NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING (EIN 13-1624135)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202113199349322716
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T15:17:59-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 MANHATTAN WEST	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131624135	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NEW YORK SOCIETY FOR THE RELIEF OF THE	BusinessNameLine1Txt
Business Name Line2	RUPTURED AND CRIPPLED MAINTAINING THE	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% MARC GOULD	InCareOfNm
Business Name Control	NEWY	BusinessNameControlTxt
Phone	2126061000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 EAST 70TH ST STREET	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10021	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARC GOULD	PersonNm
Person Title	SVP & CAO	PersonTitleTxt
Phone	2126061000	PhoneNum
Signature	2021-11-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MARC	PersonFirstNm
Person Last	GOULD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	James L Ziesche	PreparerPersonNm
PTIN	P01264584	PTIN
Phone	2127733000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Hospital For Special Surgery	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	LOUIS SHAPIRO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 EAST 70TH STREET	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10021	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,499,332,928	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.hss.edu	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1863	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE THE HIGHEST QUALITY PATIENT CARE, IMPROVE MOBILITY, & ENHANCE THE QUALITY OF LIFE FOR ALL, & ADVANCE THE SCIENCE OF ORTHOPEDIC SURG, RHEUMATOLOGY, & THEIR RELATED DISCIPLINES.	ActivityOrMissionDesc
Voting Members Governing Body	47	VotingMembersGoverningBodyCnt
Voting Members Independent	40	VotingMembersIndependentCnt
Total Employee	6590	TotalEmployeeCnt
Total Volunteers	223	TotalVolunteersCnt
Total Gross UBI	$1,001,451	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$73,781,160	PYContributionsGrantsAmt
CY Contributions Grants	$207,845,766	CYContributionsGrantsAmt
PY Program Service Revenue	$1,219,837,053	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,002,410,494	CYProgramServiceRevenueAmt
PY Investment Income	$25,240,641	PYInvestmentIncomeAmt
CY Investment Income	$32,871,782	CYInvestmentIncomeAmt
PY Other Revenue	$56,186,134	PYOtherRevenueAmt
CY Other Revenue	$86,965,684	CYOtherRevenueAmt
PY Total Revenue	$1,375,044,988	PYTotalRevenueAmt
CY Total Revenue	$1,330,093,726	CYTotalRevenueAmt
PY Grants And Similar Paid	$327,200	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$172,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$726,093,792	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$744,329,960	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$550,707,483	PYOtherExpensesAmt
CY Other Expenses	$540,044,373	CYOtherExpensesAmt
PY Total Expenses	$1,277,128,475	PYTotalExpensesAmt
CY Total Expenses	$1,284,546,333	CYTotalExpensesAmt
PY Revenues Less Expenses	$97,916,513	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,547,393	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,315,097,883	TotalAssetsBOYAmt
Total Assets EOY	$3,032,332,032	TotalAssetsEOYAmt
Total Liabilities BOY	$1,133,964,344	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,746,789,350	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,181,133,539	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,285,542,682	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF HOSPITAL FOR SPECIAL SURGERY IS TO PROVIDE THE HIGHEST QUALITY PATIENT CARE, IMPROVE MOBILITY, AND ENHANCE THE QUALITY OF LIFE FOR ALL AND TO ADVANCE THE SCIENCE OF ORTHOPEDIC SURGERY, RHEUMATOLOGY, AND THEIR RELATED DISCIPLINES THROUGH RESEARCH AND EDUCATION. WE DO THIS REGARDLESS OF RACE, COLOR, CREED, SEXUAL ORIENTATION, OR ETHNIC ORIGIN.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$942,802,840	ExpenseAmt
Grant	$172,000	GrantAmt
Revenue	$1,042,218,922	RevenueAmt
Desc	PATIENT CARE: HOSPITAL FOR SPECIAL SURGERY IS COMMITTED TO PROVIDING WORLD-CLASS CARE TO ITS PATIENTS AND HELPING THEM TO REGAIN THEIR MOBILITY, WHILE ALSO ADVANCING RESEARCH INITIATIVES TO EXPLORE AND IMPROVE TREATMENTS FOR ORTHOPEDIC AND RHEUMATOLOGIC CONDITIONS. HOSPITAL FOR SPECIAL SURGERY OPERATED 205 STAFFED BEDS AS OF DECEMBER 31, 2020 AND DECEMBER 31, 2019; AND 39 OPERATING ROOMS AS OF DECEMBER 31, 2020 AND DECEMBER 31, 2019. WE PERFORMED 23,394 SURGERIES, A DECREASE OF 6,251 OVER THE PRIOR YEAR, WHILE NON-SURGICAL OUTPATIENT VISITS NUMBERED 434,149, 50,800 LESS THAN 2019. HOSPITAL FOR SPECIAL SURGERY PROVIDED INPATIENT CARE TO 12,536 PATIENTS, 3,370 LESS THAN 2019. OF THOSE IN 2020, 12,104 WERE SURGICAL. TOTAL AMBULATORY SURGICAL CASES NUMBERED 11,290, A DECREASE OF 2,695 FROM 2019. THE HOSPITAL HAS A DIVERSE PATIENT POPULATION SERVING THOSE WITH PUBLIC INSURANCE (MEDICARE AND MEDICAID), PRIVATE INSURANCE (VARIOUS PAYORS) AND THE UNINSURED. THE HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE PROGRAM TO ASSIST THOSE THAT CANNOT PAY FOR ITS SERVICES AND PROVIDES NUMEROUS OTHER COMMUNITY BENEFIT PROGRAMS. HOSPITAL FOR SPECIAL SURGERY IS ALSO RECOGNIZED AS A MAGNET HOSPITAL FOR EXCELLENCE IN NURSING CARE. THE HOSPITAL IS RECOGNIZED FOR ITS EXCELLENCE IN PATIENT CARE AND IS CONSISTENTLY RANKED BY U.S. NEWS AND WORLD REPORT IN ITS SPECIALTIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$47,384,814	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$37,713,905	RevenueAmt
Desc	RESEARCH: THE RESEARCH DIVISION OF HOSPITAL FOR SPECIAL SURGERY CONTINUED ITS ACTIVITIES IN 2020 TOWARD ENHANCING AND EXPANDING OUR RESEARCH IN MUSCULOSKELETAL DISEASES. RESEARCH AT HOSPITAL FOR SPECIAL SURGERY WORKS TO ADVANCE THE UNDERSTANDING AND TREATMENT OF MUSCULOSKELETAL DISORDERS THROUGH BASIC, TRANSLATIONAL AND CLINICAL RESEARCH AND EDUCATION. THE GOALS ARE TO IDENTIFY GENETIC, ENVIRONMENTAL, CELLULAR, STRUCTURAL AND MOLECULAR MECHANISMS UNDERLYING DISORDERS IMPORTANT IN ORTHOPEDICS, RHEUMATOLOGY AND RELATED DISCIPLINES AND TO DISCOVER EFFECTIVE APPROACHES FOR DIAGNOSIS PREVENTION, AND TREATMENT OF THESE DISORDERS. HSS Research Institute (HSSRI) composed of basic and translational scientists has created programmatic areas that has allowed us to make major contributions to musculoskeletal health. The programmatic areas in the HSSRI address orthopedic and rheumatic conditions and include (1) Autoimmunity and Inflammation (2) Arthritis and Tissue Degeneration (3) Soft Tissue Repair and (4) Bone Health. These programs are supported by an enabling infrastructure including a Genomics Center, Precision Medicine Laboratory, and Experimental Pathology. HSSRI has active collaborations with the Biomechanics Department, many clinical Departments including Orthopedic Services, Rheumatology/Medicine, and Imaging(Radiology), and is expanding collaborations with Physiatry, Anesthesia and Neurology. Combining HSSRI expertise with the volume, breadth, and depth of patients seen at HSS to develop unparalleled clinical research and populations health outcomes programs, has further the national and international visibility of our institution. AS A RESULT OF STRONG INTRA - AND INTER - PROGRAMMATIC INTERACTIONS, AND THE USE OF SHARED CORE RESOURCES, OUR PORTFOLIO OF INNOVATIVE DISCOVERY AND DEVELOPMENT HAS EXPANDED EXPONENTIALLY. TO PROVIDE THE FINAL COMPONENT NEEDED TO ACHIEVE BENCH-TO BEDSIDE RESEARCH, THE RESEARCH INSTITUTE, IN COLLABORATION WITH CLINICIAN RESEARCHERS HAS CREATED A DISTINGUISHED CLINICAL RESEARCH PROGRAM. THE RESEARCH INSTITUTE IS FUNDED BY AN OPERATING BUDGET OF $47 MILLION, SUPPORTED IN PART BY APPROXIMATELY $38 MILLION IN EXTRAMURAL FUNDS, INCLUDING $9 MILLION FROM FEDERAL GRANTS. THIS RESEARCH RESULTED IN over 1,205 PUBLICATIONS FROM 230 researchers IN 2020. HIGHLIGHTS FOR 2020 INCLUDE: continued advancement of HSS's research mission by: 1) supporting and retaining our most productive faculty, 2) mentoring the next generation of scientists, 3) expanding our collaborative efforts with clinicians and recruitment of full time clinical research scientists, 4) supporting the infrastructure necessary to advance our research and ensure compliance, AND 5) SCIENTIFIC HIGHLIGHTS INCLUDE, COVID related research and laboratory studies in areas such as bone and implant integration, spine disc development, periprosthetic joint infection, tendon and ligament repair, biologics and autoimmune diseases (i.e. Rheumatoid Arthritis, Systemic Sclerosis, Lupus), REGENERATIVE MEDICINE, and SINGLE CELL SEQUENCING. REGENERATIVE MEDICINE, and SINGLE CELL SEQUENCING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$50,054,336	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,925,011	RevenueAmt
Desc	EDUCATION INSTITUTE: HSS EDUCATION INSTITUTE CONTINUED TO MAKE STRIDES TOWARDS THE MISSION TO BE "THE MOST TRUSTED EDUCATOR" IN THE FIELD OF MUSCULOSKELETAL HEALTH FOR PATIENTS, PHYSICIANS, ALLIED HEALTH PROFESSIONALS AND THE GENERAL PUBLIC. IN 2020 WE STRENGTHENED STRATEGIC PARTNERSHIPS WITH OUR 26 EDUCATION AND ACADEMIC AFFAIRS ADVISORY COMMITTEES AND INSTITUTIONAL PARTNERS, AS WELL AS FURTHERING EXTERNAL COMMUNITY RELATIONS GLOBALLY. THE INSTITUTE TRAINED 47 RESIDENTS, 71 FELLOWS, AND 92 MEDICAL STUDENTS AND TRAINEES WHO SPEND PART OF THE YEAR AT HSS. FOR OTHER TRAINEES, THERE WERE 291 IN-ROTATORS AND 216 CONSULTS. IN ADDITION, HSS' RESIDENCY PROGRAM HAS BEEN TOP RANKED FOR THE FIVE YEARS BY PHYSICIAN NETWORK DOXIMITY IN BOTH REPUTATION AND RESEARCH OUTPUT. IN 2020, WE ENGAGED 2.6 million people THROUGH CUTTING EDGE Live and Digital Education PROGRAMS, INCLUDING OUR HSS e-ACADEMY (THE HOSPITAL'S ONLINE LEARNING PLATFORM FOR PROFESSIONALS), ACGME PROGRAMS, CME ACCREDITED ACTIVITIES, BIOSKILLS EDUCATION LABORATORY SESSIONS, GLOBAL PARTNERSHIP INITIATIVES, KIM BARRETT MEMORIAL MEDICAL LIBRARY USERS, AND COMMUNITY EDUCATION & OUTREACH PROGRAMS. EI ALSO HOSTED 84 ACADEMIC VISTORS AND CREDENTIALED NEARLY 4,000 PHYSICIANS AND HEALTH CARE PROVIDERS. WE CONTINUE TO SET THE HIGHEST STANDARD WITH OUR ACCME ACCREDITED AND NON-ACCREDITED PROFESSIONAL EDUCATION PROGRAMS. IN 2020, THE EDUCATION INSTITUTE THROUGH ITS POFESSIONAL EDUCATION and Global Academic Partnerships DEPARTMENTs, including HSS E-ACADEMY DELIVERED MORE THAN 1700 EDUCATIONAL ACTIVITIES INCLUDING ONSITE COURSES, GRAND ROUNDS, INTERNET LIVE COURSES, INTERNET ENDURING MATERIAL AND JOURNAL-BASED CONTINUING MEDICAL EDUCATION ACTIVITIES RESULTING IN OVER 240,000 LEARNER INTERACTIONS WITH A DIVERSITY OF HEALTHCARE PROFESSIONALS AND TEAMS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,040,241,990	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	631	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6590	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	VI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	47	GoverningBodyVotingMembersCnt
Independent Voting Member	40	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARC GOULD	PersonNm
Phone	2126061323	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 EAST 70TH STREET	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10021	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (66 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bryan T Kelly
Member/Surgeon-in-Chief	69.69	1.27	Yes (X)	Yes (X)	$5,856,172	$0	$79,205
Louis A Shapiro
President & Chief Exec Officer	45.23	14.77	Yes (X)	Yes (X)	$3,261,562	$815,391	$86,208
Answorth A Allen
Attending Physician	54.51	0.62			$3,134,497	$35,893	$72,653	Yes (X)
William M Ricci
Chief of the Trauma Service	50.0	0.0			$2,734,049	$0	$61,645	Yes (X)
Sheeraz Qureshi
Associate Attending Physician	14.92	0.0			$2,667,238	$0	$52,370	Yes (X)
Stacey L Malakoff
Exec VP & Chief Fin Officer	48.23	11.77		Yes (X)	$2,045,135	$360,906	$74,884
Ernest Sink
Associate Attending Physician	61.0	0.0			$2,301,552	$0	$65,859	Yes (X)
Danyal Nawabi
Assistant Attending Physician	50.0	0.0			$2,302,468	$0	$64,108	Yes (X)
Lisa A Goldstein
Executive VP & COO	50.7	9.3		Yes (X)	$1,623,035	$242,521	$66,181
Hollis Potter
Radiologist-in-Chief	60.0	0.0			$1,592,694	$0	$79,205		Yes (X)
Douglas Padgett
Member/Assoc Surgeon-in-Chief	49.23	0.77	Yes (X)		$1,522,884	$0	$75,578
Duretti Fufa - Join BOT 2020
Member/Attending Physician	49.6	0.4	Yes (X)		$1,121,377	$0	$49,784
Irene Koch
Exec VP & Chief Legal Officer	48.42	11.58		Yes (X)	$816,746	$144,131	$59,805
Mary K Crow - To 92020
Member/Physician-in-Chief	59.23	0.77	Yes (X)		$944,853	$500	$42,989
Lionel Ivashkiv
Member/Chief Scientific Offic.	60.0	0.0	Yes (X)		$858,876	$0	$62,654
Ralph Bianco
Sr. Vice President, Operations	54.0	6.0			$567,439	$63,049	$71,748		Yes (X)
Jennifer O'Neill
Sr. VP, Patient Care SRV & CNO	60.0	0.0			$658,375	$0	$22,519		Yes (X)
Stephanie J Goldberg
Fmr Sr. VP, Pat Care SRV & CNO	0.0	0.0			$567,163	$0	$2,295			Yes (X)
Karen Onel
Member/Attending Physician	49.6	0.4	Yes (X)		$354,261	$0	$69,583
Todd J Albert
Former Surgeon-in-Chief	8.2	0.77			$215,123	$500	$58,949			Yes (X)
S Louis BridgesJr -From 920
Member/Physician-in-Chief	60.0	0.0	Yes (X)		$220,850	$0	$19,427
Edwin Su - Left BOT 2020
Member/Attending Physician	13.75	0.4	Yes (X)		$106,108	$0	$57,839
James M Benson
Member	0.25	0.04	Yes (X)		$0	$0	$0
Daniel C Benton
Member	1.45	0.26	Yes (X)		$0	$0	$0
Herbert Black
Member	0.25	0.04	Yes (X)		$0	$0	$0
Michael C Brooks
Member	0.92	0.16	Yes (X)		$0	$0	$0
Kathryn Chenault
Member	0.41	0.07	Yes (X)		$0	$0	$0
Charles Coleman III
Member	0.78	0.14	Yes (X)		$0	$0	$0
Leslie Cornfeld
Member	0.65	0.12	Yes (X)		$0	$0	$0
Cynthia Foster Curry
Member	2.55	0.45	Yes (X)		$0	$0	$0
Barrie M Damson
Member	0.61	0.12	Yes (X)		$0	$0	$0
James G Dinan
Member	2.73	0.48	Yes (X)		$0	$0	$0
Anne Ehrenkranz
Member	2.47	0.44	Yes (X)		$0	$0	$0
Michael Esposito
Vice-Chair	4.99	0.88	Yes (X)	Yes (X)	$0	$0	$0
Marina Kellen French
Member	0.41	0.07	Yes (X)		$0	$0	$0
Giammaria Giuliani
Member	0.25	0.04	Yes (X)		$0	$0	$0
Craig Ivey
Vice-Chair	5.67	1.0	Yes (X)	Yes (X)	$0	$0	$0
Winfield P Jones -LEFT BOT 20
Chair Emeritus	1.65	0.29	Yes (X)	Yes (X)	$0	$0	$0
Warren B Kanders
Member	0.25	0.04	Yes (X)		$0	$0	$0
Scott Kapnick
Member	1.21	0.21	Yes (X)		$0	$0	$0
Monica Keany
Member	0.71	0.12	Yes (X)		$0	$0	$0
Thomas J Kelly
Member	2.01	0.36	Yes (X)		$0	$0	$0
Sacha Lainovic
Member	0.55	0.1	Yes (X)		$0	$0	$0
Laurie Hodges Lapeyre
Member	4.37	0.77	Yes (X)		$0	$0	$0
Pablo Legorreta
Member	0.54	0.09	Yes (X)		$0	$0	$0
Lara R Lerner
Member	0.37	0.06	Yes (X)		$0	$0	$0
Kathy Leventhal
Member	1.58	0.28	Yes (X)		$0	$0	$0
Marylin B Levitt -Left BOT 20
Member	0.38	0.06	Yes (X)		$0	$0	$0
Thomas H Lister
Co-Chair	14.52	2.98	Yes (X)	Yes (X)	$0	$0	$0
Alan S MacDonald
