2024-11-14T14:58:45-06:00 2023-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2023-01-01 111631788 JAMAICA HOSPITAL MEDICAL CENTER JAMA 7182066291 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 MOUNIR DOSS EXECUTIVE VP & CFO 7182066291 2024-11-14 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2024-11-11 2023 2024-10-15 13:58:12Z MOUNIR DOSS 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 796165861 0 X WWW.JAMAICAHOSPITAL.ORG X 1934 NY THE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT REDUCED RATES. 12 11 4447 212 0 0 52502156 71554504 662705475 690474332 491553 367246 32396945 32723890 748096129 795119972 0 0 0 0 438989810 476627800 0 0 0 305202795 353796590 744192605 830424390 3903524 -35304418 396088633 454477938 383009261 476702984 13079372 -22225046 X THE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. ITS SERVICES INCLUDE ACUTE, MEDICAL REHABILITATION, HOSPICE UNIT, A LEVEL 1 TRAUMA CENTER, AND PSYCHIATRIC CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT DISCOUNTED AMOUNTS LESS THAN ESTABLISHED RATES. 0 0 725583590 721902422 JAMAICA HOSPITAL IS A 402-BEDS INCLUDING BASSINETS, FULLY ACCREDITED COMMUNITY TEACHING HOSPITAL WITH A LARGE NETWORK OF COMMUNITY-BASED AMBULATORY CARE CENTERS. JHMC OFFERS A FULL ARRAY OF ACUTE INPATIENT REHABILITATION AND MENTAL HEALTH SERVICES, THE LARGEST VOLUNTARY HOSPITAL AMBULANCE FLEET SERVING THE CITY'S 911 SYSTEM AND A LEVEL 1 TRAUMA CENTER. 725583590 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 960 0 1 4447 1 0 0 0 0 0 0 0 0 0 0 1 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MOUNIR DOSS 7182066291 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 X ANTHONY DIMARIA MD OUTGOING TRUSTEE 1.00 2.00 X 0 0 0 ANTHONY J MAZZO VICE CHAIRMAN 1.00 2.00 X X 0 0 0 ANTONIETTA MORISCO MD ASSISTANT SECRETARY 1.00 2.00 X X 0 0 0 DOUGLAS W SINGER TRUSTEE 1.00 2.00 X 0 0 0 GEOFFREY DOUGHLIN MD ASSISTANT TREASURER 1.00 2.00 X X 0 0 0 HON TIMOTHY J DUFFICY SECRETARY 1.00 2.00 X X 0 0 0 JOSEPH A FERRARA CHAIRMAN 1.00 2.00 X X 0 0 0 JOSEPH LIANA TREASURER 1.00 2.00 X X 0 0 0 MICHELLE STODDART TRUSTEE 1.00 2.00 X 0 0 0 NEIL FOSTER PHILLIPS TRUSTEE 1.00 2.00 X 0 0 0 PHILIPPA L KARTERON TRUSTEE 1.00 2.00 X 0 0 0 ROBERT W KOOP TRUSTEE 1.00 2.00 X 0 0 0 THOMAS J SANTUCCI TRUSTEE 1.00 2.00 X 0 0 0 BRUCE FLANZ PRESIDENT & CEO 30.00 35.00 X 1290039 1687332 62218 MOUNIR DOSS EXEC. VP & CFO 30.00 35.00 X 995140 838312 62218 SABIHA RAOOF CHAIRPERSON RADIOLOGY & CMO 40.00 X 1032422 0 66662 WILLIAM LYNCH EXEC. VP & COO 40.00 1.00 X 782035 0 32483 JAI CHOI RADIOLOGIST 40.00 X 631757 0 22963 MANZAR SASSANI VP FINANCE 40.00 X 690499 0 62218 OMAR J ARNUK RADIOLOGIST 40.00 X 664259 0 60397 ALAN ROTH CHAIRMAN OF FAMILY PRACTICE 40.00 X 634134 0 62218 SPENCER SERRAS RADIOLOGIST 40.00 X 606321 0 14638 7326606 2525644 446015 1240 0 1 0 WHITE GLOVE PLACEMENT INC 89 BARTLETT STREET 2ND FLOOR BROOKLYN NY 11206 STAFFING NURSING AGENCY 13212463 WINSTON MEDICAL 122 EAST 42ND STREET NEW YORK NY 10168 STAFFING NURSING AGENCY 6801169 SODEXO 500 ROSS STREET PITTSBURGH PA 15262 MANAGEMENT/FOOD SERVICES 5828964 SPECIALTY PROFESSIONAL SERVICES CORP 17-20 WHITESTONE EXPRESSWAY SUITE WHITESTONE NY 11357 STAFFING NURSING AGENCY 5392787 ADMIRAL STAFFING INC 580 8TH AVE 15TH FL NEW YORK NY 10018 STAFFING NURSING AGENCY 4519608 69 71339045 215459 71554504 NET PATIENT REVENUE 621400 575267524 575267524 CAPITATION REVENUE 621400 70858476 70858476 PROFESSIONAL COMPONENT 621400 32152869 32152869 PHARMACY 621400 10435603 10435603 TEACHING AND EDUCATION 611600 1759860 1759860 690474332 366684 366684 1045151 1045151 0 1300 738 562 562 562 REIMBURSEMENT FOR SERVICES PROVID 900099 15407180 15407180 EARNINGS FROM JOINT VENTURES 900099 12717620 12717620 MANAGEMENT FEE 900099 