NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING (EIN 13-1624135)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202533199349300203
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T23:16:44-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131624135	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Todd Gorlewski	PersonNm
Person Title	SVP & CAO	PersonTitleTxt
Phone	2126061000	PhoneNum
Signature	2025-11-10	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	YUCEN ZHONG	PreparerPersonNm
PTIN	P01593150	PTIN
Phone	2127736170	PhoneNum
Preparation	2025-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Bryan T Kelly	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,033,643,228	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.hss.edu	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1863	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE THE HIGHEST QUALITY PATIENT CARE, IMPROVE MOBILITY, & ENHANCE THE QUALITY OF LIFE FOR ALL, & ADVANCE THE SCIENCE OF ORTHOPEDIC SURG, RHEUMATOLOGY, & THEIR RELATED DISCIPLINES.	ActivityOrMissionDesc
Voting Members Governing Body	54	VotingMembersGoverningBodyCnt
Voting Members Independent	45	VotingMembersIndependentCnt
Total Employee	6693	TotalEmployeeCnt
Total Volunteers	492	TotalVolunteersCnt
Total Gross UBI	$1,082,023	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$80,858,508	PYContributionsGrantsAmt
CY Contributions Grants	$80,745,815	CYContributionsGrantsAmt
PY Program Service Revenue	$1,417,149,880	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,499,820,412	CYProgramServiceRevenueAmt
PY Investment Income	$42,745,279	PYInvestmentIncomeAmt
CY Investment Income	$60,619,456	CYInvestmentIncomeAmt
PY Other Revenue	$140,928,711	PYOtherRevenueAmt
CY Other Revenue	$115,674,031	CYOtherRevenueAmt
PY Total Revenue	$1,681,682,378	PYTotalRevenueAmt
CY Total Revenue	$1,756,859,714	CYTotalRevenueAmt
PY Grants And Similar Paid	$541,934	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$460,860	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$897,187,010	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$962,432,538	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$652,128,149	PYOtherExpensesAmt
CY Other Expenses	$679,649,860	CYOtherExpensesAmt
PY Total Expenses	$1,549,857,093	PYTotalExpensesAmt
CY Total Expenses	$1,642,543,258	CYTotalExpensesAmt
PY Revenues Less Expenses	$131,825,285	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$114,316,456	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,124,359,384	TotalAssetsBOYAmt
Total Assets EOY	$3,434,987,967	TotalAssetsEOYAmt
Total Liabilities BOY	$1,314,611,974	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,402,421,293	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,809,747,410	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,032,566,674	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF HOSPITAL FOR SPECIAL SURGERY IS TO PROVIDE THE HIGHEST QUALITY PATIENT CARE, IMPROVE MOBILITY, AND ENHANCE THE QUALITY OF LIFE FOR ALL AND TO ADVANCE THE SCIENCE OF ORTHOPEDIC SURGERY, RHEUMATOLOGY, AND THEIR RELATED DISCIPLINES THROUGH RESEARCH AND EDUCATION. WE DO THIS REGARDLESS OF RACE, COLOR, CREED, SEXUAL ORIENTATION, OR ETHNIC ORIGIN.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,197,022,493	ExpenseAmt
Grant	$460,860	GrantAmt
Revenue	$1,559,864,176	RevenueAmt
Desc	PATIENT CARE: HOSPITAL FOR SPECIAL SURGERY IS COMMITTED TO PROVIDING WORLD-CLASS CARE TO ITS PATIENTS AND HELPING THEM TO REGAIN THEIR MOBILITY, WHILE ALSO ADVANCING RESEARCH INITIATIVES TO EXPLORE AND IMPROVE TREATMENTS FOR ORTHOPEDIC AND RHEUMATOLOGIC CONDITIONS. HOSPITAL FOR SPECIAL SURGERY OPERATED 156 and 166 STAFFED BEDS AS OF DECEMBER 31, 2024 AND DECEMBER 31, 2023; AND 43 OPERATING ROOMS AS OF DECEMBER 31, 2024 AND DECEMBER 31, 2023. WE PERFORMED 30,781 SURGERIES, A INCREASE OF 87 OVER THE PRIOR YEAR, WHILE NON-SURGICAL OUTPATIENT VISITS NUMBERED 729,918, 41,079 MORE THAN 2023. HOSPITAL FOR SPECIAL SURGERY PROVIDED INPATIENT CARE TO 9,162 PATIENTS, 1,649 LESS THAN 2023. OF THOSE IN 2024, 8,953 WERE SURGICAL. TOTAL AMBULATORY SURGICAL CASES NUMBERED 21,828, AN INCREASE OF 1,712 FROM 2023. THE HOSPITAL HAS A DIVERSE PATIENT POPULATION SERVING THOSE WITH PUBLIC INSURANCE (MEDICARE AND MEDICAID), PRIVATE INSURANCE (VARIOUS PAYORS) AND THE UNINSURED. THE HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE PROGRAM TO ASSIST THOSE THAT CANNOT PAY FOR ITS SERVICES AND PROVIDES NUMEROUS OTHER COMMUNITY BENEFIT PROGRAMS. HOSPITAL FOR SPECIAL SURGERY IS ALSO RECOGNIZED AS A MAGNET HOSPITAL FOR EXCELLENCE IN NURSING CARE. THE HOSPITAL IS RECOGNIZED FOR ITS EXCELLENCE IN PATIENT CARE AND IS CONSISTENTLY RANKED BY U.S. NEWS AND WORLD REPORT IN ITS SPECIALTIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$58,091,304	ExpenseAmt
Revenue	$44,037,990	RevenueAmt
Desc	RESEARCH: THE RESEARCH DIVISION OF HOSPITAL FOR SPECIAL SURGERY CONTINUED ITS ACTIVITIES IN 2024 TOWARD ENHANCING AND EXPANDING OUR RESEARCH IN MUSCULOSKELETAL DISEASES. RESEARCH AT HOSPITAL FOR SPECIAL SURGERY WORKS TO ADVANCE THE UNDERSTANDING AND TREATMENT OF MUSCULOSKELETAL DISORDERS THROUGH BASIC, TRANSLATIONAL AND CLINICAL RESEARCH AND EDUCATION. THE GOALS ARE TO IDENTIFY GENETIC, ENVIRONMENTAL, CELLULAR, STRUCTURAL AND MOLECULAR MECHANISMS UNDERLYING DISORDERS IMPORTANT IN ORTHOPEDICS, RHEUMATOLOGY AND RELATED DISCIPLINES AND TO DISCOVER EFFECTIVE APPROACHES FOR DIAGNOSIS PREVENTION, AND TREATMENT OF THESE DISORDERS. HSS Research Institute (HSSRI) is home to a uniquely collaborative culture in which basic scientists work together with clinician-investigators to accelerate discoveries that will result in new treatments and improved outcomes for musculoskeletal patients. HSS Research Institute is composed of basic, clinical, and translational scientists to accelerate discoveries that will result in new treatments and improved outcomes for musculoskeletal patients. The key programmatic areas that have allowed us to make major contributions to musculoskeletal health include (1) Bone Health and Implant Integration (2) Inflammation & Autoimmunity (3) Joint Preservation and Regeneration (4) Musculoskeletal Pain Research. These programs are supported by an enabling infrastructure including a Genomics Center, Precision Medicine Laboratory, Center for Regenerative Medicine and Center for Biostatistics. HSSRI has active collaborations with the Applied Researchers within the Imaging and Radiology and Biomechanics Departments, many clinical departments including Orthopedic Services and Rheumatology/Medicine and is expanding collaborations with Physiatry, Anesthesia, Pathology and Neurology. Combining HSSRI expertise with the volume, breadth, and depth of patients seen at HSS to develop unparalleled clinical research and populations health outcomes programs, can further the national and international visibility of our institution. AS A RESULT OF STRONG INTRA - AND INTER - PROGRAMMATIC INTERACTIONS, AND THE USE OF SHARED CORE RESOURCES, OUR PORTFOLIO OF INNOVATIVE DISCOVERY AND DEVELOPMENT HAS EXPANDED EXPONENTIALLY. TO PROVIDE THE FINAL COMPONENT NEEDED TO ACHIEVE BENCH-TO BEDSIDE RESEARCH, THE BASIC RESEARCH INSTITUTE, IN COLLABORATION WITH CLINICIAN RESEARCHERS HAS CREATED A DISTINGUISHED CLINICAL RESEARCH PROGRAM. In 2024, THE RESEARCH INSTITUTE was FUNDED BY AN OPERATING BUDGET OF $59 MILLION, SUPPORTED IN PART BY APPROXIMATELY $44 MILLION IN EXTRAMURAL FUNDS, INCLUDING $17.2 MILLION FROM NEWLY AWARDED FEDERAL GRANTS. THIS RESEARCH RESULTED IN over 1250 PUBLICATIONS among the 245 research personnel IN 2024. HIGHLIGHTS FOR 2024 INCLUDE: continued advancement of HSS's research mission by: 1) supporting and retaining our most productive faculty, 2) mentoring the next generation of scientists, 3) expanding our collaborative efforts with clinicians and recruitment of full time clinical research scientists, and 4) supporting the infrastructure necessary to advance our research and ensure compliance, AND 5) SCIENTIFIC HIGHLIGHTS INCLUDE, laboratory studies in areas such as bone and implant integration, spine disc development, periprosthetic joint infection, tendon and ligament repair, robotics, biologics and autoimmune diseases (i.e. Rheumatoid Arthritis, Systemic Sclerosis, Lupus), REGENERATIVE MEDICINE; and SINGLE CELL SEQUENCING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$67,093,634	ExpenseAmt
Revenue	$10,992,713	RevenueAmt
Desc	Education Institute: HSS education institute continued to make strides towards the mission to be "the most trusted educator" in the field of musculoskeletal health for patients, physicians, allied health professionals and the general public. In 2024, we strengthened strategic partnerships with our 24 education and academic advisory committees and councils, as well as furthering external community relations globally, engaging 107 partner countries. The HSS Orthopedic Residency program, voted #1 training program by board certified orthopaedists, trained 46 residents, 75 fellows, and 125 medical students in 2024. For other trainees, there were 516 in-rotators and 45 consults. In 2024, we engaged 12.3 million people through 4,173 cutting edge live and digital education programs, including our HSS e-academy, ACGME Programs, CME Accredited Activities, Simulation Learning & Training Center sessions, Global Partnership Initiatives, Kim Barrett Memorial Medical Library Users, and Community Education & Outreach Programs. EI also hosted 355 academic visitors and credentialed nearly 1,361 physicians and health care providers. We continue to set the highest standard with our ACCME accredited and non-accredited professional education programs. In 2024, the Education Institute through its continuing education and global academic partnerships departments, including HSS e-academy, delivered nearly 7,300 educational activities including onsite courses, grand rounds, internet live courses, internet enduring material and journal-based continuing medical education activities resulting in learner interactions with a diversity of healthcare professionals and teams. EI's Community Education & Outreach department reached 10.3 million consumers through more than 700 community education programs and videos.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,322,207,431	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	574	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6693	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	VI	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	54	GoverningBodyVotingMembersCnt
Independent Voting Member	45	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TODD GORLEWSKI	PersonNm
Phone	2127745096	PhoneNum

