COMMUNITY'S 32 ZIP CODES WERE CROSS-WALKED TO 49 NTAS AND THEN CATEGORIZED INTO FOUR QUARTILES BASED ON IDENTIFIED DISPARITIES. 1.3M PEOPLE- THE HIGH DISPARITY COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 1.3M PEOPLE. 53.8% FEMALE IS 53.8% FEMALE AND SLIGHTLY YOUNGER, 10.9% OF THE POPULATION IS 65+, COMPARED TO NYC. 25.5% DID NOT COMPLETE HIGH SCHOOL IN AGGREGATE, THERE ARE ABOVE NYC AVERAGE PERCENTAGES OF RESIDENTS THAT ARE FOREIGN BORN, NOT GRADUATED FROM HIGH SCHOOL, UNEMPLOYED, AND SINGLE PARENTS. 27.3% LIVING IN POVERTY THERE ARE MORE LIVING IN POVERTY, ALL AGES 27.3%, THAN THE NYC AVERAGE, 20.6%, AND WITHOUT HEALTH INSURANCE, 15.5%, THAN THE NYC AVERAGE, 13.5%. 43.9% MEDICAID ENROLLMENT NUMEROUS NEIGHBORHOODS ALSO HAVE A HIGHER THAN AVERAGE MEDICAID ENROLLMENT, OVERALL 43.9%, NYC 37.0%. 86.1% MINORITY POPULATION HAS A MUCH HIGHER MINORITY POPULATION AT 86.1% (ESPECIALLY BLACK AND HISPANIC/LATINO) THAN DOES THE NYC AVERAGE 67%. IN AN EFFORT TO FOCUS INITIATIVES TO MAKE THE LARGEST IMPACT TO A HIGH DISPARITY COMMUNITY, THE NYP-BMH TEAM ANALYZED ALL DATA ELEMENTS AND ISOLATED CROWN HEIGHTS AND THE NYS PA PRIORITY AREAS OF 1) PREVENT CHRONIC DISEASES, 2) PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, 3) PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS, AND 4) PREVENT COMMUNICABLE DISEASE. Schedule H, Part VI, Line 5 Promotion of community health Description: PREVENT CHRONIC DISEASE - REDUCE OBESITY & THE RISK OF CHRONIC DISEASE CHOOSING HEALTHY & ACTIVE LIFESTYLES FOR KIDS (CHALK) IS NEW YORK-PRESBYTERIAN'S OBESITY PREVENTION PROGRAM. CHALK AIMS TO ADDRESS OBESITY USING A SOCIO ECOLOGICAL MODEL AS ITS THEORETICAL FRAMEWORK. THE PROGRAM WILL DRIVE SYSTEM AND ENVIRONMENTAL CHANGES THAT PRODUCE LONG LASTING IMPROVEMENTS AROUND WELLNESS IN THE TARGETED COMMUNITY OF CROWN HEIGHTS, WHERE FOOD INSECURITY AND OBESITY RATES ARE HIGH. CHALK'S MULTIPRONGED APPROACH AS CURRENTLY IMPLEMENTED IN WASHINGTON HEIGHTS/INWOOD INCLUDES: 1) MOBILE MARKET (CLIENT-CHOICE STYLE MOBILE FOOD PANTRY SERVING FOOD INSECURE PATIENTS BY HOUSEHOLD SIZE, UP TO 200 INDIVIDUALS PER DISTRIBUTION; CONNECTION TO COMMUNITY RESOURCES, COOKING DEMONSTRATIONS, AND BENEFITS ENROLLMENT) 2) FRUIT AND VEGETABLE PRESCRIPTION PROGRAM (COUPONS REDEEMABLE FOR PRODUCE AT LOCAL FARMERS MARKETS FOR PATIENTS SEEN AT HOSPITAL COMMUNITY-BASED PRIMARY CARE SITES ($10/MONTH)) 3) ELEMENTARY SCHOOLS PARTNERSHIP (NON-PRESCRIPTIVE PARTNERSHIP MODEL, CREATION OF WELLNESS COUNCILS, IMPLEMENTATION OF WELLNESS POLICIES, STAFF PROFESSIONAL DEVELOPMENT, NUTRITION EDUCATION, CONNECTION TO COMMUNITY RESOURCES AND PARTNERS, BUILT ENVIRONMENT CHANGES THAT PROMOTE HEALTHY LIFESTYLES). CHALK'S EXISTING ELEMENTARY SCHOOL PARTNERSHIPS IN NORTHERN MANHATTAN HAVE INCREASED ACCESS TO HEALTHY LIFESTYLES FOR STUDENTS AND THEIR FAMILIES. THE CHALK MODEL STRENGTHENS SCHOOL-BASED WELLNESS COUNCILS AND POLICY IMPLEMENTATION, INCREASES PHYSICAL ACTIVITY AND NUTRITION PROGRAMING, AND CONNECTS STAKEHOLDERS WITH COMMUNITY PARTNERS TO SUPPORT SUSTAINED SUCCESS. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - MATERNAL & WOMEN'S HEALTH PROMOTE HEALTHY WOMEN INFANTS AND CHILDREN BY PROVIDING PEER AND EXPERT SUPPORT TO PREGNANT PERSONS IN ORDER TO PROMOTE OPTIMAL INFANT FEEDING, CHILDBIRTH PRACTICES, AND PARENTAL MENTAL WELL-BEING. THIS PROGRAM SEEKS TO IMPACT AT LEAST 10% OF NYP BROOKLYN METHODIST HOSPITAL BIRTHING POPULATION, WHICH AMOUNTS TO OVER 500 EXPECTANT PERSONS. 1) PROVIDE VIRTUAL AND REALITY-BASED SPACE WHERE PREGNANT PERSONS CAN ENGAGE IN DISCOURSE WITH THEIR PEERS. 2) FOLLOW SEVERAL COHORTS OF 8-12 EXPECTANT PARENTS AND ENGAGE THEM IN 3 PRE-NATAL GROUP VISITS (BOTH IN-PERSON AND VIRTUALLY), AND BETWEEN 3-4 POSTPARTUM VISITS INDIVIDUALLY (BOTH IN-PERSON AND VIRTUALLY), OVER THE COURSE OF 3 MONTHS. 