NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING (EIN 13-1624135)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201943189349303504
Schema version: 2018v3.1
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 B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T09:33:22-06:00	ReturnTs
Tax Period End	2018-12-31	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	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	2019-11-12	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA KIELCZEWSKI	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520193185000076	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B368A9C77FC9FD471D6DA5EBED8E1C4EF6149CF8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2979594631CB5427DBABEAFA59DA989879D1FE14	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$1,409,374,407	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	49	VotingMembersGoverningBodyCnt
Voting Members Independent	41	VotingMembersIndependentCnt
Total Employee	6337	TotalEmployeeCnt
Total Volunteers	370	TotalVolunteersCnt
Total Gross UBI	$525,180	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,230,674	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,923,152	PYContributionsGrantsAmt
CY Contributions Grants	$92,212,279	CYContributionsGrantsAmt
PY Program Service Revenue	$1,067,053,518	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,129,760,171	CYProgramServiceRevenueAmt
PY Investment Income	$12,889,317	PYInvestmentIncomeAmt
CY Investment Income	$20,257,134	CYInvestmentIncomeAmt
PY Other Revenue	$39,255,620	PYOtherRevenueAmt
CY Other Revenue	$46,570,624	CYOtherRevenueAmt
PY Total Revenue	$1,169,121,607	PYTotalRevenueAmt
CY Total Revenue	$1,288,800,208	CYTotalRevenueAmt
PY Grants And Similar Paid	$157,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$351,519	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$627,351,327	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$687,017,383	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$483,442,763	PYOtherExpensesAmt
CY Other Expenses	$500,365,368	CYOtherExpensesAmt
PY Total Expenses	$1,110,951,590	PYTotalExpensesAmt
CY Total Expenses	$1,187,734,270	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,170,017	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$101,065,938	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,652,402,940	TotalAssetsBOYAmt
Total Assets EOY	$1,738,788,770	TotalAssetsEOYAmt
Total Liabilities BOY	$691,016,319	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$661,497,421	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$961,386,621	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,077,291,349	NetAssetsOrFundBalancesEOYAmt
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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$900,210,957	ExpenseAmt
Grant	$351,519	GrantAmt
Revenue	$1,126,577,760	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 215 STAFFED BEDS AS OF DECEMBER 31, 2018 AND DECEMBER 31, 2017; AND 39 OPERATING ROOMS AS OF DECEMBER 31, 2018 AND DECEMBER 31, 2017. WE PERFORMED 29,454 SURGERIES, A DECREASE OF 2,388 OVER THE PRIOR YEAR, WHILE NON-SURGICAL OUTPATIENT VISITS NUMBERED 470,607, 56,770 MORE THAN 2017. HOSPITAL FOR SPECIAL SURGERY PROVIDED INPATIENT CARE TO 15,772 PATIENTS, 531 LESS THAN 2017. OF THOSE IN 2018, 15,473 WERE SURGICAL. TOTAL AMBULATORY SURGICAL CASES NUMBERED 13,981, A DECREASE OF 1,806 FROM 2017. 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	$43,517,510	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$37,082,706	RevenueAmt
Desc	RESEARCH: THE RESEARCH DIVISION OF HOSPITAL FOR SPECIAL SURGERY CONTINUED ITS ACTIVITIES IN 2018 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. THE RESEARCH INSTITUTE IS FUNDED BY AN OPERATING BUDGET OF $43.5 MILLION, SUPPORTED IN PART BY APPROXIMATELY $37.0 MILLION IN EXTRAMURAL FUNDS, INCLUDING $11.1 MILLION FROM FEDERAL GRANTS. THIS RESEARCH RESULTED IN OVER 900 PUBLICATIONS FROM 100 SCIENTISTS IN 2018. HIGHLIGHTS FOR 2018 INCLUDE: ADVANCING HSS' RESEARCH STRATEGIC PLAN WITH INVESTMENTS IN: 1)SUPPORTING FACULTY WHO REMAIN EXPOSED TO FUNDING UNCERTAINTIES; 2)MENTORING THE NEXT GENERATION OF SCIENTISTS, 3)CONTINUED INITIATIVES TO RETAIN OUR MOST PRODUCTIVE FACULTY, 4)CONTINUED INVESTMENT AND EXPANSION OF THE PRECISION MEDICINE, AND 5) SCIENTIFIC HIGHLIGHTS INCLUDE, AMONG OTHERS: SINGLE CELL SEQUENCING: NEW DISEASE-RELATED CELL TYPES IN RA AND SLE AND HOW THEY RESPOND TO THERAPY; MICROBIOME (GUT BACTERIA) AFFECTS PERIPROSTHETIC JOINT INFECTIONS: NEW THERAPIES; GENOME EDITING (CRISPR): 'GENE SWITCHES' THAT CONTROL AUTOIMMUNITY, AND; ENDOTHELIAL CELLS ALTER IMMUNE RESPONSE AND IMPROVE TENDON HEALING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$45,453,234	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,470,148	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 2018 WE STRENGTHENED STRATEGIC PARTNERSHIPS WITH OUR 25 EDUCATION AND ACADEMIC AFFAIRS ADVISORY COMMITTEES AND INSTITUTIONAL PARTNERS, AS WELL AS FURTHERING EXTERNAL COMMUNITY RELATIONS GLOBALLY. THE INSTITUTE TRAINED 46 RESIDENTS, 74 FELLOWS, AND 609 MEDICAL STUDENTS AND TRAINEES WHO SPEND PART OF THE YEAR AT HSS. IN ADDITION, HSS' RESIDENCY PROGRAM WAS TOP RANKED FOR THE FIFTH STRAIGHT YEAR BY PHYSICIAN NETWORK DOXIMITY IN BOTH REPUTATION AND RESEARCH OUTPUT. IN 2018, WE ENGAGED NEARLY 113,500 PARTICIPANTS THROUGH CUTTING EDGE 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 PUBLIC AND PATIENT EDUCATION PROGRAMS. EI ALSO HOSTED 431 ACADEMIC VISTORS AND CREDENTIALED NEARLY 900 PHYSICIANS AND HEALTH CARE PROVIDERS. WE CONTINUE TO SET THE HIGHEST STANDARD WITH OUR ACCME ACCREDITED AND NON-ACCREDITED PROFESSIONAL EDUCATION PROGRAMS. ALMOST 60 ONSITE AND LIVE STREAMING PROGRAMS, WEBINARS, GRAND ROUNDS AND CME-APPROVED HSS JOURNAL ARTICLES WERE OFFERED THROUGHOUT THE YEAR. MORE THAN 500 PROFESSIONAL EDUCATION MODULES WERE PROVIDED THROUGH ON-DEMAND FORMAT VIA HSS' E-ACADEMY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$989,181,701	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	411	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6337	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	EI	ForeignCountryCd
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	49	GoverningBodyVotingMembersCnt
Independent Voting Member	41	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 (62 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Todd Albert
Member/Surgeon-in-Chief	48.16	1.27	Yes (X)	Yes (X)	$1,589,779	$0	$65,590
Mary Crow
Member/Physician-in-Chief	59.23	0.77	Yes (X)		$926,063	$1,000	$40,733
Steven Haas - Left 2018
Member/Attending Physician	11.57	0.4	Yes (X)		$161,468	$0	$45,441
Lionel Ivashkiv
Member/Chief Scientific Offic.	60.0	0.0	Yes (X)		$752,251	$0	$58,943
Michael Parks
Member/Attending Physician	9.96	0.77	Yes (X)		$191,748	$1,000	$31,047
Joel Press
Member/Physiatrist-in-Chief	49.6	0.4	Yes (X)		$847,654	$0	$70,971
Thomas Sculco
Member/Attending Physician	18.01	0.4	Yes (X)		$104,519	$0	$49,916
Edwin Su - Join 2018
Member/Attending Physician	49.6	0.4	Yes (X)		$130,350	$0	$54,439
James M Benson
Member	0.37	0.06	Yes (X)		$0	$0	$0
Daniel C Benton
Member	1.61	0.28	Yes (X)		$0	$0	$0
Herbert Black
Member	0.37	0.06	Yes (X)		$0	$0	$0
Michael Brooks
Member	1.15	0.21	Yes (X)		$0	$0	$0
Kathryn Chenault
Member	0.59	0.11	Yes (X)		$0	$0	$0
Charles Coleman III
Member	0.96	0.17	Yes (X)		$0	$0	$0
Leslie Cornfeld
Member	0.86	0.15	Yes (X)		$0	$0	$0
Cynthia Foster Curry
Member	3.75	0.66	Yes (X)		$0	$0	$0
Barrie M Damson
Member	0.8	0.17	Yes (X)		$0	$0	$0
James G Dinan
Member	3.03	0.54	Yes (X)		$0	$0	$0
Anne Ehrenkranz
Member	2.73	0.49	Yes (X)		$0	$0	$0
Michael Esposito
Vice-Chair	4.36	0.77	Yes (X)	Yes (X)	$0	$0	$0
Marina Kellen French
Member	0.59	0.11	Yes (X)		$0	$0	$0
Giammaria Giuliani - Join 2018
Member	0.29	0.06	Yes (X)		$0	$0	$0
