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FLUSHING HOSPITAL & MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FLUSHING HOSPITAL & MEDICAL CENTER (EIN 11-1631781)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201803179349307640
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T16:57:58-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111631781EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLUSHING HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFLUSBusinessNameControlTxt
Phone7186705000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 PARSONS BLVDAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11355ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMOUNIR F DOSSPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone7186705000PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2018-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm13:19:46IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id67CFAA63E2A691D60518C91E1992F03FF1BDEC35AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMOUNIR F DOSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 PARSONS BLVDAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11355ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$258,541,791GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFLUSHINGHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1884FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionACUTE CARE HOSPITALActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2158TotalEmployeeCnt
Total Volunteers226TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$287,834PYContributionsGrantsAmt
CY Contributions Grants$9,046,026CYContributionsGrantsAmt
PY Program Service Revenue$251,193,517PYProgramServiceRevenueAmt
CY Program Service Revenue$230,947,561CYProgramServiceRevenueAmt
PY Investment Income$278,416PYInvestmentIncomeAmt
CY Investment Income$191,361CYInvestmentIncomeAmt
PY Other Revenue$2,429,999PYOtherRevenueAmt
CY Other Revenue$3,178,210CYOtherRevenueAmt
PY Total Revenue$254,189,766PYTotalRevenueAmt
CY Total Revenue$243,363,158CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,044,045PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$174,333,482CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$97,663,350PYOtherExpensesAmt
CY Other Expenses$95,960,159CYOtherExpensesAmt
PY Total Expenses$265,707,395PYTotalExpensesAmt
CY Total Expenses$270,293,641CYTotalExpensesAmt
PY Revenues Less Expenses-$11,517,629PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,930,483CYRevenuesLessExpensesAmt
Total Assets BOY$124,689,124TotalAssetsBOYAmt
Total Assets EOY$118,314,855TotalAssetsEOYAmt
Total Liabilities BOY$239,052,510TotalLiabilitiesBOYAmt
Total Liabilities EOY$259,608,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$114,363,386NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$141,293,869NetAssetsOrFundBalancesEOYAmt
MissionACUTE CARE HOSPITALMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$242,653,557ExpenseAmt
Revenue$233,440,488RevenueAmt
DescHOSPITAL SERVICES - OUTPATIENT CLINIC - EMERGENCY SERVICESCERTIFIED BEDS +331Desc
Total Program Service Expenses$242,653,557TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2158EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLE KINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7186705000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 PARSONS BLVDAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11355ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
AJ JIN
TRUSTEE2.00Yes (X)$0$0$0
ANOTONIETTA MORISCO MD
TRUSTEE2.00Yes (X)$0$0$02.00
ANTHONY DIMARIA MPHD
TRUSTEE2.00Yes (X)$0$245,013$28,17542.00
ANTHONY MAZZA
TRUSTEE2.00Yes (X)$0$0$02.00
CHRIS YHWANG
TRUSTEE2.00Yes (X)$0$0$0
DARREN MEYERS
TRUSTEE2.00Yes (X)$0$0$0
DOUGLAS W SINGER
TRUSTEE2.00Yes (X)$0$0$02.00
GEOFFREY DOUGHLIN MD
TRUSTEE2.00Yes (X)$0$454,638$28,17542.00
GERALDINE CHAPEY MPHD
TRUSTEE2.00Yes (X)$0$0$02.00
HON ARCHIE SPIGNER
TRUSTEE2.00Yes (X)$0$0$02.00
HON TIMOTHY J DUFFICY
TRUSTEE2.00Yes (X)$0$0$02.00
JOSEPH FERRARA
TRUSTEE2.00Yes (X)$0$0$02.00
JOSEPH LIANA
TRUSTEE2.00Yes (X)$0$0$02.00
MICHAEL RUSSO
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
NEIL FOSTER PHILLIPS
TRUSTEE2.00Yes (X)$0$0$02.00
PATRICK SUN
TRUSTEE2.00Yes (X)$0$0$0
PHILIPPA KARERTON
TRUSTEE2.00Yes (X)$0$0$02.00
ROBERT REICHENBACH
SECRETARY2.00Yes (X)$0$0$0Yes (X)
ROBERT W KOOP
TRUSTEE2.00Yes (X)$0$0$02.00
SANG KI HAN
TRUSTEE2.00Yes (X)$0$0$0
BRUCE J FLANZ
PRESIDENT & CEO10.00$0$1,521,005$27,01555.00Yes (X)
MOUNIR F DOSS
EXEC VP & CFO10.00$0$1,018,193$27,01555.00Yes (X)
ROBERT LEVINE
EXEC VP & COO40.00$391,037$0$33,688Yes (X)
DANTE LAZO
DIRECTOR MD40.00$319,318$0$32,349Yes (X)
JAMES GIGLIO
CHAIRPERSON40.00$476,785$0$31,188Yes (X)
NAGESWARA MANDAVA
CHAIRPERSON40.00$497,508$0$33,688Yes (X)
OSCAR MARCILLA
DIRECTOR MD40.00$408,359$0$31,118Yes (X)
SUSANA RAPAPORT
DIRECTOR MD40.00$305,461$0$31,118Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,398,468TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,238,849TotReportableCompRltdOrgAmt
Total Other Compensation$303,529TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K294IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARTIN CLEARWATER AND BELL
220 E 42ND STNYNY10017LEGAL SERVICES$901,914
WOUNDCARE CENTERS
PO BOX 637114CINCINATTIOH45263PROFESSIONAL SERVICES$361,809
UNITED WOMENS HEALTH SERVICE
1700 WEST PARK DRWESTBORUGHMA01581PROFESSIONAL SERVICES$336,748
NIGHTHAWK RADIOLOGY SERVICE
PO BOX 673398DETRIOTMI48267PROFESSIONAL SERVICES$181,365
PRICEWATERHOUSE COOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA10181ACCOUNTING SERVICES$162,550
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$111,264FundraisingAmt
Government Grants$8,632,231GovernmentGrantsAmt
All Other Contributions$302,531AllOtherContributionsAmt
Total Contributions$9,046,026TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES611600$213,979,443$213,979,443
CAPITATION REVENUE611600$6,500,427$6,500,427
OTHER PHYSICAN BILLINGS621400$5,763,071$5,763,071
PHARMACY RX BILLING621400$1,902,664$1,902,664
I&R TEACHING INCOME621400$1,620,326$1,620,326

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,181,630TotalRevenueColumnAmt
Related Or Exempt Func Income$1,181,630RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$230,947,561TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,171TotalRevenueColumnAmt
Exclusion$88,171ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$587,645RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$587,645RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$587,645TotalRevenueColumnAmt
Exclusion$587,645ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,223,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,119,810SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$103,190SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,190TotalRevenueColumnAmt
Exclusion$103,190ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$156,461FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$111,264ContriRptFundraisingEventAmt
Fundraising Direct Expenses$58,823FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,638TotalRevenueColumnAmt
Exclusion$97,638ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHARGE BACK900099$1,451,979$1,451,979
REBATES AND REFUNDS900099$415,022$415,022
INSURANCE RECOVERIES900099$96,451$96,451

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$529,475TotalRevenueColumnAmt
Related Or Exempt Func Income$529,475RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,492,927OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$243,363,158TotalRevenueColumnAmt
Related Or Exempt Func Income$233,440,488RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$876,644ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$394,727TotalAmt
Program Services$342,331ProgramServicesAmt
Management And General$52,396ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$127,874,227TotalAmt
Program Services$110,815,805ProgramServicesAmt
Management And General$17,058,422ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,404,200TotalAmt
Program Services$7,829,978ProgramServicesAmt
Management And General$574,222ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,907,291TotalAmt
Program Services$26,882,059ProgramServicesAmt
Management And General$1,025,232ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,753,037TotalAmt
Program Services$8,451,982ProgramServicesAmt
Management And General$1,301,055ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,499,996TotalAmt
Program Services$5,499,996ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$459,360TotalAmt
Program Services$60,005ProgramServicesAmt
Management And General$399,355ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$255,550TotalAmt
Program Services$255,550ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,748TotalAmt
Program Services$29,748ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,322,395TotalAmt
Program Services$16,958,119ProgramServicesAmt
Management And General$364,276ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,121TotalAmt
Program Services$44,301ProgramServicesAmt
Management And General$6,820ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$567,350TotalAmt
Program Services$491,665ProgramServicesAmt
Management And General$75,685ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,772,312TotalAmt
Program Services$3,269,086ProgramServicesAmt
Management And General$503,226ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,823,328TotalAmt
Program Services$3,313,296ProgramServicesAmt
Management And General$510,032ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,719TotalAmt
Program Services$36,719ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,726,210TotalAmt
Program Services$3,229,134ProgramServicesAmt
Management And General$497,076ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,426,613TotalAmt
Program Services$6,435,903ProgramServicesAmt
Management And General$990,710ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,881,053TotalAmt
Program Services$4,861,887ProgramServicesAmt
Management And General$19,166ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & SURGICAL SUPP$24,089,665$24,089,665
PROVISION FOR BAD DEBT$4,007,138$4,007,138
PURCHASED SERVICES$1,834,448$1,834,448
COLLECTION AGENCY$1,064,179$1,064,179

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,112,974TotalAmt
Program Services$13,914,742ProgramServicesAmt
Management And General$3,198,232ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$270,293,641TotalAmt
Program Services$242,653,557ProgramServicesAmt
Management And General$27,640,084ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$377,529BOYAmt
EOY$86,960EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,162,530BOYAmt
EOY$49,892,440EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,000,614BOYAmt
EOY$2,860,536EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,862,382BOYAmt
EOY$4,040,578EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$220,733,541LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$183,778,099LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,476,940BOYAmt
EOY$36,955,442EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,104,042BOYAmt
EOY$21,693,737EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,705,087BOYAmt
EOY$2,785,162EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$124,689,124BOYAmt
EOY$118,314,855EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$66,975,226BOYAmt
EOY$61,209,623EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$792,549BOYAmt
EOY$792,549EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,735,811BOYAmt
EOY$17,586,255EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$165,548,924BOYAmt
EOY$180,020,297EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$239,052,510BOYAmt
EOY$259,608,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$114,363,386BOYAmt
EOY-$141,293,869EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$114,363,386BOYAmt
EOY-$141,293,869EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$124,689,124BOYAmt
EOY$118,314,855EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$26,930,483ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$29,748GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$29,748TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationFLUSHING HOSPITAL MEDICAL CENTER IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO: SEIU GNYHA $1,518 HANYS $9,503 GNYNHA $11,753 AHA $6,973ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,167,090OtherCostOrOtherBasisAmt
Book Value$5,167,090BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,621,251OtherCostOrOtherBasisAmt
Depreciation$65,905,535DepreciationAmt
Book Value$12,715,716BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,654,420OtherCostOrOtherBasisAmt
Depreciation$117,872,564DepreciationAmt
Book Value$14,781,856BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,290,780OtherCostOrOtherBasisAmt
Book Value$4,290,780BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,955,442TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS - OTHER SECURITIESDesc
Book Value$21,693,737BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$21,693,737TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
MEDICAL MALPRACTICE$25,868,438
DUE TO RELATED ORGANIZATIONS$147,825,568
DUE TO THIRD PARTY$6,326,291
FieldValueIRS element (for citing)
Total Liability$180,020,297TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$674,632,883TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$2,851,033OtherRevenueAmt
Revenue Not Reported-$2,851,033RevenueNotReportedAmt
Revenue Subtotal$677,483,916RevenueSubtotalAmt
