JAMAICA HOSPITAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JAMAICA HOSPITAL MEDICAL CENTER (EIN 11-1631788)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201343189349301504
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T09:59:19-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	221478099	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 6TH AVENUE	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10036	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	111631788	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JAMAICA HOSPITAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JAMA	NameControl
Phone	7182066291	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8900 VAN WYCK EXPRESSWAY	AddressLine1
City	JAMAICA	City
State	NY	State
ZIP Code	11418	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MOUNIR DOSS	Name
Title	EXECUTIVE VP & CFO	Title
Phone	7182066291	Phone
Date Signed	2013-11-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THOMAS LANNING	Name
PTIN	P00851654	PTIN
Phone	2122970400	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MOUNIR DOSS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8900 VAN WYCK EXPRESSWAY	AddressLine1
City	JAMAICA	City
State	NY	State
ZIP Code	11418	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	476306033	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.JAMAICAHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1934	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	THE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT REDUCED RATES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3503	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	3555933	TotalGrossUBI
Net Unrelated Business Txbl Income	2852104	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4269851	ContributionsGrantsPriorYear
Contributions Grants Current Year	12603119	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	426407866	ProgramServiceRevenuePriorYear
Program Service Revenue CY	425850944	ProgramServiceRevenueCY
Investment Income Prior Year	2424004	InvestmentIncomePriorYear
Investment Income Current Year	2609724	InvestmentIncomeCurrentYear
Other Revenue Prior Year	29866242	OtherRevenuePriorYear
Other Revenue Current Year	30872936	OtherRevenueCurrentYear
Total Revenue Prior Year	462967963	TotalRevenuePriorYear
Total Revenue Current Year	471936723	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	279906520	SalariesEtcPriorYear
Salaries Etc Current Year	274562600	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	180560721	OtherExpensePriorYear
Other Expenses Current Year	175022734	OtherExpensesCurrentYear
Total Expenses Prior Year	460467241	TotalExpensesPriorYear
Total Expenses Current Year	449585334	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2500722	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	22351389	RevenuesLessExpensesCY
Total Assets BOY	259076926	TotalAssetsBOY
Total Assets EOY	277691635	TotalAssetsEOY
Total Liabilities BOY	335327034	TotalLiabilitiesBOY
Total Liabilities EOY	339549714	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-76250108	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-61858079	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE JAMAICA HOSPITAL IS AN ACUTE CARE FACILITY SERVING THE PUBLIC. ITS SERVICES INCLUDE ACUTE, MEDICAL REHABILITATION, AND PSYCHIATRIC CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	426435489	Expense
Revenue	425850944	Revenue
Description	JAMAICA HOSPITAL IS A 445-BEDS INCLUDING BASSINETS, FULLY ACCREDITED COMMUNITY TEACHING HOSPITAL WITH A LARGE NETWORK OF COMMUNITY-BASED AMBULATORY CARE CENTERS. JHMC OFFERS A FULL ARRAY OF ACUTE INPATIENT REHABILITATION AND MENTAL HEALTH SERVICES, THE LARGEST VOLUNTARY HOSPITAL AMBULANCE FLEET SERVING THE CITY'S 911 SYSTEM AND A LEVEL 1 TRAUMA CENTER.	Description
Total Program Service Expense	426435489	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	706	NumberFormsTransmittedWith1096
Number W2 G Included	7	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3503	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7182066291	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8900 VAN WYCK EXPRESSWAY	AddressLine1
City	JAMAICA	City
State	NY	State
ZIP Code	11418	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
ANTHONY DIMARIA MD
SECRETARY	1.00	42.00	X	X	0	227505	23394
ANTONIETTA MORISCO MD
TRUSTEE	1.00	2.00	X		0	0	0
ARCHIE SPIGNER
ASSISTANT SECRETARY	1.00	2.00	X	X	0	0	0
DOUGLAS W SINGER
TRUSTEE	1.00	2.00	X		0	0	0
GEOFFREY DOUGHLIN MD
THIRD VICE PRESIDENT	40.00	2.00	X	X	400044	0	25268
GERALDINE M CHAPEY PHD
TRUSTEE	1.00	2.00	X		0	0	0
HECTOR ESTEPAN MD
TRUSTEE	1.00	2.00	X		0	0	0
HON TIMOTHY J DUFFICY
TRUSTEE	1.00	2.00	X		0	0	0
JOSEPH FERRARA
ASSISTANT TREASURER	1.00	2.00	X	X	0	0	0
JOSEPH LIANA
TRUSTEE	1.00	2.00	X		0	0	0
NEIL FOSTER PHILLIPS
CHAIRMAN	1.00	3.00	X	X	0	0	0
ROBERT W KOOP
SECOND VICE CHAIRMAN/TREAS	1.00	3.00	X	X	0	0	0
BRUCE FLANZ
PRESIDENT & CEO	30.00	35.00		X	836688	546364	24107
MOUNIR DOSS
EXECUTIVE VICE PRESIDENT &	30.00	35.00		X	627991	546364	24107
WILLIAM LYNCH
EXECUTIVE VICE PRESIDENT &	40.00	1.00		X	396787	0	24107
GIDEON YOELI
RADIOLOGIST	40.00				423078	0	24065	X
ROBERT GREENBAUM MD
RADIOLOGIST	40.00				415272	0	24065	X
ROBERT SOLOMON
RADIOLOGIST	40.00				412474	0	24065	X
SABIHA RAOOF
DIAGNOSTIC RADIOLOGY	40.00				510778	0	24107	X
THOMAS SANTUCCI MD
CARDIOLOGY	40.00				460669	0	20132	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4483781	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1320233	TotalReportableCompFrmRltdOrgs
Total Other Compensation	237417	TotalOtherCompensation
Number Individuals GT100 K	349	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK MANAGEMENT SERVICES LP
2300 WARRENVILLE ROAD	DOWNERS GROVE	IL	60515	OFFICE CLEANING SERVICES	804972
CRITICARE HELPING HANDS LLC
573 VALLEY ROAD SUITE 6	WAYNE	NJ	07470	NURSING CONTRACTED SERVICES	798564
PRICEWATERHOUSE COOPERS LLP
300 MADISON AVENUE	NEW YORK	NY	10017	FINANCIAL AUDITING	437144
CLOCKNORSE REALTY LLC
2001 MARCUS AVE SUITE W183	LAKE SUCCESS	NY	110421011	CLINIC OFFICE RENTAL	435813
NY NEUROSCIENCE ASSOCIATE PC
30 WEST STREET SUITE 25F	NEW YORK	NY	10004	MEDICAL SERVICES	428750

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Fundraising Events	36649	FundraisingEvents
Government Grants	11884734	GovernmentGrants
All Other Contributions	681736	AllOtherContributions
Total Contributions	12603119	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	621400	357285954	357285954
CAPITATION REVENUE	621400	48030225	48030225
PROFESSIONAL COMPONENT	621400	17850455	17850455
TEACHING AND EDUCATION	611600	2684310	2684310

Field	Value	IRS element (for citing)
Total Program Service Revenue	425850944	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2500056	TotalRevenueColumn
Exclusion	$2,500,056	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	684458	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	838806	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-154348	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-154348	TotalRevenueColumn
Exclusion	-$154,348	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3561675	Securities
Other	5200	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3457207	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	104468	Securities
Other	5200	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	109668	TotalRevenueColumn
Exclusion	$109,668	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	61200	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	36649	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	73297	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-12097	TotalRevenueColumn
Exclusion	-$12,097	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
EARNINGS FROM JOINT VENTURES	523000	13338236	9817356	3520880
REIMBURSE FOR SERVICES PROVIDED	900099	13241340	13241340
MANAGEMENT FEE	900099	3666666	3666666

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	793139	TotalRevenueColumn
Related Or Exempt Function Income	758086	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	35053	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	31039381	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	471936723	TotalRevenueColumn
Related Or Exempt Function Income	453334392	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3555933	UnrelatedBusinessRevenue
Exclusion	$2,443,279	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2359968	Total
Program Services	2194770	ProgramServices
Management And General	165198	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	203576275	Total
Program Services	189325936	ProgramServices
Management And General	14250339	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14963400	Total
Program Services	13915962	ProgramServices
Management And General	1047438	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	38426844	Total
Program Services	35736966	ProgramServices
