SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
NEW YORK SOCIETY FOR THE RELIEF OF THE
RUPTURED AND CRIPPLED MAINTAINING THE
Employer identification number

13-1624135
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    15,377,209 1,861,947 13,515,262 1.120 %
b Medicaid (from Worksheet 3, column a) . . . . .     38,440,606 15,476,921 22,963,685 1.910 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     1,083,968 648,698 435,270 0.040 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     54,901,783 17,987,566 36,914,217 3.070 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     10,745,755 2,197,432 8,548,323 0.710 %
f Health professions education (from Worksheet 5) . . .     54,071,316 7,295,809 46,775,507 3.880 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .     54,174,719 29,446,210 24,728,509 2.050 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     118,991,790 38,939,451 80,052,339 6.640 %
k Total. Add lines 7d and 7j .     173,893,573 56,927,017 116,966,556 9.710 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
4,262,952
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
159,639,620
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
227,618,388
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-67,978,768
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1HSS ASC OF MANHATTAN
 
HEALTH CARE 51 %   49 %
2HSS WEST SIDE ASC
 
HEALTH CARE 67 %   33 %
3HS2 LLC
 
SURGEON TALENT MANAGEMENT CO 10.33 % 10.34 % 79.33 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH STREET
NEW YORK,NY10021
www.hss.edu
7002012H
X X   X   X        
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HOSPITAL FOR SPECIAL SURGERY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.hss.edu/community.asp
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HOSPITAL FOR SPECIAL SURGERY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Billing and Collections
HOSPITAL FOR SPECIAL SURGERY
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HOSPITAL FOR SPECIAL SURGERY
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, LINE 5 A 54-QUESTION SURVEY WAS DEVELOPED THROUGH A COLLECTIVE EFFORT BY A FIVE-MEMBER HSS CHNA STEERING COMMITTEE, COMMUNITY PARTNERS, INTERNAL STAKEHOLDERS AND THE PUBLIC. THE CHNA STEERING COMMITTEE IDENTIFIED VALIDATED RESEARCH QUESTIONS TO BE ADDRESSED, DRAFTED THE INDIVIDUAL SURVEY QUESTIONS, AND IDENTIFIED COMMUNITY PARTNERS AND INTERNAL STAKEHOLDERS TO REVIEW AND PROVIDE INPUT TO SURVEY DEVELOPMENT. COLLABORATION WITH THE PUBLIC, COMMUNITY PARTNERS AND INTERNAL STAKEHOLDERS WAS CRUCIAL TO THE SUCCESS OF THIS SURVEY WITH VALUABLE FEEDBACK PROVIDED ON SURVEY CONSTRUCTION AND LENGTH. IN AN EFFORT TO REACH A CULTURALLY DIVERSE COMMUNITY, THE SURVEY WAS TRANSLATED INTO SPANISH AND CHINESE USING A CULTURALLY SENSITIVE BACK TRANSLATION APPROACH. BELOW OUTLINES THE LIST OF COMMUNITY PARTNERS INVOLVED IN SURVEY CONSTRUCTION: . ARTHRITIS FOUNDATION - NEW YORK CHAPTER . CLINICAL & TRANSLATIONAL SCIENCE CENTER (CTSC) - WEILL CORNELL MEDICINE . MEMORIAL SLOAN KETTERING CANCER CENTER . NEW YORK PRESBYTERIAN HOSPITAL . LENOX HILL NEIGHBORHOOD HOUSE . MEDICARE RIGHTS CENTER . NYC DOHMH - OFFICE OF POLICY, PLANNING AND STRATEGIC DATA USE . NEW YORK CITY DEPARTMENT OF AGING . S.L.E. LUPUS FOUNDATION . SELF - HELP INNOVATIVE SENIOR . ISABELLA GERIATRIC . TOURO COLLEGE GRADUATE SCHOOL OF SOCIAL WORK HSS FACILITATED SYSTEMATIC, SCHEDULED INPUT AND FEEDBACK FROM ITS VARIED CONSTITUENTS - INTERNAL STAKEHOLDERS, THE PUBLIC, AND COMMUNITY PARTNERS BASED ON THE CHNA RESULTS TO GUIDE THE SELECTION OF THE HEALTH NEEDS AND SERVICES TO ADDRESS IN ITS COMMUNITY PROGRAMMING. RELEVANT NATIONAL, STATE AND CITY HEALTH DATA AND NEEDS ASSESSMENT RESULTS WERE ALSO UTILIZED TO DRIVE COMMUNITY PROGRAMMING. OUR APPROACH IN IDENTIFYING, PRIORITIZING AND SELECTING SIGNIFICANT HEALTH NEEDS IS DESCRIBED BELOW: INPUT FROM INTERNAL STAKEHOLDERS- RECOGNIZING THAT THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMMING REQUIRES A CONCERTED EFFORT BY ALL MEMBERS OF THE ORGANIZATION, WE INVOLVED VARIOUS REPRESENTATIVES FROM HSS DEPARTMENTS. THE KNOWLEDGE AND EXPERIENCE OF PHYSICIANS, NURSES, SOCIAL WORKERS AND OTHER STAFF THAT HAVE A VESTED INTEREST IN SERVING THE COMMUNITY WAS ESSENTIAL IN IDENTIFYING AND ADDRESSING THE COMMUNITY'S HEALTH NEEDS. AN INTERNAL STAKEHOLDER MEETING WAS HELD ON MAY 26, 2016 WITH 15 HSS STAFF TO DISCUSS IDENTIFIED HEALTH PRIORITIES AND EXPLORE AREAS FOR IMPLEMENTING INITIATIVES, USING RESULTS FROM THE CHNA AND STAKEHOLDERS' AWARENESS OF COMMUNITY NEEDS TO GUIDE THE DISCUSSION. THE GROUP DISCUSSED FOCUSING ON INCREASING ACCESS TO HIGH QUALITY, CULTURALLY RELEVANT CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS AND REDUCING OBESITY IN ADULTS AND CHILDREN, WHICH ALIGNS WITH THE NYSDOH CSP PRIORITY AREAS. INPUT FROM COMMUNITY PARTNERS- FEEDBACK FROM COMMUNITY PARTNER ORGANIZATIONS WAS CRITICAL TO DRIVING THE ASSESSMENT AND SELECTION OF PUBLIC HEALTH PRIORITIES FOR THE HOSPITAL. USING RESULTS OF THE CHNA AS THE BASIS FOR DISCUSSION, HSS AND ITS PARTNERS EXCHANGED VALUABLE