3000000 3000000 1599090 303290 1295800 32723890 795119972 721902422 0 1663046 X 4323217 3623543 699674 346983177 290077936 56905241 24367967 21741654 2626313 69774531 60891695 8882836 31178908 26065567 5113341 2674189 2674189 496920 496920 406211 406211 124364962 122242374 2122588 354957 296744 58213 1733685 1449361 284324 9794483 8188188 1606295 11419754 9375510 2044244 102307 102307 1208514 1010318 198196 12176343 10179423 1996920 20117418 18139985 1977433 MEDICAL SUPPLIES 72427927 72427927 BAD DEBT EXPENSE 59089124 55452148 3636976 CHARGE BACK 14708703 7467438 7241265 COLLECTION AGENCY 3944589 3944589 18776504 16851472 1925032 830424390 725583590 104840800 0 23715838 30912740 80309231 90885260 10835372 12141744 2720046 6138599 348206666 281174076 59764712 67032590 37884314 44270783 3921559 10349525 176937561 192746697 396088633 454477938 89505519 99329472 5189103 1984039 39708317 50991782 248606322 324397691 383009261 476702984 X 13079372 -22225046 13079372 -22225046 396088633 454477938 -35304418 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 406211 0 0 406211 0 PART II-B, LINE 1: JAMAICA HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO ASSOCIATIONS OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE GENERAL PUBLIC. GREATER NY HOSPITAL ASSOCIATION DUES: $17,457; HEALTHCARE ASSOCIATION OF NEW YORK STATE: $9,981; AHA $5,931; HEP $205,854; MANHATT STATE PORTION $54,000; MANHATT $112,989. 1018049 1018049 123114971 105962737 17152234 5235401 4689755 545646 182754517 157752959 25001558 36083728 12768625 23315103 67032590 JHMC HEALTHFIRST 44270783 C 44270783 DUE FROM THIRD PARTY PAYORS 91165888 DUE FROM RELATED PARTIES 29452889 INSURANCE RECEIVABLE 22537320 ASSETS LIMITED OR RESTRICTED TO USE 1022705 SECURITY DEPOSITS 127811 WORKERS COMENSATION DEPOSITS 427637 HF RETAINED PAYMENTS 48012447 192746697 DUE TO THIRD PARTY 176132233 CAPITAL LEASE OBLIGATIONS 4330681 MALPRACTICE INSURANCE 113692822 WORKERS COMPENSATION LIABILITY 19892430 OPERATING LEASE LIABILITY 10349525 324397691 996161536 -36912439 -36912439 1033073975 -237954003 -237954003 795119972 1009289269 237954003 237954003 771335266 59089124 59089124 830424390 PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -36,912,439. PART XI, LINE 4B - OTHER ADJUSTMENTS: CAPITATION EXPENSE -236,908,852. RENTAL EXPENSES -1,045,151. PART XII, LINE 2D - OTHER ADJUSTMENTS: CAPITATION EXPENSE 236,908,852. RENTAL EXPENSES 1,045,151. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 36,912,439. BAD DEBT RELATED PARTIES 22,176,685. 1 1 1 X 1 X 1 1 1 0 1 1 31908529 17947019 13961510 0.01760 286820519 247354983 39465536 0.04970 318729048 265302002 53427046 0.06730 2521082 2521082 0.00320 126066560 23568019 102498541 0.12920 302847786 264658281 38189505 0.04810 431435428 288226300 143209128 0.18050 750164476 553528302 196636174 0.24780 1 36912439 44460863 47687459 -3226596 X 1 1 1 1 JAMAICA HOSPITAL MEDICAL CENTER 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 WWW.JAMAICAHOSPITAL.ORG X X X X PHYSICAL MEDICAL REHABILITATION, PSYCHIATRIC SVC, HOSPICE, AMBULATORY CARE JAMAICA HOSPITAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.JAMAICAHOSPITAL.ORG 1 22 1 HTTPS://JAMAICAHOSPITAL.ORG/COMMUNITY-SERVICE-PLAN/ 0 1 X 100.