Member	0.54	0.09	Yes (X)		$0	$0	$0
David H McCormick
Member	1.45	0.26	Yes (X)		$0	$0	$0
Celene Menschel
Member	0.25	0.04	Yes (X)		$0	$0	$0
Mary Kathryn Navab
Member	0.25	0.04	Yes (X)		$0	$0	$0
Terence M O'Toole
Member	4.25	0.75	Yes (X)		$0	$0	$0
Gordon Pattee
Member	0.49	0.09	Yes (X)		$0	$0	$0
Matthew H Peltz
Member	0.41	0.09	Yes (X)		$0	$0	$0
Steven Rattner
Member	1.34	0.24	Yes (X)		$0	$0	$0
Scott Rechler - Join BOT 2020
Member	0.25	0.04	Yes (X)		$0	$0	$0
Susan W Rose - Left BOT 2020
Member	0.38	0.06	Yes (X)		$0	$0	$0
Jonathan Sobel
Member	2.72	0.48	Yes (X)		$0	$0	$0
Deirdre Stanley
Member - CHG FROM VC 9/20	3.68	0.65	Yes (X)		$0	$0	$0
Robert K Steel
Co-Chair	14.87	2.63	Yes (X)	Yes (X)	$0	$0	$0
Patricia G Warner-Left BOT 2020
Member	1.3	0.23	Yes (X)		$0	$0	$0
Sanford I Weill
Member	0.25	0.04	Yes (X)		$0	$0	$0
Kendrick R Wilson III
Chair Emeritus	3.21	0.66	Yes (X)	Yes (X)	$0	$0	$0
Ellen M Wright
Member	2.25	0.39	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,472,457	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,662,891	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,295,488	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2076	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MICHAEL ANTHONY CONTRACTING
161 RAILROAD AVE	GARDEN CITY PARK	NY	11040	CONSTRUCTION	$6,373,556
CONSTRUCTION CONTRACTORS OF NY COR
208 RUSSELL PLACE	HACKENSACK	NJ	07601	CONSTRUCTION	$4,235,490
TISHMAN CONSTRUCTION CORP
100 PARK AVE 5TH FL	NEW YORK	NY	10017	CONSTRUCTION	$3,702,018
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	53288	EHR SYSTEM SERVICES	$3,544,704
AKQA CORP
1901 VICENTE STREET	SAN FRANCISCO	CA	94116	DIGITAL CONSULTING	$3,529,922

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	225	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,717,287	RelatedOrganizationsAmt
Government Grants	$131,420,764	GovernmentGrantsAmt
All Other Contributions	$74,707,715	AllOtherContributionsAmt
Noncash Contributions	$910,920	NoncashContributionsAmt
Total Contributions	$207,845,766	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET INPATIENT REVENUE	622110	$525,183,165	$525,183,165
NET OUTPATIENT REVENUE	622110	$355,578,322	$355,578,322
PROFESSIONAL FEES	622110	$121,649,007	$121,649,007

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,002,410,494	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,333,948	TotalRevenueColumnAmt
Unrelated Business Revenue	-$22,860	UnrelatedBusinessRevenueAmt
Exclusion	$14,356,808	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$516,358	TotalRevenueColumnAmt
Exclusion	$516,358	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$224,452	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$246,781	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$22,329	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$22,329	TotalRevenueColumnAmt
Exclusion	-$22,329	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$187,530,255	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$168,992,421	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,537,834	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,537,834	TotalRevenueColumnAmt
Exclusion	$18,537,834	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
RECOVERIES-EXPENSES	622110	$28,821,987	$28,821,987
RECOVERIES-MD RELATED EXP	622110	$30,283,088	$30,283,088
MISCELLANEOUS	622110	$27,366,580	$26,342,269	$1,024,311

Field	Value	IRS element (for citing)
Other Revenue Total	$86,471,655	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,330,093,726	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,087,857,838	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,001,451	UnrelatedBusinessRevenueAmt
Exclusion	$33,388,671	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$172,000	TotalAmt
Program Services	$172,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$22,414,753	TotalAmt
Program Services	$14,427,245	ProgramServicesAmt
Management And General	$7,987,508	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$843,530	TotalAmt
Program Services	$843,530	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$592,477,176	TotalAmt
Program Services	$509,995,225	ProgramServicesAmt
Management And General	$82,481,951	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,998,945	TotalAmt
Program Services	$27,768,974	ProgramServicesAmt
Management And General	$4,229,971	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,678,304	TotalAmt
Program Services	$51,880,421	ProgramServicesAmt
Management And General	$8,797,883	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$35,917,252	TotalAmt
Program Services	$30,709,529	ProgramServicesAmt
Management And General	$5,207,723	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$14,172,807	TotalAmt
Program Services	$8,639,034	ProgramServicesAmt
Management And General	$5,533,773	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,710,374	TotalAmt
Management And General	$7,710,374	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$321,000	TotalAmt
Management And General	$321,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$350,000	TotalAmt
Management And General	$350,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,798,313	TotalAmt
Program Services	$17,167,137	ProgramServicesAmt
Management And General	$2,631,176	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,916,330	TotalAmt
Management And General	$20,916,330	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,334,652	TotalAmt
Program Services	$23,044,115	ProgramServicesAmt
Management And General	$6,290,537	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$34,562,061	TotalAmt
Management And General	$34,562,061	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$67,999,251	TotalAmt
Program Services	$54,452,121	ProgramServicesAmt
Management And General	$13,547,130	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,870,456	TotalAmt
Program Services	$4,559,005	ProgramServicesAmt
Management And General	$311,451	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,436,752	TotalAmt
Program Services	$11,822,776	ProgramServicesAmt
Management And General	$3,613,976	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$87,800,671	TotalAmt
Program Services	$66,869,336	ProgramServicesAmt
Management And General	$20,931,335	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$22,864,746	TotalAmt
Program Services	$16,457,723	ProgramServicesAmt
Management And General	$6,407,023	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES & IMPLANT	$152,965,314	$152,965,314
RESEARCH (NET OF RECOVERIES)	$20,371,293	$20,371,293
SPF SUPPLIES	$14,842,157	$14,842,157
BAD DEBT	$6,617,813	$6,617,813

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,110,383	TotalAmt
Program Services	$6,637,242	ProgramServicesAmt
Management And General	$12,473,141	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,284,546,333	TotalAmt
Program Services	$1,040,241,990	ProgramServicesAmt
Management And General	$244,304,343	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$114,042,058	BOYAmt
EOY	$443,386,847	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,748,868	BOYAmt
EOY	$53,261,765	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$173,772,528	BOYAmt
EOY	$191,156,986	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,020,451	BOYAmt
EOY	$15,032,620	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,620,266	BOYAmt
EOY	$16,314,726	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,449,697	BOYAmt
EOY	$12,631,869	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,525,945,876	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$857,192,466	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$604,419,202	BOYAmt
EOY	$668,753,410	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$430,744,323	BOYAmt
EOY	$574,321,298	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$292,884,183	BOYAmt
EOY	$394,452,637	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$559,000	BOYAmt
EOY	$503,100	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$616,837,307	BOYAmt
EOY	$662,516,774	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,315,097,883	BOYAmt
EOY	$3,032,332,032	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$128,619,607	BOYAmt
EOY	$144,339,647	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$898,393	BOYAmt
EOY	$1,191,937	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$946,667	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,270,588	BOYAmt
EOY	$18,936,171	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$193,150,164	BOYAmt
EOY	$537,425,458	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$100,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$771,025,592	BOYAmt
EOY	$943,949,470	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,133,964,344	BOYAmt
EOY	$1,746,789,350	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$778,278,350	BOYAmt
EOY	$820,577,865	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$402,855,189	BOYAmt
EOY	$464,964,817	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,181,133,539	BOYAmt
EOY	$1,285,542,682	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,315,097,883	BOYAmt
EOY	$3,032,332,032	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$45,547,393	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$78,821,126	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,959,376	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$57,154,844	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,923,152	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,212,279	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$73,781,160	CurrentTaxYearMinus1YearAmt
Current Tax Year	$207,845,766	CurrentTaxYearAmt
Total	$480,917,201	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$57,154,844	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,923,152	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,212,279	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$73,781,160	CurrentTaxYearMinus1YearAmt
Current Tax Year	$207,845,766	CurrentTaxYearAmt
Total	$480,917,201	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$39,119,806	SubstantialContributorsTotAmt
Public Support Total170	$441,797,395	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,912,208	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,872,710	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,344,419	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,708,669	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,097,618	CurrentTaxYearAmt
Total	$59,935,624	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$525,180	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$571,972	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,001,451	CurrentTaxYearAmt
Total	$2,098,603	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$470,424	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$435,475	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$905,899	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$543,857,327	TotalSupportAmt
Gross Receipts Rltd Activities	$5,662,204,487	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.81234	PublicSupportCY170Pct
Public Support PY170	0.83315	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II	FormAndLineReferenceDesc
Explanation	The Schedule A, Part II support schedule has been completed to demonstrate that HSS meets the 170(b)(1)(A)(vi) public support test as required to use the Schedule B, Special Rule. HSS is not classified as a 170(b)(1)(A)(vi) entity, as it meets its public charity status requirement as a Hospital under section 170(b)(1)(A)(iii).	ExplanationTxt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,284,546,333	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,284,546,333	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$52,000	CurrentYearMinus3Amt
Current Year Minus2	$48,000	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$100,000	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$406,573,849	BeginningYearBalanceAmt
Contributions	$86,343,747	ContributionsAmt
Investment Earnings Or Losses	$48,326,882	InvestmentEarningsOrLossesAmt
Other Expenditures	$72,561,001	OtherExpendituresAmt
End Year Balance	$468,683,477	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$361,278,693	BeginningYearBalanceAmt
Contributions	$78,944,694	ContributionsAmt
Investment Earnings Or Losses	$33,455,325	InvestmentEarningsOrLossesAmt
Other Expenditures	$67,104,863	OtherExpendituresAmt
End Year Balance	$406,573,849	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$336,457,233	BeginningYearBalanceAmt
Contributions	$98,195,455	ContributionsAmt
Investment Earnings Or Losses	-$6,198,738	InvestmentEarningsOrLossesAmt
Other Expenditures	$67,175,257	OtherExpendituresAmt
End Year Balance	$361,278,693	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$317,061,760	BeginningYearBalanceAmt
Contributions	$55,313,894	ContributionsAmt
Investment Earnings Or Losses	$28,886,639	InvestmentEarningsOrLossesAmt
Other Expenditures	$64,805,060	OtherExpendituresAmt
End Year Balance	$336,457,233	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$302,864,378	BeginningYearBalanceAmt
Contributions	$62,588,933	ContributionsAmt
Investment Earnings Or Losses	$10,841,617	InvestmentEarningsOrLossesAmt
Other Expenditures	$59,233,168	OtherExpendituresAmt
End Year Balance	$317,061,760	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.37000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.62000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$223,403	OtherCostOrOtherBasisAmt
Book Value	$223,403	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$741,270,906	OtherCostOrOtherBasisAmt
Depreciation	$404,589,714	DepreciationAmt
Book Value	$336,681,192	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$655,807,103	OtherCostOrOtherBasisAmt
Depreciation	$452,602,752	DepreciationAmt
Book Value	$203,204,351	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,644,464	OtherCostOrOtherBasisAmt
Book Value	$128,644,464	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$668,753,410	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$394,452,637	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$394,452,637	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (15 entries)

DescDesc	Book ValueBookValueAmt
LEASE ASSETS	$418,205,120
INSURANCE CLAIMS RECEIVABLE	$86,404,768
INT IN HSS FUND, INC.-FASB 136	$87,381,387
DUE FROM AFFILIATES -MRKT SEC.	$25,743,475
457B DEFERRED COMP PLAN ASSETS	$18,365,587
DUE FROM AFFILIATES - NET	$16,628,864
INT - HSS FLORIDA PHYSICIA LLC	$5,384,361
INT - HSS ASC OF MANHATTAN LLC	$3,307,576
INVESTMENT IN PALM BEACH ASC	$2,259,234
TI RECEIVABLE WESTCHESTER - LT	$1,406,250
INVESTMENT IN SUTTON HOUSE	$820,000
INVESTMENT IN HS2	$108,585
INVESTMENT IN PREMIER DEROYAL	$102,564
INVESTMENT IN LIMA WARRANTS	$1,000
INT - HSS WESTSIDE ASC LLC	-$3,601,997