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (69 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
Bryan T Kelly
President & CEO	44.73	15.27	Yes (X)	Yes (X)	$4,183,697	$1,045,924	$99,967
Joshua Dines
Attending Physician	50.0	0.0			$3,947,922	$0	$89,644	Yes (X)
Answorth Allen
Member/Associate SIC	59.4	0.6	Yes (X)	Yes (X)	$3,403,037	$34,374	$92,777
Louis A Shapiro-Thru 2023
Former President & CEO	0.0	0.0			$3,428,637	$0	$0		Yes (X)
Stacey L Malakoff
EVP & Chief Financial Officer	48.23	11.77		Yes (X)	$2,441,280	$430,814	$92,723
Benedict Nwachukwu
Attending Physician	50.0	0.0			$2,872,710	$0	$77,659	Yes (X)
William M Ricci
Chief of the Trauma Service	56.77	0.0			$2,604,175	$0	$77,659	Yes (X)
Riley Williams
Attending Physician	50.0	0.0			$2,476,006	$0	$105,263	Yes (X)
Ernest Sink
Chief of Ortho Hip Preser SVR	50.0	0.0			$2,304,456	$0	$90,482	Yes (X)
Douglas Padgett
Member/Surgeon-in-Chief	59.23	0.77	Yes (X)	Yes (X)	$2,287,554	$0	$100,693
Mathias Bostrom
Member/Associate SIC	59.23	0.77	Yes (X)		$1,997,296	$500	$40,064
Mary Cassai
EVP, Chief Operating Officer	60.0	0.0			$1,643,517	$0	$78,144			Yes (X)
Hollis Potter
Radiologist-in-Chief	60.0	0.0			$1,544,841	$0	$99,801			Yes (X)
Irene Koch
EVP & Chief Legal Officer	48.42	11.58		Yes (X)	$1,166,966	$205,935	$46,496
Justin Oppenheimer
EVP, Chief Strategy Officer	60.0	0.0			$1,335,002	$0	$70,413			Yes (X)
Reginald Odom
EVP & Chief People Officer	60.0	0.0			$1,219,308	$0	$79,173			Yes (X)
S Louis Bridges Jr
Member/Physician-in-Chief	59.23	0.77	Yes (X)		$962,643	$500	$51,631
Paul Coyne
Former Sr. VP & CNO-Thru 2023	60.0	0.0			$859,324	$0	$39,491		Yes (X)
Stavros Memtsoudis-Join 2024
Member/Anesthesiologist	28.25	0.4	Yes (X)		$590,658	$0	$82,270
Suzanne Maher
Member/Chief Research Officer	60.0	0.0	Yes (X)		$599,047	$0	$73,463
Andy Miller
Member/Attending Physician	49.6	0.4	Yes (X)		$555,487	$0	$35,230
Ricky Guillot-Thru 2022
Former VP, Interim CNO	0.0	0.0			$436,466	$0	$1,698		Yes (X)
Andrew A Sama
Member/Attending Physician	21.2	0.4	Yes (X)		$163,533	$0	$85,313
Todd J Albert-Thru 2019
Former Surgeon-in-Chief	19.39	0.77			$151,289	$500	$75,016		Yes (X)
Patty Baker
Member-Joined BOT 2024	0.63	0.11	Yes (X)		$0	$0	$0
Daniel C Benton
Member	2.13	0.38	Yes (X)		$0	$0	$0
Herbert Black
Member	1.04	0.18	Yes (X)		$0	$0	$0
Michael C Brooks
Member	1.58	0.28	Yes (X)		$0	$0	$0
Kathryn Chenault
Member	1.2	0.21	Yes (X)		$0	$0	$0
Charles Coleman III
Member	1.31	0.24	Yes (X)		$0	$0	$0
Leslie Cornfeld
Member	1.66	0.3	Yes (X)		$0	$0	$0
Cynthia Foster Curry
Member	1.48	0.27	Yes (X)		$0	$0	$0
Anthony de Nicola
Member	1.49	0.27	Yes (X)		$0	$0	$0
James G Dinan
Member	1.64	0.29	Yes (X)		$0	$0	$0
Anne Ehrenkranz
Member	1.62	0.29	Yes (X)		$0	$0	$0
Michael Esposito
Vice Chair	3.36	0.6	Yes (X)	Yes (X)	$0	$0	$0
Wayne AI Frederick
Member	1.29	0.23	Yes (X)		$0	$0	$0
Marina Kellen French
Member	1.54	0.27	Yes (X)		$0	$0	$0
Giammaria Giuliani
Member	1.82	0.33	Yes (X)		$0	$0	$0
Robert Goldstein
Member	1.2	0.21	Yes (X)		$0	$0	$0
Warren B Kanders
Member	1.37	0.24	Yes (X)		$0	$0	$0
Scott Kapnick
Member	1.67	0.3	Yes (X)		$0	$0	$0
Monica Keany
Vice Chair	5.73	1.02	Yes (X)	Yes (X)	$0	$0	$0
Sacha Lainovic
Member	2.67	0.47	Yes (X)		$0	$0	$0
Richard Landgarten
Member-Join BOT 2024	0.16	0.03	Yes (X)		$0	$0	$0
Laurie Hodges Lapeyre
Vice Chair	5.66	1.0	Yes (X)	Yes (X)	$0	$0	$0
Pablo Legorreta
Member	0.88	0.15	Yes (X)		$0	$0	$0
Lara R Lerner
Member	2.29	0.41	Yes (X)		$0	$0	$0
Kathy Leventhal
Member	1.58	0.28	Yes (X)		$0	$0	$0
Thomas H Lister
Co-Chair	17.58	3.6	Yes (X)	Yes (X)	$0	$0	$0
Patrice Louvet
Member	1.43	0.25	Yes (X)		$0	$0	$0
Alan S MacDonald
Member	0.33	0.06	Yes (X)		$0	$0	$0
Celene Menschel
Member	1.58	0.28	Yes (X)		$0	$0	$0
Sarah E Nash
Member	1.06	0.18	Yes (X)		$0	$0	$0
Mary Kathryn Navab
Member	1.91	0.33	Yes (X)		$0	$0	$0
Terence M O'Toole
Vice Chair	4.21	0.75	Yes (X)	Yes (X)	$0	$0	$0
Matthew H Peltz
Member	0.92	0.16	Yes (X)		$0	$0	$0
Steven Rattner
Member	1.4	0.25	Yes (X)		$0	$0	$0
Scott Rechler
Member	1.99	0.37	Yes (X)		$0	$0	$0
Edward Skyler
Member	1.24	0.22	Yes (X)		$0	$0	$0
Nicholas Somers
Member-Joined BOT 2024	0.38	0.06	Yes (X)		$0	$0	$0
Jonathan Sobel
Member	1.02	1.09	Yes (X)		$0	$0	$0
Deirdre Stanley
Member	1.38	0.24	Yes (X)		$0	$0	$0
Robert K Steel
Co-Chair	13.32	2.35	Yes (X)	Yes (X)	$0	$0	$0
Jonathan Tisch
Member	1.48	0.26	Yes (X)		$0	$0	$0
Frances Townsend
Member	0.95	0.17	Yes (X)		$0	$0	$0
Robin Vince
Member	1.04	0.18	Yes (X)		$0	$0	$0
Jeffrey Wilpon
Member	1.92	0.34	Yes (X)		$0	$0	$0
Ellen M Wright
Member	1.84	0.33	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$43,174,851	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,718,547	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,685,070	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2651	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TISHMAN CONSTRUCTION CO
100 PARK AVE 5TH FL	NEW YORK	NY	10017	CONSTRUCTION	$45,835,856
ACCENTURE INTERNATIONAL LIMITED
29889 NETWORK PLACE	CHICAGO	IL	60673	Consulting	$10,772,791
LF DRISCOLL HEALTHCARE
401 CITY AVE STE 500	BALA CYNWYD	PA	19004	CONSTRUCTION	$10,570,600
THE BOSTON CONSULTING GROUP
10 HUDSON YARDS	NEW YORK	NY	10001	CONSULTING	$9,800,000
GALE PARTNERS LLC
ONE WORLD TRADE CENTER FL62	NEW YORK	NY	10007	MARKETING	$7,333,827

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	286	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,666,288	RelatedOrganizationsAmt
Government Grants	$14,798,992	GovernmentGrantsAmt
All Other Contributions	$61,280,535	AllOtherContributionsAmt
Noncash Contributions	$1,409,118	NoncashContributionsAmt
Total Contributions	$80,745,815	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET INPATIENT REVENUE	622110	$429,285,711	$429,285,711
NET OUTPATIENT REVENUE	622110	$869,448,151	$869,448,151
PROFESSIONAL FEES	622110	$201,086,550	$201,086,550

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,499,820,412	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,632,139	TotalRevenueColumnAmt
Unrelated Business Revenue	-$173,547	UnrelatedBusinessRevenueAmt
Exclusion	$50,805,686	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,000	TotalRevenueColumnAmt
Exclusion	$242,000	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,817,051	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,715,057	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$898,006	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$898,006	TotalRevenueColumnAmt
Exclusion	-$898,006	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$284,055,774	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$274,068,457	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,987,317	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,987,317	TotalRevenueColumnAmt
Exclusion	$9,987,317	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RECOVERIES-EXPENSES	622110	$34,272,720	$34,272,720
RECOVERIES-MD RELATED EXP	622110	$38,299,010	$38,299,010
STAMFORD COLLABORATION	622110	$8,463,634	$8,463,634

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,294,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,039,103	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,255,570	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$116,330,037	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,756,859,714	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,614,894,879	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,082,023	UnrelatedBusinessRevenueAmt
Exclusion	$60,136,997	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$460,860	TotalAmt
Program Services	$460,860	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$25,180,220	TotalAmt
Program Services	$10,026,409	ProgramServicesAmt
Management And General	$15,153,811	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$4,990,223	TotalAmt
Program Services	$226,305	ProgramServicesAmt
Management And General	$4,763,918	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$760,066,494	TotalAmt
Program Services	$663,835,783	ProgramServicesAmt
Management And General	$96,230,711	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,367,691	TotalAmt
Program Services	$9,999,778	ProgramServicesAmt
Management And General	$1,367,913	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$113,850,774	TotalAmt
Program Services	$97,315,099	ProgramServicesAmt
Management And General	$16,535,675	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$46,977,136	TotalAmt
Program Services	$40,154,181	ProgramServicesAmt
Management And General	$6,822,955	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$27,061,757	TotalAmt
Program Services	$9,060,867	ProgramServicesAmt
Management And General	$18,000,890	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,024,641	TotalAmt
Management And General	$9,024,641	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$823,838	TotalAmt
Management And General	$823,838	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$400,000	TotalAmt
Management And General	$400,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,207,277	TotalAmt
Program Services	$20,257,847	ProgramServicesAmt
Management And General	$13,949,430	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$25,199,194	TotalAmt
Management And General	$25,199,194	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,541,926	TotalAmt
Program Services	$19,907,073	ProgramServicesAmt
Management And General	$6,634,853	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$48,015,968	TotalAmt
Management And General	$48,015,968	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$67,486,478	TotalAmt
Program Services	$56,196,348	ProgramServicesAmt
Management And General	$11,290,130	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,367,261	TotalAmt
Program Services	$2,617,281	ProgramServicesAmt
Management And General	$749,980	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,031,654	TotalAmt
Program Services	$9,272,092	ProgramServicesAmt
Management And General	$2,759,562	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$94,428,857	TotalAmt
Program Services	$73,174,753	ProgramServicesAmt
Management And General	$21,254,104	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$35,978,475	TotalAmt
Program Services	$22,008,892	ProgramServicesAmt
Management And General	$13,969,583	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES & IMPLANT	$221,513,412	$221,513,412
RESEARCH (NET OF RECOVERIES)	$27,286,440	$27,286,440
SPF SUPPLIES	$16,996,048	$16,996,048
BAD DEBT	$10,385,035	$10,385,035

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,901,599	TotalAmt
Program Services	$11,512,928	ProgramServicesAmt
Management And General	$7,388,671	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,642,543,258	TotalAmt
Program Services	$1,322,207,431	ProgramServicesAmt
Management And General	$320,335,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$265,686,066	BOYAmt
EOY	$289,544,784	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,729,490	BOYAmt
EOY	$40,772,452	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$260,200,029	BOYAmt
EOY	$256,454,479	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,069,127	BOYAmt
EOY	$15,081,296	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$23,006,729	BOYAmt
EOY	$26,978,407	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,826,423	BOYAmt
EOY	$11,116,083	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,963,181,444	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,074,261,491	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$819,035,831	BOYAmt
EOY	$888,919,953	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$654,598,739	BOYAmt
EOY	$757,681,345	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$395,987,000	BOYAmt
EOY	$403,154,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$335,400	BOYAmt
EOY	$279,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$626,884,550	BOYAmt
EOY	$745,005,668	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,124,359,384	BOYAmt
EOY	$3,434,987,967	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$175,942,817	BOYAmt
EOY	$197,734,400	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5,606,240	BOYAmt
EOY	$4,866,956	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$529,321,664	BOYAmt
EOY	$526,542,555	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$602,549,316	BOYAmt
EOY	$672,085,445	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,314,611,974	BOYAmt
EOY	$1,402,421,293	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,176,927,126	BOYAmt
EOY	$1,352,886,612	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$632,820,284	BOYAmt
EOY	$679,680,062	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,809,747,410	BOYAmt
EOY	$2,032,566,674	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,124,359,384	BOYAmt
EOY	$3,434,987,967	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$114,316,456	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$59,352,331	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$49,150,477	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$207,845,766	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$157,963,139	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$93,921,713	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$80,858,508	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,745,815	CurrentTaxYearAmt
Total	$621,334,941	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$207,845,766	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$157,963,139	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$93,921,713	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$80,858,508	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,745,815	CurrentTaxYearAmt
Total	$621,334,941	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$621,334,941	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,097,618	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,820,536	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,588,423	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$37,295,967	CurrentTaxYearMinus1YearAmt
Current Tax Year	$52,864,737	CurrentTaxYearAmt
Total	$142,667,281	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,001,451	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,519,480	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,504,482	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,142,463	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,082,023	CurrentTaxYearAmt
Total	$6,249,899	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$770,252,121	TotalSupportAmt
Gross Receipts Rltd Activities	$6,924,332,772	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.80666	PublicSupportCY170Pct
Public Support PY170	0.84902	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