3) PROVIDE EDUCATIONAL SUPPORT BY PERSONS TRAINED IN INFANT FEEDING, INFANT CARE, BIRTHING, AND POSTPARTUM MENTAL HEALTH SCREENING. PREVENT COMMUNICABLE DISEASES - HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND FOCUS AREA 4: HEPATITIS C (HCV) ENDING THE HIV AND HCV EPIDEMICS IN NYS IS NOW A LEGITIMATE POSSIBILITY AND NYP IS PLAYING A LEADING ROLE IN THIS EFFORT. THE NYP ETE INITIATIVE WOULD CREATE A MULTI-CAMPUS HIV AND HCV ELIMINATION STRATEGY THAT WOULD A) INCREASE HIV AND HCV TESTING AND LINKAGE TO CARE, B) RE-ENGAGE HIV+ AND HCV+ INDIVIDUALS TO CARE, AND C) EXPAND EFFECTIVE HIV AND HCV PREVENTION SERVICES, LIKE PREP AND MAT. UTILIZING EXISTING MULTI-CAMPUS DIAGNOSES, THOSE (THOUSANDS) INDIVIDUALS OUT OF CARE, AND THOSE IN NEED OF PREVENTIVE SERVICESI . EXPANDED DEPLOYMENT OF A HEALTH PRIORITY SPECIALIST IN EXISTING SITES, LIKE NYP EMERGENCY DEPARTMENTS (NYP ED), WOULD BE THE EFFECTOR ARM FOR THE INTERVENTION. A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU) WOULD ALSO HELP BRING THESE NEEDED SERVICES TO COMMUNITIES SURROUNDING OUR MEDICAL CENTERS AND ADDITIONALLY ACT AS THE NIDUS FOR NEW PREP PROGRAM GROWTH AT NYP-BMH. COLLECTIVELY THIS MULTIMODAL, EVIDENCE BASED INTERVENTION COULD HELP NYP END THE HIV AND HCV EPIDEMICS IN OUR TARGETED COMMUNITIES. PERFORMANCE MEASURES: PERFORMANCE INDICATORS WILL BE ALIGNED WITH THE HIV. PREVENT CHRONIC DISEASE - CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT THE AMERICAN COLLEGE OF PHYSICIANS, SOCIETY OF GENERAL INTERNAL MEDICINE, SOCIETY OF HOSPITAL MEDICINE, AMERICAN GERIATRICS SOCIETY, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, AND SOCIETY OF ACADEMIC EMERGENCY MEDICINE HAVE WORKED TOGETHER TO DEVELOP CONSENSUS STANDARDS FOR TRANSITIONAL CARE.(SNOW ET. AL. 2009) THE COORDINATION OF CARE ACROSS THE HEALTH CARE CONTINUUM IS CRUCIAL TO THE IMPLEMENTATION, MANAGEMENT, AND EVALUATION OF A PATIENT'S TREATMENT PLAN. THE TRANSFER AND RECEIPT OF PATIENT INFORMATION BETWEEN DIFFERENT LEVELS OF CARE AND LOCATIONS ENSURE CONTINUITY AND PROMOTE SUCCESSFUL TREATMENT. UNFORTUNATELY, BREAKDOWNS IN THESE PROCESSES, AS WELL AS THE INEFFECTIVE HANDOFF OF INFORMATION BETWEEN CARE PROVIDERS, CAN LEAD TO POOR TRANSITIONS AND MISCOMMUNICATION AMONG PROVIDERS (MANSUKHANI ET. AL.2015) NYP-BMH'S 30-DAY TRANSITIONAL CARE INITIATIVE IS USED BY THE CARE TEAM AS A TIME FRAME REQUIRED TO PROVIDE CARE COORDINATION. THE TRANSITIONS CARE TEAM (TCT) IDENTIFIES HIGH UTILIZERS AND/OR PATIENTS, WHO ARE 18 YEARS OF AGE AND OLDER, WITH A HIGH LACE SCORE, FROM MEDICAID LISTS. BETWEEN 2017 AND 2018, THE NYP-BMH CARE TEAM HAS TOUCHED 2215 DISTINCT PATIENTS ACROSS 5146 VISITS. THIS PROGRAM WILL CONTINUE TO IDENTIFY AND TREAT PATIENTS WHILE ENSURING CONTINUITY OF CARE ACROSS HEALTH CARE SETTINGS. PROMOTE WELL-BEING & PREVENT MENTAL & SUBSTANCE USE DISORDERS - STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. MENTAL HEALTH FIRST AID (MHFA) IS AN INTERNATIONAL, EVIDENCE BASED, TRAINING PROGRAM PROVEN TO BE AN EFFECTIVE INTERVENTION FOR MENTAL HEALTH EDUCATION, PREVENTION AND ADDRESSING STIGMA. PEER-REVIEWED STUDIES SHOW THAT INDIVIDUALS TRAINED IN THE PROGRAM ACHIEVE THE FOLLOWING OUTCOMES: 1. GROW THEIR KNOWLEDGE OF SIGNS, SYMPTOMS, AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS. 2. CAN IDENTIFY MULTIPLE TYPES OF PROFESSIONAL AND SELF-HELP RESOURCES FOR INDIVIDUALS WITH A MENTAL ILLNESS OR ADDICTION. 3. INCREASE THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. 4. SHOW INCREASE MENTAL WELLNESS THEMSELVES. NYP HAS BEEN PROVIDING THIS TRAINING SINCE 2015 THROUGH ITS BUILDING BRIDGES, KNOWLEDGE, AND HEALTH COALITION AND, IN PARTNERSHIP WITH THRIVENYC, AND HAS TRAINED OVER 800 INDIVIDUALS. MENTAL HEALTH FIRST AID USA IS LISTED IN THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S NATIONAL REGISTRY OF EVIDENCE-BASED PROGRAMS AND PRACTICES. Schedule H, Part VI, Line 6 Affiliated health care system Description: NEWYORK-PRESBYTERIANBROOKLYN METHODIST HOSPITAL IS A NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL. NEWYORK-PRESBYTERIAN HOSPITAL ASSISTS ITS REGIONAL HOSPITALS IN IDENTIFING AVAILABLE RESOURCES AND COORDINATE EFFORTS TO PROMOTE COMMUNITY HEALTH IN THE COMMUNITY THE REGIONAL HOSPITAL SERVICES. Schedule H, Part VI, Line 7 State filing of community benefit report NY true CAMBA 1720 CHURCH AVENUE BROOKLYN NY 11226 112480339 501(C)(3) 11000 SPONSORSHIP BROOKLYN CHAMBER OF COMMERCE 335 ADAMS STREET SUITE 2700 BROOKLYN NY 