Craig Ivey
Member	3.21	0.57	Yes (X)		$0	$0	$0
Winfield P Jones
Member	0.63	0.11	Yes (X)		$0	$0	$0
Warren Kanders
Member	0.37	0.06	Yes (X)		$0	$0	$0
Scott Kapnick
Member	2.31	0.41	Yes (X)		$0	$0	$0
Monica Keany
Member	1.06	0.18	Yes (X)		$0	$0	$0
Thomas J Kelly
Member	2.24	0.39	Yes (X)		$0	$0	$0
David H Koch - Left 2018
Member	0.22	0.04	Yes (X)		$0	$0	$0
Sacha Lainovic
Member	0.79	0.14	Yes (X)		$0	$0	$0
Laurie Hodges Lapeyre
Member	4.67	0.83	Yes (X)		$0	$0	$0
Pablo Legorreta
Member	0.84	0.15	Yes (X)		$0	$0	$0
Lara Lerner
Member	0.54	0.09	Yes (X)		$0	$0	$0
Kathy Leventhal
Member	1.8	0.32	Yes (X)		$0	$0	$0
Marylin B Levitt
Member	0.63	0.11	Yes (X)		$0	$0	$0
Thomas H Lister
Co-Chair - CHG FROM VC 4/18	13.78	2.82	Yes (X)	Yes (X)	$0	$0	$0
Alan S MacDonald
Member	1.79	0.32	Yes (X)		$0	$0	$0
David McCormick
Member	1.61	0.28	Yes (X)		$0	$0	$0
Mary Kathryn Navab
Member	1.31	0.24	Yes (X)		$0	$0	$0
Terrence O'Toole
Member	4.5	0.8	Yes (X)		$0	$0	$0
Gordon Pattee
Member	0.63	0.11	Yes (X)		$0	$0	$0
Steven Rattner
Member	1.57	0.27	Yes (X)		$0	$0	$0
Susan W Rose
Member	0.63	0.11	Yes (X)		$0	$0	$0
Jonathan Sobel
Member	4.02	0.71	Yes (X)		$0	$0	$0
Deirdre Stanley
Member - CHG FROM VC 4/18	3.0	0.53	Yes (X)		$0	$0	$0
Robert K Steel
Co-Chair - CHG FROM MBR 4/18	15.61	2.76	Yes (X)	Yes (X)	$0	$0	$0
Patricia G Warner
Member	4.26	0.75	Yes (X)		$0	$0	$0
Sanford I Weill
Member	0.37	0.06	Yes (X)		$0	$0	$0
Kendrick R Wilson III
Chair,Emeritus-CHG FROM CH 18'	5.95	1.22	Yes (X)	Yes (X)	$0	$0	$0
Ellen M Wright
Member	2.78	0.49	Yes (X)		$0	$0	$0
Louis A Shapiro
President & Chief Exec Officer	45.73	14.27	Yes (X)	Yes (X)	$2,619,594	$654,899	$81,611
Stacey Malakoff
Exec VP & Chief Fin Officer	48.73	11.27		Yes (X)	$1,674,486	$295,498	$68,348
Lisa Goldstein
Executive VP & COO	51.2	8.8		Yes (X)	$1,365,540	$204,046	$60,986
Irene Koch
EXEC VP & CHIEF LEGAL OFFICER	48.92	11.08		Yes (X)	$696,785	$122,963	$59,320
Hollis Potter
RADIOLOGIST-IN-CHIEF	60.0	0.0			$1,258,781	$0	$76,391	Yes (X)
Stephanie Goldberg
Sr. VP, Patient Care SRV & CNO	60.0	0.0			$649,348	$0	$44,126	Yes (X)
Ralph Bianco
Sr. Vice President, Operation	54.0	6.0			$503,312	$55,924	$66,338	Yes (X)
Sheeraz Qureshi
Associate Attending Physician	50.0	0.0			$6,424,481	$0	$56,129		Yes (X)
Bryan Kelly
Attending Physician	49.23	0.77			$4,566,007	$500	$75,463		Yes (X)
Frank Schwab
Attending Physician	50.0	0.0			$3,082,944	$0	$61,437		Yes (X)
Danyal Nawabi
Assistant Attending Physician	52.24	0.0			$2,922,748	$0	$58,384		Yes (X)
William Ricci
Chief of the Trauma Service	50.0	0.0			$2,608,218	$0	$70,327		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$33,076,076	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,335,830	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,195,940	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1735	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
TURNER CONSTRUCTION CO
375 HUDSON ST	NEW YORK	NY	10014	CONSTRUCTION	$10,441,789
CONSTRUCTION CONTRACTORS OF NY COR
208 RUSSELL PLACE	HACKENSACK	NJ	07601	CONSTRUCTION	$8,622,614
Proskauer Rose LLP
Eleven Times Square	NEW YORK	NY	10036	LEGAL SERVICES	$3,880,216
STRUCTURE TONE LLC
330 W 34TH ST	NEW YORK	NY	10001	CONSTRUCTION	$3,645,084
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	EHR SYSTEM SERVICES	$3,197,235

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	206	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,415,284	RelatedOrganizationsAmt
Government Grants	$11,267,376	GovernmentGrantsAmt
All Other Contributions	$78,529,619	AllOtherContributionsAmt
Noncash Contributions	$673,708	NoncashContributionsAmt
Total Contributions	$92,212,279	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET INPATIENT REVENUE	622110	$634,871,425	$634,871,425
NET OUTPATIENT REVENUE	622110	$343,238,842	$343,238,842
PROFESSIONAL FEES	622110	$151,649,904	$151,649,904

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,129,760,171	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,876,610	TotalRevenueColumnAmt
Unrelated Business Revenue	-$10,279	UnrelatedBusinessRevenueAmt
Exclusion	$11,886,889	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	$457,530	TotalRevenueColumnAmt
Exclusion	$457,530	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$128,954,723	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$120,574,199	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,380,524	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,380,524	TotalRevenueColumnAmt
Exclusion	$8,380,524	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	$22,325,235	$22,325,235
RECOVERIES-MD RELATED EXP	622110	$11,335,601	$11,335,601
MISCELLANEOUS	622110	$12,452,258	$11,916,799	$535,459

Field	Value	IRS element (for citing)
Other Revenue Total	$46,113,094	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,288,800,208	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,175,337,806	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$525,180	UnrelatedBusinessRevenueAmt
Exclusion	$20,724,943	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$351,519	TotalAmt
Program Services	$351,519	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	$14,295,844	TotalAmt
Program Services	$7,712,575	ProgramServicesAmt
Management And General	$6,583,269	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$525,576,238	TotalAmt
Program Services	$458,546,509	ProgramServicesAmt
Management And General	$67,029,729	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$34,417,915	TotalAmt
Program Services	$30,185,923	ProgramServicesAmt
Management And General	$4,231,992	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$80,520,136	TotalAmt
Program Services	$69,647,076	ProgramServicesAmt
Management And General	$10,873,060	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,207,250	TotalAmt
Program Services	$27,858,135	ProgramServicesAmt
Management And General	$4,349,115	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,016,353	TotalAmt
Program Services	$4,549,085	ProgramServicesAmt
Management And General	$10,467,268	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,381,356	TotalAmt
Management And General	$6,381,356	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$358,000	TotalAmt
Management And General	$358,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,000	TotalAmt
Management And General	$48,000	ManagementAndGeneralAmt

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	$200,000	TotalAmt
Management And General	$200,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,417,739	TotalAmt
Program Services	$20,795,935	ProgramServicesAmt
Management And General	$2,621,804	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,449,276	TotalAmt
Management And General	$20,449,276	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,871,390	TotalAmt
Program Services	$27,817,384	ProgramServicesAmt
Management And General	$9,054,006	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,123,462	TotalAmt
Management And General	$11,123,462	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$59,318,334	TotalAmt
Program Services	$47,992,545	ProgramServicesAmt
Management And General	$11,325,789	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,355,770	TotalAmt
Program Services	$2,834,305	ProgramServicesAmt
Management And General	$521,465	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	$9,010,391	TotalAmt
Program Services	$7,108,515	ProgramServicesAmt
Management And General	$1,901,876	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$71,410,036	TotalAmt
Program Services	$54,829,142	ProgramServicesAmt
Management And General	$16,580,894	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$25,126,632	TotalAmt
Program Services	$20,288,300	ProgramServicesAmt
Management And General	$4,838,332	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES & IMPLANT	$167,006,976	$167,006,976
RESEARCH (NET OF RECOVERIES)	$18,538,158	$18,538,158
