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
2020
Open to Public Inspection
Name of the organization
THE NEW YORK AND PRESBYTERIAN HOSPITAL
 
Employer identification number

13-3957095
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) . . . 		  38,817 70,735,117 13,143,984 57,591,133 0.790 %
b Medicaid (from Worksheet 3, column a) . . . . .   517,975 1,434,029,913 791,981,462 642,048,451 8.850 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   556,792 1,504,765,030 805,125,446 699,639,584 9.640 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 19 63,464 35,484,572 14,140,587 21,343,985 0.290 %
f Health professions education (from Worksheet 5) . . .     658,943,401 119,068,176 539,875,225 7.440 %
g Subsidized health services (from Worksheet 6) . . . .   346,388 529,319,296 88,522,337 440,796,959 6.070 %
h Research (from Worksheet 7) .     945,117   945,117 0.010 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .   1,155 25,921,987   25,921,987 0.360 %
j Total. Other Benefits . . 19 411,007 1,250,614,373 221,731,100 1,028,883,273 14.170 %
k Total. Add lines 7d and 7j . 19 967,799 2,755,379,403 1,026,856,546 1,728,522,857 23.810 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 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
27,980,160
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
609,078
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
907,614,862
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,295,019,447
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-387,404,585
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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 NewYork-Presbyterian Hospital
525 east 68th street
New York,NY10065
www.nyp.org
7002054H 		X X X X   X X   psychiatric hospital  
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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)
NewYork-Presbyterian Hospital
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 19
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): see supplemental information
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NewYork-Presbyterian Hospital
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 supplemental information
b
see supplemental information
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NewYork-Presbyterian Hospital
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NewYork-Presbyterian Hospital
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) 2020
Schedule H (Form 990) 2020
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
Part V, Section A: Website: WWW.NYP.ORG License Certificate Number 7002054H The NewYork-Presbyterian Hospital has Seven Geographical locations as indicated below: New York Weill Cornell Center: 525 East 68th Street, New York, NY 10065 Columbia Presbyterian Center/Morgan Stanley Children Center: 622 West 168th Street, New York, NY 10032 Allen Hospital: 5141 Broadway, New York, NY 10034 Westchester Division: 21 Bloomingdale Road, White Plains, NY 10605 Lower Manhattan Hospital: 170 Williams Street, New York, NY 10038 Lawrence Hospital: 55 Palmer Ave, Bronxville, NY 10708 David H. Koch Center: 1283 York Avenue, New York, NY 10065
Part V, Section B community health needs assessment Part V, Line 5 NewYork-Presbyterian Hospital (NYPH) completed a Community Health Needs Assessment (CHNA) to identify the needs of the community we serve, developed a Community Service Plan (CSP) and developed an implementation plan to address the areas of highest need. The community, spanning from New York City to the counties just outside of NYC, represent a broad diversity of demographics, socioeconomics, and health service utilization needs, and require a custom approach to community service planning. The leaders of NYPH are dedicated to the community with a mission to be the premier healthcare institution serving our greater community by providing excellence in clinical care and patient safety, education, clinical research, and service. This document outlines the process, priorities, partners, and intended community-based improvement activities for 2019 2021. The CHNA process aligns with the 2019 2024 New York State Prevention Agenda. The Prevention Agenda is the state health improvement plan that develops a local action plan to improve the health and well-being of all New Yorkers and to promote health equity in all populations who experience disparities. NYPH is part of NewYork-Presbyterian (NYP), one of the nations most comprehensive and integrated academic healthcare delivery systems. Founded nearly 250 years ago with the fundamental belief that every person deserves access to the best care, NYP now includes NYPH with its seven campuses, the three Regional Hospitals consisting of NewYork-Presbyterian/Queens, NewYork-Presbyterian/Brooklyn Methodist Hospital, and NewYork-Presbyterian/Hudson Valley Hospital, as well as more than 200 primary and specialty care clinics and medical groups, and an array of telemedicine services. NYPH and each of the Regional Hospitals conduct their own community health needs assessment and develop independent community service plans. In conducting the 2019 CHNA, NYPH collaborated with the New York City Department of Health and Mental Hygiene (NYC DOHMH), Westchester County Department of Health (WCDOH), Westchester County Health Planning Coalition, Westchester County Community Health Summit, Citizens Committee for Children of New York (CCC), Columbia University Mailman School of Public Health (CUMSPH), Weill Cornell Medicine, New York Academy of Medicine (NYAM), and Greater New York Hospital Association (GNYHA). These partnerships ensure that all aspects of the CHNA process, from the data collection and analytics to the collection of community input and health need prioritization, were community centric in its approach. Each collaborator added to the ongoing work by providing insight on the publicly available data for the various regions specific to the NYPH high disparity communities, while providing guidance on collecting stakeholder and community feedback and incorporating best practices for the CHNA. NYPH validated and refined the quantitative data results through the use of (1) primary data and community input from facilitation of focus groups and administration of community health need questionnaires to area residents as well as (2) leveraging other community assessments such as the Herbert Irving Comprehensive Cancer Center (HICCC) of Columbia University Cancer Community Health Needs Assessment and the CCCs series of Community Needs Reports (in Northern Manhattan, Staten Island, Brownsville Community District in Brooklyn and Elmhurst-Corona in Queens). NYPH engaged NYAM to gather qualitative information through an extensive process of community health needs questionnaires (CHNQs) and focus groups. The CHNQs gathered input from respondents across the five boroughs, Westchester County, and Putnam County on their perceptions of personal and community health, ways to improve the health of the community, and how they access both health systems generally and NYP specifically. NYAM also facilitated focus groups of community members to obtain local perspectives on the health and needs of the community at large. NYPH partnered with several community-based organizations to host these twenty-two focus groups: Asian Americans for Equality; Battery Park Seniors; Brooklyn Pride Center; Bronxville Senior Citizens, Inc.; Caribbean Womens Health Association; Carter Burden Network; Caring for the Homeless and Hungry of Peekskill; CAMBA; Church of the Epiphany; Columbia University Irving Medical Center; Community League of the Heights; Dominican Womens Development Center; Downtown Health Association; Eastchester Community Action Partnership; Elmcor; Field Library; Hamilton-Madison House; Harlem Pride; Henry Street Settlement; HOPE Community Services; Hudson Valley Gateway Chamber of Commerce; HRH Care Community Health; Make the Road New York; Marble Hill Resident Council; Northern Manhattan Coalition for Immigrant Rights; NYP Community Leadership Council; NYP Lower Manhattan Community Advisory Board (CAB); Uptown Community Physicians; NYP Weill Cornell Community Advisory Board (CAB); NYP Westchester Behavioral Health Center Community Advisory Board (CAB); Peoples Theatre Project; Public Health Solutions; Shorefront Y; Stanley M. Isaacs Neighborhood Center; Town of Yorktown New York; The Korean Community Services of Metropolitan New York Inc.; The Yorktown Chamber of Commerce; Upper Manhattan Interfaith Leaders Coalition; Weill-Cornell Medicine; Yonkers Police Athletic League. The CHNA and CSP process was data driven, utilizing publicly available and measurable data along with community input from numerous sources and were combined to analyze the health and challenges of our community. The analysis focused upon the identification of high disparity communities and utilized data related to demographics, socioeconomic status, insurance status, social determinants of health, health service utilization, and NY State Prevention Agenda priorities. Data sources include the Citizens Committee for Children of New York (CCC) Keeping Track Online, Data City of New York, Data2Go.NYC, NYC Health Atlas; NYC Mayor Report on Poverty, the Association for Neighborhood & Housing Development, Behavioral Risk Factor Surveillance System (BRFSS), Claritas, NYC Community Health Profile, State Cancer Profiles, U.S. Department of Agriculture, Cares Engagement, Claritas, New York State Community Health Indicator Reports (CHIRS), the Robert Wood Johnson County Health Rankings, State Cancer Profiles and the United Hospital Fund. NYPH recognizes that our community challenges are complex and healthcare outcomes are often linked to societal issues; therefore, community input from focus groups and community questionnaires were gathered and allowed for a diverse group of involvement with awareness to culture, race, language, age, gender identity and sexual orientation. The collected data was ranked to provide detailed insight into the communities with high disparities and was then prioritized to determine the highest health needs for the identified communities. The prioritized data provided insight into community health needs and challenges and allowed us to establish focus areas and goals as outlined in the New York State Prevention Agenda. Based on the data collection, community input, and analysis processes completed, we, in partnership with local community based organizations, will target the neighborhoods of Washington Heights, Lower East Side, and Mt Vernon, which will allow the utilization of NYPH resources and new investment opportunities to concentrate improvement efforts and directly impact the community within the three-years of the service plan. NYPH engaged in a dynamic data collection and analytic process to ensure that the community and its needs were well represented throughout the CHNA development process. NYPH utilized both quantitative and qualitative data to create a picture of the health needs of the defined communities. The quantitative data focused on publicly available measurable indicators at the Neighborhood Tabulation Area (NTA) for the New York City