Management And General	2689878	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15236113	Total
Program Services	14169584	ProgramServices
Management And General	1066529	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4021185	Total
Program Services	3739702	ProgramServices
Management And General	281483	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	392130	Total
Program Services	364681	ProgramServices
Management And General	27449	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	43277167	Total
Program Services	43277167	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	37832	Total
Program Services	35184	ProgramServices
Management And General	2648	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1644638	Total
Program Services	1529513	ProgramServices
Management And General	115125	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4543791	Total
Program Services	4225726	ProgramServices
Management And General	318065	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8466742	Total
Program Services	7956660	ProgramServices
Management And General	510082	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	27846	Total
Program Services	27846	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	2037116	Total
Program Services	1894518	ProgramServices
Management And General	142598	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12383445	Total
Program Services	11516604	ProgramServices
Management And General	866841	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	14853252	Total
Program Services	13813524	ProgramServices
Management And General	1039728	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
INCOME TAX EXPENSE	1132316	1132316
BAD DEBT	36101170	36101170
MEDICAL SUPPLIES	31334770	31334770
COLLECTION AGENCY	3382050	3382050

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11387284	Total
Program Services	10760840	ProgramServices
Management And General	626444	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	449585334	Total
Program Services	426435489	ProgramServices
Management And General	23149845	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1259107	BOY
EOY	1523172	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2300400	BOY
EOY	919898	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	61629945	BOY
EOY	65834376	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4047599	BOY
EOY	3827394	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7717137	BOY
EOY	6619050	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	254726382	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	199199296	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	56413838	BOY
EOY	55527086	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	14734610	BOY
EOY	18309788	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	44107233	BOY
EOY	51433325	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	66867057	BOY
EOY	73697546	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	259076926	BOY
EOY	277691635	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	96946702	BOY
EOY	98147784	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	159376	BOY
EOY	1041055	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	33714280	BOY
EOY	26734280	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1083646	BOY
EOY	624456	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	203423030	BOY
EOY	213002139	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	335327034	BOY
EOY	339549714	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-76250108	BOY
EOY	-61858079	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-76250108	BOY
EOY	-61858079	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	259076926	BOY
EOY	277691635	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	22351389	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1141887	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-9101247	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$8,695	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	8695	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	JAMAICA HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO ASSOCIATIONS OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE GENERAL PUBLIC. GNYHA $5,129 HEALTHCARE EDUCATION PROJECT $3,566	Explanation

Schedule D IRS990ScheduleD

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	169319	BeginningOfYearBalance
Investment Earnings Or Losses	2966	InvestmentEarningsOrLosses
Other Expenditures	165657	OtherExpenditures
Administrative Expenses	6628	AdministrativeExpenses

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	155261	BeginningOfYearBalance
Contributions	200	Contributions
Investment Earnings Or Losses	17424	InvestmentEarningsOrLosses
Other Expenditures	2808	OtherExpenditures
Administrative Expenses	759	AdministrativeExpenses
End Of Year Balance	169318	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	140528	BeginningOfYearBalance
Contributions	687	Contributions
Investment Earnings Or Losses	17682	InvestmentEarningsOrLosses
Other Expenditures	2973	OtherExpenditures
Administrative Expenses	663	AdministrativeExpenses
End Of Year Balance	155261	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	152437	BeginningOfYearBalance
Investment Earnings Or Losses	-9835	InvestmentEarningsOrLosses
Other Expenditures	1996	OtherExpenditures
Administrative Expenses	78	AdministrativeExpenses
End Of Year Balance	140528	EndOfYearBalance

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1018049	OtherCostOrOtherBasis
Book Value	1018049	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96038281	OtherCostOrOtherBasis
Depreciation	70635991	Depreciation
Book Value	25402290	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5993138	OtherCostOrOtherBasis
Depreciation	4765201	Depreciation
Book Value	1227937	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	134765606	OtherCostOrOtherBasis
Depreciation	113105192	Depreciation
Book Value	21660414	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16911308	OtherCostOrOtherBasis
Depreciation	10692912	Depreciation
Book Value	6218396	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	55527086	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN NHP HOLDINGS	25334826	C
JHMC HEALTHFIRST	24919498	C
HEDGE FUND INVESTMENTS	1179001	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	51433325	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM THIRD PARTY PAYORS	15914894
DUE FROM RELATED PARTIES	18898393
MHI & HF PAYMENT LAG	9719001
DEFERRED FINANCING COSTS	596986
INSURANCE RECOVERIES	28568272

Field	Value	IRS element (for citing)
Total Book Value Other Assets	73697546	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CASH OVERDRAFT	$125,338
DUE TO THIRD PARTY	$18,095,879
CAPITAL LEASE OBLIGATIONS	$12,537,896
MALPRACTICE INSURANCE	$118,402,884
PENSION PAYABLE	$63,840,142

Field	Value	IRS element (for citing)
Total Of Amounts	213002139	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	544952165	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1141887	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	1141887	RevenueNotRptdF990
Revenue Subtotal	543810278	RevenueSubtotal
Other Revenues Not Included	-71873555	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-71873555	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	471936723	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	521458889	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	71873555	OtherExpensesIncluded
Expenses Not Rptd F990	71873555	ExpensesNotRptdF990
Expenses Subtotal	449585334	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	449585334	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	JAMAICA HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		DIRECT FUNDRAISING EXPENSES MOVED FROM EXPENSES -73,297. RENTAL EXPENSES -838,806. BAD DEBT 16,279,532. CAPITATION EXPENSE MOVED FROM EXPENSES -87,240,984.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		DIRECT FUNDRAISING EXPENSES MOVED TO REVENUE 73,297. RENTAL EXPENSES 838,806. BAD DEBT -16,279,532. CAPITATION EXPENSE MOVED TO REVENUE 87,240,984.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF OUTING	NameOfEvent1
Gross Receipts Event1	97849	GrossReceiptsEvent1
Charitable Contributions Event1	36649	CharitableContributionsEvent1
Gross Revenue Event1	61200	GrossRevenueEvent1
Non Cash Prizes Event1	700	NonCashPrizesEvent1
Rent Facility Costs Event1	66244	RentFacilityCostsEvent1
Other Direct Expenses Event1	6353	OtherDirectExpensesEvent1
Gross Receipts Total	97849	GrossReceiptsTotal
Charitable Contributions Total	36649	CharitableContributionsTotal
Gross Revenue Total Events	61200	GrossRevenueTotalEvents
Non Cash Prizes Total Events	700	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	66244	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	6353	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	73297	DirectExpenseSummaryEvents