SPF SUPPLIES	$13,173,945	$13,173,945
BAD DEBT	$9,290,109	$9,290,109

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,269,441	TotalAmt
Program Services	$655,565	ProgramServicesAmt
Management And General	$9,613,876	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,187,734,270	TotalAmt
Program Services	$989,181,701	ProgramServicesAmt
Management And General	$198,552,569	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$94,544,606	BOYAmt
EOY	$108,166,575	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	$24,612,237	BOYAmt
EOY	$49,331,152	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$141,496,734	BOYAmt
EOY	$147,756,404	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	$0	BOYAmt
EOY	$15,008,282	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,857,755	BOYAmt
EOY	$10,911,847	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,286,776	BOYAmt
EOY	$7,729,251	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,298,781,524	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$706,142,511	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$579,965,528	BOYAmt
EOY	$592,639,013	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$404,726,687	BOYAmt
EOY	$393,382,815	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$215,563,449	BOYAmt
EOY	$228,081,719	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	$191,000	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$173,158,168	BOYAmt
EOY	$185,781,712	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,652,402,940	BOYAmt
EOY	$1,738,788,770	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$124,126,653	BOYAmt
EOY	$124,893,442	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,548,286	BOYAmt
EOY	$66,712,524	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	$94,372,098	BOYAmt
EOY	$195,824,043	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$307,969,282	BOYAmt
EOY	$274,067,412	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$691,016,319	BOYAmt
EOY	$661,497,421	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$628,648,048	BOYAmt
EOY	$719,731,316	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,139,994	BOYAmt
EOY	$199,302,390	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$138,598,579	BOYAmt
EOY	$158,257,643	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$961,386,621	BOYAmt
EOY	$1,077,291,349	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,652,402,940	BOYAmt
EOY	$1,738,788,770	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$101,065,938	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$34,951,223	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$49,790,013	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	$98,164,202	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$68,047,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,154,844	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,923,152	CurrentTaxYearMinus1YearAmt
Current Tax Year	$92,212,279	CurrentTaxYearAmt
Total	$365,502,298	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	$98,164,202	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$68,047,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,154,844	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,923,152	CurrentTaxYearMinus1YearAmt
Current Tax Year	$92,212,279	CurrentTaxYearAmt
Total	$365,502,298	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$42,156,830	SubstantialContributorsTotAmt
Public Support Total170	$323,345,468	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,447,509	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,254,332	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,912,208	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,872,710	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,344,419	CurrentTaxYearAmt
Total	$43,831,178	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$525,180	CurrentTaxYearAmt
Total	$525,180	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$426,706	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$450,141	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$470,424	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$435,475	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$1,782,746	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$411,641,402	TotalSupportAmt
Gross Receipts Rltd Activities	$5,147,065,362	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.78550	PublicSupportCY170Pct
Public Support PY170	0.79415	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$48,000	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$48,000	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,187,686,270	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,187,734,270	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	$95,044	CurrentYearMinus3Amt
Current Year Minus2	$44,000	CurrentYearMinus2Amt
Current Year Minus1	$52,000	CurrentYearMinus1Amt
Current Year	$48,000	CurrentYearAmt
Total	$239,044	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$281,958,095	BeginningYearBalanceAmt
Contributions	$66,490,623	ContributionsAmt
Investment Earnings Or Losses	$5,933,317	InvestmentEarningsOrLossesAmt
Other Expenditures	$51,517,657	OtherExpendituresAmt
End Year Balance	$302,864,378	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$253,373,684	BeginningYearBalanceAmt
Contributions	$72,825,198	ContributionsAmt
Investment Earnings Or Losses	$9,084,803	InvestmentEarningsOrLossesAmt
Other Expenditures	$53,325,590	OtherExpendituresAmt
End Year Balance	$281,958,095	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.44000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.55000	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	$696,100,963	OtherCostOrOtherBasisAmt
Depreciation	$355,076,876	DepreciationAmt
Book Value	$341,024,087	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$554,827,032	OtherCostOrOtherBasisAmt
Depreciation	$351,065,635	DepreciationAmt
Book Value	$203,761,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,630,126	OtherCostOrOtherBasisAmt
Book Value	$47,630,126	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$592,639,013	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$228,081,719	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$228,081,719	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE CLAIMS RECEIVABLE	$75,879,768
INT IN HSS FUND, INC.-FASB 136	$60,604,181
DUE FROM AFFILIATES -MRKT SEC.	$20,184,175
457B DEFERRED COMP PLAN ASSETS	$11,390,243
DUE FROM AFFILIATES - NET	$8,902,822
INT - HSS FLORIDA PHYSICIA LLC	$5,485,620
INVESTMENT IN PALM BEACH ASC	$1,619,535
TI RECEIVABLE WESTCHESTER - LT	$1,406,250
INVESTMENT IN SUTTON HOUSE	$820,000
INVESTMENT IN HS2	$92,198
GPA HOLDINGS, LLC	$46,169
INT - HSS WESTSIDE ASC LLC	-$107,062
INT - HSS ASC OF MANHATTAN LLC	-$542,187

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$185,781,712	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DEFINED BENEFIT PENSION PLAN	$97,934,774
INSURANCE CLAIM LIABILITY	$75,879,768
DUE TO THIRD PARTY PAYORS	$32,561,206
LEASEHOLD INCENTIVE	$12,392,981
457B DEFERRED COMP PLAN LIABIL	$11,390,243
DEFERRED RENT	$14,153,008
ACCRUED POST-RETIREMENT HEALTH	$5,681,185
OTHER ACCRUED LIABILITIES	$24,074,247

Field	Value	IRS element (for citing)
Total Liability	$274,067,412	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 (5 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$114,452,340
Central America and the Caribbean	0	MEDICAL INSURANCE PREMIUM	$14,879,107
Central America and the Caribbean	1	Program Services	$79,980	PT.LIAISON/BUS DEV
Central America and the Caribbean	1	Program Services	$36,000	PT.LIAISON/BUS DEV
Europe (Including Iceland and Greenland)	0	Program Services	$6,000	PT.LIAISON/BUS DEV

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	2	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	2	TotalEmployeeCnt