INFORMATION REGARDING COMMUNITY NEEDS, EXPLORED AREAS FOR FUTURE COLLABORATION, AND SOLIDIFIED A MUTUAL COMMITMENT TO ADVANCING PUBLIC HEALTH. FURTHERMORE, COMMUNITY PARTNER KNOWLEDGE OF THEIR RESPECTIVE COMMUNITY HELPED TO IDENTIFY GAPS IN COMMUNITY PROGRAMMING - OR MORE SPECIFICALLY, AREAS WHERE HSS COULD USE ITS AREAS OF EXPERTISE TO MAKE A LASTING PUBLIC HEALTH IMPACT. OVERALL, FEEDBACK FROM THESE MEETINGS SOLIDIFIED THE DIRECTION FOR PROGRAMS THAT IMPROVE THE COMMUNITY'S DIET AND INCREASE PHYSICAL ACTIVITY TO COMBAT OBESITY AMONG CHILDREN AND ADULTS, EXAMINE SPECIFIC COMMUNITIES IN NEED OF CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS, AND PROVIDE CULTURALLY RELEVANT EDUCATION REGARDING MUSCULOSKELETAL AND RHEUMATOLOGIC ISSUES. HSS MET WITH THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), A TRADE ASSOCIATION, TO INFORM THE STRUCTURE AND PROCESS FOR SELECTING ITS PUBLIC HEALTH PRIORITIES. IN-PERSON MEETINGS AND CONFERENCE CALLS WITH GNYHA WERE HELD ON 07/21/15, 07/28/15, 01/15/16, 03/11/16, 04/8/16, 04/13/16, 04/28/16, AND 05/09/16 TO DISCUSS THE NYS DOH CSP REQUIREMENTS AND FEDERAL REQUIREMENTS FOR THE CHNA. HSS ALSO ATTENDED ONE OF THE 29 COMMUNITY CONSULTATIONS HOSTED BY THE NYC DOHMH TAKE CARE NEW YORK ON JANUARY 26, 2016 IN CENTRAL HARLEM TO FOSTER CONTINUED PARTNERSHIP IN IMPROVING HEALTH NEEDS OF NEW YORKERS. THESE COMMUNITY CONSULTATIONS PROVIDED NEW YORKERS THE OPPORTUNITY TO RANK HEALTH INDICATORS OUTLINED IN THE TCNY 2020, AND DISCUSS HEALTH GOALS OF THE COMMUNITY AND RESOURCES THAT HELP MEET THESE GOALS. OUR INVOLVEMENT IN THIS PROCESS PROVIDED VALUABLE INSIGHT INTO THE PUBLIC'S NEEDS AND HELPED IN GUIDING THE SELECTION OF PUBLIC HEALTH NEEDS TO ENSURE IT RESONATES WITH THE HEALTH CARE NEEDS OF NEW YORKERS. IN ADDRESSING THE NYS PREVENTION AGENDA, CONFERENCE CALLS AND IN-PERSON MEETINGS WERE HELD WITH THE NYCDOH ON 03/21/16, 04/18/16 AND 06/08/16 TO EXPLORE AREAS OF PARTNERSHIP. FURTHERMORE, A COMMUNITY PARTNERS MEETING WAS HELD ON MAY 25, 2016. NINE INDIVIDUALS FROM THE COMMUNITY PARTNER ORGANIZATIONS ATTENDED THIS MEETING AT WHICH WE SHARED THE CHNA RESULTS, ELICITED FEEDBACK AND RANKED HEALTH ISSUES ACCORDING TO THE COMMUNITIES THEY SERVE. CHNA RESULTS WERE RECEIVED POSITIVELY AND THERE WAS EXTENSIVE DISCUSSION ABOUT HOW RESULTS ACCURATELY DEPICTED THE VARIOUS COMMUNITIES SERVED AND HOW THESE RESULTS COULD BE USED TO IMPACT THE COMMUNITY AT LARGE. SPECIFICALLY, THERE WERE DISCUSSIONS ABOUT ACCESS TO EDUCATIONAL PROGRAMS AND WAYS IN WHICH HSS COULD EXTEND THE REACH OF ITS PROGRAMS. INPUT FROM THE GENERAL PUBLIC- TO FURTHER HSS' COMMITMENT TO DEVELOPING PROGRAMS THAT IMPROVE COMMUNITY HEALTH, OBTAINING FEEDBACK FROM THE PUBLIC AND PATIENT COMMUNITY WAS ALSO INSTRUMENTAL IN DRIVING THE HOSPITAL'S SELECTION OF SIGNIFICANT HEALTH NEEDS. OUR APPROACH IN SOLICITING INPUT FROM THE PUBLIC IS DESCRIBED BELOW. COMMUNITY FORUMS- FOUR COMMUNITY FORUMS WERE HELD TO ALLOW COMMUNITY MEMBERS AN OPPORTUNITY TO PRIORITIZE HEALTH NEEDS THAT PROVIDED HSS WITH THE APPROPRIATE DIRECTION IN SELECTING ITS PUBLIC HEALTH PRIORITIES. THE MAIN COMMUNICATION CHANNEL FOR NOTIFYING THE PUBLIC ABOUT THE FORUMS WERE THROUGH FLYERS DISTRIBUTED AT HSS COMMUNITY PROGRAMS AND OUTPATIENT CLINICS AND POSTING ON DIGITAL MEDIA (WEB, FACEBOOK AND TWITTER). IN ADDITION, ANNOUNCEMENTS WERE MADE DURING PUBLIC AND PATIENT PROGRAMS HELD AT HSS, AND A POSTER WAS STRATEGICALLY PLACED IN A HIGH TRAFFIC AREA OF THE HOSPITAL TO PUBLICIZE THE MEETING. FURTHERMORE, IN ORDER TO REACH AT-RISK AND MINORITY POPULATIONS, HSS PARTNERED WITH SENIOR CENTERS IN MANHATTAN AND CHINATOWN TO ADVERTISE COMMUNITY FORUMS TO THEIR COMMUNITY MEMBERS. SPECIFIC DATES, LOCATIONS, AND ATTENDANCE FOR THESE COMMUNITY FORUMS WERE AS FOLLOWS: . MAY 17, 2016 AT LENOX HILL NEIGHBORHOOD HOUSE, MANHATTAN (11 PEOPLE PRESENT) . MAY 21, 2016 AT THE LIVING HEALTHY WITH LUPUS WORKSHOP, HSS (50 PEOPLE PRESENT) . MAY 23, 2016 AT CHINATOWN COMMUNITY CENTER, VISITING NURSES SERVICES NEW YORK (35 PEOPLE PRESENT) . MAY 25, 2016 AT THE SENIOR HEALTH AND FITNESS DAY, HSS (17 PEOPLE PRESENT) COMMUNITY MEMBERS WERE ASKED TO RANK THE HEALTH NEEDS MOST IMPORTANT TO THEM AND GIVE THEIR PERSPECTIVE ON COMMUNITY HEALTH ISSUES IN AN OPEN DISCUSSION. EACH SIGNIFICANT HEALTH NEED IDENTIFIED IN THE CHNA RESULTS WERE RANKED FROM 1 TO 22. ALL RANKINGS WERE ADDED TOGETHER ACROSS EACH LOCATION AND HEALTH ISSUES WERE RE-RANKED BASED ON THEIR OVERALL SCORE. COMMUNITY HEALTH NEEDS THAT WERE CONSIDERED SIGNIFICANT WERE RANKED AMONG THE TOP FIVE OF IDENTIFIED NEEDS, WHICH ARE - . OSTEOARTHRITIS/OSTEOPOROSIS/RHEUMATOID ARTHRITIS . MUSCLE, BONE AND JOINT PAIN . FATIGUE . FALLS . OBESITY
PART V, LINE 7D THE HOSPITAL SUMMARIZED THE RESULTS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ITS COMMUNITY BENEFIT REPORT. THE COMMUNITY BENEFIT REPORT AND CHNA ARE POSTED ON THE HOSPITALS WEBSITE, AT HTTP://WWW.HSS.EDU/COMMUNITY.ASP, AND BOOKLETS ARE ALSO DISTRIBUTED WITHIN THE HOSPITAL. THE COMMUNITY BENEFIT REPORT IS ALSO E-MAIL BLASTED TO OUR COMMUNITY PARTNERS, SELECTED DONORS AND PUBLIC OFFICIALS.