Net Income Summary	-12097	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24909720	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21384646	DirectOffsettingRevenue
Net Community Benefit Expense	3525074	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	166535699	TotalCommunityBenefitExpense
Direct Offsetting Revenue	163480707	DirectOffsettingRevenue
Net Community Benefit Expense	3054992	NetCommunityBenefitExpense
Percent Of Total Expense	0.00740	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	191445419	TotalCommunityBenefitExpense
Direct Offsetting Revenue	184865353	DirectOffsettingRevenue
Net Community Benefit Expense	6580066	NetCommunityBenefitExpense
Percent Of Total Expense	0.01590	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3066181	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2655350	DirectOffsettingRevenue
Net Community Benefit Expense	410831	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60129154	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16363128	DirectOffsettingRevenue
Net Community Benefit Expense	43766026	NetCommunityBenefitExpense
Percent Of Total Expense	0.10580	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	400073978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	382875591	DirectOffsettingRevenue
Net Community Benefit Expense	17198387	NetCommunityBenefitExpense
Percent Of Total Expense	0.04160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	463269313	TotalCommunityBenefitExpense
Direct Offsetting Revenue	401894069	DirectOffsettingRevenue
Net Community Benefit Expense	61375244	NetCommunityBenefitExpense
Percent Of Total Expense	0.14840	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	654714732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	586759422	DirectOffsettingRevenue
Net Community Benefit Expense	67955310	NetCommunityBenefitExpense
Percent Of Total Expense	0.16430	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$16,279,532	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	60737196	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	38801582	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	21935614	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JAMAICA HOSPITAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	8900 VAN WYCK EXPRESSWAY	AddressLine1
City	JAMAICA	City
State	NY	State
ZIP Code	11418	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JAMAICA HOSPITAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	100.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 36101170.
PART II: COMMUNITY BUILDING ACTIVITIESJAMAICA HOSPITAL'S PROGRAMS SUPPORT TAKE CARE NEW YORK IN THE FOLLOWING WAYS:HAVE A REGULAR DOCTOR OR OTHER HEALTH CARE PROVIDER: JAMAICA'S AMBULATORY CARE SERVICES ARE DESIGNED TO PROMOTE CONTINUITY OF CARE BY ALLOWING PATIENTS TO CHOOSE A PHYSICIAN WHO WILL BE DESIGNATED AS THEIR PRIMARY CARE PROVIDER. IN ADDITION TO ON-CAMPUS AMBULATORY CARE SERVICES, THERE ARE TWELVE CENTERS CONVENIENTLY LOCATED THROUGHOUT JAMAICA'S SERVICE AREA. EVENING AND WEEKEND HOURS ALLOW RESIDENTS ACCESS FOR THOSE WHO FIND IT DIFFICULT TO SEEK CARE ON WEEKDAYS. THE DESIGNATED PROVIDER IS RESPONSIBLE FOR ENSURING THAT HIS/HER PATIENTS ARE GIVEN AGE APPROPRIATE SCREENING, IMMUNIZATION AND EDUCATION. THE HOSPITAL HAS IMPLEMENTED AN ELECTRONIC MEDICAL RECORD, HAS ENHANCED ITS HEALTH PROMOTION EFFORTS VIA AUTOMATIC REMINDERS TO PHYSICIANS WHEN A PATIENT IS DUE FOR A TEST OR PROCEDURE.BE TOBACCO-FREE: IN 2012 THE HOSPITAL JOINED THE NEW YORK CITY TOBACCO-FREE HOSPITALS CAMPAIGN, WHICH IS TARGETING STAFF AND PATIENTS, WITH A COMPREHENSIVE, EVIDENCE-BASED SERIES OF INITIATIVES.KNOW YOUR HIV STATUS: THE HOSPITAL PROVIDES HIV COUNSELING AND TESTING WITH STAFF THAT ROUTINELY PERFORMS THIS FUNCTION IN BOTH EMERGENCY DEPARTMENT AND CLINICS. THE HOSPITAL'S AMBULATORY CARE CENTER IS DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AS AN HIV PRIMARY MEDICAL CARE PROVIDER. PATIENTS WHO ARE HIV POSITIVE ARE CARED FOR IN THIS FACILITY AND REFERRED TO OTHER COMMUNITY SERVICE PROGRAMS FOR SUPPORTIVE SERVICES AS NECESSARY. THE HOSPITAL APPLIED AND WAS APPROVED FOR A GRANT IN THE SPRING 2010 FROM THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) TO PROVIDE HIV/STI PREVENTION FOR WOMEN AND YOUNG PEOPLE.GET HELP FOR DEPRESSION: JAMAICA HOSPITAL'S MEDICAL PROVIDERS INCORPORATE DEPRESSION SCREENING DURING ROUTINE MEDICAL EXAMINATIONS AND ONGOING CARE. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO JAMAICA'S FULL SERVICE PSYCHIATRY DEPARTMENT OR OTHER COMMUNITY PROGRAMS. LIVE FREE OF DEPENDENCE ON ALCOHOL AND DRUGS: DURING ROUTINE MEDICAL EXAMINATIONS PATIENTS ARE SCREENED FOR ALCOHOL AND DRUG USE AND GIVEN PREVENTIVE COUNSELING AND, AS NECESSARY, TREATMENT OPTIONS ARE DISCUSSED, INCLUDING FLUSHING HOSPITAL, JAMAICA'S AFFILIATE, WHICH OFFERS BOTH IN-PATIENT AND OUT-PATIENT TREATMENT FOR CHEMICAL DEPENDENCY.GET CHECKED FOR CANCER: REFERRALS FOR OTHER CANCER SCREENINGS, SUCH AS BREAST CANCER, ARE PART OF THE HOSPITAL'S ROUTINE PROTOCOLS. THE HOSPITAL PARTICIPATES IN THE QUEENS HEALTHY LIVING PARTNERSHIP WHICH PROVIDES FREE CANCER SCREENING AND TREATMENTS FOR THE UNINSURED. THE HOSPITAL EMPLOYS A COLONOSCOPY SCREENING PATIENT NAVIGATOR TO DECREASE CANCELLATIONS DUE TO POOR PREPARATION AND NO SHOWS AND TO PROVIDE OUTREACH SERVICES TO INCREASE THE NUMBER OF PATIENTS RECEIVING COLONOSCOPY SCREENING.GET THE IMMUNIZATIONS YOU NEED: THE HOSPITAL PARTICIPATES IN THE NYC'S VACCINE FOR CHILDREN PROGRAM (VFC) PROVIDING IMMUNIZATIONS TO CHILDREN UP TO 19 YEARS OF AGE AGAINST CHILDHOOD DISEASES AND INFLUENZA TO ELIGIBLE CHILDREN INCLUDING THOSE WITHOUT HEALTH COVERAGE SEEN IN OUR AMBULATORY CARE NETWORK. INFLUENZA VACCINE IS OFFERED TO ADULTS DURING RECOMMENDED VACCINATION MONTHS. HAVE A SAFE AND HEALTHY HOME: ANTICIPATORY GUIDANCE ON SAFETY IN THE HOME IS PROVIDED BY THE HOSPITAL'S PEDIATRIC, FAMILY MEDICINE AND REHABILITATION PROFESSIONALS. AT HEALTH FAIRS IN THE COMMUNITY, FIRE, HOME AND AUTOMOTIVE SAFETY INFORMATION IS ROUTINELY MADE AVAILABLE TO ATTENDEES.HAVE A HEALTHY BABY: THE HOSPITAL FOLLOWS PRENATAL CARE GUIDELINES ADOPTED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE HOSPITAL OPERATES A WOMEN, INFANT AND CHILDREN (WIC) PROGRAM FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES FOOD VOUCHERS AND EDUCATION TO LOW INCOME PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE. THE HOSPITAL WILL BE IMPLEMENTING A CENTERING PREGNANCY PROGRAM WITH THE HELP OF A MARCH OF DIMES GRANT AND IS DEVELOPING AN AGGRESSIVE BREAST FEEDING PROMOTION PROGRAM IN CONCERT WITH THE NEW YORK CITY DEPARTMENT OF HEALTH & MENTAL HYGIENE.JAMAICA HOSPITAL'S PUBLIC HEALTH EFFORTS ARE CONSTANTLY CHANGING WITH THE NEEDS OF ITS COMMUNITY. THE ABOVE LISTING DOES NOT INCLUDE ALL PROGRAMS, SOME OF WHICH ARE FUNDED BY GRANTS SUCH AS THE SCHOOL HEALTH PROGRAM PRIMARILY FUNDED BY NEW YORK STATE DEPARTMENT OF HEALTH WHICH OPERATES IN TWO ELEMENTARY SCHOOLS AND A CAMPUS MAGNET SCHOOL CONSISTING OF FOUR HIGH SCHOOLS. IN ADDITION, CLINICAL DEPARTMENTS OFTEN INITIATE THEIR OWN PREVENTION ACTIVITIES WITH THEIR PATIENTS AND WITHIN THE COMMUNITY. LASTLY, THE HOSPITAL PROVIDES HUNDREDS OF FREE HEALTH SCREENINGS AND OUTREACH EFFORTS EACH YEAR FOR A VARIETY OF DISORDERS.
PART III, LINE 4: FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:JAMAICA PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, JAMAICA PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. JAMAICA PROVIDES CHARITY CARE FOR THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDINGCHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. TOTAL FORGONE CHARGES FOR CHARITY CARE TOTALED $49,573,000 AND $43,288,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. THIS EQUATED TO AN APPROXIMATE COST OF $32,319,000 AND $28,753,000 FOR THE YEAR ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY.COSTING METHODOLOGY FOR CALCULATING LINES 2 & 3:BAD DEBT EXPENSE IS ESTIMATED BASE ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASE ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOW: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANT ARE GIVEN DISCOUNT BASE ON OUR CHARITY CARE POLICY (MEDICAID RATE) IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORT THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND HOSPITAL WRITE OFF THE ACCOUNT AS BAD DEBT. BAD DEBT RELATED TO LINE 3: BAD DEBT EXPENSE IS ALLOCATED TO THE PATIENTS WHO ARE ENTITLED TO FINANCIAL AID BASE ON CHARITY CARE VOLUME PATIENTS.
PART III, LINE 8: LINE 5 MEDICARE REVENUE AND LINE 6 MEDICARE ALLOWABLE COSTS ARE FROM HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASE ON MEDICARE GUIDELINES . MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS OVER $60 MILLION . EXCLUSION OF THESE COTS RESULTED SURPLUS ON LINE 7.
PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90-DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS 0.5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.