Subtotal Spent	$129,453,427	SubtotalSpentAmt
Total Spent	$129,453,427	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	$15,377,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,861,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,515,262	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,440,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,476,921	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,963,685	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,083,968	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$648,698	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$435,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,901,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,987,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,914,217	NetCommunityBenefitExpnsAmt
Total Expense	0.03070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,745,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,197,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,548,323	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,071,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,295,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,775,507	NetCommunityBenefitExpnsAmt
Total Expense	0.03880	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,174,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,446,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,728,509	NetCommunityBenefitExpnsAmt
Total Expense	0.02050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,991,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,939,451	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,052,339	NetCommunityBenefitExpnsAmt
Total Expense	0.06640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$173,893,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,927,017	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,966,556	NetCommunityBenefitExpnsAmt
Total Expense	0.09710	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,262,952	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$159,639,620	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$227,618,388	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$67,978,768	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	0.51	0.49
HSS WEST SIDE ASC
HEALTH CARE	0.67	0.33
HS2 LLC
SURGEON TALENT MANAGEMENT CO	0.1033	0.7933	0.1034

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	16	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	16	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 54-QUESTION SURVEY WAS DEVELOPED THROUGH A COLLECTIVE EFFORT BY A FIVE-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 THE PUBLIC, COMMUNITY PARTNERS AND INTERNAL STAKEHOLDERS 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 AND CHINESE 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 . MEMORIAL SLOAN KETTERING CANCER CENTER . NEW YORK PRESBYTERIAN HOSPITAL . LENOX HILL NEIGHBORHOOD HOUSE . 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 . ISABELLA GERIATRIC . TOURO COLLEGE GRADUATE SCHOOL OF SOCIAL WORK HSS FACILITATED SYSTEMATIC, SCHEDULED INPUT AND FEEDBACK FROM ITS VARIED CONSTITUENTS - INTERNAL STAKEHOLDERS, THE PUBLIC, AND COMMUNITY PARTNERS BASED ON THE CHNA RESULTS TO GUIDE THE SELECTION OF THE HEALTH NEEDS AND SERVICES TO ADDRESS IN ITS COMMUNITY PROGRAMMING. RELEVANT NATIONAL, STATE AND CITY HEALTH DATA AND NEEDS ASSESSMENT RESULTS WERE ALSO UTILIZED TO DRIVE COMMUNITY PROGRAMMING. OUR APPROACH IN IDENTIFYING, PRIORITIZING AND SELECTING SIGNIFICANT HEALTH NEEDS IS DESCRIBED BELOW: INPUT FROM 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. THE KNOWLEDGE AND EXPERIENCE OF PHYSICIANS, NURSES, SOCIAL WORKERS AND OTHER 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 MAY 26, 2016 WITH 15 HSS STAFF TO DISCUSS IDENTIFIED HEALTH PRIORITIES AND EXPLORE AREAS FOR IMPLEMENTING INITIATIVES, USING RESULTS FROM THE CHNA AND STAKEHOLDERS' AWARENESS OF COMMUNITY NEEDS TO GUIDE THE DISCUSSION. THE GROUP DISCUSSED FOCUSING ON INCREASING ACCESS TO HIGH QUALITY, CULTURALLY RELEVANT CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS AND REDUCING OBESITY IN ADULTS AND CHILDREN, WHICH ALIGNS WITH THE NYSDOH CSP PRIORITY AREAS. INPUT FROM COMMUNITY PARTNERS- FEEDBACK FROM COMMUNITY PARTNER ORGANIZATIONS WAS CRITICAL TO DRIVING THE ASSESSMENT AND SELECTION OF PUBLIC HEALTH PRIORITIES FOR THE HOSPITAL. USING RESULTS OF THE CHNA 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 COMMUNITY 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. OVERALL, FEEDBACK FROM THESE MEETINGS SOLIDIFIED THE DIRECTION FOR PROGRAMS THAT IMPROVE THE COMMUNITY'S DIET AND INCREASE PHYSICAL ACTIVITY TO COMBAT OBESITY AMONG CHILDREN AND ADULTS, EXAMINE SPECIFIC COMMUNITIES IN NEED OF CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS, AND PROVIDE CULTURALLY RELEVANT EDUCATION REGARDING MUSCULOSKELETAL AND RHEUMATOLOGIC ISSUES. HSS MET WITH THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), A TRADE ASSOCIATION, TO INFORM THE STRUCTURE AND PROCESS FOR SELECTING ITS PUBLIC HEALTH PRIORITIES. IN-PERSON MEETINGS AND CONFERENCE CALLS WITH GNYHA WERE HELD ON 07/21/15, 07/28/15, 01/15/16, 03/11/16, 04/8/16, 04/13/16, 04/28/16, AND 05/09/16 TO DISCUSS THE NYS DOH CSP REQUIREMENTS AND FEDERAL REQUIREMENTS FOR THE CHNA. HSS ALSO ATTENDED ONE OF THE 29 COMMUNITY CONSULTATIONS HOSTED BY THE NYC DOHMH TAKE CARE NEW YORK ON JANUARY 26, 2016 IN CENTRAL HARLEM TO FOSTER CONTINUED PARTNERSHIP IN IMPROVING HEALTH NEEDS OF NEW YORKERS. THESE COMMUNITY CONSULTATIONS PROVIDED NEW YORKERS THE OPPORTUNITY TO RANK HEALTH INDICATORS OUTLINED IN THE TCNY 2020, AND DISCUSS HEALTH GOALS OF THE COMMUNITY AND RESOURCES THAT HELP MEET THESE GOALS. OUR INVOLVEMENT IN THIS PROCESS PROVIDED VALUABLE INSIGHT INTO THE PUBLIC'S NEEDS AND HELPED IN GUIDING THE SELECTION OF PUBLIC HEALTH NEEDS TO ENSURE IT RESONATES WITH THE HEALTH CARE NEEDS OF NEW YORKERS. IN ADDRESSING THE NYS PREVENTION AGENDA, CONFERENCE CALLS AND IN-PERSON MEETINGS WERE HELD WITH THE NYCDOH ON 03/21/16, 04/18/16 AND 06/08/16 TO EXPLORE AREAS OF PARTNERSHIP. FURTHERMORE, A COMMUNITY PARTNERS MEETING WAS HELD ON MAY 25, 2016. NINE INDIVIDUALS FROM THE COMMUNITY PARTNER ORGANIZATIONS ATTENDED THIS MEETING AT WHICH 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. INPUT FROM THE GENERAL PUBLIC- TO FURTHER HSS' COMMITMENT TO DEVELOPING PROGRAMS THAT IMPROVE COMMUNITY HEALTH, OBTAINING FEEDBACK FROM THE PUBLIC AND PATIENT COMMUNITY WAS ALSO INSTRUMENTAL IN DRIVING THE HOSPITAL'S SELECTION OF SIGNIFICANT HEALTH NEEDS. OUR APPROACH IN SOLICITING INPUT FROM THE PUBLIC IS DESCRIBED BELOW. COMMUNITY FORUMS- FOUR COMMUNITY FORUMS 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. THE MAIN COMMUNICATION CHANNEL FOR NOTIFYING THE PUBLIC ABOUT THE FORUMS WERE THROUGH FLYERS DISTRIBUTED AT HSS COMMUNITY PROGRAMS AND OUTPATIENT CLINICS AND POSTING ON DIGITAL MEDIA (WEB, FACEBOOK AND TWITTER). IN ADDITION, ANNOUNCEMENTS WERE MADE DURING PUBLIC AND PATIENT PROGRAMS HELD AT HSS, AND A POSTER WAS STRATEGICALLY PLACED IN A HIGH TRAFFIC AREA OF THE HOSPITAL TO PUBLICIZE THE MEETING. FURTHERMORE, IN ORDER TO REACH AT-RISK AND MINORITY POPULATIONS, HSS PARTNERED WITH SENIOR CENTERS IN MANHATTAN AND CHINATOWN TO ADVERTISE COMMUNITY FORUMS TO THEIR COMMUNITY MEMBERS. SPECIFIC DATES, LOCATIONS, AND ATTENDANCE FOR THESE COMMUNITY FORUMS WERE AS FOLLOWS: . MAY 17, 2016 AT LENOX HILL NEIGHBORHOOD HOUSE, MANHATTAN (11 PEOPLE PRESENT) . MAY 21, 2016 AT THE LIVING HEALTHY WITH LUPUS WORKSHOP, HSS (50 PEOPLE PRESENT) . MAY 23, 2016 AT CHINATOWN COMMUNITY CENTER, VISITING NURSES SERVICES NEW YORK (35 PEOPLE PRESENT) . MAY 25, 2016 AT THE SENIOR HEALTH AND FITNESS DAY, HSS (17 PEOPLE PRESENT) 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. EACH SIGNIFICANT HEALTH NEED IDENTIFIED IN THE CHNA RESULTS WERE RANKED FROM 1 TO 22. ALL RANKINGS WERE ADDED TOGETHER ACROSS EACH LOCATION AND HEALTH ISSUES WERE RE-RANKED BASED ON THEIR OVERALL SCORE. COMMUNITY HEALTH NEEDS THAT WERE CONSIDERED SIGNIFICANT WERE RANKED AMONG THE TOP FIVE OF IDENTIFIED NEEDS, WHICH ARE - . OSTEOARTHRITIS/OSTEOPOROSIS/RHEUMATOID ARTHRITIS . MUSCLE, BONE AND JOINT PAIN . FATIGUE . FALLS . OBESITY