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

Total Direct Lobbying TotalDirectLobbyingGrp

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

Total Lobbying Expend TotalLobbyingExpendGrp

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

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,642,143,258	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,642,143,258	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

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

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$636,538,944	BeginningYearBalanceAmt
Contributions	$98,024,362	ContributionsAmt
Investment Earnings Or Losses	$41,480,405	InvestmentEarningsOrLossesAmt
Other Expenditures	$92,644,990	OtherExpendituresAmt
End Year Balance	$683,398,721	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$552,991,816	BeginningYearBalanceAmt
Contributions	$108,445,701	ContributionsAmt
Investment Earnings Or Losses	$45,126,350	InvestmentEarningsOrLossesAmt
Other Expenditures	$70,024,923	OtherExpendituresAmt
End Year Balance	$636,538,944	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,595,048	BeginningYearBalanceAmt
Contributions	$84,214,715	ContributionsAmt
Investment Earnings Or Losses	-$46,124,110	InvestmentEarningsOrLossesAmt
Other Expenditures	$70,693,837	OtherExpendituresAmt
End Year Balance	$552,991,816	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$468,683,477	BeginningYearBalanceAmt
Contributions	$154,111,634	ContributionsAmt
Investment Earnings Or Losses	$26,040,976	InvestmentEarningsOrLossesAmt
Other Expenditures	$63,241,039	OtherExpendituresAmt
End Year Balance	$585,595,048	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.01000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.66000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,934,959	OtherCostOrOtherBasisAmt
Book Value	$98,934,959	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$872,897,882	OtherCostOrOtherBasisAmt
Depreciation	$532,200,698	DepreciationAmt
Book Value	$340,697,184	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$739,302,055	OtherCostOrOtherBasisAmt
Depreciation	$542,060,793	DepreciationAmt
Book Value	$197,241,262	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$252,046,548	OtherCostOrOtherBasisAmt
Book Value	$252,046,548	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$888,919,953	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$403,154,000	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$403,154,000	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDesc	Book ValueBookValueAmt
LEASE ASSETS	$367,205,806
INSURANCE CLAIMS RECEIVABLE	$125,421,221
INT IN HSS FUND, INC.-FASB 136	$120,672,498
DUE FROM AFFILIATES -MRKT SEC.	$24,631,823
457B DEFERRED COMP PLAN ASSETS	$29,205,833
DUE FROM AFFILIATES - NET	$42,083,126
INT - HSS FLORIDA PHYSICIA LLC	$10,818,595
INT - HSS ASC OF MANHATTAN LLC	$3,758,816
INVESTMENT IN PALM BEACH ASC	$2,687,917
INVESTMENT IN ADN	$1,289,605
INVESTMENT IN SUTTON HOUSE	$820,000
INVESTMENT IN HS2	$272,136
INT - HSS WESTSIDE ASC LLC	$2,395,479
INT - LI ASC	$4,333,458
INT - MAHWAH ASC	$9,327,304
INT - DEPRE HOLDINGS	$82,051

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$745,005,668	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
LEASE LIABILITIES	$415,520,760
DEFINED BENEFIT PENSION PLAN	$1,208,000
INSURANCE CLAIM LIABILITY	$125,421,220
DUE TO THIRD PARTY PAYORS	$34,753,564
457B DEFERRED COMP PLAN LIABIL	$29,206,223
ACCRUED POST-RETIREMENT HEALTH	$3,634,357
OTHER ACCRUED LIABILITIES	$62,341,321

Field	Value	IRS element (for citing)
Total Liability	$672,085,445	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (15 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$112,919,961
Central America and the Caribbean	0	Medical Insurance Premiums	$26,769,332
Central America and the Caribbean	1	Program Services	$147,000	PT. LIAISON/BUS DEV
Central America and the Caribbean	1	Program Services	$30,000	PT. LIAISON/BUS DEV
Central America and the Caribbean	1	Program Services	$48,000	PT. LIAISON/BUS DEV
Central America and the Caribbean	1	Program Services	$22,500	PT. LIAISON/BUS DEV
South America	1	Program Services	$60,000	PT. LIAISON/BUS DEV
South America	1	Program Services	$24,000	PT. LIAISON/BUS DEV
Europe (Including Iceland and Greenland)	0	Program Services	$2,500	PT. LIAISON/BUS DEV
North America	1	Program Services	$36,000	PT. LIAISON/BUS DEV
Middle East and North Africa	0	Program Services	$50,000	PT. LIAISON/BUS DEV
Europe (Including Iceland and Greenland)	0	Investments	$816,383
Europe (Including Iceland and Greenland)	0	Investments	$1,555,243
Europe (Including Iceland and Greenland)	0	Investments	$1,080,582
East Asia and the Pacific	0	Investments	$1,049,565

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	7	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	7	TotalEmployeeCnt
Subtotal Spent	$144,611,066	SubtotalSpentAmt
Total Spent	$144,611,066	TotalSpentAmt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

Field	Value	IRS element (for citing)
Type Of Assistance	APS ACTION YOUNG SCHOLAR AWARD	TypeOfAssistanceTxt
Region	Europe (Including Iceland and Greenland)	RegionTxt

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	500.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,528,364	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$778,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,749,855	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,472,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,264,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,208,452	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,280,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,473,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,807,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,282,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,516,356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,765,770	NetCommunityBenefitExpnsAmt
Total Expense	0.03460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,688,558	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,162,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,526,273	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,342,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,955,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,387,194	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,852,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,351,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,501,063	NetCommunityBenefitExpnsAmt
Total Expense	0.02030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$320,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$320,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,203,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,468,907	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,734,530	NetCommunityBenefitExpnsAmt
Total Expense	0.06860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,485,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,985,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$175,500,300	NetCommunityBenefitExpnsAmt
Total Expense	0.10320	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,042,975	BadDebtExpenseAmt
Reimbursed By Medicare	$194,116,829	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$280,290,526	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$86,173,697	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
HSS ASC OF MANHATTAN
HEALTH CARE	0.5106	0.0	0.4894
HSS WEST SIDE ASC
HEALTH CARE	0.535	0.09	0.375
HS2 LLC
SURGEON TALENT MANAGEMENT CO	0.1109	0.0362	0.8529