Other Revenues Not Included-$434,120,758OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$434,120,758RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$243,363,158TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$702,207,383TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$435,920,879OtherExpensesIncludedAmt
Expenses Not Reported$435,920,879ExpensesNotReportedAmt
Expenses Subtotal$266,286,504ExpensesSubtotalAmt
Other Expenses Not Included$4,007,137OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,007,137ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$270,293,641TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE MEDICAL CENTER QUALIFIES AS A TAX-EXEMPT NONPROFIT CORPORATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY REVENUES 1,711,700. PROVISION FOR BAD DEBT EXPENSES -4,007,137. INTERCOMPANY ELIMINATIONS -555,596.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CAPITATION EXPENSES -434,120,758.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RELATED PARTY EXPENSES 2,355,717. CAPITATION EXPENSES 434,120,758. INTERCOMPANY ELMINATIONS -555,596.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION BAD DEBT EXPENSES 4,007,137.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CELEBRATION 2016Event1Nm
Gross Receipts Event1$205,850GrossReceiptsEvent1Amt
Charitable Contri Event1$68,625CharitableContriEvent1Amt
Gross Revenue Event1$137,225GrossRevenueEvent1Amt
Cash Prizes Event1$660CashPrizesEvent1Amt
Food And Beverage Event1$27,956FoodAndBeverageEvent1Amt
Entertainment Event1$600EntertainmentEvent1Amt
Other Direct Expenses Event1$967OtherDirectExpensesEvent1Amt
Event2GOLF GOUTINGEvent2Nm
Gross Receipts Event2$61,875GrossReceiptsEvent2Amt
Charitable Contri Event2$42,639CharitableContriEvent2Amt
Gross Revenue Event2$19,236GrossRevenueEvent2Amt
Food And Beverage Event2$28,640FoodAndBeverageEvent2Amt
Gross Receipts Total$267,725GrossReceiptsTotalAmt
Charitable Contributions Tot$111,264CharitableContributionsTotAmt
Gross Revenue Total Events$156,461GrossRevenueTotalEventsAmt
Cash Prizes Total Events$660CashPrizesTotalEventsAmt
Food And Beverage Total Events$56,596FoodAndBeverageTotalEventsAmt
Entertainment Total Events$600EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$967OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$58,823DirectExpenseSummaryEventsAmt
Net Income Summary$97,638NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,342,843TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,198,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,144,270NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,092,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,411,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,681,268NetCommunityBenefitExpnsAmt
Total Expense0.06540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,435,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$114,609,830DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,825,538NetCommunityBenefitExpnsAmt
Total Expense0.07700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served54532PersonsServedCnt
Total Community Benefit Expns$948,512TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$948,512NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,201,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,599,216DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,602,555NetCommunityBenefitExpnsAmt
Total Expense0.08360TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,907,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,985,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,921,708NetCommunityBenefitExpnsAmt
Total Expense0.02190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served54532PersonsServedCnt
Total Community Benefit Expns$58,057,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,584,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,472,775NetCommunityBenefitExpnsAmt
Total Expense0.10900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served54532PersonsServedCnt
Total Community Benefit Expns$193,492,972TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$143,194,659DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,298,313NetCommunityBenefitExpnsAmt
Total Expense0.18600TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,007,137BadDebtExpenseAmt
Reimbursed By Medicare$43,677,903ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$40,761,433CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,916,470MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLUSHING HOSPITAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 PARSONS BLVDAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11355ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FLUSHING HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.FLUSHINGHOSPITAL.COMOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.FLUSHINGHOSPITAL.COMStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.FLUSHINGHOSPITAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.FLUSHINGHOSPITAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FLUSHING HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 5: PUBLIC PARTICIPATIONPARTICIPANTS IN THE DEVELOPMENT OF THE COMMUNITY SERVICE PLAN INCLUDED STAFF FROM PUBLIC AFFAIRS, ADMINISTRATION, AS WELL AS MEDICAL STAFF, THE HOSPITAL'S BOARD OF TRUSTEES, THE HOSPITAL'S COMMUNITY ADVISORY BOARD (CAB), AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH).THE DEPARTMENT OF PUBLIC AFFAIRS CONDUCTED A SURVEY DURING THE MONTH OF SEPTEMBER 2013 TO HELP IDENTIFY WHICH HEALTH RELATED ISSUES WERE MOST IMPORTANT TO THE COMMUNITY. EACH OF THE COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE SURVEY PROCESS WERE PROVIDED WITH A LIST OF COMMON HEALTH ISSUES AND ASKED TO INDICATE WHICH ISSUES THEY FELT WERE THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. THE SURVEYS REVEALED THAT COMMUNITY MEMBERS HAD MANY CONCERNS INCLUDING CHILDHOOD OBESITY, HYPERTENSION, NUTRITION, DIABETES, ASTHMA, SEXUALLY TRANSMITTED DISEASES, AS WELL AS TOBACCO USE AND BREASTFEEDING. FLUSHING HOSPITAL IS PARTNERING ON SEVERAL PREVENTION PROJECTS WITH COMMUNITY BASED ORGANIZATIONS AND WITH NYC DOHMH AS PART OF ITS TAKE CARE NEW YORK (TCNY) PROGRAM TO ADDRESS THESE PROBLEMS.PRIOR TO DISTRIBUTING THESE SURVEYS, A BRIEF INTRODUCTION AND EXPLANATION OF THE SURVEY WAS GIVEN TO THOSE IN ATTENDANCE, EITHER BY THE LEADERSHIP OF THE HOST ORGANIZATION OR BY A MEMBER OF THE PUBLIC AFFAIRS STAFF. THE RESPONDENTS WERE TOLD THAT THE SURVEYS WERE ANONYMOUS AND WOULD BE USED BY THE STAFF OF THE HOSPITAL TO BETTER UNDERSTAND WHAT THE COMMUNITY BELIEVES ARE IMPORTANT PROBLEMS TO BE ADDRESSED.THE ORGANIZATIONS SURVEYED WERE:COMMUNITY BOARD 6 - 24 RESPONSESASSOCIATED CHAPTER OF ASIAN PHYSICIANS - 30 RESPONSESCOMMUNITY BOARD 3 - 39 RESPONSESCOMMUNITY BOARD 7 -34 RESPONSESDISTRICT SERVICE COUNCIL - COMMUNITY BOARD 7 - 15 RESPONSESTWO INITIATIVES THAT THE HOSPITAL HAS CHOSEN TO ADDRESS AS PART OF THE COMMUNITY SERVICE PLAN AND THE NUMBER OF PEOPLE WHO INDICATED THAT THESE INITIATIVES ARE IMPORTANT:SMOKING CESSATION-71EDUCATING AND ENCOURAGING MOTHERS TO BREAST FEED-11SEVERAL DISCUSSIONS HAVE BEEN HELD WITH THE HOSPITAL'S CAB, HIGHLIGHTING THE SERVICE AREA'S HEALTH PROBLEMS, INCLUDING THE TWO PROBLEMS THAT WERE BEING CONSIDERED AS PREVENTION AGENDA PRIORITIES FOR THE HOSPITAL'S 2013 COMMUNITY SERVICE PLAN.AT THE MARCH 12, 2013 CAB MEETING MRS. MARIA SMILIOS, RN, ASSISTANT DIRECTOR OF NURSING FOR PERINATAL, PEDIATRICS AND NICU, DISCUSSED THE BENEFITS OF INCREASING EXCLUSIVE BREASTFEEDING, AND THE HOSPITAL'S PARTICIPATION IN LATCH ON NYC, A PROGRAM INITIATED BY NYC DOHMH AND ENDORSED BY NYS DOH, GYNHA, HHC, AAP, AAFP AND SAHM WHICH SUPPORTS NEW MOTHERS TO BREAST FEED THEIR NEWBORNS AND CONTINUE AFTER THEIR DISCHARGE FROM THE HOSPITAL. CURRENTLY THERE ARE 27 HOSPITALS WITHIN THE NYC AREA THAT ARE PARTICIPATING, INCLUDING JAMAICA AND FLUSHING HOSPITALS UNDER THE MEDISYS HEALTH NETWORK.IN 2009, THE HOSPITAL HAD, WITH THE HELP OF ITS CAB, SELECTED DECREASING TOBACCO USE AS ONE OF ITS PREVENTION AGENDA PRIORITIES FOR THE COMMUNITY SERVICE PLAN. SINCE THAT TIME THE HOSPITAL HAS WORKED CLOSELY WITH QUEENS QUITS TO INCREASE REFERRALS TO THEIR PROGRAM. AT THE APRIL 12, 2011 CAB MEETING REPRESENTATIVES FROM QUEENS QUITS REVIEWED HOW THE PROGRAM WORKS, A SYNOPSIS OF RELEVANT STATISTICS, AND THEIR OUTREACH EFFORTS IN PARTNERSHIP WITH LOCAL HOSPITALS AND HEALTH CENTERS. QUEENS QUITS LITERATURE WAS PROVIDED FOR DISTRIBUTION BY CAB MEMBERS TO THE COMMUNITY GROUPS THEY REPRESENT.THROUGH THESE DISCUSSIONS CAB MEMBERS GAINED A BETTER UNDERSTANDING OF THE IMPORTANCE OF DECREASING TOBACCO USE AND INCREASING EXCLUSIVE BREASTFEEDING, AND EXPRESSED SUPPORT FOR THE HOSPITAL'S PLANS TO ADDRESS THESE HIGH PRIORITY PREVENTION INITIATIVES.2014 ACHIEVEMENTSIN SUPPORT OF THE HOSPITAL'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PLANNING PROCESS, A THOROUGH COMMUNITY NEEDS ASSESSMENT (CNA) WAS PERFORMED. THIS ASSESSMENT SHOWED THE SAME HEALTH NEEDS DESCRIBED IN THE 2013 COMMUNITY SERVICE PLAN (CSP), BUT IN GREATER DETAIL DUE TO THE AVAILABILITY OF A VAST AMOUNT OF DATA ON UTILIZATION, HEALTH STATUS AND THE SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, THE ASSESSMENT IDENTIFIED SERVICE GAPS THAT NEED TO BE FILLED IN ORDER TO ACHIEVE THE TRIPLE AIM - BETTER HEALTH, BETTER HEALTHCARE AND CONSUMER EXPERIENCE, AND LOWER COSTS.FLUSHING HOSPITAL'S PRIORITIES ARE IN LINE WITH THE FINDINGS OF THE CNA AND THE PRIORITIES IDENTIFIED BY THE NEW YORK STATE (NYS) PREVENTION AGENDA AS WELL AS NEW YORK CITY'S TAKE CARE NEW YORK (TCNY) PROGRAM: TOBACCO-FREE LIVING, HEALTHY EATING, ACTIVE LIVING, HEART HEALTH, HIV PREVENTION, MENTAL HEALTH PROMOTION, ALCOHOL AND SUBSTANCE ABUSE REDUCTION, CANCER PREVENTION, HEALTHY INDOOR AND OUTDOOR AIR, QUALITY PREVENTIVE CARE, CHILDREN AND YOUTH, AND RESOURCES FOR EMERGENCY PREPAREDNESS. THE HOSPITAL HAS CHOSEN TO FOCUS ITS PREVENTION ACTIVITIES ON TWO OF THESE AREAS: 1) TOBACCO-FREE LIVING AND 2) CHILDREN AND YOUTH - PROMOTING EXCLUSIVE BREASTFEEDING. IN ADDITION, FLUSHING HOSPITAL PARTICIPATES WITH THE NYCDOHMH ON EIGHT OF THEIR SIXTEEN SPECIFIC COMMUNITY HEALTH INTERVENTIONS, AND HAS BEEN NAMED AS A TCNY PARTNER FOR THESE EFFORTS. IN ADDITION TO TOBACCO FREE LIVING AND PROMOTING EXCLUSIVE BREASTFEEDING, SOME HIGHLIGHTS OF THESE EFFORTS INCLUDE:- DIABETES PREVENTION PROGRAM (DPP) LIFESTYLE COACHING.- EIGHT PATIENT NAVIGATORS AND ONE BILINGUAL (SPANISH) REGISTERED DIETITIAN ATTENDED TRAINING IN NOVEMBER; THE REGISTERED DIETITIAN ACHIEVED CERTIFICATION IN DECEMBER 2014 AS A CERTIFIED DIABETES EDUCATOR (CDE).- THE HOSPITAL IS CURRENTLY ENROLLING PRE-DIABETIC PATIENTS FOR CLASSES STARTING IN JANUARY 2015. - THE FOOD & NUTRITION DEPARTMENT ACHIEVED SILVER STATUS IN THE NYCDOHMH'S HEALTHY HOSPITAL FOOD INITIATIVE, A PROGRAM THAT PROMOTES HEALTHIER FOOD CHOICES IN HOSPITALS.- WORKING WITH THE NYCDOHMH GOOD CHOICE PROGRAM. "GOOD CHOICE IS AN INITIATIVE DESIGNED TO HELP ORGANIZATIONS AND HOSPITALS EASILY FIND AND PURCHASE HEALTHIER FOODS AND BEVERAGES FROM FOOD DISTRIBUTORS THAT MEET THE NYC FOOD STANDARDS." - THE CLINICAL NUTRITION DEPARTMENT PRESENTS MULTIPLE MONTHLY NUTRITION LECTURES AT LOCAL COMMUNITY CENTERS. 1) TOBACCO-FREE LIVING GOALS: ELIMINATE SMOKING AND OTHER TOBACCO USE ON HOSPITAL CAMPUS AND GROUNDS. INCREASE NUMBER OF OUTPATIENT AND INPATIENT TOBACCO USERS AGED 13 AND ABOVE WHO RECEIVE AN INTERVENTION INCLUDING COUNSELING, REFERRAL FOR TREATMENT,EDUCATE THE COMMUNITY ABOUT THE DANGERS OF TOBACCO USE AND HOW TO QUIT.ACTIVITIES ACCOMPLISHED: JOINED NYCDOHMH TOBACCO-FREE HOSPITALS CAMPAIGN IN 2012, RECEIVED BRONZE STAR IN 2013, AND SILVER STAR IN 2014.ISSUED EMPLOYEE POLICY AND POSTED APPROPRIATE SIGNS ON CAMPUS.INFORMED STAFF OF INSURANCE BENEFITS FOR SMOKING CESSATION AND SERVICES AVAILABLE IN OCCUPATIONAL HEALTH SERVICE.INCLUDED POLICY AS WELL AS BENEFITS AND SERVICES AVAILABLE IN EMPLOYEE ORIENTATION AND REORIENTATION, AND ALSO IN EMPLOYEE HANDBOOK. MEDICAL DIRECTOR OF OCCUPATIONAL HEALTH SERVICE WAS CERTIFIED IN SMOKING CESSATION COUNSELING AT THE RUTGERS UNIVERSITY PROGRAM, AND FOUR RESPIRATORY THERAPISTS HAVE RECEIVED TRAINING TO BECOME CERTIFIED TOBACCO TREATMENT SPECIALIST. (CTTS)REMINDERS OF POLICY AND BENEFITS WILL BE MADE AT REGULAR MEETINGS OF DEPARTMENT HEADS AND INDIVIDUAL DEPARTMENTS. TRAIN PROVIDERS ON COMPLETION OF TOBACCO USE SCREENS IN EPIC EHR.SCHEDULE QUEENS QUITS TO PROVIDE EDUCATION SESSIONS ON COUNSELING, REFERRAL AND TREATMENT FOR ALL PROVIDERS.SEND FOUR RESPIRATORY THERAPISTS TO BE CERTIFIED IN SMOKING CESSATION COUNSELING AND WORK WITH INPATIENTS.HIRE ONE ASTHMA EDUCATOR WHO WILL EARN CERTIFICATION IN SMOKING CESSATION COUNSELING AND WORK WITH OUTPATIENTS.PROVIDE QUARTERLY REPORTS TO CLINICAL AND ADMINISTRATIVE LEADERSHIP ON COUNSELING, REFERRAL AND MEDICATION PRESCRIBED.ENTER CURRENT INFORMATION IN THE NYCDOHMH SYSTEM IN ORDER TO EARN A GOLD STAR IN THEIR TOBACCO-FREE HOSPITALS CAMPAIGN.ESTABLISH ORGANIZATION-WIDE PERFORMANCE IMPROVEMENT PROGRAM CONCERNING TOBACCO USE.2) PROMOTING EXCLUSIVE BREASTFEEDING GOALS:EXCLUSIVE BREASTFEEDING FOR AS MANY PATIENTS AS CLINICALLY POSSIBLE.BABY FRIENDLY DESIGNATION.EDUCATE THE COMMUNITY ON THE BENEFITS OF BREASTFEEDING.ACTIVITIES ACCOMPLISHED: FULLY IMPLEMENT BREAST-FEEDING CURRICULUM FROM EVIDENCE-BASED SOURCES BY TRIMESTER FOR ALL PREGNANT PATIENTS.DEVELOPED AND BEGIN IMPLEMENTATION NURSING CURRICULUM TO PREPARE INPATIENT AND OUTPATIENT MATERNAL-CHILD RNS TO SIT FOR THE EXAMINATION CERTIFICATION IN LACTATION COUNSELING.DEVELOPED A 4 HOUR PROVIDER EDUCATIONAL PROGRAM FOCUSED ON THE BENEFITS OF BREASTFEEDING AND THE PROVIDER APPROACH TO PROMOTE THIS HEALTH CHOICE BY ALL PATIENTS; MANDATORY FOR OB/GYN, PEDIATRICS, FAMILY MEDICINE AND MEDICINE.