community and county level indicators for geographies outside of NYC, while the qualitative data focused on the primary perspectives and input from community members obtained through questionnaires and focus groups. Additionally, NYPH leveraged community assessments to provide additional perspectives of the community including the Herbert Irving Comprehensive Cancer Center (HICCC) of Columbia University Cancer Community Health Needs Assessment and the CCCs series of Community Needs Reports (in Northern Manhattan, Staten Island, Brownsville Community District in Brooklyn and Elmhurst-Corona in Queens). NYPH utilized data sets from multiple sources to analyze community health need and health risks to the specific neighborhood level in NYC. The analysis utilized the Neighborhood Tabulation Area (NTA) geography of 29 indicators across five domains: demographics, income, insurance, access to care and New York State Prevention Agenda (NYS PA). Additional indicators, among cate
Part V, Section B Financial Aid Policy Question 15e: The NewYork-Presbyterian Hospital has a financial advocacy programstaffed by representatives who reach out to patients to provide information regarding Medicaid, Exchange Plans, Financial Aid and to assist those patients who need help to apply to such programs. 16a, 16b and 16c: www.nyp.org/pay-my-bill-charity-care Question 16j: The Hospital follows two basic approaches to publicizing the availability of Financial Aid. First, it makes the Financial Aid Policy itself, a plain language summary (Summary), and the Financial Aid application available at various Hospital patient access points, posts signs conspicuously in public areas of the Hospital, includes information on billing statements, posts information (including how to obtain the policy, summary and application) on the website, and responds to inquiries from patients and members of the community on financial aid. Secondly, the Hospital provides updates and information (including the policy, the summary and the application) on a regular basis to leaders of community advisory boards, local community boards, elected officials, the City Health Department as well as our DSRIP Project Advisory Committee.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?20
Name and address Type of Facility (describe)
1 AVON FOUNDATION BREAST IMAGING CENTER
1130 ST NICHOLS AVENUE
NEW YORK,NY10032 		CLINIC
2 BROADWAY CLINIC
4781-4783 BROADWAY
NEW YORK,NY10034 		CLINIC
3 CHARLES B RANGEL COMMUNITY HEALTH CENTER
534A WEST 135th STREET
NEW YORK,NY10031 		CLINIC
4 CHELSEA CENTER FOR SPECIAL STUDIES
53 WEST 23rd STREET
NEW YORK,NY10011 		CLINIC
5 FAMILY MEDICINE HD FARRELL JR PRACTICE
610 WEST 158th STREET
NEW YORK,NY10032 		CLINIC
6 FORT WASHINGTON HOUSES
99 FORT WASHINGTON AVENUE
NEW YORK,NY10032 		CLINIC
7 GEORGE WASHIngTON HIGH SCHOOL
549 AUDUBON AVENUE
NEW YORK,NY10034 		SCHOOL BASED CLINIC
8 I SHERWOOD WRIGHT CENTER FOR AGING
1484 FIRST AVENUE
NEW YORK,NY10032 		CLINIC
9 INTERMEDIATE SCHOOL 136
6 EDGECOMB AVENUE
NEW YORK,NY10032 		SCHOOL BASED CLINIC
10 INTERMED SCHool 143 ELEANOR ROOSEVELT
515 WEST 182ND STREET
NEW YORK,NY10033 		SCHOOL BASED CLINIC
11 INTERMEDIATE SCHOOL 164 EDWARD W STITT
401 WEST 164TH STREET
NEW YORK,NY10032 		SCHOOL BASED CLINIC
12 INTERMEDIATE SCHOOL 52 INWOOD
650 ACADEMY STREET
NEW YORK,NY10034 		SCHOOL BASED CLINIC
13 JOHN F KENNEDY EDUCATION CAMPUS
99 TERRis VIEW AVENUE
NEW YORK,NY10463 		SCHOOL BASED CLINIC
14 NYPLAWRENCE CARDIAC & PULMONARY REHAB
688 WHITE PLAINS RD 2FL STE 211
SCARSDALE,NY10583 		CLINIC
15 NYPLAWRENCE REHAB & SPORTS MEDICINE
700 WHITE PLAINS ROAD
SCARSDALE,NY10583 		CLINIC
16 NYPLAWRENCE REHAB & SPORTS MEDICINE
329 WHITE PLAINS ROAD
EASTCHESTER,NY10583 		CLINIC
17 NYPLOWER MANHATTAN CANCER CENTER
21 WEST BROADWAY
NEW YORK,NY10007 		CLINIC
18 THURGOOD MARSHALL ACADEMY
200-214 WEST 135TH STREET
NEW YORK,NY10030 		SCHOOL BASED CLINIC
19 WASHINGTON HEIGHTS ACNC-AUDUBON
21 AUDUBON AVENUE
NEW YORK,NY10032 		CLINIC
20 WASHINGTON HEIGHTS FAMILY CENTER
575 WEST 181ST STREET
NEW YORK,NY10032 		Clinic
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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: N/A
Part I, Line 6A: N/A
Part I, line 7G: Included in subsidized health service is clinic, Psyche, methadone and ambulance.
Part I, Line 7, column F: bad debt price Concessions are offset against revenue and not included in expenses.
Part I, Line 7: The following is a detail of the sources used for determining the amounts reported on schedule H: Line 7a - adjusted ratio of patient care cost to charges Line 7b - Cost accounting system Line 7e - Actual expenses Line 7f - Institutional cost report - worksheet B, part 1 Line 7g - Cost accounting system Line 7h - Institutional cost report Line 7I - Actual Expenses
Part III, Line 2: For patients who were determined by the Hospital to have the ability to pay but did not, the uncollectable amounts are bad debt price concessions. Part III, Line 3: The amount at cost included represents patients who qualify for charity care/financial assistance and also have a bad debt writeoff. bad debt expense(price Concessions) associated with patients that received charity care/financial assistance is represented in this $662,827 figure. These patients went through our charity care/financial assistance process and were determined to have financial need. As a result we provided them with a discount based on our sliding scale charity care policy. If they were unable to pay the reduced balances they were written off as bad debt and included as a community benefit. Part III, Line 4: Audited Financial Statements page 23.
