PART I, LINE 7:
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THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT).
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PART I, LINE 6A:
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THE HOSPITAL FILED A 2022-2024 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON DECEMBER 29, 2022.
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PART I, LINE 7G:
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INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, AND THE INPATIENT PEDIATRIC PROGRAMS.
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PART I, LN 7 COL (F):
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DISTINGUISHING BAD DEBT EXPENSE FROM CHARITY CARE REQUIRES JUDGMENT; TOGETHER, THEY REPRESENT UNCOMPENSATED CARE. THE HOSPITAL'S POLICYREGARDING CHARITY CARE IS TO PROVIDE A SIGNIFICANT AMOUNT OF CARE WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SERVICES RENDERED; THIS INCLUDES FREE CARE AND A SLIDING FEE SCALE, BASED ON THE PATIENTS' ABILITY TO PAY WHICH IS DEFINED AS UP TO 300% OF THE POVERTY LEVEL.THE HOSPITAL UTILIZES A CREDIT VERIFICATION FIRM TO ASSIST IN DETERMINING IF UNINSURED PATIENTS MEET THE HOSPITAL'S CHARITY CRITERIA. THIS PROCESS IDENTIFIES UNINSURED PATIENTS THAT WERE UNDER THE POVERTY LEVEL BUT DID NOT APPLY FOR CHARITY CARE.
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PART III, LINE 2:
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THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT).
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PART III, LINE 3:
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THE AMOUNT REPORTED IN PART III LINE 3 WAS RELATED TO THE EMERGENCY ROOM'S BAD DEBT AT COST. THE FIGURE WAS DERIVED USING THE EMERGENCY ROOM'S BAD DEBT GROSS CHARGES AND MULTIPLYING THIS AMOUNT BY THE EMERGENCY'S ROOMS SPECIFIC RCC TO COME UP WITH THE BAD DEBT EXPENSE AT COST FOR THE EMERGENCY ROOM. WE DID NOT INCLUDE ANY AMOUNTS OF BAD DEBT IN PART I LINE 7. WE BELIEVE THE ENTIRE AMOUNT SHOULD BE CONSIDERED CHARITY CARE. EMTALA AND OTHER REGULATIONS REQUIRE THAT THE HOSPITAL PROVIDE EMERGENCY SERVICES TO INDIVIDUALS BEFORE DISCUSSING FINANCIAL INFORMATION. CHARITY CARE IS USUALLY RELATED TO PATIENTS WHO WE DEFINE AS LACKING THE ABILITY TO PAY. A HOSPITAL'S INABILITY TO COLLECT FROM A PATIENT WHO HAS THE MEANS TO PAY IS BAD DEBT EXPENSE. OUR REGISTRATION DEPARTMENT DOES NOT HAVE THE ABILITY TO DETERMINE THE EMERGENCY ROOM PATIENT FINANCIAL STATUS BEFORE CARE IS DELIVERED AND IN MANY CASES, THE INFORMATION PROVIDED BY THE PATIENTS IS INACCURATE. SINCE WE RENDERED CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY WE BELIEVE THAT THESE PATIENTS ARE SIMILAR TO CHARITY CARE AND NOT BAD DEBT.
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PART III, LINE 4:
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BAD DEBT EXPENSE IS DESCRIBED IN PAGE 21 OF THE ATTACHED FINANCIAL STATEMENTS.
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PART III, LINE 8:
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SOUTH NASSAU COMMUNITIES HOSPITAL CONSIDERS THE MEDICARE SHORTFALL AS A BENEFIT PROVIDED TO THE COMMUNITY. IF IT WAS ALLOWED TO BE INCLUDED IN THE SHORTFALL, THE COMMUNITY BENEFIT PERCENTAGE WOULD BE 14.47%. THE AMOUNT REPORTED IN PART III, LINE 6 WAS RELATED TO MEDICARE'S ALLOWABLE COSTS. THE FIGURE WAS DERIVED USING THE MEDICARE CHARGES AS REPORTED ON THE ANNUAL INSTITUTIONAL COST REPORT AND MULTIPLYING THAT AMOUNT BY THE RATIO SOUTH NASSAU COMMUNITIES HOSPITAL, INC. 11-1352310 OF COST TO CHARGE (RCC).
