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
2019
Open to Public Inspection
Name of the organization
NYU LANGONE HOSPITALS
 
Employer identification number

13-3971298
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
 
No
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
 
 
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) . . . 		    84,850,753 25,680,715 59,170,038 0.950 %
b Medicaid (from Worksheet 3, column a) . . . . .     945,176,830 644,277,501 300,899,329 4.840 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,030,027,583 669,958,216 360,069,367 5.790 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     32,194,258 0 32,194,258 0.520 %
f Health professions education (from Worksheet 5) . . .     405,014,948 109,527,807 295,487,141 4.750 %
g Subsidized health services (from Worksheet 6) . . . .     102,457,258 0 102,457,258 1.650 %
h Research (from Worksheet 7) .     241,756,013 0 241,756,013 3.890 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     169,676 0 169,676 0 %
j Total. Other Benefits . .     781,592,153 109,527,807 672,064,346 10.810 %
k Total. Add lines 7d and 7j .     1,811,619,736 779,486,023 1,032,133,713 16.600 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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     57,447   57,447 0 %
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     57,447   57,447 0 %
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 Healthcare 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
3,246,599
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
894,850,286
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,308,118,855
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-413,268,569
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 %
11 NYUPN CLINICALLY INTEGRATED NETWORK LLC
  		COORDINATION OF SERVICES TO IMPROVE POPULATION HEALTH AT REDUCED COSTS. 50.000 %   50.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 NYU LANGONE HOSPITALS
550 FIRST AVENUE
NEW YORK,NY10016
WWW.NYULANGONE.ORG
7002053H 		X X X X     X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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)
NYU LANGONE HOSPITALS
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 18
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): NYULANGONE.ORG/OUR-STORY (LOWER CASE)
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NYU LANGONE HOSPITALS
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 PART V, PG 17
b
SEE PART V, PG 17
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
NYU LANGONE HOSPITALS
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 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NYU LANGONE HOSPITALS
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) 2019
Schedule H (Form 990) 2019
Page 8
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, 20a, 20b, 20c, 20d, 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
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 5: PUBLIC PARTICIPATION IN ASSESSING COMMUNITY NEED AND SETTING PRIORITIES HAS BEEN A CONTINUOUS PROCESS OVER THE PAST THREE YEARS. WE HAVE ENGAGED A RANGE OF STAKEHOLDERS - WITH A PARTICULAR FOCUS ON MEDICALLY UNDERSERVED RESIDENTS - TO ASSESS COMMUNITY NEEDS; SET PRIORITIES; DEVELOP, DESIGN, AND IMPLEMENT PROGRAMS; AND SHARE AND CELEBRATE PROGRESS AND RESULTS. WE EMPLOY DIVERSE, OFTEN MULTI-PRONGED, STRATEGIES AND RELY ON OUR EXTENSIVE NETWORK OF COMMUNITY PARTNERS AND ADVISORY BOARDS AND COMMITTEES TO PROVIDE ONGOING OUTREACH AND PROGRAM DEVELOPMENT. THE FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY STRUCTURE INCLUDES THE SUNSET PARK HEALTH COUNCIL AS THE COMMUNITY GOVERNING BOARD; CULTURALLY-SPECIFIC ADVISORY GROUPS; AND PROGRAM-SPECIFIC COUNCILS, INCLUDING THE TEEN HEALTH COUNCIL. THE NYU LANGONE HOSPITALS ("NYULH") COMMUNITY SERVICE PLAN ("CSP") COORDINATING COUNCIL, BRINGS TOGETHER NYU LANGONE FACULTY AND STAFF, COMMUNITY PARTNERS, AND POLICYMAKERS, MEETS QUARTERLY TO OVERSEE PROGRAM IMPLEMENTATION, SHARE FINDINGS, PROVIDE INSIGHT INTO COMMUNITY NEED, AND IDENTIFY PRIORITIES. IN ADDITION, WE REGULARLY CONSULT WITH PUBLIC HEALTH AND POLICY EXPERTS IN THE CITY AND STATE HEALTH DEPARTMENTS, THE STATE OFFICE OF MENTAL HEALTH, THE CITY DEPARTMENT OF EDUCATION, THE NEW YORK CITY HOUSING AUTHORITY, THE NYC OFFICE OF HOUSING PRESERVATION AND DEVELOPMENT, AND OTHER AGENCIES AND ORGANIZATIONS WITH EXPERTISE ON THE NEEDS OF LOW-INCOME POPULATIONS, INCLUDING COMMUNITY LEADERS, RESIDENT ASSOCIATIONS, COMMUNITY-BASED ORGANIZATIONS, ADVOCACY GROUPS, AND MEMBERS OF COMMUNITY BOARDS.TO UNDERSTAND MORE ABOUT COMMUNITY NEED AND TO SUPPORT POLICYMAKERS, PROVIDERS AND COMMUNITY GROUPS IN UNDERSTANDING COMMUNITY DEMOGRAPHICS, AND HOUSING AND HEALTH OUTCOMES (A HIGH COMMUNITY PRIORITY), WE UNDERTOOK A COMPREHENSIVE ANALYSIS OF EXISTING SOURCES OF DATA, INCLUDING THE NYC DEPARTMENT OF CITY PLANNING FACT FINDER; THE NYC DEPARTMENT OF HEALTH NEIGHBORHOOD HEALTH ATLAS; AND THE NYULHC CITY HEALTH DASHBOARD.SUMMARIES OF COMMUNITY HEALTH, SOCIAL AND ECONOMIC DATA, AS WELL AS UPDATES ON THE CHNA AND CSP, WERE SHARED WITH BROOKLYN COMMUNITY BOARD 7 AND MANHATTAN COMMUNITY BOARDS 3 AND 6. THESE MEETINGS INCLUDED RESIDENTS, AS WELL AS REPRESENTATIVES FROM BUSINESSES, AND GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS. THESE SUMMARIES WERE ALSO USED TO INFORM AND SOLICIT INPUT FROM NYULH - BROOKLYN AND FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY GROUPS AND FRONTLINE STAFF AND FROM THE CSP COORDINATING COUNCIL.SIMILAR SUMMARIES WERE COMPILED IN PARTNERSHIP WITH RED HOOK ORGANIZATIONS. OVER 600 PEOPLE WHO LIVE OR WORK IN RED HOOK PARTICIPATED IN THE RED HOOD COMMUNITY HEALTH NEEDS AND ASSETS ASSESSMENT, WHICH INCLUDED A REVIEW OF COMMUNITY DATA FROM DIFFERENT AGENCIES AND ORGANIZATIONS AND PRIMARY DATA COLLECTION THROUGH DOT VOTING, A SURVEY, AND SMALL GROUP CONVERSATIONS (THE LATTER TWO AVAILABLE IN ENGLISH, CANTONESE, AND SPANISH). NOTICE AND OUTREACH WAS FACILITATED THROUGH A NETWORK OF OVER 20 COMMUNITY-BASED ORGANIZATIONS AND PUBLIC POSTING OF TOOLS, DATA, AND REPORTS (HTTPS://REDHOOKCHNAA.WORDPRESS.COM). PARTICIPANTS WHO PROVIDED CONTACT INFORMATION RECEIVED INDIVIDUAL OUTREACH FOR ADDITIONAL OPPORTUNITIES TO SHARE FEEDBACK AND REVIEW FINDINGS AND NEXT STEPS.WE HAVE SOLICITED WRITTEN COMMENTS FROM THE PUBLIC ON OUR PREVIOUS CHNA AND IMPLEMENTATION PLAN BOTH THROUGH OUR WEBSITE AND AT PUBLIC MEETINGS. ALTHOUGH NO WRITTEN COMMENTS WERE RECEIVED, COMMENTS AND DISCUSSIONS FOLLOWED PUBLIC PRESENTATIONS AT COMMUNITY MEETINGS. THROUGH THIS IN-DEPTH AND COMMUNITY-ENGAGED PROCESS, WE HAVE COMPILED AND UPDATED OUR PROFILE OF THE HEALTH NEEDS AND STRENGTHS OF THE LOWER EAST SIDE AND CHINATOWN, SUNSET PARK AND RED HOOK. THIS ANALYSIS HAS, IN TURN, INFORMED THE PRIORITIES THAT COMPRISE OUR COMMUNITY SERVICE PLAN. FOLLOWING IS A LIST OF ORGANIZATIONS CONSULTED TO DATE (SEE CHNA APPENDIX B FOR GREATER DETAIL):- GREATER NEW YORK HOSPITALS ASSOCIATION- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - THE