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	IDENTIFIED NEED 1: MANAGING OSTEOARTHRITIS, OSTEOPOROSIS, RHEUMATOID ARTHRITIS AND LUPUS AND RELATED SYMPTOMS - BELOW OUTLINES THE PROGRAMS SPECIFICALLY DESIGNED TO ADDRESS THESE CHRONIC CONDITIONS AND RELATED SYMPTOMS SUCH AS FALLS, FATIGUE, STIFFNESS AND MUSCLE, BONE AND JOINT PAIN IN HSS' ETHNICALLY DIVERSE, OLDER ADULT COMMUNITY. PROGRAM 1: HSS NURSING COMMUNITY EDUCATION OUTREACH INITIATIVE THIS INITIATIVE 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 DEIGNED 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), FALLS PREVENTION, NUTRITION AND MEDICATION SAFETY. THE ANTICIPATED PROGRAM IMPACT INCLUDES INCREASE IN KNOWLEDGE ABOUT MANAGING THEIR CHRONIC CONDITIONS, MAINTAINING A HEALTHY LIFESTYLE, IDENTIFYING INCREASED RISK OF FALLS AND PREVENTING LIKELIHOOD OF FALLS. PROGRAM 2: MUSCULOSKELETAL HEALTH WELLNESS INITIATIVE (MHI) TO ADDRESS THE PUBLIC HEALTH ISSUE OF MUSCULOSKELETAL CONDITIONS, HSS DEVELOPED THE MUSCULOSKELETAL HEALTH WELLNESS INITIATIVE (MHI), COMPRISED OF EDUCATIONAL AND EXERCISE PROGRAMS, TO RAISE AWARENESS, EDUCATE AND REDUCE THE IMPACT OF MUSCULOSKELETAL CONDITIONS IN THE COMMUNITY. THE INITIATIVE 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. PROGRAM 3: PAIN AND STRESS MANAGEMENT SERIES IN RESPONSE TO THE LACK OF CONFIDENCE IN MANAGING CHRONIC CONDITIONS, AND MENTAL HEALTH ISSUES IDENTIFIED IN THE CHNA, HSS DEVELOPED THE PAIN AND STRESS MANAGEMENT SERIES. THIS 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. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVING CONFIDENCE IN MANAGING CHRONIC CONDITIONS AND ITS SYMPTOMS SUCH AS PAIN, AND IMPROVING ABILITY TO COPE WITH STRESS. PROGRAM 4: HSS ASIAN COMMUNITY BONE HEALTH INITIATIVE IN RESPONSE TO THE HEALTH NEEDS OF THE GROWING NUMBER OF ASIAN OLDER ADULTS LIVING IN NYC'S CHINATOWN COMMUNITY AND THE CHNA RESULTS WHERE ASIANS REPORTED THAT THEY WERE TOLD BY THEIR DOCTOR TO ENGAGE IN MORE PHYSICAL ACTIVITY, HSS DEVELOPED THE ASIAN COMMUNITY BONE HEALTH INITIATIVE (ACBHI). THE OVERALL GOAL OF THIS INITIATIVE IS 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 ACBHI IS COMPRISED OF CULTURALLY RELEVANT MUSCULOSKELETAL HEALTH LECTURES AND WORKSHOPS, SELF-MANAGEMENT EDUCATION, YOGA AND LOW IMPACT CHAIR EXERCISE PROGRAMS. 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. PROGRAM 5: RESIDENT GERIATRIC TRAINING PROGRAM THIS PROGRAM IS DESIGNED TO ENHANCE COMMUNICATION SKILLS OF THIRD-YEAR ORTHOPEDIC SURGERY RESIDENTS WITH OLDER ADULTS THAT ARE SUFFERING FROM OR AT RISK OF MUSCULOSKELETAL AND RHEUMATOLOGIC CONDITIONS. THE PROGRAM INCLUDES MEETINGS WITH THE PROGRAM COORDINATOR, A LICENSED SOCIAL WORKER, FOR THE RESIDENTS TO EXPLORE THEIR ATTITUDES TOWARD OLDER PATIENTS, WEEKLY RESIDENT ROUNDS FOR SELECTED RESIDENTS TO PRESENT AND ILLUSTRATE SPECIFIC GERIATRIC NEEDS, AND PRESENTATIONS TO PARTICIPANTS OF THE HSS GREENBERG ACADEMY FOR SUCCESSFUL AGING. PRESENTATIONS COVER TOPICS SUCH AS MANAGEMENT OF MUSCULOSKELETAL CONDITIONS (I.E. OSTEOARTHRITIS AND OSTEOPOROSIS) AND SOME OF THE SYMPTOMS ASSOCIATED WITH THESE CONDITIONS (SUCH AS MUSCLE, BACK, BONE AND JOINT PAIN), AND FALLS PREVENTION. THE ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVING THE ABILITY OF OLDER ADULTS TO MANAGE THEIR MUSCULOSKELETAL CONDITIONS AND SYMPTOMS AND IMPROVED DOCTOR/PATIENT COMMUNICATION. PROGRAM 6: VOICES 60+ SENIOR ADVOCACY PROGRAM THIS PROGRAM WAS LAUNCHED IN RECOGNITION OF THE MULTIPLE CHALLENGES OLDER ADULTS FACE IN EFFECTIVELY UTILIZING HIGH QUALITY CHRONIC DISEASE CARE TO OPTIMIZE HEALTH OUTCOMES, AND ACCESS NEEDED SOCIAL SUPPORT, PARTICULARLY FOR THOSE WHO ARE FROM LOW-INCOME AND SPANISH SPEAKING COMMUNITIES. 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 OLDER ADULT PATIENTS AND HEALTHCARE PROVIDERS TO OPTIMIZE HEALTH OUTCOMES. ANTICIPATED PROGRAM IMPACT INCLUDES IMPROVED PROVIDER/PATIENT COMMUNICATION THAT WILL ENHANCE COMMUNICATION SKILLS OF OLDER ADULTS AND MANAGEMENT OF RHEUMATOLOGIC OR MUSCULOSKELETAL CONDITIONS AND ITS SYMPTOMS. PROGRAM 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. PROGRAM 8: LANTERN LUPUS ASIAN NETWORK IN RESPONSE TO THE CHNA RESULTS HIGHLIGHTING HEALTH DISPARITIES IN THE ASIAN COMMUNITY SPECIFICALLY RELATED TO LUPUS, HSS HAS IMPLEMENTED LANTERN, WHICH 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. PROGRAM 9: CHARLA DE LUPUS/LUPUS CHAT THE CHARLA DE LUPUS/LUPUS CHAT ("CHARLA") PROGRAM ADDRESSES HEALTH DISPARITIES AMONG AFRICAN AMERICANS AND LATINOS WITH LUPUS ACCORDING TO THE CHNA FINDINGS. THIS SOCIAL WORK LED PROGRAM 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 COMMUNITY, PROFESSIONAL EDUCATION AND GOVERNMENT COLLABORATIONS. ANTICIPATED PROGRAM IMPACT INCLUDES INCREASED KNOWLEDGE AND SELF-MANAGEMENT SKILLS OF LUPUS AND ITS SYMPTOMS. IDENTIFIED NEED 2: OBESITY (POOR DIET AND LACK OF PHYSICAL ACTIVITY) BASED ON SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA RESULTS AND COMMUNITY FORUMS, OBESITY (POOR DIET AND LACK OF PHYSICAL ACTIVITY) WAS ALSO IDENTIFIED AS A KEY COMMUNITY HEALTH NEED
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	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 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 PHYSIATRY & PAIN MANAGEMENT
429 EAST 75TH STREET	NEW YORK	NY	10021	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 SPORTS PERFORMANCE CENTER
525 EAST 71ST BELAIRE BUILDING	NEW YORK	NY	10021	OUTPATIENT CENTER WITH PHYSICAL THERAPY
HSS STAMFORD OUTPATIENT CENTER
1 BLACHLEY ROAD	STAMFORD	CT	06902	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 LONG ISLAND OUTPATIENT CENTER
333 EARLE OVINGTON BLVD	UNIONDALE	NY	11553	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES & AFFL PHYS OFFICES
HSS PARAMUS OUTPATIENT CENTER
140 EAST RIDGEWOOD AVENUE	PARAMUS	NJ	07652	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 PHYSICAL THERAPY AND AFFILIATED PHYSICIAN OFFICES
HSS RIVER TERRACE
519 EAST 72ND STREET	NEW YORK	NY	10021	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 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
HSS ORTHO INJURY CARE
1233 SECOND AVENUE	NEW YORK	NY	10065	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN SERVICES

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN F	2018 BAD DEBT EXPENSE PRESENTED ON THE 2018 AUDITED FINANCIAL STATEMENTS WAS $9,490,099. IN ADDITION, TOTAL OPERATING EXPENSE WAS ADJUSTED ACCORDINGLY TO REFLECT THE .35% ($3,626,437) HEALTH FACILITY TAX ASSESSMENT AND 1% ($6,269,626) 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 2018 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 2018 MEDICARE COST REPORT AND HSS'S 2018 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 2018 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 2018 MEDICARE COST REPORT WAS UTILIZED.
PART III, LINES 2, 3, 4	A COST TO CHARGE RATIO OF 44.92% AS CALCULATED PER THE APPLICABLE FORM 990 INSTRUCTIONS WAS APPLIED TO THE BAD DEBT EXPENSE (AT CHARGES) OF $9,490,099 TO CALCULATE THE BAD DEBT EXPENSE OF $4,262,952 AT COST. IN 2018, 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 2018 AND 2017 FOR ALL PATIENT SERVICES AGGREGATED APPROXIMATELY $22.2 MILLION AND $19.7 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 42% OF THE HOSPITAL'S INPATIENT POPULATION IS REPRESENTED BY MEDICARE and Medicare Managed Care. THE MEDICARE SHORTFALL OF $67,978,768 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 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 2018, THE HOSPITAL CONDUCTED NO ECAS.