PART V, SECTION B, LINE 3: PUBLIC PARTICIPATIONDEVELOPED A 4 HOUR PROVIDER EDUCATIONAL PROGRAM FOCUSED ON THE BENEFITS OF BREASTFEEDING AND THE PROVIDER APPROACH TO PROMOTE THIS HEALTH CHOICE BY ALL PATIENTS; MANDATORY FOR OB/GYN, PEDIATRICS, FAMILY MEDICINE AND MEDICINE.DEVELOPED A MANDATORY EDUCATIONAL PROGRAM TO EDUCATE GENERAL STAFF WHO INTERACT WITH PATIENTS (E.G., REGISTRARS, HOUSEKEEPERS, MANAGERS).ACTIVE PARTICIPATION IN LATCH ON NYC, NY STATE'S GREATER BEGINNINGS, AND THE COHORT STUDY.ACTIVITIES ACCOMPLISHED CONTINUE TO MAKE AVAILABLE PRIVATE AREAS FOR BREASTFEEDING IN ALL AMBULATORY CARE LOCATIONS.OFFER TO THE COMMUNITY CHILD BIRTH EDUCATION CLASSES WITH BREASTFEEDING COMPONENT ON CAMPUS TWO TIMES EACH MONTH.PROMOTE BREASTFEEDING VIA POSTERS AT ALL AMBULATORY CARE AND INPATIENT SITES.REMINDERS OF THE EXCLUSIVE BREASTFEEDING GOAL WILL BE MADE AT ALL REGULAR MEETINGS OF DEPARTMENT HEADS AND INDIVIDUAL DEPARTMENTS.CONTINUE TO PARTICIPATE IN COMMUNITY HEALTH FAIRS AND PROVIDE EDUCATIONAL MATERIALS AS WELL AS COUNSELING ON THE BENEFITS OF BREASTFEEDING.CONTINUE PARTNERSHIP WITH WIC BY ENSURING THAT ALL ELIGIBLE PATIENTS ARE REFERRED FOR ADDITIONAL ASSISTANCE.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LN 7 COL(F):BAD DEBT EXPENSE IS ESTIMATED BASED ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASED ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOWS: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANCE ARE GIVEN DISCOUNT BASED ON OUR CHARITY CARE POLICY (MEDICAID RATE). IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORTS THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND THE HOSPITAL WRITES OFF THE ACCOUNT AS BAD DEBT. BAD DEBT RELATED TO LINE 3: BAD DEBT EXPENSE IS ALLOCATED TO THE PATIENTS WHO ARE ENTITLED TO FINANCIAL AID BASED ON CHARITY CARE VOLUME PATIENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:FLUSHING HOSPITAL PROGRAMS SUPPORT THE CITY OF NEW YORK'S TAKE CARE NEW YORK (TCNY) PROGRAM IN THE FOLLOWING WAYS:1. HAVE A REGULAR DOCTOR OR OTHER HEALTH CARE PROVIDER: FLUSHING'S AMBULATORY CARE SERVICES ARE DESIGNED TO PROMOTE CONTINUITY OF CARE BYALLOWING PATIENTS TO CHOOSE A PHYSICIAN WHO WILL BE DESIGNATED AS THEIRPRIMARY CARE PROVIDER. THE DESIGNATED PROVIDER IS RESPONSIBLE FOR ENSURING THAT HIS/HER PATIENTS ARE GIVEN AGE APPROPRIATE SCREENING, IMMUNIZATION AND EDUCATION.2. BE TOBACCO-FREE: SMOKING CESSATION IS ONE OF THE HOSPITAL'S PREVENTION PRIORITIES AND WAS DISCUSSED IN THE PREVIOUS SECTION.3. KNOW YOUR HIV STATUS: THE HOSPITAL PROVIDES HIV COUNSELING AND TESTING WITH STAFF THAT ROUTINELY PERFORMS THIS FUNCTION IN BOTH THE EMERGENCY DEPARTMENT AND CLINICS. IF REQUIRED, PATIENTS ARE REFERRED FOR SERVICES TO JAMAICA HOSPITAL'S INFECTIOUS DISEASE CLINIC OR TO OTHER COMMUNITY PROGRAMS.4. GET HELP FOR DEPRESSION: FLUSHING HOSPITAL'S MEDICAL PROVIDERS INCORPORATE DEPRESSION SCREENING DURING ROUTINE MEDICAL EXAMINATIONS AND ONGOING CARE. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO FLUSHING?S FULL SERVICE PSYCHIATRY DEPARTMENT OR OTHER COMMUNITY PROGRAMS.5. LIVE FREE OF DEPENDENCE ON ALCOHOL AND DRUGS: DURING ROUTINE MEDICAL EXAMINATIONS PATIENTS HAVE THE OPPORTUNITY TO RECEIVE SCREENING FOR ALCOHOL AND DRUG USE. AS NECESSARY, PATIENTS WILL BE GIVEN PREVENTIVE COUNSELING AND TREATMENT OPTIONS, INCLUDING FLUSHING HOSPITAL'S IN-PATIENT AND OUT-PATIENT TREATMENT PROGRAMS FOR CHEMICAL DEPENDENCY. 6. GET CHECKED FOR CANCER: FLUSHING HOSPITAL IS A MEMBER OF THE STATE'S HEALTHY LIVING PARTNERSHIP PROGRAM, WHICH PROVIDES COVERAGE FOR CERVICAL, BREAST, AND COLON CANCER SCREENINGS TO UNINSURED AND UNDERINSURED PATIENTS WHO MEET THE ELIGIBILITY AND SCREENING CRITERIA. THE HOSPITAL RECEIVES GRANT FUNDING FOR BREAST HEALTH CARE FROM THE AVON FOUNDATION AND KOMEN FOUNDATION TO HELP SUPPORT CASE MANAGEMENT, OUTREACH AND BREAST CARE SERVICES TARGETED TO THE ASIAN AND SOUTH ASIAN POPULATIONS. FLUSHING HOSPITAL WAS PRIVILEGED TO BE PART OF THE "COLONOSCOPY SCREENING NAVIGATOR PROGRAM," WHICH RECEIVED ONE YEAR SEED FUNDING BY THE NYCDOH. THE PROGRAM HAS BEEN SHOWN TO BE EFFECTIVE AND THE HOSPITAL HAS MADE A COMMITMENT TOCONTINUE THE PROGRAM WITHOUT GRANT FUNDING.7. THE HOSPITAL PARTICIPATES IN THE NYC'S VACCINE FOR CHILDREN PROGRAM (VFC) PROVIDING IMMUNIZATIONS TO CHILDREN UP TO 19 YEARS OF AGE AGAINST CHILDHOOD DISEASES AND INFLUENZA TO ELIGIBLE CHILDREN INCLUDING THOSE WITHOUT HEALTH COVERAGE SEEN IN OUR AMBULATORY CARE NETWORK. INFLUENZA VACCINE IS OFFERED TO ADULTS DURING RECOMMENDED VACCINATION MONTH.8. HAVE A SAFE AND HEALTH HOME: ANTICIPATORY GUIDANCE ON SAFETY IN THE HOME IS PROVIDED BY THE HOSPITAL'S PEDIATRIC, FAMILY MEDICINE AND REHABILITATION PROFESSIONALS. AT HEALTH FAIRS IN THE COMMUNITY, FIRE, HOME AND AUTOMOTIVE SAFETY INFORMATION IS ROUTINELY MADE AVAILABLE TO ATTENDEES. 9. HAVE A HEALTHY BABY: THE HOSPITAL FOLLOWS PRENATAL CARE GUIDELINES ADOPTED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THESE PROGRAMS ASSIST PREGNANT WOMEN AND THEIR FAMILIES TO OBTAIN NECESSARY MEDICAL CARE AND SUPPORTIVE SERVICES, WITH THE GOAL OF IMPROVING BIRTH OUTCOMES AND REDUCING CHILD ABUSE.10. BREAST FEEDING: THE HOSPITAL IS SUPPORTING BREASTFEEDING MOTHERS BY PARTICIPATING IN "LATCH ON NYC," A NEW CITY-WIDE INITIATIVE. FLUSHING HOSPITAL IS WELL ON ITS WAY TO BEING DESIGNATED AS A "BABY FRIENDLY" HOSPITAL, A GLOBAL INITIATIVE THAT PROMOTES, PROTECTS, AND SUPPORTS BREASTFEEDING THROUGH TEN STEPS TO SUCCESSFUL BREASTFEEDING. WE HAVE REGISTERED WITH BABY FRIENDLY USA TO BEGIN THE PROCESS IN THE "4-D PATHWAY TO BABY-FRIENDLY DESIGNATION." WE HAVE COMPLETED THE DISSEMINATION PHASE AND HAVE STARTED THE SECOND PHASE, THE DESIGNATION PHASE. MANY STAFF MEMBERS HAVE TAKEN THE CERTIFIED LACTATION COUNSELOR (CLC) COURSE PROVIDED BY THE NYCDOH. WE OFFER AND ENCOURAGE OUR PATIENTS TO ATTEND FREE BREASTFEEDING SUPPORT GROUPS HELD ON A WEEKLY BASIS. FREE LACTATION COUNSELING IS OFFERED TO ALL PATIENTS AFTER DISCHARGE.WE ARE WORKING CLOSELY WITH THE NYCDOH BY EDUCATING AND ENCOURAGING THE IMMUNIZATION OF ALL HEALTHCARE PERSONNEL THAT ARE IN CONTACT WITH WOMEN OF CHILDBEARING AGE, NEWBORNS AND CHILDREN WITH TDAP TO PREVENT THE TRANSMISSION OF PERTUSSIS. ALL PREGNANT AND POSTPARTUM WOMEN ARE OFFERED THE VACCINE AS A STANDING ORDER AND IN NOVEMBER 2014, 85% OF OUR POSTPARTUM PATIENTS RECEIVED THE VACCINE. ADDITIONALLY, ALL FAMILY MEMBERS ARE INSTRUCTED ON THE IMPORTANCE OF RECEIVING THE VACCINE.
PART III, LINE 4:FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:FLUSHING HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, FLUSHING HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. FLUSHING HOSPITAL PROVIDES CHARITY CARE IN THE AMOUNT OF THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COST TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. TOTAL FORGONE CHARGES FOR CHARITY CARE TOTALED $14,806,104 AND $15,204,664 FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, RESPECTIVELY. THIS EQUATED TO AN APPROXIMATE COST OF $6,508,763 AND $6,683,970 FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, RESPECTIVELY.