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$662,516,774	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
LEASE LIABILITIES	$455,709,520
DEFINED BENEFIT PENSION PLAN	$200,018,143
INSURANCE CLAIM LIABILITY	$86,404,768
DUE TO THIRD PARTY PAYORS	$127,440,433
457B DEFERRED COMP PLAN LIABIL	$18,365,587
ACCRUED POST-RETIREMENT HEALTH	$6,805,632
OTHER ACCRUED LIABILITIES	$49,205,387

Field	Value	IRS element (for citing)
Total Liability	$943,949,470	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4 - ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	THE HOSPITAL'S ENDOWMENTS INCLUDE RESTRICTED (RESEARCH OR SPECIFIC PURPOSE) AND UNRESTRICTED ENDOWMENTS AND ARE USED FOR RESEARCH, EDUCATION, PATIENT NEEDS, OR RELATED ADMINISTRATIVE ACTIVITIES IN ACCORDANCE WITH APPLICABLE DONOR RESTRICTIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$113,922,645
Central America and the Caribbean	0	Medical Insurance Premiums	$12,318,361
Central America and the Caribbean	1	Program Services	$102,000	PT.LIAISON/BUS DEV
Central America and the Caribbean	1	Program Services	$30,000	PT.LIAISON/BUS DEV
Europe (Including Iceland and Greenland)	0	Program Services	$6,000	PT.LIAISON/BUS DEV
South America	1	Program Services	$36,000	PT.LIAISON/BUS DEV
South America	1	Program Services	$30,000	PT.LIAISON/BUS DEV
Europe (Including Iceland and Greenland)	0	Investments	$548,864

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	4	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	4	TotalEmployeeCnt
Subtotal Spent	$126,993,870	SubtotalSpentAmt
Total Spent	$126,993,870	TotalSpentAmt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (4 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt
APS ACTION YOUNG SCHOLAR AWARD	Europe (Including Iceland and Greenland)
APS ACTION YOUNG SCHOLAR AWARD	East Asia and the Pacific
APS ACTION YOUNG SCHOLAR AWARD	North America
APS ACTION YOUNG SCHOLAR AWARD	South Asia

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 3 - Health Education	The Hospital reimburses its executives, physicians and scientists for attending conferences, some of which may be outside of the United States.
Schedule F, Part I, Line 3, Column F	The accrual method of accounting is used to report expenditures reported on column F.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	700.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,384,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,201,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,183,550	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,395,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,751,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,644,030	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,410,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$330,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,080,554	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,190,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,282,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,908,134	NetCommunityBenefitExpnsAmt
Total Expense	0.03490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,156,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,573,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,582,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,824,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,712,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,111,969	NetCommunityBenefitExpnsAmt
Total Expense	0.03890	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,231,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,945,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,285,581	NetCommunityBenefitExpnsAmt
Total Expense	0.02150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,212,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,231,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,980,363	NetCommunityBenefitExpnsAmt
Total Expense	0.06840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,402,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,514,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,888,497	NetCommunityBenefitExpnsAmt
Total Expense	0.10330	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,540,629	BadDebtExpenseAmt
Reimbursed By Medicare	$135,467,472	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$219,529,322	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$84,061,850	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
HSS ASC OF MANHATTAN
HEALTH CARE	0.5468	0.4532
HSS WEST SIDE ASC
HEALTH CARE	0.67	0.33
HS2 LLC
SURGEON TALENT MANAGEMENT CO	0.1009	0.8238	0.0753

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL FOR SPECIAL SURGERY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 EAST 70TH STREET	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10021	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.hss.edu	WebsiteAddressTxt
State License	7002012H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL FOR SPECIAL SURGERY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.hss.edu/community.asp	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.hss.edu/community.asp	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	500.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	700.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
Other Reason	Yes (X)	OtherReasonInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 5	A 60-question survey was developed through a collective effort by a four-member HSS CHNA steering committee, community partners, internal stakeholders and the public. The CHNA steering committee identified validated research questions to be addressed, drafted the individual survey questions, and identified community partners and internal stakeholders to review and provide input to survey development. Collaboration with these groups was crucial to the success of this survey, with valuable feedback provided on survey construction and length. In an effort to reach a culturally diverse community, the survey was translated into Spanish, Chinese and Russian using a culturally sensitive back translation approach. Below outlines the list of community partners involved in survey construction: . Arthritis Foundation - New York Chapter . Clinical & Translational Science Center (CTSC) - Weill Cornell Medicine . New York Presbyterian Hospital . Medicare Rights Center . NYC DOHMH - Office of Policy, Planning and Strategic Data Use . New York City Department of Aging . S.L.E. Lupus Foundation . Self - Help Innovative Senior Center . Isabella Geriatric . Touro College Graduate School of Social Work . Visiting Nurses Services . Charles B. Wang Community Health Center . Spondylitis Association of America . Stamford YMCA . Charter School of Excellence . NY Sports Connection The CHNA was piloted for one month (October 15 - November 16, 2018) among 70 community members to obtain meaningful feedback about the survey and ensure cultural relevancy and health literacy. Survey Administration: The survey was administered via six methods: mail, online, email, social media, QR codes, and in-person. Mailed surveys were sent to existing lists maintained by the HSS Public & Patient Education and the Social Work Department reaching 15,126 community residents. In an effort to reach the medically underserved population, two strategies were employed: 1) An oversampling approach was used in selecting zip codes identified as Medically Underserved Areas (MUA) derived from the U.S. Department of Health and Human Services (https://data.hrsa.gov/tools/shortage-area/mua-find). Household mailing lists were purchased and distributed to a randomly selected sample of 7,500 households of individuals aged 18 years and older in the MUA zip codes within HSS' primary and secondary service areas. 2) The use of Survey Gizmo Panel services to administer the CHNA survey online reaching 591 low income and diverse community residents. Electronic surveys were sent via e-mail to HSS patients and existing email lists maintained by the Public and Patient Education and the Social Work Departments. Surveys were also posted on the HSS website, and social media outlets such as Facebook and Twitter. Lastly, post cards with QR-codes, and in-person surveys were distributed or displayed with instructions in some waiting areas within the hospital, and Ambulatory Care Centers (ACC), while others were administered in existing educational lectures/workshops within the community, and hospital-based programs. HSS facilitated systematic feedback from its varied constituents (i.e., internal stakeholders, community partners including the local public health department, and the public) based on the CHNA results to guide the selection of the health needs and services to address in its community programming. Our approach in identifying, prioritizing and selecting significant health needs is described below. a) Internal Stakeholders - Recognizing that the development of community health programming requires a concerted effort by all members of the organization, we involved various representatives from HSS departments (i.e. Education Institute, Nursing, Social Work, Nutrition, Rehabilitation, Ambulatory Care Centers, Service Excellence and Language Services, Regional Markets, Patient Experience, Medical Staff and Attendings, Development, Public Relations and Marketing, Digital Communications and Quality). The knowledge and experience of staff that have a vested interest in serving the community was essential in identifying and addressing the community's health needs. An internal stakeholder meeting was held on August 13, 2019 with 20 staff in attendance to discuss identified health priorities and explore areas for implementing initiatives, using CHNA results and stakeholders' awareness of community needs to guide the discussion. Discussions were focused on increasing awareness of educational resources and programs available to the community as well as healthcare providers through increased marketing efforts, and implementing digital programs (i.e., exercises, lectures and workshops) to increase program reach. b) Community partners - Feedback from community partners was critical to driving the assessment and selection of public health priorities for the Hospital. Using results of the CHNA survey as the basis for discussion, HSS and its partners exchanged valuable information regarding community needs, explored areas for future collaboration, and solidified a mutual commitment to advancing public health. Furthermore, community partner knowledge of their respective communities helped to identify gaps in community programming - or more specifically, areas where HSS could use its areas of expertise to make a lasting public health impact. The New York City DOHMH was actively involved in our CHNA process by providing input in the development of the survey and identifying significant health needs based on the CHNA results. A NYC DOHMH staff participated in our community partners meeting. See details about the meeting below: A community partners meeting was held on June 19, 2019 with 23 individuals from five community partner organizations in attendance. During the meeting, we shared the CHNA results, elicited feedback and ranked health issues according to the communities they serve. CHNA results were received positively and there was extensive discussion about how results accurately depicted the various communities served and how these results could be used to impact the community at large. Specifically, there were discussions about access to educational programs and ways in which HSS could extend the reach of its programs. c) General public including medically underserved and low-income population - To further HSS' commitment to developing programs that improve the health of our culturally diverse communities, obtaining feedback from the public and medically underserved, low-income, and minority populations was instrumental in driving the Hospital's selection of significant health needs to improve the health of communities where dramatic health disparities exist. Our approach in soliciting input from the public was through community forums. Seven community forums were held to allow community members an opportunity to identify and prioritize health needs that provided HSS with the appropriate direction in selecting its public health priorities. Our marketing strategy for the community forums included distribution of flyers at public and patient education programs and awareness on social media i.e., Facebook. Furthermore, in order to reach low-income population, HSS partnered with Community-Based Organizations (CBOs) serving medically underserved communities to advertise community forums. Specific dates, locations, and attendance for the community forums were as follows: . June 12, 2019 at Stamford Senior Center, Stamford, CT (40 people present) . June 13, 2019 at Building One Community Center, Stamford, CT (15 people present) . June 13, 2019 at HSS Campus, NYC (14 people present) . June 14, 2019 a Webinar (2 people present) . June 17, 2019 at Chinatown Community Center, Visiting Nurse Service of New York, NY (53 people present) . June 20, 2019 at Selfhelp Innovative Senior Center, Flushing, NY (22 people present) . June 26, 2019 at Leonard Covello Senior Center, Carter Burden Network, Manhattan, NY (21 people present) A total of 167 community members participated in the community forums. At each community forum, participants were asked to rank the top 10 health indicators from a list of 25 identified in the CHNA according to order of importance (where 1 ranks the highest). Ranking results were calculated using a simple point system in which each ranking is assigned a point value from 1-10, with the indicator ranked 1 receiving 10 points and the indicator ranked 10 receiving 1 point. The indicators that received the most collective points were identified as the top priorities for the participants at each respective event. d) Additional Input - HSS also solicited additional input from the Greater New York Hospital Association (GNYHA), a trade association to inform the CHNA process. Additional in-person meetings and conference calls were held with GNYHA on 01/12/2018, 05/11/2018, 10/19/18, 12/14/2018, 03/13/2019 and 05/29/2019 to discuss the NYS DOH CSP requirements and federal requirements for the CHNA. e) Public Comment
PART V, LINE 7D	THE HOSPITAL SUMMARIZED THE RESULTS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ITS COMMUNITY BENEFIT REPORT. THE COMMUNITY BENEFIT REPORT AND CHNA ARE POSTED ON THE HOSPITALS WEBSITE, AT HTTP://WWW.HSS.EDU/COMMUNITY.ASP, AND BOOKLETS ARE ALSO DISTRIBUTED WITHIN THE HOSPITAL. THE COMMUNITY BENEFIT REPORT IS ALSO E-MAIL BLASTED TO OUR COMMUNITY PARTNERS, SELECTED DONORS AND PUBLIC OFFICIALS.