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 2016, 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, FOUR COMMUNITY FORUMS 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 REFINED OFFERINGS FOR THE PUBLIC HEALTH. 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 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, IT PROVIDES EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY THROUGH HEALTH FAIRS, AND PUBLIC EVENTS, AS WELL AS PUBLIC SCHOOLS, HEALTH CLINICS, SENIOR CENTERS, AND COMMUNITY HOSPITAL FORUMS. WE REACH OUT TO UNDERSERVED AND ETHNICALLY DIVERSE POPULATIONS AND SEEK TO SERVE AND COLLABORATE WITH THE ABOVE-MENTIONED ORGANIZATIONS TO ENGAGE COMMUNITIES AROUND MAJOR HEALTH ISSUES. IN 2018, THE HOSPITAL SPONSORED VARIOUS COMMUNITY EDUCATION, SUPPORT AND OUTREACH PROGRAMS INCLUDING EDUCATIONAL WORKSHOPS ON MUSCULOSKELETAL HEALTH AND WELLNESS, INCLUDING OSTEOPOROSIS, 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, WORKSHOPS ON MUSCULOSKELETAL HEALTH AND WELLNESS AT THE STAMFORD OUTPATIENT CENTER, PAIN & STRESS MANAGEMENT PROGRAM, FEEDING CREATIVITY, 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. 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 2016 HSS CHNA. THE HSS PUBLIC & PATIENT EDUCATION DEPARTMENT STAFF DELIVERED AN ORAL PRESENTATION ON THE HSS SPORTS SAFETY PROGRAM AND A ROUNDTABLE ON THE 2016 CHNA PROCESS AT THE ANNUAL AMERICAN PUBLIC HEALTH ASSOCIATION MEETING. THE SOCIAL WORK PROGRAMS' DEPARTMENT WAS INVITED TO THE ANNUAL MEETING OF THE AMERICAN COLLEGE OF RHEUMATOLOGY FOR A THIRD TIME TO PRESENT A STUDY GROUP ON DEVELOPING SUPPORT AND EDUCATION PROGRAMS FOR PEOPLE WITH RHEUMATIC ILLNESS, AND A SYMPOSIUM TITLED HISTORY MATTERS: USING HISTORICAL CONTEXT TO BRING PATIENT CARE INTO FOCUS. 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 DISSEMINATE SUCCESSFUL EVIDENCE BASED COMMUNITY INTERVENTIONS AS PART OF HSS' COMMUNITY SERVICE PLAN. WE CONTINUE TO HAVE WIDE REPRESENTATION OF OUR CSP INITIATIVES THROUGH MULTIPLE PRESENTATIONS SPECIFICALLY IN DIVERSE COMMUNITIES, FOR PATIENTS AND PROVIDERS, ON HEALTH LITERACY FOR BILINGUAL (SPANISH) OLDER ADULTS AND PROFESSIONAL PROVIDERS, UNDERSTANDING AND COPING WITH RHEUMATOID ARTHRITIS, LUPUS REAL TALK: TAKING CHARGE OF YOUR HEALTH WITH SPECIFIC MALE SESSION AND EDUCATIONAL PROGRAMS TARGETED TO THE ASIAN AMERICAN COMMUNITY HOSTED IN MANHATTAN'S CHINATOWN TO ENHANCE LUPUS CARE, COPING AND TO BUILD COMMUNITY CAPACITY WITH PATIENTS AND PROVIDERS. IN ADDITION, THE HOSPITAL HAS CREATED WEBINARS AND EDUCATIONAL VIDEOS FOR WIDE RANGING COMMUNITY BENEFIT TOPICS. THE HOSPITAL ALSO PARTICIPATED IN AND CO-SPONSORED NUMEROUS COMMUNITY-BASED EVENTS WITH VARIOUS ORGANIZATIONS. FOR THE PAST FOUR YEARS IN A ROW THE HOSPITAL HAS BEEN DESIGNATED AS A LEADER IN LGBTQ HEALTH BY THE HUMAN RIGHTS CAMPAIGN AND THIS YEAR PARTICIPATED IN NYC PRIDE MARCH TO DEMONSTRATE OUR COMMITMENT TO SERVING THE LGBTQ+ COMMUNITY IN AN INCLUSIVE AND SENSITIVE WAY. OTHER COMMUNITY PARTNERS WE WORKED WITH INCLUDE THE ARTHRITIS FOUNDATION'S NORTH EAST REGION AND THE NEW YORK CHAPTER, LINCOLN CENTER EDUCATION, THE ALLIANCE FOR LUPUS RESEARCH'S NYC LUPUS WALK, THE ASIAN HEALTH AND SOCIAL SERVICE COUNCIL, THE ANKYLOSING SPONDYLITIS ASSOCIATION, AND THE EAST SIDE COUNCIL ON AGING. IN 2018, WE COLLABORATED WITH OVER THIRTY COMMUNITY ORGANIZATIONS TO MEET EDUCATIONAL NEEDS FOR UNDERSERVED COMMUNITIES IN AREAS SUCH AS MUSCULOSKELETAL HEALTH, NUTRITION AND PHYSICAL ACTIVITY, HEALTH LITERACY, AND DISEASE SELF-MANAGEMENT. THE HOSPITAL HAD NEARLY 36,000 CONTACTS WITH PATIENTS/PROGRAM PARTICIPANTS THROUGH OVER 1,000 PROGRAMS AND DISTRIBUTED HEALTH EDUCATION MATERIALS TO NEARLY 670,000 INDIVIDUALS (WHICH INCLUDES OVER 643,000 WEB PAGE VIEWS). THE HOSPITAL 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. IN 2018 WE HIRED A NEW OUTCOMES MANAGER WHO PLAYS AN INTEGRAL ROLE IN THE ASSESSMENT, COLLABORATION, AND EVALUATION OF OUTCOMES REGARDING THE COLLECTION OF RACE ETHNICITY AND LANGUAGE, SEXUAL ORIENTATION AND GENDER IDENTITY DATA COLLECTION, AS WELL AS RELATED INITIATIVES AND SERVICES. AS THE NATION'S LEADING HOSPITAL FOR ORTHOPEDICS AND MUSCULOSKELETAL CARE, THE HSS COMMUNITY IS NATIONAL IN THAT HSS PLAYS A LEADING ROLE IN PROVIDING RESEARCH AND EDUCATION IN THE TREATMENT OF ORTHOPEDIC AND MUSCULOSKELETAL ILLNESS AND CONDITIONS.