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X WWW.JAMAICAHOSPITAL.ORG X WWW.JAMAICAHOSPITAL.ORG X WWW.JAMAICAHOSPITAL.ORG X X X X 1 X 0 X X 1 X 0 0 JAMAICA HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 5: JAMAICA HOSPITAL MEDICAL CENTER (JHMC), ESTABLISHED IN 1891, SERVES A CULTURALLY DIVERSE, DENSELY POPULATED, URBAN AREA SPANNING 37 ZIP CODES. JHMC'S PRIMARY SERVICE AREA (PSA) INCLUDES 17 ZIP CODES LOCATED THROUGHOUT QUEENS COMMUNITY DISTRICTS 9 (KEW GARDENS; OZONE PARK; RICHMOND HILL; AND WOODHAVEN), 10 (HOWARD BEACH, OZONE PARK, AND SOUTH OZONE PARK), AND 12 (HOLLIS; JAMAICA; JAMAICA CENTER; ROCHDALE; SOUTH JAMAICA; AND ST. ALBANS), AS WELL AS BROOKLYN COMMUNITY DISTRICT 5 (CYPRESS HILLS AND EAST NEW YORK). IN MANY OF THESE COMMUNITIES, THE EFFECTS OF POVERTY ON HEALTH, INCLUDING DIFFICULTY OBTAINING NUTRITIOUS FOOD, UNEMPLOYMENT, AND THE BURDEN OF HIGH RENTS, ARE HIGH, PARTICULARLY IN BROOKLYN CD 5 NEIGHBORHOODS.CHRONIC DISEASES, OBESITY, TOBACCO USE, BEHAVIORAL HEALTH CONCERNS, MATERNAL MORBIDITY, AND LATE OR NO PRENATAL CARE ARE AMONG THE HEALTH ISSUES HIGHLIGHTED IN THE COMMUNITY-LEVEL DATA ANALYSES THAT JHMC CONDUCTED FOR THIS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE HEALTH CONCERNS WERE ALSO IDENTIFIED BY RESIDENTS OF THE HOSPITAL'S SERVICE AREA WHO RESPONDED TO A HEALTH NEEDS ASSESSMENT SURVEY SPONSORED BY A COALITION OF HOSPITALS DURING THE SPRING OF 2022. AS EVIDENCED IN THE DATA AND THE SURVEY RESPONSES, THE SOCIAL DETERMINANTS OF HEALTH (SDH) SUCH AS LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL CONDITIONS OF NEIGHBORHOODS, AND LOW ENGAGEMENT IN PRIMARY OR PREVENTATIVE CARE AND MENTAL OR BEHAVIORAL HEALTH CARE, ALL CONTRIBUTE TO THE HIGH INCIDENCE AND PREVALENCE OF CHRONIC DISEASES AS WELL AS POOR HEALTH OUTCOMES IN SOME SERVICE AREA NEIGHBORHOODS, WHILE OTHERS PERFORM BETTER THAN NYC AS A WHOLE. THE DATA ANALYSES PRESENTED IN THIS DOCUMENT PROVIDE A HIGH-LEVEL SNAPSHOT OF THE HEALTH STATUS OF RESIDENTS IN JHMC'S PRIMARY SERVICE AREA, WHILE ILLUSTRATING THE DIVERSITY OF POPULATION- LEVEL HEALTH BEHAVIORS AND OUTCOMES ACROSS DIFFERENT COMMUNITY DISTRICTS IN THE AREA. BY HIGHLIGHTING THESE PATTERNS ON A NEIGHBORHOOD LEVEL, THESE DATA PROVIDE INSIGHT INTO THE SERVICES AND RESOURCES MOST NEEDED BY RESIDENTS. JHMC HAS ADOPTED A FOCUS ON SDH THROUGH A NEW INITIATIVE TO DOCUMENT THESE ISSUES IN THE MEDICAL RECORD USING A STANDARDIZED FORMAT AND TO ADDRESS THEM IN PARTNERSHIP WITH LOCAL COMMUNITY-BASED ORGANIZATIONS USING A CLOSED LOOP TECHNOLOGY PLATFORM TO ENSURE THAT ALL PARTIES ARE KEPT ABREAST OF THE SOCIAL SERVICE SUPPORTS RECEIVED BY EACH PATIENT.BREASTFEEDING, WHICH LOWERS THE RISK OF DEATH FROM INFECTIOUS DISEASES IN A CHILD'S FIRST TWO YEARS OF LIFE AND CAN REDUCE THE RISK OF CHILDHOOD OBESITY, ASTHMA, AND THE RISK OF A WOMAN DEVELOPING BREAST OR OVARIAN CANCER, IS UNEVENLY PRACTICED IN THE JHMC SERVICE AREA AND IN NEW YORK CITY (NYC) OVERALL. JHMC HAS FOCUSED ON IMPROVING RATES OF EXCLUSIVE BREASTFEEDING AMONG WOMEN GIVING BIRTH IN THE HOSPITAL AND THOSE ATTENDING ITS AMBULATORY CARE CENTERS WITH THEIR INFANTS, AS WELL AS AMONG MOTHERS IN THE COMMUNITY. THE HOSPITAL IS DESIGNATED AS A BABY-FRIENDLY USA HOSPITAL OFFERING AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER TO BABY BONDING.TOBACCO USE AND SECONDHAND SMOKE, AS WELL AS HOUSEHOLD/OUTDOOR AIR POLLUTION, WERE IDENTIFIED AS ONGOING COMMUNITY HEALTH CONCERNS THAT ARE CORRELATED WITH CHRONIC DISEASE, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS WELL AS CANCER. RESPONDING TO THE NEEDS OF THE COMMUNITY, JHMC HAS FOCUSED ON IMPROVING TOBACCO CESSATION RATES. THE HOSPITAL WAS AWARDED GOLD STAR STATUS FROM THE NYC DOHMH'S TOBACCO-FREE HOSPITALS CAMPAIGN IN RECOGNITION OF ITS TOBACCO CESSATION PROGRAMMING AND SUCCESSES, AND CONTINUES TO COMPLY WITH THE CAMPAIGN'S STANDARDS. WITH THE BENEFIT OF QUANTITATIVE HEALTH STATUS DATA AT THE LOCAL LEVEL AND THE COMMUNITY'S INPUT ABOUT THEIR HEALTH CONCERNS, THE HOSPITAL HAS CHOSEN TO HIGHLIGHT THE PREVALENCE OF THESE BEHAVIORSBREASTFEEDING AND TOBACCO USEIN ITS SERVICE AREA AS WELL AS THE HOSPITAL'S CONCERTED EFFORTS TO ADDRESS THEM IN ITS THREE-YEAR COMPREHENSIVE COMMUNITY SERVICE PLAN AND IMPLEMENTATION PLAN. THESE INITIATIVES ARE IN ALIGNMENT WITH THE NEW YORK