PART V, SECTION B, LINE 20D: JHMC WOULD CHARGE 80% OF THE CURRENT MEDICAID RATE.	JAMAICA HOSPITAL MEDICAL CENTER
PART VI, LINE 2: ASSESSMENT OF COMMUNITY HEALTH NEEDSLOWER-INCOME, MINORITY ADULTS AND CHILDREN BEAR A DISPROPORTIONATE BURDEN OF CHRONIC DISEASE, USE EMERGENCY ROOM SERVICES MORE OFTEN FOR CARE, HAVE POORER HEALTH STATUS, AND HIGHER PREMATURE MORTALITY. ADDITIONALLY, LOWER-INCOME, MINORITY POPULATIONS ARE MORE LIKELY TO LACK ACCESS TO HEALTH CARE AND TO DEVELOP MENTAL HEALTH CONDITIONS (E.G., MOOD DISORDERS, DRUG OR ALCOHOL ABUSE) ASSOCIATED WITH HIGH PSYCHOSOCIAL STRESSORS (E.G., JOB LOSS, FINANCIAL STRAIN). GIVEN THE DEMOGRAPHICS OF ITS PRIMARY SERVICE AREA, JAMAICA HOSPITAL HAS IDENTIFIED CHIEF CONCERNS IN THE NEIGHBORHOODS IT SERVES, AND IS COMMITTED TO REDUCING DISPARITIES IN HEALTHCARE ACCESS SO THAT THE HEALTH STATUS OF ALL RESIDENTS IS IMPROVED. HERE, DEATH RATES AND DATA CAPTURING A FEATURE FROM EACH OF THE TEN PRIORITY AREAS IDENTIFIED BY TAKE CARE NEW YORK (TCNY) 2016 (AND CORRESPONDING WITH THE NEW YORK STATE'S PREVENTION AGENDA 2013-2017'S FIVE PRIORITY ACTION PLANS) ARE DESCRIBED FOR JAMAICA HOSPITAL'S NEIGHBORHOODS AND COMPARED WITH QUEENS AND NYC.DEATH RATESDEATH RATES FOR HEART DISEASE AND CANCER TOP THE LIST OF RANKED CAUSES OF DEATH ACROSS JAMAICA HOSPITAL'S PRIMARY SERVICE AREA AS WELL AS QUEENS AND NYC. FLU/PNEUMONIA (HIGHEST IN JAMAICA) AND STROKE ARE ALSO CONSISTENTLY RANKED HIGHER AS MORTALITY CAUSES (EXCEPT IN ENY). THERE IS SOME FLUCTUATION WITH OTHER LEADING CAUSES OF DEATH. OF PARTICULAR NOTE ARE MORTALITIES DUE TO NON-DRUG OVERDOSE ACCIDENTS (HIGHEST IN SWQ) AND DIABETES (THE THIRD LEADING CAUSE OF DEATH IN ENY).TOBACCO-FREE LIVING (CORRESPONDS TO NYSS PREVENT CHRONIC DISEASES): IN 2010, TOBACCO USE WAS MARKEDLY HIGHER IN NEIGHBORHOODS SERVED BY JAMAICA HOSPITAL, PARTICULARLY IN ENY, RELATIVE TO QUEENS AND NYC OVERALL (FIGURE 2). QUEENS' OVERALL AND JAMAICA'S 2011 RATES HOVERED AROUND THE HEALTHY PEOPLE 2020 TARGET OF 12%, WHILE SWQ'S RATE WAS LOWER. GENERALLY, SMOKING RATES DECLINED BETWEEN 2010 AND 2011 IN QUEENS AND JHMC'S SERVICE AREA. JAMAICA HOSPITAL'S EFFORTS TO REDUCE TOBACCO CONSUMPTION, PARTICULARLY SMOKING AMONG ADULTS, ARE DESCRIBED IN A LATER SECTION HIGHLIGHTING HEALTH NEEDS PRIORITIES. HEALTHY EATING (CORRESPONDS TO NYS'S PREVENT CHRONIC DISEASES): WHILE OBESITY RATES HAVE IMPROVED IN JAMAICA OVER THE PAST THREE YEARS, THEY HAVE REMAINED THE SAME (IN NYC, QUEENS, AND ENY) OR INCREASED IN OTHER AREAS (SWQ). JAMAICA HOSPITALS SERVICES INCLUDE NUTRITIONISTS AND DIABETES EDUCATORS, WHO CAN ASSIST PATIENTS WITH DEVELOPING HEALTHY EATING HABITS AND REACHING WEIGHT MANAGEMENT GOALS. THE HOSPITAL'S PARTNERSHIP WITH NYC DOHMH ON THEIR ANTI-OBESITY CAMPAIGN AND HEALTHY HOSPITAL FOOD INITIATIVE WILL HELP THE JAMAICA COMMUNITY REACH THE NYS AND HEALTHY PEOPLE TARGETS.ACTIVE LIVING (CORRESPONDS TO NYS'S PREVENT CHRONIC DISEASES): THE PERCENTAGE OF ADULTS WHO EXERCISE HAS ONLY INCREASED SLIGHTLY OVER THE PAST FEW YEARS. JAMAICA HOSPITAL'S NEIGHBORHOODS ARE FAIRLY CONSISTENT WITH QUEENS AND NYC ON THIS MEASURE, AND REFLECT THE NEED TO ENGAGE RESIDENTS IN EXERCISE PROGRAMS TO PREVENT OBESITY AND ITS RELATED EFFECTS, INCLUDING HEART DISEASE, DIABETES, AND STROKE. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES INCLUDE INCREASING THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WHO PARTICIPATE IN LEISURE-TIME PHYSICAL ACTIVITY FROM 73.7% TO 77.4%HEART HEALTH (CORRESPONDS TO NYS'S PREVENT CHRONIC DISEASES): RATES OF UNCONTROLLED HIGH BLOOD PRESSURE WERE RELATIVELY HIGHER IN SWQ AND ENY THAN JAMAICA AND ACROSS NYC/QUEENS. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES INCLUDE REDUCING THE AGE-ADJUSTED HEART ATTACK HOSPITALIZATION RATE (PER 10,000) FROM 14.4 (QUEENS) AND 15.5 (NYS) TO 14.0. JAMAICA HOSPITAL'S CARDIOLOGY DEPARTMENT AND PRIMARY CARE PHYSICIANS WORK TO HELP PATIENTS MONITOR AND MANAGE FACTORS RELATED TO HEART DISEASE, SUCH AS HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL, ULTIMATELY TO REDUCE PREMATURE DEATHS FROM HEART DISEASE. JAMAICA HOSPITAL IS PARTNERING WITH NYC DOHMH TO ENSURE ALL AMBULATORY CARE PATIENTS WITH HIGH BLOOD PRESSURE ARE BEING TRACKED, APPROPRIATELY CONTROLLED, AND THAT THE DATA IS BEING REPORTED. THE HOSPITAL IS ALSO PLANNING TO PARTNER WITH NYC BY PARTICIPATING IN THE NATIONAL DIABETES PREVENTION PROGRAM.HIV PREVENTION (CORRESPONDS TO NYS'S PREVENT HIV/STDS, VACCINE-PREVENTABLE DISEASE, & OTHER HEALTHCARE ASSOCIATED INFECTIONS ACTION PLAN): HIV/AIDS REMAINS AN IMPORTANT HEALTH ISSUE IN THE COMMUNITIES THAT JHMC SERVES. IN 2011, THERE WERE MORE THAN 6,923 PEOPLE LIVING WITH HIV/AIDS IN THE SERVICE AREA, WHICH IS MORE THAN THE NUMBER OF PEOPLE LIVING WITH HIV/AIDS STATEWIDE IN 27 OF THE 50 STATES. AN IMPORTANT PART OF PREVENTING HIV IS TO ENCOURAGE EVERYONE TO RECEIVE ROUTINE HIV TESTING AND DEVELOP AWARENESS OF THEIR HIV STATUS. FIGURE 6 DEPICTS PERCENTAGES OF ADULTS, AGED 18+, WHO HAVE NEVER HAD AN HIV TEST, AND SERVES AS A PROXY INDICATOR OF HIV STATUS AWARENESS. RATES OF HIV TESTING ARE GENERALLY LOWER ACROSS QUEENS AND IN THE QUEENS NEIGHBORHOOD OF SWQ THAN THEY ARE IN JAMAICA AND ACROSS NYC. RELEVANT HEALTHY PEOPLE 2020 HIV TESTING TARGETS ARE TO INCREASE THE PROPORTION OF PEOPLE LIVING WITH HIV WHO KNOW THEIR SEROSTATUS FROM 80.6% (2006) TO 90% AND TO INCREASE THE PROPORTION OF ADOLESCENTS AND ADULTS WHO HAVE BEEN TESTED FOR HIV IN THE PAST 12 MONTHS FROM 17.2% (2006-2010) TO 18.9%. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES INCLUDE REDUCING THE RATE OF NEWLY DIAGNOSED HIV CASES (PER 100,000) FROM 26.1 (QUEENS) AND 21.6 (NYS) TO 14.7. THE HOSPITALS AMBULATORY CARE CENTER IS DESIGNATED BY NYS DOH AS AN HIV PRIMARY MEDICAL CARE PROVIDER, AND OFFERS TESTING ANNUALLY TO PATIENTS AGES 13 64 IN BOTH THE EMERGENCY DEPARTMENT AND CLINICS. THE HOSPITAL HAS A NYS GRANT TO PROVIDE SCREENINGS, COUNSELING AND RISK-REDUCTION INTERVENTIONS TO AT-RISK WOMEN IN THE HOSPITAL CLINICS.PROMOTE MENTAL HEALTH (CORRESPONDS TO NYS'S PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE): DEPRESSION RATES WERE HIGHER ACROSS NYC THAN WITHIN JHMCS NEIGHBORHOODS, DECREASING IN QUEENS, ENY, AND SWQ TO VARYING DEGREES, WHILE INCREASING SLIGHTLY IN JAMAICA BETWEEN 2009 AND 2010. RELEVANT HEALTHY PEOPLE 2020 TARGETS ARE TO REDUCE THE PROPORTION OF ADULTS (18+) WHO EXPERIENCE MAJOR DEPRESSIVE EPISODES FROM 6.4 % (IN 2008) TO 5.8% AND TO INCREASE THE PROPORTION OF PRIMARY CARE PHYSICIANS WHO SCREEN ADULTS (19+) FOR DEPRESSION DURING OFFICE VISITS FROM 2.2% (2007) TO 2.4%. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES ARE TO REDUCE THE PERCENTAGE OF ADULT NEW YORKERS REPORTING 14 OR MORE DAYS WITH POOR MENTAL HEALTH IN THE LAST MONTH BY 10% TO NO MORE THAN 10.1% (BASELINE: 11.1%, 2011 BRFSS) AND REDUCE THE AGE-ADJUSTED SUICIDE MORTALITY RATE BY 10% TO 5.9 PER 100,000 (BASELINE: 6.6 PER 100,000, BUREAU OF BIOMETRICS 2007-2009). JHMC'S MENTAL HEALTH SERVICES INCLUDE ITS LARGE AND RECENTLY RENOVATED MENTAL HEALTH OUTPATIENT CENTER (FUNDED BY A NYS HEAL GRANT), ITS AFFILIATED OUTPATIENT ADVANCED CENTER FOR PSYCHOTHERAPY, ITS PSYCHIATRIC EMERGENCY DEPARTMENT AND CPEP PROGRAM, ITS INPATIENT PSYCHIATRY UNITS AND A CONSULTATION LIAISON SERVICE FOR OTHER INPATIENT UNITS. THESE VERTICALLY INTEGRATED SERVICES PROMOTE THE COORDINATION OF MENTAL HEALTH CARE, INCLUDING INCREASING DEPRESSION SCREENING RATES AND PROVIDING APPROPRIATE AND TIMELY TREATMENT.REDUCE ALCOHOL AND DRUG ABUSE (CORRESPONDS TO NYS'S PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE): CONSISTENT WITH NYC'S AND QUEENS' DATA, BINGE DRINKING RATES INCREASED BETWEEN 2009 AND 2010 IN JHMCS PRIMARY SERVICE AREA (FIGURE 8) BUT ARE LOWER THAN THE HEALTHY PEOPLE 2020 TARGET OF 24.4%. JAMAICA HOSPITAL REFERS ITS PATIENTS FOR CHEMICAL DEPENDENCY TREATMENT, BOTH IN-PATIENT AND OUT-PATIENT, TO ITS AFFILIATE, FLUSHING HOSPITAL, AND TO OTHER CHEMICAL DEPENDENCY SERVICES IN THE COMMUNITY.PREVENT & TREAT CANCER (CORRESPONDS TO NYS'S PREVENT HIV/STDS, VPDS, & OTHER HEALTHCARE ASSOCIATED INFECTIONS): COLONOSCOPY RATES (FIGURE 9) WERE CONSISTENT ACROSS NYC AND QUEENS, AS WELL AS JAMAICA, BUT VARIED SLIGHTLY IN SWQ. USED PRIMARILY TO SCREEN FOR COLORECTAL POLYPS OR CANCER, A COLONOSCOPY IS AN OUTPATIENT PROCEDURE THAT INVOLVES THE INSERTION OF A COLONSCOPE (SLENDER TUBE WITH A CAMERA ATTACHED) INSIDE OF THE LARGE INTESTINE (COLON AND RECTUM) TO EXAMINE AND REMOVE, IF WARRANTED, ANY ABNORMAL TISSUE. JAMAICA HOSPITAL HAS FOCUSED ON IMPROVING COLONOSCOPY RATES, INCLUDING EFFORTS TO RAISE COLON CANCER AWARENESS AND INCREASE THE NUMBER OF SCREENINGS USING A PATIENT NAVIGATOR. THE HOSPITAL IS PART OF THE QUEENS CANCER SERVICES PROGRAM, FUNDED BY NYS DOH TO INCREASE RATES AMONG UNDER- AND UNINSURED INDIVIDUALS FOR BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCER.