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.hss.edu/community.asp	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.hss.edu/community.asp	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	500.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	700.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
Other Reason	Yes (X)	OtherReasonInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 5	A 32-question survey was developed through the collective efforts of a seven-member HSS CHNA steering committee, internal stakeholders, community partners, and the public. Collaboration with these groups was crucial to the success of this survey, with valuable feedback provided on survey construction and length. To reach a culturally diverse community, the survey was translated into Spanish, Chinese and Russian, using a culturally sensitive back translation approach by certified translators. HSS UTILIZED ALCHEMER, A WEB-BASED SURVEY PLATFORM FOR THE DEVELOPMENT AND DISTRIBUTION OF THE ELECTIONIC FORMAT OF THE SURVEY. THE SURVEY INCLUDED VALIDATED MEASURES FROM SERVERAL NATIONAL AND STATE HEALTH QUESTIONNAIRES. Below outlines the list of community partners involved in survey construction: . Good Neighbors of Park Slope . Presbyterian Hospital/Weill Cornell Medical Center . Y - YW/YMHA . Over 60 Senior Center . Creaky Joints Espanol (GHLF) . Chelsea Piers . Lupus Research Alliance . Ridgewood YMCA . Carter Burden Network . Mount Sinai Hospital . New York Presbyterian-Columbia University Hospital . Spondylitis Association of America . NYC DOHMH, Bureau of Bronx Neighborhood Health . Norwalk Senior Center . DOROT Inc . Self-Help Innovative Senior Center . Friedman Health Center . Clinical and Translational Science Center . Greenwich Alliance for Education . Americares Free Clinics . Lupus Foundation of America . New York City Department of Health . Touro College Graduate School of Social Work . Westport Library . COHME . Stamford Senior Center . Clinical and Translational Science Center . Ivy Rehabilitation Network . Gray Panthers . 305 West End Assisted Living . Arthritis Foundation . Integrity Senior Services . The Bronx Health Link . Lupus Foundation of America . Visiting Nurse Services . Primecare Before survey implementation, HSS piloted the survey with community members to garner feedback and ensure survey items were relevant and easily understood. HSS also facilitated feedback from internal key stakeholders and community partners throughout the process of developing the survey. Recruitment and Sampling: A convenience sampling strategy was used to recruit individuals 18 years and older living within HSS' primary and secondary service areas to complete the community survey. An oversampling approach was used to reach medically underserved and diverse populations, through the following recruitment strategies: 1. Alchemer panel service: This was used to administer the survey online and obtain community input from underserved and diverse populations by oversampling. 2. HSS patient targeting approach: A list of over 140k patients aged 18 years and older who received medical services from all HSS locations between 2019 and 2021 were pulled from our electronic medical record (EMR). This allowed us to segment, target, and send the online survey to patients with no medical insurance, public insurance (Medicaid), living in medically underserved areas and who preferred to receive medical information in Spanish, Chinese or Russian. 3. Text Messaging: To engage and obtain input from HSS patients that are underserved and may not have access to a PC to complete the online survey, we used text message reminders to complete the survey. 4. Social Media Geo-Targeting: To further garner input from the public, especially from medically underserved communities, we used social media such as Facebook and Patch.com to geo-target individuals aged 18 years and older living in specific zip codes identified as Medically Underserved Areas (MUAs) within HSS' primary and secondary service areas. The MUAs were derived from the U.S. Department of Health and Human Services (https://bhw.hrsa.gov/workforce-shortage-areas/shortage-designation). In addition to our recruitment efforts described above in completing the online survey, other varied approaches such as paper, and QR codes were used to increase accessibility and survey response from our community. BOARD COMMUNITY INPUT: HSS facilitated systematic feedback from its various constituents (i.e., internal stakeholders, community partners including the local public health department, and the public) based on the CHNA results to guide the selection of the health needs and services to address in its community programming. Our approach to engaging our constituents to obtain their input is described below. a. CHNA Steering Committee and Internal Stakeholders: We involved various representatives from HSS departments in developing the community survey and interview guide. A seven-member HSS CHNA steering committee was formed to guide the development and implementation of the CHNA process, and ensure alignment with HSS values and strategic priorities, and the NYS prevention health agenda. The CHNA steering committee identified research questions to be addressed, drafted the individual survey questions, and identified community partners and internal stakeholders to be involved in the CHNA process. The steering committee also facilitated interviews with community partners. Key internal stakeholders from various departments (i.e., Education Institute, Nursing, Social Work, Nutrition, Rehabilitation, Ambulatory Care Centers, Service Excellence, and Language Services, Regional Markets, Patient Experience, Medical Staff and Attendings, Development, Public Relations, and Marketing, Digital Communications, and Quality) were integral in the community health assessment process by providing relevant feedback to the survey construction and the use of validated instruments. b. Public Health Departments and Other Experts: HSS collaborated with the New York City Department of Health and Mental Hygiene and the Greater New York Hospital Association (GNYHA). Through these collaborations, we adopted a community-engaged approach that involved feedback in the development of our community survey, collection of qualitative data to broadly identify the health status of our communities, and guidance on incorporating best practices for our CHNA. c. General public including medically underserved and low-income population: To facilitate input from the public including medically underserved and low income population on the construction of the community survey, we piloted the survey in English, Spanish, Chinese, and Russian from October 22-29, 2021, among 70 community members. This allowed us to obtain meaningful feedback about the length of the survey and ensure cultural relevancy and health literacy. d. Community partners: To facilitate active engagement among our community partners, we contacted 74 organizations requesting their involvement in the CHNA process. We received interest to review and provide feedback on the community survey from 36 community partners. Feedback included the length of the survey, use of validated instruments, cultural relevance, and literacy level of the community survey. In addition, 22 community partners provided their input by participating in key informant interviews as described above. e. PAST COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS: THE POSTED THE 2019-2021 CHNA IMPLEMENTATION PLAN ON ITS WEBSITE (HTTPS://WWW.HSS.EDU/COMMUNITY.ASP), ALLOWING THE PUBLIC TO REVIEW AND PROVIDE FEEDBACK. AN EMAIL ADDRESS (COMMUNITY.ED@HSS.EDU) WAS PROVIDED ON THE WEBSITE TO RECEIVE QUESTIONS OR COMMENTS. HSS HAS NOT RECEIVED ANY COMMENTS REGARDING ITS 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. Prioritization and selection of health needs: To further HSS' commitment to developing programs that improve the health of our culturally diverse communities, obtaining feedback from the public and medically underserved, low-income, and minority populations were instrumental in driving the Hospital's selection of significant health needs to improve the health of communities where dramatic health disparities exist. Our approach to prioritizing health needs was to solicit input from the public through virtual community forums. Eight community forums were held to allow community members an opportunity to identify and prioritize health needs that provided HSS with the appropriate direction in selecting its public health priorities. Specific dates, locations, and attendance for the community forums were as follows: - June 02, 2022 at Community members (4 people present) - June 06, 2022 at Community members (1 person presents) - June 14, 2022 at Community members (29 people present) - June 16, 2022 at Community members (10 people present) - June 16, 2022 at Charla de Lupus (Teen, Young Adult, and Parent Support Group) (29 people present) - June 20, 2022 at Community members (18 people present) - June 22, 2022 at Community members (32 people present) - June 24, 2022 at Community partners (8 people present) A total of 131 community members participated in the community forums where participants were asked to rank seven health indicators, from a list of 20, identified in the CHNA according to the order of personal importance (wher
PART V, LINE 7D	THE HOSPITAL SUMMARIZED THE RESULTS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ITS COMMUNITY BENEFIT REPORT. THE COMMUNITY BENEFIT REPORT AND CHNA ARE POSTED ON THE HOSPITALS WEBSITE, AT https://www.hss.edu/education-institute/community-education/community-bene fit, AND BOOKLETS ARE ALSO DISTRIBUTED WITHIN THE HOSPITAL. THE COMMUNITY BENEFIT REPORT IS ALSO E-MAIL BLASTED TO OUR COMMUNITY PARTNERS, SELECTED DONORS AND PUBLIC OFFICIALS.
PART V, LINE 11	A detailed description of how HSS' hospital-based, outreach, and support initiatives will address health needs, the anticipated impact of the implementation strategy, and planned collaboration with organizations are provided below. HSS is addressing all significant health need identified in the most recently conducted CHNA. 1. Asian Bone Community Health Initiative: This initiative is comprised of culturally relevant evidence-based interventions (i.e. yoga, low-impact chair exercises and Self-management education workshops) designed to improve Asian older adults' management of their chronic musculoskeletal conditions (such as osteoarthritis and osteoporosis) and its symptoms (e.g. stiffness, fatigue, chronic pain) while also increasing access to care in this medically underserved community. The anticipated program impact includes increased access to linguistically-and culturally, increased competent musculoskeletal health programs, increased knowledge of self-management techniques, increased self-management skills of at-risk Asian older adult, and improved musculoskeletal health outcomes by decreasing musculoskeletal pain, stiffness, fatigue, and falls, and increasing the frequency of physical activity and self-efficacy. This program is a community-based initiative and will partner with Visiting Nurse Services of NY, Carter Burden Network, Self Help Community Center-Flushing, and Queens Community House in addressing the health need. 2. Musculoskeletal Health Wellness Initiative (MHI): This initiative is comprised of education and exercise programs to raise awareness, educate and reduce the impact of musculoskeletal conditions (such as osteoarthritis, osteoporosis, rheumatoid arthritis, gout, fibromyalgia) and its symptoms (e.g. stiffness, fatigue, chronic pain) in the community. Programs are held throughout the tri-state area specifically in New York City, Long Island, Westchester, NY, Stamford, CT, and Paramus, NJ as well as virtually via zoom and teleconference. The initiative offers evidence-based interventions such as Yoga, Tai Chi, Pilates, and SME workshops. The anticipated program impact includes increased access to musculoskeletal health programs among ethnically diverse populations, increased self-management skills and confidence to manage chronic conditions and orthopedic care, increased knowledge of musculoskeletal conditions and self-management techniques, and improved musculoskeletal health outcomes by decreasing musculoskeletal pain, stiffness, and fatigue, and physical health of the at-risk population. This program is a community-based initiative and will partner with YMCAs, Libraries, Senior Centers, and Mediflix. 