PART V, LINE 11	A detailed description of how HSS' programs will address health needs, anticipated impact of implementation strategy, and planned collaboration with organizations is provided below. HSS is addressing all significant health needs identified in the most recently conducted CHNA. 1. Asian Community Bone Health Initiative: This initiative is comprised of culturally relevant educational and exercise programs (i.e., yoga and low impact chair exercises) designed to improve Asian seniors' management of their chronic musculoskeletal conditions (such as osteoarthritis and osteoporosis) and its symptoms (e.g., falls, stiffness, fatigue, muscle bone and joint pain) while also increasing access to care in this medically underserved community. The anticipated program impact includes improved musculoskeletal health by decreasing musculoskeletal pain, stiffness, fatigue, and falls, and increasing frequency of physical activity and self-efficacy. This program is a community-based initiative and will partner with senior and community centers serving Asian older adults such as Selfhelp Innovative Senior Center and Chinatown Community Center, Visiting Nurse Service of New York in addressing the health need. 2. Charla de Lupus/Lupus Chat: This is a social work led program that engages and trains peer volunteers to become empowering role models by providing culturally relevant strategies to help increase understanding of this complex illness and its treatment, improve medical adherence, and enhance coping and healthy behaviors. Comprehensive bilingual (English/Spanish) services include: the Charla Line, a toll-free national support and education helpline; weekly Onsite Peer Support Outreach at four hospital-based clinics, monthly Charla Teen and Parent Lupus Chat Groups; numerous communities, professional education, and government collaborations. Anticipated program impact includes increased knowledge and self-management skills of lupus and its symptoms. The Charla de Lupus/Lupus Chat will partner with community-based organizations throughout NYC such as Planned Parenthood of NYC and Community Healthcare Partners in addressing the health need. 3. LANtern Lupus Asian Network: HSS LANtern is a national model for support and education of Asian Americans with lupus and their families. LANtern is the only hospital-based support and education program designed specifically for Asians/Asian Americans with lupus. Through its bilingual (Chinese) SupportLine, publications, community and professional programs, and capacity building, the program seeks to enhance awareness, understanding, coping and knowledge for Asian Americans with lupus and their loved ones. Anticipated program impact includes increased knowledge about high quality preventive care for the Asian community and improved clinical management of lupus and its symptoms. LANtern will partner with community-based, hospital-based and professional organizations such as Charles B. Wang Community Health Center, NY Presbyterian's Lower Manhattan Hospital's Community Partnership for Health (CCPH), Association of Chinese American Physicians (CAMS), the Lupus Research Alliance in addressing the health need. 4. Musculoskeletal Health Wellness Initiative (MHI): This initiative is comprised of hospital and community-based educational and exercise programs to raise awareness, educate, and reduce the impact of musculoskeletal conditions in the community. The educational component of MHI offers lectures, workshops, and webinars about musculoskeletal health-specific topics such as osteoarthritis, osteoporosis, and rheumatoid arthritis and some of the symptoms associated with these conditions (falls, fatigue, stiffness, and muscle, bone and joint pain), in addition to maintaining a healthy lifestyle. The exercise component of the initiative is comprised of weekly exercise classes such as Yoga, Pilates, Tai Chi, Dance, and Yogalates specifically designed for individuals that are suffering from or at risk of musculoskeletal and rheumatologic conditions. The anticipated program impact includes improved musculoskeletal health by decreasing musculoskeletal pain, stiffness, fatigue, and falls, and increasing frequency of physical activity and self-efficacy. MHI will partner with Arthritis Foundation, and local community centers in NYC and Stamford in addressing the health need. 5. Nursing Community Education Outreach Program (NCEOP): This program targets underserved older adults living in the community. The program's overall goal is to deliver evidence-based educational content germane to issues appropriate for older adults. The quality educational sessions use teaching strategies and educational principles designed to improve knowledge, skills, and confidence to manage and prevent chronic diseases. Educational lectures are mainly delivered by HSS nursing staff, and topics are selected based upon needs assessment results and participant feedback, such as management of chronic conditions (i.e., osteoarthritis, osteoporosis and rheumatoid arthritis, obesity, etc.), falls prevention, vaccines, nutrition, and medication safety. Anticipated program impact includes increased knowledge and self-management skills of chronic conditions. NCEOP will partner with CBOs such as the Carter Burden Network and Community Access, NYC Department of Education, and NY Presbyterian Clinical Translational Science Center in addressing the health need. 6. Pain and Stress Management (PSM) Program: This program is comprised of educational, and mindfulness based coping techniques to raise awareness, educate and improve the ability to cope with pain and stress. This program offers mind/body workshops, exercises such as Yoga, and expert-guided meditation to help reduce physical and mental stressors. All the educational programs are taught by experienced physicians, nurses, physical and occupational therapists, while Yoga workshops are led by certified yoga instructors. Anticipated program impact includes increased knowledge and self-management skills of coping with pain and stress. The PSM program will partner with subject matter experts such clinicians, social workers, certified yoga therapists in addressing the health need. 7. Rheumatoid Arthritis (RA) Support and Education Programs: This initiative addresses the psychoeducational needs of community members and their families living with long-standing rheumatoid arthritis, and for people newly diagnosed. These monthly programs feature a lecture on an RA-specific topic its management, presented by healthcare professionals, and are followed by a support group, co-facilitated by a social worker and a rheumatology nurse. Anticipated program impact includes enhancing self-management skills and self-efficacy around managing RA and its symptoms. The RA support and education programs will partner with Arthritis Foundation, Spondylitis Association of America, and Creaky Joints in addressing the health need. 8. SNEAKER Super Nutrition Education for All Kids to Eat Right: This is a 7-week interactive nutrition and physical activity education program designed to provide children and families with essential knowledge about healthy eating and physical activity. The SNEAKER curriculum focuses on portion control, whole grains and fiber, fruits and vegetables, beverages, physical activity, protein and dairy, and fast food and snacks. The program provides interactive lessons that help to teach students the importance of eating a healthy, well-balanced diet and being physically active, encourage children to make healthier food choices, and educate students about how to be more physically active. Understanding the importance and influential role parents and caregivers have on a child's diet, SNEAKER contains a parent/caregiver component wherein weekly newsletters are sent home to educate the parent/caregiver about the lessons their child learned in school so they can help foster healthy changes for the child and the entire family. The program is implemented in public schools and after-school programs largely located in medically underserved areas throughout NYC. Residents in these areas are predominantly Hispanic/Latino, African American and Asian. Anticipated program impact includes improving the nutrition knowledge of children and families as well as their food choices and level of physical activity. SNEAKER will partner with NYC Department of Education and public schools in addressing the health need. 9. VOICES 60+ Senior Advocacy Program: VOICES 60+ is designed to enhance the medical care experience of low income, ethnically diverse (primarily Hispanic) HSS patients 60 and older in these areas. The program helps patients to navigate and access support, education and communication resources needed to manage their rheumatologic or musculoskeletal conditions and its symptoms to improve their quality of life. In addition, the program provides services focused on identifying and addressing communication barriers between olde
PART V, LINE 13C,G	PER HOSPITAL POLICY, ASSETS FOR THOSE INDIVIDUALS WITH INCOME ABOVE 300% OF THE POVERTY GUIDELINES MAY BE CONSIDERED IN THE CALCULATION UTILIZED IN DETERMINING DISCOUNTS TO PATIENTS. HOWEVER, IN PRACTICE, ASSETS ARE NOT CONSIDERED IN ANY DETERMINATION. AVAILABLE NET ASSETS WILL NOT BE CONSIDERED FOR ANY INDIVIDUAL WHOSE INCOME LEVEL IS AT 300% OR LESS OF THE FPL. RESIDENTS OF THE UNITED STATES WHOSE GROSS ANNUAL INCOME DOES NOT EXCEED SEVEN TIMES THE MOST CURRENT U.S. HEALTH AND HUMAN SERVICES (HHS) POVERTY GUIDELINES FOR THEIR FAMILY SIZE (TOTAL EXEMPTIONS CLAIMED ON THEIR FEDERAL TAX RETURN) ARE ELIGIBLE TO BE CONSIDERED FOR A PERCENTAGE DISCOUNT OF THEIR HOSPITAL BILL AS OUTLINED IN THIS POLICY, INCLUDING, WHERE APPLICABLE, A DISCOUNT OFF OF THEIR CO-PAYMENTS OR DEDUCTIBLES. NON-RESIDENTS OF THE UNITED STATES MAY BE CONSIDERED FOR A CHARITABLE DISCOUNT. THE POLICY INCLUDES A "SPECIAL ACCESS PROGRAM". INDIVIDUALS WHO DON'T EXCEED 700% OF THE FPL, BUT FAIL THE COVERAGE CRITERIA STATED BELOW, MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE SPECIAL ACCESS PROGRAM, BUT ONLY THOSE INDIVIDUALS WHO ARE NOT ANTICIPATED TO REQUIRE SERVICES OUTSIDE OF HSS. THE SPECIAL ACCESS PROGRAM MAKES FINANCIAL ASSISTANCE AVAILABLE TO THE FOLLOWING GROUPS, PROVIDED THE APPLICABLE INDIVIDUALS SATISFY THE FINANCIAL CRITERIA (INCOME AT OR BELOW 700% FPL): U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE), BUT THE SERVICE THE INDIVIDUAL NEEDS IS OF A TYPE THAT IS NOT REASONABLY AVAILABLE (AND COVERED UNDER THE INDIVIDUAL'S PLAN) NEARER TO THE PATIENT'S RESIDENCE THAN HSS. GENERALLY, THIS RULE IS INTENDED TO APPLY TO HIGHLY SPECIALIZED CARE THAT IS NOT AVAILABLE AT MOST HOSPITALS, BUT IS AVAILABLE AT HSS. U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE) BUT DO NOT QUALIFY UNDER THE PRECEDING PARAGRAPH (2)(D)(1), AND NON-U.S. RESIDENTS WITH NO APPLICABLE COVERAGE, IN EACH CASE WHO ARE REFERRED TO HSS BY PHYSICIANS WHO ARE PARTICIPANTS IN THE HSS PHYSICIAN HOSPITAL ORGANIZATION (PHO), PROVIDED THAT SUCH REFERRAL IS APPROVED BY HSS.
PART V, LINE 16A-C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE ON THE HOSPITALS WEBSITE AT: www.hss.edu/financial-assistance.asp PART V, LINE 16J INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY AND SUMMARY OF THE HOSPITAL'S POLICY IS POSTED ON THE HOSPITAL'S WEBSITE. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION.