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 (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Arthritis Foundation New York
122 E 42nd St18th FL	NEW YORK	NY	10168	581341679	501 (C)(3)	$120,000	GENERAL SUPPORT
Dominican Friars Healthcare Ministry of NY
411 E 68th St	NEW YORK	NY	10065	131873291	501(c)(3)	$25,000	GENERAL SUPPORT
AMERICAN ORTHOPAEDIC ASSOCIATION
9400 West Higgins Rd 205	Rosemont	IL	60018	136118458	501 (C)(3)	$25,000	GENERAL SUPPORT
CHELSEA PIERS SCHOLARSHIP FUND
62 Chelsea Piers ste 300	Pier	NY	10011	133991838	501 (C)(3)	$20,000	GENERAL SUPPORT
GREENWICH TOWN PARTY INC
PO BOX 59	Old Greenwich	CT	06870	453555667	501 (C)(3)	$18,000	GENERAL SUPPORT
URBAN DOVE INC
21-21 41 Ave ste 2D	Long Island City	NY	11101	133997718	501 (C)(3)	$15,450	GENERAL SUPPORT
GREENWICH INTERNATIONAL FILM
0 Horseneck Lane	Greenwich	CT	06830	463500058	501 (C)(3)	$15,000	GENERAL SUPPORT
ROW NEW YORK
252 West 37th St 4th Fl	NY	NY	10018	113632924	501 (C)(3)	$15,000	GENERAL SUPPORT
THE ALS ASSOCIATION GREATER NY CHAPTER
162 West 56th St Suite 405	NY	NY	10019	133616680	501 (C)(3)	$12,500	GENERAL SUPPORT
WEILL MED COLLEGE OF CORNELL U
575 Lexington Avenue	NY	NY	10022	133957095	501 (C)(3)	$10,500	GENERAL SUPPORT
HEALTHCARE LEADERS OF NY
28-24 Steinway Street	ASTORIA	NY	11103	200866992	501 (C)(6)	$10,000	GENERAL SUPPORT
IONA COLLEGE
715 North Avenue	New Rochelle	NY	10801	133508093	501 (C)(3)	$10,000	GENERAL SUPPORT
WAKE FOREST UNIVERSITY
1834 Wake Forest Rd PO Box 7201	Winston Salem	NC	27109	560532138	501 (C)(3)	$10,000	GENERAL SUPPORT
DARIEN HIGH SCHOOL
80 High School LN	Darien	CT	06820		State of CT		GENERAL SUPPORT	$8,209	FMV	Sports Equipment
MISSION INTERNATIONAL RESCUE
626 N Dixie HWY	West Palm Beach	FL	33401	861102751	501 (C)(3)	$7,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	2	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	false	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 (20 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
Todd Albert
Member/Surgeon-in-Chief	$1,182,679	$0	$395,750	$0	$11,350	$0	$20,625	$0	$44,965	$0	$1,655,369	$0	$0	$0
Mary Crow
Member/Physician-in-Chief	$632,193	$0	$284,417	$0	$9,453	$1,000	$24,750	$0	$15,983	$0	$966,796	$1,000	$0	$0
Steven Haas - Left 2018
Member/Attending Physician	$122,129	$0	$0	$0	$39,339	$0	$11,700	$0	$33,741	$0	$206,909	$0	$0	$0
Lionel Ivashkiv
Member/Chief Scientific Offic.	$654,229	$0	$83,334	$0	$14,688	$0	$24,750	$0	$34,193	$0	$811,194	$0	$0	$0
Michael Parks
Member/Attending Physician	$152,827	$0	$0	$0	$38,921	$1,000	$14,400	$0	$16,647	$0	$222,795	$1,000	$0	$0
Joel Press
Member/Physiatrist-in-Chief	$606,426	$0	$62,500	$0	$178,728	$0	$20,625	$0	$50,346	$0	$918,625	$0	$0	$0
Thomas Sculco
Member/Attending Physician	$63,827	$0	$0	$0	$40,692	$0	$7,200	$0	$42,716	$0	$154,435	$0	$0	$0
Edwin Su - Join 2018
Member/Attending Physician	$75,707	$0	$0	$0	$54,643	$0	$8,550	$0	$45,889	$0	$184,789	$0	$0	$0
Louis A Shapiro
President & Chief Exec Officer	$1,185,311	$296,328	$1,405,440	$351,360	$28,843	$7,211	$19,800	$4,950	$45,489	$11,372	$2,684,883	$671,221	$0	$0
Stacey Malakoff
Exec VP & Chief Fin Officer	$964,144	$170,143	$679,098	$119,841	$31,244	$5,514	$21,038	$3,713	$37,057	$6,540	$1,732,581	$305,751	$0	$0
Lisa Goldstein
Executive VP & COO	$804,547	$120,220	$531,993	$79,493	$29,000	$4,333	$21,533	$3,218	$31,524	$4,711	$1,418,597	$211,975	$0	$0
Irene Koch
EXEC VP & CHIEF LEGAL OFFICER	$444,017	$78,356	$251,677	$44,414	$1,091	$193	$17,531	$3,094	$32,891	$5,804	$747,207	$131,861	$0	$0
Hollis Potter
RADIOLOGIST-IN-CHIEF	$833,827	$0	$405,000	$0	$19,954	$0	$24,750	$0	$51,641	$0	$1,335,172	$0	$0	$0
Stephanie Goldberg
Sr. VP, Patient Care SRV & CNO	$460,396	$0	$183,044	$0	$5,908	$0	$24,750	$0	$19,376	$0	$693,474	$0	$0	$0
Ralph Bianco
Sr. Vice President, Operation	$369,356	$41,040	$128,911	$14,323	$5,045	$561	$22,275	$2,475	$37,429	$4,159	$563,016	$62,558	$0	$0
Sheeraz Qureshi
Associate Attending Physician	$393,358	$0	$0	$0	$6,031,123	$0	$20,625	$0	$35,504	$0	$6,480,610	$0	$0	$0
Bryan Kelly
Attending Physician	$565,550	$0	$0	$0	$4,000,457	$500	$24,750	$0	$50,713	$0	$4,641,470	$500	$0	$0
Frank Schwab
Attending Physician	$643,830	$0	$0	$0	$2,439,114	$0	$20,625	$0	$40,812	$0	$3,144,381	$0	$0	$0
Danyal Nawabi
Assistant Attending Physician	$418,455	$0	$0	$0	$2,504,293	$0	$20,625	$0	$37,759	$0	$2,981,132	$0	$0	$0
William Ricci
Chief of the Trauma Service	$982,678	$0	$0	$0	$1,625,540	$0	$20,625	$0	$49,702	$0	$2,678,545	$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. WITH REGARDS TO THE CEO AND SURGEON-IN-CHIEF TRAVEL, THE CEO AND SURGEON-IN-CHIEF 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 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 2018, FIRST CLASS TRAVEL WAS REIMBURSED TO THE CEO AND SURGEON-IN-CHIEF. Housing Allowance - Housing allowance was paid to the Physiatrist-in-Chief and Chief of the Trauma Service, as per their contracts, and was treated as taxable compensation.
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 2018, 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	An attending physician received payment of $500 and the Physician-in-Chief and another Attending Physician received $1,000 from MIAC, a related organization, to attend MIAC's board of directors meeting.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	2013-07-17	$25,997,726	Tax Exempt Equipment Leasing	false	false	false
Dormitory Authority of the State of New York
B	146000293	2014-05-22	$27,992,584	Tax Exempt Equipment Leasing	false	false	false
Dormitory Authority of the State of New York
C	146000293	2014-08-26	$62,400,000	Tax Exempt Equipment Leasing	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$23,751,726	$0	$25,997,726	$0	$0	$0	$147,726	$0	$0	$25,850,000	$0	$0	2014	false	false	Yes (true)	Yes (true)
B	$21,591,584	$0	$27,992,584	$0	$0	$0	$152,584	$0	$0	$27,840,000	$0	$0	2015	false	false	Yes (true)	Yes (true)
C	$34,678,000	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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
A	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false	false	Yes (true)
C	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	2015-06-24	$17,974,978	TAX EXEMPT EQUIPMENT LEASING	false	false	false
Dormitory Authority of the State of New York
B	146000293	2016-06-15	$19,992,620	TAX EXEMPT EQUIPMENT LEASING	false	false	false
Dormitory Authority of the State of New York
C	146000293	2017-07-14	$14,979,666	TAX EXEMPT EQUIPMENT LEASING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$10,548,978	$0	$17,974,978	$0	$0	$0	$129,987	$0	$0	$17,845,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
B	$8,446,620	$0	$19,992,620	$0	$0	$0	$145,620	$0	$0	$19,847,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
C	$3,607,666	$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 (3 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	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false	0.00000	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false	0.00000	false	Yes (true)
C	false	false	false	Yes (true)	Yes (true)	0.00290	0.00290	false	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Zimmer Biomet Inc
SEE PART V	$16,334,801	SEE PART V	false
DePuy Synthes
SEE PART V	$15,658,351	SEE PART V	false
Exactech Inc
SEE PART V	$2,626,953	SEE PART V	false
Smith Nephew
SEE PART V	$16,665,519	SEE PART V	false
Oplogix
SEE PART V	$160,000	SEE PART V	false
Don Joy Orthopedics
SEE PART V	$2,092,997	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART IV, (1) - Zimmer Biomet, Inc	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 is an inventor and a design team member for Solitaire Cervical Cage. Dr. Albert is a patent holder 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: $16,334,801 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $16,334,801 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 L, PART IV, (2) - 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 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: $15,658,351 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $15,658,351 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, (3) - Exactech, Inc	Dr. Thomas Sculco was elected to the HSS' Board of Trustees in 2014 after stepping down as Surgeon-In-Chief and an ex-officio member of HSS' Board of Trustees. Dr. Sculco is a designer of, and receives royalties for, the design of a posterior stabilized knee prosthesis, a product manufactured and sold by Exactech. Per HSS policy, Dr. Sculco is not allowed to receive royalty payments for this patented product when used on patients at HSS. HSS had a business relationship with Exactech in the years prior to Dr. Sculco's term as Surgeon-In-Chief (May, 2003 through June, 2014). With the exception of products used in the procedures he personally performs, Dr. Sculco played no role, in those years or since, in the consideration or acquisition of Exactech's products. AMOUNT OF TRANSACTION: $2,626,953 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $2,626,953 to Exactech for surgical instruments. This amount represents all purchases, a part of which relates to the posterior stabilized knee prosthesis.
SCHEDULE L, PART IV, (4) - Smith & Nephew	Dr. Steven Haas, a member of the Medical Staff, who was elected to the HSS' Board of Trustees in April, 2016. Dr. Haas is a designer of, and receives royalties for, the design of JOURNEY II BCS knee replacement implants, a product manufactured and sold by Smith & Nephew. Per HSS Policy, Dr. Haas is not allowed to receive royalty payments for this patented product when used on patients at HSS. HSS has had a long-standing business relationship with Smith & Nephew that preceded Dr. Haas' joining the HSS' Board of Trustees in April, 2016. With the exception of products used in the procedures he personally performs (and for which he does not receive royalties), Dr. Haas plays no role in the consideration or acquisition of Smith & Nephew's products. AMOUNT OF TRANSACTION: $16,665,519 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $16,665,519 to Smith & Nephew for medical devices. This amount represents all purchases, a part of which relates to the posterior stabilized knee prosthesis.