PRIMARY CARE INFORMATION PROJECT- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - BROOKLYN COMMUNITY ACTION TEAM- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - BROOKLYN KNOWS STEERING COMMITTEE- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - BROOKLYN KNOWS YOUTH SUBCOMMITTEE "BROOKLYN UNITED"- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - EARLY CHILDHOOD HEALTH & DEVELOPMENT UNIT - DIVISION OF FAMILY & CHILD HEALTH- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - OFFICE OF FAITH-BASED INITIATIVES- NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - TAKE CARE BEW YORK NEIGHBORHOOD HEALTH INITIATIVE ADVISORY COMMITTEE- NY STATE DEPARTMENT OF HEALTH- NY STATE MEDICAID REDESIGN - FIRST 1,000 DAYS ON MEDICAID- NYS OFFICE OF MENTAL HEALTH- NY LINKS- NYC DEPARTMENT OF EDUCATION - OFFICE OF FAMILY COMMUNITY ENGAGEMENT, DIVISION OF EARLY CHILDHOOD- NYC DEPARTMENT OF EDUCATION - DATA & ANALYTICS- NYC DEPARTMENT OF EDUCATION - RESEARCH & POLICY SUPPORT GROUP- NYC HEALTH + HOSPITALS- NEW YORK IMMIGRATION COALITION- CHARLES B. WANG COMMUNITY HEALTH CENTER- GOUVERNEUR HEALTH- AIRNYC- ASIAN HEALTH & SOCIAL SERVICE COALITION- ASIAN SMOKERS QUITLINE- BRONX HEALTH AND HOUSING CONSORTIUM- ARCHCARE- ASIAN AMERICANS FOR EQUALITY- BREAKING GROUND- BROOKLYN BOROUGH PRESIDENT'S OFFICE- BROOKLYN COLLEGE COMMUNITY PARTNERSHIP- BROOKLYN FAMILY JUSTICE CENTER- BROOKLYN PRIDE- BROOKLYN PUBLIC LIBRARY - COMMON SENSE PANEL ON MEDIA AND YOUNG CHILDREN- CAMBA, INC.- CARIBBEAN WOMEN'S HEALTH ASSOCIATION- CENTER FOR FAMILY LIFE, PART OF SCO FAMILY OF SERVICES- CHINATOWN PARTNERSHIP- CHINATOWN YMCA - CORNERSTONE @ TWO BRIDGES COMMUNITY CENTER- CHINESE AMERICAN MEDICAL SOCIETY- COALITION OF ASIAN AMERICAN INDEPENDENT PRACTICE ASSOCIATION- COMMUNITY BOARD 3 (MANHATTAN)- COMMUNITY BOARD 6 (MANHATTAN)- COMMUNITY BOARD 7 (BROOKLYN)- DELANCEY STREET ASSOCIATES / ESSEX CROSSING- DIASPORA COMMUNITY SERVICES- EARTH SCHOOL- EMPIRE BLUECROSS BLUE SHIELD HEALTHPLUS- ENTERPRISE COMMUNITY PARTNERS, INC.- FIFTH AVENUE COMMITTEE- GOOD SHEPHERD SERVICES- GRAND STREET RESIDENT ASSOCIATION- GRAND STREET SETTLEMENT- HAMILTON-MADISON HOUSE- HEALTHFIRST / DOHMH PEDIATRIC BUNDLE- HEALTHY FAMILIES NEW YORK BROOKLYN ADVISORY MEETINGS- HEALTHY VILLAGE AT CLAREMONT PEDIATRIC BUNDLE INITIATIVE- HENRY STREET SETTLEMENT- HER JUSTICE- HESTER STREET COLLABORATIVE- HIV HEALTH & HUMAN SERVICES PLANNING COUNCIL OF NYC- LEGAL AID SOCIETY- LOCAL INITIATIVES SUPPORT CORPORATION - NEW YORK CITY- MAIMONIDES MEDICAL CENTER- MAYOR'S COMMITTEE FOR COMMUNITY SCHOOLS- MIXTECA COMMUNITY ORGANIZATION- NYC DEPARTMENT OF EDUCATION 0-3 ADVISORY COMMITTEE- NEW YORK CITY HOUSING AUTHORITY- NEW YORK COUNCIL EARLY LITERACY INITIATIVE- NYC DEPARTMENT OF HOUSING, PRESERVATION AND DEVELOPMENT- NYC SMOKE FREE- NEW YORK PRESBYTERIAN / BROOKLYN METHODIST HOSPITAL- NYU LH LATINO COMMUNITY MEETING- NYU LH BROOKLYN ARAB COMMUNITY ADVISORY COUNCIL- NYU LH BROOKLYN CHINESE COMMUNITY ADVISORY COUNCIL- OPPORTUNITIES FOR A BETTER TOMORROW- PROVIDERS OF HEALTH CARE FOR THE HOMELESS IN NEW YORK CITY- REACH OUT AND READ OF GREATER NEW YORK - EXTERNAL ADVISORY BOARD- RED HOOK COMMUNITY JUSTICE CENTER- RED HOOK INITIATIVE- RISEBORO COMMUNITY PARTNERSHIP- SOUTHWEST BROOKLYN INDUSTRIAL DEVELOPMENT CORPORATION- SUNY DOWNSTATE THEO PROGRAM - BATES PLANNING COMMITTEE- SUNSET PARK EARLY LEARNING NETWORK- SUNSET PARK SHAPE UP NY ADVISORY BOARD- SUNSET PARK ROUNDTABLE- THE ALEX HOUSE PROJECT- THE DOOR- TWO BRIDGES NEIGHBORHOOD COUNCIL- TWO BRIDGES NYCHA RESIDENT ASSOCIATION- UNITED HOSPITAL FUND- UNIVERSITY SETTLEMENT- WAVECREST MANAGEMENT GRAND STREET GUILD- ZONE 126
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 7D: HARD COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY SERVICE PLAN AND PROGRESS REPORTS ARE AVAILABLE WITHOUT CHARGE TO ANYONE UPON REQUEST AND ARE REGULARLY DISTRIBUTED TO COMMUNITY BOARD MEMBERS, POLICYMAKERS, LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND OTHER INTERESTED STAKEHOLDERS. THROUGH OUR OUTREACH AND ENGAGEMENT ACTIVITIES, WE CONTINUALLY SEEK TO KEEP THE COMMUNITY INFORMED ABOUT OUR ACTIVITIES AND TO GET FEEDBACK AND INPUT. THE EXECUTIVE SUMMARY OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN SHARES OUR ANALYSIS AND CONCLUSIONS IN A MORE ACCESSIBLE FORMAT FOR A BROADER CONSTITUENCY. THIS DOCUMENT, WHICH IS WRITTEN AT AN 8TH GRADE LITERACY LEVEL, HAS BEEN TRANSLATED INTO ARABIC, CHINESE, AND SPANISH. IN ADDITION, INFORMATION ABOUT COMMUNITY SERVICE PLAN PROJECTS HAS BEEN PRESENTED AT CONFERENCES AND PRESENTATIONS TO PRIMARY CARE RESIDENTS, MEDICAL STUDENTS AND UNDERGRADUATE STUDENTS, OFTEN IN COLLABORATION WITH COMMUNITY PARTNERS.
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 11: FOR A DESCRIPTION OF HOW WE ARE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR CHNA, PLEASE FIND A COPY OF OUR COMMUNITY SERVICE PLAN AT: NYULANGONE.ORG/OUR-STORY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-SERVICE-PLANCOMMUNITY NEEDS NOT ADDRESSED AND WHYACROSS NEW YORK CITY AND WITHIN OUR SELECTED NEIGHBORHOODS, THERE ARE, OF COURSE, MANY HEALTH NEEDS THAT ARE BEYOND THE SCOPE OF THIS PLAN. INDEED, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE TAKE CARE NEW YORK 2020 IDENTIFIES TWENTY-THREE KEY INDICATORS UNDER FOUR OVERARCHING THEMES. SELECTING PRIORITY AREAS FOR NYULH'S COMMUNITY SERVICE PLAN AND USING RESOURCES EFFICIENTLY AND EFFECTIVELY NECESSARILY MEANS CONCENTRATING ON SOME SPECIFIC CHALLENGES AND AFFORDING LESS ATTENTION TO OTHERS. ACCESS TO CULTURALLY AND LINGUISTICALLY COMPETENT MENTAL HEALTH SERVICES, SENIOR SERVICES AND FACILITIES, DRUG OVERDOSE SERVICES, HOMELESSNESS PREVENTION, TRAFFIC SAFETY, AND DIABETES PREVENTION AND MANAGEMENT WERE ALL IDENTIFIED AS CONCERNS. WHILE SOME OF THESE NEEDS ARE BEING MET BY OTHER NYULH PROGRAMS, OTHERS ARE BEING ADDRESSED BY THE MANY VALUABLE COMMUNITY ORGANIZATIONS AND HEALTH CARE PROVIDERS IN THE COMMUNITY.OVER THE DURATION OF THE CSP, WE WILL COORDINATE OUR EFFORTS WITH COMMUNITY ORGANIZATIONS SO THAT WE CONTINUE TO HAVE A COMPREHENSIVE AND UP-TO-DATE UNDERSTANDING OF COMMUNITY NEEDS AND RESOURCES, ENABLING US TO MAXIMIZE OUR COLLECTIVE IMPACT TO IMPROVE THE COMMUNITIES' HEALTH.
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 13H: DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING ADDITIONAL CRITERIA:1. THE PATIENT'S STATE OF RESIDENCE;2. FOR NON-NEW YORK RESIDENTS, THE NATURE OF THE MEDICAL SERVICE (E.G., TREATMENT IN THE EMERGENCY DEPARTMENT, INPATIENT ADMISSION, ELECTIVE PROCEDURE, ETC.);3. FAMILY SIZE, WHICH IS CALCULATED FOR ADULT PATIENTS, BY ADDING THE PATIENT, AND IF APPLICABLE, THE LEGAL GUARDIAN WITH WHOM THE PATIENT RESIDES. A PREGNANT WOMAN IS COUNTED AS TWO FAMILY MEMBERS.FOR PATIENTS WITH UNPAID BALANCES WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ASSIST IN THE APPLICATION PROCESS, THE HOSPITAL MAY SUBMIT THE PATIENT'S DEMOGRAPHICS TO A CREDIT BUREAU TO UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO.