11201 110577070 501(c)(6) 328500 FMV PPE SUPPORT BROOKLYN CHINESE-AMERICAN ASSOCIATION 5002 8TH AVE BROOKLYN NEW YORK NY 11220 113065859 501(C)(3) 21900 FMV PPE SUPPORT BROOKLYN PUBLIC LIBRARY 10 GRAND ARMY PLAZA NEW YORK NY 10011 111904261 10000 SUPPORT 2 2 DIRECT ASSISTANCE 3757 481594 COST MEDICATIONS/EQUIP/TRANS/MED ENROLL/CLOTHES/MISC Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. PRIOR TO AWARDING ASSISTANCE TO ORGANIZATIONS, AN ASSESSMENT IS MADE ON THE USE OF THE FUNDS. FINAL DETERMINATION IS BASED ON WHETHER FUNDS WILL BE USED TO FURTHER OUR MISSION. false true false false false false false true false ROBERT GUIMENTO DIRECTOR/PRESIDENT 0 654913 0 400000 0 74675 0 33194 0 33910 0 1196692 0 0 MAXINE FRANK DIRECTOR 0 869352 0 200000 0 263789 0 243604 0 32517 0 1609262 0 12544 BRIAN K REGAN DIRECTOR 0 306365 0 119130 0 32906 0 33275 0 30892 0 522568 0 0 KATHLEEN M BURKE FORMER/OFFICER 0 299170 0 102232 0 32864 0 44620 0 22986 0 501872 0 0 MARY BRAUNSDORF CORPORATE SECRETARY 0 165217 0 6563 0 896 0 10311 0 12754 0 195741 0 0 JOHN V CAMPANO ASSISTANT CORPORATE SECRETARY 0 371763 0 152498 0 104219 0 38701 0 39984 0 707165 0 0 MICHAEL FAGAN SVP FINANCE/CFO 444638 0 69451 0 68849 0 70171 0 42441 0 695550 0 0 0 EILEEN KANG VP ANCILLARY SERVICES 287393 0 63654 0 13077 0 24022 0 44861 0 433007 0 0 0 AARON KRANICH VP HUMAN RESOURCES 267043 0 53828 0 405 0 22538 0 37811 0 381625 0 0 0 ALAN LEE CHIEF OPERATING OFFICER 370515 0 288556 0 78321 0 23891 0 27400 0 788683 0 0 0 LISA MAINIERI VP SUPPORT SERVICES 253514 0 53465 0 35071 0 23856 0 13940 0 379846 0 0 0 ERNESTO PEREZ-MIR CHIEF NURSING OFFICER 277681 0 55309 0 18072 0 23859 0 15361 0 390282 0 0 0 PURVI SHAH CHIEF MEDICAL & QUALITY OFFICER 473993 0 100000 0 20040 0 23632 0 36639 0 654304 0 0 0 MELISSA E WELCH ASSISTANT CORPORATE SECRETARY 0 171362 0 8625 0 146 0 17052 0 15044 0 212229 0 0 STEVEN SILBER FORMER KEY EMPLOYEE 514014 0 91557 0 115465 0 56892 0 37331 0 815259 0 0 0 HANI ASHAMALLA CHAIRMAN DEPT OF RADIATION ONC 619944 0 555913 0 4647 0 24246 0 25406 0 1230156 0 0 0 HAJIR DILMANIAN ATTENDING PHYSICIAN 191394 513550 0 743322 14156 797 4267 14500 3968 11419 213785 1283588 0 0 CONSTANTINE GORELICK DIR. ROBOTIC SURGERY OB/GYN 754385 0 705442 0 240 0 18731 0 37249 0 1516047 0 0 0 IGOR MAMKIN ATTENDING PHYSICIAN 164582 530864 0 785569 19609 0 3834 14500 11092 24156 199117 1355089 0 0 TERRENCE J SACCHI CHIEF CARDIOLOGY DEPT OF MEDIC 1922355 0 0 0 23245 0 20122 0 24875 0 1990597 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION DECISIONS FOR THE PRESIDENT WAS DETERMINED BY A RELATED ORGANIZATION FOLLOWING THAT ORGANIZATION'S COMPENSATION POLICY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST SUPPLEMENTS THEIR EXECUTIVE'S PENSION BENEFITS THROUGH A SUPPLEMENTAL ("NONQUALIFIED") RETIREMENT PLAN. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IS SUBJECT TO A MULTI-YEAR VESTING REQUIREMENT (COMMENCING AFTER THREE YEARS OF PARTICIPATION IN THE SERP, IN PRORATED AMOUNTS THROUGH AGE 65) WHICH PLACES AN EXECUTIVE'S SUPPLEMENTAL RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. IF THE PARTICIPANT PERFORMS CONTINUOUS, UNINTERRUPTED SUBSTANTIAL SERVICE FOR THE HOSPITAL THROUGH EACH APPLICABLE VESTING DATE, THE BALANCE THEN CREDITED TO THE PARTICIPANTS ACCOUNT AND IN WHICH THE PARTICIPANT SHALL BECOME VESTED ON SUCH VESTING DATE SHALL BE PAID TO THE PARTICIPANT IN A SINGLE SUM WITHIN SIXTY (60) DAYS FOLLOWING THE VESTING DATE. PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL FAGAN: 45,700 STEVEN SILBER: 31,500 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REPORTED ON W2: MICHAEL FAGAN: 66,749 STEVEN SILBER: 110,954 A CERTAIN INDIVIDUAL OF THE NEW YORK AND PRESBYTERIAN HOSPITAL IDENTIFIED IN PART VII AS A DIRECTOR OF NEW YORK PRESBYTERIAN/BROOKLYN METHODIST IS RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK AND PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2021 OF THESE UPPER LEVEL EXECUTIVES INCLUDES THE PAYOUT OF AN ANNUAL INCENTIVE PLAN AND A LONG-TERM INCENTIVE PLAN. THIS PERFORMANCE-ORIENTED PROGRAM CONDITIONS PAYMENTS UPON THE ACHIEVEMENT OF MULTIPLE INDIVIDUAL AND GROUP