PART V, LINE 21D	THE HOSPITAL FOR SPECIAL SURGERY IS A SPECIALTY ORTHOPEDIC HOSPITAL AND DOES NOT OPERATE AN EMERGENCY ROOM. THE HOSPITAL IS AFFILIATED WITH THE NEW YORK PRESBYTERIAN HEALTH SYSTEM, WHICH OPERATES A FULL-SERVICE HOSPITAL MAINTAINING AN EMERGENCY ROOM LOCATED ADJACENT TO THE HOSPITAL FOR SPECIAL SURGERY.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HSS ASC OF MANHATTAN
1233 SECOND AVENUE	NEW YORK	NY	10065	AMBULATORY SURGERY CENTER
HSS WEST SIDE ASC LLC
600-610 WEST 58TH STREET	NEW YORK	NY	10019	AMBULATORY SURGERY CENTER
HSS PHYSIATRY & PAIN MANAGEMENT
429 EAST 75TH STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES,& AFFL PHYS OFFICES
HSS WESTCHESTER OUTPATIENT CENTER
1133 WESTCHESTER AVENUE	WHITE PLAINS	NY	10604	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
HSS WEST SIDE OUTPATIENT CENTER
600-610 WEST 58TH STREET	NEW YORK	NY	10019	OUTPATIENT CENTER WITH DIAGN IMAGING, PHYS THERAPY, SPECIAL PROCEDURES & AFFL PHYS OFFICES
HSS STAMFORD OUTPATIENT CENTER
1 BLACHLEY ROAD	STAMFORD	CT	06902	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES,& AFFL PHYS OFFICES
HSS EAST RIVER PROFESSIONAL BUILDING
523 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING & AFFILIATED PHYSICIAN OFFICES
HSS PARAMUS OUTPATIENT CENTER
140 EAST RIDGEWOOD AVENUE	PARAMUS	NJ	07652	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
HSS LONG ISLAND OUTPATIENT CENTER
333 EARLE OVINGTON BLVD	UNIONDALE	NY	11553	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES & AFFL PHYS OFFICES
HSS SPORTS PERFORMANCE CENTER
525 EAST 71ST BELAIRE BUILDING	NEW YORK	NY	10021	OUTPATIENT CENTER WITH PHYSICAL THERAPY
HSS BROOKLYN OUTPATIENT CENTER
148-168 39TH STREET	BROOKLYN	NY	11232	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS AMBULARY CARE CLINIC
475 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND CLINIC
HSS INTEGRATIVE CARE CENTER
635 MADISON AVENUE	NEW YORK	NY	10022	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
HSS SPINE THERAPY CENTER
405 EAST 75TH STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH PHYSICAL THERAPY
HSS RIVER TERRACE
519 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
HSS HUDSON YARDS
560 W 33RD ST	NEW YORK	NY	10001	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS FLORIDA
300 PALM BEACH LAKES BLVD	WEST PALM BEACH	FL	33401	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS ORTHO INJURY CARE
1233 SECOND AVENUE	NEW YORK	NY	10065	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN SERVICES
HSS DANA CENTER
510 EAST 73RD STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH MOTION ANALYSIS
HSS QUEENS OUTPATIENT CENTER
176-60 UNION TURNPIKE	FRESH MEADOWS	NY	11366	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN F	2020 BAD DEBT EXPENSE PRESENTED ON THE 2020 AUDITED FINANCIAL STATEMENTS WAS $6,777,621. IN ADDITION, TOTAL OPERATING EXPENSE WAS ADJUSTED ACCORDINGLY TO REFLECT THE .35% ($3,439,730) HEALTH FACILITY TAX ASSESSMENT AND 1% ($5,347,750) STATEWIDE ASSESSMENT IMPOSED BY NEW YORK STATE. AS SUCH, THESE FEES WERE ADJUSTED ACCORDINGLY IN LINE 7 AS WELL AS THE TOTAL OPERATING EXPENSE. PART I, LINE 7 THE HOSPITAL USED THE FOLLOWING METHODOLOGIES TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE ON SCHEDULE H, LINE 7: (1)LINE 7A "FINANCIAL ASSISTANCE AT COST" - UTILIZED GROSS CHARGES WRITTEN OFF REFLECTED IN THE 2020 MEDICARE COST REPORT AND REDUCED TO COST BY APPLYING THE RATIO OF PATIENT CARE COST-TO-CHARGES. THE PATIENT COST TO CHARGE RATIO IS CALCULATED IN WORKSHEET 2 WITH INFORMATION FROM THE 2020 MEDICARE COST REPORT AND HSS 2020 GENERAL LEDGER TRIAL BALANCE. THIS COST WAS OFFSET BY THE NEW YORK STATE UNCOMPENSATED CARE POOL REVENUE. (2)LINE 7B "UNREIMBURSED MEDICAID" - UTILIZED THE DECISION SUPPORT ACCOUNTING SYSTEM TO IDENTIFY TOTAL COST (DIRECT AND INDIRECT) IN PROVIDING PATIENT SERVICE TO MEDICAID AND MEDICAID MANAGED CARE PATIENTS. IN ADDITION, ASSESSMENTS TO NYS FOR INDIGENT CARE POOLS ARE INCLUDED. (3)LINE 7E "COMMUNITY HEALTH IMPROVEMENT SERVICES" - THE HOSPITAL APPLIED ACTUAL EXPENSES TO DERIVE DIRECT COST AND UTILIZE THE COST REPORT TO DERIVE INDIRECT EXPENSES, APPLICABLE TO SUCH PROGRAMS. (4)LINE 7F "HEALTH PROFESSION EDUCATION" - THE MEDICAL EDUCATION COST WAS OBTAINED FROM THE 2020 MEDICARE COST REPORT FOR DIRECT AND INDIRECT EXPENSE. THE COST WAS OFFSET BY MEDICARE AND MEDICAID REVENUE RELATED TO DIRECT GME AS WELL AS OTHER DIRECT OFFSETTING REVENUE RELATED TO "HEALTH PROFESSION EDUCATION". (5)LINE 7H "RESEARCH" - THE 2020 MEDICARE COST REPORT WAS UTILIZED.
PART III, LINES 2, 3, 4	A COST TO CHARGE RATIO OF 52.24% AS CALCULATED PER THE APPLICABLE FORM 990 INSTRUCTIONS WAS APPLIED TO THE BAD DEBT EXPENSE (AT CHARGES) OF $6,777,621 TO CALCULATE THE BAD DEBT EXPENSE OF $3,540,629 AT COST. IN 2020, THE HOSPITAL SCREENED BOTH INPATIENT AND OUTPATIENT ACCOUNTS PRIOR TO BEING CLASSIFIED AS BAD DEBT FOR "PRESUMPTIVE ELIGIBILITY" UTILIZING A COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE. THE UNCOMPENSATED CARE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENT STATES, "AS A MATTER OF POLICY, THE HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED EITHER AS CHARITY CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY OR AS BAD DEBT EXPENSE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING AND TAKING INTO ACCOUNT THE ABILITY OF THE PATIENT TO PAY. THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM'S ELIGIBILITY THRESHOLD IS 700% OF THE FEDERAL POVERTY GUIDELINES, WHICH IS IN EXCESS OF THE NEW YORK STATE MINIMUM REQUIREMENTS OF 300%. THE HOSPITAL HAS DEFINED CHARITY CARE FOR ACCOUNTING AND DISCLOSURE PURPOSES AS THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. AS THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY IS NOT PURSUED, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. PATIENTS WHO DO NOT QUALIFY FOR DISCOUNTED FEES ARE BILLED AT THE HOSPITAL'S ESTABLISHED CHARGES. UNCOLLECTED BALANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. TOTAL UNCOMPENSATED CARE IN 2020 AND 2019 FOR ALL PATIENT SERVICES AGGREGATED APPROXIMATELY $17.9 MILLION AND $22.3 MILLION RESPECTIVELY. IN ADDITION, THE HOSPITAL OPERATES ITS CLINICS AT A LOSS, TO HELP MEET THE NEEDS OF LOW INCOME AND UNINSURED INDIVIDUALS, AND ALSO OPERATES NUMEROUS OUTREACH AND EDUCATION PROGRAMS WHICH BENEFIT THE COMMUNITIES IT SERVES."
PART III, LINE 8	OVER 43% OF THE HOSPITAL'S INPATIENT POPULATION IS REPRESENTED BY MEDICARE and Medicare Managed Care. THE MEDICARE SHORTFALL OF $84,061,850 AS REPORTED IN PART III, LINE 7 WAS CALCULATED USING MEDICARE COST REPORTING PRINCIPLES AND A COST TO CHARGE RATIO METHODOLOGY. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL IS PROVIDING CARE TO THESE PATIENTS WITH FULL KNOWLEDGE THAT THE MEDICARE REIMBURSEMENT WILL NOT COVER THE COST OF PROVIDING CARE TO THESE RESIDENTS OF OUR COMMUNITY.
PART III, LINE 9B	SELF PAY BALANCES, INCLUDING RESIDUAL BALANCES DUE AFTER PAYMENT FROM AN INSURANCE CARRIER, AS WELL AS BALANCES DUE AFTER FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED, ARE HANDLED ACCORDING TO THE FOLLOWING POLICY: ALL PATIENTS ARE BILLED USING STANDARD CYCLES INCLUDING THE ISSUANCE OF A DETAILED BILL, COLLECTION LETTERS AND/OR TELEPHONE CALLS, AND THEN TRANSFERRED TO A "PRE-COLLECTION STATUS." THESE COLLECTION EFFORTS ARE DOCUMENTED ELECTRONICALLY IN THE PATIENT'S FILE. DURING THE PRE-COLLECTION PHASE, ADDITIONAL TELEPHONE CALLS AND/OR LETTERS ARE MADE TO ATTEMPT TO COLLECT PAYMENT IN FULL. IF UNSUCCESSFUL, THE ACCOUNT IS TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY, NO LESS THAN 120 DAYS AFTER THE ORIGINAL SELF PAY BILLING DATE. THESE REASONABLE COLLECTION EFFORTS INCLUDE ALL PATIENT ACCOUNTS, FOR BOTH MEDICARE AND NON-MEDICARE PATIENTS. MEDICARE AND NON-MEDICARE ACCOUNTS ARE RECORDED SEPARATELY. ANY PATIENTS EXPRESSING INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE WILL HAVE THEIR BILLS HELD PENDING ELIGIBILITY DETERMINATION. IF PATIENT IS ELIGIBLE, THE ACCOUNT WILL BE REDUCED BASED ON THE APPROPRIATE SLIDING SCALE DISCOUNT AND THE RESULTING BALANCE WILL BE RE-BILLED ACCORDINGLY. PAYMENTS RECEIVED BY THE COLLECTION AGENCY REDUCE THE AMOUNT RECORDED AS BAD DEBT. IT IS THE HOSPITAL'S PRACTICE NOT TO FILE SUIT, ATTACH ASSETS, OR PURSUE LIENS FOR ALL PATIENTS INCLUSIVE OF FAP ELIGIBLE PATIENTS. IN CERTAIN INSTANCES, IN COORDINATION WITH THE HOSPITAL'S INTERNAL LEGAL COUNSEL, THE HOSPITAL MAY TAKE SUCH MEASURES IF DEEMED WARRANTED. PAYMENT ARRANGEMENTS: IF PATIENTS ARE UNABLE TO PAY THE ENTIRE BALANCE IN FULL, PAYMENT ARRANGEMENTS OF MONTHLY PAYMENT WILL BE OFFERED. UNDER SUCH ARRANGEMENTS, ACCOUNTS ARE TYPICALLY PAID IN FULL WITHIN SIX TO TWELVE MONTHS UNLESS OTHERWISE EXTENDED AS PART OF THE FINANCIAL ASSISTANCE PROGRAM. A CONFIRMATION LETTER WILL BE SENT WITHIN 5 DAYS, EXPLAINING THE TERMS OF THE AGREEMENT. IF A MONTHLY PAYMENT IS MISSED, THE ACCOUNT WILL PROGRESS TO THE NEXT STAGE IN THE CYCLE. UNDER CERTAIN CIRCUMSTANCES, HSS MAY PROVIDE FINANCIAL ASSISTANCE PRIOR TO, OR WITHOUT, ANY APPLICATION BEING MADE FOR SUCH ASSISTANCE. AT HSS, THIS WILL BE PERFORMED THROUGH A SCREENING PROCESS. UNPAID ACCOUNTS WILL BE SCREENED USING COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE TO DETERMINE WHETHER INDIVIDUALS MAY QUALIFY FOR FINANCIAL ASSISTANCE BASED ON VARIABLES SUCH AS ADDRESS, AGE AND GENDER (PRESUMPTIVE ELIGIBILITY). HSS WILL ALSO CONDUCT PRESUMPTIVE ELIGIBILITY SCREENINGS ON ACCOUNTS PRIOR TO REFERRAL FOR ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) AS DEFINED BELOW IN "COLLECTION ACTIVITIES". PRESUMPTIVE ELIGIBILITY DETERMINATIONS WILL APPLY ONLY TO THE UNPAID BALANCE(S) THAT TRIGGERED THE SCREENING PROCESS. IF THE INDIVIDUAL QUALIFIES UNDER THE PRESUMPTIVE METHODOLOGY WITH RESPECT TO THE UNPAID BALANCE(S), THEN HSS WILL GRANT THE MAXIMUM LEVEL OF ASSISTANCE OTHERWISE PERMITTED WITH RESPECT TO THE UNPAID AMOUNT. INDIVIDUALS WHO ARE GRANTED FINANCIAL ASSISTANCE UNDER PRESUMPTIVE ELIGIBILITY WILL BE PROVIDED NOTICE OF THEIR ABILITY TO APPLY FOR ADDITIONAL ASSISTANCE UNDER THE POLICY. IF PRESUMPTIVE ELIGIBILITY IS AWARDED BASED ON A SCREENING OF UNPAID BALANCES OVER 240 DAYS, INDIVIDUALS MAY, WITHIN THIRTY (30) DAYS FROM THE DATE OF THE GRANTING OF PRESUMPTIVE ELIGIBILITY, APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE FOR THE SERVICES TO WHICH THE PRESUMPTIVE ELIGIBILITY DETERMINATION HAS BEEN APPLIED. IN 2020, THE HOSPITAL CONDUCTED NO EXTRAORDINARY COLLECTION ACTION'S.