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 16J: INFORMATION ABOUT FINANCIAL ASSISTANCE IS MADE AVAILABLE IN THE HOSPITAL'S ADMISSION BROCHURE. ADDITIONALLY, ALL HOSPITAL BILLS AND STATEMENTS INCLUDE A STATEMENT THAT IF THE PATIENT IS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN AND SPANISH, AND TRANSLATION SERVICES ARE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 23: NYU LANGONE HOSPITALS PROVIDES FOR 100% FINANCIAL ASSISTANCE UP TO 600% FPL, WHICH EXCEEDS NYS' REQUIREMENT OF PROVIDING DISCOUNTED RATES FOR PATIENTS UP TO 300% FPL.
NYU LANGONE HOSPITALS PART V, SECTION B, LINE 24: NYU LANGONE HOSPITALS PROVIDES FOR 100% FINANCIAL ASSISTANCE UP TO 600% FPL, WHICH EXCEEDS NYS' REQUIREMENT OF PROVIDING DISCOUNTED RATES FOR PATIENTS UP TO 300% FPL.
FORM 990, SCH H, PART V, SECTION B, LINES 16 A-C: THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE FOLLOWING WEBSITE:HTTPS://NYULANGONE.ORG/INSURANCE-BILLING-FINANCIAL-ASSISTANCE (LOWER CASE)
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 3C: NYU LANGONE HOSPITALS MAY UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME AND FINANCIAL ASSISTANCE ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO.
PART I, LINE 7: THE COST-TO-CHARGES RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED ON PART I, LINES 7A AND B. THE CALCULATION OF THE RATIO WAS DERIVED FROM THE OPTIONAL WORKSHEET, RATIO OF PATIENT CARE COST-TO-CHARGES. THE RATIO REPRESENTS THE PERCENTAGE OF NET COMMUNITY BENEFIT EXPENSES AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES EXCLUDING BAD DEBT EXPENSES.THE AMOUNT REPORTED ON LINE 7A INCLUDES CHARITY CARE AT THE ORGANIZATION'S FULL GROSS CHARGES AS REPORTED ON INSTITUTIONAL COST REPORTING (ICR S-10) WHICH IS REDUCED TO COST USING THE RATIO OF COST-TO-CHARGES METHOD DESCRIBED ABOVE. HISTORICALLY, THIS AMOUNT WAS REPORTED AS THE DISCOUNT PROVIDED FROM THE AMOUNTS GENERALLY BILLED REDUCED BY THE RATIO OF COST-TO-CHARGES.THE AMOUNT REPORTED ON LINE 7F INCLUDES AMOUNTS FROM THE INSTITUTIONAL COST REPORT AND THE ORGANIZATION'S ACTUAL EXPENSE. THE AMOUNT REPORTED ON LINE 7H REPRESENTS THE ORGANIZATION'S ACTUAL EXPENSE.
PART I, LINE 7G: THE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY SUPPLEMENTING THE ADDITIONAL UNCOMPENSATED CARE PROVIDED BY THE FACULTY GROUP PRACTICE OFFICES OF THE NYU GROSSMAN SCHOOL OF MEDICINE AND THE CLINICS OF THE FAMILY HEALTH CENTERS AT NYU LANGONE WHICH ARE LOCATED THROUGHOUT THE ORGANIZATION'S SERVICE AREA.IN JANUARY 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE OUTBREAK OF THE NOVEL CORONAVIRUS ("COVID-19") TO BE A PANDEMIC. ACCORDINGLY, NYULH BEGAN COVID-19 DISASTER PREPARATION ACTIVITIES INCLUDING ESTABLISHING AN INCIDENT COMMAND TEAM, INCREASING ON-HAND SUPPLY OF INVENTORY OF PERSONAL PROTECTIVE EQUIPMENT AND CRITICAL SUPPLIES TO MITIGATE INTERNATIONAL SUPPLY CHAIN DISRUPTIONS, AND PREPARING NYULH OWNED AND LEASED SPACES FOR THE POTENTIAL SURGE OF COVID-19 PATIENTS. THE CIRCUMSTANCES SURROUNDING COVID-19 ARE UNPRECEDENTED AND CONTINUE TO EVOLVE, WITH NEW YORK CITY BEING ONE OF THE EARLY EPICENTERS OF THE PANDEMIC IN THE UNITED STATES. ON MARCH 7, 2020, THE GOVERNOR OF NEW YORK DECLARED A STATE OF EMERGENCY, AND THE MAYOR OF NEW YORK CITY MADE A SIMILAR EMERGENCY DECLARATION ON MARCH 13, 2020. AS THE CRISIS WORSENED IN THE NEW YORK METROPOLITAN AREA, MEASURES WERE TAKEN BY THE GOVERNMENT TO ADDRESS THE PANDEMIC INCLUDING THE CANCELATION OF ELECTIVE PROCEDURES ON MARCH 16TH, 2020. THESE MEASURES ALONG WITH SUPPLEMENTAL COSTS INCURRED BEGAN TO NEGATIVELY IMPACT THE FINANCIAL PERFORMANCE OF NYULH. THE OPERATIONAL AND FINANCIAL IMPACT OF COVID-19 PEAKED IN APRIL 2020 WITH PATIENT SERVICE REVENUE AT 62% OF PRE-COVID-19 BASELINE REVENUE, 38% OF WHICH WAS ATTRIBUTABLE TO COVID-19 PATIENTS. SINCE THE APRIL 2020 PEAK OF THE PANDEMIC IN THE NEW YORK METROPOLITAN AREA, NYULH'S VOLUME FROM COVID-19 PATIENTS GRADUALLY DECLINED AND SERVICE LINES BEGAN TO RETURN TO PRE-COVID-19 FUNCTIONS. AS OF AUGUST 31, 2020, NYULH HAS RE-OPENED ALL SERVICE LINES.INCLUDED IN THE COST OF SUBSIDIZED HEALTH SERVICES IS THE ORGANIZATION'S COST OF MAINTAINING ESSENTIAL SERVICE LINES THAT WERE OPERATING AT REDUCED CAPACITIES AS A RESULT OF VARIOUS GOVERNMENT ORDERS AND/OR DECREASED DEMAND DURING THE HEALTH CRISIS.