Part III, Line 8: THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. TOTAL INPATIENT AND OUTPATIENT COSTS. The required method of reporting in schedule h obfuscates the full losses associated with delivery of services to Medicare beneficiaries; a loss which exceeds $1 million. As reported in part III, section b, line 7, Medicare is calculated to result in a $388 million shortfall; this results because Medicare losses of $217 million are instead reflected in Part I, lines 7f and 7g where losses identified with professional education and subsidized health services are calculated per methodology mandated for completion of schedule h. furthermore, Medicare managed care losses of $412 million are excluded altogether from all schedule H disclosures. If all these revenue and costs were included the Medicare shortfall of $388m would be a Medicare shortfall of $1B. (387,404,585)- Medicare net surplus per Schedule H (199,545,083)- Medicare GME net costs (17,598,469)- Medicare net cost of subsidized hlth Services (412,154,991)- Medicare managed care net costs (1,016,703,128)- total net associated with the Medicare program "net" is defined as revenue net of costs
Part III, Line 9b: POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at NewYork-Presbyterian Hospital (Hospital). This Policy places requirements upon Hospital and those agencies and attorneys undertaking debt collection activities that are consistent with the core mission, values, and principles of Hospital including, but not limited to, Hospitals Financial Aid Policy (hereafter Financial Aid Policy, previously known as the Charity Care Policy). This Policy applies to Hospital and any Agency, lawyer, or law firm assisting Hospital in the collection of an outstanding patient account debt. Procedure: A. General guidelines: 1. Hospital, collection agencies (Agency), and lawyers and law firms (Outside Counsel) will comply with all applicable federal and state laws and accrediting agency requirements governing the collection of debts including, but not limited to, the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Billing Act, the Consumer Credit Protection Acts, Public Health Law Section 2807-k-9-a, Internal Revenue Service Code 501(r), Article 52 of the New York Civil Practice Law and Rules, and the Health Insurance Portability and Accountability Act (HIPAA). Hospital, Agency and Outside Counsel will also comply with Hospitals Charity Care Policy. To the extent that there are any inconsistencies between Hospitals Collection Policy and Charity Care Policy, the Charity Care Policy shall supersede and control. 2. Hospital shall enter legally binding written agreements with any parties (including Agency or Outside Counsel) to which it refers an individuals debt related to care that are reasonably designed to prevent Extraordinary Collection Actions (ECAs) from being taken to obtain payment for the care, until reasonable efforts have been made to determine whether the individual is eligible for Financial Aid. 3. If an individual is determined by Hospital to be eligible for Financial Aid, Hospital shall not engage in any ECAs including civil actions against such individual.
Needs Assessment: NewYork-Presbyterian Hospital (NYPH) completed a Community Health Needs Assessment (CHNA) to identify the needs of the community we serve, developed a Community Service Plan (CSP) and developed an implementation plan to address the areas of highest need. The community, spanning from New York City to the counties just outside of NYC, represent a broad diversity of demographics, socioeconomics, and health service utilization needs, and require a custom approach to community service planning. The leaders of NYPH are dedicated to the community with a mission to be the premier healthcare institution serving our greater community by providing excellence in clinical care and patient safety, education, clinical research, and service. This document outlines the process, priorities, partners, and intended community-based improvement activities for 2019 2021. The CHNA process aligns with the 2019 2024 New York State Prevention Agenda. The Prevention Agenda is the state health improvement plan that develops a local action plan to improve the health and well-being of all New Yorkers and to promote health equity in all populations who experience disparities. NYPH is part of NewYork-Presbyterian (NYP), one of the nations most comprehensive and integrated academic healthcare delivery systems. Founded nearly 250 years ago with the fundamental belief that every person deserves access to the best care, NYP now includes NYPH with its seven campuses, the three Regional Hospitals consisting of NewYork-Presbyterian/Queens, NewYork-Presbyterian/Brooklyn Methodist, and NewYork-Presbyterian/Hudson Valley Hospital, as well as more than 200 primary and specialty care clinics and medical groups, and an array of telemedicine services. NYPH and each of the Regional Hospitals conduct their own community health needs assessment and develop independent community service plans. We collaborated with NYP, the New York City Department of Health and Mental Hygiene (DOHMH), the Westchester County Department of Health, Citizens Committee for Children of New York (CCC), Columbia University Mailman School of Public Health (CUMSPH), Weill Cornell Medicine, Greater New York Hospital Association (GNYHA), local Community-Based Organizations (CBOs), and the New York Academy of Medicine (NYAM) to adopt a community focused process of collecting and analyzing measurable data (quantitative) and views voiced by the community (qualitative) from a variety of sources. The collaborative process ensured significant input from the key stakeholders and local community through questionnaires and focus groups conducted in multiple languages at multiple locations to engage the community in their setting. Our partner and communication engagement allowed us to customize an implementation plan to improve the health and wellness of the community. The CHNA and CSP process was data driven, utilizing publicly available and measurable data along with community input from numerous sources and were combined to analyze the health and challenges of our community. The analysis focused upon the identification of high disparity communities and utilized data related to demographics, socioeconomic status, insurance status, social determinants of health, health service utilization, and NY State Prevention Agenda priorities. Data sources include the Citizens Committee for Children of New York (CCC) Keeping