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PART III, LINE 9B:
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UPON APPLYING FOR CHARITY CARE, THE PATIENT IS ADVISED TO DISREGARD ALL BILLS SENT BY THE HOSPITAL UNTIL A FINAL DECISION HAS BEEN MADE. A PATIENT THAT RECEIVES PARTIAL CHARITY CARE IS SUBJECT TO THE HOSPITAL COLLECTION POLICY EXCEPT THAT: 1) THE PATIENT WILL BE PROVIDED WITH A WRITTEN NOTICE 30 DAYS PRIOR TO THE ACCOUNT GOING TO COLLECTION. 2) THE HOSPITAL WILL NOT PLACE A LIEN ON THE PATIENT'S ASSETS.
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PART VI, LINE 2:
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IN AN EFFORT TO IDENTIFY THE NEEDS OF PATIENTS AND COMMUNITIES, SOUTH NASSAU UTILIZES TOOLS AND COLLABORATES WITH LOCAL AND STATE GOVERNMENTS, CIVIC ASSOCIATIONS AND OTHER COMMUNITY GROUPS TO ESTABLISH THE NEEDS OF THE COMMUNITY THE HOSPITAL SERVICES. NASSAU COUNTY DEPARTMENT OF HEALTH CONDUCTED A COMPARISON BETWEEN A SELECTED GROUP OF COMMUNITIES AND THE REST OF THE COUNTY POPULATION. THE ANALYSIS HELPED TO LOCATE MANY OF THE HEALTH DISPARITIES THAT EXIST WITHIN THE COUNTY. THE SELECTED COMMUNITIES WERE CHOSEN WITH THE ASSISTANCE OF AN INDEX COMPRISED OF MULTIPLE SOCIOECONOMIC AND HEALTH RELATED FACTORS. OF THE IDENTIFIED AT-RISK COMMUNITIES, TWO FALL WITHIN OUR PRIMARY SERVICE AREA (FREEPORT AND ROOSEVELT) AND FOUR WITHIN OUR SECONDARY SERVICE AREA (ELMONT, HEMPSTEAD, UNIONDALE, AND INWOOD. SO, WHILE NASSAU COUNTY AS A WHOLE APPEARS TO BE QUITE WELL OFF, THERE IS AN UNEQUAL DISTRIBUTION OF WEALTH AND WELL BEING AMONG COMMUNITIES.THE HOSPITAL PARTICIPATES IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES PATIENT SATISFACTION SURVEY (KNOWN AS HCAHPS) BY USING PRESS GANEY, WHICH CONDUCTS A PHONE SURVEY, CONTACTING A STATISTICALLY VALID SAMPLE OF INPATIENTS AFTER DISCHARGE. SURVEY QUESTIONS INQUIRE ABOUT PATIENTS' SATISFACTION WITH THE DOCTORS, NURSES, TRANSITIONS OF CARE PLANNING, MEDICATIONS AND HOSPITAL SERVICES. QUARTERLY SURVEY RESULTS ARE BENCHMARKED AGAINST NATIONAL, STATE AND COMPARABLE HOPSITALS. THE QUARTERLY RESULTS ARE REVIEWED BY THE ADMINISTRATIVE TEAM, MANAGERIAL STAFF AND HOSPITAL STAFF. QUARTERLY ACTION PLANS TO IMPROVE THE SCORES NOT MEETING ESTABLIHSED GOALS ARE DEVELOPED BY THE VARIOUS NURSING UNITS AND DEPARTMENTS. SOUTH NASSAU'S BOARD, WHICH IS COMPOSED OF LOCAL INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY THE HOSPITAL AND INCLUDES A CROSS-SECTION OF REPRESENTATIVES SUCH AS