SCHEDULE L, PART IV, (5) - Oplogix	Dr. Steven Haas, a member of the Medical Staff, who was elected to the HSS' Board of Trustees in April, 2016, owns 47.9% of the company, OpLogix, formerly known as Sandance Technology, LLC, in which HSS is also an equity holder. HSS owns 6.6%. OrthoSecure, the name of the software application product developed by Sandance Technology, LLC, is being used at HSS to help automate the implant verification process in the operating room. The decision to purchase this product was made by the vote of the disinterested members of the Board and preceded Dr. Haas' joining HSS' Board of Trustees in April, 2016. Dr. Haas plays no role in the consideration or acquisition of OrthoSecure. In 2018, HSS paid $160,000 for its subscription to the OrthoSecure software. AMOUNT OF TRANSACTION: $160,000 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $160,000 to OpLogix, for its subscription to the OrthoSecure software.
SCHEDULE L, PART IV, (6) - Don Joy Orthopedics	Dr. Douglas Padgett, Associate Surgeon-in-Chief and a member of the Medical Staff, was elected to the HSS Board of Trustees for a two-year term in April, 2013 through April, 2015, 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 April, 2013. 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: $2,092,997 DESCRIPTION OF TRANSACTION: In 2018, HSS paid $2,092,997 to Don Joy Orthopedics for medical devices. This amount represents all purchases, a part of which relates to the total hip replacement 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	14	ContributionCnt
Noncash Contributions Rpt F990	$673,708	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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A - LINE 4 "SIGNIFICANT CHANGES TO GOV DOCS"	(A)Changes related to Board Composition - The change increased the maximum Board size from 45 Trustees to 50 Trustees. - To comply with New York Not-for-Profit Corporation Law ("NPCL") requirements, the quorum for the Board was increased to nine (9) members in the event the Board consists of more than 45 members. (B)Changes related to NPCL Requirements and Updates to the NYS Non-Profit Revitalization Act of 2013 - The change provide that Trustees who are present at Board or committee meetings, but not present during voting due to conflicts of interest or related party transactions, will be considered present for purposes of determining that a quorum is present. - The change clarify notice requirements applicable to Member meetings in light of NPCL requirements. - The change specify that with respect to officer compensation, the interested parties may not be present at Board or committee deliberations or votes concerning the compensation, but are permitted to provide information prior to the commencement of deliberations or voting. - The change state that HSS employees may not serve as the Chair of the Board, unless approved by the Board by a two-thirds vote of the entire Board. - The change provide that members of the Executive Committee must be elected by vote of a majority of the entire Board, and in the event the Board consists of 30 members or more, by no less than three-quarters of the Trustees present at the time of the vote. - The change specify certain additional matters over which neither the Executive Committee nor any other committee may have jurisdiction, including, for example, filling vacancies on the Board of Trustees or removing officers or Trustees. (C)Changes related to Board Committees - The change eliminates the Planning Committee. - The change eliminates the Public Relations aspects of the Development Committee. (D)Change related to Ex Officio Member - The change provides that the surgeon who served as the immediate past Director of the Orthopedic Trauma Service of the Hospital for Special Surgery/New York Presbyterian Hospital continues to serve as a non-voting, ex officio trustee on the Board of Trustees through the second succeeding annual meeting following his/her replacement by a new surgeon in that title. (E)Change related to Term Limits for Class of 2019 - The change provides that, instead of being limited to three consecutive five year terms of service, the Trustees in the Class of 2019 who have served for three consecutive five year terms of service shall be limited to four consecutive five year terms of service and shall be eligible to serve as elected Trustees through the Class of 2024 without the need for a year to pass after their third consecutive five year term of service.
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 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 VIA COMPACT DISC 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, FINANCIAL 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 POLICY ALSO REQUIRES THAT ANY CHANGES BE COMMUNICATED TO THE OFFICE OF CORPORATE COMPLIANCE WITHIN 30 DAYS. THE INFORMATION RECEIVED IS ENTERED INTO A DATABASE AND REVIEWED FOR POTENTIAL CONFLICT OF INTEREST. THE DATABASE INFORMATION IS ALSO 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 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 TASK FORCE THAT MEETS THREE TIMES A YEAR, OR AS NECESSARY, TO REVIEW AND UPDATE THE CONFLICT OF INTEREST POLICIES AND PROCEDURES. HSS' POLICY ON CONFLICT OF INTEREST IN DAY-TO-DAY OPERATIONS STATES THAT IF HSS IS CONTEMPLATING A TRANSACTION WHICH MIGHT POSSIBLY BENEFIT (OR APPEAR TO BENEFIT) A COVERED PERSON OR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY, THEN THE POTENTIAL BENEFIT OR CONFLICT MUST BE DISCLOSED TO, AND APPROVED BY, A DISINTERESTED OFFICER OF HSS BEFORE THE TRANSACTION MAY PROCEED. ACCORDINGLY, A COVERED PERSON MAY NOT PLACE BUSINESS WITH ANY THIRD PARTY (E.G., A VENDOR, COMPETITOR, OR OTHER ORGANIZATION) IN WHICH THAT PERSON OR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY HAS AN INTEREST, UNLESS THAT INTEREST IS DISCLOSED TO, AND THE TRANSACTION IS APPROVED BY, THE VICE PRESIDENT FOR CORPORATE COMPLIANCE AND INTERNAL AUDIT ("CORPORATE COMPLIANCE OFFICER").
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 2018), 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. $10,616,903, LOSS ON EXTINGUISHMENT OF DEBT OF -$3,650,104, AND INCREASE IN DEFINED PENSION AND POST RETIREMENT PLAN LIABILITIES $42,823,214.

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	$1,320,129	$10,409,927	false	$0	Yes (true)	0.51000
HSS WEST SIDE ASC LLC
600 WEST 58TH STREET	NEW YORK	NY	10019	814351390	HEALTH CARE	NY	HSS	RELATED	$0	$7,006,376	false	$0	Yes (true)	0.67000
HSS-FL PHYSICIANS LLC
535 EAST 70TH STREET	NEW YORK	NY	10021	824502169	HEALTH CARE	FL	HSS	RELATED	$25,454	$5,564,553	false	$0	Yes (true)	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
535 EAST 70TH STREET	NEW YORK	NY	10021	981050215	SELF-INDEMNITY	CJ	NA	C	$0	$0	Yes (true)
HSS VENTURES
535 EAST 70TH STREET	NEW YORK	NY	10021	061624300	HEALTH CARE		NA	C	$0	$0	Yes (true)	NY
CHARITABLE TRUST
					INVESTMENT/CHARIT		NA	T			false	OH
LIVING TRUST
					INVESTMENT/CHARIT		NA	T			false	CA

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 (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HSS FUND INC
C	$2,415,284	FMV
HSS FUND INC
J	$1,444,074	FMV
HSS FUND INC
M	$6,981,613	FMV
HSS FUND INC
Q	$2,736,504	FMV
HSS FUND INC
S	$5,000,000	FMV
HSS PROPERTIES CORPORATION
A	$261,757	FMV
HSS PROPERTIES CORPORATION
D	$15,008,282	FMV
HSS PROPERTIES CORPORATION
K	$51,720,032	FMV
HSS PROPERTIES CORPORATION
L	$3,489,278	FMV
HSS PROPERTIES CORPORATION
Q	$41,898,342	FMV
HSS HORIZONS INC
D	$371,486	FMV
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
P	$14,879,107	FMV
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
Q	$10,835,826	FMV
HSS ASC OF MANHATTAN LLC
A	$123,442	FMV
HSS ASC OF MANHATTAN LLC
D	$1,940,000	FMV
HSS ASC OF MANHATTAN LLC
L	$1,931,982	FMV
HSS ASC OF MANHATTAN LLC
Q	$7,129,983	FMV
HSS ASC OF MANHATTAN LLC
S	$1,260,000	FMV
HSS WEST SIDE ASC LLC
L	$102,270	FMV
HSS WEST SIDE ASC LLC
Q	$7,212,202	FMV
HSS-FLORIDA PHYSICIANS LLC
L	$101,572	FMV
HSS-FLORIDA PHYSICIANS LLC
Q	$112,162	FMV
HSS-FLORIDA PHYSICIANS LLC
R	$5,596,000	FMV

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 organization.	ExplanationTxt