PERFORMANCE MEASURES. MEASURES TO MONITOR PERFORMANCE INCLUDE: OPERATIONAL AND FINANCIAL STRENGTH, PATIENT QUALITY AND SAFETY, PATIENT SATISFACTION, ADVANCEMENT OF PATIENT CARE, AND PEOPLE DEVELOPMENT AND PARTNERSHIP. INCENTIVE AWARDS MAY ONLY BE GRANTED IF THE ORGANIZATION ACHIEVES A FINANCIAL SURPLUS. EVEN IF ALL RELEVANT PERFORMANCE MEASUREMENTS ARE ACHIEVED, THE NYP BOARD OF TRUSTEES RETAINS FULL DISCRETION TO MAKE OR NOT MAKE ANY INCENTIVE AWARDS, OR TO REDUCE THE AMOUNT OF ANY INCENTIVE AWARD. THIS INITIATIVE IS CRITICAL TO ASSURING THAT NYP HAS THE REQUISITE LEADERSHIP TO CREATE AND MANAGE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE, TO DRIVE SUPERIOR PERFORMANCE THROUGHOUT THE ORGANIZATION AND TO ACHIEVE TOP TIER MEDICAL CENTER STATUS. AS A SEPARATE MATTER, DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, UPPER LEVEL EXECUTIVES ARE LIMITED IN THE AMOUNT OF BENEFITS RECEIVED UNDER A TAX-QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, NYP SUPPLEMENTS THESE EXECUTIVES' PENSION BENEFITS THROUGH A SUPPLEMENTAL ("NONQUALIFIED") RETIREMENT PLAN. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IS SUBJECT TO A MULTI-YEAR VESTING REQUIREMENT (COMMENCING AFTER FIVE YEARS OF PARTICIPATION IN THE SERP, IN PRORATED AMOUNTS THROUGH AGE 65) WHICH PLACES AN EXECUTIVE'S SUPPLEMENTAL RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED, HOWEVER, PROVISIONS OF THE INTERNAL REVENUE CODE REQUIRE THAT THE VESTED EXECUTIVE INCLUDE IN CURRENT INCOME THE VALUE OF HIS OR HER VESTED SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE LEGAL REQUIREMENT TO RECOGNIZE THE VESTED VALUE OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME, THE SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP (ALTHOUGH, AS PERMITTED BY THE INTERNAL REVENUE CODE, THE SUPPLEMENTAL RETIREMENT PLAN WILL EFFECT A DISTRIBUTION OF AN AMOUNT NECESSARY TO SATISFY THE EXECUTIVE'S TAX LIABILITY RESULTING FROM THE INCOME RECOGNITION UPON VESTING). AS NOTED, THIS SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP. THERE ARE CONSTANTLY CHANGING LEGAL, TAX, ACCOUNTING, AND PUBLIC DISCLOSURE RULES FOR A SERP (SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN) IN NOT-FOR-PROFIT ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONTINUOUSLY MONITORS THESE CHANGES AND INCORPORATES ANY CHANGES INTO THE OVERALL SERP PLAN DESIGN. AS IN PAST YEARS, THE EXECUTIVE COMPENSATION COMMITTEE OF NYP REQUIRES A THIRD PARTY COMPLETE A REVIEW OF THE ORGANIZATION'S COMPENSATION PROGRAM TO ENSURE ITS EFFECTIVENESS IN TERMS OF GOVERNMENT REGULATIONS, MARKET CONDITIONS AND THE NEED TO CONTINUALLY ELEVATE ORGANIZATIONAL PERFORMANCE. THE REPORT ALSO SERVES TO MEET THE REGULATORY OBLIGATIONS TO ENSURE THAT ALL ELEMENTS OF THE EXECUTIVE COMPENSATION PROGRAMS ARE REASONABLE. THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY NEW YORK PRESBYTERIAN HOSPITAL DEVOTE AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK PRESBYTERIAN HOSPITAL AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE. PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MAXINE FRANK: 202,611 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REPORTED ON W2: MAXINE FRANK: 166,681 Schedule J, Part I, Line 7 Non-fixed payments SEE SCHEDULE O, LINE 15 FOR NON-FIXED PAYMENTS JULIEANN MELENDEZ FAMILY MEMBER OF STEVEN SILBER, FORMER KEY EMPLOYEE 87851 COMPENSATION false U SANTINI INC ENITY MORE THAN 35% OWNED BY SPOUSE OF LARK-MARIE ANTON MENCHINI, DIRECTOR 1415300 BUSINESS SERVICE false Form 990, Part VI, Line 6 Classes of members or stockholders NYP COMMUNITY PROGRAMS, INC., A NEW YORK NOT FOR PROFIT CORPORATION, IS THE SOLE MEMBER OF THE NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL (CORPORATION). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS PURSUANT TO THE CORPORATION'S BYLAWS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS OTHER RIGHTS, POWERS AND AUTHORITY VESTED IN IT BY THE BYLAWS OF THE CORPORATION, BY NON PROFIT CORPORATE LAW (NPCL) AND OTHER APPLICABLE LAW, AND BY VIRTUE OF ITS CAPACITY AS THE ESTABLISHED CO-OPERATOR OF THE CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. ITS POWERS SO DELINEATED INCLUDE DECISIONS SUCH AS ADOPTING, AMENDING OR REPEALING BYLAWS, ELECTING OFFICERS OF THE CORPORATION, AND MAKING STRATEGIC PLANNING DECISIONS FOR THE CORPORATION. ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. ITS POWERS SO DELINEATED INCLUDE DECISIONS SUCH AS ADOPTING, AMENDING OR REPEALING BYLAWS, ELECTING OFFICERS OF THE CORPORATION, AND MAKING STRATEGIC PLANNING DECISIONS FOR THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body MEMBERS OF THE NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) FINANCE DEPARTMENT(FINANCE) COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990, ACCESSING VARIOUS RESOURCES INCLUDING, LEGAL, HUMAN RESOURCES, CORPORATE COMPLIANCE, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. THE FOLLOWING IS THE PROCESS FOR REVIEW: SENIOR FINANCE EXECUTIVES REVIEW THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE NYPH BOARD (NYPH AUDIT COMMITTEE) OR HIS/HER DESIGNEE.PURSUANT TO THE CORPORATION'S BYLAWS, IT IS THE NYPH AUDIT COMMITTEE THAT REVIEWS THE CORPORATION'S FORM 990. THE CHAIR OF THE NYPH AUDIT COMMITTEE OR HIS/HER DESIGNEE CONDUCTS A DETAILED REVIEW AND MEETS WITH FINANCE TO ADDRESS ANY QUESTIONS. A COPY OF THE 990 IS SENT TO THE OTHER COMMITTEE MEMBERS FOR REVIEW, AND A REPORT IS GIVEN ON THE 990 BY MANAGEMENT AT THE COMMITTEE'S MEETING IMMEDIATELY PRECEDING THE FILING. A COPY OF THE FORM 990 IS MADE AVAILABLE TO MEMBERS OF THE GOVERNING BODY PRIOR TO ITS FILING. THE CORPORATION FILES THE 990 UPON FINAL REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST ADHERES TO A CONFLICT OF INTEREST (COI) POLICY THAT WAS APPROVED BY THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE POLICY STATES IN PART: "EACH BOARD MEMBER, OFFICER OR KEY PERSON OF A NEW YORK-PRESBYTERIAN ORGANIZATION SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PRIOR TO BECOMING A BOARD MEMBER, OFFICER OR KEY PERSON OF THE NEW YORK-PRESBYTERIAN ORGANIZATION AND ANNUALLY THEREAFTER." THE POLICY ALSO STATES THAT "EACH BOARD MEMBER, OFFICER, OR KEY PERSON SHALL PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OF THE NEWYORK-PRESBYTERIAN ORGANIZATION, OR HIS OR HER DESIGNEE, OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE." THE CHIEF EXECUTIVE OFFICER OF NEW YORK-PRESBYTERIAN HOSPITAL, OR HIS OR HER DESIGNEE, SHALL REVIEW ALL COMPLETED QUESTIONNAIRES AND ALL SUBSEQUENT ADVICE OF CHANGES AND SHALL TAKE SUCH ACTION AS IS DEEMED APPROPRIATE TO ELIMINATE POTENTIALS FOR CONFLICTS OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS. ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF NEW YORK- PRESBYTERIAN HOSPITAL, TOGETHER, IN EACH CASE, WITH RESPONSE OR RECOMMENDATION OF MANAGEMENT. THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE SHALL DETERMINE WHETHER THE REPORTED RESOLUTION OF ISSUES RAISED BY THE DISCLOSURES IS SATISFACTORY AND, IF NOT, SHALL REQUIRE SUCH FURTHER ACTION AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION DECISIONS FOR THE PRESIDENT AND OFFICERS NOT PAID BY THE ORGANIZATION WAS DETERMINED BY A RELATED ORGANIZATION FOLLOWING THAT ORGANIZATION'S COMPENSATION POLICY. THE ORGANIZATION'S PRESIDENT AND OFFICERS HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY THE RELATED ORGANIZATION. COMPENSATION DECISIONS FOR THE OFFICERS COMPENSATED BY THE ORGANIZATION WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF NYP COMMUNITY PROGRAMS, INC.(BOARD). THE BOARD MEMBERS ARE INDEPENDENT OF THE HOSPITAL AND ITS MANAGEMENT TEAM AND THERE ARE NO CONFLICTS OF INTEREST. THE BOARD IS RESPONSIBLE FOR OVERSEEING EXECUTIVE COMPENSATION POLICIES AND PRACTICES, AND FOR SETTING AND APPROVING COMPENSATION FOR THE HOSPITAL'S SENIOR MANAGEMENT. THE BOARD MEMBERS HAVE ENGAGED AN INDEPENDENT THIRD-PARTY EXPERT TO PROVIDE OBJECTIVE ADVICE AND RELEVANT INDUSTRY AND MARKETPLACE BENCHMARKS FOR COMPENSATION. THE BOARD ASSESSES TOTAL COMPENSATION FOR SENIOR MANAGEMENT. ALL SENIOR MANAGEMENT COMPENSATION IS APPROVED BY THE BOARD WITHOUT INPUT OR VOTING PARTICIPATION BY PERSONS WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public EXTERNAL REQUESTS FOR OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE REVIEWED FOR VALIDITY. THESE REQUESTS ARE THEN GRANTED IF DEEMED APPROPRIATE. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 4550352, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4550352; Form 990, Part IX, Line 11g Other Fees PROFESSIONAL FEES ADMINISTRATIVE - Total Expense: 44164557, Program Service Expense: , Management and General Expenses: 44164557, Fundraising Expenses: ; PROFESSIONAL FEES MEDICAL SERVICES - Total Expense: 18152827, Program Service Expense: 18152827, Management and General Expenses: , Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 21403644, Program Service Expense: 18795249, Management and General Expenses: 2608395, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 29846437, Program Service Expense: 26209146, Management and General Expenses: 3637291, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances LIABILITIES TO BE RECOGNIZED IN FUTURE PERIODS - 41831331; CHANGE IN FAIR MARKET VALUE OF ALTERNATIVE INVESTMENT AND COMMON COLLECTED/COMMINGLED TRUST - 2406484; CHANGE IN FAIR MARKET VALUE OF INVESTMENT IN HERS, LLC - 43228405; CHANGE IN FAIR MARKET VALUE OF INVESTMENT IN CCC CAPTIVE INSURANCE - 15352812; ELIMINATION OF INTERCOMPANY RECEIVABLE - -XXX-XX-XXXX; Covid Disclosure COVID DISCLOSURE: DURING THE FIRST WAVE OF COVID-19 TO STRIKE NEW YORK CITY (MARCH - MAY 2020), APPROXIMATELY 54,000 NEW YORK CITY RESIDENTS WERE HOSPITALIZED WITH THE DISEASE ACCORDING TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES/CENTERS FOR DISEASE CONTROL AND PREVENTION MORBIDITY AND MORTALITY WEEKLY REPORT, NOVEMBER 20,2020 VOL 69, NO.46. DURING THAT SAME PERIOD, NYPH AND THE REGIONAL HOSPITALS (COLLECTIVELY, "NYP") ADMITTED 11,571 COVID-19 PATIENTS. GOVERNMENT LEADERS STRUGGLED TO LIMIT THE SPREAD OF THE DISEASE AS NEW YORK CITY, WITH ITS DENSE POPULATION AND POPULAR MASS TRANSIT SYSTEM, QUICKLY DEVOLVED INTO ONE OF THE EARLY EPICENTERS OF THE PANDEMIC. FROM NYPH'S DISEASE MODELING, IT BECAME APPARENT THAT ELECTIVE PROCEDURES WOULD NEED TO BE POSTPONED; PATIENT CAPACITY AND PARTICULARLY INTENSIVE CARE BEDS ACROSS NYPH AND THE REGIONAL HOSPITALS (COLLECTIVELY "NYP") WOULD NEED TO BE RAPIDLY AND SIGNIFICANTLY EXPANDED; TELEMEDICINE WOULD BE A VITAL TOOL AS GOVERNMENT STAY AT HOME ORDERS AND FEAR OF THE PANDEMIC MINIMIZED PATIENT TRAVEL FOR OUTPATIENT CARE; AND HEALTHCARE WORKERS, WITH THEIR FRONT-LINE EXPOSURE TO INFECTION AND THE PHYSICAL AND MENTAL STRESS OF PROVIDING COMPASSIONATE CARE TO PATIENTS, NEEDED MUCH GREATER QUANTITIES OF PERSONAL PROTECTIVE EQUIPMENT ("PPE"). THE NEED TO PROVIDE PPE FOR HEALTHCARE WORKERS WAS DEEMED BY NYP PARTICULARLY CRITICAL SINCE DEMAND FOR WORKERS WAS HIGH THROUGHOUT THE REGION, NYP NEEDED TO ARRANGE FOR STAFFING FOR THE INCREASED BED CAPACITY AND SURGE OF PATIENTS, AND THE HEALTHCARE WORKERS, WHO WITNESSED THE DEVASTATING STRENGTH OF THE DISEASE ON A DAILY BASIS, HAD TO HAVE CONFIDENCE THAT APPROPRIATE USE OF PPE WOULD NOT MAKE THEM TRANSMITTERS OF THE DISEASE TO OTHERS, INCLUDING THEIR FAMILIES. NYP WAS ALSO CONCERNED ABOUT THE IMPACT OF HIGHER DEATH RATES ON THE MORALE OF STAFF WHO PRIDE THEMSELVES ON HEALING. NYPH UNDERTOOK EXTENSIVE PREPARATIONS FOR THE POTENTIALLY DEVASTATING IMPACT OF COVID-19. IT ACTIVATED ITS HOSPITAL INCIDENT COMMAND TEAM LED BY NYPH'S CHIEF OPERATING OFFICER, WITH FULL ENGAGEMENT OF THE ORGANIZATION'S SENIOR ADMINISTRATIVE, OPERATIONAL, AND CLINICAL LEADERSHIP AS WELL AS COLUMBIADOCTORS AND WEILL CORNELL MEDICINE (THE MEDICAL SCHOOLS). NYPH WORKED CLOSELY WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS AS THEY RESPONDED TO THE PANDEMIC WITH A SERIES OF EXECUTIVE ORDERS, PROGRAMS, AND REGULATORY WAIVERS DESIGNED TO SLOW THE SPREAD OF THE VIRUS AND CREATE THE NEEDED HEALTHCARE CAPACITY. MULTIPLE LARGE-SCALE PLANNING EFFORTS WERE LAUNCHED BY NYPH TO ADDRESS INPATIENT CAPACITY, STAFFING NEEDS, EQUIPMENT SHORTAGES, DISEASE MANAGEMENT AND PATIENT AND COMMUNITY EDUCATION, LEVERAGING THE COMBINED SIZE AND CREATIVITY OF NYPH, THE REGIONAL HOSPITALS AND THE MEDICAL SCHOOLS. RESOURCES WERE EFFECTIVELY REDEPLOYED TO AREAS OF NEED AS COVID-19 CASES