STATE PREVENTION AGENDA PRIORITIES AND THE HEALTHY PEOPLE 2030 GOALS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $36,912,439 PART II, COMMUNITY BUILDING ACTIVITIES: THE OVERARCHING STRATEGY OF NEW YORK STATE'S (NYS) PREVENTION AGENDA IS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL NEW YORKERS AND PROMOTE HEALTH EQUITY IN POPULATIONS WHO EXPERIENCE DISPARITIES. THIS STRATEGY INCLUDES AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTHDEFINED BY HEALTHY PEOPLE 2030 AS THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE NYS PREVENTION AGENDA COMPRISES FIVE PRIORITY AREAS, EACH WITH COORDINATING FOCUS AREAS AND GOALS:1. PRIORITY AREA 1. PREVENT CHRONIC DISEASES2. PRIORITY AREA 2. PROMOTE A HEALTHY AND SAFE ENVIRONMENT3. PRIORITY AREA 3. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN4. PRIORITY AREA 4. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS5. PRIORITY AREA 5. PREVENT COMMUNICABLE DISEASESBASED ON RESULTS COLLECTED FROM ITS COMMUNITY HEALTH SURVEY, HEALTH STATUS DATA IN THIS REPORT, AND THE HOSPITAL'S CAPABILITIES AND RESOURCES, JAMAICA HOSPITAL MEDICAL CENTER (JHMC) HAS IDENTIFIED TWO NYS PREVENTION AGENDA FOCUS AREAS (CORRESPONDING TO NYS PREVENTION AGENDA PRIORITY AREAS 1 AND 3) TO ADDRESS AS A PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN: TOBACCO PREVENTION AND PERINATAL AND INFANT HEALTH. ALL NYS PREVENTION AGENDA PRIORITY AREAS IN JHMC'S SERVICE AREA ARE AFFECTED BY A MYRIAD OF SOCIAL DETERMINANTS OF HEALTH. THIS RECOGNITION SUPPORTS THE VIEW THAT HEALTH IS NOT SIMPLY ABOUT INDIVIDUAL BEHAVIOR OR EXPOSURE TO RISK, BUT HOW THE SOCIAL AND ECONOMIC STRUCTURE OF A POPULATION SHAPES ITS HEALTH". PART III, LINE 4: FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:JAMAICA PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, JAMAICA PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. JAMAICA PROVIDES CHARITY CARE FOR THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. JAMAICA'S FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE ENTITLED TO A GLOBAL CHARITABLE DISCOUNT FOR EMERGENT (NEW YORK STATE ("NYS") RESIDENTS) AND/OR MEDICALLY NECESSARY SERVICES (RESIDES IN JAMAICA'S PRIMARY SERVICE AREA). THE GLOBAL CHARITABLE DISCOUNT WILL BE BASED ON THE CURRENT APPLICABLE MEDICAID - DEPENDING ON THE SERVICE PROVIDED. THE GLOBAL DISCOUNTS FOR UNINSURED PATIENTS ARE BASED ON THE PREMISE THAT JAMAICA SERVES A LOW-INCOME, UNDER-INSURED POPULATION - AS SUPPORTED BY PUBLIC STATISTICS - AND THAT UNINSURED PATIENTS LIVING IN THIS COMMUNITY WILL GENERALLY NOT BE ABLE TO PAY THEIR BILL IN ITS ENTIRETY. AFTER THE GLOBAL CHARITABLE DISCOUNT IS APPLIED, PATIENTS DEMONSTRATING ADDITIONAL FINANCIAL NEED MAY BE EXTENDED SLIDING SCALE DISCOUNTS UNDER THE CHARITY CARE POLICY. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT.COSTING METHODOLOGY FOR CALCULATING LINES 2 & 3:BAD DEBT EXPENSE IS ESTIMATED BASE ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASE ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOW: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANT ARE GIVEN DISCOUNT BASE ON OUR CHARITY CARE POLICY (MEDICAID RATE) IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORT THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND HOSPITAL WRITE OFF THE ACCOUNT AS BAD DEBT. PART III, LINE 8: LINE 5 MEDICARE REVENUE AND LINE 6 MEDICARE ALLOWABLE COSTS ARE FROM HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASE ON MEDICARE GUIDELINES. MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS APPROXIMATELY $119 MILLION. EXCLUSION OF THESE COSTS RESULTED IN THE SURPLUS ON LINE 7. PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90-DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS 0.5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION. PART VI, LINE 2: JHMC FULFILLS ITS MISSION TO SERVE OUR PATIENTS AND THE COMMUNITY IN A WAY THAT IS SECOND TO NONE.