PART I, LN 7 COL(F): BAD DEBT EXPENSE IS NOT INCLUDED IN THE TOTAL EXPENSES ON THE FORM 990 STATEMENT OF FUNCTIONAL EXPENSES
PART II, COMMUNITY BUILDING ACTIVITIES: ACTIVITY: PARTICIPATION IN NATIONAL ENVIRONMENTAL HEALTH COHORTSNYU LANGONE HEALTH PARTICIPATES IN COHORTS AND COMMITMENTS AIMED TO IMPROVE NATIONAL AND GLOBAL ENVIRONMENTAL HEALTH. IT IS A FORUM TO COLLABORATE WITH OTHER HEALTH CARE INSTITUTIONS TO IDENTIFY AND SUPPORT INITIATIVES THAT GO BEYOND REGULATIONS TO REDUCE CHEMICAL EXPOSURE, IMPROVE ACCESS TO FRESH PRODUCE, REDUCE AIR POLLUTION AND MORE - ALL WITH THE CENTRAL GOAL TO TACKLE CLIMATE CHANGE AS A GLOBAL HEALTH ISSUE.OUR PARTICIPATION IN CITY AND NATIONAL COHORTS SUPPORTS ACTIVITIES THAT BENEFIT OUR LOCAL COMMUNITIES AND/OR ENABLES COLLECTIVE ACTION WITH OTHER HOSPITAL PARTICIPANTS TO DEMAND CHANGE FROM STAKEHOLDERS AND GOVERNMENT. FOR EXAMPLE, WE ARE PARTICIPANTS OF THE VOLUNTARY NYC OFFICE OF SUSTAINABILITY'S CARBON CHALLENGE FOR HOSPITALS WHICH REDUCES CITY-WIDE CARBON EMISSION, IMPROVING LOCAL AIR QUALITY. CURRENT NEW YORK AIR POLLUTION LEVELS CONTINUE TO THREATEN COMMUNITIES, PARTICULARLY LOWER-INCOME NEIGHBORHOODS, AND RAISE THE RISK FOR HEART AND LUNG HEALTH COMPLICATIONS. THE NEW YORK HEALTH DEPARTMENT ESTIMATES THAT PM2.5 POLLUTION CONTRIBUTES TO MORE THAN 3,000 DEATHS AND 2,000 HOSPITAL ADMISSIONS FOR CORONARY AND RESPIRATORY CONDITIONS ANNUALLY. WE ALSO PARTICIPATE IN HEALTH CARE WITHOUT HARM'S U.S. HEALTH CARE CLIMATE COUNCIL, WHICH RECOGNIZES CLIMATE CHANGE AS A PUBLIC HEALTH ISSUE AND SPECIFICALLY IDENTIFIES COMMUNITY BENEFIT INITIATIVES AS A PRIORITY IN ANNUAL GOALS. COHORTS INCLUDE: HEALTH CARE WITHOUT HARM (COMMUNITY BENEFIT, SUSTAINABLE PROCUREMENT, HEALTHY INTERIORS, AND LESS MEAT, BETTER MEAT); AND BEDFORD STUYVESANT RESTORATION CORPORATION (FARM TO HOSPITAL). AS A MEMBER OF THE HEALTHY INTERIORS COHORT, WE WORK WITH OUR FURNITURE AND FURNISHING MANUFACTURERS TO MAKE SURE THOSE PRODUCTS ARE FREE OF CHEMICALS OF CONCERN AND ULTIMATELY INCLUDE THOSE REQUIREMENTS INTO OUR NYU LANGONE RED+F DESIGN GUIDELINES. THIS REQUIREMENT NOT ONLY REDUCES CHEMICAL EXPOSURE WITHIN THE HOSPITAL, BUT REDUCES EXPOSURE TO THOSE WORKING THROUGHOUT THE PRODUCT MANUFACTURING CHAIN. IT ULTIMATELY REDUCES OR REMOVES RESPIRATORY AND/OR CARDIOVASCULAR HAZARDS, TOXINS, CARCINOGENS AND OTHER HARMFUL MATERIALS IN THE ENVIRONMENT AND IN THOSE COMMUNITIES VULNERABLE TO EXPOSURE.ACTIVITY: ORGANIC FOOD PURCHASESFOOD & NUTRITION SERVICES PURCHASE LOCAL AND ORGANIC FOODS FOR BOTH RETAIL AND PATIENT MENUS. THE ENERGY & SUSTAINABILITY TEAM WORK CLOSELY WITH CHEF JEFFREY HELD (CULINARY SUSTAINABILITY & WELLNESS, F&NS) TO INCORPORATE MORE LOCAL, ORGANIC, AND SUSTAINABLY-GROWN PRODUCE ACROSS THE INSTITUTION. LOCAL PURCHASING REDUCES TRANSPORTATION-RELATED EMISSIONS AND THEREFORE IMPROVES AIR QUALITY AND REDUCES PARTICULATE MATTER (POLLUTION). IT ALSO SUPPORTS LOCAL FARMS AND PRODUCERS BUSINESSES AND LIVELIHOODS. PURCHASING ORGANIC PRODUCE REDUCES THE USE OF HARMFUL NON-ORGANIC PESTICIDES AND HERBICIDES. THOSE COMMUNITIES LIVING NEAR OR WORKING ON AN ORGANIC FARM EXPERIENCE LESS EXPOSURE TO TOXIC CHEMICALS AND THE COMMUNITY IS PROTECTED AS THESE CHEMICALS OFTEN LEECH INTO WATERWAYS AND THE PRODUCE AND LINGER IN THE AIR/CLOTHING. THE NUMEROUS NEGATIVE HEALTH EFFECTS THAT HAVE BEEN ASSOCIATED WITH CHEMICAL PESTICIDES INCLUDE, AMONG OTHER EFFECTS, DERMATOLOGICAL, GASTROINTESTINAL, NEUROLOGICAL, CARCINOGENIC, RESPIRATORY, REPRODUCTIVE, AND ENDOCRINE EFFECTS. FURTHERMORE, HIGH OCCUPATIONAL, ACCIDENTAL, OR INTENTIONAL EXPOSURE TO PESTICIDES CAN RESULT IN HOSPITALIZATION AND DEATH. BY ELIMINATING THE USE OF TOXIC PESTICIDES, ORGANIC FARMS ALSO PROVIDE A HEALTHIER WORK ENVIRONMENT THAN THEIR CONVENTIONAL COUNTERPARTS. RESEARCH SHOWS THAT EMPLOYEES ON CONVENTIONAL FARMS AND THEIR FAMILIES ARE AT SIGNIFICANT HEALTH RISKS FROM BEING EXPOSED TO PESTICIDES. EMPLOYEES MAY CARRY THOSE RISKS HOME, WHERE THEY MIGHT EXPOSE VULNERABLE POPULATIONS INCLUDING SMALL CHILDREN AND OLDER ADULTS TO CHEMICALS THAT CREATE CHRONIC TOXICITY. HANDLING LIVESTOCK THAT'S BEEN GIVEN ANTIBIOTICS CAN ALSO CREATE LIVESTOCK-ASSOCIATED, ANTIBIOTIC-RESISTANT BACTERIA, WHICH THESE EMPLOYEES ALSO CAN SPREAD TO THEIR FAMILIES. THE PREVALENCE OF ANTIBIOTIC RESISTANT BACTERIA AND ZOONOTIC VIRUSES NATIONALLY AND GLOBALLY IS A RECOGNIZED RISK BY THE WORLD HEALTH ORGANIZATION TO POPULATION HEALTH AND IS EXACERBATED BY THE OVERUSE OF ANTIBIOTICS IN CONVENTIONAL AND NON-ORGANIC METHODS OF RAISING LIVESTOCK.
PART III, LINE 2: THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS REPORTED AS THE EXPENSE AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGES.
PART III, LINE 3: BAD DEBT EXPENSE DOES NOT INCLUDE AMOUNTS FOR FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS.
PART III, LINE 4: FOLLOWING IS THE NYU LANGONE HOSPITALS' AUDITED FINANCIAL STATEMENT, FOOTNOTE ON UNCOMPENSATED CARE (FOOTNOTE 1, PAGE 13): AS A MATTER OF POLICY, LANGONE HOSPITALS PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE UNDER ITS CHARITY CARE POLICY OR THROUGH ITS FINANCIAL AID PROGRAM. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN ACCORDANCE WITH THESE LAWS, LANGONE HOSPITALS HAS IMPLEMENTED A DISCOUNT POLICY AND FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES, AND CAPACITY OF LANGONE HOSPITALS, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO HIS OR HER CARE. UNDER THIS POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW LANGONE HOSPITALS TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. NET PATIENT SERVICE REVENUE RELATED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR EITHER MEDICAID ASSISTANCE OR LANGONE HOSPITALS' FINANCIAL AID PROGRAM IS RECOGNIZED FOR THE AMOUNT OF CONSIDERATION TO WHICH LANGONE HOSPITALS EXPECTD TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, NET OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS. IMPLICIT PRICE CONCESSION RATES FOR UNINSURED PATIENTS ARE REFINED ON AN ANNUAL BASIS.LANGONE HOSPITALS' CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARMENT OF HEALTH'S GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY, AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. PATIENTS ARE ELIGIBLE FOR THE CHARITY CARE FEE SCHEDULE IF THEY MEET CERTAIN INCOME TESTS. SINCE PAYMENT OF THE DIFFERENCE BETWEEN LANGONE HOSPITALS' STANDARD CHARGES AND THE CHARITY CARE FEE SCHEDULES IS NOT SOUGHT, THESE FORGONE CHARGES FOR CHARITY CARE ARE NOT REPORTED AS REVENUE.
PART III, LINE 8: MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED ON PART III, SECTION B, LINES 5 AND 6 ARE DERIVED FROM THE MEDICARE COST REPORT FILED FOR THE FISCAL YEAR ENDED AUGUST 31, 2020.
PART III, LINE 9B: THE HOSPITAL RESERVES THE RIGHT TO TURN OVER TO COLLECTIONS THE ACCOUNTS OF PATIENTS WHO HAVE AN UNPAID BALANCE AND WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL NOT REFER TO COLLECTIONS ANY ACCOUNTS WHERE A FINANCIAL ASSISTANCE APPLICATION IS PENDING; THE PATIENT IS DETERMINED TO BE MEDICAID-ELIGIBLE AT THE TIME HOSPITAL SERVICES WERE RENDERED; OR PURSUING LEGAL ACTION WOULD INTERFERE WITH THE PATIENT'S ABILITY TO PAY HIS/HER MONTHLY LIVING EXPENSES. COLLECTION AGENTS ENGAGED BY THE HOSPITAL ARE REQUIRED TO COMPLY WITH THIS POLICY. FURTHERMORE, IF A LEGAL ACTION INSTITUTED BY THE COLLECTION AGENCY (ACTING ONLY ON THE HOSPITAL'S PRIOR CONSENT) IS DECIDED IN FAVOR OF THE HOSPITAL, THE HOSPITAL WILL NOT SEEK TO FORECLOSE THE PATIENT'S PRIMARY RESIDENCE (ALTHOUGH IT MAY FILE A LIEN) OR TO FREEZE A PATIENT'S BANK ACCOUNT OR GARNISH HIS/HER WAGES ABSENT EXTRAORDINARY CIRCUMSTANCES.