PART VI, LINE 2 - NEEDS ASSESSMENT	HOSPITAL FOR SPECIAL SURGERY'S NEEDS ASSESSMENT PROCESS INCORPORATES RELEVANT NATIONAL, STATE, AND CITY HEALTH DATA, GOALS, AND PRIORITIES. THE HOSPITAL UTILIZES HEALTHY PEOPLE 2025, WHICH SETS BROAD-BASED GOALS AND OBJECTIVES TO EXPAND AMERICANS' ACCESS TO CARE, AND TO ELIMINATE HEALTH DISPARITIES BY AGE, GENDER, RACE, OR DISABILITIES, AND PAYS SPECIAL ATTENTION TO INFORMATION REGARDING THE DIVERSE NEEDS OF ALL NEW YORKERS. THE HOSPITAL ROUTINELY CONDUCTS NEEDS ASSESSMENTS AMONG KEY GROUPS IN ITS COMMUNITY, ON WHICH TO BASE MULTI-YEAR PROGRAMS. OTHER NEEDS ASSESSMENT DATA IS GATHERED THROUGH A RIGOROUS EVALUATION PROCESS OF PUBLIC PROGRAMS. IN 2019, HSS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO PROVIDE INSIGHT INTO OUR COMMUNITY'S: (1) HEALTH STATUS AND QUALITY OF LIFE; (2) HEALTH BEHAVIOR AND LIFESTYLE; (3) USE OF AND ACCESS TO CARE; AND (4) SOCIO-DEMOGRAPHIC CHARACTERISTICS. IN ADDITION, SEVEN COMMUNITY FORUMS REACHING 179 COMMUNITY MEMBERS WERE HELD TO ALLOW COMMUNITY MEMBERS AN OPPORTUNITY TO PRIORITIZE HEALTH NEEDS THAT PROVIDED HSS WITH THE APPROPRIATE DIRECTION IN SELECTING ITS PUBLIC HEALTH PRIORITIES. COMMUNITY MEMBERS WERE ASKED TO RANK THE HEALTH NEEDS MOST IMPORTANT TO THEM AND GIVE THEIR PERSPECTIVE ON COMMUNITY HEALTH ISSUES IN AN OPEN DISCUSSION. ALL HOSPITAL PUBLIC AND PATIENT EDUCATION PROGRAMS, AND DIAGNOSIS-BASED SUPPORT AND EDUCATION GROUPS INCLUDE PARTICIPANT QUESTIONNAIRES, AND THE FEEDBACK FROM THESE ARE COLLECTED, EVALUATED, AND USED IN FORMULATING NEW OR REFINING EXISTING OFFERINGS FOR THE PUBLIC. FURTHER, THE HOSPITAL'S PATIENT EXPERIENCE COUNCIL REVIEWS PRESS GANEY PATIENT COMMENTS AND QUARTERLY REPORTS, AND ALONG WITH DEPARTMENTAL MANAGERS AND MULTIDISCIPLINARY TEAMS DEVELOPS IMPROVEMENTS IN SERVICES BASED ON THIS FEEDBACK OF PATIENTS' NEEDS. FINALLY, TO ENSURE THE RANGE OF NEEDS IS INTERPRETED AT THE HIGHEST LEVEL OF MANAGEMENT, THE QUALITY BETTER COMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES RECEIVES AND REVIEWS ONGOING REPORTS THAT INCLUDE RESULTS OF PATIENTS' SATISFACTION TRENDS AND A SUMMARY OF THE HOSPITAL-WIDE QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION. THE FINANCIAL ASSISTANCE ASSOCIATES EDUCATE, SCREEN, AND MAKE THE ELIGIBILITY DETERMINATION FOR THE HSS FINANCIAL ASSISTANCE PROGRAM. THE ASSOCIATES ARE ALSO AVAILABLE TO ASSIST THE PATIENT IN FILLING OUT ALL FINANCIAL ASSISTANCE RELATED FORMS.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE HOSPITAL FOR SPECIAL SURGERY'S COMMUNITY IS DEFINED BY THE FIVE BOROUGHS. THE SUBURBAN COUNTIES IN NEW YORK, NEW JERSEY, CONNECTICUT, AND LONG ISLAND COMPRISE OUR SECONDARY SERVICE AREA. HSS PATIENTS COME FROM MANY COMMUNITIES LOCALLY, REGIONALLY, NATIONALLY, AS WELL AS INTERNATIONALLY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	HOSPITAL FOR SPECIAL SURGERY'S (HSS) COMMUNITY AND PROFESSIONAL OUTREACH BRINGS INFORMATION TO THE COMMUNITY THROUGH COLLABORATION WITH EDUCATIONAL, MULTI-SERVICE SOCIAL SERVICE AGENCIES, FAITH-BASED ORGANIZATIONS, SUPPORT AND EDUCATION GROUPS AND PROGRAMS, COMMUNITY-BASED ORGANIZATIONS, AND ACADEMIC INSTITUTIONS. IN ADDITION, HSS PROVIDES EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY THROUGH HEALTH FAIRS AND PUBLIC EVENTS, AS WELL AS PUBLIC SCHOOLS, HEALTH CLINICS, and SENIOR CENTERS. IN 2020, WE COLLABORATED WITH OVER FORTY COMMUNITY ORGANIZATIONS TO MEET EDUCATIONAL NEEDS FOR UNDERSERVED COMMUNITIES IN AREAS SUCH AS MUSCULOSKELETAL HEALTH, NUTRITION AND PHYSICAL ACTIVITY, HEALTH LITERACY, Social Support AND DISEASE SELF-MANAGEMENT Each year THE HOSPITAL SPONSORS VARIOUS COMMUNITY EDUCATION, SUPPORT AND OUTREACH PROGRAMS INCLUDING EDUCATIONAL WORKSHOPS ON MUSCULOSKELETAL HEALTH AND WELLNESS, LEON ROOT, MD PEDIATRIC OUTREACH PROGRAM, HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE, GREENBERG ACADEMY FOR SUCCESSFUL AGING, SNEAKER (SUPER NUTRITION FOR ALL KIDS TO EAT RIGHT), HSS SPORTS SAFETY PROGRAM, PAIN & STRESS MANAGEMENT PROGRAM, LUPUSLINE, LANTERN (LUPUS ASIAN NETWORK) THE SLE WORKSHOP, EARLY RHEUMATOID ARTHRITIS (RA) AND LIVING WITH RA SUPPORT AND EDUCATION GROUPS, VOICES 60+ SENIOR ADVOCACY PROGRAM, THE MYOSITIS SUPPORT AND EDUCATION GROUP, CHARLA DE LUPUS (LUPUS CHAT), VOICES MEDICAID MANAGED CARE EDUCATION PROGRAM AND THE NURSING OUTREACH EDUCATION INITIATIVE. IN response to the global pandemic, HSS transitioned its educational programming from in-person to virtual. Depending on the audience, there were various formats used including zoom and conference call, ensuring our education, support and coaching programs were able to reach our diverse community. THIS TRANSITION EXPANDED OUR REGIONAL SERVICES TO A NATIONAL AND GLOBAL AUDIENCE OF PATIENTS AND the Public. MANY HSS PROGRAMS FEATURED HSS medical staff in helping patients and the public navigate this very challenging time. HSS places a high value on the impact that our community Benefit programs have on the community. IN 2020, we reached more than 1.8 million people with our live and on-demand programs. Program evaluation surveys given to program participants assessing self-management metrics indicated that 93% of respondents gained knowledge from attending programs, 91% learned how to manage their condition, 95% were satisfied with the program and 95% would recommend the program to others. Qualitative assessments indicated that due to participating in our programs, participants felt a sense of connection with others, learned something new, felt less isolated and learned the most current, up-to-date information. As part of its commitment to the community, in 2020 HSS developed the Feel Better From Home platform, designed to make HSS expertise, insights and care available to anyone who needed it, wherever they needed it. The content addressed lifestyle changes brought on by the pandemic, and contained content that helped people to stay active and healthy while at home due to the pandemic. In addition, Social Work Programs and Community Education & Outreach worked with RHEUMATOLOGY clinicians and other HSS FACULTY, TO PROVIDE THEIR EXPERTISE FOR A BETTER UNDERSTANDING OF musculoskeletal disease as well as COVID-19 AND TO COMMUNICATE THE BEST MEDICAL GUIDANCE TO MINIMIZE RISK OF EXPOSURE, MEDICATION CONSIDERATIONS, MASK WEARING, SOCIAL DISTANCING, ETC. ADDITIONALLY, SOCIAL WORKERS OFFERED Patients ASSISTANCE AROUND FEELINGS OF ANXIETY, DEPRESSION, ISOLATION, THE LOSS OF LOVED ONES AND FEAR OF CONTRACTING COVID-19 AS THEY COPED WITH A CHRONIC ILLNESS. A COMMITTEE OF THE BOARD FOCUSING ON THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES AND COMMUNITY SERVICES CONTINUES TO PROVIDE OVERSIGHT ON HSS COMMUNITY EDUCATION, OUTREACH AND SUPPORT PROGRAMS. IN ADDITION, THE HOSPITAL CONTINUES TO IMPLEMENT COMMUNITY PROGRAMMING BASED ON THE RESULTS OF THE 2019 HSS CHNA. HSS continues to present at national conferences to bring awareness to the larger professional and public communities about musculoskeletal health and self-management of disease. THE HSS Community Education & Outreach staff DELIVERED one study group AT THE 2020 AMERICAN COLLEGE OF RHEUMATOLOGY (ACR) ANNUAL MEETING (virtual meeting). The study group FOCUSED ON ENGAGING PATIENTS IN NEEDS ASSESSMENT AND BEST PRACTICES IN DEVELOPING SELF-MANAGEMENT musculoskeletal health EDUCATION PROGRAMS FOR PATIENTS. IN ADDITION, one staff member presented an oral presentation about shifting to virtual self-management programs during COVID and ensuring access to these programs for older adults AT THE 2020 AMERICAN PUBLIC HEALTH ASSOCIATION (APHA) ANNUAL MEETING (virtual meeting). THE SOCIAL WORK PROGRAMS' DEPARTMENT WAS INVITED TO THE ANNUAL MEETING OF THE AMERICAN COLLEGE OF RHEUMATOLOGY AND CONTRIBUTED FOUR PRESENTATIONS INCLUDING OUR ONGOING STUDY GROUP ON DEVELOPING SUPPORT AND EDUCATION PROGRAMS FOR PEOPLE WITH RHEUMATIC ILLNESS. THESE ORAL PRESENTATIONS FOCUSED ON VARIOUS AREAS OF RHEUMATOLOGY CARE SUCH AS THE PHYSICAL REHAB NEEDS AND THE PSYCHOSOCIAL IMPLICATIONS FOR PATIENTS DURING COVID-19. IN ANOTHER SESSION TITLED: PATIENT EDUCATION: TEAM UP TO OPTIMIZE OUTCOMES, MEMBERS OF OUR STAFF JOINED AN INTERDISCIPLINARY PANEL PRESENTATION HIGHLIGHTING THE IMPORTANCE OF PATIENT-PROVIDER PARTNERSHIPS AND PROVIDED EVIDENCE BASED RESEARCH AND RESOURCES FOR RHEUMATOLOGY TEAM MEMBERS TO SUPPORT PATIENT SELF MANAGEMENT. ADDITIONALLY, MEMBERS OF OUR DEPARTMENT PRESENTED ON AN IMPORTANT TOPIC NEW TO THE CONFERENCE TITLED: ENHANCE CARE FOR LGBTQ+ PATIENTS. THIS SESSION RAISED AWARENESS ON THE NATIONAL HEALTH DISPARITIES FACED BY THE LGBTQ+ COMMUNITY, HIGHLIGHTED SPECIFIC MEDICAL CONSIDERATIONS OF LGBTQ+ PATIENTS IN A RHEUMATOLOGY SETTING AND PROVIDED TOOLS AND STRATEGIES FOR ENGAGING LGBTQ+ PATIENTS IN THEIR CARE. STRATEGIES TO ENSURE CULTURAL RELEVANCE FOR HISTORICALLY UNDERSERVED COMMUNITIES WAS AN INTEGRAL PART OF THESE PRESENTATIONS IN ADDITION TO PROVIDING CLINICIANS TOOLS TO ENGAGE THEIR PATIENTS AS PARTNERS IN CARE. THIS IS A PART OF OUR ONGOING EFFORT TO IDENTIFY THE NEEDS OF DIVERSE COMMUNITIES AND TO DISSEMINATE SUCCESSFUL EVIDENCE BASED COMMUNITY INTERVENTIONS. FOR THE PAST SIX YEARS IN A ROW THE HOSPITAL HAS BEEN DESIGNATED AS A LEADER IN LGBTQ HEALTH BY THE HUMAN RIGHTS CAMPAIGN's HEALTHCARE EQUALITY INDEX DEVOTED TO PROMOTING EQUITABLE AND INCLUSIVE CARE FOR LGBTQ PATIENTS AND THEIR FAMILIES. HSS is committed to equity and inclusion for all and as such created the Diversity, Equity and Inclusion Council which is working to further enhance diversity initiatives; develop mentorship and leadership efforts and policies, procedures and processes that cultivate a sense of inclusion for everyone at HSS; and utilize metrics and goals to hold the institution accountable to new programmatic initiatives. HSS IS ALSO PART OF A NATIONAL CLINICAL RESEARCH TRANSLATIONAL CONSORTIUM WHOSE GOAL IS TO ASSESS AND IMPLEMENT THE NEEDS OF UNDERSERVED POPULATIONS IN ORDER TO DEVELOP HEALTH PROGRAMS TO DIVERSE CULTURAL COMMUNITIES IN THE NEW YORK CITY FIVE BOROUGHS. WE ARE ALSO MEMBERS OF NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES' NATIONAL MULTICULTURAL OUTREACH INITIATIVE TO REDUCE HEALTH DISPARITIES, THROUGH RELEVANT PUBLIC HEALTH EDUCATIONAL INITIATIVES. THE POSITION OF DIRECTOR FOR COMMUNITY ENGAGEMENT, DIVERSITY AND RESEARCH, FURTHER ENHANCES RESOURCES AND THE HOSPITALS COMMITMENT TO ADDRESSING HEALTH DISPARITIES AND HEALTH EQUITY, WHILE ENGAGING THE COMMUNITY AND GROUNDING INTERVENTIONS IN EVIDENCE BASED RESEARCH AND PRACTICE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	THE HOSPITAL HAS A MEDICAL AND CLINICAL AFFILIATION WITH NEW YORK PRESBYTERIAN HOSPITAL (NYPH) WHERE THE HOSPITAL FUNCTIONS AS THE PRINCIPAL ORTHOPEDIC AND RHEUMATOLOGY FACILITY FOR NYPH AT ITS EAST 68-EAST 70 STREET FACILITY (EAST CAMPUS). THE HOSPITAL ALSO HAS A COLLABORATION AGREEMENT WITH THE STAMFORD HOSPITAL (SH), AN ACUTE CARE HOSPITAL IN STAMFORD, CONNECTICUT, AND STAMFORD HEALTH, INC. (SHI), THE SOLE MEMBER OF SH. UNDER THE COLLABORATION AGREEMENT, THE HOSPITAL WILL MANAGE THE SH DEPARTMENT OF ORTHOPEDIC SURGERY, INCLUDING CERTAIN DISCRETE ORTHOPEDIC SPACE AND ACTIVITIES WITHIN THE MAIN BUILDING OF SH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Arthritis Foundation INC