Track Online, Data City of New York, Data2Go.NYC, NYC Health Atlas; NYC Mayor Report on Poverty, the Association for Neighborhood & Housing Development, Behavioral Risk Factor Surveillance System (BRFSS), Claritas, NYC Community Health Profile, State Cancer Profiles, U.S. Department of Agriculture, Cares Engagement, Claritas, New York State Community Health Indicator Reports (CHIRS), the Robert Wood Johnson County Health Rankings, State Cancer Profiles and the United Hospital Fund. NYPH recognizes that our community challenges are complex and healthcare outcomes are often linked to societal issues; therefore, community input from focus groups and community questionnaires were gathered and allowed for a diverse group of involvement with awareness to culture, race, language, age, gender identity and sexual orientation. The collected data was ranked to provide detailed insight into the communities with high disparities and was then prioritized to determine the highest health needs for the identified communities. The prioritized data provided insight into community health needs and challenges and allowed us to establish focus areas and goals as outlined in the New York State Prevention Agenda. Based on the data collection, community input, and analysis processes completed, we, in partnership with local community based organizations, will target the neighborhoods of Washington Heights, Lower East Side, and Mt Vernon, which will allow the utilization of NYPH resources and new investment opportunities to concentrate improvement efforts and directly impact the community within the three-years of the service plan. The analyzed and prioritized data allowed for the identification of a community of focus as well as priority areas to impact the healthcare of the most vulnerable populations. We will focus efforts related to the prevention of (1) chronic disease, (2) promotion of healthy women, and children, (3) promotion of well-being to prevent mental health and substance abuse and (4) prevention of communicable diseases. To align with the constantly changing dynamics of the community, we have revised the focus and initiatives as compared to our 2016-2018 community service plan which included the prevention of chronic disease by increasing tobacco cessation resources, mental health promotion through education and training, and the prevention of HIV, STDs, Vaccine-Preventable Diseases and Healthcare-Associated Infections. Initiatives will be tracked quarterly and data will be used to continuously improve the program based on the outcomes of the project as well as input from the community. Annual reports will be developed with our community partners in order to evaluate intervention impact (using both outcome and process measures) and submitted to meet state and federal expectations. The Community Health Needs Assessment and Community Service Plans will guide our efforts for 2019 2021 as we strive to improve the health of our community. Access to this document is provided on our website at https://www.nyp.org/about-us/community-affairs/community-serviceplans.
Patient Education of eligibility for assistance: Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients in the Hospital's primary languages, upon request and without charge, from Admitting and Emergency Departments at the Hospital during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on the Hospital's website (www.nyp.org). Also, notification to patients regarding this Policy shall be made through conspicuous posting of language appropriate information in Emergency Rooms and Admitting Departments of the Hospital, and inclusion of information on bills and statements sent to patients explaining that financial aid may be available to qualified patients and how to obtain further information.
Community Information: The community definition for NewYork-Presbyterian Hospital was derived using 80% of ZIP codes from which NYPHs patients originate and adding ZIP codes not among the original patient origin to create continuity in geographical boundaries, resulting in a total of 380 community ZIP codes across New York City (NYC) and several counties outside of NYC. 11.7M PEOPLE - The defined community covers a geography of approximately 11.7M people. 2.6% GROWTH POPULATION - Forecasted to grow faster, 2.6%, than NYS 1.5%, between 2019-2024. 14.7% 65+ POPULATION - Is slightly younger with only 14.7% of the population aged 65+ compared to 16.3%. $109,086 HOUSEHOLD INCOME - The average household income, $109,086, is higher than the average of New York State, $101,507. 6.9% UNEMPLOYMENT RATE - The unemployment rate, 6.9%, is 9% higher than the state benchmark; 1% higher percentage of white-collar workers than the state avg. Higher Minority Population - Higher non-White population, 63.8%, than the state 45.6%, driven by Hispanics, 28.7% and African Americans, 18.6%. To ensure that we are implementing initiatives that will impact the communities with the highest disparities with this community service plan, NYPH undertook additional analysis of community health need and risk of high resource utilization at the Neighborhood Tabulation Area (NTA) geography based upon a composite of 29 different indicators. Indicators were carefully selected across five domains: demographics, income, insurance, access to care, and New York State Department of Health Prevention Agenda Priorities. This analysis was done in parallel for both the NYPH communities located within the NYC boroughs and the communities within the surrounding counties outside of NYC. The objective was to identify the specific NYC NTAs where there is a higher health need and/or a higher expectation of required resources. The defined communitys NYC ZIP codes were cross walked to 195 NTAs and then categorized into four quartiles based on identified disparities. 4.8M PEOPLE - The high disparity NYC community covers a geography of approximately 4.8M people. 52.8% FEMALE - It is 52.8% female and slightly younger, 11.2% of the population is 65+, compared to NYC, 12.5%. 26.8% DID NOT COMPLETE HIGH SCHOOL - There are more than NYC average percentages of residents foreign born, non-English speaking, not graduated from high school, unemployed, disabled, and single parents. 26.4% LIVING IN POVERTY - There are more living in poverty, all ages 26.4%, than the NYC average, 20.6% and are without health insurance, 15.9%, than the NYC average, 13.5%. 43.7% MEDICAID ENROLLMENT - Numerous neighborhoods also have a higher than average Medicaid enrollment, overall 43.7%, NYC 37.0%. 