PART VI, LINE 3: CHARITY CARE POLICYPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:JAMAICA HOSPITAL MEDICAL CENTER DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION, AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. IN ADDITION, THE HOSPITAL POSTS THE FINANCIAL ASSISTANCE SUMMARY ON ITS WEBSITE. THE SUMMARY OF POLICIES INCLUDES THE SPECIFIC INCOME LEVELS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, A DESCRIPTION OF THE PRIMARY SERVICE AREA OF THE HOSPITAL, AND INFORMATION ABOUT HOW PATIENTS CAN APPLY FOR ASSISTANCE.ADDITIONALLY, THE HOSPITAL REQUIRES CONTRACTED OUTSIDE COLLECTIONS AGENCIES TO, WHEN APPROPRIATE; PROVIDE INFORMATION TO PATIENTS ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE. CHANGES IMPACTING COMMUNITY HEALTH/PROVISION OF CHARITY CARE/ACCESS TO SERVICES:THE HOSPITAL CONTINUES TO FACE EXTRAORDINARY FINANCIAL CHALLENGES INCLUDING FEDERAL AND STATE BUDGET CUTS, INCREASES IN THE UNINSURED, AND DWINDLING THIRD-PARTY REIMBURSEMENT RATES. SIMULTANEOUSLY, THE HOSPITAL HAS HAD A DRAMATIC INCREASE IN ITS EMERGENCY AND INPATIENT LOAD DUE TO NEARBY HOSPITAL CLOSINGS. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: ELIGIBILITY:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE ENTITLED TO A GLOBAL CHARITABLE DISCOUNT FOR EMERGENT (NYS RESIDENTS) AND/OR MEDICALLY NECESSARY SERVICES (RESIDES IN HOSPITAL'S PRIMARY SERVICE AREA). THE GLOBAL CHARITABLE DISCOUNT WILL BE BASED ON THE CURRENT APPLICABLE MEDICAID RATE - DEPENDING ON THE SERVICE PROVIDED. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT. THE HOSPITAL ALSO PROVIDES ADDITIONAL FINANCIAL ASSISTANCE TO PATIENTS WITH INCOMES BELOW 300% FPL. TO BE POTENTIALLY ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE, A PATIENT MUST BE UNINSURED OR HAVE EXHAUSTED THEIR HEALTH INSURANCE BENEFITS AND MUST BE DEEMED INELIGIBLE FOR ANY OTHER GOVERNMENT ASSISTANCE PROGRAM BY THE FINANCIAL COUNSELING OFFICE OF THE HOSPITAL. THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE AND PROVIDE PROOF THAT THEIR INCOME IS BELOW 300% FPL CAN QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. THE LEVEL OF ADDITIONAL ASSISTANCE WOULD BE DEPENDENT ON HOW LOW THEIR INCOME IS. THERE IS NO RESOURCE TEST FOR FINANCIAL AID ELIGIBLE PATIENTS. PLEASE NOTE THAT CERTAIN ELECTIVE SERVICES ARE EXCLUDED FROM THIS PROGRAM SUCH AS NON-MEDICALLY NECESSARY COSMETIC SERVICES AND SELF-IMPROVEMENT SERVICES.CO-PAYS AND DEDUCTIBLES ARE NOT COVERED UNDER THE PROGRAM. PATIENTS WHO DO NOT HAVE INSURANCE, AND; CHOOSE NOT TO FILE FOR ADDITIONAL CHARITABLE ASSISTANCE; ARE UNCOOPERATIVE; OR WHO ARE UNABLE TO BE LOCATED WILL HAVE THE GLOBAL CHARITABLE DISCOUNT APPLIED TO THEIR ACCOUNT(S). NO FURTHER DISCOUNTING WILL BE MADE AVAILABLE TO PATIENTS IN THESE CATEGORIES UNLESS APPROVED VIA THE APPEALS PROCESS. ANCILLARIES ARE NOT INCLUDED IN DISCOUNTING EXTENDED TO THESE PATIENTS' ACCOUNTS.JAMAICA HOSPITAL MEDICAL CENTER ALLOWS FOR ALL RESIDENTS OF NEW YORK STATE TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR EMERGENCY HOSPITAL SERVICES. FOR ANY MEDICALLY NECESSARY, NON-EMERGENT MEDICAL CARE, THE POLICY ALLOWS FOR RESIDENTS OF THE HOSPITAL'S PRIMARY SERVICE (AS DEFINED BY THE COMMISSIONER OF THE DEPARTMENT OF HEALTH), TO BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO DEFINE WHAT SERVICES ARE COVERED UNDER THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY BASED ON NEW YORK STATE MANDATORY GUIDELINES. PROCEDURE: SERVICES COVERED: JAMAICA HOSPITAL MEDICAL CENTER PROVIDES FINANCIAL ASSISTANCE FOR ALL MEDICALLY NECESSARY AND THERAPEUTICALLY BENEFICIAL SERVICES AND PROCEDURES, AND ALL EMERGENCY HOSPITAL SERVICES INCLUDING EMERGENCY TRANSFERS PURSUANT TO THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA).POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: APPLICATION, APPROVAL, AND APPEAL:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ALLOWS PATIENTS TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE UP TO 90 DAYS AFTER INPATIENT DISCHARGE OR RECEIPT OF OUTPATIENT SERVICES. THE HOSPITAL REQUIRES APPLICANTS TO SUBMIT FINANCIAL DOCUMENTS TO SUPPORT THEIR APPLICATION. THE POLICY ALLOWS 20 DAYS FOR PATIENTS TO SUBMIT ADDITIONAL DOCUMENTS AND INFORMATION NEEDED TO COMPLETE AN APPLICATION. FINANCIAL ASSISTANCE APPLICANTS ARE NOT REQUIRED TO PAY THEIR HOSPITAL BILL(S) WHILE THE APPLICATION FOR ASSISTANCE IS BEING CONSIDERED AND A DETERMINATION MADE. DESIGNATED HOSPITAL STAFF ASSISTS PATIENTS IN THE APPLICATION PROCESS, INCLUDING UNDERSTANDING THE POLICIES AND PROCEDURES. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE ARE REQUIRED TO COOPERATE WITH THE REQUIREMENTS OF THE APPLICATION, SUCH AS PROVIDING INFORMATION AND DOCUMENTATION NECESSARY TO RENDER A DECISION ON THE APPLICATION. TO QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE, HOSPITAL POLICY REQUIRES A PATIENT TO FIRST APPLY FOR MEDICAID OR ANOTHER INSURANCE PROGRAM, IF, IN THE JUDGMENT OF THE HOSPITAL, THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANOTHER HEALTH INSURANCE PROGRAM.THE HOSPITAL PROVIDES APPLICATION FORMS IN THE PRIMARY LANGUAGES OF PATIENTS SERVED BY THE HOSPITAL.DECISIONS REGARDING FINANCIAL ASSISTANCE APPLICATIONS ARE MADE BY THE HOSPITAL WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. WHENEVER A MEDICAID APPLICATION IS ALSO BEING SUBMITTED ON BEHALF OF THE FINANCIAL AID APPLICANT, A FINANCIAL AID DECISION WILL BE RENDERED WITHIN 30 DAYS OF A MEDICAID DENIAL. THE DECISION IS PROVIDED TO THE PATIENT IN WRITING AND INCLUDES THE METHOD BY WHICH THE PATIENT CAN APPEAL A DENIAL. THE FINANCIAL ASSISTANCE DENIAL LETTERS EXPLAINS THE APPEALS PROCESS TO RE-EVALUATE DENIED APPLICATIONS; IF, OR WHEN, AN APPEAL IS REQUESTED.