PART VI, LINE 2: PUBLIC PARTICIPATION IN ASSESSING COMMUNITY NEED AND SETTING PRIORITIES HAS BEEN A CONTINUOUS PROCESS OVER THE PAST THREE YEARS. WE HAVE ENGAGED A RANGE OF STAKEHOLDERS - WITH A PARTICULAR FOCUS ON MEDICALLY UNDERSERVED RESIDENTS - TO ASSESS COMMUNITY NEEDS; SET PRIORITIES; DEVELOP, DESIGN, AND IMPLEMENT PROGRAMS; AND SHARE AND CELEBRATE PROGRESS AND RESULTS. WE EMPLOY DIVERSE, OFTEN MULTI-PRONGED, STRATEGIES AND RELY ON OUR EXTENSIVE NETWORK OF COMMUNITY PARTNERS AND ADVISORY BOARDS AND COMMITTEES TO PROVIDE ONGOING OUTREACH AND PROGRAM DEVELOPMENT. THE FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY STRUCTURE INCLUDES THE SUNSET PARK HEALTH COUNCIL AS THE COMMUNITY GOVERNING BOARD; CULTURALLY-SPECIFIC ADVISORY GROUPS; AND PROGRAM-SPECIFIC COUNCILS, INCLUDING THE TEEN HEALTH COUNCIL. THE NYUHC CSP COORDINATING COUNCIL WHICH BRINGS TOGETHER NYU LANGONE FACULTY AND STAFF, COMMUNITY PARTNERS, AND POLICYMAKERS, MEETS QUARTERLY TO OVERSEE PROGRAM IMPLEMENTATION, SHARE FINDINGS, PROVIDE INSIGHT INTO COMMUNITY NEED, AND IDENTIFY PRIORITIES.IN ADDITION, WE REGULARLY CONSULT WITH PUBLIC HEALTH AND POLICY EXPERTS IN THE CITY AND STATE HEALTH DEPARTMENTS, THE STATE OFFICE OF MENTAL HEALTH, THE CITY DEPARTMENT OF EDUCATION, THE NEW YORK CITY HOUSING AUTHORITY, THE NYC OFFICE OF HOUSING PRESERVATION AND DEVELOPMENT AND OTHER AGENCIES AND ORGANIZATIONS WITH EXPERTISE ON THE NEEDS OF LOW-INCOME POPULATIONS, INCLUDING COMMUNITY LEADERS, RESIDENT ASSOCIATIONS, COMMUNITY-BASED ORGANIZATIONS, ADVOCACY GROUPS, AND MEMBERS OF COMMUNITY BOARDS. A LIST OF ORGANIZATIONS AND INDIVIDUALS CONSULTED IS ATTACHED AS APPENDIX B TO THE CHNA. TO UNDERSTAND MORE ABOUT COMMUNITY NEED AND TO SUPPORT POLICYMAKERS, PROVIDERS AND COMMUNITY GROUPS IN UNDERSTANDING COMMUNITY DEMOGRAPHICS, AND HOUSING AND HEALTH OUTCOMES (A HIGH COMMUNITY PRIORITY), WE UNDERTOOK A COMPREHENSIVE ANALYSIS OF EXISTING SOURCES OF DATA, INCLUDING THE NYC DEPARTMENT OF CITY PLANNING FACT FINDER; THE NYC DEPARTMENT OF HEALTH NEIGHBORHOOD HEALTH ATLAS; AND THE NYULH CITY HEALTH DASHBOARD (SEE APPENDIX A OF THE CHNA FOR A LIST OF DATA SOURCES).SUMMARIES OF COMMUNITY HEALTH, SOCIAL, AND ECONOMIC DATA, AS WELL AS UPDATES ON THE CHNA AND CSP, WERE SHARED WITH BROOKLYN COMMUNITY BOARD 7 AND MANHATTAN COMMUNITY BOARDS 3 AND 6. THESE MEETINGS INCLUDED RESIDENTS, AS WELL AS REPRESENTATIVES FROM BUSINESS, AND GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS. THESE SUMMARIES WERE ALSO USED TO INFORM AND SOLICIT INPUT FROM NYULH - BROOKLYN AND FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY GROUPS AND FRONTLINE STAFF AND FROM THE CSP COORDINATING COUNCIL.SIMILAR SUMMARIES WERE COMPILED IN PARTNERSHIP WITH RED HOOK ORGANIZATIONS. OVER 600 PEOPLE WHO LIVE OR WORK IN RED HOOK PARTICIPATED IN THE RED HOOK COMMUNITY HEALTH NEEDS AND ASSETS ASSESSMENT, WHICH INCLUDED A REVIEW OF COMMUNITY DATA FROM DIFFERENT AGENCIES AND ORGANIZATIONS AND PRIMARY DATA COLLECTION THROUGH DOT VOTING, A SURVEY, AND SMALL GROUP CONVERSATIONS (THE LATTER TWO AVAILABLE IN ENGLISH, CANTONESE, AND SPANISH). NOTICE AND OUTREACH WAS FACILITATED THROUGH A NETWORK OF OVER 20 COMMUNITY-BASED ORGANIZATIONS AND PUBLIC POSTING OF TOOLS, DATA, AND REPORTS (HTTPS:REDHOOKCHNAA.WORDPRESS.COM). PARTICIPANTS WHO PROVIDED CONTACT INFORMATION RECEIVED INDIVIDUAL OUTREACH FOR ADDITIONAL OPPORTUNITIES TO SHARE FEEDBACK AND REVIEW FINDINGS AND NEXT STEPS.WE HAVE SOLICITED WRITTEN COMMENTS FROM THE PUBLIC ON OUR PREVIOUS CHNA AND IMPLEMENTATION PLAN BOTH THROUGH OUR WEBSITE AND AT PUBLIC MEETINGS. ALTHOUGH NO WRITTEN COMMENTS WERE RECEIVED, COMMENTS AND DISCUSSION FOLLOWED PUBLIC PRESENTATIONS AT COMMUNITY MEETINGS. THROUGH THIS IN-DEPTH AND COMMUNITY-ENGAGED PROCESS, WE HAVE COMPILED AND UPDATED OUR PROFILE OF THE HEALTH NEEDS AND STRENGTHS OF THE LOWER EAST SIDE AND CHINATOWN, SUNSET PARK AND RED HOOK. THIS ANALYSIS HAS, IN TURN, INFORMED THE PRIORITIES AND PARTNERSHIPS THAT COMPRISE OUR COMMUNITY SERVICE PLAN.WE HAVE CONTINUED TO ENGAGE OUR PARTNERS AND BROADER COMMUNITY THROUGH A VARIETY OF MECHANISMS WITH THE OBJECTIVE OF CREATING AN INFRASTRUCTURE FOR THE ONGOING EXCHANGE OF INFORMATION AND IDEALS AND A PLATFORM FOR CONTINUED CROSS-SECTOR WORK AT THE NEIGHBORHOOD LEVEL TO ADDRESS HIGH PRIORITY PUBLIC HEALTH ISSUES. WE EMBRACE COLLABORATION AS THE FOUNDATION OF SUCCESSFUL SERVICE DEVELOPMENT AND IMPLEMENTATION, AND ACTIVELY SEEK COMMUNITY INVOLVEMENT AS PART OF OUR PROGRAM MANAGEMENT PHILOSOPHY. THESE RELATIONSHIPS HAVE PROVIDED ONGOING OPPORTUNITIES FOR INTERACTION, INCLUDING THE JOINT DEVELOPMENT OF PROGRAMMING.THE COMMUNITY SERVICE PLAN COORDINATING COUNCIL, COMPOSED OF NYU LANGONE HEALTH FACULTY AND STAFF FROM ACROSS THE INSTITUTION, LEADERSHIP AND STAFF OF OUR COMMUNITY PARTNERS, AND OTHER INTERESTED PARTNERS AND POLICYMAKERS, CONTINUES TO MEET EVERY THREE MONTHS - NOW ALTERNATING BETWEEN THE MANHATTAN AND BROOKLYN CAMPUSES OF NYU LANGONE HEALTH. THE COUNCIL COORDINATES COMMUNITY SERVICE PLAN PROJECTS, ENSURING THAT THEY ARE MEETING MILESTONES, MAXIMIZING THEIR IMPACT, AND FOSTERING COLLABORATION ACROSS INSTITUTIONS AND SECTORS. WE CONTINUE TO FIND OPPORTUNITIES TO LEARN AND TO WORK ACROSS PROJECTS AND WITH COLLEAGUES THROUGHOUT THE INSTITUTIONS AND IN THE COMMUNITY. WE ALSO USE THIS FORUM TO DISTRIBUTE INFORMATION ABOUT THE NYULH FINANCIAL ASSISTANCE POLICY.DURING OUR LAST FISCAL YEAR, A NETWORK GROUP WAS FORMED THAT INCLUDED FACULTY AND STAFF (FROM WITHIN NYU LANGONE HEALTH AND FROM COMMUNITY PARTNERS), TO EXPLORE CROSS-CUTTING TOPICS, THUS FAR INCLUDING: THE USE OF PHOTO-VOICE, HOW TO PRESENT QUANTITATIVE AND QUALITATIVE DATA TO COMMUNITY MEMBERS, SURVEY DEVELOPMENT, AND RECRUITMENT TECHNIQUES.WE ALSO PERIODICALLY INVITE OUTSIDE SPEAKERS TO THE MEETINGS OF THE COORDINATING COUNCIL. OVER THE PAST SEVERAL YEARS, TOPICS INCLUDED: REVERSE MIGRATION SEPARATION, AFFORDABLE HOUSING, OVERCOMING CHALLENGES TO MENTAL HEALTH SERVICES FOR ASIAN NEW YORKERS, PRECISION MEDICINE AND SOCIAL DETERMINANTS OF HEALTH, CANCER SCREENING OUTREACH, AND PROPOSED CHANGES TO THE PUBLIC CHARGE RULE.MEMBERS OF THE COORDINATING COUNCIL ALSO ATTEND PRESENTATIONS OF INTEREST AT THE NYULH. OVER A DOZEN LEADERS AND STAFF FROM OUR COMMUNITY REGULARLY ATTEND THE DEPARTMENT OF POPULATION HEALTH'S ANNUAL "HEALTH AND..." CONFERENCE, WHICH BRINGS TOGETHER LEADING INVESTIGATORS, POLICYMAKERS, PRACTITIONERS, AND COMMUNITY LEADERS TO BETTER LEVERAGE THE INTERSECTION BETWEEN "HEALTH AND..." ITS MANY DETERMINANTS.PROGRAM AND ADMINISTRATIVE STAFF PARTICIPATE IN A BROAD RANGE OF PLACE-BASED AND ISSUED-BASED NETWORKS TO STAY ABREAST OF EMERGING NEEDS AND PROMISING PRACTICES. WE CONTINUE TO MEET WITH ADVOCATES, SERVICE PROVIDERS, AND COMMUNITY GROUPS, INCLUDING COMMITTEES OF MANHATTAN COMMUNITY BOARDS 3 AND 6, AND BROOKLYN COMMUNITY BOARD 7 TO PROVIDE REGULAR UPDATES AND OPPORTUNITIES FOR INPUT. SEE APPENDIX B FOR THE LIST OF THESE NETWORKS AND AGENCIES.FINALLY, THE JOINING OF THE MANHATTAN CSP WITH THE CSP AND OTHER COMMUNITY-BASED PROGRAMS IN SUNSET PARK AND NOW RED HOOK CONTINUES TO ENRICH THE COMMUNITY SERVICE PLAN ACROSS THE INSTITUTION. WE HAVE NOW INTEGRATED OUR EFFORTS AND DEPLOYED OUR COLLECTIVE RESOURCES AND EXPERTISE TO STRENGTHEN OUR PROGRAMS.