PART V, LINE 11 IDENTIFIED NEED 1: MANAGING OSTEOARTHRITIS, OSTEOPOROSIS, RHEUMATOID ARTHRITIS AND LUPUS AND RELATED SYMPTOMS - BELOW OUTLINES THE PROGRAMS SPECIFICALLY DESIGNED TO ADDRESS THESE CHRONIC CONDITIONS AND RELATED SYMPTOMS SUCH AS FALLS, FATIGUE, STIFFNESS AND MUSCLE, BONE AND JOINT PAIN IN HSS' ETHNICALLY DIVERSE, OLDER ADULT COMMUNITY. PROGRAM 1: HSS NURSING COMMUNITY EDUCATION OUTREACH INITIATIVE THIS INITIATIVE TARGETS UNDERSERVED OLDER ADULTS LIVING IN THE COMMUNITY. THE PROGRAM'S OVERALL GOAL IS TO DELIVER EVIDENCE-BASED EDUCATIONAL CONTENT GERMANE TO ISSUES APPROPRIATE FOR OLDER ADULTS. THE QUALITY EDUCATIONAL SESSIONS USE TEACHING STRATEGIES AND EDUCATIONAL PRINCIPLES DEIGNED TO IMPROVE KNOWLEDGE, SKILLS AND CONFIDENCE TO MANAGE AND PREVENT CHRONIC DISEASES. EDUCATIONAL LECTURES ARE MAINLY DELIVERED BY HSS NURSING STAFF, AND TOPICS ARE SELECTED BASED UPON NEEDS ASSESSMENT RESULTS AND PARTICIPANT FEEDBACK, SUCH AS MANAGEMENT OF CHRONIC CONDITIONS (I.E. OSTEOARTHRITIS, OSTEOPOROSIS AND RHEUMATOID ARTHRITIS), FALLS PREVENTION, NUTRITION AND MEDICATION SAFETY. THE ANTICIPATED PROGRAM IMPACT INCLUDES INCREASE IN KNOWLEDGE ABOUT MANAGING THEIR CHRONIC CONDITIONS, MAINTAINING A HEALTHY LIFESTYLE, IDENTIFYING INCREASED RISK OF FALLS AND PREVENTING LIKELIHOOD OF FALLS. PROGRAM 2: MUSCULOSKELETAL HEALTH WELLNESS INITIATIVE (MHI) TO ADDRESS THE PUBLIC HEALTH ISSUE OF MUSCULOSKELETAL CONDITIONS, HSS DEVELOPED THE MUSCULOSKELETAL HEALTH WELLNESS INITIATIVE (MHI), COMPRISED OF EDUCATIONAL AND EXERCISE PROGRAMS, TO RAISE AWARENESS, EDUCATE AND REDUCE THE IMPACT OF MUSCULOSKELETAL CONDITIONS IN THE COMMUNITY. THE INITIATIVE OFFERS LECTURES, WORKSHOPS AND WEBINARS ABOUT MUSCULOSKELETAL HEALTH SPECIFIC TOPICS SUCH AS OSTEOARTHRITIS, OSTEOPOROSIS, AND RHEUMATOID ARTHRITIS AND SOME OF THE SYMPTOMS ASSOCIATED WITH THESE CONDITIONS (FALLS, FATIGUE, STIFFNESS, AND MUSCLE, BONE AND JOINT PAIN), IN ADDITION TO MAINTAINING A HEALTHY LIFESTYLE. THE EXERCISE COMPONENT OF THE INITIATIVE IS COMPRISED OF WEEKLY EXERCISE CLASSES SUCH AS YOGA, PILATES, TAI CHI, DANCE, AND YOGALATES SPECIFICALLY DESIGNED FOR INDIVIDUALS THAT ARE SUFFERING FROM OR AT RISK OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVED MUSCULOSKELETAL HEALTH BY DECREASING MUSCULOSKELETAL PAIN, STIFFNESS, FATIGUE AND FALLS, AND INCREASING FREQUENCY OF PHYSICAL ACTIVITY AND SELF-EFFICACY. PROGRAM 3: PAIN AND STRESS MANAGEMENT SERIES IN RESPONSE TO THE LACK OF CONFIDENCE IN MANAGING CHRONIC CONDITIONS, AND MENTAL HEALTH ISSUES IDENTIFIED IN THE CHNA, HSS DEVELOPED THE PAIN AND STRESS MANAGEMENT SERIES. THIS IS COMPRISED OF EDUCATIONAL, AND MINDFULNESS BASED COPING TECHNIQUES TO RAISE AWARENESS, EDUCATE AND IMPROVE THE ABILITY TO COPE WITH PAIN AND STRESS. THIS PROGRAM OFFERS MIND/BODY WORKSHOPS, EXERCISES SUCH AS YOGA, AND EXPERT-GUIDED MEDITATION TO HELP REDUCE PHYSICAL AND MENTAL STRESSORS. ALL THE EDUCATIONAL PROGRAMS ARE TAUGHT BY EXPERIENCED PHYSICIANS, NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, WHILE YOGA WORKSHOPS ARE LED BY CERTIFIED YOGA INSTRUCTORS. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVING CONFIDENCE IN MANAGING CHRONIC CONDITIONS AND ITS SYMPTOMS SUCH AS PAIN, AND IMPROVING ABILITY TO COPE WITH STRESS. PROGRAM 4: HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE IN RESPONSE TO THE HEALTH NEEDS OF THE GROWING NUMBER OF ASIAN OLDER ADULTS LIVING IN NYC'S CHINATOWN COMMUNITY AND THE CHNA RESULTS WHERE ASIANS REPORTED THAT THEY WERE TOLD BY THEIR DOCTOR TO ENGAGE IN MORE PHYSICAL ACTIVITY, HSS DEVELOPED THE ASIAN COMMUNITY BONE HEALTH INITIATIVE (ACBHI). THE OVERALL GOAL OF THIS INITIATIVE IS TO IMPROVE ASIAN SENIORS' MANAGEMENT OF THEIR CHRONIC MUSCULOSKELETAL CONDITIONS (SUCH AS OSTEOARTHRITIS AND OSTEOPOROSIS) AND ITS SYMPTOMS (E.G. FALLS, STIFFNESS, FATIGUE, MUSCLE BONE AND JOINT PAIN) WHILE ALSO INCREASING ACCESS TO CARE IN THIS MEDICALLY UNDERSERVED COMMUNITY. THE ACBHI IS COMPRISED OF CULTURALLY RELEVANT MUSCULOSKELETAL HEALTH LECTURES AND WORKSHOPS, SELF-MANAGEMENT EDUCATION, YOGA AND LOW IMPACT CHAIR EXERCISE PROGRAMS. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVED MUSCULOSKELETAL HEALTH BY DECREASING MUSCULOSKELETAL PAIN, STIFFNESS, FATIGUE AND FALLS, AND INCREASING FREQUENCY OF PHYSICAL ACTIVITY AND SELF-EFFICACY. PROGRAM 5: RESIDENT GERIATRIC TRAINING PROGRAM THIS PROGRAM IS DESIGNED TO ENHANCE COMMUNICATION SKILLS OF THIRD-YEAR ORTHOPEDIC SURGERY RESIDENTS WITH OLDER ADULTS THAT ARE SUFFERING FROM OR AT RISK OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS. THE PROGRAM INCLUDES MEETINGS WITH THE PROGRAM COORDINATOR, A LICENSED SOCIAL WORKER, FOR THE RESIDENTS TO EXPLORE THEIR ATTITUDES TOWARD OLDER PATIENTS, WEEKLY RESIDENT ROUNDS FOR SELECTED RESIDENTS TO PRESENT AND ILLUSTRATE SPECIFIC GERIATRIC NEEDS, AND PRESENTATIONS TO PARTICIPANTS OF THE HSS GREENBERG ACADEMY FOR SUCCESSFUL AGING. PRESENTATIONS COVER TOPICS SUCH AS MANAGEMENT OF MUSCULOSKELETAL CONDITIONS (I.E. OSTEOARTHRITIS AND OSTEOPOROSIS) AND SOME OF THE SYMPTOMS ASSOCIATED WITH THESE CONDITIONS (SUCH AS MUSCLE, BACK, BONE AND JOINT PAIN), AND FALLS PREVENTION. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVING THE ABILITY OF OLDER ADULTS TO MANAGE THEIR MUSCULOSKELETAL CONDITIONS AND SYMPTOMS AND IMPROVED DOCTOR/PATIENT COMMUNICATION. PROGRAM 6: VOICES 60+ SENIOR ADVOCACY PROGRAM THIS PROGRAM WAS LAUNCHED IN RECOGNITION OF THE MULTIPLE CHALLENGES OLDER ADULTS FACE IN EFFECTIVELY UTILIZING HIGH QUALITY CHRONIC DISEASE CARE TO OPTIMIZE HEALTH OUTCOMES, AND ACCESS NEEDED SOCIAL SUPPORT, PARTICULARLY FOR THOSE WHO ARE FROM LOW-INCOME AND SPANISH SPEAKING COMMUNITIES. VOICES 60+ IS DESIGNED TO ENHANCE THE MEDICAL CARE EXPERIENCE OF LOW INCOME, ETHNICALLY DIVERSE (PRIMARILY HISPANIC) HSS PATIENTS 60 AND OLDER IN THESE AREAS. THE PROGRAM HELPS PATIENTS TO NAVIGATE AND ACCESS SUPPORT, EDUCATION AND COMMUNICATION RESOURCES NEEDED TO MANAGE THEIR RHEUMATOLOGIC OR MUSCULOSKELETAL CONDITIONS AND ITS SYMPTOMS TO IMPROVE THEIR QUALITY OF LIFE. IN ADDITION, THE PROGRAM PROVIDES SERVICES FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNICATION BARRIERS BETWEEN OLDER ADULT PATIENTS AND HEALTHCARE PROVIDERS TO OPTIMIZE HEALTH OUTCOMES. ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVED PROVIDER/PATIENT COMMUNICATION THAT WILL ENHANCE COMMUNICATION SKILLS OF OLDER ADULTS AND MANAGEMENT OF RHEUMATOLOGIC OR MUSCULOSKELETAL CONDITIONS AND ITS SYMPTOMS. PROGRAM 7: RHEUMATOID ARTHRITIS (RA) SUPPORT AND EDUCATION PROGRAMS THIS INITIATIVE ADDRESSES THE PSYCHOEDUCATIONAL NEEDS OF COMMUNITY MEMBERS AND THEIR FAMILIES LIVING WITH LONG-STANDING RHEUMATOID ARTHRITIS, AND FOR PEOPLE NEWLY DIAGNOSED. THESE MONTHLY PROGRAMS FEATURE A LECTURE ON AN RA-SPECIFIC TOPIC ITS MANAGEMENT, PRESENTED BY HEALTHCARE PROFESSIONALS, AND ARE FOLLOWED BY A SUPPORT GROUP, CO-FACILITATED BY A SOCIAL WORKER AND A RHEUMATOLOGY NURSE. ANTICIPATED PROGRAM IMPACT INCLUDES ENHANCING SELF-MANAGEMENT SKILLS AND SELF-EFFICACY AROUND MANAGING RA AND ITS SYMPTOMS. PROGRAM 8: LANTERN LUPUS ASIAN NETWORK IN RESPONSE TO THE CHNA RESULTS HIGHLIGHTING HEALTH DISPARITIES IN THE ASIAN COMMUNITY SPECIFICALLY RELATED TO LUPUS, HSS HAS IMPLEMENTED LANTERN, WHICH IS A NATIONAL MODEL FOR SUPPORT AND EDUCATION OF ASIAN AMERICANS WITH LUPUS AND THEIR FAMILIES. LANTERN IS THE ONLY HOSPITAL BASED SUPPORT AND EDUCATION PROGRAM DESIGNED SPECIFICALLY FOR ASIANS/ASIAN AMERICANS WITH LUPUS. THROUGH ITS BILINGUAL (CHINESE) SUPPORTLINE, PUBLICATIONS, COMMUNITY AND PROFESSIONAL PROGRAMS, AND CAPACITY BUILDING, THE PROGRAM SEEKS TO ENHANCE AWARENESS, UNDERSTANDING, COPING AND KNOWLEDGE FOR ASIAN AMERICANS WITH LUPUS AND THEIR LOVED ONES. ANTICIPATED PROGRAM IMPACT INCLUDES INCREASED KNOWLEDGE ABOUT HIGH QUALITY PREVENTIVE CARE FOR THE ASIAN COMMUNITY AND IMPROVED CLINICAL MANAGEMENT OF LUPUS AND ITS SYMPTOMS. PROGRAM 9: CHARLA DE LUPUS/LUPUS CHAT THE CHARLA DE LUPUS/LUPUS CHAT ("CHARLA") PROGRAM ADDRESSES HEALTH DISPARITIES AMONG AFRICAN AMERICANS AND LATINOS WITH LUPUS ACCORDING TO THE CHNA FINDINGS. THIS SOCIAL WORK LED PROGRAM ENGAGES AND TRAINS PEER VOLUNTEERS TO BECOME EMPOWERING ROLE MODELS BY PROVIDING CULTURALLY RELEVANT STRATEGIES TO HELP INCREASE UNDERSTANDING OF THIS COMPLEX ILLNESS AND ITS TREATMENT, IMPROVE MEDICAL ADHERENCE, AND ENHANCE COPING AND HEALTHY BEHAVIORS. COMPREHENSIVE BILINGUAL (ENGLISH/SPANISH) SERVICES INCLUDE: THE CHARLA LINE, A TOLL-FREE NATIONAL SUPPORT AND EDUCATION HELPLINE; WEEKLY ONSITE PEER SUPPORT OUTREACH AT FOUR HOSPITAL-BASED CLINICS, MONTHLY CHARLA TEEN AND PARENT LUPUS CHAT GROUPS; NUMEROUS COMMUNITY, PROFESSIONAL EDUCATION AND GOVERNMENT COLLABORATIONS. ANTICIPATED PROGRAM IMPACT INCLUDES INCREASED KNOWLEDGE AND SELF-MANAGEMENT SKILLS OF LUPUS AND ITS SYMPTOMS. IDENTIFIED NEED 2: OBESITY (POOR DIET AND LACK OF PHYSICAL ACTIVITY) BASED ON SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA RESULTS AND COMMUNITY FORUMS, OBESITY (POOR DIET AND LACK OF PHYSICAL ACTIVITY) WAS ALSO IDENTIFIED AS A KEY COMMUNITY HEALTH NEED
PART V, LINE 13C,G PER HOSPITAL POLICY, ASSETS FOR THOSE INDIVIDUALS WITH INCOME ABOVE 300% OF THE POVERTY GUIDELINES MAY BE CONSIDERED IN THE CALCULATION UTILIZED IN DETERMINING DISCOUNTS TO PATIENTS. HOWEVER, IN PRACTICE, ASSETS ARE NOT CONSIDERED IN ANY DETERMINATION. AVAILABLE NET ASSETS WILL NOT BE CONSIDERED FOR ANY INDIVIDUAL WHOSE INCOME LEVEL IS AT 300% OR LESS OF THE FPL. RESIDENTS OF THE UNITED STATES WHOSE GROSS ANNUAL INCOME DOES NOT EXCEED SEVEN TIMES THE MOST CURRENT U.S. HEALTH AND HUMAN SERVICES (HHS) POVERTY GUIDELINES FOR THEIR FAMILY SIZE (TOTAL EXEMPTIONS CLAIMED ON THEIR FEDERAL TAX RETURN) ARE ELIGIBLE TO BE CONSIDERED FOR A PERCENTAGE DISCOUNT OF THEIR HOSPITAL BILL AS OUTLINED IN THIS POLICY, INCLUDING, WHERE APPLICABLE, A DISCOUNT OFF OF THEIR CO-PAYMENTS OR DEDUCTIBLES. NON-RESIDENTS OF THE UNITED STATES MAY BE CONSIDERED FOR A CHARITABLE DISCOUNT. THE POLICY INCLUDES A "SPECIAL ACCESS PROGRAM". INDIVIDUALS WHO DON'T EXCEED 700% OF THE FPL, BUT FAIL THE COVERAGE CRITERIA STATED BELOW, MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE SPECIAL ACCESS PROGRAM, BUT ONLY THOSE INDIVIDUALS WHO ARE NOT ANTICIPATED TO REQUIRE SERVICES OUTSIDE OF HSS. THE SPECIAL ACCESS PROGRAM MAKES FINANCIAL ASSISTANCE AVAILABLE TO THE FOLLOWING GROUPS, PROVIDED THE APPLICABLE INDIVIDUALS SATISFY THE FINANCIAL CRITERIA (INCOME AT OR BELOW 700% FPL): U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE), BUT THE SERVICE THE INDIVIDUAL NEEDS IS OF A TYPE THAT IS NOT REASONABLY AVAILABLE (AND COVERED UNDER THE INDIVIDUAL'S PLAN) NEARER TO THE PATIENT'S RESIDENCE THAN HSS. GENERALLY THIS RULE IS INTENDED TO APPLY TO HIGHLY SPECIALIZED CARE THAT IS NOT AVAILABLE AT MOST HOSPITALS, BUT IS AVAILABLE AT HSS. U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE) BUT DO NOT QUALIFY UNDER THE PRECEDING PARAGRAPH (2)(D)(1), AND NON-U.S. RESIDENTS WITH NO APPLICABLE COVERAGE, IN EACH CASE WHO ARE REFERRED TO HSS BY PHYSICIANS WHO ARE PARTICIPANTS IN THE HSS PHYSICIAN HOSPITAL ORGANIZATION (PHO), PROVIDED THAT SUCH REFERRAL IS APPROVED BY HSS.