3. VOICES 60+ Senior Advocacy Program: The program provides resources and support for patients and community members over 60 years old with arthritis and related rheumatologic diseases. The program was developed to assess and address the specific and unique needs of culturally and linguistically diverse older adults who are frequently marginalized in the healthcare setting by providing advocacy services, referrals to community resources, enhancing patient-provider communication, and supporting patients and their families in understanding and coping with their illnesses. Anticipated program impact includes increased knowledge of cognitive behavioral therapy (CBT) and mindfulness techniques, increased self-efficacy in using CBT and mindfulness techniques to reduce pain, self-reported improvement in communication between participant and provider, and self-efficacy in managing patient-provider communication. This program is a community-based initiative and will partner with Carter Burden Network, Dorot, Inc., Lenox Hill Neighborhood House, Service Program for Older People (SPOP), Selfhelp Community Services, and Stanley Isaacs Neighborhood Center. 4. Pain and Stress Management (PSM) Program: This program is comprised of educational, and mindfulness-based coping techniques to raise awareness, educate and improve the ability to cope with pain and stress. It offers mind/body workshops, exercises such as Yoga, and expert-guided meditation to help reduce physical and mental stressors. All the educational programs are taught by experienced physicians, nurses, and physical/occupational therapists, while Yoga workshops are led by certified yoga instructors. Anticipated program impact includes increased access to complementary alternatives to opioids for those experiencing chronic pain and stress, acknowledge of self-management techniques, increased utilization of self-management skills, and use of mind-body practices to manage pain and stress in place of medication. This program is a community-based initiative and will partner with HSS Ambulatory Care Center, and HSS Department of Rheumatology. 5. Aging with Dignity (AWD): This program was created to target social isolation and provide programming to connect through different modalities such as journaling, art, and music. The AWD program also runs a weekly Aging with Dignity support group via teleconference to level participation equally from participants who do not own or are not comfortable with using computers. The support group offers a place for older adults to discuss the challenges of growing older as they feel they are becoming more invisible in society. Anticipated program impact includes increased knowledge of journaling, art, music, and how to access credible health information on the internet, increased knowledge or understanding of new skills/tools, increased self-management skills, and access to creative programs. This program is a community-based initiative and will partner with Breaking Ground, JASA, Lenox Hill Neighborhood House, and Prime Care. 6. Charla de Lupus/Lupus Chat: This is a social work-led program that engages and trains peer volunteers to become empowering role models by providing culturally relevant strategies to help increase understanding of this complex illness and its treatment, improve medication adherence, and enhance coping and healthy behaviors. Comprehensive bilingual (English/Spanish) services include the Charla Line, toll-free national support and education helpline; weekly Onsite Peer Support Outreach at four hospital-based clinics, monthly Charla Teen and Parent Lupus Chat Groups; numerous communities, professional education, and government collaborations. Anticipated program impact increased knowledge in culturally diverse systemic lupus erythematosus (SLE) teens/young adults on how to identify perceived discrimination/implicit bias, increased self-efficacy skills in culturally diverse SLE teens/young adults in addressing perceived discrimination/implicit bias, increased physician understanding and knowledge of bias and perceived discrimination in culturally diverse SLE patients, and increased physician integration of training concepts into their practice aligned with perceived discrimination/implicit bias. This program is a community-based initiative and will partner with Dr. Alisha Akinsete from HSS and Columbia University Medical Center and Monica Richey, NP, from Northwell Health Hospital. 7. LANtern Lupus Asian Network: HSS LANtern is a national model for the support and education of Asian Americans with lupus and their families. LANtern is the only hospital-based support and education program designed specifically for Asians/Asian Americans with lupus. Through its bilingual (English/Chinese) Support Line, publications, community and professional programs, and capacity building, the program seeks to enhance awareness, understanding, coping, and knowledge for Asian Americans with lupus and their loved ones. The anticipated program impact includes increased self-efficacy among Asian community participants with lupus, increased effective self-management skills for community participants with lupus, and increased knowledge among community participants with lupus. This program is a community-based initiative and will partner with Association of Chinese American Physicians (ACAP), Charles B. Wang Community Health Center (CBWCHC), Chinese American Medical Society (CAMS), Lupus Foundation of America (LFA), New York Presbyterian Lower Manhattan Hospital, Visiting Nurse Service (VNS), and Chinatown Community Center. 8. Inflammatory Arthritis (IA) Support and Education Programs: This initiative addresses the psychoeducational needs of community members and their families living with long-standing rheumatoid arthritis, and for people newly diagnosed. These monthly programs feature a lecture on an RA-specific topic its management, presented by healthcare professionals, and are followed by a support group, co-facilitated by a social worker and a rheumatology nurse. The anticipated program impact includes increased self-efficacy, increased coping skills, increased access to culturally and linguistically tailored, disease-specific support and education to the Latinx RA community, and perceived improved coping, self-management, and
PART V, LINE 13C,G	PER HOSPITAL POLICY, ASSETS FOR THOSE INDIVIDUALS WITH INCOME ABOVE 400% OF THE POVERTY GUIDELINES MAY BE CONSIDERED IN THE CALCULATION UTILIZED IN DETERMINING DISCOUNTS TO PATIENTS. HOWEVER, IN PRACTICE, ASSETS ARE NOT CONSIDERED IN ANY DETERMINATION. AVAILABLE NET ASSETS WILL NOT BE CONSIDERED FOR ANY INDIVIDUAL WHOSE INCOME LEVEL IS AT 400% OR LESS OF THE FPL. MODIFIED FROM 300% TO 400% IN OCTOBER 2024 BASED UPON UPDATED NYS REQUIREMENTS. RESIDENTS OF THE UNITED STATES WHOSE GROSS ANNUAL INCOME DOES NOT EXCEED SEVEN TIMES THE MOST CURRENT U.S. HEALTH AND HUMAN SERVICES (HHS) POVERTY GUIDELINES FOR THEIR FAMILY SIZE (TOTAL EXEMPTIONS CLAIMED ON THEIR FEDERAL TAX RETURN) ARE ELIGIBLE TO BE CONSIDERED FOR A PERCENTAGE DISCOUNT OF THEIR HOSPITAL BILL AS OUTLINED IN THIS POLICY, INCLUDING, WHERE APPLICABLE, A DISCOUNT OFF OF THEIR CO-PAYMENTS OR DEDUCTIBLES. NON-RESIDENTS OF THE UNITED STATES MAY BE CONSIDERED FOR A CHARITABLE DISCOUNT. THE POLICY INCLUDES A "SPECIAL ACCESS PROGRAM". INDIVIDUALS WHO DON'T EXCEED 700% OF THE FPL, BUT FAIL THE COVERAGE CRITERIA STATED BELOW, MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE SPECIAL ACCESS PROGRAM, BUT ONLY THOSE INDIVIDUALS WHO ARE NOT ANTICIPATED TO REQUIRE SERVICES OUTSIDE OF HSS. THE SPECIAL ACCESS PROGRAM MAKES FINANCIAL ASSISTANCE AVAILABLE TO THE FOLLOWING GROUPS, PROVIDED THE APPLICABLE INDIVIDUALS SATISFY THE FINANCIAL CRITERIA (INCOME AT OR BELOW 700% FPL): U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE), BUT THE SERVICE THE INDIVIDUAL NEEDS IS OF A TYPE THAT IS NOT REASONABLY AVAILABLE (AND COVERED UNDER THE INDIVIDUAL'S PLAN) NEARER TO THE PATIENT'S RESIDENCE THAN HSS. GENERALLY, THIS RULE IS INTENDED TO APPLY TO HIGHLY SPECIALIZED CARE THAT IS NOT AVAILABLE AT MOST HOSPITALS, BUT IS AVAILABLE AT HSS. U.S. RESIDENTS WHO HAVE MEDICAL INSURANCE THAT DOES NOT PAY FOR SERVICES AT HSS (AND NO OUT-OF-NETWORK COVERAGE IS AVAILABLE) BUT DO NOT QUALIFY UNDER THE PRECEDING PARAGRAPH (2)(D)(1), AND NON-U.S. RESIDENTS WITH NO APPLICABLE COVERAGE, IN EACH CASE WHO ARE REFERRED TO HSS BY PHYSICIANS WHO ARE PARTICIPANTS IN THE HSS PHYSICIAN HOSPITAL ORGANIZATION (PHO), PROVIDED THAT SUCH REFERRAL IS APPROVED BY HSS.
PART V, LINE 16A-C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE ON THE HOSPITALS WEBSITE AT: www.hss.edu/financial-assistance.asp PART V, LINE 16J INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY AND SUMMARY OF THE HOSPITAL'S POLICY IS POSTED ON THE HOSPITAL'S WEBSITE. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION.
PART V, LINE 21D	THE HOSPITAL FOR SPECIAL SURGERY IS A SPECIALTY ORTHOPEDIC HOSPITAL AND DOES NOT OPERATE AN EMERGENCY ROOM. THE HOSPITAL IS AFFILIATED WITH THE NEW YORK PRESBYTERIAN HEALTH SYSTEM, WHICH OPERATES A FULL-SERVICE HOSPITAL MAINTAINING AN EMERGENCY ROOM LOCATED ADJACENT TO THE HOSPITAL FOR SPECIAL SURGERY.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HSS ASC OF MANHATTAN
1233 SECOND AVENUE	NEW YORK	NY	10065	AMBULATORY SURGERY CENTER
HSS WEST SIDE ASC LLC
600-610 WEST 58TH STREET	NEW YORK	NY	10019	AMBULATORY SURGERY CENTER
HSS PHYSIATRY & PAIN MANAGEMENT
429 EAST 75TH STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES,& AFFL PHYS OFFICES
HSS LONG ISLAND OUTPATIENT CENTER
333 EARLE OVINGTON BLVD	UNIONDALE	NY	11553	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES & AFFL PHYS OFFICES
HSS STAMFORD OUTPATIENT CENTER
1 BLACHLEY ROAD	STAMFORD	CT	06902	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, SPECIAL PROCEDURES,& AFFL PHYS OFFICES
HSS WESTCHESTER OUTPATIENT CENTER
1133 WESTCHESTER AVENUE	WHITE PLAINS	NY	10604	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
HSS WEST SIDE OUTPATIENT CENTER
600-610 WEST 58TH STREET	NEW YORK	NY	10019	OUTPATIENT CENTER WITH DIAGN IMAGING, PHYS THERAPY, SPECIAL PROCEDURES & AFFL PHYS OFFICES
HSS EAST RIVER PROFESSIONAL BUILDING
523 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING & AFFILIATED PHYSICIAN OFFICES
HSS PARAMUS OUTPATIENT CENTER
140 EAST RIDGEWOOD AVENUE	PARAMUS	NJ	07652	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY & AFFL PHYS OFFICES
HSS SPORTS PERFORMANCE CENTER
525 EAST 71ST BELAIRE BUILDING	NEW YORK	NY	10021	OUTPATIENT CENTER WITH PHYSICAL THERAPY
HSS BROOKLYN OUTPATIENT CENTER
148-168 39TH STREET	BROOKLYN	NY	11232	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS Midtown
770 Lexington Ave	NEW YORK	NY	10065	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS Pediatric Rehabilitation Outpatient
510 East 74th Street	NEW YORK	NY	10021	OUTPATIENT CENTER WITH physical, occupational, and speech therapy services
HSS AMBULATORY CARE CLINIC
475 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND CLINIC
HSS HUDSON YARDS
560 W 33RD ST	NEW YORK	NY	10001	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS RIVER TERRACE
519 EAST 72ND STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
HSS FLORIDA
300 PALM BEACH LAKES BLVD	WEST PALM BEACH	FL	33401	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING, PHYSICAL THERAPY, & AFFL PHYS OFFICES
HSS SPINE THERAPY CENTER
405 EAST 75TH STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH PHYSICAL THERAPY
HSS QUEENS OUTPATIENT CENTER
176-60 UNION TURNPIKE	FRESH MEADOWS	NY	11366	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES
HSS DANA CENTER
510 EAST 73RD STREET	NEW YORK	NY	10021	OUTPATIENT CENTER WITH MOTION ANALYSIS
HSS Southampton
56 Flying Point Rd	Southampton	NY	11968	Outpatient Center with Diagnostic Imaging and Affiliated Physician Offices
HSS Florida - Wellington
1395 S State Rd 7	Wellington	FL	33401	OUTPATIENT CENTER WITH DIAGNOSTIC IMAGING AND AFFILIATED PHYSICIAN OFFICES