CLERGY, BUSINESS PEOPLE AND PHYSICIANS, MEETS REGULARLY. WHILE THE MEMBERS OF SOUTH NASSAU COMMUNITIES HOSPITAL'S BOARD OF DIRECTORS ACCEPT RESPONSIBILITY FOR GOVERNANCE OF THE HOSPITAL, THEY ARE ALSO COMMUNITY ADVOCATES. AS SUCH, THEY ARE ABLE TO SPEAK ON BEHALF OF THE COMMUNITY AND RAISE ISSUES WITH THE HOSPITAL OR CONSIDER ACTIONS THAT AFFECT HOSPITALS PLANS AND OPERATIONS. THE BOARD HAS ESTABLISHED A NUMBER OF COMMITTEES THAT ARE RESPONSIBLE FOR OVERSIGHT AND COORDINATION OF HOSPITAL ACTIVITIES IN REGARDS TO COMMUNITY ADVOCACY.SOUTH NASSAU SOLICITS THE COMMUNITY'S FEEDBACK FOLLOWING FREE PUBLIC CONFERENCES IT SPONSORS EACH YEAR. SURVEYS YIELD VALUABLE INFORMATION SUCH AS COMMUNITY PREFERENCE FOR SEMINAR CONTENT AND FORMAT AND REQUESTS FOR EXPANDED PROGRAMS AND SERVICES.DEPARTMENTS HOSPITAL-WIDE HAVE RELATIONSHIPS WITH INDIVIDUALS AND GROUPS WHO HAVE SPECIAL NEEDS, SUCH AS PHYSICAL HANDICAPS, LANGUAGE BARRIERS AND CULTURAL ISSUES. THESE DEPARTMENTS ENCOURAGE COMMENTS AND SUGGESTIONS FROM THESE POPULATIONS. THEIR FEEDBACK IS USED TO ASSESS THE EFFECTIVENESS OF EXISTING PROCEDURES AND PROGRAMS.SOUTH NASSAU'S ADMINISTRATION MAINTAINS AN OPEN-DOOR POLICY AND ANY MEMBER OF THE COMMUNITY IS WELCOME TO COMMENT. ANY REASONABLE ISSUE RAISED IS ADDRESSED AND CARE IS TAKEN TO RESPOND IN A TIMELY AND SATISFACTORY FASHION.SOUTH NASSAU MAINTAINS AN EXTENSIVE WEBSITE, WWW.SOUTHNASSAU.ORG, ACOMPREHENSIVE SOURCE OF INFORMATION ON THE HOSPITAL'S SERVICES, SPECIALTY CENTERS, PHYSICIANS, NEW DEVELOPMENTS AND EMPLOYMENT OPPORTUNITIES. ITINCORPORATES MICROSITES FOR CARDIOLOGY, CANCER AND CANCER TREATMENT OPTIONS, ORTHPEDICS, WEIGHT LOSS SURGERY, UROLOGY AND MORE. CONTACT INFORMATION FOR USERS TO SUBMIT QUESTIONS AND REQUESTS FOR INFORMATION IS CLEARLY PROVIDED, AS IS LOCATION AND PHONE INFORMATION FOR THE HOSPITAL'S SATELLITE PRACTICES.SOUTH NASSAU'S ADMINISTRATION IS IN CONSTANT COMMUNICATION WITH LOCAL AND GOVERNMENT LEADERS IN DETERMINING THE NEEDS OF THE COMMUNITIES. THE ADMINISTRATIVE TEAMS ALSO ARE INVOLVED WITH HOSPITAL ASSOCIATIONS AND OTHER HEALTHCARE ASSOCIATES WHICH TARGET THE NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES. NEW YORK STATE'S DEPARTMENT OF HEALTH ALSO WORKS VERY CLOSELY WITH THE HOSPITAL TO HELP ASSESS THE NEEDS OF THE COMMUNITY SERVED.SOUTH NASSAU'S FOUR ACTIVE AUXILIARIES ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITIES THEY REPRESENT.THE HOSPITAL COLLECTS DATA WITH REGARDS TO ECONOMIC, SOCIAL, CULTURAL AND GEOGRAPHIC BARRIERS THAT EXIST.