PART V, LINE 16A-C THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE ON THE HOSPITALS WEBSITE AT: www.hss.edu/financial-assistance.asp PART V, LINE 16J INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY AND SUMMARY OF THE HOSPITAL'S POLICY IS POSTED ON THE HOSPITAL'S WEBSITE. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION.
PART V, LINE 21D THE HOSPITAL FOR SPECIAL SURGERY IS A SPECIALTY ORTHOPEDIC HOSPITAL AND DOES NOT OPERATE AN EMERGENCY ROOM. THE HOSPITAL IS AFFILIATED WITH THE NEW YORK PRESBYTERIAN HEALTH SYSTEM, WHICH OPERATES A FULL-SERVICE HOSPITAL MAINTAINING AN EMERGENCY ROOM LOCATED ADJACENT TO THE HOSPITAL FOR SPECIAL SURGERY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address Type of Facility (describe)
1 HSS ASC OF MANHATTAN
1233 SECOND AVENUE
NEW YORK,NY10065
AMBULATORY SURGERY CENTER
2 HSS PHYSIATRY & PAIN MANAGEMENT
429 EAST 75TH STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES & AFFL PHYS OFFICES
3 HSS EAST RIVER PROFESSIONAL BUILDING
523 EAST 72ND STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING & AFFILIATED PHYSICIAN OFFICES
4 HSS SPORTS PERFORMANCE CENTER
525 EAST 71ST BELAIRE BUILDING
NEW YORK,NY10021
OUTPATIENT CENTER WITH PHYSICAL THERAPY
5 HSS STAMFORD OUTPATIENT CENTER
1 BLACHLEY ROAD
STAMFORD,CT06902
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES,& AFFL PHYS OFFICES
6 HSS WESTCHESTER OUTPATIENT CENTER
1133 WESTCHESTER AVENUE
WHITE PLAINS,NY10604
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
7 HSS LONG ISLAND OUTPATIENT CENTER
333 EARLE OVINGTON BLVD
UNIONDALE,NY11553
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES & AFFL PHYS OFFICES
8 HSS PARAMUS OUTPATIENT CENTER
140 EAST RIDGEWOOD AVENUE
PARAMUS,NJ07652
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
9 HSS AMBULARY CARE CLINIC
475 EAST 72ND STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND CLINIC
10 HSS INTEGRATIVE CARE CENTER
635 MADISON AVENUE
NEW YORK,NY10022
OUTPATIENT CENTER WITH PHYSICAL THERAPY AND AFFILIATED PHYSICIAN OFFICES
11 HSS RIVER TERRACE
519 EAST 72ND STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
12 HSS SPINE THERAPY CENTER
405 EAST 75TH STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH PHYSICAL THERAPY
13 HSS DANA CENTER
510 EAST 73RD STREET
NEW YORK,NY10021
OUTPATIENT CENTER WITH MOTION ANALYSIS
14 HSS QUEENS OUTPATIENT CENTER
176-60 UNION TURNPIKE
FRESH MEADOWS,NY11366
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
15 HSS ORTHO INJURY CARE
1233 SECOND AVENUE
NEW YORK,NY10065
OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN SERVICES
Schedule H (Form 990) 2018
Page 10
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7, COLUMN F 2018 BAD DEBT EXPENSE PRESENTED ON THE 2018 AUDITED FINANCIAL STATEMENTS WAS $9,490,099. IN ADDITION, TOTAL OPERATING EXPENSE WAS ADJUSTED ACCORDINGLY TO REFLECT THE .35% ($3,626,437) HEALTH FACILITY TAX ASSESSMENT AND 1% ($6,269,626) STATEWIDE ASSESSMENT IMPOSED BY NEW YORK STATE. AS SUCH, THESE FEES WERE ADJUSTED ACCORDINGLY IN LINE 7 AS WELL AS THE TOTAL OPERATING EXPENSE. PART I, LINE 7 THE HOSPITAL USED THE FOLLOWING METHODOLOGIES TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE ON SCHEDULE H, LINE 7: (1)LINE 7A "FINANCIAL ASSISTANCE AT COST" - UTILIZED GROSS CHARGES WRITTEN OFF REFLECTED IN THE 2018 MEDICARE COST REPORT AND REDUCED TO COST BY APPLYING THE RATIO OF PATIENT CARE COST-TO-CHARGES. THE PATIENT COST TO CHARGE RATIO IS CALCULATED IN WORKSHEET 2 WITH INFORMATION FROM THE 2018 MEDICARE COST REPORT AND HSS'S 2018 GENERAL LEDGER TRIAL BALANCE. THIS COST WAS OFFSET BY THE NEW YORK STATE UNCOMPENSATED CARE POOL REVENUE. (2)LINE 7B "UNREIMBURSED MEDICAID" - UTILIZED THE DECISION SUPPORT ACCOUNTING SYSTEM TO IDENTIFY TOTAL COST (DIRECT AND INDIRECT) IN PROVIDING PATIENT SERVICE TO MEDICAID AND MEDICAID MANAGED CARE PATIENTS. IN ADDITION, ASSESSMENTS TO NYS FOR INDIGENT CARE POOLS ARE INCLUDED. (3)LINE 7E "COMMUNITY HEALTH IMPROVEMENT SERVICES" - THE HOSPITAL APPLIED ACTUAL EXPENSES TO DERIVE DIRECT COST AND UTILIZE THE COST REPORT TO DERIVE INDIRECT EXPENSES, APPLICABLE TO SUCH PROGRAMS. (4)LINE 7F "HEALTH PROFESSION EDUCATION" - THE MEDICAL EDUCATION COST WAS OBTAINED FROM THE 2018 MEDICARE COST REPORT FOR DIRECT AND INDIRECT EXPENSE. THE COST WAS OFFSET BY MEDICARE AND MEDICAID REVENUE RELATED TO DIRECT GME AS WELL AS OTHER DIRECT OFFSETTING REVENUE RELATED TO "HEALTH PROFESSION EDUCATION". (5)LINE 7H "RESEARCH" - THE 2018 MEDICARE COST REPORT WAS UTILIZED.