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN F	2024 BAD DEBT EXPENSE PRESENTED ON THE 2024 AUDITED FINANCIAL STATEMENTS WAS $10,874,058. IN ADDITION, TOTAL OPERATING EXPENSE WAS ADJUSTED ACCORDINGLY TO REFLECT THE .35% ($5,100,499) HEALTH FACILITY TAX ASSESSMENT AND 1% ($4,271,030) STATEWIDE ASSESSMENT IMPOSED BY NEW YORK STATE. AS SUCH, THESE FEES WERE ADJUSTED ACCORDINGLY IN LINE 7 AS WELL AS THE TOTAL OPERATING EXPENSE. PART I, LINE 7 THE HOSPITAL USED THE FOLLOWING METHODOLOGIES TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE ON SCHEDULE H, LINE 7: (1)LINE 7A "FINANCIAL ASSISTANCE AT COST" - UTILIZED GROSS CHARGES WRITTEN OFF REFLECTED IN THE 2024 MEDICARE COST REPORT AND REDUCED TO COST BY APPLYING THE RATIO OF PATIENT CARE COST-TO-CHARGES. THE PATIENT COST TO CHARGE RATIO IS CALCULATED IN WORKSHEET 2 WITH INFORMATION FROM THE 2024 MEDICARE COST REPORT AND HSS' 2024 GENERAL LEDGER TRIAL BALANCE. THIS COST WAS OFFSET BY THE NEW YORK STATE UNCOMPENSATED CARE POOL REVENUE. (2)LINE 7B "UNREIMBURSED MEDICAID" - UTILIZED THE DECISION SUPPORT ACCOUNTING SYSTEM TO IDENTIFY TOTAL COST (DIRECT AND INDIRECT) IN PROVIDING PATIENT SERVICE TO MEDICAID AND MEDICAID MANAGED CARE PATIENTS. IN ADDITION, ASSESSMENTS TO NYS FOR INDIGENT CARE POOLS ARE INCLUDED. (3)LINE 7E "COMMUNITY HEALTH IMPROVEMENT SERVICES" - THE HOSPITAL APPLIED ACTUAL EXPENSES TO DERIVE DIRECT COST AND UTILIZE THE COST REPORT TO DERIVE INDIRECT EXPENSES, APPLICABLE TO SUCH PROGRAMS. (4)LINE 7F "HEALTH PROFESSION EDUCATION" - THE MEDICAL EDUCATION COST WAS OBTAINED FROM THE 2024 MEDICARE COST REPORT FOR DIRECT AND INDIRECT EXPENSE. THE COST WAS OFFSET BY MEDICARE AND MEDICAID REVENUE RELATED TO DIRECT GME AS WELL AS OTHER DIRECT OFFSETTING REVENUE RELATED TO "HEALTH PROFESSION EDUCATION". (5)LINE 7H "RESEARCH" - THE 2024 MEDICARE COST REPORT WAS UTILIZED.
PART III, LINES 2, 3, 4	A COST TO CHARGE RATIO OF 37.18% AS CALCULATED PER THE APPLICABLE FORM 990 INSTRUCTIONS WAS APPLIED TO THE BAD DEBT EXPENSE (AT CHARGES) OF $10,874,058 TO CALCULATE THE BAD DEBT EXPENSE OF $4,042,975 AT COST. IN 2024, THE HOSPITAL SCREENED BOTH INPATIENT AND OUTPATIENT ACCOUNTS PRIOR TO BEING CLASSIFIED AS BAD DEBT FOR "PRESUMPTIVE ELIGIBILITY" UTILIZING A COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE. THE UNCOMPENSATED CARE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENT STATES, "AS A MATTER OF POLICY, THE HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED EITHER AS CHARITY CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY OR AS BAD DEBT EXPENSE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING AND TAKING INTO ACCOUNT THE ABILITY OF THE PATIENT TO PAY. THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM'S ELIGIBILITY THRESHOLD IS 700% OF THE FEDERAL POVERTY GUIDELINES, WHICH IS IN EXCESS OF THE NEW YORK STATE MINIMUM REQUIREMENTS OF 400%, updated from 300% in October of 2024. THE HOSPITAL HAS DEFINED CHARITY CARE FOR ACCOUNTING AND DISCLOSURE PURPOSES AS THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. AS THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY IS NOT PURSUED, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. PATIENTS WHO DO NOT QUALIFY FOR DISCOUNTED FEES ARE BILLED AT THE HOSPITAL'S ESTABLISHED CHARGES. UNCOLLECTED BALANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. TOTAL UNCOMPENSATED CARE IN 2024 AND 2023 FOR ALL PATIENT SERVICES AGGREGATED APPROXIMATELY $39.9 MILLION AND $33.1 MILLION RESPECTIVELY. IN ADDITION, THE HOSPITAL OPERATES ITS CLINICS AT A LOSS, TO HELP MEET THE NEEDS OF LOW INCOME AND UNINSURED INDIVIDUALS, AND ALSO OPERATES NUMEROUS OUTREACH AND EDUCATION PROGRAMS WHICH BENEFIT THE COMMUNITIES IT SERVES."
PART III, LINE 8	OVER 56.6% OF THE HOSPITAL'S INPATIENT POPULATION IS REPRESENTED BY MEDICARE and Medicare Managed Care. THE MEDICARE SHORTFALL OF $86,173,697 AS REPORTED IN PART III, LINE 7 WAS CALCULATED USING MEDICARE COST REPORTING PRINCIPLES AND A COST TO CHARGE RATIO METHODOLOGY. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL IS PROVIDING CARE TO THESE PATIENTS WITH FULL KNOWLEDGE THAT THE MEDICARE REIMBURSEMENT WILL NOT COVER THE COST OF PROVIDING CARE TO THESE RESIDENTS OF OUR COMMUNITY.
PART III, LINE 9B	SELF PAY BALANCES, INCLUDING RESIDUAL BALANCES DUE AFTER PAYMENT FROM AN INSURANCE CARRIER, AS WELL AS BALANCES DUE AFTER FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED, ARE HANDLED ACCORDING TO THE FOLLOWING POLICY: ALL PATIENTS ARE BILLED USING STANDARD CYCLES INCLUDING THE ISSUANCE OF A DETAILED BILL, COLLECTION LETTERS AND/OR TELEPHONE CALLS, AND THEN TRANSFERRED TO A "PRE-COLLECTION STATUS." THESE COLLECTION EFFORTS ARE DOCUMENTED ELECTRONICALLY IN THE PATIENT'S FILE. DURING THE PRE-COLLECTION PHASE, ADDITIONAL TELEPHONE CALLS AND/OR LETTERS ARE MADE TO ATTEMPT TO COLLECT PAYMENT IN FULL. IF UNSUCCESSFUL, THE ACCOUNT IS TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY, NO LESS THAN 120 DAYS AFTER THE ORIGINAL SELF PAY BILLING DATE. THESE REASONABLE COLLECTION EFFORTS INCLUDE ALL PATIENT ACCOUNTS, FOR BOTH MEDICARE AND NON-MEDICARE PATIENTS. MEDICARE AND NON-MEDICARE ACCOUNTS ARE RECORDED SEPARATELY. ANY PATIENTS EXPRESSING INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE WILL HAVE THEIR BILLS HELD PENDING ELIGIBILITY DETERMINATION. IF PATIENT IS ELIGIBLE, THE ACCOUNT WILL BE REDUCED BASED ON THE APPROPRIATE SLIDING SCALE DISCOUNT AND THE RESULTING BALANCE WILL BE RE-BILLED ACCORDINGLY. PAYMENTS RECEIVED BY THE COLLECTION AGENCY REDUCE THE AMOUNT RECORDED AS BAD DEBT. IT IS THE HOSPITAL'S PRACTICE NOT TO FILE SUIT, ATTACH ASSETS, OR PURSUE LIENS FOR ALL PATIENTS INCLUSIVE OF FAP ELIGIBLE PATIENTS. IN CERTAIN INSTANCES, IN COORDINATION WITH THE HOSPITAL'S INTERNAL LEGAL COUNSEL, THE HOSPITAL MAY TAKE SUCH MEASURES IF DEEMED WARRANTED. PAYMENT ARRANGEMENTS: IF PATIENTS ARE UNABLE TO PAY THE ENTIRE BALANCE IN FULL, PAYMENT ARRANGEMENTS OF MONTHLY PAYMENT WILL BE OFFERED. UNDER SUCH ARRANGEMENTS, ACCOUNTS ARE TYPICALLY PAID IN FULL WITHIN SIX TO TWELVE MONTHS UNLESS OTHERWISE EXTENDED AS PART OF THE FINANCIAL ASSISTANCE PROGRAM. A CONFIRMATION LETTER WILL BE SENT WITHIN 5 DAYS, EXPLAINING THE TERMS OF THE AGREEMENT. IF A MONTHLY PAYMENT IS MISSED, THE ACCOUNT WILL PROGRESS TO THE NEXT STAGE IN THE CYCLE. UNDER CERTAIN CIRCUMSTANCES, HSS MAY PROVIDE FINANCIAL ASSISTANCE PRIOR TO, OR WITHOUT, ANY APPLICATION BEING MADE FOR SUCH ASSISTANCE. AT HSS, THIS WILL BE PERFORMED THROUGH A SCREENING PROCESS. UNPAID ACCOUNTS WILL BE SCREENED USING COMMERCIALLY AVAILABLE INCOME PREDICTOR SOFTWARE TO DETERMINE WHETHER INDIVIDUALS MAY QUALIFY FOR FINANCIAL ASSISTANCE (PRESUMPTIVE ELIGIBILITY). HSS WILL ALSO CONDUCT PRESUMPTIVE ELIGIBILITY SCREENINGS ON ACCOUNTS PRIOR TO REFERRAL FOR ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) AS DEFINED BELOW IN "COLLECTION ACTIVITIES". PRESUMPTIVE ELIGIBILITY DETERMINATIONS WILL APPLY ONLY TO THE UNPAID BALANCE(S) THAT TRIGGERED THE SCREENING PROCESS. IF THE INDIVIDUAL QUALIFIES UNDER THE PRESUMPTIVE METHODOLOGY WITH RESPECT TO THE UNPAID BALANCE(S), THEN HSS WILL GRANT THE MAXIMUM LEVEL OF ASSISTANCE OTHERWISE PERMITTED WITH RESPECT TO THE UNPAID AMOUNT. INDIVIDUALS WHO ARE GRANTED FINANCIAL ASSISTANCE UNDER PRESUMPTIVE ELIGIBILITY WILL BE PROVIDED NOTICE OF THEIR ABILITY TO APPLY FOR ADDITIONAL ASSISTANCE UNDER THE POLICY. IF PRESUMPTIVE ELIGIBILITY IS AWARDED BASED ON A SCREENING OF UNPAID BALANCES OVER 240 DAYS, INDIVIDUALS MAY, WITHIN THIRTY (30) DAYS FROM THE DATE OF THE GRANTING OF PRESUMPTIVE ELIGIBILITY, APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE FOR THE SERVICES TO WHICH THE PRESUMPTIVE ELIGIBILITY DETERMINATION HAS BEEN APPLIED. IN 2024, THE HOSPITAL CONDUCTED NO EXTRAORDINARY COLLECTION ACTIONS.
PART VI, LINE 2 - NEEDS ASSESSMENT	HOSPITAL FOR SPECIAL SURGERY'S NEEDS ASSESSMENT PROCESS INCORPORATES RELEVANT NATIONAL, STATE, AND CITY HEALTH DATA, GOALS, AND PRIORITIES. THE HOSPITAL UTILIZES HEALTHY PEOPLE 2025, WHICH SETS BROAD-BASED GOALS AND OBJECTIVES TO EXPAND AMERICANS' ACCESS TO CARE, AND TO ELIMINATE HEALTH DISPARITIES BY AGE, GENDER, RACE, OR DISABILITIES, AND PAYS SPECIAL ATTENTION TO INFORMATION REGARDING THE DIVERSE NEEDS OF ALL NEW YORKERS. THE HOSPITAL ROUTINELY CONDUCTS NEEDS ASSESSMENTS AMONG KEY GROUPS IN ITS COMMUNITY, ON WHICH TO BASE MULTI-YEAR PROGRAMS. OTHER NEEDS ASSESSMENT DATA IS GATHERED THROUGH A RIGOROUS EVALUATION PROCESS OF PUBLIC PROGRAMS. IN 2022, HSS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO PROVIDE INSIGHT INTO OUR COMMUNITY'S: (1) HEALTH STATUS AND QUALITY OF LIFE; (2) HEALTH BEHAVIOR AND LIFESTYLE; (3) USE OF AND ACCESS TO CARE; AND (4) SOCIO-DEMOGRAPHIC CHARACTERISTICS, garnering a response from more than 18,000 patients and community members. IN ADDITION, key informant interviews were held with 22 community partners TO ALLOW for additional insight into community health needs. A series of 8 virtual forums reaching 131 community members were also held, where they engaged in an open discussion about the CHNA results and were then asked to rank 7 health indicators in order of importance. This provided HSS WITH DIRECTION IN FOCUSING ITS PUBLIC HEALTH PRIORITIES. ALL HOSPITAL Community Education & Outreach PROGRAMS, AND DIAGNOSIS-BASED SUPPORT AND EDUCATION GROUPS INCLUDE PARTICIPANT SURVEYS, AND THE FEEDBACK FROM THESE ARE USED IN FORMULATING NEW OR REFINING EXISTING EDUCATION AND SUPPORT-BASED OFFERINGS FOR PATIENTS and the public. FURTHER, THE HOSPITAL'S PATIENT EXPERIENCE COUNCIL REVIEWS PRESS GANEY PATIENT COMMENTS AND QUARTERLY REPORTS, AND ALONG WITH DEPARTMENTAL MANAGERS AND MULTIDISCIPLINARY TEAMS DEVELOPS IMPROVEMENTS IN SERVICES BASED ON THIS FEEDBACK OF PATIENTS' NEEDS. FINALLY, TO ENSURE THE RANGE OF NEEDS IS INTERPRETED AT THE HIGHEST LEVEL OF MANAGEMENT, THE QUALITY BETTER COMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES RECEIVES AND REVIEWS ONGOING REPORTS THAT INCLUDE RESULTS OF PATIENTS' SATISFACTION TRENDS AND A SUMMARY OF THE HOSPITAL-WIDE QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED IN SIGNAGE IN ALL AREAS OF THE HOSPITAL AND ANCILLARY SERVICE LOCATIONS WHERE A PATIENT IS REGISTERED FOR SERVICES. ANY HOSPITAL BILL RECEIVED BY THE PATIENT FOR SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ADDITIONALLY, ANY BILL SENT TO A PATIENT BY THE HOSPITAL OR THE HOSPITAL'S COLLECTION SERVICE CONTAINS INFORMATION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. ALL REGISTRATION, CUSTOMER SERVICE, AND PATIENT ACCOUNTING STAFF ARE TRAINED ON THE AVAILABILITY OF THE PROGRAM AND INSTRUCTED ON HOW AND WHEN TO COMMUNICATE THIS INFORMATION. THE FINANCIAL ASSISTANCE ASSOCIATES EDUCATE, SCREEN, AND MAKE THE ELIGIBILITY DETERMINATION FOR THE HSS FINANCIAL ASSISTANCE PROGRAM. THE ASSOCIATES ARE ALSO AVAILABLE TO ASSIST THE PATIENT IN FILLING OUT ALL FINANCIAL ASSISTANCE RELATED FORMS.
PART VI, LINE 4 - COMMUNITY INFORMATION	The Hospital for Special Surgery's primary service area consists of the five boroughs of New York City, while its secondary service area is comprised of Hudson Valley, New York; Northern and Central New Jersey; Connecticut; Long Island, New York; Palm Beach and Collier County, Florida. HSS patients come from many communities locally, regionally, nationally, as well as internationally.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	Hospital For Special Surgery's (HSS) community outreach brings information to patients, professionals and the public through collaboration with educational, multi-service social service agencies, faith-based organizations, support and education groups and programs, community-based organizations, and academic institutions. In addition, HSS provides educational opportunities to the community through health fairs, educational lectures and workshops through partnerships with public schools, health clinics, senior centers and other community based organizations. In 2024, we collaborated with an array of community organizations to meet educational and support needs for underserved communities in areas such as musculoskeletal health, nutrition and physical activity, lifestyle medicine, health literacy, social support and disease self-management. Each year HSS sponsors various community education, support and outreach programs including educational workshops on musculoskeletal health and wellness, Leon Root, MD Pediatric Outreach Program, HSS Asian Community Bone Health Initiative, Greenberg Academy for Successful Aging's Aging With Dignity Initiative, Sneaker (super nutrition for all kids to eat right), HSS Youth athlete injury prevention programs, Pain & Stress Management Program, Lupusline, LANtern (Lupus Asian Network) The SLE Workshop, Early Rheumatoid Arthritis (RA), Living with RA Support And Education Groups and Latinx RA Community Support and Education Group VOICES 60+ Senior Advocacy Program, the Myositis Support and Education Group, Charla de Lupus (Lupus Chat), and the VOICES Medicaid Education Program. HSS offers a hybrid approach to our education & outreach programs, offering a mix of in-person and virtual programming. Depending on the audience, there were various formats used including zoom and conference call, ensuring our education, support and coaching programs were able to reach our diverse community. This hybrid approach allows us to reach a national and global audience of patients and the public. Many HSS programs featured HSS medical/clinical staff in helping patients and the public navigate their mobility, health and musculoskeletal issues. HSS places a high value on the impact that our community benefit programs have on the community. In 2024, we reached more than 11 million people with our live and on-demand programs, through over 1,300 programs, and