PART III, LINE 8:ALLOWABLE COSTS ARE FROM THE HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASED ON MEDICARE GUIDELINES. MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS OVER $35 MILLION. EXCLUSION OF THESE COSTS RESULTED IN A SURPLUS ON LINE 7.
PART III, LINE 9B:THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT.THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 40 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.
PART VI, LINE 2:ACCESSIBILITY TO PRIMARY HEALTHCARE REMAINS A CONCERN FOR SOME RESIDENTS IN FLUSHING HOSPITAL'S PRIMARY SERVICE AREA, AS 13.6% OF THE RESIDENTS OF WEST QUEENS AND 11% OF THE RESIDENTS OF FLUSHING-CLEARVIEW HAVE REPORTED THAT THERE WAS AN OCCASION WHEN THEY HAVE NOT BEEN ABLE TO RECEIVE MEDICAL CARE WITHIN THE PAST YEAR WHEN THEY NEEDED IT. THESE PERCENTAGES OF FLUSHING HOSPITAL SERVICE AREA RESIDENTS WHO WERE UNABLE TO ACCESS HEALTHCARE SERVICES WERE HIGHER THAN THOSE OBSERVED IN QUEENS OVERALL (10.1%) OR NYC OVERALL (9.6%). REASONS FOR A PERSON'S INABILITY TO RECEIVE NEEDED MEDICAL SERVICES RANGE FROM APPOINTMENT AVAILABILITY TO FINANCIAL MEANS (INCLUDING INSURANCE AND MEDICAID/MEDICARE COVERAGE). ACCORDING TO NEW YORK CITY'S 2015 COMMUNITY HEALTH PROFILES, 38% AND 36% OF ADULT RESIDENTS OF COMMUNITY DISTRICTS 3 AND 4 (WEST QUEENS), RESPECTIVELY, REPORTED THAT THEY DID NOT HAVE HEALTH INSURANCE. THESE TWO COMMUNITY DISTRICTS IN WEST QUEENS CONTAINED THE HIGHEST PERCENTAGES OF UNINSURED ADULT RESIDENTS (OUT OF 59 COMMUNITY DISTRICTS); THE QUEENS AND NYC AVERAGES FOR ADULTS WHO LACK HEALTH INSURANCE WERE 22% AND 20%, RESPECTIVELY. COMPARED WITH THE OTHER NEIGHBORHOODS INCLUDED IN THE QUEENS 2014 COMMUNITY NEEDS ASSESSMENT (PREPARED FOR NEW YORK STATE'S DSRIP PROGRAM), WEST QUEENS HAD THE LOWEST RATIO (10.6) OF CLINICS [I.E., HOSPITAL-BASED EXTENSION CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), AND COMPREHENSIVE CARE DIAGNOSTIC AND TREATMENT CENTERS (D&TCS)] TO RESIDENTS WHO ARE MEDICAID BENEFICIARIES OR ARE UNINSURED. FLUSHING HAD THE THIRD LOWEST RATIO (14.6); BY COMPARISON, NEIGHBORHOOD OF JAMAICA AND THE QUEENS SERVICE AREA OVERALL HAD RESPECTIVE RATIOS OF 72.5 AND 27.9 CLINICS TO RESIDENTS WHO ARE MEDICAID BENEFICIARIES OR UNINSURED. THESE RATIOS POINT TO THE UNMET MEDICAL NEEDS OF THESE QUEENS NEIGHBORHOODS.OBESITY, AIR QUALITY/SMOKING, AND THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES WERE PRIORITY HEALTH ISSUES HIGHLIGHTED IN THE DATA ANALYSES THAT FLUSHING HOSPITAL CONDUCTED FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE HEALTH CONCERNS WERE ALSO IDENTIFIED BY RESIDENTS OF THE COMMUNITY DISTRICTS OF FLUSHING AND CORONA, WHO TOOK PART IN FOCUS GROUPS AND SURVEYS IN THE SPRING OF 2016 AS PART OF NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (DOHMH) TAKE CARE NEW YORK (TCNY) 2020 INITIATIVE. ON THE TCNY 2020 SURVEYS, FLUSHING AND CORONA RESIDENTS ALSO NAMED PHYSICAL ACTIVITY AS A HEALTH ISSUE, UNDERSCORING THE NEED FOR MORE EXERCISE PROGRAMS AND EDUCATIONAL OPPORTUNITIES TO HELP RESIDENTS MAINTAIN A HEALTHY WEIGHT. BREASTFEEDING, WHICH LOWERS THE RISK OF DEATH FROM INFECTIOUS DISEASES IN A CHILD'S FIRST TWO YEARS OF LIFE, AND CAN ALSO REDUCE THE RISK OF CHILDHOOD OBESITY, AS WELL AS THE RISK OF A WOMAN DEVELOPING BREAST OR OVARIAN CANCER , IS STILL NOT PRACTICED AS OFTEN IN PARTS OF FLUSHING OR WEST QUEENS AS IT IS IN NEW YORK CITY OVERALL. FLUSHING HOSPITAL HAS FOCUSED SIGNIFICANT RESOURCES ON IMPROVING RATES OF EXCLUSIVE BREASTFEEDING AMONG WOMEN WHO DELIVER AT THE HOSPITAL , AS WELL AS AMONG MOTHERS IN THE COMMUNITY, AND HOPES TO SOON BE DESIGNATED AS A BABY FRIENDLY HOSPITAL FOR OFFERING AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. SMOKING AND SECONDHAND SMOKE, AS WELL AS HOUSEHOLD/OUTDOOR AIR POLLUTION, WERE IDENTIFIED AS ONGOING COMMUNITY HEALTH CONCERNS THAT ARE CORRELATED WITH CHRONIC DISEASE, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AS WELL AS CANCER. RESPONDING TO THE NEEDS OF THE COMMUNITY, FLUSHING HOSPITAL HAS FOCUSED ON IMPROVING TOBACCO CESSATION RATES AND HAS BEEN AWARDED GOLD STAR STATUS FROM THE NYC DOHMH'S TOBACCO-FREE HOSPITALS CAMPAIGN IN RECOGNITION OF ITS TOBACCO CESSATION PROGRAMMING AND SUCCESSES. FLUSHING HOSPITAL ADDRESSED THE FIVE PRIORITY AREAS IDENTIFIED BY THE NEW YORK STATE DEPARTMENT OF HEALTH IN ITS PREVENTION AGENDA 2013-2018: 1) PREVENT CHRONIC DISEASE; 2) PROMOTE A HEALTHY AND SAFE ENVIRONMENT; 3) PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN; 4) PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE; AND 5) PREVENT HIV, STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS. WITHIN EACH PRIORITY AREA, FLUSHING HOSPITAL ANALYZED AND SUMMARIZED DATA RELEVANT TO "FOCUS AREAS" (E.G., "REDUCE OBESITY AND "REDUCE ILLNESS, DISABILITY, AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE" ARE FOCUS AREAS FOR THE PREVENT CHRONIC DISEASES PRIORITY). DATA WERE PRIMARILY OBTAINED FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (NYC DOHMH) 2015 COMMUNITY HEALTH PROFILES AND COMMUNITY HEALTH SURVEYS (EPIQUERY); THE NEW YORK STATE DEPARTMENT OF HEALTH'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM'S CLINICAL METRICS AND PERFORMANCE DATA; COMMUNITY-WIDE SURVEYS THAT WERE ADMINISTERED AS PART OF DATA COLLECTION FOR THE 2014 QUEENS COMMUNITY NEEDS ASSESSMENT (CNA); AND FOCUS GROUPS IN THE SPRING OF 2016 THAT WERE CONVENED BY THE NYC DOHMH IN NEIGHBORHOODS ACROSS THE CITY'S FIVE BOROUGHS AS PART OF NEW YORK CITY'S TAKE CARE NEW YORK (TCNY) 2020 INITIATIVE. COMMUNITY CONSULTATIONS WERE HELD IN NEIGHBORHOODS THROUGHOUT NYC TO VOTE ON LOCAL PRIORITIES IDENTIFIED BY THE NYC HEALTH DEPARTMENT FOR THE TCNY 2020 INITIATIVE. THE CORONA TCNY 2020 COMMUNITY CONSULTATION WAS CONVENED ON JANUARY 11, 2016, AND THE FLUSHING TCNY 2020 COMMUNITY CONSULTATION WAS HELD ON JANUARY 13, 2016; THESE TWO COMMUNITY CONSULTATIONS WERE HELD WITHIN FLUSHING HOSPITAL'S PRIMARY SERVICE AREA. TCNY 2020'S FOUR OBJECTIVES (1. CREATE HEALTHIER NEIGHBORHOODS; 2. SUPPORT HEALTHY LIVING; 3. PROMOTE HEALTHY CHILDHOODS; 4. INCREASE ACCESS TO QUALITY CARE) ARE ALIGNED WITH THE FIVE PRIORITY AREAS OF NEW YORK STATE'S PREVENTION AGENDA.NYC HAS DIFFERENT WAYS OF DESCRIBING AND CATEGORIZING NEIGHBORHOODS, WHICH IS RELEVANT TO HOW COMMUNITY HEALTH DATA ARE ANALYZED AND PRESENTED. NEIGHBORHOODS ARE TYPICALLY DEFINED ACCORDING TO EITHER NYC COMMUNITY DISTRICTS OR UNITED HEALTH FUND NEIGHBORHOODS. THERE ARE 59 NYC COMMUNITY DISTRICTS, WHICH WERE ESTABLISHED BY LOCAL LAW IN 1975. UNITED HEALTH FUND (UHF) NEIGHBORHOODS CONSIST OF 34 NEIGHBORHOODS MADE UP OF ADJOINING ZIP CODE AREAS, DESIGNATED TO APPROXIMATE NYC COMMUNITY PLANNING DISTRICTS. FLUSHING HOSPITAL'S PRIMARY SERVICE AREA HAS TRADITIONALLY BEEN DEFINED AS COVERING THE QUEENS NEIGHBORHOODS OF FLUSHING-CLEARVIEW (FC; ALSO KNOWN AS NORTH QUEENS) AND WEST QUEENS (WQ). THESE NEIGHBORHOODS, AS DEFINED BY THE UHF (AN INDEPENDENT, NONPROFIT, HEALTH SERVICES RESEARCH AND PHILANTHROPIC ORGANIZATION), DO NOT MAP EXACTLY ON TO DISTINCT COMMUNITY DISTRICTS.MOST OF THE CHARTS IN THIS REPORT REFLECT FLUSHING HOSPITAL'S SERVICE AREA DATA FROM THE NYC DOHMH'S COMMUNITY HEALTH PROFILES AND COMMUNITY HEALTH SURVEYS. BECAUSE THE COMMUNITY HEALTH PROFILE DATA ARE ORGANIZED BY COMMUNITY DISTRICT, AND THE COMMUNITY HEALTH SURVEY DATA ARE ORGANIZED BY UNITED HEALTH FUND NEIGHBORHOOD, FLUSHING HOSPITAL HAS USED BOTH WAYS TO DESCRIBE NEIGHBORHOODS. ADDITIONALLY, DSRIP DATA WERE AGGREGATED INTO UHF NEIGHBORHOODS TO BETTER CAPTURE AND DESCRIBE FHMC'S SERVICE AREA. FLUSHING HOSPITAL WORKED WITH THE NEW YORK ACADEMY OF MEDICINE'S (NYAM) CENTER FOR EVALUATION AND APPLIED RESEARCH TO CONDUCT PRIMARY DATA COLLECTION AND ANALYSIS FOR THE QUEENS CNA, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND COMMUNITY-WIDE SURVEYS. FOCUS GROUP PARTICIPANTS WERE JOINTLY SELECTED BY FHMC AND NYC HEALTH + HOSPITALS (FORMERLY KNOWN AS THE NEW YORK CITY HEALTH AND HOSPITALS CORPORATION). IN ALL, 605 SURVEYS OF COMMUNITY RESIDENTS, 18 FOCUS GROUPS, AND 22 KEY INFORMANT INTERVIEWS WITH QUEENS RESIDENTS, PROVIDERS, AND OTHER STAKEHOLDERS WERE CONDUCTED TO CAPTURE COMMUNITY MEMBER AND STAKEHOLDER PERSPECTIVES ON HEALTH ISSUES AND ADDRESS ANTICIPATED GAPS IN THE SECONDARY DATA. THE FINDINGS FROM THESE PRIMARY DATA ANALYSES WERE COMBINED WITH ANALYSES OF SECONDARY DATA SETS PROVIDED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) AND NEW YORK STATE DEPARTMENT OF HEALTH (NYS DOH). FOR THE DSRIP PROGRAM'S QUEENS COMMUNITY NEEDS ASSESSMENT, FLUSHING HOSPITAL'S PARTNER, NYC HEALTH + HOSPITALS, CONDUCTED DETAILED SECONDARY DATA ANALYSES OF ITS SERVICE AREAS WHICH OVERLAPPED WITH FHMC'S. TOGETHER, THE ANALYSES OF PRIMARY AND SECONDARY DATA HIGHLIGHT THE KEY HEALTH CONCERNS AND HEALTH NEEDS OF RESIDENTS, OVERALL, AND ACCORDING TO NEIGHBORHOOD AND SOCIODEMOGRAPHIC CHARACTERISTICS.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE FLUSHING HOSPITAL FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:FLUSHING HOSPITAL DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS.