PART III, LINES 2, 3, 4 A COST TO CHARGE RATIO OF 44.92% AS CALCULATED PER THE APPLICABLE FORM 990 INSTRUCTIONS WAS APPLIED TO THE BAD DEBT EXPENSE (AT CHARGES) OF $9,490,099 TO CALCULATE THE BAD DEBT EXPENSE OF $4,262,952 AT COST. IN 2018, THE HOSPITAL SCREENED BOTH INPATIENT AND OUTPATIENT ACCOUNTS PRIOR TO BEING CLASSIFIED AS BAD DEBT FOR "PRESUMPTIVE ELIGIBILITY" UTILIZING A COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE. THE UNCOMPENSATED CARE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENT STATES, "AS A MATTER OF POLICY, THE HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED EITHER AS CHARITY CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY OR AS BAD DEBT EXPENSE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING AND TAKING INTO ACCOUNT THE ABILITY OF THE PATIENT TO PAY. THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM'S ELIGIBILITY THRESHOLD IS 700% OF THE FEDERAL POVERTY GUIDELINES, WHICH IS IN EXCESS OF THE NEW YORK STATE MINIMUM REQUIREMENTS OF 300%. THE HOSPITAL HAS DEFINED CHARITY CARE FOR ACCOUNTING AND DISCLOSURE PURPOSES AS THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. AS THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY IS NOT PURSUED, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. PATIENTS WHO DO NOT QUALIFY FOR DISCOUNTED FEES ARE BILLED AT THE HOSPITAL'S ESTABLISHED CHARGES. UNCOLLECTED BALANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. TOTAL UNCOMPENSATED CARE IN 2018 AND 2017 FOR ALL PATIENT SERVICES AGGREGATED APPROXIMATELY $22.2 MILLION AND $19.7 MILLION RESPECTIVELY. IN ADDITION, THE HOSPITAL OPERATES ITS CLINICS AT A LOSS, TO HELP MEET THE NEEDS OF LOW INCOME AND UNINSURED INDIVIDUALS, AND ALSO OPERATES NUMEROUS OUTREACH AND EDUCATION PROGRAMS WHICH BENEFIT THE COMMUNITIES IT SERVES."
PART III, LINE 8 OVER 42% OF THE HOSPITAL'S INPATIENT POPULATION IS REPRESENTED BY MEDICARE and Medicare Managed Care. THE MEDICARE SHORTFALL OF $67,978,768 AS REPORTED IN PART III, LINE 7 WAS CALCULATED USING MEDICARE COST REPORTING PRINCIPLES AND A COST TO CHARGE RATIO METHODOLOGY. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL IS PROVIDING CARE TO THESE PATIENTS WITH FULL KNOWLEDGE THAT THE MEDICARE REIMBURSEMENT WILL NOT COVER THE COST OF PROVIDING CARE TO THESE RESIDENTS OF OUR COMMUNITY.
PART III, LINE 9B SELF PAY BALANCES, INCLUDING RESIDUAL BALANCES DUE AFTER PAYMENT FROM AN INSURANCE CARRIER, AS WELL AS BALANCES DUE AFTER FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED, ARE HANDLED ACCORDING TO THE FOLLOWING POLICY: ALL PATIENTS ARE BILLED USING STANDARD CYCLES INCLUDING THE ISSUANCE OF A DETAILED BILL, COLLECTION LETTERS AND/OR TELEPHONE CALLS, AND THEN TRANSFERRED TO A "PRE-COLLECTION STATUS." THESE COLLECTION EFFORTS ARE DOCUMENTED ELECTRONICALLY IN THE PATIENT'S FILE. DURING THE PRE-COLLECTION PHASE, ADDITIONAL TELEPHONE CALLS AND/OR LETTERS ARE MADE TO ATTEMPT TO COLLECT PAYMENT IN FULL. IF UNSUCCESSFUL, THE ACCOUNT IS TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY, NO LESS THAN 120 DAYS AFTER THE ORIGINAL SELF PAY BILLING DATE. THESE REASONABLE COLLECTION EFFORTS INCLUDE ALL PATIENT ACCOUNTS, FOR BOTH MEDICARE AND NON-MEDICARE PATIENTS. MEDICARE AND NON-MEDICARE ACCOUNTS ARE RECORDED SEPARATELY. ANY PATIENTS EXPRESSING INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE WILL HAVE THEIR BILLS HELD PENDING ELIGIBILITY DETERMINATION. IF PATIENT IS ELIGIBLE, THE ACCOUNT WILL BE REDUCED BASED ON THE APPROPRIATE SLIDING SCALE DISCOUNT AND THE RESULTING BALANCE WILL BE RE-BILLED ACCORDINGLY. PAYMENTS RECEIVED BY THE COLLECTION AGENCY REDUCE THE AMOUNT RECORDED AS BAD DEBT. IT IS THE HOSPITAL'S PRACTICE NOT TO FILE SUIT, ATTACH ASSETS, OR PURSUE LIENS FOR ALL PATIENTS INCLUSIVE OF FAP ELIGIBLE PATIENTS. IN CERTAIN INSTANCES, IN COORDINATION WITH THE HOSPITAL'S INTERNAL LEGAL COUNSEL, THE HOSPITAL MAY TAKE SUCH MEASURES IF DEEMED WARRANTED. PAYMENT ARRANGEMENTS: IF PATIENTS ARE UNABLE TO PAY THE ENTIRE BALANCE IN FULL, PAYMENT ARRANGEMENTS OF MONTHLY PAYMENT WILL BE OFFERED. UNDER SUCH ARRANGEMENTS, ACCOUNTS ARE TYPICALLY PAID IN FULL WITHIN SIX TO TWELVE MONTHS UNLESS OTHERWISE EXTENDED AS PART OF THE FINANCIAL ASSISTANCE PROGRAM. A CONFIRMATION LETTER WILL BE SENT WITHIN 5 DAYS, EXPLAINING THE TERMS OF THE AGREEMENT. IF MONTHLY PAYMENT IS MISSED, THE ACCOUNT WILL PROGRESS TO THE NEXT STAGE IN THE CYCLE. UNDER CERTAIN CIRCUMSTANCES, HSS MAY PROVIDE FINANCIAL ASSISTANCE PRIOR TO, OR WITHOUT, ANY APPLICATION BEING MADE FOR SUCH ASSISTANCE. AT HSS, THIS WILL BE PERFORMED THROUGH A SCREENING PROCESS. UNPAID ACCOUNTS WILL BE SCREENED USING COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE TO DETERMINE WHETHER INDIVIDUALS MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON VARIABLES SUCH AS ADDRESS, AGE AND GENDER (PRESUMPTIVE ELIGIBILITY). HSS WILL ALSO CONDUCT PRESUMPTIVE ELIGIBILITY SCREENINGS ON ACCOUNTS PRIOR TO REFERRAL FOR ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) AS DEFINED BELOW IN "COLLECTION ACTIVITIES". PRESUMPTIVE ELIGIBILITY DETERMINATIONS WILL APPLY ONLY TO THE UNPAID BALANCE(S) THAT TRIGGERED THE SCREENING PROCESS. IF THE INDIVIDUAL QUALIFIES UNDER THE PRESUMPTIVE METHODOLOGY WITH RESPECT TO THE UNPAID BALANCE(S), THEN HSS WILL GRANT THE MAXIMUM LEVEL OF ASSISTANCE OTHERWISE PERMITTED WITH RESPECT TO THE UNPAID AMOUNT. INDIVIDUALS WHO ARE GRANTED FINANCIAL ASSISTANCE UNDER PRESUMPTIVE ELIGIBILITY WILL BE PROVIDED NOTICE OF THEIR ABILITY TO APPLY FOR ADDITIONAL ASSISTANCE UNDER THE POLICY. IF PRESUMPTIVE ELIGIBILITY IS AWARDED BASED ON A SCREENING OF UNPAID BALANCES OVER 240 DAYS, INDIVIDUALS MAY, WITHIN THIRTY (30) DAYS FROM THE DATE OF THE GRANTING OF PRESUMPTIVE ELIGIBILITY, APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE FOR THE SERVICES TO WHICH THE PRESUMPTIVE ELIGIBILITY DETERMINATION HAS BEEN APPLIED. IN 2018, THE HOSPITAL CONDUCTED NO ECAS.