distributed health education materials to nearly 6.5 million people (which includes over 900 thousand web page views and 5.5 million video views). Program evaluation surveys given to program participants assessing self-management metrics indicated that 93% of respondents gained knowledge from attending programs, 90% learned how to manage their condition and 95% were satisfied with the program. Qualitative assessments indicated that due to participating in our programs, participants felt a sense of connection with others, learned something new, felt less isolated and learned the most current, up-to-date information. In 2024, the Department of Social Work Programs reached over 5,376 patients and community members through a range of community support and education initiatives. These included in-person and virtual support programs, community education sessions, and disease-specific education for individuals living with rheumatic conditions. Our department's YouTube channel-available in English, Spanish, and Chinese-has garnered over 33,000 views in 2024. These videos reflect our commitment to patient-centered, disease-specific education and are culturally and linguistically tailored to reduce barriers and improve access for the diverse communities we serve. As part of its commitment to the community, in 2024 HSS continued to provide our community with valuable information on developed the Feel Better From Home platform, designed to make HSS expertise, insights and care available to anyone who needed it, wherever they needed it. The content provides information to help people stay active and healthy and are focused on injury prevention, fitness, health, mind/body and kids/sport. In addition, Social Work Programs and Community Education & Outreach worked with rheumatology clinicians and other HSS faculty to provide their expertise for a better understanding of musculoskeletal disease and continue to offer patients support around feelings of anxiety, depression, isolation, the loss of loved ones and coping with a chronic illness. A committee of the Board of Trustees focusing on the hospital's community benefit activities continues to provide oversight on HSS community education, outreach and support programs. HSS continues to have wide representation of our Community Service Plan (CSP) initiatives through ongoing programs specifically tailored for diverse communities offered in English, Spanish & Chinese. This included addressing the management of musculoskeletal issues and pain in older adults, lupus and mental health, lifestyle medicine and conducting key informant interviews to understand cultural themes regarding healthcare to enhance our interventions with our diverse communities. In addition, HSS has created webinars, blogs and educational videos for wide range of community benefit topics. HSS continues to engage with national audiences to elevate awareness of musculoskeletal health and best practices in disease self-management. As part of these efforts, staff from the HSS Community Education & Outreach team were invited to deliver two podium presentations at the 2024 American Public Health Association (APHA) Annual Meeting. The first presentation, "Bridging the Trust Gap: Implementing Innovative Email Strategies to Improve Public Health Communication in a Pandemic Era," highlighted digital engagement approaches during public health crises. The second, "Ensuring Cultural Competency in Evaluating Chinese Older Adults," focused on culturally responsive evaluation practices. In addition, HSS Education Institute staff presented a poster at the American Evaluation Association (AEA) Annual Conference titled "Building a Data Culture: Our Journey at the HSS Education Institute and Lessons Learned." This presentation explored institutional strategies for fostering a culture of continuous improvement through data-driven decision-making. The Social Work Programs Department was invited to the 2024 annual meeting of the American College of Rheumatology (ACR). Various social work leaders within our department serve in volunteer roles that highlight and reinforce the value of rheumatology professionals' contributions to patient care and research, advancing care for individuals impacted by rheumatic conditions. Our Assistant Director for Lupus Programs and Community Engagement served as Chair of the ACR Annual Meeting Planning Committee, leading a national, interdisciplinary team of health professionals. Together, they curated over 25 scientific sessions aimed at enhancing the education and knowledge of the rheumatology community, while promoting best practices in engaging diverse populations and providing culturally responsive support and educational services. In addition, our department contributed several scientific presentations, including a poster titled: "Empowering Lupus Communities: Evaluating a National Peer Support Program for Lupus Teen and Young Adult Patients and Their Families." This presentation highlighted the impact of the Charla de Lupus support group in strengthening participants' support networks and increasing knowledge around lupus treatment issues. Parent participants also reported improved coping with their child or loved one's condition, as well as a greater understanding of lupus and its treatment options. Our department also led a significant scientific session titled "Hidden in Plain Sight: The Impact of Ableism on Persons with RMD." The session aimed to raise awareness of ableism-one of the most pervasive forms of prejudice and discrimination faced by patients-and to emphasize that ableism exists across society, within professional environments, and at the individual level. The session encouraged clinicians to recognize and challenge ableist attitudes and to adopt more inclusive perspectives and practices, ultimately working to reduce barriers and disparities in patient care. For the past ten years the hospital has been designated as a leader in LGBTQ health by the Human Rights Campaign's Healthcare Equity Index devoted to promoting equitable and inclusive care for LGBTQ patients and their families. HSS is committed to equity and inclusion for all and as such created the Diversity, Equity and Inclusion (DEI) Leadership Council which is working to further enhance diversity initiatives; develop mentorship and leadership efforts and policies, procedures and processes that cultivate a sense of inclusion for everyone at HSS; and utilize metrics and goals to hold the institution accountable to new programmatic initiatives. Consistent with these initiatives, th
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	THE HOSPITAL HAS A MEDICAL AND CLINICAL AFFILIATION WITH NEW YORK PRESBYTERIAN HOSPITAL (NYPH) WHERE THE HOSPITAL FUNCTIONS AS THE PRINCIPAL ORTHOPEDIC AND RHEUMATOLOGY FACILITY FOR NYPH AT ITS EAST 68-EAST 70 STREET FACILITY (EAST CAMPUS). THE HOSPITAL ALSO HAS A COLLABORATION AGREEMENT WITH THE STAMFORD HOSPITAL (SH), AN ACUTE CARE HOSPITAL IN STAMFORD, CONNECTICUT, AND STAMFORD HEALTH, INC. (SHI), THE SOLE MEMBER OF SH. UNDER THE COLLABORATION AGREEMENT, THE HOSPITAL MANAGES THE SH DEPARTMENT OF ORTHOPEDIC SURGERY, INCLUDING CERTAIN DISCRETE ORTHOPEDIC SPACE AND ACTIVITIES WITHIN THE MAIN BUILDING OF SH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Arthritis Foundation INC
1355 Peachtree St NE 600	Atlanta	GA	30309	581341679	501 (C) (3)	$210,000	GENERAL SUPPORT
FDNY FOUNDATION INC
9 METROTECH CENTER	BROOKLYN	NY	11201	112632404	501 (C) (3)	$10,000	GENERAL SUPPORT
BROOKLYN BASEBALL CO LLC
1904 Surf Avenue	Brooklyn	NY	11224	113509354		$13,860	GENERAL SUPPORT
UNITED HOSPITAL FUND OF NY
1411 Broadway 12th Fl	New York	NY	10018	131562656	501 (C) (3)	$25,000	GENERAL SUPPORT
USA FOOTBALL INC
45 N PA ST STE 800	INDIANAPOLIS	IN	46204	113667205	501 (C) (3)	$25,000	GENERAL SUPPORT
LUPUS RESEARCH ALLIANCE INC
270 Madison Ave Ste 300	New York	NY	10016	582492929	501 (C) (3)	$15,000	GENERAL SUPPORT
The Palm Beach Symphony Society Inc
400 Hibiscus St 100	West Palm Beach	FL	33401	591542539	501 (C) (3)	$15,000	GENERAL SUPPORT
St Thomas Aquinas College
125 Route 340	Sparkill	NY	10976	132513162	501 (C) (3)	$10,000	GENERAL SUPPORT
Ronald McDonald House of New York Inc
405 East 73rd Street	New York	NY	10021	132933654	501 (C) (3)	$10,000	GENERAL SUPPORT
Mission International Rescue Charities Inc
626 D Dixie HWY	West Palm Beach	FL	33401	861102751	501 (C) (3)	$10,000	GENERAL SUPPORT
Startup Westport Inc
9 Silver Brook Road	Westport	CT	06880	934193938	501 (C) (3)	$6,000	GENERAL SUPPORT
Steadman Philippon Research Institute
181 West Meadow Dr Ste 1000	Vail	CO	81657	880245022	501 (C) (3)	$50,000	GENERAL SUPPORT
NonTraditional Employment for Women
243 West 20th Street	New York	NY	10011	133272001	501 (C) (3)	$10,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Todd J Albert-Thru 2019
Former Surgeon-in-Chief	$147,109	$0	$0	$0	$4,180	$500	$13,125	$0	$61,891	$0	$226,305	$500	$0	$0
Douglas Padgett
Member/Surgeon-in-Chief	$1,552,477	$0	$441,486	$0	$293,591	$0	$31,050	$0	$69,643	$0	$2,388,247	$0	$0	$0
Answorth Allen
Member/Associate SIC	$780,762	$7,886	$0	$0	$2,622,275	$26,488	$30,741	$311	$61,108	$617	$3,494,886	$35,302	$0	$0
Mathias Bostrom
Member/Associate SIC	$906,043	$0	$0	$0	$1,091,253	$500	$31,050	$0	$9,014	$0	$2,037,360	$500	$0	$0
S Louis Bridges Jr
Member/Physician-in-Chief	$646,242	$0	$267,882	$0	$48,519	$500	$25,875	$0	$25,756	$0	$1,014,274	$500	$0	$0
Suzanne Maher
Member/Chief Research Officer	$554,622	$0	$43,014	$0	$1,411	$0	$31,050	$0	$42,413	$0	$672,510	$0	$0	$0
Stavros Memtsoudis-Join 2024
Member/Anesthesiologist	$561,633	$0	$20,000	$0	$9,025	$0	$31,050	$0	$51,220	$0	$672,928	$0	$0	$0
Andy Miller
Member/Attending Physician	$485,170	$0	$0	$0	$70,317	$0	$31,050	$0	$4,180	$0	$590,717	$0	$0	$0
Andrew A Sama
Member/Attending Physician	$163,144	$0	$0	$0	$389	$0	$17,100	$0	$68,213	$0	$248,846	$0	$0	$0
Bryan T Kelly
President & CEO	$2,162,555	$540,639	$1,956,740	$489,185	$64,402	$16,100	$24,841	$6,210	$55,133	$13,783	$4,263,671	$1,065,917	$0	$0
Louis A Shapiro-Thru 2023
Former President & CEO	$0	$0	$1,260,000	$0	$2,168,637	$0	$0	$0	$0	$0	$3,428,637	$0	$0	$0
Stacey L Malakoff
EVP & Chief Financial Officer	$1,345,813	$237,496	$998,215	$176,156	$97,252	$17,162	$26,393	$4,658	$52,421	$9,251	$2,520,094	$444,723	$0	$0
Irene Koch
EVP & Chief Legal Officer	$730,036	$128,830	$404,265	$71,341	$32,665	$5,764	$21,995	$3,881	$17,527	$3,093	$1,206,488	$212,909	$0	$0
Mary Cassai
EVP, Chief Operating Officer	$1,241,106	$0	$335,166	$0	$67,245	$0	$25,875	$0	$52,269	$0	$1,721,661	$0	$0	$0
Justin Oppenheimer
EVP, Chief Strategy Officer	$893,618	$0	$417,340	$0	$24,044	$0	$31,050	$0	$39,363	$0	$1,405,415	$0	$0	$0
Reginald Odom
EVP & Chief People Officer	$807,634	$0	$380,414	$0	$31,260	$0	$25,875	$0	$53,298	$0	$1,298,481	$0	$0	$0
Paul Coyne
Former Sr. VP & CNO-Thru 2023	$584,030	$0	$247,500	$0	$27,794	$0	$25,875	$0	$13,616	$0	$898,815	$0	$0	$0
Ricky Guillot-Thru 2022
Former VP, Interim CNO	$18,866	$0	$35,100	$0	$382,500	$0	$1,698	$0	$0	$0	$438,164	$0	$0	$0
Hollis Potter
Radiologist-in-Chief	$1,226,379	$0	$225,000	$0	$93,462	$0	$31,050	$0	$68,751	$0	$1,644,642	$0	$0	$0
Joshua Dines
Attending Physician	$864,627	$0	$0	$0	$3,083,295	$0	$31,050	$0	$58,594	$0	$4,037,566	$0	$0	$0
Benedict Nwachukwu
Attending Physician	$502,601	$0	$0	$0	$2,370,109	$0	$25,875	$0	$51,784	$0	$2,950,369	$0	$0	$0
Riley Williams
Attending Physician	$850,144	$0	$0	$0	$1,625,862	$0	$31,050	$0	$74,213	$0	$2,581,269	$0	$0	$0
William M Ricci
Chief of the Trauma Service	$977,217	$0	$0	$0	$1,626,958	$0	$25,875	$0	$51,784	$0	$2,681,834	$0	$0	$0
Ernest Sink
Chief of Ortho Hip Preser SVR	$400,837	$0	$0	$0	$1,903,619	$0	$31,050	$0	$59,432	$0	$2,394,938	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1A/B	First Class Travel - The HSS travel policy states that THE Chief Executive Officer, SURGEON-IN-CHIEF AND EXECUTIVE VICE PRESIDENTS HAVE APPROVAL FROM THE COMPENSATION COMMITTEE OF THE BOARD TO FLY BUSINESS CLASS IF THE FLIGHT IS GREATER THAN 2 HOURS, OR FIRST CLASS IF BUSINESS CLASS IS NOT AVAILABLE. THE Chief Executive Officer REVIEWS THE EXECUTIVE VICE PRESIDENTS EXPENSES, AND THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE Chief Executive Officer'S AND SURGEON-IN-CHIEF'S EXPENSES ON A QUARTERLY BASIS. BUSINESS CLASS OR FIRST CLASS TRAVEL ARE NOT TREATED AS TAXABLE COMPENSATION. IN 2024, FIRST CLASS TRAVEL WAS REIMBURSED TO THE Chief Executive Officer, Chief Financial Officer, Surgeon-In-Chief, and Chief Operating Officer. Housing Allowance - Housing allowance was paid to the Chief Financial Officer, Chief of the Trauma Service, and Chief Operating Officer, and was treated as taxable compensation.
Schedule J, Part I, Line 4A	Louis A. Shapiro, Former President & Chief Executive Officer, received severance pay of $2,100,000, and Ricky Guillot, Former VP Interim CNO, received severance pay of $382,500, which are included in Schedule J, Part II, Column (B)(III). Severance payments began January 2024 and ended December 2024.
Schedule J, Part I, Line 5A	Certain employed physicians listed on Part VII, Section A, Line 1A receive compensation in part, based on professional service revenue generated from services they personally performed in their individual practices. In 2024, no physician was paid compensation contingent upon the organization's overall revenue or net earnings.
Schedule J, Part I, Line 6A	Performance based incentive awards are paid to officers and key employees based on a number of important quality, satisfaction, efficiency, and financial measures, of which achieving budget is a factor.
Schedule J, Part II	THE PHYSICIAN-IN-CHIEF, ASSOCIATE SURGEON-IN-CHIEF, AND FORMER SURGEON-IN-CHIEF RECEIVED $500 FROM MIAC, A RELATED ORGANIZATION, TO ATTEND MIAC'S BOARD OF DIRECTORS MEETING.