85.5% MINORITY POPULATION - Has a much higher minority population at 85.5% (especially Black and Hispanic/Latino) than does the NYC average 67%. The NYPH defined community includes areas outside of and just outside of NYC. An analysis of community health need and risk of high resource utilization was undertaken by ZIP code using the Community Need Index (CNI) score which is an average of five different barrier scores that measure various socio-economic indicators of each community. The resulting information provided an illustration of where there is more or less need comparatively between communities by ZIP code. Although the CNI score was obtainable at the ZIP code level, indicators for the non-New York City communities were publicly available at the county level. Indicators similar to those collected by NTA were evaluated for 1) Dutchess, 2) Nassau, 3) Orange, 4) Rockland and 5) Westchester Counties. 3.4M PEOPLE - The five counties cover a geography of approximately 3.4M people. 52.8% FEMALE - Is 51.1% female and slightly older, 17.1% of the population is 65+, compared to NYC, 12.5% and NYS 16.3%. 10.7% DID NOT COMPLETE HIGH SCHOOL - There are more than NYS average percentages of residents that speak only English at home and that graduated from high school, but less unemployed, disabled and single parents. 6.2% FAMILIES LIVING IN POVERTY - There are less families living in poverty, 6.2%, than the NYS average 11.3%, but more have health insurance 89.5%, than the NYS average 87.6%. 26.8% MEDICAID ENROLLMENT - There are fewer enrolled in Medicaid 26.8% than the NYS average 38.1%. 41.4% MINORITY POPULATION - Has a lower minority population at 41.4% than does the NYC average 67%, or the NYS average 45.6%. Acknowledging there was variation across the NTAs and counties among specific measurable indicators for demographics, socioeconomics, Social Determinants of Health (SDoH), health status, and utilization as each require a custom approach to community service planning, there were specific communities that frequently showed more need than the others. With such a large community, covering all five boroughs of New York City and five of the counties surrounding the city, there are many neighborhoods that fell into the high disparity communities based on the analysis and prioritization or the quantitative and qualitative data collected for the CHNA. The NYPH community is diverse in its geography with the NYC NTAs having a younger, more minority, and economically challenged population. The SDoH concerns are concentrated upon language, safety, food insecurity, high cost of housing, and public transportation. Behavioral risk factors such as smoking, drinking, and consuming fruits and vegetables vary among the NTAs but are problematic for those in high-disparity neighborhoods. At the same time NYPH must also serve a county population that is older, has less minorities, and is less economically challenged. The population is more likely to speak only English but still has similar SDoH concerns such as food insecurity and high cost of living. There is variance among counties for behavioral risk factors and health status that range from favorable to unfavorable. Complicating access to health care in the five counties can be the fewer number of physical health care locations than are currently available in NYC. NYPH recognizes that community health requires a diverse approach and multiple interventions to what may seem to be the same problem for a population as complex as our defined community. In an effort to focus initiatives to make the largest impact to high disparity communities, the NYPH team analyzed all data elements and identified Washington Heights, Lower East Side, and Mount Vernon communities targeting (1) Obesity, (2) Women, Infant, and Childrens Health, (3) Behavioral Health (Mental Health & Substance Abuse), and (4) HIV & Hepatitis C.
Promotion of Community Health: Prevent Chronic Disease Reduce Obesity & the Risk of Chronic Disease. Choosing healthy & active lifestyles for kids (CHALK) is New York-Presbyterian's obesity prevention program. CHALK aims to address obesity using a socio ecological model as its theoretical framework. The program will drive system and environmental changes that produce long lasting improvements around wellness in the targeted community of Washington Heights and Mt. Vernon, where food insecurity and obesity rates are high. CHALKs multipronged includes: 1) Mobile market (client-choice style mobile food pantry serving food insecure patients by household size, up to 200 individuals per distribution; connection to community resources, cooking demonstrations, and benefits enrollment) 2) Fruit and vegetable prescription program (coupons redeemable for produce at local farmers markets for patients seen at hospital community-based primary care sites ($10/month)) 3) Elementary schools partnership (non-prescriptive partnership model, creation of wellness councils, implementation of wellness policies, staff professional development, nutrition education, connection to community resources and partners, built environment changes that promote healthy lifestyles). Promote Healthy Women, Infants, and Children Maternal & Womens Health. Our overarching goal is to develop a two-generation approach for improving maternal-child health in primary care and community settings by providing integrated mental health services to low-income and uninsured pregnant women and the newborn child, and establishing co-management strategies with partner community agencies. We will implement an enhanced healthy steps model using telehealth to meet mothers in their home environment and integrate community health workers to ensure that families can successfully navigate the medical and social service system. Healthy Steps is an evidence based national primary care model that aims to improve the health and well-being of mothers and their newborns. In the targeted communities of Washington Heights, we will build a network of community agencies that focus on maternal-child health in order to implement prevention strategies at a population level. Promote Well-Being & Prevent Mental & Substance Use Disorders. Based on the expertise that Gracie Square Hospital (GSH) can bring to the behavioral health priority area, we will partner to invest and concentrate efforts to directly impact the NYPH targeted communities with a special focus by GSH in Washington Heights and Lower East Side neighborhoods. 