PART VI, LINE 4:COMMUNITY INFORMATIONHOSPITAL SERVICE AREAFLUSHING HOSPITAL'S PRIMARY SERVICE AREA WAS DETERMINED BY ANALYZING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) DISCHARGE DATA AT THE ZIP CODE LEVEL. THE UHF NEIGHBORHOODS WITH THE HIGHEST VOLUMES OF PATIENTS WERE DETERMINED TO BE THE PRIMARY SERVICE AREA. THE TOTAL (PRIMARY AND SECONDARY) SERVICE AREA COLLECTIVELY ACCOUNTS FOR APPROXIMATELY 88% OF THE HOSPITAL'S TOTAL INPATIENT CASES. THE PRIMARY SERVICE AREA ACCOUNTS FOR 62% OF THE CASES.THERE ARE GAPS IN PRIMARY MEDICAL CARE AND MENTAL HEALTH CARE ACROSS QUEENS, WHICH ARE ALSO EVIDENT IN FLUSHING HOSPITAL'S SERVICE AREA. QUEENS HAS SEVEN NEIGHBORHOODS THAT ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA); THIS DESIGNATION IS BASED ON FOUR FACTORS: THE RATIO OF PRIMARY MEDICAL CARE PHYSICIANS PER 1,000 POPULATION, INFANT MORTALITY RATE, PERCENTAGE OF THE POPULATION WITH INCOMES BELOW THE POVERTY LEVEL, AND PERCENTAGE OF THE POPULATION AGE 65 OR OVER. ELMHURST, A NEIGHBORHOOD WITHIN FLUSHING HOSPITAL'S PRIMARY SERVICE AREA, IS IN A DESIGNATED MUA (CORONA SERVICE AREA). ELMHURST IS ALSO DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) BY HRSA, MEANING THERE ARE LESS PRIMARY CARE PROFESSIONALS THAN ARE NECESSARY TO ACCOMMODATE THE POPULATION LIVING IN THAT AREA. CENSUS TRACTS WITHIN WEST QUEENS ARE ALSO DESIGNATED AS MENTAL HEALTH HPSAS (LONG ISLAND CITY/WOODSIDE), MEANING THERE ARE FEWER MENTAL HEALTH CARE PROFESSIONALS THAN ARE NECESSARY TO ACCOMMODATE THE POPULATION LIVING IN THOSE AREAS. NEAR FLUSHING HOSPITAL'S SERVICE AREA, THERE IS ONE FACILITY (THE FLOATING HOSPITAL, BASED IN LONG ISLAND CITY, QUEENS) THAT RECEIVED MENTAL HEALTH HPSA DESIGNATION BECAUSE IT PROVIDES MENTAL HEALTH SERVICES TO AN AREA OR POPULATION GROUP DESIGNATED AS HAVING A SHORTAGE OF MENTAL HEALTH PROFESSIONALS AND HAVE INSUFFICIENT CAPACITY TO MEET THE PSYCHIATRIC NEEDS OF THE AREA OR POPULATION GROUP. POVERTY AND ITS EFFECTS ON HEALTH, PARTICULARLY ON MENTAL/BEHAVIORAL HEALTH AND NUTRITION, ARE OF SIGNIFICANCE IN FLUSHING AND WEST QUEENS. WHEREAS 15% OF QUEENS RESIDENTS REPORTED ANNUAL INCOMES THAT FELL BELOW TWICE THE FEDERAL POVERTY LEVEL (2009-2013 AMERICAN COMMUNITY SURVEY, U.S. CENSUS), 14.6% OF FLUSHING, 20.5% OF JACKSON HEIGHTS (WEST QUEENS), AND 22.4% OF ELMHURST/CORONA (WEST QUEENS) RESIDENTS HAD ANNUAL INCOMES THAT FELL BELOW TWICE THE FEDERAL POVERTY LEVEL. FLUSHING RESIDENTS IDENTIFIED "UNMET MENTAL HEALTH NEEDS" AS A CONCERN IN THE TCNY 2020 INITIATIVE. OVERALL, 53% OF QUEENS CNA SURVEY RESPONDENTS REPORTED THAT THEY WORRIED ABOUT NOT HAVING ENOUGH TO EAT. HOWEVER, MORE THAN HALF (53%) OF QUEENS CNA SURVEY RESPONDENTS FROM WEST QUEENS REPORTED THEY WERE OBESE, COMPARED WITH 44% OF THE FULL SAMPLE OF QUEENS CNA SURVEY RESPONDENTS. RELATED TO OBESITY IS THE ISSUE OF LOW BREASTFEEDING RATES. FLUSHING AND WEST QUEENS WERE THE COMMUNITIES WITH THE LOWEST RATES OF EXCLUSIVE BREASTFEEDING (I.E., FEEDING AN INFANT BREASTMILK AND NOT GIVING THE INFANT ANY OTHER FOOD OR DRINK, EVEN WATER) IN 2012 AND 2013. SINCE BREASTFEEDING PROMOTES THE LOSS OF PREGNANCY-RELATED WEIGHT GAIN AMONG MOTHERS AND REDUCES THE RISK OF A CHILD DEVELOPING OBESITY OR BEING OVERWEIGHT, THIS IS A HEALTH ISSUE THAT NEEDS TO BE ADDRESSED.FLUSHING-CLEARVIEW: FLUSHING-CLEARVIEW, WITH A TOTAL RESIDENT POPULATION OF ALMOST 262,000, HAS A SIGNIFICANT ASIAN COMMUNITY. ABOUT HALF (49.5%) OF FLUSHING'S RESIDENTS ARE ASIAN AND MORE THAN A THIRD (37%) OF FLUSHING'S RESIDENTS ARE WHITE. SLIGHTLY LESS THAN 2% OF FLUSHING'S RESIDENTS ARE BLACK AND 16.5% IDENTIFY AS HISPANIC/LATINO (REGARDLESS OF RACE). A QUARTER OF FLUSHING'S RESIDENTS RECEIVE MEDICAID AND 13% OF RESIDENTS RECEIVE MEDICARE. FLUSHING-CLEARVIEW HAS SEVERAL POSITIVE HEALTH INDICATORS THAT STAND OUT FROM OTHER NEIGHBORHOODS IN QUEENS. FLUSHING HAD THE 4TH LOWEST NON-FATAL ASSAULT HOSPITALIZATION RATE (17 PER 100,000 POPULATION) AMONG THE COMMUNITY DISTRICTS; THE NON-FATAL ASSAULT HOSPITALIZATION RATES (PER 100,00 POPULATION) WERE 41 IN QUEENS AND 64 IN NYC. ALCOHOL-RELATED HOSPITALIZATIONS WERE SIMILARLY LOW IN FLUSHING, WHICH HAD THE 2ND LOWEST RATE (357/100,000 POPULATION) AMONG THE COMMUNITY DISTRICTS. THE ALCOHOL-RELATED HOSPITALIZATION RATES IN QUEENS AND NYC WERE 638 AND 1,019 PER 100,000 POPULATION. FLUSHING ALSO HAD THE 2ND LOWEST DRUG-RELATED HOSPITALIZATION RATE (166 PER 100,000 POPULATION) AMONG ALL 59 NYC COMMUNITY DISTRICTS; DRUG-RELATED HOSPITALIZATION RATES IN QUEENS AND NYC WERE 357 AND 907 PER 100,000 POPULATION, RESPECTIVELY. FLUSHING HAD THE 3RD LOWEST PERCENTAGE OF PRETERM BIRTHS (6.0%) AMONG ALL OF THE COMMUNITY DISTRICTS, JUST LESS THAN OF THE PRETERM BIRTH PERCENTAGE IN QUEENS (8.4%) AND ONLY 2/3 OF NYC'S PERCENTAGE (9.0%). FLUSHING-CLEARVIEW ALSO HAS SOME HEALTH CONCERNS. A PRIMARY HEALTH ISSUE IS THE LOW RATE OF BREASTFEEDING AMONG MOTHERS RESIDING IN FLUSHING. IN 2013, FLUSHING (COMMUNITY DISTRICT 7) HAD THE SMALLEST PERCENTAGE OF INFANTS FED EXCLUSIVELY BREAST MILK DURING THE FIRST 5 DAYS OF LIFE (11.2%) AMONG ALL OF NYC'S 59 COMMUNITY DISTRICTS; IT HAD THE 2ND LOWEST PERCENTAGE (16.1%) IN 2012, JUST BEHIND ELMHURST-CORONA. THE NYC AVERAGE FOR EXCLUSIVE BREASTFEEDING WAS 31.7% IN 2012 AND 32.1% IN 2013. COMMUNITY DISTRICT PRIORITIES FOR FLUSHING, AS IDENTIFIED IN THE TAKE CARE NEW YORK 2020 COMMUNITY CONSULTATIONS, INCLUDE AIR QUALITY, PHYSICAL ACTIVITY, CHILD-CARE, OBESITY, AND UNMET MEDICAL NEED. WEST QUEENS: WITH A TOTAL RESIDENT POPULATION OF ALMOST 470,000, WEST QUEENS HAS DIVERSE COMMUNITY THAT IS DIFFERENT THAN FLUSHING'S POPULATION PROFILE. ABOUT HALF (51%) OF THE RESIDENTS OF WEST QUEENS IDENTIFY AS HISPANIC/LATINO (REGARDLESS OF RACE). MORE THAN A QUARTER (26%), ARE ASIAN AND 45% RESIDENTS ARE WHITE. SEVEN PERCENT OF WEST QUEENS' RESIDENTS ARE BLACK. THIRTEEN PERCENT OF RESIDENTS OF WEST QUEENS RECEIVE MEDICARE AND 24% OF RESIDENTS RECEIVE MEDICAID. WEST QUEENS ALSO HAS SEVERAL POSITIVE HEALTH INDICATORS THAT SET THE NEIGHBORHOOD APART FROM OTHERS IN QUEENS. ELMHURST-CORONA (QUEENS COMMUNITY DISTRICT 4) HAD THE 4TH LOWEST DRUG-RELATED HOSPITALIZATION RATE (216 PER 100,000 POPULATION; COMPARED WITH 357/100,000 IN QUEENS AND 907/100,000 IN NYC) AND THE 4TH LOWEST PERCENTAGE OF ADULTS WHO ARE CURRENT SMOKERS (11%; COMPARED WITH 15% IN QUEENS AND NYC). ELMHURST-CORONA HAD THE 5TH LOWEST STROKE HOSPITALIZATION RATE (190 PER 100,000 POPULATION) AMONG ALL OF THE COMMUNITY DISTRICTS; THE STROKE HOSPITALIZATION RATES IN QUEENS AND NYC WERE 305 AND 319 PER 100,000 POPULATION, RESPECTIVELY. ELMHURST-CORONA HAD THE 5TH HIGHEST LIFE EXPECTANCY (84.1 YEARS); LIFE EXPECTANCIES IN NYC RANGED FROM 74.1 YEARS TO 85.4 YEARS. LACK OF HEALTH INSURANCE IS THE CHIEF HEALTH CONCERN IDENTIFIED BY THE 2015 NYC COMMUNITY HEALTH PROFILES IN WEST QUEENS. JACKSON HEIGHTS (QUEENS COMMUNITY DISTRICT 3) AND ELMHURST-CORONA WERE THE COMMUNITY DISTRICTS WITH THE 1ST (38%) AND 2ND (36%) HIGHEST PERCENTAGES OF ADULTS WITHOUT HEALTH INSURANCE. TO PROVIDE A COMPARISON, 20% OF NYC ADULT RESIDENTS AND 22% OF QUEENS ADULT RESIDENTS WERE UNINSURED. IN 2012, ELMHURST-CORONA (COMMUNITY DISTRICT 4) HAD THE SMALLEST PERCENTAGE OF INFANTS FED EXCLUSIVELY BREAST MILK DURING THE FIRST 5 DAYS OF LIFE (15.9%). IT HAD THE 2ND LOWEST PERCENTAGE (12.3%) OF EXCLUSIVE BREASTFEEDING IN 2013, JUST BEHIND FLUSHING'S PERCENTAGE. COMMUNITY DISTRICT PRIORITIES FOR WEST QUEENS, AS IDENTIFIED IN THE TAKE CARE NEW YORK 2020 COMMUNITY CONSULTATIONS, INCLUDE AIR QUALITY, PHYSICAL ACTIVITY, CONTROLLED HIGH BLOOD PRESSURE, OBESITY, AND SUGARY DRINK CONSUMPTION.