PART VI, LINE 2 - NEEDS ASSESSMENT HOSPITAL FOR SPECIAL SURGERY'S NEEDS ASSESSMENT PROCESS INCORPORATES RELEVANT NATIONAL, STATE, AND CITY HEALTH DATA, GOALS, AND PRIORITIES. THE HOSPITAL UTILIZES HEALTHY PEOPLE 2025, WHICH SETS BROAD-BASED GOALS AND OBJECTIVES TO EXPAND AMERICANS' ACCESS TO CARE, AND TO ELIMINATE HEALTH DISPARITIES BY AGE, GENDER, RACE, OR DISABILITIES, AND PAYS SPECIAL ATTENTION TO INFORMATION REGARDING THE DIVERSE NEEDS OF ALL NEW YORKERS. THE HOSPITAL ROUTINELY CONDUCTS NEEDS ASSESSMENTS AMONG KEY GROUPS IN ITS COMMUNITY, ON WHICH TO BASE MULTI-YEAR PROGRAMS. OTHER NEEDS ASSESSMENT DATA IS GATHERED THROUGH A RIGOROUS EVALUATION PROCESS OF PUBLIC PROGRAMS. IN 2016, HSS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO PROVIDE INSIGHT INTO OUR COMMUNITY'S: (1) HEALTH STATUS AND QUALITY OF LIFE; (2) HEALTH BEHAVIOR AND LIFESTYLE; (3) USE OF AND ACCESS TO CARE; AND (4) SOCIO-DEMOGRAPHIC CHARACTERISTICS. IN ADDITION, FOUR COMMUNITY FORUMS WERE HELD TO ALLOW COMMUNITY MEMBERS AN OPPORTUNITY TO PRIORITIZE HEALTH NEEDS THAT PROVIDED HSS WITH THE APPROPRIATE DIRECTION IN SELECTING ITS PUBLIC HEALTH PRIORITIES. COMMUNITY MEMBERS WERE ASKED TO RANK THE HEALTH NEEDS MOST IMPORTANT TO THEM AND GIVE THEIR PERSPECTIVE ON COMMUNITY HEALTH ISSUES IN AN OPEN DISCUSSION. ALL HOSPITAL PUBLIC AND PATIENT EDUCATION PROGRAMS, AND DIAGNOSIS-BASED SUPPORT AND EDUCATION GROUPS INCLUDE PARTICIPANT QUESTIONNAIRES, AND THE FEEDBACK FROM THESE ARE COLLECTED, EVALUATED, AND USED IN FORMULATING NEW OR REFINED OFFERINGS FOR THE PUBLIC HEALTH. FURTHER, THE HOSPITAL'S PATIENT EXPERIENCE COUNCIL REVIEWS PRESS GANEY PATIENT COMMENTS AND QUARTERLY REPORTS, AND ALONG WITH DEPARTMENTAL MANAGERS AND MULTIDISCIPLINARY TEAMS DEVELOPS IMPROVEMENTS IN SERVICES BASED ON THIS FEEDBACK OF PATIENTS' NEEDS. FINALLY, TO ENSURE THE RANGE OF NEEDS IS INTERPRETED AT THE HIGHEST LEVEL OF MANAGEMENT, THE quality better committee of the hospital's board of trustees RECEIVES AND REVIEWS ONGOING REPORTS THAT INCLUDE RESULTS OF PATIENTS' SATISFACTION TRENDS AND A SUMMARY OF THE HOSPITAL-WIDE QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM.
PART VI, LINE 3 -PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION. THE FINANCIAL ASSISTANCE ASSOCIATES EDUCATE, SCREEN, AND MAKE THE ELIGIBILITY DETERMINATION FOR THE HSS FINANCIAL ASSISTANCE PROGRAM. THE ASSOCIATES ARE ALSO AVAILABLE TO ASSIST THE PATIENT IN FILLING OUT ALL FINANCIAL ASSISTANCE RELATED FORMS.
PART VI, LINE 4 -COMMUNITY INFORMATION THE HOSPITAL FOR SPECIAL SURGERY'S COMMUNITY IS DEFINED BY THE FIVE BOROUGHS. THE SUBURBAN COUNTIES IN NEW YORK, NEW JERSEY, CONNECTICUT AND LONG ISLAND COMPRISE OUR SECONDARY SERVICE AREA. HSS PATIENTS COME FROM MANY COMMUNITIES LOCALLY, REGIONALLY, NATIONALLY, AS WELL AS INTERNATIONALLY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH HOSPITAL FOR SPECIAL SURGERY'S COMMUNITY AND PROFESSIONAL OUTREACH BRINGS INFORMATION TO THE COMMUNITY THROUGH COLLABORATION WITH EDUCATIONAL, MULTI-SERVICE SOCIAL SERVICE AGENCIES, FAITH-BASED ORGANIZATIONS, SUPPORT AND EDUCATION GROUPS AND PROGRAMS, COMMUNITY-BASED ORGANIZATIONS, AND ACADEMIC INSTITUTIONS. IN ADDITION, IT PROVIDES EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY THROUGH HEALTH FAIRS, AND PUBLIC EVENTS, AS WELL AS PUBLIC SCHOOLS, HEALTH CLINICS, SENIOR CENTERS, AND COMMUNITY HOSPITAL FORUMS. WE REACH OUT TO UNDERSERVED AND ETHNICALLY DIVERSE POPULATIONS AND SEEK TO SERVE AND COLLABORATE WITH THE ABOVE-MENTIONED ORGANIZATIONS TO ENGAGE COMMUNITIES AROUND MAJOR HEALTH ISSUES. IN 2018, THE HOSPITAL SPONSORED VARIOUS COMMUNITY EDUCATION, SUPPORT AND OUTREACH PROGRAMS INCLUDING EDUCATIONAL WORKSHOPS ON MUSCULOSKELETAL HEALTH AND WELLNESS, INCLUDING OSTEOPOROSIS, LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM, HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE, GREENBERG ACADEMY FOR SUCCESSFUL AGING, SNEAKER (SUPER NUTRITION FOR ALL KIDS TO EAT RIGHT), HSS SPORTS SAFETY PROGRAM, WORKSHOPS ON MUSCULOSKELETAL HEALTH AND WELLNESS AT THE STAMFORD OUTPATIENT CENTER, PAIN & STRESS MANAGEMENT PROGRAM, FEEDING CREATIVITY, LUPUSLINE, LANTERN (LUPUS ASIAN NETWORK) THE SLE WORKSHOP, EARLY RHEUMATOID ARTHRITIS (RA) AND LIVING WITH RA SUPPORT AND EDUCATION GROUPS, VOICES 60+ SENIOR ADVOCACY PROGRAM, THE MYOSITIS SUPPORT AND EDUCATION GROUP, CHARLA DE LUPUS (LUPUS CHAT), VOICES MEDICAID MANAGED CARE EDUCATION PROGRAM AND THE NURSING OUTREACH EDUCATION INITIATIVE. A COMMITTEE OF THE BOARD FOCUSING ON THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY SERVICES CONTINUES TO PROVIDE OVERSIGHT ON HSS COMMUNITY EDUCATION, OUTREACH AND SUPPORT PROGRAMS. IN ADDITION, THE HOSPITAL CONTINUES TO IMPLEMENT COMMUNITY PROGRAMMING BASED ON THE RESULTS OF THE 2016 HSS