1) OMH licensed mental health program providing treatment in the home, community, and clinic sites in targeted communities and for targeted patients utilizing in-person and tele-mental health modalities 2) Provide targeted substance use, mental health and suicide screening and interventions (diagnostic evaluations, psychotherapy- individual, group, psychiatric medication management) 3) Coordinate care with primary care and medical providers and health home and social service providers 4) Home based and tele-mental health treatment for homebound elderly 5) Community based workshops in seniors centers and naturally occurring retirement communities (NORC) related to mental health and wellbeing 6) Community partnerships reducing mental health stigma through engaging and collaborative community prevention programs 7)) Services accessible and embedded in home, community and seniors centers 8) Evidence based/ state of the art interventions incorporating screening and assessment tools, suicide prevention, and models of care (e.g., Improving moodpromoting access to collaborative treatment) 9) Linkage to community based mental health, primary care and social service programs 10) Responsive and dependable framework of prevention, screening, engagement, diagnosis, and treatment from community to high risk. Promote Well-Being & Prevent Mental & Substance Use Disorders Strengthen opportunities to build well-being and resilience across the lifespan Based on the expertise that Gracie Square Hospital (GSH) can bring to the behavioral health priority area, we will partner to invest and concentrate efforts to directly impact the NYPH targeted communities with a special focus by GSH in Washington Heights and Lower East Side neighborhoods. Mental health first aid (MHFA) is an international training program proven to be an effective intervention for mental health education, prevention and addressing stigma. Peer-reviewed studies show that individuals trained in the program achieve the following outcomes: 1) Grow their knowledge of signs, symptoms, and risk factors of mental illnesses and addictions. 2) Can identify multiple types of professional and self-help resources for individuals with a mental illness or addiction. 3) Increase their confidence in and likelihood to help an individual in distress. 4) Show increase mental wellness themselves. NYP has been providing this training since 2015 through its building bridges, knowledge, and health coalition and in partnership with THRIVE NYC and has trained over 800 individuals. Mental Health First Aid USA is listed in the substance abuse and mental health services administrations national registry of evidence-based programs and practices. Prevent Communicable Diseases : Human Immunodeficiency Virus (HIV) and Focus Area 4: Hepatitis C (HCV) Ending the HIV and HCV epidemics in NYS is now a legitimate possibility and NYPH is playing a leading role in this effortiii. The NYPH ETE Initiative would create a multicampus HIV and HCV elimination strategy that would a) increase HIV and HCV testing and linkage to care, b) re-engage HIV+ and HCV+ individuals to care, and c) expand effective HIV and HCV prevention services, like PrEP and MAT. Utilizing existing multi-campus dashboards, an NYPH Pilot would link, in real-time, all new HIV and HCV diagnoses, those (thousands) individuals out of care, and those in need of preventive services. Expanded deployment of a Health Priority Specialist in existing sites, like NYPH EDs, would be the effector arm for the intervention. A major investment in a Mobile Medical Unit (MMU) would also help bring these needed services to communities surrounding our medical centers. Collectively this multimodal, evidence based intervention could help NYPH end the HIV and HCV epidemics in our targeted communities
Affiliated Healthcare System: The NewYork-Presbyterian Hospital is affiliated with the New York- Presbyterian Regional Hospital Network which includes Hudson Valley Hospital DBA NYP/Hudson Valley Hospital, NYP/Queens and NYP/Brooklyn Methodist. As a result, community efforts are expanded to include a broader community.
Other Information: NewYork-Presbyterian is one of the nations most comprehensive, integrated academic health care delivery systems, dedicated to providing the highest quality, most compassionate care and service to patients in the New York metropolitan area, nationally, and throughout the globe. In collaboration with two renowned medical schools, Weill Cornell Medicine and Columbia University College of Physicians and Surgeons, NewYork-Presbyterian is consistently recognized as a leader in medical education, groundbreaking research, and innovative, patient-centered clinical care. NewYork-Presbyterian has four major divisions: NewYork-Presbyterian Hospital. NewYork-Presbyterian Hospital (NYPH) is an world-class academic medical center committed to excellence in patient care, research, education and community service. Based in New York City, it is one of the nations largest and most comprehensive hospitals and a leading provider of inpatient, ambulatory, and preventive care in all areas of medicine. With some 2,600 beds and more than 6,500 affiliated physicians and 20,000 employees, NYPH provides more than 2 million visits annually, including close to 15,000 infant deliveries and more than 310,000 emergency department visits. NewYork- Presbyterian Hospital is ranked #1 in the New York metropolitan area by U.S. News and World Report and has been repeatedly named to the Honor Roll of Americas Best Hospitals. NewYork-Presbyterian Regional Hospital Network. NewYork-Presbyterian Regional Hospital Network is comprised of leading regional hospitals in the New York metropolitan region. The hospitals of the Regional Hospital Network each conduct their own community health needs assessments and develop independent Community Service Plans. NewYork-Presbyterian Physician Services. NewYork-Presbyterian Physician Services connects medical experts with patients in their communities to expand coordinated health care delivery across the region. It includes medical groups in Westchester, Queens and Brooklyn with the goal of increasing access to primary care in collaboration with Weill Cornell Medicine Physicians and Columbia Doctors which are focused primarily on the delivery of specialty services. NewYork-Presbyterian Community and Population Health oversees population health efforts at NYPH, including NewYork Quality Care, the Medicare Accountable Care Organization jointly established by NewYork-Presbyterian Hospital, Weill Cornell, and Columbia, and the NYPH Ambulatory Care Network (ACN). The ACN consists of 14 primary