PART VI, LINE 4: COMMUNITY INFORMATIONJAMAICA HOSPITAL'S PRIMARY SERVICE AREA WAS DETERMINED BY ANALYZING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) DISCHARGE DATA AT THE ZIP CODE LEVEL. THE HIGHEST VOLUME ZIP CODES WERE AGGREGATED INTO UNITED HOSPITAL FUND (UHF) NEIGHBORHOODS. THE TOTAL (PRIMARY AND SECONDARY) SERVICE AREA COLLECTIVELY ACCOUNTS FOR APPROXIMATELY 85% OF THE HOSPITAL'S TOTAL CASES. THE PRIMARY SERVICE AREA ACCOUNTS FOR 79% OF THE CASES.DEMOGRAPHICSPOPULATION, RACE, AND ETHNICITY: THE NEIGHBORHOODS SERVED BY JAMAICA HOSPITAL ARE HOME TO ALMOST 720,000 PEOPLE (240,000 IN SWQ; 290,000 IN JAMAICA; ~180,000 IN ENY), MOST OF WHO IDENTIFY AS RACIAL/ETHNIC MINORITY RESIDENTS. ALMOST ONE IN THREE PEOPLE WHO LIVE IN THE SERVICE AREA IS UNDER 20 YEARS OF AGE. MORE THAN 52% OF THE POPULATION IN JAMAICA HOSPITALS SERVICE AREA IS FEMALE. A CONSIDERABLE PERCENTAGE OF PEOPLE LIVING IN THE JHMC SERVICE AREA IS FOREIGN BORN, RANGING FROM 31% (ZIP CODE 11207, EAST NEW YORK) TO 66.6% IN ZIP CODE 11419 (RICHMOND HILL AREA OF SWQ). ALMOST THREE-QUARTERS OF RICHMOND HILLS FOREIGN-BORN POPULATION HAILS FROM LATIN AMERICA(DEFINED BY THE U.S. CENSUS AS INCLUDING MEXICO, CENTRAL AMERICA, THE CARIBBEAN, AND SOUTH AMERICA ), AND RECENT WAVES OF GUYANESE IMMIGRANTS OF INDIAN (SOUTH ASIAN) DESCENT ARE CONCENTRATING IN LARGE NUMBERS IN THIS AREA AND NEIGHBORING OZONE PARK (SWQ). TO BETTER MEET THE NEEDS OF THE SOUTH ASIAN COMMUNITY IT SERVES, TJH MEDICAL SERVICES, THE HOSPITAL'S AFFILIATED GROUP PRACTICE, IS DEVELOPING AN OFFICE FOR OBSTETRICS AND GYNECOLOGY TARGETED TO THIS POPULATION. CURRENTLY JAMAICA HOSPITAL MEDICAL CENTER EMPLOYS 1750 STAFF WHO SPEAK ENGLISH AND A SECOND LANGUAGE, INCLUDING 557 WHO SPEAK SPANISH, 241 WHO SPEAK TAGALOG, 219 WHO SPEAK FRENCH/CREOLE, AND 211 WHO SPEAK ANY INDIAN LANGUAGES (BENGALI, URDU, PUNJABI, HINDI).SOCIOECONOMIC AND HEALTH INSURANCE STATUS: JAMAICA HOSPITAL SERVES A RELATIVELY LOWER-INCOME POPULATION ($59,364 WEIGHTED MEAN HOUSEHOLD INCOME, RANGING FROM LOW MEAN OF $44,515 IN ZIP CODE 11208CYPRESS HILLS, ENY TO HIGH MEAN OF $79,561 IN ZIP CODE 11423HOLLIS, JAMAICA). MOST OF THE COMMUNITY DISTRICTS WITHIN JHMC"S SERVICE AREA [CD 9 (42.4%) & CD 12 (39.4%) IN QUEENS AND CD 5 (51.2%) IN BROOKLYN] HAVE HIGHER PERCENTAGES OF RESIDENTS RECEIVING SOME FORM OF INCOME ASSISTANCE THAN THE PERCENTAGES OBSERVED IN QUEENS (35.4%) OR NYC (37.3%) OVERALL IN THE JHMC SERVICE AREA, SOME RESIDENTS ARE MEDICAID (EAST NY: 23%; SOUTHWEST QUEENS: 15%; JAMAICA: 21%) OR MEDICARE (EAST NY: 11%; SOUTHWEST QUEENS: 14%: JAMAICA: 16%) ENROLLEES . AN ALMOST EQUAL PROPORTION OF RESIDENTS HAVE PRIVATE INSURANCE (EAST NY: 31%; SOUTHWEST QUEENS: 48%; JAMAICA: 35%). ABOUT ONE-QUARTER OF PEOPLE LIVING IN JHMCS NEIGHBORHOODS ARE UNINSURED (EAST NY: 28%; SOUTHWEST QUEENS: 20%; JAMAICA: 22%) . IN QUEENS, HISPANIC RESIDENTS (34%) ARE MORE LIKELY TO BE UNINSURED THAN BLACK (20%) OR WHITE RESIDENTS (10%). MEN IN QUEENS (24%) ARE MORE LIKELY TO BE UNINSURED THAN WOMEN (18 %). PUBLIC PARTICIPATIONPARTICIPANTS IN THE DEVELOPMENT OF THE COMMUNITY SERVICE PLAN INCLUDED STAFF FROM PUBLIC AFFAIRS, ADMINISTRATION, AS WELL AS MEDICAL STAFF, THE HOSPITAL'S BOARD OF TRUSTEES, THE HOSPITALS COMMUNITY ADVISORY BOARD (CAB), AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH).THE DEPARTMENT OF PUBLIC AFFAIRS AT JAMAICA HOSPITAL MEDICAL CENTER RECENTLY CONDUCTED A SURVEY TO HELP IDENTIFY WHICH HEALTH RELATED ISSUES WERE MOST IMPORTANT TO THE COMMUNITY. EACH OF THE COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE SURVEY PROCESS WERE PROVIDED WITH A LIST OF COMMON HEALTH ISSUES AND ASKED TO INDICATE WHICH ISSUES THEY FELT WERE THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. THE SURVEYS REVEALED THAT COMMUNITY MEMBERS HAD MANY CONCERNS INCLUDING CHILDHOOD OBESITY, HYPERTENSION, NUTRITION, DIABETES, ASTHMA, SEXUALLY TRANSMITTED DISEASES, AS WELL AS TOBACCO USE AND BREASTFEEDING. JAMAICA HOSPITAL IS PARTNERING ON SEVERAL PREVENTION PROJECTS WITH COMMUNITY BASED ORGANIZATIONS AND WITH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) AS PART OF ITS TAKE CARE NEW YORK (TCNY) PROGRAM TO ADDRESS THESE PROBLEMS.PRIOR TO DISTRIBUTING THESE SURVEYS, A BRIEF INTRODUCTION AND EXPLANATION OF THE SURVEY WAS GIVEN TO THOSE IN ATTENDANCE EITHER BY THE LEADERSHIP OF THE HOST ORGANIZATION OR BY A MEMBER OF THE STAFF OF THE DEPARTMENT OF PUBLIC AFFAIRS. THE RESPONDENTS WERE TOLD THAT THE SURVEYS WERE ANONYMOUS AND WOULD BE USED BY THE STAFF OF THE HOSPITAL FOR PURPOSES OF BETTER UNDERSTANDING WHAT THEY FELT ARE IMPORTANT TOPICS TO BE ADDRESSED.TWO INITIATIVES THAT THE HOSPITAL HAS CHOSEN TO ADDRESS AS PART OF THE COMMUNITY SERVICE PLAN:SMOKING CESSATION EDUCATING AND ENCOURAGING MOTHERS TO BREAST FEED BETWEEN MARCH AND SEPTEMBER 2013 THE CAB HELD DISCUSSIONS OF THE SERVICE AREAS HEALTH PROBLEMS, INCLUDING THE TWO PROBLEMS THAT WERE BEING CONSIDERED AS PREVENTION AGENDA PRIORITIES FOR THE HOSPITALS 2013 COMMUNITY SERVICE PLAN. CONSENSUS WAS REACHED THAT DECREASING TOBACCO USE AND INCREASING EXCLUSIVE BREASTFEEDING WERE PROBLEMS THAT THE HOSPITAL SHOULD ADDRESS, ESPECIALLY SINCE THEY HAVE SUCH A PROFOUND IMPACT ON HEALTH.
PART VI, LINE 5: SELECTION OF PUBLIC HEALTH PRIORITIESJAMAICA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE IN LINE WITH THE PRIORITIES IDENTIFIED BY THE NYS PREVENTION AGENDA AS WELL AS TAKE CARE NEW YORK 2016. ALTHOUGH JHMC COULD HAVE ALSO SELECTED OTHER INITIATIVES, BASED UPON COMMUNITY HEALTH STATISTICS AND CONSUMER NEEDS/UTILIZATION SURVEYS, ITS RESOURCES AND CAPABILITIES ARE BEST SUITED TO FOCUS ON EFFORTS TO INCREASE TOBACCO CESSATION SUCCESS RATES WITHIN THE COMMUNITY AND INCREASE RATES OF EXCLUSIVE BREASTFEEDING AMONG MOTHERS IN THE SERVICE AREA. THAT IS, JHMC ELECTED TO ADDRESS THESE TWO PARTICULAR HEALTH NEEDS TO MAKE THE MOST IMPACT AND CREATE SUSTAINABLE QUALITY OF LIFE IMPROVEMENTS. JAMAICA HOSPITAL IS ALREADY A PARTNER ON NYC'S TOBACCO-FREE HOSPITAL CAMPAIGN, HAVING EARNED A BRONZE STAR FOR ITS ACCOMPLISHMENTS, AS WELL AS BEING A PARTNER IN THE CITY'S LATCH ON NYC INITIATIVE. THE HOSPITAL IS ALSO PARTNERING WITH THE CITY DOHMH ON 12 OTHER HOSPITAL COMMUNITY HEALTH INTERVENTIONS AND IS, THEREFORE, AN OFFICIAL TAKE CARE NEW YORK PARTNER, IMPLEMENTING EVIDENCE-BASED INTERVENTIONS IN PARTNERING WITH THE CITY:1. SUPPORT THE DEVELOPMENT AND PLACEMENT OF