DISPLACED LARGE VOLUMES OF A TYPICAL NYPH CASELOAD. MULTIFACETED RESPONSE TO THE PANDEMIC NYP'S EFFECTIVE RESPONSE TO A PANDEMIC ADDRESSED THE MANY CHALLENGES INCLUDING CAPACITY, STAFFING, SUPPLY CHAIN AND FINANCIAL SUPPORT. CAPACITY: NYPH INCREASED INPATIENT ICU CAPACITY BY 246% AND CONSTRUCTED THE 250-BED RYAN LARKIN FIELD HOSPITAL. IN ADDITION, ALL NON-EMERGENT AND ELECTIVE PROCEDURES WERE CANCELED WHICH ALLOWED FOR ADDITIONAL ACUTE CARE CAPACITY FOR THOSE IMPACTED BY COVID-19. STAFFING: NYP IMPROVISED A HIGHLY EFFECTIVE PYRAMIDAL STAFFING STRUCTURE: MORE EXPERIENCED INTENSIVE CARE AND EMERGENCY PROVIDERS OVERSAW MEDICAL SPECIALISTS, AND OTHER CAREGIVERS WHO WERE REDEPLOYED AFTER THE HALT IN ELECTIVE SURGERIES AND TREATMENTS. THESE CAREGIVERS ASSISTED IN EMERGENCY DEPARTMENTS AND INTENSIVE CARE SETTINGS. AT THE SAME TIME, NYP WORKED CLOSELY WITH THE MEDICAL SCHOOLS. BOTH MEDICAL SCHOOLS REDEPLOYED DOCTORS, NURSES AND ADVANCED PRACTICE PRACTITIONERS TO HELP WITH INPATIENT CARE, TELEHEALTH, AND DISCHARGE CHECKS ON PATIENTS AND FAMILIES, AMONG OTHER THINGS. IN ADDITION, NYPH AND THE REGIONAL HOSPITALS SUPPORTED THE MOVE OF APPROXIMATELY 15,000 NON-PATIENT FACING STAFF TO REMOTE WORK, CONSISTENT WITH THE SPIRIT OF THE STAY-AT-HOME ORDERS AND PRUDENT PANDEMIC MEDICAL PRACTICES TO MINIMIZE GATHERINGS THAT COULD POTENTIALLY PROMOTE THE SPREAD OF THE VIRUS. BETWEEN MARCH 2020 AND MAY 2021, OVER 1,250 STAFF OF NYPH AND THE REGIONAL HOSPITALS WERE EITHER REDEPLOYED OR VOLUNTEERED THEIR TIME TO HELP SUPPORT THE FRONT-LINE AS WELL AS STAFF THE NYP VACCINATION SITES. THROUGHOUT THE CRISIS, SENIOR LEADERSHIP COMMUNICATED DAILY TO THE WORKFORCE OF NYPH AND THE REGIONAL HOSPITALS UP-TO-DATE INFORMATION VIA MULTIPLE CHANNELS REGARDING THE DISEASE, THE PROGRESSION OF THE PANDEMIC, AND THE IMPORTANCE OF SAFETY IN THE CAREGIVER COMMUNITY GIVEN THE PHYSICAL AND PSYCHOLOGICAL STRESS OF THE PANDEMIC ON FRONT-LINE WORKERS. IN ADDITION, NYPH AND THE REGIONAL HOSPITALS INCREASED THE SUPPORT PROVIDED TO STAFF AND WERE ABLE TO AVOID FORMAL REDUCTIONS IN FORCE THROUGHOUT THE CRISIS. SUPPLY CHAIN: PPE WAS AN IMMEDIATE CONCERN. LIKE BUSINESSES IN GENERAL, HOSPITALS HAVE LEARNED TO SEEK INCREASED EFFICIENCY, EMPLOYING JUST IN TIME SUPPLY CHAIN AND STAFFING MODELS. PRE-PANDEMIC, NYPH AND THE REGIONAL HOSPITALS CONSUMED APPROXIMATELY 4,000 SURGICAL MASKS PER DAY. THAT FIGURE INCREASED TO 110,000 BY MID-MARCH 2020. MATCHING THE COMMITMENT OF THEIR COLLEAGUES ON THE FRONT LINES, SUPPLY CHAIN MANAGERS WORKED TO PROVIDE PPE SUPPLIES FOR THE BENEFIT OF FRONT-LINE WORKERS AND PATIENTS. AT THE SAME TIME, NYP RECOGNIZED THE NEED TO PIVOT TO A JUST IN CASE MODEL TO IMPROVE PREPARATION FOR FUTURE WAVES AND OUTBREAKS. ONCE THE PPE SUPPLY SHORTAGE SUBSIDED, NYP SUCCESSFULLY ACQUIRED AND STOCKPILED SURGICAL AND N95 MASKS, SCRUBS, PROTECTIVE EYEWEAR AND OTHER EQUIPMENT NEEDED TO KEEP ITS PATIENTS AND STAFF SAFE DURING PROLONGED PERIODS OF PEAK USE. NYP ALSO WORKED TO SOLVE SHORTAGES OF REAGENTS AND OTHER MATERIALS NEEDED TO TEST AS MANY PEOPLE AS POSSIBLE FOR SARS-COV-2 OR ITS ANTIBODIES. NYP IMPLEMENTED A TESTING REGIMEN FOR EMERGENCY DEPARTMENTS, MEDICAL-SURGICAL AND RECOVERY FLOORS OF HOSPITALS, AND WORKED CLOSELY WITH FEDERAL AND STATE OFFICIALS TO HELP WITH TESTING AMONG THE GENERAL POPULATION. FINANCIAL SUPPORT: IN AUGUST 2020, NYPH ISSUED $750.0 MILLION OF TAXABLE BONDS, THE PROCEEDS OF THE SALE OF WHICH MAY BE USED FOR NYPH CORPORATE PURPOSES. IN ADDITION, IN ORDER TO ENHANCE THE LIQUIDITY POSITION REPRESENTED BY ITS OPERATING CASH ACCOUNTS AND ITS INVESTMENT PORTFOLIOS, NYPH INCREASED EXISTING LINES OF CREDIT AND OBTAINED NEW LINES OF CREDIT TO INCREASE ITS LINE OF CREDIT BORROWING CAPACITY FROM $350.0 MILLION TO $800.0 MILLION IN 2020 AND FURTHER INCREASED BORROWING CAPACITY TO $950.0 MILLION IN THE THREE MONTHS ENDED MARCH 31, 2021. COMMITMENT TO ITS WORKFORCE NYP'S ORGANIZATIONAL CULTURE IS BASED ON A CREDO OF RESPECT THAT EMPHASIZES THE IMPORTANCE OF EVERY ROLE. IN FURTHERANCE OF THAT BELIEF, NYP MADE AVAILABLE TO ITS STAFF A SUITE OF PHYSICAL AND MENTAL HEALTH AND WELL-BEING SERVICES. THESE INCLUDED: COMMUTER