PART VI, LINE 5:COMMUNITY SERVICE PLANSELECTION OF PREVENTION AGENDA PRIORITIESFLUSHING HOSPITAL'S PRIORITIES ARE IN LINE WITH THE PRIORITIES IDENTIFIED BY THE NYS PREVENTION AGENDA AS WELL AS TAKE CARE NEW YORK (TCNY) 2020.ALTHOUGH FHMC COULD HAVE ALSO SELECTED OTHER INITIATIVES TO HIGHLIGHT IN ITS PREVENTION AGENDA, BASED UPON COMMUNITY HEALTH STATISTICS AND CONSUMER NEEDS/UTILIZATION SURVEYS, ITS RESOURCES AND CAPABILITIES ARE BEST SUITED TO FOCUS ON:- DECREASING TOBACCO USE WITHIN THE COMMUNITY, AND- INCREASING RATES OF EXCLUSIVE BREASTFEEDING AMONG MOTHERS IN THE SERVICE AREA FHMC ELECTED TO ADDRESS THESE TWO PARTICULAR HEALTH NEEDS SINCE THEY WILL MAKE A SIGNIFICANT IMPACT ON THE COMMUNITY'S HEALTH AND CREATE SUSTAINABLE QUALITY OF LIFE IMPROVEMENTS. BECAUSE OF ITS CURRENT AND PAST EFFORTS ON THESE TWO PRIORITIES, FLUSHING HOSPITAL EARNED A GOLD STAR FOR ITS ACCOMPLISHMENTS WITH NYC'S TOBACCO-FREE HOSPITAL CAMPAIGN, AND IS IN THE FINAL PHASE OF BEING DESIGNATED AS A BABY FRIENDLY HOSPITAL. THE HOSPITAL HAS INCORPORATED COMMUNITY INPUT FROM MANY ORGANIZATIONS AND INDIVIDUALS INTO ITS SELECTION OF PRIORITIES, AS DESCRIBED IN DETAIL IN THE SECTION ON DATA SOURCES AND COMMUNITY INPUT. AT ITS MEETING ON AUGUST 10, 2016, FLUSHING'S COMMUNITY ADVISORY BOARD AGREED WITH THE ABOVE PRIORITIES, AND ON NOVEMBER 15, 2016 THE HOSPITAL'S BOARD OF TRUSTEES APPROVED THE PLAN.THE HOSPITAL HAS WORKED ON MANY OTHER PREVENTION ACTIVITIES, AND HAS PARTNERED WITH THE CITY DOHMH ON TAKE CARE NEW YORK (TCNY) 2016, OTHER GOVERNMENT AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS (CBOS), IMPLEMENTING A VARIETY OF EVIDENCE-BASED INTERVENTIONS, IN ADDITION TO TOBACCO CESSATION AND EXCLUSIVE BREASTFEEDING:- ADOPTING THE HEALTHY HOSPITAL FOOD INITIATIVE.- TRACKING AND REPORTING THE BLOOD PRESSURE CONTROL SCORES OF PATIENTS IN THE HOSPITAL AMBULATORY FOOTPRINT.- SUPPORTING AND PROMOTING THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) FOR OVERWEIGHT AND OBESE ADULTS WITH PRE-DIABETES OR WOMEN WITH HISTORY OF GESTATIONAL DIABETES.- ENSURING ROUTINE OFFERING OF HIV TESTING IN EMERGENCY DEPARTMENTS AND ALL OUTPATIENT CLINICS.- PROMOTING APPROPRIATE AND JUDICIOUS PRESCRIBING OF OPIOID ANALGESICS.CURRENTLY THE HOSPITAL IS PARTNERING WITH THE CITY DOHMH ON ITS TCNY 2020 AGENDA, WHICH HAS FOUR OBJECTIVES, EACH WITH SEVERAL INDICATORS OF PROGRESS. THESE OBJECTIVES ARE ALIGNED WITH THE STATE'S PREVENTION AGENDA PRIORITIES, DESCRIBED IN DETAIL ABOVE, AS WELL AS THE DSRIP PROJECTS THAT THE HOSPITAL IS IMPLEMENTING. THE HOSPITAL DEVOTES CONSIDERABLE RESOURCES TO MOST OF THE CITY AND STATE PREVENTION OBJECTIVES DESCRIBED BELOW WITH A FEW EXCEPTIONS WHERE THE HOSPITAL WOULD HAVE NO AGENCY, SUCH AS DECREASING THE JAIL POPULATION, INCREASING HOMES WITH NO MAINTENANCE DEFECTS AND OTHERS THAT GOVERNMENT AGENCIES AND CBOS ARE BETTER SUITED TO ADDRESS.TCNY 20201. PROMOTE HEALTHY CHILDHOODS (ALIGNED WITH NYS PRIORITY: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN)THE FIRST INDICATOR IS BABIES BORN IN BABY FRIENDLY HOSPITALS. THE HOSPITAL IS IN THE FINAL PHASE OF BEING DESIGNATED AS A BABY FRIENDLY HOSPITAL. THE SECOND INDICATOR IS TEENAGE PREGNANCY. REDUCING TEENAGE PREGNANCY IS A VERY HIGH PRIORITY FOR THE HOSPITAL. THE HOSPITAL IS PROVIDING LONG ACTING CONTRACEPTIVES FOR ALL AGE GROUPS, INCLUDING ADOLESCENTS IN ITS AMBULATORY CARE CENTER (ACC). CITY GOVERNMENT AND CBOS ARE BETTER SUITED TO WORK TOWARDS IMPROVEMENT IN THE OTHER TWO INDICATORS: OPENINGS IN CHILD CARE CENTERS AND HIGH SCHOOL GRADUATION.2. CREATE HEALTHIER NEIGHBORHOODS (ALIGNED WITH NYS PRIORITY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT)THE HOSPITAL IS WORKING ON SEVERAL OF THE INDICATORS UNDER THIS OBJECTIVE, INCLUDING FALL-RELATED HOSPITALIZATIONS BY THOROUGH DOCUMENTATION AND ANALYSIS OF FALLS PATIENTS AND REFERRAL TO EVIDENCE-BASED FALLS PREVENTION PROGRAMS IN THE COMMUNITY, AIR QUALITY BY VIRTUE OF ITS WORK ON TOBACCO CESSATION, CHILDREN'S VISITS TO EMERGENCY DEPARTMENTS FOR ASTHMA BY BEING PART OF THE QUEENS ASTHMA COALITION AND BY WORKING ON DSRIP PROJECT 3.D.III - EVIDENCE-BASED ASTHMA MANAGEMENT IN COLLABORATION WITH ITS PARTNERS IN THE ACP PPS TO MAKE SURE PATIENTS ARE PROPERLY DIAGNOSED, HAVE AN ASTHMA ACTION PLAN, AND ONGOING HEALTH COACHING. CITY GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS ARE BETTER SUITED TO WORK TOWARDS THE OTHER FOUR INDICATORS: ASSAULT HOSPITALIZATIONS, HOMES WITH NO MAINTENANCE DEFECTS, JAIL POPULATION, AND SOCIAL COHESION.3. SUPPORT HEALTHY LIVING (ALIGNED WITH NYS PRIORITY: PREVENT CHRONIC DISEASE)PATIENT NAVIGATORS, NUTRITIONISTS, DIABETES EDUCATORS, SOCIAL WORKERS AND THERAPISTS SUPPORT PHYSICIANS AND OTHER PROVIDERS IN EDUCATING AND COACHING PATIENTS ON MAKING LIFE STYLE CHANGES RELATED TO ALL THE INDICATORS UNDER THIS OBJECTIVE: OBESITY, SUGARY DRINKS, PHYSICAL ACTIVITY, SODIUM INTAKE, SMOKING, BINGE DRINKING AND OVERDOSE DEATHS. REDUCING TOBACCO USE HAS BEEN COVERED EXTENSIVELY IN THIS REPORT. BESIDES ADDRESSING NUTRITION AND EXERCISE ON AN INDIVIDUAL BASIS WITH PATIENTS, THE HOSPITAL PROMOTES HEALTHY EATING IN THE COMMUNITY. TWO REGISTERED DIETITIANS HOSTED A FARMER'S MARKET TOUR IN CORONA QUEENS ON OCTOBER 7, 2016. EDUCATIONAL MATERIALS WERE DISTRIBUTED ALONG WITH 2-3 HEALTH BUCKS (PER FAMILY), RECIPES, AND MAPS OF NYC FARMERS' MARKETS.4. INCREASE ACCESS TO QUALITY CARE (ALIGNED WITH NYS PRIORITY: PROMOTE MENTAL HEALTH AND SUBSTANCE ABUSE AND PREVENT HIV AND STDS VACCINE PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS)THE HOSPITAL IS WORKING ON SEVERAL OF THE INDICATORS UNDER THIS OBJECTIVE, INCLUDING UNMET MENTAL HEALTH NEED. THERE IS A CLINICAL COORDINATOR FOR INTEGRATED CARE IN THE ACC. THIS PERSON SERVES AT A MINIMUM AS A DEPRESSION CARE MANAGER (DCM), BUT ALSO SERVES TO ENGAGE PATIENTS WITH ANY BEHAVIORAL HEALTH PROBLEM IN TREATMENT AND REFERRAL. IN ADDITION, SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS BEING ADMINISTERED IN THE ACC TO DETECT SUBSTANCE ABUSE PROBLEMS. ALSO, THE MENTAL HEALTH CLINIC HAS AN ADULT NURSE PRACTITIONER WHO CONDUCTS ALL HEALTH SCREENING ASSESSMENTS AND EITHER TREATS MEDICAL PROBLEMS AS A PRIMARY CARE PRACTITIONER, REFERS PATIENTS BACK TO THEIR PRIMARY CARE PHYSICIAN, AND COORDINATES BEHAVIORAL HEALTH AND MEDICAL CARE FOR ALL PATIENTS. FINALLY, THE BEHAVIORAL HEALTH DEPARTMENT WAS RECENTLY AWARDED A $1 MILLION NYSDOH GRANT TITLED "PARTNERSHIP INNOVATION FOR OLDER ADULTS." TO CARRY OUT THIS PROJECT, FLUSHING HOSPITAL HAS BECOME A PARTNER WITH NEW YORK CITY DEPARTMENT FOR THE AGING (NYC DFTA) AND ARMS ACRES, A MAJOR SUBSTANCE ABUSE PROVIDER, TO DEVELOP INTEGRATED CARE SERVICES IN SENIOR CENTERS AND OTHER FACILITIES. SEVERAL YEARS AGO THE HOSPITAL ADDRESSED ANOTHER INDICATOR - UNMET MEDICAL NEED BY INCREASING ITS AMBULATORY CARE CAPACITY WITH SUPPORT FROM A HEAL NY GRANT, THEREBY REDUCING WAIT TIMES FOR APPOINTMENTS TO ENCOURAGE PATIENTS TO TAKE ADVANTAGE OF COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE. CONTROLLED HIGH BLOOD PRESSURE IS RECEIVING ADDED ATTENTION THROUGH DSRIP PROJECTS 3.B.I AND 3.C.I - EVIDENCE-BASED CARDIOVASCULAR MANAGEMENT AND DIABETES CARE - FOR ALL PATIENTS IN PARTNERSHIP WITH THE ACP PPS. THE HOSPITAL CONTINUES TO TRY TO AFFECT NEW HIV DIAGNOSES AND HIV VIRAL SUPPRESSION INDICATORS BY OFFERING HIV TESTING IN ITS EMERGENCY DEPARTMENT AND ACC.MANY PREVENTION ACTIVITIES ARE UNDERTAKEN BY THE HOSPITAL, SOME OF THEM DOCUMENTED IN THIS SECTION AND OTHERS DOCUMENTED IN THE NARRATIVES FOR EACH OF THE FIVE NYS PREVENTION AGENDA PRIORITY AREAS. STAFF IN MANY AREAS OF THE HOSPITAL HAVE TAKEN IT UPON THEMSELVES TO DEVELOP PREVENTION AND EDUCATION PROGRAMS FOR PATIENTS AND COMMUNITY RESIDENTS, OFTEN IN PARTNERSHIP WITH LOCAL CBOS AND GOVERNMENT AGENCIES. THE HOSPITAL PLACES A HIGH VALUE ON THE IMPORTANT WORK OF PREVENTION, COMMUNITY OUTREACH AND EDUCATION. THESE ACTIVITIES WILL NOT ONLY REDUCE DISEASE AND DISABILITY WITHIN OUR COMMUNITY, BUT WILL ALSO ENABLE THE HOSPITAL TO PROSPER UNDER VALUE-BASED PAYMENT ARRANGEMENTS.