ANTI-OBESITY EDUCATIONAL /MEDIA CAMPAIGNS.2. ADOPT HEALTHY HOSPITAL FOOD INITIATIVE.3. TRACK AND REPORT THE BLOOD PRESSURE CONTROL SCORES OF PATIENTS IN THE HOSPITAL AMBULATORY FOOTPRINT.4. SUPPORT AND PROMOTE THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) FOR OVERWEIGHT AND OBESE ADULTS WITH PRE-DIABETES OR WOMEN WITH HISTORY OF GESTATIONAL DIABETES.5. ENSURE ROUTINE OFFERING OF HIV TESTING IN EMERGENCY DEPARTMENTS AND ALL OUTPATIENT CLINICS.6. REDUCE THE PERCENT OF HIV INFECTED PATIENTS WITH DETECTABLE VIRAL LOADS.7. PROMOTE COMMUNITY VIOLENCE REDUCTION BY CREATING OR JOINING ESTABLISHED CURE VIOLENCE (CEASE-FIRE) EFFORTS.8. IMPLEMENT HOME-BASED FALLS RISK ASSESSMENTS AND INTERVENTIONS IN THE HOMES OF OLDER ADULTS, DEPLOYING DOHMH TOOLS.9. PROMOTE APPROPRIATE AND JUDICIOUS PRESCRIBING OF OPIOID ANALGESICS.10. SUPPORT TRAINING AND CERTIFICATION OF PRIMARY CARE PRACTICES TO PRESCRIBE BUPRENORPHINE.11. ADOPT SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIET) FOR ALCOHOL AND DRUG USE IN OUTPATIENT AND EMERGENCY DEPARTMENT SETTINGS.12. ENGAGE PATIENTS WITH FIRST EPISODE PSYCHOSIS INTO QUALITY OUTPATIENT CARE.PREVENTION AGENDA PRIORITY #1: DECREASE TOBACCO USEJAMAICA HOSPITAL IS COMMITTED TO PROMOTING TOBACCO-FREE LIVING, ONE OF THE TOP TEN GOALS AS RATED BY TAKE CARE NEW YORK. DISPARITIES IN TOBACCO USE, BOTH RELATED TO SOCIOECONOMIC STATUS AND RACIAL/ETHNIC BACKGROUND ARE SEEN NATIONALLY AND IN NYS AND CAN BE OBSERVED TO SOME EXTENT IN QUEENS AS WELL. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES ARE TO REDUCE SMOKING AMONG ADULTS WITH INCOME LEVELS LESS THAN $25,000 FROM 27.8% (2011) TO 20.0% AND TO INCREASE THE UTILIZATION OF SMOKING CESSATION BENEFITS AMONG SMOKERS WHO ARE ENROLLED IN MEDICAID MANAGED CARE BY 141% FROM 17% (2011) TO 41%.ONE OF THE CONCERNS BROUGHT FORWARD DURING THE TCNY BOROUGH-WIDE LISTENING SESSION (QUEENS, MAY 14, 2013 ) CENTERED ON INCREASING SMOKE-FREE HOUSING. QUEENS'S STAKEHOLDERS IDENTIFIED THE NEED FOR SMOKE-FREE COUNSELING TRAINING FOR CASE MANAGERS WHO WORK IN PUBLIC HOUSING, WHICH SPEAKS TO INCOME-ASSOCIATED DISPARITIES IN TOBACCO CESSATION SUCCESS (AND RELATES TO NYS PREVENTION AGENDA 2013-2017 OBJECTIVE 2.3.2, TO INCREASE THE NUMBER OF LOCAL HOUSING AUTHORITIES THAT ADOPT A TOBACCO-FREE POLICY FOR ALL HOUSING UNITS FROM 3 (2012) TO 12). JAMAICA HOSPITAL'S PLANNED ACTIVITIES TO INCREASE SMOKING CESSATION INCLUDE EFFORTS TO ENGAGE THE COMMUNITY THROUGH OUTREACH (E.G., DEVELOPING AND DISTRIBUTING MULTILINGUAL INFORMATIONAL POSTERS/FLYERS), EDUCATION (WORKING WITH QUEENS QUITS, A PARTNERSHIP BETWEEN THE QUEENS HEALTH NETWORK, THE AMERICAN CANCER SOCIETY AND MEMORIAL SLOAN-KETTERING CANCER CENTER, TO TRAIN TOBACCO CESSATION LEADERS), AND AUGMENTING SCREENING, REFERRAL, AND COUNSELING.JAMAICA HOSPITAL HAS ACHIEVED BRONZE STAR STATUS FROM THE NYC TOBACCO-FREE HOSPITALS CAMPAIGN FOR THE COMPLETION OF ITS ENVIRONMENTAL AND EMPLOYEE CESSATION PROGRAM ASSESSMENTS. THROUGH ITS PARTNERSHIP IN THE CITYS CAMPAIGN, THE HOSPITAL HAS WORKED WITH THE NORTH CAROLINA PREVENTION PARTNERS, A STATE AND NATIONAL LEADER IN THIS FIELD, TO ENHANCE ITS JHMC'S TOBACCO-FREE CAMPUS POLICIES AND COMPLIANCE STRATEGIES. JHMC ACTIVELY SEEKS TO HELP EMPLOYEES QUIT SMOKING BY OFFERING SMOKING CESSATION BENEFITS, COUNSELING, HOTLINES, AND EDUCATIONAL PROGRAMS. ONE INITIATIVE JAMAICA HOSPITAL IS FOCUSING ON TO MEET TCNY AND NYS TOBACCO CESSATION OBJECTIVES IS TO INCREASE THE NUMBER OF OUTPATIENTS AND INPATIENTS WHO ARE COUNSELED, REFERRED, TREATED AND TRACKED (VIA ELECTRONIC HEALTH RECORDS) FOR TOBACCO CESSATION SERVICES. THE HOSPITAL INTENDS TO SEEK NYC'S SILVER AND GOLD STAR STATUS FOR ITS EFFORTS TO HELP PATIENTS REDUCE OR ELIMINATE TOBACCO USE. IN ITS EFFORTS TO REDUCE TOBACCO USE IN THE COMMUNITY, PARTICULARLY CIGARETTE SMOKING BY ADULTS, JAMAICA HOSPITAL WILL DIRECTLY ADDRESS INCOME AND RACIAL/ETHNIC-RELATED DISPARITIES AND PROVIDE CESSATION SERVICES IN A CULTURALLY-COMPETENT MANNER.PREVENTION AGENDA PRIORITY #2: INCREASE EXCLUSIVE BREASTFEEDINGAS A FOCUS ON CHILDREN AND ADOLESCENT HEALTH IS AN INTEGRAL PART OF THE GOALS SET BY TAKE CARE NEW YORK, JAMAICA HOSPITAL HAS ELECTED TO DIRECT EFFORTS ON INCREASING BREASTFEEDING WITHIN THE COMMUNITIES IT SERVES. JHMCS BREASTFEEDING PROMOTION INITIATIVES WILL WORK TO INCREASE THE NUMBER OF WOMEN WHO BREASTFEED EXCLUSIVELY IN THE HOSPITAL AFTER CHILDBIRTH AND, WILL IN TURN, HELP ADVANCE OTHER OBJECTIVES, SUCH AS THE REDUCTION OF CHILDHOOD OBESITY RATES AND THE PREVENTION OF CANCER, AS BREASTFEEDING HAS BEEN SHOWN TO PROVIDE PROTECTION AGAINST CHILDHOOD OBESITY AND THE DEVELOPMENT IN WOMEN OF SOME TYPES OF CANCERS (NAMELY BREAST AND OVARIAN). IN 2011, JAMAICA HOSPITAL RANKED LAST (LOWEST) AMONG ALL NYS HOSPITALS REPORTING DATA ON EXCLUSIVE BREASTFEEDING (FIGURE 14). ONLY 0.1% OF INFANTS BORN AT JAMAICA HOSPITAL WERE EXCLUSIVELY FED BREAST MILK, COMPARED WITH 27.5% ACROSS QUEENS (CRUDE RATE, 2008-2010 DATA), 32.4% ACROSS NEW YORK CITY (CRUDE RATE, 2008-2010 DATA) , AND 39.7% STATEWIDE . JAMAICA HOSPITAL'S, QUEENS', NYC'S AND NYS'S EXCLUSIVE BREASTFEEDING RATES ALL FELL FAR SHORT OF THE HEALTHY PEOPLE 2020 GOAL OF AT LEAST 70% OF INFANTS RECEIVING ONLY BREAST MILK . WHILE THE PERCENTAGE OF INFANTS FED ANY BREAST MILK AT JAMAICA HOSPITAL (95.7%) EXCEEDED THE STATEWIDE PERCENTAGE (82.7%), THE PROMOTION OF EXCLUSIVE BREASTFEEDING IS ENCOURAGED, PARTICULARLY AS IT MAY HAVE A STRONGER PROTECTIVE EFFECT AGAINST CHILDHOOD OBESITY THAN COMBINED BREASTFEEDING AND FORMULA FEEDING. BREASTFEEDING RATES FOR MOTHERS ACROSS ALL AGES IN SOUTHWEST QUEENS [COMMUNITY DISTRICTS 9 (WOODHAVEN) AND 10 (HOWARD BEACH)] WERE AMONG THE LOWEST IN QUEENS AND ALSO RANKED AMONG THE LOWEST OF ALL NYC COMMUNITY DISTRICTS FOR THE PERCENTAGE OF INFANTS FED BREAST MILK ONLY AT THE TIME OF BIRTH CERTIFICATE FILING (WITHIN FIRST FIVE DAYS OF LIFE). IN 2011, IT WAS REPORTED THAT ONLY 18.3% AND 19.8% OF INFANTS WERE EXCLUSIVELY FED BREAST MILK IN QUEENS COMMUNITY DISTRICTS 10 AND 9, RESPECTIVELY. AMONG TEENAGE MOTHERS (AGE < 20 YEARS), BREASTFEEDING RATES WERE HIGHER IN JAMAICA (COMMUNITY DISTRICT 12) THAN IN THE OTHER NEIGHBORHOODS SERVED BY JHMC, BUT ALL OF THE COMMUNITY DISTRICTS IN JHMCS SERVICE AREA HAD LOWER PERCENTAGES OF TEENAGE MOTHERS BREASTFEEDING THAN THE STATE AVERAGE.
PART VI, LINE 6: THE HOSPITAL IS AFFLIATED WITH MEDISYS HEALTH SYSTEM.