PART VI, LINE 3: PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY BY APPROPRIATE SIGNAGE IN THE REGISTRATION AND INTAKE AREAS; INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE; AND RESPONSES TO DIRECT INQUIRIES. ALL HOSPITAL BILLS AND STATEMENTS WILL INCLUDE A STATEMENT THAT IF THE PATIENT WAS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, GREEK, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN, AND SPANISH, AND TRANSLATION SERVICES WILL BE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
PART VI, LINE 4: AS A MAJOR ACADEMIC MEDICAL CENTER, NYULH SERVES A BROAD COMMUNITY OF DIVERSE POPULATIONS WITH A WIDE RANGE OF HEALTH CARE NEEDS. ITS PRIMARY SERVICE AREA INCLUDES MANHATTAN, BROOKLYN AND QUEENS; AND THE SECONDARY SERVICE AREA EXTENDS INTO STATEN ISLAND, LONG ISLAND, WESTCHESTER, AND NEW JERSEY. WITH 235+ OUTPATIENT LOCATIONS AND 6+ MILLION OUTPATIENT VISITS IN 2017, NYULH'S COMMUNITY EXTENDS BEYOND ITS CONTIGUOUS BOUNDARIES.TO UNDERSTAND THE NEEDS OF OUR PRIMARY SERVICE AREAS, WE REVIEWED ALL OF THE COMMUNITY HEALTH PROFILES PROVIDED BY THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE AS WELL AS OTHER HEALTH AND DEMOGRAPHIC DATA. BASED ON THAT REVIEW AND IN LIGHT OF OUR COMMITMENT TO CONTINUING OUR CSP PARTNERSHIPS AND WORK, THE 2019-2021 COMMUNITY SERVICE PLAN CONTINUES TO FOCUS ON THE COMMUNITIES SERVED THROUGH THE PREVIOUS PLANS; THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN, AND SUNSET PARK IN BROOKLYN. IN ADDITION, OVER THE COURSE OF THE PAST 1.5 YEARS, WE HAVE WORKED CLOSELY WITH PARTNERS IN RED HOOK, BROOKLYN TO UNDERSTAND THE NEEDS AND PRIORITIES OF THIS VIBRANT BUT UNDER-RESOURCED AND MEDICALLY UNDERSERVED COMMUNITY. OUR 2019-2021 PLAN EXTENDS TO THAT COMMUNITY AS WELL. THESE COMMUNITIES - THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN AND SUNSET PARK AND RED HOOK IN BROOKLYN - WERE SELECTED BASED ON THE NEED FOR SERVICE AS EVIDENCED BY SOCIAL DETERMINANTS OF HEALTH, HEALTH DISPARITIES, RISK FACTORS, AND UTILIZATION DATA. ALTHOUGH THESE COMMUNITIES ARE NOT GEOGRAPHICALLY CONTIGUOUS, THEY SHARE IMPORTANT SIMILARITIES, INCLUDING THE DIVERSITY OF THEIR POPULATIONS, AN INFRASTRUCTURE OF STRONG COMMUNITY-BASED ORGANIZATIONS, AND POCKETS OF POVERTY AMIDST GENTRIFICATION.SUNSET PARKSUNSET PARK RESIDENTS MAKE UP THE HIGHEST PERCENTAGE OF RESIDENTS WHO USE NYULH - BROOKLYN AND FAMILY HEALTH CENTERS AT NYU LANGONE. SUNSET PARK IS A MIXED RESIDENTIAL, INDUSTRIAL, AND COMMERCIAL NEIGHBORHOOD IN SOUTHWEST BROOKLYN, ADJOINING THE WATERFRONT. THE SUNSET PARK COMMUNITY DISTRICT (BROOKLYN CD 7), WHICH INCLUDES NEIGHBORING WINDSOR TERRACE, IS HOME TO ABOUT 150,000 RESIDENTS. MORE THAN 1/4 OF ITS RESIDENTS (26%) ARE UNDER THE AGE OF 20.FOR NEARLY 200 YEARS, SUNSET PARK HAS SERVED AS A FIRST DESTINATION FOR IMMIGRANTS - TODAY, 47% OF RESIDENTS ARE FOREIGN BORN. 2 CROWDED AND VIBRANT COMMERCIAL CORRIDORS OF SHOPS, RESTAURANTS, AND SMALL BUSINESSES SERVE AS THE LARGE LATINX (41%) AND ASIAN (32#) COMMUNITIES. ABOUT 40% OF THE LATINX RESIDENTS ARE OF MEXICAN ORIGIN, AND ABOUT 90% OF THE ASIAN RESIDENTS ARE OF CHINESE ORIGIN.SOCIAL, ECONOMIC, AND ENVIRONMENTAL ISSUES IMPACTING THE COMMUNITY CONTINUE TO BE TOP AREAS OF NEED AND TOP PRIORITIES IDENTIFIED BY COMMUNITY MEMBERS. SUNSET PARK IS A COMMUNITY THAT GRAPPLES WITH HIGH LEVELS OF POVERTY, LOW EDUCATIONAL ATTAINMENT, AND HEALTH DISPARITIES. 27% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 20% OF RESIDENTS IN NEW YORK CITY; 24% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED WITH 16% OF FAMILIES IN NEW YORK CITY AS A WHOLE. POVERTY IS PARTICULARLY ACUTE AMONG FAMILIES WITH CHILDREN - 31% OF FAMILIES WITH CHILDREN UNDER 18 LIVE BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IS $51,714. SUNSET PARK RANKS AMONG THE NEIGHBORHOOD WITH THE HIGHEST LEVEL OF ADULTS 25 YEARS AND OLDER WITH LESS THAN A HIGH SCHOOL EDUCATION - 40% HAVE LESS THAN A HIGH SCHOOL EDUCATION, INCLUDING 21% WHO HAVE LESS THAN A 9TH GRADE EDUCATION. UNEMPLOYMENT IS SLIGHTLY LOWER IN SUNSET PARK (7%) THAN IN NYC (8%), YET MANY WORKERS LACK HEALTH INSURANCE (24% IN SUNSET PARK COMPARED WITH 13% CITYWIDE). A HIGH PERCENT OF THE SUNSET PARK POPULATION HAS ACCESS TO HEALTH INSURANCE THROUGH MEDICAID - WITH NEARLY 2/3 (65%) CHILDREN UNDER AGE 19 YEARS AND ABOUT 1/3 (32%) ADULTS AGES 19 - 64 YEARS COVERED ONLY BY MEDICAID.ENGLISH LANGUAGE PROFICIENCY IS A MAJOR BARRIER FOR SUNSET PARK RESIDENTS: 74% OF RESIDENTS AGES 5 YEARS AND OLDER SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME. 49% OF RESIDENTS AGES 5 YEARS AND OLDER HAVE LIMITED ENGLISH PROFICIENCY.IN ADDITION, SUNSET PARK HAS THE 2ND OLDEST HOUSING STOCK IN NYC AND RESIDENTS OFTEN HAVE NO CHOICE BUT TO RENT UNITS IN POOR CONDITION. 