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXAMINES THE HEALTH NEEDS OF THE RESIDENTS OF THE NEIGHBORHOODS SERVED BY THE HOSPITAL USING DATA FROM SEVERAL SOURCES. COMMUNITY HEALTH DATA DESCRIBING JHMC'S PSA POPULATION WILL BE PRESENTED, PRIMARILY FROM QUANTITATIVE PUBLIC DATA FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) AND QUALITATIVE DATA OBTAINED FROM RESIDENTS IN A 2022 COMMUNITY HEALTH NEEDS SURVEY SPONSORED BY A COALITION OF HOSPITALS. OTHER DATA SOURCES INCLUDE THE NEW YORK STATE DEPARTMENT OF HEALTH (NYS DOH) AND THE U.S. CENSUS AMERICAN COMMUNITY SURVEY. FOLLOWING THE PRESENTATION OF HEALTH STATUS DATA FOR THE NEIGHBORHOODS LOCATED IN QUEENS COMMUNITY DISTRICTS 9, 10, AND 12, AND BROOKLYN COMMUNITY DISTRICT 5, RESULTS OF A CHNA SURVEY IN JHMC'S SERVICE AREA ARE PRESENTED. MOST OF THE DATA IN THIS REPORT ARE FROM THE NYC DOHMH'S COMMUNITY HEALTH PROFILES (2018) AND THE 2022 COMMUNITY HEALTH NEEDS SURVEY RESULTS. IN NYC, NEIGHBORHOODS ARE DESCRIBED AND CATEGORIZED DIFFERENTLY ACROSS AGENCIES AND ORGANIZATIONS. THESE DIFFERENCES ARE RELEVANT TO HOW COMMUNITY HEALTH DATA ARE ANALYZED AND PRESENTED IN THIS DOCUMENT. IN THE 2019-2021 CHNA, JHMC REPORTED NEIGHBORHOOD DATA ACCORDING TO THE TRADITIONAL CONVENTIONEITHER DEFINED BY NYC COMMUNITY DISTRICTS OR CDS (THE 59 NYC CDS WERE ESTABLISHED BY LOCAL LAW IN 1975) OR UNITED HEALTH FUND (UHF) NEIGHBORHOODS (AN INDEPENDENT, NONPROFIT, HEALTH SERVICES RESEARCH AND PHILANTHROPIC ORGANIZATION DEFINING 34 NYC NEIGHBORHOODS COMPRISED OF ADJOINING ZIP CODE AREAS, DESIGNATED TO APPROXIMATE NYC COMMUNITY PLANNING DISTRICTS). UTILIZING THESE SCHEMA, JHMC'S PRIMARY SERVICE (PSA) HAS TRADITIONALLY BEEN DEFINED AS COVERING THE QUEENS NEIGHBORHOODS OF JAMAICA AND SOUTHWEST QUEENS, AS WELL AS THE BROOKLYN NEIGHBORHOOD OF EAST NEW YORK. RESULTANT TO THE LATEST DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY, NEW GEOGRAPHIES NOW REFLECT THE POST-REDISTRICTING POLITICAL BOUNDARY CHANGES ENACTED BY THE NYC BOARD OF ELECTIONS (DUE TO 2020 CENSUS REVISIONS TO CENSUS TRACTS AND BLOCKS). THE NEIGHBORHOOD MAPS WHICH FOLLOW DISPLAY CDS WITH THE ZIP CODES AND NEIGHBORHOODS LOCATED WITHIN THEM FOR THE PSA. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, SOME HEALTH INFORMATION MAY BE PRESENTED EITHER BY CD, OR BY UHF NEIGHBORHOODS, DEPENDING ON THE MOST UP TO DATE SOURCE.JHMC'S SERVICE AREA WAS DETERMINED BY ANALYZING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) DISCHARGE DATA AT THE ZIP CODE LEVEL. THE NEIGHBORHOODS WITH THE HIGHEST VOLUMES OF PATIENTS WERE DETERMINED TO BE THE PSA. NEIGHBORHOODS WITH AT LEAST 2% OF INPATIENT CASES WERE CONSIDERED THE HOSPITAL'S SECONDARY SERVICE AREA (SSA). THE PSA AND SSA TOGETHER ACCOUNT FOR APPROXIMATELY 86% OF THE HOSPITAL'S TOTAL INPATIENT CASES, WITH THE PSA ACCOUNTING FOR 78% AND THE SSA 8%. THE JHMC COMMUNITY HEALTH NEEDS ASSESSMENT WILL FOCUS ON THE HOSPITAL'S PSA. PART VI, LINE 3: CHARITY CARE POLICYPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:JAMAICA HOSPITAL MEDICAL CENTER DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION, AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. IN ADDITION, THE HOSPITAL POSTS THE FINANCIAL ASSISTANCE SUMMARY ON ITS WEBSITE. THE SUMMARY OF POLICIES INCLUDES THE SPECIFIC INCOME LEVELS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, A DESCRIPTION OF THE PRIMARY SERVICE AREA OF THE HOSPITAL, AND INFORMATION ABOUT HOW PATIENTS CAN APPLY FOR ASSISTANCE.ADDITIONALLY, THE HOSPITAL REQUIRES CONTRACTED OUTSIDE COLLECTIONS AGENCIES TO, WHEN APPROPRIATE; PROVIDE INFORMATION TO PATIENTS ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE. CHANGES IMPACTING COMMUNITY HEALTH/PROVISION OF CHARITY CARE/ACCESS TO SERVICES:THE HOSPITAL CONTINUES TO FACE EXTRAORDINARY FINANCIAL CHALLENGES INCLUDING FEDERAL AND STATE BUDGET CUTS, INCREASES IN THE UNINSURED, AND DWINDLING THIRD-PARTY REIMBURSEMENT RATES. SIMULTANEOUSLY, THE HOSPITAL HAS HAD A DRAMATIC INCREASE IN ITS EMERGENCY AND INPATIENT LOAD DUE TO NEARBY HOSPITAL CLOSINGS. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: ELIGIBILITY:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE BILLED FULL CHARGES UNTIL IDENTIFIED AS ELIGIBLE FOR ASSISTANCE AND THE CHARGES ADJUSTED ACCORDINGLY. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT. THE HOSPITAL ALSO PROVIDES ADDITIONAL FINANCIAL ASSISTANCE TO PATIENTS WITH INCOMES BELOW 300% FPL. TO BE POTENTIALLY ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE, A PATIENT MUST BE UNINSURED OR HAVE EXHAUSTED THEIR HEALTH INSURANCE BENEFITS AND MUST BE DEEMED INELIGIBLE FOR ANY OTHER GOVERNMENT ASSISTANCE PROGRAM BY THE FINANCIAL COUNSELING OFFICE OF THE HOSPITAL. THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE AND PROVIDE PROOF THAT THEIR INCOME IS BELOW 300% FPL CAN QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. THE LEVEL OF ADDITIONAL ASSISTANCE WOULD BE DEPENDENT ON HOW LOW THEIR INCOME IS. THERE IS NO RESOURCE TEST FOR FINANCIAL AID ELIGIBLE PATIENTS. PLEASE NOTE THAT CERTAIN ELECTIVE SERVICES ARE EXCLUDED FROM THIS PROGRAM SUCH AS NON-MEDICALLY NECESSARY COSMETIC SERVICES AND SELF-IMPROVEMENT SERVICES.CO-PAYS AND DEDUCTIBLES ARE NOT COVERED UNDER THE PROGRAM. PATIENTS WHO DO NOT HAVE INSURANCE, AND; CHOOSE NOT TO FILE FOR ADDITIONAL CHARITABLE ASSISTANCE; ARE UNCOOPERATIVE; OR WHO ARE UNABLE TO BE LOCATED WILL HAVE THE GLOBAL CHARITABLE DISCOUNT APPLIED TO THEIR ACCOUNT(S). NO FURTHER DISCOUNTING WILL BE MADE AVAILABLE TO PATIENTS IN THESE CATEGORIES UNLESS APPROVED VIA THE APPEALS PROCESS. ANCILLARIES ARE NOT INCLUDED IN DISCOUNTING EXTENDED TO THESE PATIENTS' ACCOUNTS.JAMAICA HOSPITAL MEDICAL CENTER ALLOWS FOR ALL RESIDENTS OF NEW YORK STATE TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR EMERGENCY HOSPITAL SERVICES. FOR ANY MEDICALLY NECESSARY, NON-EMERGENT MEDICAL CARE, THE POLICY ALLOWS FOR RESIDENTS OF THE HOSPITAL'S PRIMARY SERVICE (AS DEFINED BY THE COMMISSIONER OF THE DEPARTMENT OF HEALTH), TO BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO DEFINE WHAT SERVICES ARE COVERED UNDER THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY BASED ON NEW YORK STATE MANDATORY GUIDELINES. PROCEDURE: SERVICES COVERED: JAMAICA HOSPITAL MEDICAL CENTER PROVIDES FINANCIAL ASSISTANCE FOR ALL MEDICALLY NECESSARY AND THERAPEUTICALLY BENEFICIAL SERVICES AND PROCEDURES, AND ALL EMERGENCY HOSPITAL SERVICES INCLUDING EMERGENCY TRANSFERS PURSUANT TO THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA).POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: APPLICATION, APPROVAL, AND APPEAL:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ALLOWS PATIENTS TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE UP TO 90 DAYS AFTER INPATIENT DISCHARGE OR RECEIPT OF OUTPATIENT SERVICES. THE HOSPITAL REQUIRES APPLICANTS TO SUBMIT FINANCIAL DOCUMENTS TO SUPPORT THEIR APPLICATION. THE POLICY ALLOWS 20 DAYS FOR PATIENTS TO SUBMIT ADDITIONAL DOCUMENTS AND INFORMATION NEEDED TO COMPLETE AN APPLICATION. FINANCIAL ASSISTANCE APPLICANTS ARE NOT REQUIRED TO PAY THEIR HOSPITAL BILL(S) WHILE THE APPLICATION FOR ASSISTANCE IS BEING CONSIDERED AND A DETERMINATION MADE. DESIGNATED HOSPITAL STAFF ASSISTS PATIENTS IN THE APPLICATION PROCESS, INCLUDING UNDERSTANDING THE POLICIES AND PROCEDURES. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE ARE REQUIRED TO COOPERATE WITH THE REQUIREMENTS OF THE APPLICATION, SUCH AS PROVIDING INFORMATION AND DOCUMENTATION NECESSARY TO RENDER A DECISION ON THE APPLICATION. TO QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE, HOSPITAL POLICY REQUIRES A PATIENT TO FIRST APPLY FOR MEDICAID OR ANOTHER INSURANCE PROGRAM, IF, IN THE JUDGMENT OF THE HOSPITAL, THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANOTHER HEALTH INSURANCE PROGRAM.THE HOSPITAL PROVIDES APPLICATION FORMS IN THE PRIMARY LANGUAGES OF PATIENTS SERVED BY THE HOSPITAL.DECISIONS REGARDING FINANCIAL ASSISTANCE APPLICATIONS ARE MADE BY THE HOSPITAL WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. WHENEVER A MEDICAID APPLICATION IS ALSO BEING SUBMITTED ON BEHALF OF THE FINANCIAL AID APPLICANT, A FINANCIAL AID DECISION WILL BE RENDERED WITHIN 30 DAYS OF A MEDICAID DENIAL. THE DECISION IS PROVIDED TO THE PATIENT IN WRITING AND INCLUDES THE METHOD BY WHICH THE PATIENT CAN APPEAL A DENIAL. THE FINANCIAL ASSISTANCE DENIAL LETTERS EXPLAINS THE APPEALS PROCESS TO RE-EVALUATE DENIED APPLICATIONS; IF, OR WHEN, AN APPEAL IS REQUESTED. PART VI, LINE 4: THE OVERALL RESIDENT PRIMARY SERVICE AREA (PSA) POPULATION IS APPROXIMATELY 764,500. THIS POPULATION INCLUDES 162,700 IN QUEENS COMMUNITY DISTRICT 9 (KEW GARDENS, OZONE PARK, RICHMOND HILL, AND WOODHAVEN), 138,800 IN QUEENS COMMUNITY DISTRICT 10 (HOWARD BEACH, OZONE PARK, AND SOUTH OZONE PARK), 272,500 IN QUEENS COMMUNITY DISTRICT 12 (HOLLIS, JAMAICA, JAMAICA CENTER, ROCHDALE, SOUTH JAMAICA, AND ST. ALBANS), AND 190,500 IN BROOKLYN COMMUNITY DISTRICT 5 (CYPRESS HILLS AND EAST NEW YORK). UNLESS OTHERWISE NOTED, THE NYC PLANNING COMMUNITY DISTRICT PROFILES WERE USED FOR PSA POPULATION DEMOGRAPHIC DATA. THE POPULATION OF THE PSA IS SLIGHTLY YOUNGER THAN THAT OF NYC, WITH SMALLER PROPORTIONS OF THE POPULATION WHO ARE WOMEN OF CHILD-BEARING AGE.IN COMPARISON TO NYC, A GREATER PROPORTION OF RESIDENTS IN THE PSA IDENTIFY AS RACES OTHER THAN WHITE, INCLUDING SEVERAL PREDOMINANTLY BLACK COMMUNITIES IN BROOKLYN CD 5 AND QUEENS CD 12 AND PREDOMINANTLY ASIAN IMMIGRANT AND ASIAN-AMERICAN COMMUNITIES IN QUEENS CD 9 AND QUEENS CD 10. OVERALL, THE PSA IS VERY RACIALLY AND ETHNICALLY DIVERSE, WITH LARGE POPULATIONS OF FOREIGN-BORN RESIDENTSQUEENS CD 9, WHICH CONTAINS THE RICHMOND HILL COMMUNITY KNOWN FOR ITS LARGE INDO-GUYANESE, INDO-TRINIDADIAN, AND TOBAGONIAN IMMIGRANT POPULATIONS, HAS THE HIGHEST PERCENTAGE OF FOREIGN BORN RESIDENTS IN THE PSA AT 51.1%. IN COMPARISON, FOREIGN BORN RESIDENTS IN OTHER COMMUNITIES ARE OF A LESSER PERCENTAGE: 45.0% (QUEENS CD 10), 42.4% (QUEENS CD 12), AND 36.0% (BROOKLYN CD 5). PART VI, LINE 5: THE HOSPITAL DIRECTLY ADDRESSES MOST OF THE HEALTH PROBLEMS OBSERVED IN ITS SERVICE AREA AND INCLUDED IN THE NYS PREVENTION AGENDA. IT REFERS PATIENTS TO SPECIALIZED HEALTH CARE PROVIDERS FOR SERVICES IT DOES NOT PROVIDE.FOR NON-MEDICAL SOCIAL DETERMINANTS OF HEALTH (SDH) ISSUES, SUCH AS FOOD INSECURITY, UNEMPLOYMENT OR HOMELESSNESS, STAFF ROUTINELY REFERS PATIENTS TO TRUSTED PARTNER AGENCIES WHO CAN ADDRESS THESE PROBLEMS. TO KEEP BETTER TRACK OF THESE REFERRALS, IT HAS RECENTLY IMPLEMENTED AN AUTOMATED CLOSED-LOOP REFERRAL AND FEEDBACK PROCESS, WHICH STARTS WITH DOCUMENTATION OF SDH PROBLEMS IN THE EHR, REFERRAL OF PATIENTS WITH ONE OR MORE HIGH RISK SCORES TO TRUSTED PARTNERS, AND RECEIPT OF FEEDBACK IN THE EHR ABOUT THE OUTCOME OF THE REFERRAL.AS PART OF ITS COMMITMENT TO END GUN VIOLENCE, THE HOSPITAL RECENTLY ENTERED INTO AN AGREEMENT WITH LOCAL MEMBERS OF THE NYC CRISIS MANAGEMENT SYSTEM: KING OF KINGS, LIFE CAMP, AND SHELTERING ARMS CHILDREN AND FAMILY SERVICES- ROCK SAFE STREETS. THE HOSPITAL WILL DESIGNATE EMPLOYEES TO SUPPORT THE PROVISION OF ANTI-VIOLENCE AND VIOLENCE INTERRUPTION SERVICES BY RESPONDING TO REFERRALS OF