1355 Peachtree Street NE Suite 600	Atlanta	GA	30309	581341679	501 (C) (3)	$100,000	GENERAL SUPPORT
The ALS Association Greater NY
162 W 56th St 405	NEW YORK	NY	10019	133616680	501 (C) (3)	$12,500	GENERAL SUPPORT
RESEARCH FOUNDATION OF CUNY
65-30 KISSENA BLVD	FLUSHING	NY	11367	131988190	501 (C) (3)	$20,000	GENERAL SUPPORT
URBAN DOVE
21-21 41st Ave Ste 2D	LIC	NY	11101	133997718	501 (C) (3)	$15,000	GENERAL SUPPORT
IONA COLLEGE
715 North Avenue	New Rochelle	NY	10801	133508093	501 (C) (3)	$7,000	GENERAL SUPPORT
FRIENDS OF KAREN INC
118 TITICUS ROAD	NORTH SALEM	NY	11560	141612290	501 (C) (3)	$7,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE HOSPITAL FOR SPECIAL SURGERY RAISED FUNDS TO SUPPORT THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSE OF ITS TAX EXEMPTION. THE CONTRIBUTIONS GIVEN TO THE OUTSIDE ORGANIZATIONS ARE FOR GENERAL PURPOSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mary K Crow - To 92020
Member/Physician-in-Chief	$637,857	$0	$298,599	$0	$8,397	$500	$25,650	$0	$17,339	$0	$987,842	$500	$0	$0
Lionel Ivashkiv
Member/Chief Scientific Offic.	$757,849	$0	$80,667	$0	$20,360	$0	$25,650	$0	$37,004	$0	$921,530	$0	$0	$0
Todd J Albert
Former Surgeon-in-Chief	$139,309	$0	$75,000	$0	$814	$500	$12,072	$0	$46,877	$0	$274,072	$500	$0	$0
Bryan T Kelly
Member/Surgeon-in-Chief	$2,642,025	$0	$250,500	$0	$2,963,647	$0	$25,650	$0	$53,555	$0	$5,935,377	$0	$0	$0
Karen Onel
Member/Attending Physician	$281,117	$0	$0	$0	$73,144	$0	$25,650	$0	$43,933	$0	$423,844	$0	$0	$0
Douglas Padgett
Member/Assoc Surgeon-in-Chief	$1,018,278	$0	$97,500	$0	$407,106	$0	$25,650	$0	$49,928	$0	$1,598,462	$0	$0	$0
Duretti Fufa - Join BOT 2020
Member/Attending Physician	$598,268	$0	$0	$0	$523,109	$0	$25,650	$0	$24,134	$0	$1,171,161	$0	$0	$0
S Louis BridgesJr -From 920
Member/Physician-in-Chief	$199,173	$0	$7,617	$0	$14,060	$0	$15,144	$0	$4,283	$0	$240,277	$0	$0	$0
Edwin Su - Left BOT 2020
Member/Attending Physician	$74,939	$0	$0	$0	$31,169	$0	$8,879	$0	$48,960	$0	$163,947	$0	$0	$0
Louis A Shapiro
President & Chief Exec Officer	$1,479,698	$369,925	$1,750,966	$437,742	$30,898	$7,724	$20,520	$5,130	$48,446	$12,112	$3,330,528	$832,633	$0	$0
Stacey L Malakoff
Exec VP & Chief Fin Officer	$1,213,992	$214,234	$798,767	$140,959	$32,376	$5,713	$21,803	$3,848	$41,848	$7,385	$2,108,786	$372,139	$0	$0
Lisa A Goldstein
Executive VP & COO	$978,097	$146,152	$614,451	$91,814	$30,487	$4,555	$22,316	$3,335	$35,261	$5,269	$1,680,612	$251,125	$0	$0
Irene Koch
Exec VP & Chief Legal Officer	$528,400	$93,247	$280,904	$49,571	$7,442	$1,313	$18,169	$3,206	$32,665	$5,765	$867,580	$153,102	$0	$0
Hollis Potter
Radiologist-in-Chief	$1,199,717	$0	$337,500	$0	$55,477	$0	$25,650	$0	$53,555	$0	$1,671,899	$0	$0	$0
Stephanie J Goldberg
Fmr Sr. VP, Pat Care SRV & CNO	$0	$0	$93,407	$0	$473,756	$0	$0	$0	$2,295	$0	$569,458	$0	$0	$0
Ralph Bianco
Sr. Vice President, Operations	$423,163	$47,018	$138,300	$15,367	$5,976	$664	$23,085	$2,565	$41,488	$4,610	$632,012	$70,224	$0	$0
Jennifer O'Neill
Sr. VP, Patient Care SRV & CNO	$512,904	$0	$140,085	$0	$5,386	$0	$21,375	$0	$1,144	$0	$680,894	$0	$0	$0
Sheeraz Qureshi
Associate Attending Physician	$185,731	$0	$0	$0	$2,481,507	$0	$21,375	$0	$30,995	$0	$2,719,608	$0	$0	$0
Answorth A Allen
Attending Physician	$491,649	$5,630	$0	$0	$2,642,848	$30,263	$25,360	$290	$46,471	$532	$3,206,328	$36,715	$0	$0
William M Ricci
Chief of the Trauma Service	$1,032,487	$0	$0	$0	$1,701,562	$0	$21,375	$0	$40,270	$0	$2,795,694	$0	$0	$0
Ernest Sink
Associate Attending Physician	$416,414	$0	$0	$0	$1,885,138	$0	$21,375	$0	$44,484	$0	$2,367,411	$0	$0	$0
Danyal Nawabi
Assistant Attending Physician	$432,894	$0	$0	$0	$1,869,574	$0	$21,375	$0	$42,733	$0	$2,366,576	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1A/B	First Class Travel - THE HSS TRAVEL POLICY STATES FOR BUSINESS CLASS TRAVEL PRIOR APPROVAL FROM THE CEO IS REQUIRED AND USUALLY ONLY APPROVED IF THE LENGTH OF THE FLIGHT IS GREATER THAN 5 HOURS. UPGRADE TO FIRST CLASS OCCURS ONLY IF BUSINESS CLASS DOES NOT EXIST. THE CEO, SURGEON-IN-CHIEF AND EXECUTIVE VICE PRESIDENTS HAVE APPROVAL FROM THE COMPENSATION COMMITTEE OF THE BOARD TO FLY BUSINESS CLASS IF THE FLIGHT IS GREATER THAN 5 HOURS, OR FIRST CLASS IF THE FLIGHT IS GREATER THAN 10 HOURS, OR BUSINESS CLASS IS NOT AVAILABLE. THE CEO REVIEWS THE EXECUTIVE VICE PRESIDENTS EXPENSES, AND THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE CEO'S AND SURGEON-IN-CHIEF'S EXPENSES ON A QUARTERLY BASIS. BUSINESS CLASS OR FIRST CLASS TRAVEL ARE NOT TREATED AS TAXABLE COMPENSATION. IN 2020, FIRST CLASS TRAVEL WAS REIMBURSED TO THE CEO AND SURGEON-IN-CHIEF. Housing Allowance - Housing allowance was paid to the Chief of the Trauma Service, as per his contract, and was treated as taxable compensation. Schedule J, Part I, Line 4A STEPHANIE GOLDBERG, FORMER SENIOR VICE PRESIDENT & CHIEF NURSING OFFICER, RECEIVED SEVERANCE PAY OF $473,756 WHICH IS INCLUDED IN SCHEDULE J, PART II, COLUMN (III). Severance payments began June 2019 and ended December 2020.
Schedule J, Part I, Line 5A	Certain employed physicians listed on Part VII, Section A, Line 1A receive compensation in part, based on professional service revenue generated from services they personally performed in their individual practices. In 2020, no physician was paid compensation contingent upon the organization's overall revenue or net earnings.
Schedule J, Part I, Line 6A	Performance based incentive awards are paid to officers and key employees based on a number of important quality, satisfaction, efficiency, and financial measures, of which achieving budget is a factor.
Schedule J, Part II	THE FORMER SURGEON-IN-CHIEF, THE PHYSICIAN-IN-CHIEF AND ONE OTHER ATTENDING PHYSICIAN RECEIVED $500 FROM MIAC, A RELATED ORGANIZATION, TO ATTEND MIAC'S BOARD OF DIRECTORS MEETING.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Dormitory Authority of the State of New York
A	146000293	2014-08-26	$62,400,000	Tax Exempt Equipment Leasing	false	false	false
Dormitory Authority of the State of New York
B	146000293	2015-06-24	$17,974,978	Tax Exempt Equipment Leasing	false	false	false
Dormitory Authority of the State of New York
C	146000293	2016-06-15	$19,992,620	Tax Exempt Equipment Leasing	false	false	false
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
D	146000293	2017-07-14	$14,979,666	Tax Exempt Equipment Leasing	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$56,023,000	$0	$62,400,000	$0	$1,632,000	$0	$160,000	$0	$0	$60,608,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
B	$16,675,978	$0	$17,974,978	$0	$0	$0	$129,978	$0	$0	$17,845,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
C	$15,151,620	$0	$19,992,620	$0	$0	$0	$145,620	$0	$0	$19,847,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
D	$8,558,666	$0	$14,979,666	$0	$0	$0	$76,089	$0	$0	$14,903,577	$0	$0	2017	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	false	Yes (true)	Yes (true)	0.00300	0.00300	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	0.00300	0.00300	false	false	false	Yes (true)	0.00000
C	false	false	false	Yes (true)	Yes (true)	0.00300	0.00300	false	false	false	Yes (true)	0.00000
D	false	false	false	Yes (true)	Yes (true)	0.00300	0.00300	false	false	false	Yes (true)	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI, Line 2C	FormAndLineReferenceDesc
Explanation	For Tax Exempt Equipment Leasing Issues, the financing does not generate an investment income, therefore no calculation was performed and no rebate is due.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DePuy Synthes
SEE PART V	$11,215,835	SEE PART V	false
Don Joy Orthopedics
SEE PART V	$1,545,523	SEE PART V	false
Smith Nephew
SEE PART V	$14,824,186	SEE PART V	false
Zimmer Biomet
SEE PART V	$11,154,261	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART IV, (1) - DePuy Synthes	In July 2014, Dr. Todd Albert joined HSS Medical Staff as Surgeon-In-Chief and became an ex-officio member of HSS' Board of Trustees. Dr. Albert served as Surgeon-In-Chief until July 2019. Dr. Albert is a designer of, and receives royalties for, Expedium spine system, and Swift and Eagle anterior cervical fixation systems, products manufactured and sold by DePuy Synthes. Per HSS policy, Dr. Albert is not allowed to receive royalty payments for these patented products when used on patients at HSS. HSS has had a long-standing business relationship with DePuy Synthes that preceded Dr. Albert becoming Surgeon-In-Chief in July 2014. With the exception of products used in the procedures he personally performs (and for which he does not receive royalties), Dr. Albert plays no role in the consideration or acquisition of DePuy Synthes products. AMOUNT OF TRANSACTION: $11,215,835 DESCRIPTION OF TRANSACTION: In 2020, HSS paid $11,215,835 to DePuy Synthes for medical devices. This amount represents all purchases, a part of which relates to the Expedium spine system and Eagle anterior cervical fixation systems.
SCHEDULE L, PART IV, (2) - Don Joy Orthopedics	In July, 2019, Dr. Douglas Padgett, Associate Surgeon-in-Chief and a member of the Medical Staff, was elected as an ex-officio member of HSS Board of Trustees. Dr. Padgett is a designer of and receives royalties for, the design of a total hip replacement system, a product manufactured and sold by Don Joy Orthopedics. Per HSS policy, Dr. Padgett is not allowed to receive royalty payments for these patented products when used on patients at HSS. HSS has had a long-standing business relationship with Don Joy Orthopedics that preceded Dr. Padgett joining HSS' Board of Trustees in July 2019. With the exception of products used in the procedures he personally performs (and for which he does not receive royalties), Dr. Padgett plays no role in the consideration or acquisition of Don Joy Orthopedics products. AMOUNT OF TRANSACTION: $1,545,523 DESCRIPTION OF TRANSACTION: In 2020, HSS paid $1,545,523 to Don Joy Orthopedics for medical devices. This amount represents all purchases, a part of which relates to the total hip replacement system.
SCHEDULE L, PART IV, (3) - Smith & Nephew	In July, 2019, Dr. Bryan T. Kelly, Surgeon-In-Chief, was elected to the HSS Board of Trustees. Dr. Kelly is a consultant for Smith & Nephew. In 2018, Dr. Edwin Su, a member of the Medical Staff was elected to the HSS Board of Trustees and served until 2020. Dr. Su receives research support and is a consultant for Smith & Nephew. HSS has had a long-standing business relationship with Smith & Nephew that preceded Dr. Kelly and Dr. Su joining the HSS Board of Trustees. With the exception of products used in the procedures they personally perform Dr. Kelly nor Dr. Su plays a role in the consideration or acquisition of Smith & Nephew's products. AMOUNT OF TRANSACTION: $14,824,186 DESCRIPTION OF TRANSACTION: In 2020, HSS paid $14,824,186 to Smith & Nephew for medical devices.