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PART VI, LINE 3:
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THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH TRANSLATION CAPABILITIES THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND SPANISH. THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL AID INCLUDING CHARITY CARE ON ITS EXTERNAL WEBSITE: SOUTHNASSAU.ORG DIRECTING THEM TO THE FINANCIAL ASSISTANCE DEPARTMENT. THE HOSPITAL EDUCATES ALL EMPLOYEES THAT INTERACT WITH PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CHARITY CARE AND WHERE TO FIND INFORMATION ON THESE PROGRAMS. FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS INCLUDED IN PATIENT GUIDES AND SERVICE LINE GUIDES THAT ARE PROVIDED TO PATIENTS. PATIENT BILLS SENT OUT INCLUDE A NOTE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ON THE BACK OF THE BILL IS A CHARITY CARE APPLICATION. BILLING AND ACCOUNT SERVICES DEPARTMENTS ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND INFORMS PATIENTS OF THIS POLICY. ANY PATIENT CAN REQUEST AN APPLICATION FOR CHARITY CARE FROM THE ABOVE REGISTRATION AREAS, BILLING OFFICE AND ACCOUNT SERVICES DURING REGULAR BUSINESS HOURS AND VIA TELEPHONE.
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PART VI, LINE 4:
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SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF HEMPSTEAD. NASSAU COUNTY HAS A POPULATION OF 1.38 MILLION (BASED ON JULY 1, 2022 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $126,576(ACCORDING TO 2022 CENSUS DATA) AND $55,763 PER CAPITA (2022). ACCORDING TO THE 2022 CENSUS ESTIMATES, NASSAU COUNTY'S POVERTY LEVEL WAS 6.1%, WITH MORE OF THE POORER AREAS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY AND FALLING INTO THE HOSPITAL'S SERVICE AREA. HISPANICS, ALONG WITH OTHER MINORITIES, ARE CONCENTRATED IN SOUTH SHORE COMMUNITIES SUCH AS BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT, AND INWOOD, WITH MANY OF THESE COMMUNITIES' MEMBERS BEING UNINSURED OR INSURED BY MEDICAID.BASED ON 2022 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 39% MEDICAID 21% SELF PAY 1% AND CHARITY CARE 1%.OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE FRANKLIN HOSPITAL-NORTHWELL HEALTH AND MERCY MEDICAL CENTER.
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PART VI, LINE 5:
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THE HOSPITAL HAS ESTABLISHED A COMMUNITY ADVOCACY COMMITTEE THAT IS COMPOSED OF MEMBERS OF A NUMBER OF COMMUNITY ORGANIZATIONS, AND REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, STAFF AND BOARD. THIS GROUP MEETS FOUR TIMES A YEAR TO IDENTIFY NEEDS OF THEIR RESPECTIVE COMMUNITIES AND TO DISCUSS ISSUES OR RECOMMEND ACTIONS IN THE INTEREST OF IMPROVED SERVICE TO THOSE COMMUNITIES. THIS INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR CONSIDERATION.SOUTH NASSAU'S DEPARTMENT OF COMMUNITY EDUCATION IS A VALUED COMMUNITY RESOURCE. THIS DEPARTMENT PROVIDES HEALTH EDUCATION, COMMUNITY OUTREACH, FREE HEALTH SCREENINGS, AND REFERRAL SERVICES TO THE COMMUNITIES WE SERVE. IN KEEPING WITH POPULATION HEALTH INITIATIVES, THE DEPARTMENT'S GOALS FOCUS ON PROMOTING WELLNESS AND PREVENTING OR MANAGING CHRONIC DISEASE. IN 2022 , OUR COMMUNITY-WIDE EFFORTS TOUCHED THE LIVES OF MANY INDIVIDUALS. FEEDBACK