TRAUMAS ASSOCIATED WITH GUN VIOLENCE. DESIGNATED EMPLOYEES WILL ALSO ASSIST IN COORDINATING CONSENTED VISITATION OF RESPONDERS (INDIVIDUALS APPOINTED BY CURE VIOLENCE GROUPS) WITH PATIENTS AND LOVED ONES, AS AUTHORIZED BY THE LAW. RESPONDERS' DUTIES INCLUDE CONDUCTING FOLLOW-UP VISITS DURING THE INPATIENT STAY, UPON A DETERMINATION BY JAMAICA HOSPITAL THAT THE PATIENT IS STABLE. RESPONDERS WILL PROVIDE SUPPORTIVE SERVICES SUCH AS MEDIATION, CONFLICT RESOLUTION, AND SERVICE REFERRALS TO ASSIST IN THE PREVENTION OF RE-INJURY TO THESE PATIENTS OR TO PREVENT RETALIATION CONNECTED TO GUN VIOLENCE INCIDENTS.THE HOSPITAL ALSO PROVIDES ONGOING STAFF TRAINING AIMED AT REDUCING EXPLICIT AND IMPLICIT BIAS IN CARE, WHICH ARE RECOGNIZED AS MAJOR FACTORS IN THE DISPARITIES IN CARE AND OUTCOMES THAT ARE FOUND AMONG THE RACIAL AND ETHNIC MINORITY GROUPS WHO LIVE IN THE HOSPITAL'S SERVICE AREAS.BASED ON COMMUNITY HEALTH STATISTICS, COMMUNITY HEALTH NEED SURVEY RESULTS AND THE HOSPITAL'S RESOURCES AND CAPABILITIES, HOSPITAL LEADERSHIP DECIDED TO CONTINUE ITS FOCUS ON TWO EXISTING PROGRAMS IN THE NEXT 3-YEAR CYCLE OF ITS COMMUNITY SERVICE PLAN/IMPLEMENTATION PLAN:- PROMOTE TOBACCO USE CESSATION- INCREASE BREASTFEEDINGJHMC USED THE FOLLOWING CRITERIA IN SELECTING THESE FOCUS AREAS:- ALIGNMENT WITH NYS PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE, FOCUS AREA 3: - TOBACCO PREVENTION, GOAL 3.2: PROMOTE TOBACCO USE CESSATION.2. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, FOCUS AREA 2: PERINATAL AND INFANT HEALTH; GOAL 2.2: INCREASE BREASTFEEDING.- ALIGNMENT WITH HEALTHY PEOPLE 2030 OBJECTIVES:1. REDUCE CURRENT TOBACCO USE IN ADULTS.2. REDUCE CURRENT TOBACCO USE IN ADOLESCENTS.3. INCREASE THE PROPORTION OF INFANTS WHO ARE BREASTFED EXCLUSIVELY THROUGH AGE 6 MONTHS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X 0 0 0 0 0 0 0 0 0 BRUCE FLANZ PRESIDENT & CEO 1173281 1687332 0 0 116758 0 8250 0 53968 0 1352257 1687332 0 0 MOUNIR DOSS EXEC. VP & CFO 958628 838312 0 0 36512 0 8250 0 53968 0 1057358 838312 0 0 SABIHA RAOOF CHAIRPERSON RADIOLOGY & CMO 1022822 0 0 0 9600 0 8250 0 58412 0 1099084 0 0 0 WILLIAM LYNCH EXEC. VP & COO 772435 0 0 0 9600 0 8250 0 24233 0 814518 0 0 0 MANZAR SASSANI VP FINANCE 680899 0 0 0 9600 0 8250 0 53968 0 752717 0 0 0 OMAR J ARNUK RADIOLOGIST 664259 0 0 0 0 0 8250 0 52147 0 724656 0 0 0 ALAN ROTH CHAIRMAN OF FAMILY PRACTICE 630570 0 0 0 3564 0 8250 0 53968 0 696352 0 0 0 JAI CHOI RADIOLOGIST 631757 0 0 0 0 0 8250 0 14713 0 654720 0 0 0 SPENCER SERRAS RADIOLOGIST 605639 0 0 0 682 0 8250 0 6388 0 620959 0 0 0 SCHEDULE J, PART II: THE AMOUNT IN COLUMN B(III) FOR BRUCE FLANZ INCLUDES PAYMENTS FOR SUPLEMENTAL LIFE AND DISABILITY INSURANCE. FORM 990, PART VI, SECTION A, LINE 6 MEDISYS HEALTH NETWORK IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEDISYS HEALTH NETWORK, AS THE SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTION. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, COLUMN C: MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE". FORM 990, PART VII, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10.0 HOURS PER WEEK FORM 990, PART IX, LINE 11G MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 79,505,285. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,505,285. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 5,985,414. MANAGEMENT AND GENERAL EXPENSES 828,214. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,813,628. ADMIN FEES - 340B PHARMACY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,294,374. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,294,374. AGENCY FEES - NURSING: PROGRAM SERVICE EXPENSES 36,751,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,751,675. 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