1/3 OF RENTER HOUSEHOLDS IS SEVERELY RENT BURDENED, MEANING THAT THEIR GROSS RENT IS MORE THAN 1/2 OF THEIR HOUSEHOLD INCOME. SUNSET PARK RANKS 3RD IN THE CITY FOR SEVERE OVERCROWDING AND COMMUNITY MEMBERS ARE CONCERNED ABOUT HOUSING STABILITY AND BEING DISPLACED FORM THE COMMUNITY.THE LOWER EAST SIDE AND CHINATOWNTO INCREASE OUR IMPACT AND CREATE OPPORTUNITIES FOR SYNERGY ACROSS PROGRAMS, STARTING WITH THE 2013-2016 CHNA, NYULH FOCUSED ON THE AREA CLOSEST TO THE MANHATTAN CAMPUS WITH THE GREATEST NEED: THE LOWER EAST SIDE AND CHINATOWN. THE LOWER EAST SIDE / CHINATOWN COMMUNITY DISTRICT, WHICH INCLUDES NEIGHBORING EAST VILLAGE (MANHATTAN COMMUNITY DISTRICT 3), IS A COMMUNITY WITH CONCENTRATED POCKETS OF POVERTY AND A HIGH PERCENTAGE OF LATINOS AND ASIANS - GROUPS THAT EXPERIENCE DISPARITIES IN MANY HEALTH OUTCOMES. LOCATED ALONG THE EASTERN SHORE OF LOWER MANHATTAN, THIS NEIGHBORHOOD IS ONE OF THE EARLIEST AREAS SETTLED IN NYC AND WAS A HISTORIC STOP FOR IMMIGRANTS IN THE 19TH AND EARLY 20TH CENTURY. TODAY, THE COMMUNITY DISTRICT IS HOME TO ABOUT 160,000 RESIDENTS, INCLUDING 35% FOREIGN-BORN. IMMIGRANT POPULATIONS COMPRISE A LARGE PERCENTAGE (52%) OF RESIDENTS IN THE CHINATOWN NEIGHBORHOOD. IN RECENT YEARS, THE ASIAN POPULATION HAS DECLINED WHILE THERE HAS BEEN AN INCREASE IN WHITE RESIDENTS. TODAY, THE POPULATIONS IS ABOUT 33% WHITE, 32% ASIAN, AND 25% LATINX.OVERALL, 29% OF THE POPULATION IN MANHATTAN CD 3 HAVE LIMITED ENGLISH PROFICIENCY. AMONG THE CHINESE LANGUAGE SPEAKERS, 77% SPEAK ENGLISH "LESS THAN VERY WELL" COMPARED WITH 60% FOR CHINESE LANGUAGE SPEAKERS IN MANHATTAN AS A WHOLE. MANHATTAN CD 3 RANKS AMONG THE NEIGHBORHOODS WITH THE HIGHEST PERCENT OF ADULTS AGES 65 YEARS AND OLDER - 17% OF THE POPULATION OVERALL, WITH HIGHER PERCENTS IN THE LOWER EAST SIDE AND CHINATOWN NEIGHBORHOOD AREAS. IN ITS MOST RECENT NEEDS STATEMENT, THE COMMUNITY BOARD HIGHLIGHTED THE GROWING NEED FOR SENIOR SERVICES.WITH 26% OF INDIVIDUALS LIVING BELOW POVERTY, THE LOWER EAST SIDE / CHINATOWN STANDS IN STARK CONTRAST TO THE SURROUNDING NEIGHBORHOODS IN LOWER MANHATTAN - THE FINANCIAL DISTRICT AND GREENWICH VILLAGE / SOHO - WHICH RANK AMONG THE NEIGHBORHOODS WITH THE LOWEST POVERTY RATES IN ALL OF NEW YORK CITY (8%). YET EVEN WITHIN THE COMMUNITY DISTRICT, THERE ARE AREAS OF WEALTH, WITH 26% OF RESIDENTS HAVING INCOMES FIVE TIMES HIGHER THAN POVERTY LEVEL. NEWER WEALTHIER DEVELOPMENTS ARE ARISING ALONGSIDE OLDER HOUSING STOCK HOME TO RESIDENTS WITH LOWER INCOMES.NEARLY 27% OF ALL PUBLIC HOUSING UNITS IN MANHATTAN ARE LOCATED IN COMMUNITY DISTRICT 3 (ABOUT 8% OF THE TOTAL FOR NYC), YET AS THE NEIGHBORHOOD CONTINUES TO GENTRIFY, THERE IS GROWING COMMUNITY CONCERN ABOUT ACCESS TO AFFORDABLE HOUSING.RED HOOKOVER THE PAST 1.5 YEARS, WE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNAA) AND COLLABORATIVELY DEVELOPED A PLAN TO PRIORITIZE AND ADDRESS PRESSING HEALTH CONCERNS AND ISSUES IN RED HOOK, BROOKLYN. THE ASSESSMENT WAS PARTICULARLY IMPORTANT BECAUSE READILY AVAILABLE DATA FOR RED HOOK - SUCH AS THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE COMMUNITY DISTRICT PROFILE - ARE OFTEN AGGREGATED WITH MORE AFFLUENT NEIGHBORING COMMUNITIES, THEREBY MASKING RED HOOK'S POVERTY AND NEED. THE IN-DEPTH ASSESSMENT WAS PLANNED BY A TEAM OF SIX ORGANIZATIONS: THE ALEX HOUSE PROJECT, FAMILY HEALTH CENTERS AT NYU LANGONE, GOOD SHEPHERD SERVICES, NYULH DEPARTMENT OF POPULATION HEALTH, THE RED HOOK COMMUNITY JUSTICE CENTER, AND THE RED HOOK INITIATIVE. DURING THE ASSESSMENT PROCESS, THE CHNAA TEAM:- REVIEWED DATA FROM ORGANIZATIONS AND AGENCIES, AND IDENTIFIED MISSING DATA NEEDING FURTHER EXPLORATION;- COLLECTED ADDITIONAL INFORMATION FROM PEOPLE WHO LIVE AND WORK IN RED HOOK THROUGH DOT VOTING, SURVEYING, AND SMALL-GROUP CONVERSATIONS;- IDENTIFIED STRENGTHS AND EXISTING PROGRAMS AND RESOURCES; AND - IDENTIFIED POTENTIAL FUTURE ACTIONS TO ADDRESS TOP HEALTH CONCERNS.RED HOOK IS A RESILIENT, DIVERSE AND LIVELY WATERFRONT COMMUNITY IN BROOKLYN. THE NEIGHBORHOOD IS HOME TO NYC'S 2ND LARGEST PUBLIC HOUSING COMPLEX, THE RED HOOK HOUSES. MORE THAN 1/2 OF RED HOOK RESIDENTS LIVE IN PUBLIC HOUSING. THE MAJORITY OF RED HOOK RESIDENTS ARE RACIAL AND ETHNIC MINORITIES. 41% IDENTIFY AS LATINX, 33% AFRICAN AMERICAN, 19% WHITE, AND APPROXIMATELY 4% ASIAN. 23% OF RED HOOK'S APPROXIMATELY 11,000 RESIDENTS ARE UNDER THE AGE OF 18. LIKE MANY NYC NEIGHBORHOODS, RED HOOK, IS EXPERIENCING GENTRIFICATION. THE PERCENTAGE OF RESIDENTS WITH INCOMES BELOW THE FEDERAL POVERTY LEVEL STAYED ABOUT THE SAME FROM 2006-2016, BUT THE PERCENTAGE OF THE WEALTHIEST RESIDENTS (INCOMES OF AT LEAST 5 TIMES HIGHER THAN POVERTY LEVEL) INCREASED IN AREAS SURROUNDING THE RED HOOK HOUSES.