CHNA. THE HSS PUBLIC & PATIENT EDUCATION DEPARTMENT STAFF DELIVERED AN ORAL PRESENTATION ON THE HSS SPORTS SAFETY PROGRAM AND A ROUNDTABLE ON THE 2016 CHNA PROCESS AT THE ANNUAL AMERICAN PUBLIC HEALTH ASSOCIATION MEETING. THE SOCIAL WORK PROGRAMS' DEPARTMENT WAS INVITED TO THE ANNUAL MEETING OF THE AMERICAN COLLEGE OF RHEUMATOLOGY FOR A THIRD TIME TO PRESENT A STUDY GROUP ON DEVELOPING SUPPORT AND EDUCATION PROGRAMS FOR PEOPLE WITH RHEUMATIC ILLNESS, AND A SYMPOSIUM TITLED HISTORY MATTERS: USING HISTORICAL CONTEXT TO BRING PATIENT CARE INTO FOCUS. STRATEGIES TO ENSURE CULTURAL RELEVANCE FOR HISTORICALLY UNDERSERVED COMMUNITIES WAS AN INTEGRAL PART OF THESE PRESENTATIONS IN ADDITION TO PROVIDING CLINICIANS TOOLS TO ENGAGE THEIR PATIENTS AS PARTNERS IN CARE. THIS IS A PART OF OUR ONGOING EFFORT TO DISSEMINATE SUCCESSFUL EVIDENCE BASED COMMUNITY INTERVENTIONS AS PART OF HSS' COMMUNITY SERVICE PLAN. WE CONTINUE TO HAVE WIDE REPRESENTATION OF OUR CSP INITIATIVES THROUGH MULTIPLE PRESENTATIONS SPECIFICALLY IN DIVERSE COMMUNITIES, FOR PATIENTS AND PROVIDERS, ON HEALTH LITERACY FOR BILINGUAL (SPANISH) OLDER ADULTS AND PROFESSIONAL PROVIDERS, UNDERSTANDING AND COPING WITH RHEUMATOID ARTHRITIS, LUPUS REAL TALK: TAKING CHARGE OF YOUR HEALTH WITH SPECIFIC MALE SESSION AND EDUCATIONAL PROGRAMS TARGETED TO THE ASIAN AMERICAN COMMUNITY HOSTED IN MANHATTAN'S CHINATOWN TO ENHANCE LUPUS CARE, COPING AND TO BUILD COMMUNITY CAPACITY WITH PATIENTS AND PROVIDERS. IN ADDITION, THE HOSPITAL HAS CREATED WEBINARS AND EDUCATIONAL VIDEOS FOR WIDE RANGING COMMUNITY BENEFIT TOPICS. THE HOSPITAL ALSO PARTICIPATED IN AND CO-SPONSORED NUMEROUS COMMUNITY-BASED EVENTS WITH VARIOUS ORGANIZATIONS. FOR THE PAST FOUR YEARS IN A ROW THE HOSPITAL HAS BEEN DESIGNATED AS A LEADER IN LGBTQ HEALTH BY THE HUMAN RIGHTS CAMPAIGN AND THIS YEAR PARTICIPATED IN NYC PRIDE MARCH TO DEMONSTRATE OUR COMMITMENT TO SERVING THE LGBTQ+ COMMUNITY IN AN INCLUSIVE AND SENSITIVE WAY. OTHER COMMUNITY PARTNERS WE WORKED WITH INCLUDE THE ARTHRITIS FOUNDATION'S NORTH EAST REGION AND THE NEW YORK CHAPTER, LINCOLN CENTER EDUCATION, THE ALLIANCE FOR LUPUS RESEARCH'S NYC LUPUS WALK, THE ASIAN HEALTH AND SOCIAL SERVICE COUNCIL, THE ANKYLOSING SPONDYLITIS ASSOCIATION, AND THE EAST SIDE COUNCIL ON AGING. IN 2018, WE COLLABORATED WITH OVER THIRTY COMMUNITY ORGANIZATIONS TO MEET EDUCATIONAL NEEDS FOR UNDERSERVED COMMUNITIES IN AREAS SUCH AS MUSCULOSKELETAL HEALTH, NUTRITION AND PHYSICAL ACTIVITY, HEALTH LITERACY, AND DISEASE SELF-MANAGEMENT. THE HOSPITAL HAD NEARLY 36,000 CONTACTS WITH PATIENTS/PROGRAM PARTICIPANTS THROUGH OVER 1,000 PROGRAMS AND DISTRIBUTED HEALTH EDUCATION MATERIALS TO NEARLY 670,000 INDIVIDUALS (WHICH INCLUDES OVER 643,000 WEB PAGE VIEWS). THE HOSPITAL IS ALSO PART OF A NATIONAL CLINICAL RESEARCH TRANSLATIONAL CONSORTIUM WHOSE GOAL IS TO ASSESS AND IMPLEMENT THE NEEDS OF UNDERSERVED POPULATIONS IN ORDER TO DEVELOP HEALTH PROGRAMS TO DIVERSE CULTURAL COMMUNITIES IN THE NEW YORK CITY FIVE BOROUGHS. WE ARE ALSO MEMBERS OF National Institute of Arthritis and Musculoskeletal and Skin Diseases' NATIONAL MULTICULTURAL OUTREACH INITIATIVE TO REDUCE HEALTH DISPARITIES, THROUGH RELEVANT PUBLIC HEALTH EDUCATIONAL INITIATIVES. THE POSITION OF DIRECTOR FOR COMMUNITY ENGAGEMENT, DIVERSITY AND RESEARCH, FURTHER ENHANCES RESOURCES AND THE HOSPITALS COMMITMENT TO ADDRESSING HEALTH DISPARITIES AND HEALTH EQUITY, WHILE ENGAGING THE COMMUNITY AND GROUNDING INTERVENTIONS IN EVIDENCE BASED RESEARCH AND PRACTICE. IN 2018 WE HIRED A NEW OUTCOMES MANAGER WHO PLAYS AN INTEGRAL ROLE IN THE ASSESSMENT, COLLABORATION, AND EVALUATION OF OUTCOMES REGARDING THE COLLECTION OF RACE ETHNICITY AND LANGUAGE, SEXUAL ORIENTATION AND GENDER IDENTITY DATA COLLECTION, AS WELL AS RELATED INITIATIVES AND SERVICES. AS THE NATION'S LEADING HOSPITAL FOR ORTHOPEDICS AND MUSCULOSKELETAL CARE, THE HSS COMMUNITY IS NATIONAL IN THAT HSS PLAYS A LEADING ROLE IN PROVIDING RESEARCH AND EDUCATION IN THE TREATMENT OF ORTHOPEDIC AND MUSCULOSKELETAL ILLNESS AND CONDITIONS.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL HAS A MEDICAL AND CLINICAL AFFILIATION WITH NEW YORK PRESBYTERIAN HOSPITAL (NYPH) WHERE THE HOSPITAL FUNCTIONS AS THE PRINCIPAL ORTHOPEDIC AND RHEUMATOLOGY FACILITY FOR NYPH AT ITS EAST 68-EAST 70 STREET FACILITY (EAST CAMPUS). THE HOSPITAL ALSO HAS A COLLABORATION AGREEMENT WITH THE STAMFORD HOSPITAL (SH), AN ACUTE CARE HOSPITAL IN STAMFORD, CONNECTICUT, AND STAMFORD HEALTH, INC. (SHI), THE SOLE MEMBER OF SH. UNDER THE COLLABORATION AGREEMENT, THE HOSPITAL WILL MANAGE THE SH DEPARTMENT OF ORTHOPEDIC SURGERY, INCLUDING CERTAIN DISCRETE ORTHOPEDIC SPACE AND ACTIVITIES WITHIN THE MAIN BUILDING OF SH.
Schedule H (Form 990) 2018
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