PART VI, LINE 6:AFFILIATED HEALTH CARE: MEDISYS HEALTH SYSTEM
PART VI, LINE 7, REPORTS FILED WITH STATESNY
PART VI, LINE 5 CONTINUATION:IMPLEMENTATION PLAN AND PROGRESS REPORTTHE INFORMATION ON THE FOLLOWING PAGES OUTLINE GOALS, OBJECTIVES, IMPLEMENTATION PLANS AND 2017 ACHIEVEMENTS FOR THE HOSPITAL'S TWO PREVENTION AGENDA PRIORITIES:- PREVENT CHRONIC DISEASES - FOCUS 2: TOBACCO CESSATION- PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN - FOCUS 1: BREASTFEEDINGPRIORITY 1: DECREASE TOBACCO USE WITHIN THE COMMUNITYSUCCESSES:- TO DATE FLUSHING HOSPITAL HAS HELD SIXTEEN OUTREACH EVENTS RELATED TO SMOKING CESSATION AND THREE MORE ARE PLANNED FOR THIS YEAR. THESE EVENTS REACHED 794 PEOPLE, OF WHOM THIRTEEN SIGNED UP FOR A SMOKING CESSATION PROGRAM.- TWO FREEDOM FROM SMOKING (FFS) PROGRAMS HAVE BEEN HELD AND ONE MORE IS PLANNED FOR NOVEMBER.- ALL EIGHT PATIENT NAVIGATORS ARE TRAINED TO ENGAGE PATIENTS IN SMOKING CESSATION COUNSELING; SIX ARE TRAINED FFS FACILITATORS.- SMOKING CESSATION COUNSELING PROMPTS WERE INTRODUCED INTO THE EPIC EHR AT DISCHARGE FOR ALL INPATIENT SMOKERS.- HOSPITAL STAFF PHYSICIAN PARTICIPATES IN A NYS QUITLINE PHYSICIAN TASK FORCE DESIGNED TO SHARE BEST PRACTICES IN TOBACCO CONTROL.CHALLENGES:- UNEVEN ADHERENCE AMONG THE HOSPITAL'S PROVIDERS IN COMPLYING WITH EHR GUIDELINES FOR TOBACCO CONTROL. PROVIDERS REPORT THAT THE MANY MANDATORY ASSESSMENTS THAT MUST BE PERFORMED AT EACH ENCOUNTER LEAVE LITTLE OR NO TIME TO ADDRESS TOBACCO USE.- THE MULTITUDE OF PSYCHOSOCIAL ISSUES AFFECTING MANY PATIENTS WITH BEHAVIORAL HEALTH ISSUES. SMOKING CESSATION OFTEN IS NOT A PRIORITY GIVEN THE OTHER PRESSING ISSUES INCLUDING HOMELESSNESS, UNEMPLOYMENT, AND FOOD INSECURITY. IN ADDITION THESE PATIENTS MAY BE SELF-MEDICATING BY SMOKING.- DIFFICULTY ENGAGING COMMUNITY PHYSICIANS TO TAKE ADVANTAGE OF THE SMOKING CESSATION SERVICES AVAILABLE IN OUR NETWORK.- NEED FOR CONSTANT REPETITION ABOUT THE HEALTH RISKS OF SMOKING AND THE BENEFITS OF QUITTING. SMOKERS WILL DECIDE TO QUIT SMOKING ONLY WHEN THEY ARE PSYCHOLOGICALLY READY. THEREFORE, IT IS IMPORTANT THAT THEIR MEDICAL PROVIDERS DISCUSS THE ISSUE WITH THEM AS OFTEN AS POSSIBLE, AND ADDRESS ANY LINGERING OBSTACLES THAT MAY HOLD THEM BACK.- CHANGING THE COUNSELING APPROACH FOR LIGHT OR OCCASIONAL SMOKERS, TO RECOGNIZE THAT FOR MANY OF THEM SMOKING MAY BE MORE ABOUT SOCIAL BEHAVIOR ADAPTATION, AND THAT FOCUSING ON PERSONAL RISKS AND BENEFITS, WHICH IS THE TRADITIONAL APPROACH, IS OFTEN NOT EFFECTIVE, STRESSING SOCIAL RESPONSIBILITY AND THE PROMOTION OF HEALTHY LIVING BY PERSONAL EXAMPLE MAY BE MORE EFFECTIVE FOR THIS KIND OF SMOKER. - REVIEW OF OUR SMOKING CESSATION EFFORTS IN 2016 AND 2017 HAS REVEALED THAT MOST OF OUR INTERVENTIONS WERE ON TARGET BUT SOME HAD TO BE MODIFIED. WHILE THERE REMAIN CHALLENGES TO ACHIEVING THE OBJECTIVES IN THE HOSPITAL'S THREE-YEAR PLAN, WE ANTICIPATE ACHIEVING ALL OR MOST OF OUR OBJECTIVES BY THE END OF 2018. NEW YORK STATE PRIORITY AREA: PREVENT CHRONIC DISEASESFOCUS AREA 2: REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.GOAL #2.2: PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SOCIOECONOMIC STATUS (SES) POPULATION AND THOSE WITH POOR MENTAL HEALTH.FHMC PRIORITY 1: DECREASE TOBACCO USE WITHIN THE COMMUNITYGOAL 1: ELIMINATE TOBACCO USE ON HOSPITAL CAMPUS.OUTCOME OBJECTIVE - DECREASE SMOKING PREVALENCE AMONG STAFF.ACHIEVEMENTS AS OF NOVEMBER 2017 - ALL EMPLOYEES WHO IDENTIFIED THEMSELVES AS SMOKERS RECEIVED SMOKING CESSATION COUNSELING. INSTALLED TOBACCO CESSATION EMPLOYEE DESK TOP SCREEN SAVER. OUTCOME OBJECTIVE - TRAIN ALL PATIENT NAVIGATORS IN SMOKING CESSATION.ACHIEVEMENTS AS OF NOVEMBER 2017 - ALL EIGHT PATIENT NAVIGATORS ARE TRAINED TO DELIVER ONE-ON-ONE ABBREVIATED QUIT PLANS. SIX OF THE NAVIGATORS ARE FREEDOM FROM SMOKING FACILITATORS. OUTCOME OBJECTIVE - ACHIEVE AND MAINTAIN STANDARDS FOR NYCDOHMH GOLD STAR STATUS.ACHIEVEMENTS AS OF NOVEMBER 2017 - ALL STANDARDS HAVE BEEN UPHELD, INCLUDING EMPLOYEE POLICIES, AS WELL AS PROCEDURES FOR ASSESSMENT, COUNSELING AND MEDICATION ADMINISTRATION.GOAL 2: GENERAL MEDICAL/SURGICAL PATIENTS AGED 13 AND ABOVE INCREASE ASSESSMENTS, INTERVENTIONS, AND NUMBER OF QUITTERS.OUTCOME OBJECTIVE DECREASE SMOKING PREVALENCE AMONG PATIENTS. NOTE: NYS SMOKING PREVALENCE TARGET OF 12.3% FOR ADULTS AND 20% AMONG LOW SES ADULTS (USING MEDICAID COVERAGE AS A PROXY).ACHIEVEMENT AS OF OCTOBER 31, 2017 OUTPATIENT (OP) = 5%, COMPARED TO 8.8% IN 2016. INPATIENT (IP) = 22.2%, COMPARED TO 9.3% IN 2016.MEDICAID OP = 4.4%.MEDICAID IP = 26.7%.OUTCOME OBJECTIVE - ACHIEVE 95% OR GREATER ASSESSMENT RATE FOR OUTPATIENTS AND INPATIENTS.ACHIEVEMENT AS OF OCTOBER 31, 2017 OP = 80.2%, COMPARED TO 93.4% IN 2016.IP = 93.8% COMPARED TO 94% IN 2016.OUTCOME OBJECTIVE - INCREASE ANNUAL INTERVENTIONS FOR RETURNING OUTPATIENT SMOKERS TO 85% OR GREATER; 50% OR GREATER FOR INPATIENTS.NOTE: INTERVENTIONS INCLUDE COUNSELING, PRESCRIPTIONS FOR MEDICATIONS, AND/OR REFERRAL FOR SMOKING CESSATION CLASSES/SUPPORT.ACHIEVEMENT AS OF OCTOBER 31, 2017 OP = 65.3%. IP = 84%. MEDICAID OP = 82.7% .MEDICAID IP = 89.5%.NOTE: AS OF MAY, ALL IP SMOKERS RECEIVED COUNSELING UPON DISCHARGE.OUTCOME OBJECTIVE - INCREASE PRESCRIPTIONS FOR SMOKING CESSATION BENEFITS AMONG MEDICAID AND MEDICAID MANAGED CARE SMOKERS.NOTE: NYS BENEFIT USE TARGET OF 41% FOR MMC ENROLLEES.ACHIEVEMENT AS OF OCTOBER 31, 2017 ALL OP = 27%.ALL IP = 83%.MEDICAID OP =27%.MEDICAID IP = 874 OUT OF 1,106 COUNSELED (79%).OUTCOME OBJECTIVE - DOCUMENT AND TRACK USE OF NYS QUITLINE.ACHIEVEMENT AS OF OCTOBER 31, 2017 APPROXIMATELY 100 REFERRALS WERE MADE TO THE NYS QUITLINE. NOTE: CONSISTENT DATA COLLECTION BEGAN IN 2017 .GOAL 3: BEHAVIORAL HEALTH PATIENTS ABOVE AGED 13INCREASE ASSESSMENTS, INTERVENTIONS, AND NUMBER OF QUITTERS.OUTCOME OBJECTIVE - DECREASE SMOKING PREVALENCE AMONG BH PATIENTS. NOTE: NYS SMOKING PREVALENCE TARGET OF 24% AMONG ADULTS WHO REPORT POOR MENTAL HEALTH.ACHIEVEMENTS AS OF OCTOBER 31, 2017 OP = 6%.IP = 48.5% .OUTCOME OBJECTIVE - ACHIEVE 65% OR GREATER ASSESSMENT RATE OF OUTPATIENTS AND 100% OR GREATER OF INPATIENTS.ACHIEVEMENTS AS OF OCTOBER 31, 2017 OP = 27.7%.IP = 100%.OUTCOME OBJECTIVE - ACHIEVE 90% OR GREATER INTERVENTION RATE FOR OUTPATIENTS AND INPATIENTS. NOTE: INTERVENTIONS FOR BH PATIENTS INCLUDE COUNSELING AND PRESCRIPTIONS FOR MEDICATION.ACHIEVEMENTS AS OF OCTOBER 31, 2017 OP = 100%IP = 100%NOTE: AS OF MAY, ALL IP SMOKERS RECEIVED COUNSELING UPON DISCHARGE.OUTCOME OBJECTIVE - INCREASE PRESCRIPTIONS FOR SMOKING CESSATION AMONG MEDICAID AND MEDICAID MANAGED CARE PATIENTS.NOTE: NYS BENEFIT USE TARGET OF 41% FOR MEDICAID MANAGED CARE ENROLLEES.ACHIEVEMENTS AS OF OCTOBER 31, 2017 MEDICAID OP = 100%MEDICAID IP = 100%NOTE: CONSISTENT DATA COLLECTION BEGAN IN 2017. GOAL 4: PROVIDE TOBACCO CESSATION EDUCATION TO COMMUNITY RESIDENTS AND PROVIDERSOUTCOME OBJECTIVE - INCREASE KNOWLEDGE OF COMMUNITY MEDICAL PROVIDERS ABOUT HOW TO PROMOTE TOBACCO CESSATION. ACHIEVEMENTS AS OF OCTOBER 31, 2017 LEAD THE TOBACCO CESSATION DSRIP PROJECT, DISSEMINATING INFORMATION ABOUT EVIDENCE-BASED PRACTICES AND AVAILABLE CESSATION RESOURCES TO PHYSICIAN MEMBERS OF ADVOCATE COMMUNITY PARTNERS, WHICH IS FHMC'S LEAD PERFORMING PROVIDER SYSTEM. ELECTRONIC COMMUNICATION MADE TO AFFILIATED COMMUNITY PHYSICIANS.OUTCOME OBJECTIVE - INCREASE THE NUMBER OF COMMUNITY EDUCATIONAL EVENTS THAT COVER TOBACCO CESSATION, IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS.ACHIEVEMENTS AS OF OCTOBER 31, 2017 SIXTEEN EDUCATIONAL OUTREACH EVENTS WERE CONDUCTED WHERE EDUCATIONAL MATERIALS WERE DISTRIBUTED AND SMOKERS WERE URGED TO SIGN UP FOR QUIT SESSIONS. THE EVENTS REACHED 794 PEOPLE; THIRTEEN SMOKERS SIGNED UP AT THE EVENTS FOR HOSPITAL-SPONSORED QUIT SESSIONS.HOSTING A GREAT AMERICAN SMOKEOUT EVENT ON NOVEMBER 16, 2017. OUTCOME OBJECTIVE - OFFER FREEDOM FROM SMOKING (FFS) CLASSES AND ONE-ON-ONE ABBREVIATED. QUIT PLANS IN AS MANY LANGUAGES AS POSSIBLE.ACHIEVEMENTS AS OF OCTOBER 31, 2017 TWO FFS CLASSES WERE CONDUCTED IN ENGLISH AND SPANISH; TWENTY SIGNED UP, AND FOUR ACTUALLY PARTICIPATED. ANOTHER FFS CLASS WILL BE HELD ON NOVEMBER 28, 2017. MULTIPLE ONE-ON-ONE QUIT PLANS WERE CONDUCTED IN ENGLISH, SPANISH, KOREAN AND CHINESE.FHMC COMMUNITY SERVICE PLAN 2016 20182017 UPDATE