PART VI, LINE 5: AN OVERARCHING GOAL OF THE COMMUNITY SERVICE PLAN IS TO HELP IMPROVE THE HEALTH OF THE POPULATIONS OF THE LOWER EAST SIDE/CHINATOWN, SUNSET PARK AND RED HOOK. WE HAVE CONTINUED TO ENGAGE OUR PARTNERS AND THE BROADER COMMUNITY THROUGH A VARIETY OF MECHANISMS WITH THE OBJECTIVE OF CREATING AN INFRASTRUCTURE FOR THE ONGOING EXCHANGE OF INFORMATION AND IDEAS AND A PLATFORM FOR CONTINUED CROSS-SECTOR WORK AT THE NEIGHBORHOOD LEVEL TO ADDRESS HIGH PRIORITY PUBLIC HEALTH ISSUES.THE COMMUNITY SERVICE PLAN COORDINATING COUNCIL COMPOSED OF NYULH FACULTY AND STAFF FROM ACROSS THE INSTITUTION, LEADERSHIP AND STAFF OF OUR COMMUNITY PARTNERS AND OTHER INTERESTED PARTNERS AND POLICYMAKERS CONTINUES TO MEET EVERY 3 MONTHS TO COORDINATE THE VARIOUS PROJECTS AND ENSURE THAT THEY ARE MEETING MILESTONES, MAXIMIZING THEIR IMPACT, AND FOSTERING COLLABORATION ACROSS INSTITUTIONS AND SECTORS. WE CONTINUE TO FIND OPPORTUNITIES TO LEARN AND TO WORK ACROSS PROJECTS WITH COLLEAGUES THROUGHOUT THE INSTITUTION AND IN THE COMMUNITY. DURING OUR PREVIOUS FISCAL YEAR, A NETWORK GROUP HAS FORMED THAT INCLUDES FACULTY AND STAFF (FROM WITHIN NYULH AND FROM COMMUNITY PARTNERS), TO EXPLORE CROSS-CUTTING TOPICS, THUS FAR, INCLUDING: THE USE OF PHOTO-VOICE, HOW TO PRESENT QUANTITATIVE AND QUALITATIVE DATA TO COMMUNITY MEMBERS, SURVEY DEVELOPMENT, AND RECRUITMENT TECHNIQUES.WE ALSO PERIODICALLY INVITE OUTSIDE SPEAKERS TO THE MEETINGS OF THE COORDINATING COUNCIL. OVER THE PAST SEVERAL YEARS, TOPICS HAVE INCLUDED: REVERSE MIGRATION SEPARATION, AFFORDABLE HOUSING, OVERCOMING CHALLENGES TO MENTAL HEALTH SERVICES FOR ASIAN NEW YORKERS, PRECISION MEDICINE AND SOCIAL DETERMINANTS OF HEALTH, CANCER SCREENING OUTREACH, AND PROPOSED CHANGES TO THE PUBLIC CHARGE RULE.MEMBERS OF THE COORDINATING COUNCIL ALSO ATTEND PRESENTATIONS OF INTEREST AT THE NYULH. OVER A DOZEN LEADERS AND STAFF FROM OUR COMMUNITY PARTNERS REGULARLY ATTEND THE DEPARTMENT OF POPULATION HEALTH'S ANNUAL "HEALTH AND..." CONFERENCE, WHICH BRINGS TOGETHER LEADING INVESTIGATORS, POLICYMAKERS, PRACTITIONERS, AND COMMUNITY LEADERS TO BETTER LEVERAGE THE INTERSECTION BETWEEN "HEALTH AND..." ITS MANY DETERMINANTS.PROGRAM AND ADMINISTRATIVE STAFF PARTICIPATE IN A BROAD RANGE OF PLACE-BASED AND ISSUE-BASED NETWORKS TO STAY ABREAST OF EMERGING NEEDS AND PROMISING PRACTICES. WE CONTINUE TO MEET WITH ADVOCATES, SERVICE PROVIDERS, AND COMMUNITY GROUPS, INCLUDING COMMITTEES OF MANHATTAN COMMUNITY BOARDS 3 AND 6, AND BROOKLYN COMMUNITY BOARD 7 TO PROVIDE REGULAR UPDATES AND OPPORTUNITIES FOR INPUT. FINALLY, THE JOINING OF THE MANHATTAN CSP WITH THE CSP AND OTHER COMMUNITY-BASED PROGRAMS IN SUNSET PARK AND NOW RED HOOK CONTINUES TO ENRICH THE COMMUNITY SERVICE PLAN ACROSS THE INSTITUTION. WE HAVE NOW INTEGRATED OUR EFFORTS AND DEPLOYED OUR COLLECTIVE RESOURCES AND EXPERTISE TO STRENGTHEN OUR PROGRAMS.THE COORDINATING COUNCIL WILL CONTINUE TO OVERSEE PROGRAM IMPLEMENTATION, WORK COLLABORATIVELY TO FIND POINTS OF SYNERGY ACROSS PROGRAMS AND NEIGHBORHOODS, AND ASSESS PROGRESS AND MAKE MID-COURSE CORRECTIONS. IN ADDITION, EACH PROGRAM COLLECTS DATA ABOUT LEVELS OF PARTICIPATION, PARTICIPANT SATISFACTION, AND IMPACT ON HEALTH AND WELL-BEING. THIS IS DONE THROUGH ATTENDANCE RECORDS, SURVEYS, AND OTHER FORMS OF DATA COLLECTION.GROWING OUT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND ALIGNING WITH THE NYS PREVENTION AGENDA AND NYC PUBLIC HEALTH PRIORITIES, THE NYULH 3-YEAR IMPLEMENTATION PLAN FOCUSES ON PREVENTING CHRONIC DISEASES BY REDUCING RISK FACTORS FOR OBESITY AND CARDIOVASCULAR DISEASE AND DECREASING TOBACCO USE AND EXPOSURE TO SECONDHAND SMOKE, AND ON PROMOTING HEALTH WOMEN, INFANTS AND CHILDREN THROUGH PARENTING, EARLY CHILDHOOD AND TEEN PREGNANCY PREVENTION PROGRAMS. OUR COMMUNITY SERVICE PLAN PROGRAMS SPAN MULTIPLE SECTORS: EARLY CHILDHOOD SETTINGS AND SCHOOLS, PRIMARY CARE, HOUSING, AND COMMUNITY SETTINGS, SUCH AS FAITH-BASED ORGANIZATIONS AND SOCIAL SERVICE PROVIDERS.DRAWING ON ITS EXPERTISE IN DEVELOPING AND IMPLEMENTING EFFECTIVE APPROACHES TO HEALTH PROMOTION AT THE COMMUNITY LEVEL, THE DEPARTMENT OF POPULATION HEALTH ("DPH") HAS SERVED AS THE ARCHITECT FOR THE CHNA AND CSP SINCE 2013. SINCE 2016, DPH AND THE FAMILY HEALTH CENTERS AT NYU LANGONE HAVE WORKED TOGETHER TO DEVELOP A CSP DESIGNED TO CREATE SYNERGIES ACROSS PROGRAMS AND TO TAKE ADVANTAGE OF THE COMBINED EXPERTISE OF OUR LARGER INSTITUTION, THE STRONG FOUNDATION OF WORK UNDER BOTH OF OUR PREVIOUS PLANS, AND THE STRENGTHS OF OUR COMMUNITY PARTNERSHIPS.THROUGH ITS CSP, NYULH BRINGS TO BEAR A WIDE RANGE OF EXPERTISE IN OBESITY PREVENTION, HEALTH LITERACY, FAMILY AND COMMUNITY ENGAGEMENT, SMOKING CESSATION, PREVENTION SCIENCE, AND POPULATION HEALTH. THE PROGRAMS AND PRIORITIES REMAIN CONSISTENT WITH NYULH PRIOR YEARS' CSPS, BUT UNDER THE CURRENT CSP, EXISTING PROGRAMS HAVE BEEN EXTENDED AND NEW INITIATIVES ADDED. THE CSP'S GEOGRAPHIC SCOPE INCLUDES THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN, AND SUNSET PARK IN BROOKLYN; WE RECENTLY ALSO COMPLETED A NEEDS AND ASSET ASSESSMENT IN RED HOOK, BROOKLYN, AND ARE BEGINNING TO IMPLEMENT CSP PROGRAMS THERE AS WELL.
PART VI, LINE 6: NYU LANGONE HEALTH SYSTEM (THE "HEALTH SYSTEM") IS THE SOLE CORPORATE MEMBER OF LANGONE HOSPITALS ("NYULH"). NYULH OWNS AND OPERATES FIVE INPATIENT ACUTE CARE FACILITIES AND OVER 35 AMBULATORY FACILITIES IN MANHATTAN, BROOKLYN, AND LONG ISLAND. THE MANHATTAN INPATIENT FACILITIES ARE THE KIMMEL PAVILION (WHICH ALSO HOUSES THE HASSENFELD CHILDREN'S HOSPITAL) AND TISCH HOSPITAL, LOCATED ON THE MAIN CAMPUS AT FIRST AVENUE AND EAST 34TH STREET WITH 844 LICENSED BEDS;NYU LANGONE ORTHOPEDIC HOSPITAL ("NYU ORTHOPEDICS"), A 225-BED FACILITY SPECIALIZING IN ORTHOPEDIC, NEUROLOGIC, AND RHEUMATOLOGIC SERVICES; NYU LANGONE HOSPITAL-BROOKLYN ("NYU BROOKLYN"), A 444-BED FACILITY IN THE SUNSET PARK SECTION OF BROOKLYN; AND NYU WINTHROP HOSPITAL ("WINTHROP"), A 591-BED FACILITY LOCATED IN MINEOLA, NEW YORK. AMBULATORY FACILITIES INCLUDE THE LAURA AND ISAAC PERLMUTTER CANCER CENTER ("CANCER CENTER"), THE AMBULATORY CARE CENTER, THE OUTPATIENT SURGERY CENTER, THE ORTHOPEDIC CENTER, A FREE-STANDING EMERGENCY DEPARTMENT IN THE COBBLE HILL SECTION OF BROOKLYN, THE BROOKLYN ENDOSCOPY AND AMBULATORY SURGERY CENTER IN THE MIDWOOD SECTION OF BROOKLYN AND LEVIT MEDICAL, A DIAGNOSTIC AND TREATMENT FACILITY WITH THREE LOCATIONS IN BROOKLYN. BROOKLYN HAD AN EXISTING AFFILIATION AGREEMENT WITH SUNSET PARK HEALTH COUNCIL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, D/B/A FAMILY HEALTH CENTER AT NYU LANGONE ("FHC"). FHC IS A DESIGNATED LEVEL 3 MEDICAL HOME AND A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") WHICH WAS ESTABLISHED AS A "CO-OPERATOR" WITH BROOKLYN. A NEW AFFILIATION AGREEMENT WAS EXECUTED IN FISCAL YEAR 2017 BETWEEN NYULH AND FHC WHICH WILL REMAIN IN EFFECT FOR AS LONG AS NYULH REMAINS A CO-OPERATOR OF THE FQHC.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2019
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