SCHEDULE L, PART IV, (4) - Zimmer Biomet	In July, 2014, Dr. Todd Albert joined HSS Medical Staff as Surgeon-In-Chief and became an ex-officio member of HSS' Board of Trustees. Dr. Albert served as Surgeon-In-Chief until July 2019. Dr. Albert is an inventor and a design team member for Solitaire Cervical Cage. Dr. Albert is a patent holder, and receives royalties for, Lineum Cervical System and Polaris Spinal System, products manufactured and sold by Zimmer Biomet. Per HSS policy, Dr. Albert is not allowed to receive royalty payments for these patented products when used on patients at HSS. HSS has had a long-standing business relationship with Zimmer Biomet that preceded the date Dr. Albert became Surgeon-In-Chief and ex-officio member of HSS' Board of Trustees. With the exception of products used in the procedures he personally performs (and for which he does not receive royalties), Dr. Albert plays no role in the consideration or acquisition of Zimmer Biomet products. AMOUNT OF TRANSACTION: $11,154,261 DESCRIPTION OF TRANSACTION: In 2020, HSS paid $11,154,261 to Zimmer Biomet for medical instruments and surgical products. This amount represents all purchases, only a small part of which relates to the Solitaire Cervical Cage, Lineum Cervical System and Polaris Spinal System.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	21	ContributionCnt
Noncash Contributions Rpt F990	$910,920	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I, Column (B)	FormAndLineReferenceDesc
Explanation	The organization is reporting the number of contributions in Part I, column (b).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III - LINE 2 "SIGNIFICANT PROGRAM SERVICE CHANGES"	As the COVID-19 crisis escalated in New York City in March 2020, HSS rapidly and decisively pivoted from its core mission of musculoskeletal specialty care to support the community response. All non-essential surgery and outpatient services were suspended effective March 17, 2020. Within days, HSS reduced its patient volume by approximately 92%, which freed up meaningful capacity and clinical staff to care for patients with COVID-19, as well as other patients with complex medical conditions who did not test positive for COVID-19 (in order to free up beds, ventilators, and staff at other hospitals to enable those hospitals to care for COVID-positive patients). A detailed plan to protect staff and patients, as well as to materially transform facilities and operations from musculoskeletal specialty care to multi-specialty care was rapidly executed in order to support the community through the height of the COVID-19 crisis in New York City. In addition, during 2021 HSS operated vaccine sites for the community including its employees. FORM 990, PART VI - LINE 4 "SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS" The organization amended its bylaws in 2020 to eliminate the concept of Designated Members of the Executive Committee, along with the two consecutive one-year term limit applicable to Designated Member. This amendment is consistent with the organization and operational tests of section 501 (c) (3) as well as furtherance of the organization's charitable mission.
FORM 990, PART VI, SECTION A - LINE 6 & 7A - "MEMBERSHIP"	THE HOSPITAL FOR SPECIAL SURGERY IS A MEMBERSHIP CORPORATION. THERE ARE FIVE MEMBERS OF THE CORPORATION. THREE OF THE FIVE HOSPITAL'S MEMBERS COME FROM THE HOSPITAL'S BOARD OF TRUSTEES (WITH ONE OF THREE ALSO DESIGNATED BY THE HOSPITAL TO SERVE ON THE BOARD OF AN AFFILIATE OF NEW YORK-PRESBYTERIAN HOSPITAL), A FOURTH MEMBER SERVES ON THE BOARD OF THE AFFILIATE OF THE NEW YORK-PRESBYTERIAN HOSPITAL, AND THE FIFTH MEMBER SERVES ON THE BOARD OF TRUSTEES OF WEILL CORNELL MEDICAL COLLEGE. THE FIVE HOSPITAL MEMBERS ELECT THE BOARD OF TRUSTEES OF THE HOSPITAL, UPON THE RECOMMENDATION OF CANDIDATES EITHER BY A MEMBER OR BY THE HOSPITAL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B - LINE 11B, "REVIEW PROCESS"	The Form 990 is prepared by the management and reviewed by an outside independent accounting firm. PRIOR TO SUBMITTING THE FORM 990 TO THE INTERNAL REVENUE SERVICE (IRS), THERE IS AN ESTABLISHED PROCESS FOR REVIEW OF THE DOCUMENT IN ITS ENTIRETY BY THE GOVERNING BODY WHOSE EVALUATIONS ARE MADE IN THE BEST INTEREST OF HSS. THE FORM 990 IS FIRST REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE REVIEWED FORM 990 IS THEN SUBMITTED TO THE FULL BOARD OF TRUSTEES. THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO SUBMISSION OF THE FORM. IN ADDITION, SIGNIFICANT AREAS OF FORM 990 ARE DISCUSSED AT A BOARD OF TRUSTEES MEETING.
FORM 990, PART VI, SECTION B - LINE 12C, "CONFLICT OF INTEREST POLICY"	ON AN ANNUAL BASIS, INTEREST DISCLOSURE STATEMENTS ARE SENT TO ALL BOARD MEMBERS, OFFICERS, MEDICAL STAFF, MANAGEMENT, FELLOWS, RESIDENTS, RESEARCH PROFESSIONAL STAFF, IRB MEMBERS, AND OTHER DESIGNATED GROUPS. OUR CONFLICT OF INTEREST AND COMMITMENT POLICY ALSO REQUIRES THAT ANY COVERED PERSON INCLUDING MEMBERS OF THE HSS MEDICAL STAFF MUST PROVIDE PRIOR NOTICE TO COMPLIANCE BEFORE BEGINNING ANY ACTIVITY OR SIGNIFICANTLY MODIFYING THE TERMS OF ANY EXISTING OUTSIDE PROFESSIONAL ACTIVITY, WHERE THE COVERED PERSON HAS A FINANCIAL INTEREST VALUED IN EXCESS OF $5,000 OR EQUITY INTERESTS OF INDETERMINATE VALUE. DISCLOSURES MAY BE MADE THROUGH HSS' ONLINE REPORTING PLATFORM, MYDISCLOSURES OR DIRECTLY TO COMPLIANCE. THE REPORTED INTERESTS ARE REVIEWED BY THE EXECUTIVE VICE PRESIDENT FOR LEGAL AFFAIRS, THE CHIEF EXECUTIVE OFFICER, AND THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. SUMMARY INFORMATION IS PROVIDED TO SERVICE CHIEFS, AS REQUESTED, SO THAT THEY ARE AWARE OF THE FINANCIAL INTERESTS OF THE MEDICAL STAFF WITHIN THEIR SPECIALTY. IN ADDITION TO SENDING DISCLOSURE STATEMENTS DIRECTLY TO THE GROUP NOTED ABOVE, INDUSTRY WEBSITES ARE MONITORED FOR DISCLOSURES RELATED TO EMPLOYEES OF HSS. THIS INFORMATION IS ENTERED INTO THE DATABASE, AS WELL. HSS HAS A CONFLICT OF INTEREST COMMITTEE THAT MEETS AT LEAST THREE TIMES A YEAR, OR AS NECESSARY AND IS CHARGED WITH ADJUDICATING COMPLEX CONFLICTS OF INTEREST AND COMMITMENT, DEVELOPING AND ADOPTING REASONABLE AND APPROPRIATE CONFLICT MANAGEMENT PLANS AND SERVING AS A POLICY ADVISORY TO THE HSS BOARD OF TRUSTEES AND HSS EXECUTIVE LEADERSHIP.
FORM 990, PART VI, SECT B - LINE 15A & 15B, "PROCESS FOR DETERMINING COMP"	THE HOSPITAL FOR SPECIAL SURGERY(HSS) IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE HSS BOARD HAS CHARGED THE COMPENSATION COMMITTEE (WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARD TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT IN THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR FUNCTIONALLY COMPARABLE ROLES IN COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF PERFORMANCE, AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH HSS EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTERESTS OF HSS, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE MISSION AND COMPLEXITY, CONSIDERING BOTH LOCAL AND NATIONAL MARKET CHALLENGES IN SUCH REGARD. ON AN ANNUAL BASIS (INCLUDING 2020), THE COMMITTEE PROVIDES THE FULL BOARD WITH AN OVERVIEW OF ITS DETERMINATIONS AND PROCESS. HSS ESTABLISHED THIS PROCESS IN AN EFFORT TO COMPLY WITH THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, AS WELL AS BEST CORPORATE GOVERNANCE PRACTICES IN ENSURING THE TRANSPARENCY OF THE EXECUTIVE COMPENSATION DECISION-MAKING PROCESS WITH THE BOARD.
FORM 990, PART VI, SECTION B - LINE 19, "DISCLOSURE GOVERNING DOCUMENTS"	HOSPITAL FOR SPECIAL SURGERY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST FROM THE OFFICE OF LEGAL AFFAIRS.
FORM 990, PART XI, LINE 9- "OTHER CHANGES IN NET ASSETS OR FUND BALANCES"	INCLUDES INCREASE IN INTEREST OF HSS FUND, INC. $20,811,394, AND DECREASE IN DEFINED PENSION AND POST RETIREMENT PLAN LIABILITIES $40,770,770.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HOSPITAL FOR SPECIAL SURGERY FUND INC
535 EAST 70TH STREET	NEW YORK	NY	10021	136714749	FUNDRAISING	NY	501 (C)(3)	7	NA	Yes (true)
HSS PROPERTIES CORPORATION
535 EAST 70TH STREET	NEW YORK	NY	10021	133246249	REAL ESTATE	NY	501 (C)(3)	12 TYPE II	HSS FUND INC	Yes (true)
HSS HORIZONS INC
535 EAST 70TH STREET	NEW YORK	NY	10021	134152131	RESEARCH SUPP	NY	501 (C)(3)	12 TYPE I	HSS FUND INC	Yes (true)
NEW YORK-PRESBYTERIAN FOUNDATION INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	134153668	HLTH CARE ORG	NY	501 (C)(3)	12 TYPE I	NA	false
TJA ORTHOPEDIC SURGERY PC
535 EAST 70TH STREET	NEW YORK	NY	10021	815178969	HEALTH CARE	NY	501 (C)(3)	10	HSS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HSS ASC OF MANHATTAN LLC
1233 2ND AVE	NEW YORK	NY	10065	471353602	HEALTH CARE	NY	HSS	RELATED	$4,897,043	$20,532,655	false	$0	Yes (true)	0.54677
HSS WEST SIDE ASC LLC
600 WEST 58TH STREET	NEW YORK	NY	10019	814351390	HEALTH CARE	NY	HSS	RELATED	$955,624	$20,109,747	false	$0	Yes (true)	0.67000
HSS-FL PHYSICIANS LLC
535 EAST 70TH STREET	NEW YORK	NY	10021	824502169	HEALTH CARE	FL	HSS	RELATED	-$10,460,477	$11,065,277	false	$0	Yes (true)	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
535 EAST 70TH STREET	NEW YORK	NY	10021	981050215	SELF-INDEMNITY	CJ	NA	C	Yes (true)
HSS VENTURES
535 EAST 70TH STREET	NEW YORK	NY	10021	061624300	HEALTH CARE		NA	C	Yes (true)	NY
CHARITABLE TRUST
					INVESTMENT/CHARIT		NA	T	false	OH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HSS FUND INC
C	$1,772,853	ALLOC COST
HSS FUND INC
J	$1,443,565	ALLOC COST
HSS FUND INC
M	$8,711,275	ALLOC COST
HSS FUND INC
Q	$8,850,888	ALLOC COST
HSS FUND INC
S	$5,500,000	ALLOC COST
HSS PROPERTIES CORPORATION
A	$607,951	ALLOC COST
HSS PROPERTIES CORPORATION
D	$15,032,260	ALLOC COST
HSS PROPERTIES CORPORATION
K	$59,572,424	ALLOC COST
HSS PROPERTIES CORPORATION
L	$3,693,759	ALLOC COST
HSS PROPERTIES CORPORATION
Q	$53,552,991	ALLOC COST
HSS HORIZONS INC
D	$295,433	ALLOC COST
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
P	$12,318,361	ALLOC COST
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
Q	$12,643,580	ALLOC COST
HSS ASC OF MANHATTAN LLC
L	$2,610,458	ALLOC COST
HSS ASC OF MANHATTAN LLC
Q	$8,762,827	ALLOC COST
HSS WEST SIDE ASC LLC
A	$279,766	ALLOC COST
HSS WEST SIDE ASC LLC
D	$4,512,000	ALLOC COST
HSS WEST SIDE ASC LLC
J	$1,501,412	ALLOC COST
HSS WEST SIDE ASC LLC
L	$1,986,267	ALLOC COST
HSS WEST SIDE ASC LLC
Q	$4,344,003	ALLOC COST
HSS WEST SIDE ASC LLC
R	$300,000	ALLOC COST
HSS-FLORIDA PHYSICIANS LLC
L	$809,000	ALLOC COST
HSS-FLORIDA PHYSICIANS LLC
Q	$2,776,659	ALLOC COST
HSS VENTURES INC
G	$1,589,846	ALLOC COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1o	FormAndLineReferenceDesc
Explanation	The amounts for sharing of paid employees with related organization(s) are included in line m, performance of services or membership or fundraising solicitations by related organizations.	ExplanationTxt