PART VI, LINE 5 CONTINUATION:PRIORITY 2: INCREASE RATES OF EXCLUSIVE BREASTFEEDING IN THE SERVICE AREA.SUCCESSES: MADE GREAT STRIDES IN COMMUNITY EDUCATION ABOUT BREASTFEEDING AND NUTRITION IN GENERAL, ESPECIALLY TARGETING OUR LARGE IMMIGRANT COMMUNITY, OFFERING MANY CLASSES IN THEIR OWN LANGUAGES, INCORPORATING ETHNIC FOOD PREFERENCES AND PRACTICES. SINCE 2015 WHEN THE PROGRAM BEGAN AT OUR LOCAL LIBRARIES AND AT A BABIES"R"US STORE, WE HAVE REACHED MORE THAN 2,000 FAMILIES. IN ADDITION, OVER 1,200 PREGNANT AND NEW MOTHERS HAVE ATTENDED CLASSES IN CHILD BIRTH, BREASTFEEDING, INFANT FEEDING AND CHILD CARE THROUGH OCTOBER THIS YEAR. WE BEGIN WITH BREASTFEEDING EDUCATION SINCE IT IS ASSOCIATED WITH A LOWER INCIDENCE OF OBESITY, EAR INFECTIONS, GASTROINTESTINAL INFECTIONS, AND HOSPITALIZATIONS. DIETARY GUIDANCE FOR OUR YOUNG PARENTS HELPS THEM MAINTAIN THEIR OWN HEALTH AS WELL AS THE HEALTH OF THEIR YOUNG FAMILIES. WE ALSO EMPHASIZE THE IMPORTANCE OF HEALTH MAINTENANCE AND WE PROVIDE REMINDERS OF SCHEDULED MEDICAL VISITS IN OUR AMBULATORY CARE CENTER OR WITH THEIR OWN MEDICAL PROVIDER. HIRED A LACTATION SPECIALIST FOR INPATIENTS ON EVENINGS AND WEEKENDS, AS WELL AS A PART-TIME CERTIFIED LACTATION COUNSELOR, WHO SPEAKS SEVERAL SOUTH ASIAN LANGUAGES, TO PROVIDE EDUCATION AND SUPPORT TO MOTHERS ON THE POST-PARTUM UNIT. THE NUMBER OF REFERRALS TO OUR LACTATION CONSULTANTS HAS BEEN INCREASING STEADILY. DEVELOPED A NEW SECTION OF THE HOSPITAL'S WEBSITE FOR OBSTETRICS AND GYNECOLOGY, WITH A SUB-SECTION HIGHLIGHTING ALL ASPECTS OF BREASTFEEDING SUPPORT.HTTP://FLUSHINGHOSPITAL.ORG/BREAST-FEEDINGCHALLENGES: THE BELIEFS AND PRACTICES OF THE LARGE SOUTHEAST ASIAN AND ASIAN POPULATIONS IN THE HOSPITAL'S ETHNICALLY DIVERSE COMMUNITY ARE NOT SUPPORTIVE OF EXCLUSIVE BREASTFEEDING OR OF THE MOTHER ROOMING IN WITH THEIR NEWBORN FOR 24 HOURS. ANOTHER BARRIER TO EXCLUSIVE BREASTFEEDING IS THE COMMON PRACTICE OF SENDING INFANTS BACK TO CHINA, BY ONE MONTH OF AGE, OR AS SOON AS THE BIRTH CERTIFICATE ARRIVES, TO BE TAKEN CARE OF BY FAMILY MEMBERS. THESE TRADITIONAL POSTPARTUM PRACTICES LEAD TO NEGATIVE PHYSICAL AND EMOTIONAL OUTCOMES. MATERNAL REPORTS OF DELAY IN LACTATION IS OFTEN CORRELATED WITH THE INFLUENCES OF ELDERS AND PAST PRACTICES THAT DO NOT SUPPORT BREASTFEEDING OR CARING FOR THE INFANT ON THEIR OWN. MANY PROVIDERS ARE NOT EMPHASIZING TO THEIR PATIENTS THE SIGNIFICANT BENEFITS OF EXCLUSIVE BREASTFEEDING AS COMPARED WITH THE LESSER BENEFITS OF SUPPLEMENTING WITH FORMULA. BARRIERS EXIST TO INCREASING THE PERCENTAGE OF MOTHERS WHO HAVE SKIN-TO-SKIN CONTACT AFTER CESAREAN-SECTION BIRTH, AND THE PERCENTAGE OF MOTHERS WHO EXPRESS MILK FOR THEIR INFANTS IN THE NICU IN THE FIRST 6 HOURS AFTER DELIVERY. DIFFICULTY CONVINCING NEW MOTHERS WHO NEED TO SUPPLEMENT WITH FORMULA OR EXPRESSED BREASTMILK THAT IT IS BEST TO PROVIDE THE SUPPLEMENT USING A CUP, TEASPOON OR SYRINGE SO AS NOT TO CONFUSE THE BABY. NEW YORK STATE PRIORITY AREA: PROMOTING HEALTH WOMEN, INFANTS AND CHILDREN FOCUS AREA 1: MATERNAL AND INFANT HEALTH INCREASE THE PROPORTION OF BABIES WHO ARE BREASTFED GOAL #2: INCREASE EXCLUSIVE BREASTFEEDINGFHMC PRIORITY 2: INCREASING RATES OF EXCLUSIVE BREASTFEEDING IN THE SERVICE AREA GOAL 1: EXCLUSIVE BREASTFEEDING AT DISCHARGE FOR AS MANY PATIENTS AS CLINICALLY POSSIBLEOUTCOME OBJECTIVE - INCREASE EXCLUSIVE BF RATE AT DISCHARGE BY 2% PER YEAR.NOTE: NYS TARGET OF 48.1%.ACHIEVEMENTS AS OF NOVEMBER 2017 - INCREASED TO AN AVERAGE OF 11%, RANGING BETWEEN 10% AND 14% EACH MONTH, FROM 5% IN 2016.OUTCOME OBJECTIVE - REDUCE EXCLUSIVE BF DISPARITY BETWEEN MEDICAID AND NON-MEDICAID ENROLLEES.NOTE: NYS DISPARITY TARGET OF 0.66. (EQUALITY WOULD EQUAL 1.0).ACHIEVEMENTS AS OF NOVEMBER 2017 - 0.92% DISPARITY RATE.OUTCOME OBJECTIVE - ACHIEVE "ROOMING IN" FOR 70% OF BIRTHS WITH NO CONTRAINDICATIONS.ACHIEVEMENTS AS OF NOVEMBER 2017 - 60% "ROOMING IN".OUTCOME OBJECTIVE - ACHIEVE 95% OR GREATER TRAINING RATE IN BF EDUCATION:ACHIEVEMENTS AS OF NOVEMBER 2017 BF TRAINING RATE = 95% FOR MEDICAL PROVIDERS, MATERNAL/CHILD NURSES AND NEW HIRES WITHIN 3 MONTHS.OUTCOME OBJECTIVE - ENROLL 1,200 WOMEN IN THE HOSPITAL'S AND WIC'S BREASTFEEDING PROGRAMS, INCLUDING BREASTFEEDING SUPPORT GROUPS, PRENATAL NUTRITION CLASS, CHILD BIRTH CLASSES AND MOTHER-BABY CLASSES.ACHIEVEMENTS AS OF NOVEMBER 2017 - ENROLLED MORE THAN 1,200 WOMEN IN APPROXIMATELY 255 CLASSES.GOAL 2: BABY FRIENDLY DESIGNATION.OUTCOME OBJECTIVE - SUCCESSFUL SITE VISIT.ACHIEVEMENTS AS OF NOVEMBER 2017 - BABY FRIENDLY USA SITE VISIT HAS BEEN SCHEDULED FOR MARCH 26 & 27, 2018.GOAL 3: EXCLUSIVE BREASTFEEDING AT 3 AND 6 MONTHS FOR AS MANY PATIENTS AS CLINICALLY POSSIBLE.OUTCOME OBJECTIVE - INCREASE EXCLUSIVE BF RATES AT 3 AND 6 MONTHS FOR HOSPITAL'S WELL BABIES.NOTE: HEALTHY PEOPLE 2020 TARGETS =46.2% AT 3 MONTHS 25.2% AT 6 MONTHSACHIEVEMENTS AS OF OCTOBER 2017 - EXCLUSIVE BF RATE FOR THOSE WITH SYSTEM-REPORTED DATA IN EHR.3 MONTHS = 6.61%6 MONTHS = 7.88%NOTE: SINCE A NEW DATA CAPTURE FORMAT WAS INTRODUCED IN LATE APRIL 2017 THE NUMBER OF WELL BABIES WITH SYSTEM-REPORTED FEEDING DATA HAS INCREASED BUT THE RATE OF EXCLUSIVE BF HAS REMAINED RELATIVELY LOW.OUTCOME OBJECTIVE - ACHIEVE POSTPARTUM VISIT RATE OF 90% AMONG HOSPITAL AMBULATORY CARE CENTER PATIENTS.ACHIEVEMENTS AS OF OCTOBER 2017 - ACHIEVED 93% FOR THE POSTPARTUM VISIT RATE.GOAL 4: INCREASE KNOWLEDGE OF COMMUNITY RESIDENTS AND PROVIDERS ABOUT THE BENEFITS OF BREASTFEEDING.OUTCOME OBJECTIVE - INCREASE ADOPTION OF BREASTFEEDING FRIENDLY PRACTICE (BFFP) STANDARDS BY COMMUNITY PROVIDERS.ACHIEVEMENTS AS OF NOVEMBER 2017 - PRESENTED BREASTFEEDING INFORMATION AT PEDIATRIC GRAND ROUNDS HELD IN THE SPRING OF 2017. BREASTFEEDING EDUCATION OF OUR VOLUNTARY AND STAFF ATTENDING PEDIATRICIANS, OUR PEDIATRIC RESIDENTS AND MEDICAL STUDENTS WILL CONTINUE THROUGH THE DEPARTMENT OF PEDIATRICS GRAND ROUNDS.OUTCOME OBJECTIVE - INCREASE PARTICIPATION OF COMMUNITY RESIDENTS IN BF AND GENERAL NUTRITION EDUCATION PROGRAMS.ACHIEVEMENTS AS OF OCTOBER 2017 - HELD APPROXIMATELY 20 CLASSES IN ENGLISH AND SPANISH AT A LOCAL BABIES"R"US STORE AND A PUBLIC LIBRARY, WITH ATTENDANCE OF ABOUT 285 MOTHERS OR MOTHER-BABY DYADS, ADDRESSING BREASTFEEDING, NUTRITION IN GENERAL, AND GENERAL HEALTH MAINTENANCE TOPICS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANTHONY DIMARIA MPHD
TRUSTEE$0$236,007$0$0$0$9,006$0$0$0$28,599$0$273,612$0$0
GEOFFREY DOUGHLIN MD
TRUSTEE$0$454,638$0$0$0$0$0$0$0$28,522$0$483,160$0$0
BRUCE J FLANZ
PRESIDENT & CEO$0$1,406,193$0$0$0$114,812$0$0$0$27,362$0$1,548,367$0$0
MOUNIR F DOSS
EXEC VP & CFO$0$984,368$0$0$0$33,825$0$0$0$27,632$0$1,045,825$0$0
ROBERT LEVINE
EXEC VP & COO$389,845$0$0$0$1,192$0$0$0$33,688$0$424,725$0$0$0
DANTE LAZO
DIRECTOR MD$318,221$0$0$0$1,097$0$0$0$32,349$0$351,667$0$0$0
JAMES GIGLIO
CHAIRPERSON$475,617$0$0$0$1,168$0$0$0$31,188$0$507,973$0$0$0
NAGESWARA MANDAVA
CHAIRPERSON$496,310$0$0$0$1,198$0$0$0$33,688$0$531,196$0$0$0
OSCAR MARCILLA
DIRECTOR MD$407,148$0$0$0$1,211$0$0$0$31,118$0$439,477$0$0$0
SUSANA RAPAPORT
DIRECTOR MD$304,773$0$0$0$688$0$0$0$31,118$0$336,579$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, COLUMN C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VII, SECTION A, LINE 1B:ANTHONY DIMARIA, M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL NURSING HOME WORKING ABOUT 40 HOURS PER WEEK. ANTHONY DIMARIA, M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL MEDICAL CENTER, MEDISYS HEALTH NETWORK, OR THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL MEDICAL CENTER AS THE CHAIRMAN OF EMERGENCY MEDICINE WORKING ABOUT 40 HOURS PER WEEK. GEOFFREY DOUGHLIN M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR JAMIACA HOSPITAL MEDICAL CENTER, THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER OR MEDISYS HEALTH NETWORK FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK
FORM 990, PART VII, COLUMN C:MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES OF FORM 990. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST IN THE FORM 990 INSTRUCTIONS TO BE CONSIDERED A "KEY EMPLOYEE". THEREFORE, PART VII OF FORM 990 DOES NOT REPORT THE COMPENSATION OF ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)LINE 10MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)LINE 10MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140INACTIVENY501(C)(3)LINE 10MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418237216197HOSPITALNY501(C)(3)LINE 10MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)LINE 3MEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)LINE 10MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)LINE 12A, I0N/A
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)LINE 3MEDISYS HEALTH NETWORK0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)LINE 12A, IMEDISYS HEALTH NETWORK0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NHP HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 FIFTH AVE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10175ZIPCd
FieldValueIRS element (for citing)
EIN203418837EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYN/AC0
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANY/INACTIVENYN/AC0
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYN/AC0
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYN/AC0
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYN/AC0
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYN/AC0
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYN/AC0
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYN/AC0
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYN/AC0
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FRR RECOVERY
Q$811,817COST
SECOND CENTURY SERVICE CORPORATION
Q$1,088,000COST