FROM PROGRAM PARTICIPANTS AS WELL AS COMMUNITY PARTNERS CONTINUES TO BE OVERWHELMINGLY POSITIVE WHICH HAS BEEN EVIDENT IN POST-PROGRAM EVALUATIONS AND FOLLOW-UP. OUR SCREENINGS FOR THE YEAR TOTALED 4,169 AND INCLUDED BALANCE, BLOOD PRESSURE, BMI, CHOLESTEROL, COLORECTAL CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, SKIN CANCER, AND SLEEP ASSESSMENT. DURING 2022 MOUNT SINAI SOUTH NASSAU CONTINUED ITS COVID-19 TESTING PROGRAM. THROUGH THE VARIOUS SITES (FIVE TOWNS, LONG BEACH, ETC.) THE HOSPITAL TESTED 7,094 COMMUNITY MEMBERS. IN ADDITION, MOUNT SINAI SOUTH NASSAU PROVIDED 3,352 VACCINES TO THE COMMUNITY, VIA THE VOXMOBILE. THE MISSION OF THE DEPARTMENT OF COMMUNITY EDUCATION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES THROUGH EDUCATION, AWARENESS, OUTREACH, PREVENTION AND SCREENING SERVICES. THROUGH ITS COMMUNITY-BASED INITIATIVES, THE DEPARTMENT STRIVES TO SUPPORT THE HOSPITAL'S PERFORMANCE TARGETS IN THE AREAS OF QUALITY, PATIENT SAFETY, AND SERVICE EXCELLENCE. THE DEPARTMENT PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS LOCAL LIBRARIES AND SCHOOLS, COMMUNITY CENTERS, SENIOR CENTERS AND CHURCHES TO PROVIDE EDUCATIONAL PROGRAMS, PRESENTATIONS AND SCREENINGS TO WHERE PEOPLE LIVE, WORK, AND PLAY. EXAMPLES OF THESE COMMUNITY PARTNERS ARE THE HEWLETT HOUSE 1 IN 9 CANCER SUPPORT CENTER, NEW YORK POISON CONTROL CENTER, THE OCEANSIDE JEWISH COMMUNITY CENTER, THE KNIGHTS OF COLUMBUS, THE TOWN OF HEMPSTEAD, AND THE CITY OF LONG BEACH.ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION OFFERS CPR CLASSES TO THE COMMUNITY AND BLS AND ACLS TO THE STAFF. THE DEPARTMENT RECOGNIZES THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' NATIONAL HEALTH OBSERVANCES WITH INFORMATION AND PRESENTATIONS ON THE MONTH'S CHOSEN TOPICS. COMMUNITY EDUCATION IS ALSO RESPONSIBLE FOR FOURTEEN FREE SUPPORT GROUPS RANGING FROM BARIATRIC SUPPORT TO BREAST CANCER TO BEREAVEMENT. THE ACTIVITIES OF THE DEPARTMENT OF COMMUNITY EDUCATION ARE REPORTED REGULARLY TO THE BOARD OF DIRECTORS.
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PART VI, LINE 6:
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SOUTH NASSAU COMMUNITIES HOSPITAL IS AFFILIATED WITH MOUNT SINAI HOSPITALS GROUP, INC. (MOUNT SINAI). MOUNT SINAI IS A NOT-FOR-PROFIT CORPORATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EFFECTIVE SEPTEMBER 2019, THE HOSPITAL IS DOING BUSINESS AS MOUNT SINAI SOUTH NASSAU.THE HOSPITAL PARTICIPATES IN THE LONG ISLAND HEALTH COLLABORTIVE (LIHC). A COALITION THAT INCLUDES THE NASSAU AND SUFFOLK COUNTY HEALTH DEPARTMENTS. EVERY HOSPIAL ON LONG ISLAND, HEALTH AND SOCIAL SERVICE COMMUNITY-BASED ORGANIZATIONS, INSURANCE PLANS, ACEDEMIC INSTITUTIONS, LOCAL GOVERNMENTS, AND OTHER GROUPS THAT ARE WORKING TOGETHER TOWARD A HEALTHIER LONG ISLAND COMMUNITY, THE LONG ISLAND HEALTH COLLARBORTIVE WORKS TO IMPROVE CLINICAL QUALITY AND EXPAND ACCESS TO CARE FOR THE 2.9 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. LIHC HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURER'S EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS.
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PART VI, LINE 7, REPORTS FILED WITH STATES
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NY
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