care sites, 7 school-based health centers, more than 50 specialty care clinics and over a dozen community-focused outreach programs. The ACN locations span Washington Heights, Inwood, Harlem, East Harlem, the Upper East Side and Chelsea. They offer primary care services in obstetrics and gynecology, pediatrics, internal medicine, family medicine, geriatrics, and fifty specialty care services. Comprehensive primary care, reproductive healthcare and family planning services, and mental health services are provided in the school-based health centers. NYPH is committed to improving the health and wellbeing of the communities it serves. This commitment includes collaboration with community organizations to address the goals of the New York State Prevention Agenda and the NYC Department of Health and Mental Hygiene (DOHMH) plan, Take Care New York. NYPHs efforts in population health have long been grounded in community needs assessments. Healthcare gaps analyses have informed multifaceted and coordinated, evidence-based interventions driven by regional collaborators, and have been tracked closely with process and outcome indicators. NYPHs innovations and accomplishments in community and population health have been published in peer-reviewed medical, public health and healthcare literature and have received national recognition. In 2014, the Association of American Medical Colleges (AAMC) awarded NYPH the Association of American Medical Colleges Spencer Foreman Award for Outstanding Community Service. NewYork-Presbyterian's Strategic Initiatives were updated in 2013 to support the ultimate goal: "We Put Patients First Always." This means that NewYork-Presbyterian must make patients the first priority and strive to provide them with the highest quality, safest, and most compassionate care and service always. NewYork-Presbyterian's six Strategic Initiatives are: 1. Culture - Our culture is defined by our core beliefs, which guide everything we do, both in our interactions with patients, and with each other. Our culture of respect, teamwork, excellence, empathy, innovation and responsibility help us continue to deliver the best care possible while meeting the challenges ahead. 2. Access - Improve and Expand Access: We will continue to work to improve and expand access to the Hospital and the Physician 0rganizations. Patients should be able to receive care promptly and not have long waits to schedule appointments. We will also work with our Healthcare System members to broaden our geographic reach and expand care delivery to the communities we serve. 3. Engagement - Engage Staff and Patients: Engaged staff are actively involved in the work they do and the care they provide to patients and their families. Engaged staff will help us deliver the highest quality, most compassionate care and service, and ultimately the best patient experience. At the same time, engaged patients actively participate in their own health and recovery. We will provide patients with tools and educational materials to help manage their own care, as well as enhance cultural competence among our staff. 4. Health & Wellbeing - Enhance Health and Wellbeing: The Hospital is committed to fostering health and wellbeing as part of our patient care and community service mission, and, as an integral part of our culture. In 2013, we successfully launched NYPBeHealthy as a new, comprehensive wellness and prevention initiative designed specifically for our staff. The program offers employees enhanced access to new and existing Hospital programs, healthier choices in our cafeterias, and targeted information to help our staff meet their individual health goals. 5. Value - Deliver and Demonstrate Value: We must deliver the highest quality care as efficiently and effectively as possible, as this is important for both our financial health and for our patients who contribute to the costs of their care. Our Making Care Better Initiative will help us reduce unnecessary clinical variability, promote quality and safety, and achieve efficiency. We will also continue to seek opportunities to streamline processes and reduce unnecessary costs through HERCULES and Operational Excellence initiatives. 6. High Reliability - Provide Highly Reliable, Innovative Care: We want to provide the highest quality and safest care to every single patient with every single interaction. To achieve this goal, we will focus on developing highly reliable processes, enhancing our culture of safety, and reducing variability in care. These Strategic Initiatives support the ultimate goal: "We Put Patients First Always"
All States which Organization files a Community Benefit Report: New York
Covid 19 information The COVID-19 pandemic made a tremendous impact on all people around the globe, and it was especially devastating in New York City. NewYork-Presbyterian responded swiftly and strongly to protect the citizens who call New York home. Outside of treating and testing people of COVID inside the hospital, NYP deployed many programs and services out in the community for additional aid. NYP's Choosing Healthy & Active Lifestyles for Kids (CHALK) program partnered with experienced emergency food providers, community-based organizations, and NYP healthcare teams to provide healthy groceries and social services to families in need. In 2020 the CHALK program serviced 2,207 families, 8,816 individuals delivering over 435,000 pounds of food in the Manhattan area. In addition the Center for Community Health Navigation (CCHN) program aimed to support healthcare self-management, connect patients with needed clinical care and social support, and to encourage optimal health care system utilization played a major role during 2020. In 2020, the program connected 26,406 Manhattan and Bronx residents to critical services in a safe manner. To complement these programs, NewYork-Presbyterian Hospital distributed over 188,000 personal protective equipment which included hand sanitizers, face masks and shields, and gloves. Support groups and other community centered services were moved to a virtual setting for the health and safety of the community. NYPH also conducted 63 COVID Health lectures to inform the community on the dangers and risks of the disease. Furthermore, to help address the local economic impact of COVID-19, NewYork-Presbyterian created a COVID-19 Small Business Recovery Program, where $4.9 million were distributed to 594 organizations within the Manhattan and Bronx community.
Schedule H (Form 990) 2020
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