Schedule M IRS990ScheduleM

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

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$1,409,118	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A - LINE 6 & 7A - "MEMBERSHIP"	THE HOSPITAL FOR SPECIAL SURGERY IS A MEMBERSHIP CORPORATION. THERE ARE FIVE MEMBERS OF THE CORPORATION. THREE OF THE FIVE HOSPITAL'S MEMBERS COME FROM THE HOSPITAL'S BOARD OF TRUSTEES (WITH ONE OF THREE ALSO DESIGNATED BY THE HOSPITAL TO SERVE ON THE BOARD OF AN AFFILIATE OF NEW YORK-PRESBYTERIAN HOSPITAL), A FOURTH MEMBER SERVES ON THE BOARD OF THE AFFILIATE OF THE NEW YORK-PRESBYTERIAN HOSPITAL, AND THE FIFTH MEMBER SERVES ON THE BOARD OF TRUSTEES OF WEILL CORNELL MEDICAL COLLEGE. THE FIVE HOSPITAL MEMBERS ELECT THE BOARD OF TRUSTEES OF THE HOSPITAL, UPON THE RECOMMENDATION OF CANDIDATES EITHER BY A MEMBER OR BY THE HOSPITAL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B - LINE 11B, "REVIEW PROCESS"	The Form 990 is prepared by the management and reviewed by an outside independent accounting firm. PRIOR TO SUBMITTING THE FORM 990 TO THE INTERNAL REVENUE SERVICE (IRS), THERE IS AN ESTABLISHED PROCESS FOR REVIEW OF THE DOCUMENT IN ITS ENTIRETY BY THE GOVERNING BODY WHOSE EVALUATIONS ARE MADE IN THE BEST INTEREST OF HSS. THE FORM 990 IS FIRST REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE REVIEWED FORM 990 IS THEN SUBMITTED TO THE FULL BOARD OF TRUSTEES. THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO SUBMISSION OF THE FORM. IN ADDITION, SIGNIFICANT AREAS OF FORM 990 ARE DISCUSSED AT A BOARD OF TRUSTEES MEETING.
FORM 990, PART VI, SECTION B - LINE 12C, "CONFLICT OF INTEREST POLICY"	ON AN ANNUAL BASIS, INTEREST DISCLOSURE STATEMENTS ARE SENT TO ALL BOARD MEMBERS, OFFICERS, MEDICAL STAFF, MANAGEMENT, FELLOWS, RESIDENTS, RESEARCH PROFESSIONAL STAFF, IRB MEMBERS, AND OTHER DESIGNATED GROUPS. OUR CONFLICT OF INTEREST AND COMMITMENT POLICY ALSO REQUIRES THAT ANY COVERED PERSON INCLUDING MEMBERS OF THE HSS MEDICAL STAFF MUST PROVIDE PRIOR NOTICE TO COMPLIANCE BEFORE BEGINNING ANY ACTIVITY OR SIGNIFICANTLY MODIFYING THE TERMS OF ANY EXISTING OUTSIDE PROFESSIONAL ACTIVITY, WHERE THE COVERED PERSON HAS A FINANCIAL INTEREST VALUED IN EXCESS OF $5,000 OR EQUITY INTERESTS OF INDETERMINATE VALUE. DISCLOSURES MAY BE MADE THROUGH HSS' ONLINE REPORTING PLATFORM, MYDISCLOSURES OR DIRECTLY TO COMPLIANCE. THE REPORTED INTERESTS ARE REVIEWED BY THE EXECUTIVE VICE PRESIDENT FOR LEGAL AFFAIRS, THE CHIEF EXECUTIVE OFFICER, AND THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. SUMMARY INFORMATION IS PROVIDED TO SERVICE CHIEFS, AS REQUESTED, SO THAT THEY ARE AWARE OF THE FINANCIAL INTERESTS OF THE MEDICAL STAFF WITHIN THEIR SPECIALTY. IN ADDITION TO SENDING DISCLOSURE STATEMENTS DIRECTLY TO THE GROUP NOTED ABOVE, INDUSTRY WEBSITES ARE MONITORED FOR DISCLOSURES RELATED TO EMPLOYEES OF HSS. THIS INFORMATION IS ENTERED INTO THE DATABASE, AS WELL. HSS HAS A CONFLICT OF INTEREST COMMITTEE THAT MEETS AT LEAST THREE TIMES A YEAR, OR AS NECESSARY AND IS CHARGED WITH ADJUDICATING COMPLEX CONFLICTS OF INTEREST AND COMMITMENT, DEVELOPING AND ADOPTING REASONABLE AND APPROPRIATE CONFLICT MANAGEMENT PLANS AND SERVING AS A POLICY ADVISORY TO THE HSS BOARD OF TRUSTEES AND HSS EXECUTIVE LEADERSHIP.
FORM 990, PART VI, SECT B - LINE 15A & 15B, "PROCESS FOR DETERMINING COMP"	THE HOSPITAL FOR SPECIAL SURGERY(HSS) IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE HSS BOARD HAS CHARGED THE COMPENSATION COMMITTEE (WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARD TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT IN THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR FUNCTIONALLY COMPARABLE ROLES IN COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF PERFORMANCE, AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH HSS EXECUTIVE COMPENSATION PHILOSOPHY. ALL COMPENSATION DECISIONS ARE CAREFULLY DOCUMENTED IN MINUTES ON A REGULAR AND TIMELY BASIS. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTERESTS OF HSS, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE MISSION AND COMPLEXITY, CONSIDERING BOTH LOCAL AND NATIONAL MARKET CHALLENGES IN SUCH REGARD. ON AN ANNUAL BASIS (INCLUDING 2024), THE COMMITTEE PROVIDES THE FULL BOARD WITH AN OVERVIEW OF ITS DETERMINATIONS AND PROCESS. HSS ESTABLISHED THIS PROCESS IN AN EFFORT TO COMPLY WITH THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, AS WELL AS SUPPORT BEST CORPORATE GOVERNANCE PRACTICES IN ENSURING THE TRANSPARENCY OF THE EXECUTIVE COMPENSATION DECISION-MAKING PROCESS WITH THE BOARD.
FORM 990, PART VI, SECTION B - LINE 19, "DISCLOSURE GOVERNING DOCUMENTS"	HOSPITAL FOR SPECIAL SURGERY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST FROM THE OFFICE OF LEGAL AFFAIRS.
FORM 990, PART XI, LINE 9- "OTHER CHANGES IN NET ASSETS OR FUND BALANCES"	INCLUDES INCREASE IN INTEREST OF HSS FUND, INC. $20,495,074, INCREASE IN DEFINED PENSION AND POST RETIREMENT PLAN LIABILITIES $17,017,535, eliminating entry due to Mahwah ASC LLC consolidation $1,634,540, INCREASE IN HSS Capital Contributions in Mahwah $10,500,000, and DECREASE IN Mahwah ASC LLC Eliminating Entry Carryforward Adjustment $496,672.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HSS ASC OF MANHATTAN LLC
1233 2ND AVE	NEW YORK	NY	10065	471353602	HEALTH CARE	NY	HSS	RELATED	$6,092,190	$20,118,945	false	$0	Yes (true)	0.51060
HSS WEST SIDE ASC LLC
600 WEST 58TH STREET	NEW YORK	NY	10019	814351390	HEALTH CARE	NY	HSS	RELATED	$6,146,236	$18,942,997	false	$0	Yes (true)	0.53500
HSS-FL PHYSICIANS LLC
535 EAST 70TH STREET	NEW YORK	NY	10021	824502169	HEALTH CARE	FL	HSS	RELATED	-$839,977	$0	false	$0	Yes (true)	0.00000
HSS Long Island ASC LLC
90 Merrick Ave East Meadow	New York	NY	11554	884133340	HEALTH CARE	NY	HSS	RELATED	$2,656	$11,403,690	false	$0	Yes (true)	0.87000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
535 EAST 70TH STREET	NEW YORK	NY	10021	981050215	SELF-INDEMNITY	CJ	NA	C	Yes (true)
HSS VENTURES
535 EAST 70TH STREET	NEW YORK	NY	10021	061624300	HEALTH CARE		NA	C	Yes (true)	NY
HSS Physicians PA
535 EAST 70TH STREET	New York	NY	10021	932717310	MEDICAL BILLING		NA	C	Yes (true)	NJ
CHARITABLE TRUST
					INVESTMENT/CHARIT		NA	T	false	OH

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

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HSS FUND INC
C	$4,666,288	ALLOC COST
HSS FUND INC
J	$1,430,843	ALLOC COST
HSS FUND INC
M	$11,471,490	ALLOC COST
HSS FUND INC
Q	$15,862,809	ALLOC COST
HSS FUND INC
S	$3,500,000	ALLOC COST
HSS PROPERTIES CORPORATION
A	$607,951	ALLOC COST
HSS PROPERTIES CORPORATION
D	$15,081,296	ALLOC COST
HSS PROPERTIES CORPORATION
K	$59,605,302	ALLOC COST
HSS PROPERTIES CORPORATION
L	$2,600,491	ALLOC COST
HSS PROPERTIES CORPORATION
Q	$59,284,371	ALLOC COST
HSS HORIZONS INC
D	$866,615	ALLOC COST
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
P	$26,769,332	ALLOC COST
MEDICAL INDEMNITY ASSURANCE COMPANY LTD
Q	$14,563,142	ALLOC COST
HSS ASC OF MANHATTAN LLC
L	$3,342,198	ALLOC COST
HSS ASC OF MANHATTAN LLC
Q	$13,272,554	ALLOC COST
HSS WEST SIDE ASC LLC
J	$1,535,398	ALLOC COST
HSS WEST SIDE ASC LLC
L	$3,515,827	ALLOC COST
HSS WEST SIDE ASC LLC
Q	$8,029,134	ALLOC COST
HSS-FLORIDA PHYSICIANS LLC
L	$1,426,236	ALLOC COST
HSS-FLORIDA PHYSICIANS LLC
Q	$683,674	ALLOC COST
TJA ORTHOPEDIC SURGERY PC
D	$5,785,000	ALLOC COST
HSS LONG ISLAND ASC LLC
L	$466,491	ALLOC COST
HSS LONG ISLAND ASC LLC
Q	$1,126,279	ALLOC COST
MAHWAH ASC LLC
L	$3,803,329	ALLOC COST
MAHWAH ASC LLC
Q	$431,188	ALLOC COST

Supplemental Information Detail SupplementalInformationDetail

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