SERVICES; HOUSING SERVICES; FAMILY SERVICES INCLUDING SUPPORT CARE TIME, EMPLOYEE FOOD BANK, REMOTE WORK AND CHILDCARE SERVICES; AND MENTAL HEALTH SERVICES. IN ADDITION, NYPH AND THE REGIONAL HOSPITALS PROVIDED TO EMPLOYEES AT WORK ON THE FRONT LINES, TWO BONUSES, RECHARGE ROOMS, AND FREE DAILY MEALS ONSITE. THIS COMPREHENSIVE PACKAGE OF PANDEMIC ASSISTANCE COST APPROXIMATELY $269.3 MILLION AS OF MARCH 31, 2021. IT REFLECTS THE PRIORITY NYP PLACES ON SUPPORTING THE DEDICATION, COMMITMENT AND HEROISM OF FRONT-LINE CAREGIVERS AND ENCOURAGING AN ENGAGED WORKFORCE TO FURTHER THE MISSIONS OF NYPH AND THE REGIONAL HOSPITALS. CARING FOR THE COMMUNITY NYPH AND THE REGIONAL HOSPITALS RECOGNIZED THAT THEIR COMMUNITY HEALTH SUPPORT PROGRAMS WERE A VITAL COMPONENT OF THEIR COVID-19 RESPONSE. IN 2020, NYPH AND THE REGIONAL HOSPITALS FUNDED A BROAD VARIETY OF COMMUNITY SUPPORT SERVICES INCLUDING WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, HEALTH PROFESSIONALS' EDUCATION, SCHOOL-BASED PROGRAMS, SUBSIDIZED HEALTH SERVICES, PRENATAL SERVICES CRIME VICTIMS SERVICES, EATING DISORDER SERVICES, MENTAL HEALTH SERVICES, DISEASE MANAGEMENT SERVICES, PREVENTION SERVICES AND IMMUNIZATIONS. NYP ESTABLISHED A COVID-19 HOTLINE THAT FIELDED THOUSANDS OF CALLS FROM THE COMMUNITY. WHEN COVID INCREASED THE NUMBER OF NEW YORKERS EXPERIENCING FOOD INSECURITY, NYPH EXPANDED ITS FOOD DISTRIBUTION PROGRAM, FOOD FARMACY, TEAMING UP WITH SEVERAL ORGANIZATIONS TO BRING HEALTHY FOOD TO COMMUNITIES IN UPPER AND LOWER MANHATTAN, QUEENS, BROOKLYN, AND WESTCHESTER. BETWEEN MARCH 2020 AND FEBRUARY 2021, THE PROGRAM WENT FROM SERVING 190 HOUSEHOLDS TO MORE THAN 6,000 HOUSEHOLDS, DISTRIBUTING MORE THAN 1 MILLION POUNDS OF HEALTHY FOOD. ADDITIONALLY, NYPH INVESTED $5.0 MILLION IN QUEENS, BROOKLYN, AND LOWER MANHATTAN, TO HELP PROVIDE ACCESS TO EMERGENCY FOOD AND OTHER PANDEMIC SUPPORT. Covid Disclosure COVID DISCLOSURE CONTINUED: NYPH ALSO CREATED THE NORTHERN MANHATTAN RECOVERY FUND (THE "NMRF") AND COMMITTED $10.0 MILLION TO HELP THE NORTHERN MANHATTAN COMMUNITY, WHERE THREE OF ITS CAMPUSES ARE BASED, RECOVER FROM THE PANDEMIC'S ECONOMIC IMPACT, CONSISTENT WITH IRS GUIDELINES FOR DISASTER RELIEF. IN THE SPRING OF 2020, THE NMRF COLLABORATED WITH THE HISPANIC FEDERATION, A NONPROFIT ORGANIZATION WHICH SEEKS TO EMPOWER AND ADVANCE THE HISPANIC COMMUNITY, TO DISSEMINATE OVER $5.0 MILLION IN EMERGENCY FUNDING TO SMALL BUSINESSES IN NORTHERN MANHATTAN. THE NMRF HAS PROVIDED ADDITIONAL DISASTER RELIEF DIRECTLY AND THROUGH OTHER COLLABORATIONS, IN THE AMOUNT OF APPROXIMATELY $1.0 MILLION. THE NMRF IS PRIORITIZING STRATEGIES WITH THE GOAL OF PROVIDING ASSISTANCE AS QUICKLY AS POSSIBLE TO THOSE PANDEMIC AFFECTED BUSINESSES AND INDUSTRIES MOST IN NEED, WHILE ALSO BUILDING A SUSTAINABLE INFRASTRUCTURE. VACCINE ACCESS AND OVERCOMING VACCINE HESITANCY NYPH LEASED THE ARMORY AT 168TH STREET IN WASHINGTON HEIGHTS AND TRANSFORMED THIS APPROXIMATELY 65,000 SQUARE FOOT SPACE INTO ONE OF NEW YORK CITY'S LARGEST PUBLIC COVID-19 VACCINATION SITES, PROVIDING VACCINES FROM JANUARY 2021 UNTIL MAY 2021. NYP MANAGED AND STAFFED THE ARMORY OPERATION, AS WELL AS OTHER POP-UP VACCINATION VENUES IN NEW YORK CITY AND WESTCHESTER COUNTY. NYPH COLLABORATED WITH OVER 100 COMMUNITY AND FAITH-BASED ORGANIZATIONS TO HELP NEW YORKERS SCHEDULE VACCINATION APPOINTMENTS AT THESE SITES AND PROVIDED EDUCATION ON VACCINE SAFETY TO THOUSANDS OF MEMBERS OF THE PUBLIC. NYPH ALSO COLLABORATED WITH THE NORTHERN MANHATTAN IMPROVEMENT CORPORATION ("NMIC"), A COMMUNITY-BASED ORGANIZATION IN WASHINGTON HEIGHTS, TO CREATE A BILINGUAL SCHEDULING HOTLINE WHERE MEMBERS OF LOCAL COMMUNITIES COULD SCHEDULE APPOINTMENTS. AS OF MAY 1, 2021, THAT HOTLINE MADE VACCINATION APPOINTMENTS FOR OVER 11,000 NEW YORKERS, MANY OF WHOM HAD LANGUAGE OR LIMITED INTERNET ACCESS ISSUES. NYP'S EFFORTS HAVE LED TO THE VACCINATION OF MORE THAN 100,000 PATIENTS AND MEMBERS OF THE PUBLIC. NYPH HAS ALSO DEPLOYED ITS FINANCIAL AND STAFFING RESOURCES TO BOLSTER CITY AND REGIONAL EFFORTS TO HELP NEW YORKERS OVERCOME VACCINE HESITANCY. 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