NY	REPORTS FILED WITH STATES	PART VI, LINE 7
HEALTHY INDOOR & OUTDOOR AIR (CORRESPONDS TO NYS'S PROMOTE A HEALTHY & SAFE ENVIRONMENT): OZONE LEVELS WERE CONSISTENT ACROSS JHMC'S NEIGHBORHOODS AND NYC. ASTHMA HOSPITALIZATION RATES WERE HIGHEST IN ENY, ALTHOUGH DEATHS FROM LUNG DISEASES WERE FAIRLY CONSISTENT AMONG JAMAICA HOSPITAL'S NEIGHBORHOODS. JHMC'S RESPIRATORY CARE DEPARTMENT HELPS WITH THE MANAGEMENT OF DISEASES (E.G., ASTHMA) THAT CAN BE TRIGGERED OR MADE WORSE BY AIR POLLUTANTS. RELEVANT HEALTHY PEOPLE 2020 TARGETS ARE TO REDUCE HOSPITALIZATIONS FOR ASTHMA AMONG CHILDREN UNDER AGE 5 YEARS FROM 41.4/10,000 CHILDREN <5 YEARS (2007) TO 18.1 HOSPITALIZATIONS /10,000 CHILDREN <5 YEARS AND TO REDUCE HOSPITALIZATIONS FOR ASTHMA AMONG CHILDREN AND ADULTS AGE 5 TO 65 YEARS FROM 11.1 HOSPITALIZATIONS FOR ASTHMA PER 10,000 CHILDREN AND ADULTS AGED 5 TO 64 YEARS (2007) TO 8.6/10,000 (AGE ADJUSTED TO THE YEAR 2000 STANDARD POPULATION). RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES INCLUDE: INCREASING THE PERCENTAGE OF HOMES IN NYSS HEALTHY NEIGHBORHOOD PROGRAM (HNP; PROGRAM PROVIDING IN-HOME ASSESSMENTS AND INTERVENTIONS FOR ASTHMA, TOBACCO CESSATION, INDOOR AIR QUALITY, LEAD, FIRE SAFETY, AND OTHER ENVIRONMENTAL HEALTH HAZARDS) THAT HAVE FEWER ASTHMA TRIGGERS DURING THE HOME REVISITS FROM 23.9% TO 20% AND REDUCING THE ANNUAL NUMBER OF DAYS WITH UNHEALTHY AIR AS MEASURED BY THE AIR QUALITY INDEX (AQI)>100 TO 0 (BASELINE: NYC ANNUAL AVERAGE IS 5 DAYS FOR OZONE AND 6 DAYS FOR PARTICULATE MATTER; 2005 - 2009 DEC MONITORING DATA COMPARED TO NATIONAL AMBIENT AIR QUALITY STANDARDSNAAQS). JAMAICA HOSPITAL IS PART OF THE ASTHMA COALITION OF QUEENS (FORMED IN 2012), IN WHICH ORGANIZATIONS WORK TOGETHER TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE WITH ASTHMA BY ENGAGING PATIENTS, FAMILIES, HEALTHCARE PROVIDERS, INSTITUTIONS AND THE COMMUNITY.QUALITY PREVENTIVE CARE (CORRESPONDS TO NYS'S PREVENT CHRONIC DISEASES): WHILE PERCENTAGES OF PATIENTS REPORTING THEY WERE UNABLE TO ACCESS CARE HAVE DECREASED SLIGHTLY ACROSS NYC AND QUEENS, THEY HAVE FLUCTUATED IN SWQ AND JAMAICA. THESE VARIATIONS MAY BE AFFECTED BY HOSPITAL CLOSINGS, SUCH AS THE FEBRUARY 2009 CLOSING OF MARY IMMACULATE AND ST. JOHN'S QUEENS HOSPITALS (CARITAS). JAMAICA HOSPITAL HAS EXPERIENCED SUBSTANTIAL INCREASES IN EMERGENCY ROOM VISITS AND HAS ACCORDINGLY INCREASED CAPACITY (RECEIVING $4 MILLION IN NYS DOH GRANTS EARMARKED TO IMPROVE CAPACITY AND ACCESS TO CARE). NYC, QUEENS, AND THE NEIGHBORHOODS SERVED BY JHMC HAVE PERCENTAGES OF PEOPLE REPORTING THAT THEY WERE UNABLE TO RECEIVE CARE THAT ARE HIGHER THAN THE HEALTHY PEOPLE 2020 TARGET. RELEVANT NYS PREVENTION AGENDA 2013-2017 OBJECTIVES INCLUDE INCREASING THE AGE-ADJUSTED PERCENTAGE OF ADULTS WHO HAVE A REGULAR HEALTH CARE PROVIDER FROM 85.9% (QUEENS) AND 83.0% (NYS) TO 90.8% AND REDUCING THE AGE-ADJUSTED PREVENTABLE HOSPITALIZATION RATE PER 10,000 FROM 136.9 (QUEENS) AND 155.0 (NYS) TO 133.3. JAMAICA HOSPITAL AND ITS AFFILIATED DIAGNOSTIC AND TREATMENT CENTER, WITH A LARGE ON-CAMPUS CENTER AND TEN COMMUNITY-BASED CENTERS, ARE DESIGNATED AS LEVEL 3 PRIMARY CARE MEDICAL HOMES. THEY PROVIDE CARE TO MANY UNDERSERVED AREAS OF SOUTHERN QUEENS, IN PARTICULAR THE JAMAICA AND EAST NEW YORK (BROOKLYN) COMMUNITIES. JAMAICA HOSPITAL IS ALSO A FOUNDING MEMBER OF QUEENS COORDINATED CARE PARTNERS (QCCP), A STATE-DESIGNATED HEALTH HOME, WHICH PROVIDES CARE MANAGEMENT SERVICES TO MEDICAID BENEFICIARIES WITH CHRONIC DISEASES WHO HAVE VERY HIGH UTILIZATION. THE HOSPITAL, WHICH ALREADY CARES FOR THOUSANDS OF MEDICAID BENEFICIARIES THROUGH MANAGED CARE PLANS, HAS EXECUTED CONTRACTS WITH EIGHT PLANS PARTICIPATING IN THE STATES INSURANCE EXCHANGE, NEW YORK STATE OF HEALTH, AND ANTICIPATES THAT MANY UNINSURED PERSONS IN THE AREA WILL SIGN UP AND ACCESS DEFERRED PRIMARY AND PREVENTIVE CARE.PREVENTION QUALITY INDICATORS (PQI) ARE MEASUREMENTS OF THE QUALITY OF OUTPATIENT CARE FOR AMBULATORY CARE SENSITIVE CONDITIONS CONDITIONS FOR WHICH GOOD OUTPATIENT CARE CAN TYPICALLY PREVENT THE NEED TO BE ADMITTED TO THE HOSPITAL. IN FIGURE 12, THE PQI RANKINGS FOR THE SERVICE AREA ARE BASED UPON HOSPITAL DISCHARGE RATES PER 100,000 PEOPLE. WHEN ABOVE 100%, THE PERCENT OF THE EXPECTED DISCHARGE RATE INDICATES HOW MUCH THE OBSERVED RATE EXCEEDED THE EXPECTED RATE. FOR EXAMPLE, THE DISCHARGE RATE FOR CIRCULATORY CONDITIONS FOR BLACK PATIENTS IN JHMC'S SERVICE AREA WAS ALMOST DOUBLE (~200%) THE EXPECTED RATE. FOR EACH CONDITION CATEGORY, THE PERCENTAGE OF OBSERVED ADMISSIONS EXCEEDS THAT EXPECTED PERCENTAGE FOR BLACK RESIDENTS IN JHMC'S SERVICE AREA, HIGHLIGHTING RACIAL DISPARITIES IN HOSPITALIZATIONS FOR CONDITIONS THAT COULD BE ADDRESSED WITH PREVENTIVE CARE. REDUCING DISPARITIES IN PREVENTABLE HOSPITALIZATIONS IS ALSO A PRIORITY FOR THE NYS PREVENTION AGENDA 2013-2017, AS OBJECTIVES INCLUDE REDUCING THE RATIO OF AGE-ADJUSTED PREVENTABLE HOSPITALIZATIONS AMONG BLACK NON-HISPANICS TO WHITE NON-HISPANICS FROM 1.82 (QUEENSWHICH ALREADY IS LOWER THAN THE NYS PREVENTION AGENDA 2013-2017 OBJECTIVE) AND 2.09 (NYS) TO 1.85 AND REDUCING THE RATIO OF AGE-ADJUSTED PREVENTABLE HOSPITALIZATIONS AMONG HISPANICS TO WHITE NON-HISPANICS FROM 0.85 (QUEENSWHICH IS ALREADY LOWER THAN THE NYS PREVENTION AGENDA 2013-2017 OBJECTIVE) AND 1.47 (NYS) TO 1.38. AS NOTED ON THE PRIOR PAGE JAMAICA HOSPITAL HAS TAKEN MANY STEPS TO IMPROVE AND EXPAND AMBULATORY CARE AND INSURANCE COVERAGE IN ITS SERVICE AREA.PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDRENMATERNAL AND INFANT HEALTH INDICATORS: LOW BIRTH WEIGHT (LBW) AND PRETERM BIRTHS ARE MORE LIKELY TO RESULT IN MEDICAL PROBLEMS, BOTH AS NEWBORNS [E.G., RESPIRATORY DISTRESS SYNDROME (BREATHING PROBLEM CAUSED BY LACK OF SURFACTANTS IN PREMATURE LUNGS); BLEEDING IN THE BRAIN; PATENT DUCTUS ARTERIOSUS (WHEN A CRUCIAL ARTERY FAILS TO CLOSE AFTER BIRTH AND CAN CAUSE HEART FAILURE] AND LATER IN LIFE (E.G., HIGH BLOOD PRESSURE, DIABETES, HEART DISEASE). IN JAMAICA HOSPITALS PRIMARY SERVICE AREA (TABLE 5), THE LOW BIRTH WEIGHT RATE IS MORE THAN 28% HIGHER THAN THE HEALTHY PEOPLE 2020 GOAL OF 7.8%. SIMILARLY, MORE THAN 14% OF THE BIRTHS IN THE TARGETED ZIP CODES WERE PRETERM. THE PRETERM BIRTH RATE IS MORE THAN 18% HIGHER THAN THE HEALTHY PEOPLE 2020 GOAL OF 11.4%. IN QUEENS, THERE IS A NOTABLE DISPARITY IN THE RATIOS OF PRETERM BIRTHS, WHERE THE RATE OF PRETERM BIRTHS IS HIGHER FOR BLACK NON-HISPANICS (RATIO IS 1.65) THAN WHITE NON-HISPANICS (ACROSS NYS, RATIO IS 1.61). THIS DISPARITY IS ALSO FOUND WHEN COMPARING PRETERM BIRTH RATES FOR HISPANIC AND WHITE NON-HISPANIC MOTHERS (RATIO IS 1.33 IN QUEENS, COMPARED WITH 1.25 IN NYS ). ADDITIONALLY, JHMCS NEIGHBORHOODS REFLECT HIGH RATES OF RISK FACTORS FOR LOW BIRTH WEIGHT AND PRETERM BIRTHS, INCLUDING BIRTHS TO MEDICAID BENEFICIARIES, AFRICAN-AMERICAN AND LATINO WOMEN, AND LOW-INCOME WOMEN. JAMAICA HOSPITAL IS DESIGNATED AS A PRENATAL CARE ASSISTANCE PROGRAM (PCAP) PROVIDER. THE HOSPITAL OPERATES A WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES FOOD VOUCHERS AND EDUCATION TO LOW INCOME PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE, AND IS SEEKING BABY FRIENDLY DESIGNATION BY PROMOTING EXCLUSIVE BREASTFEEDING.TEENAGE PREGNANCY: QUEENS' TEENAGE BIRTH RATES DEMONSTRATE RACIAL/ETHNIC DISPARITIES , AS THE RATIO OF THE BLACK NON-HISPANIC TEENAGE PREGNANCY RATE TO THE WHITE NON-HISPANICS TEENAGE PREGNANCY RATE IS 6.31 (5.74 IN NYS; THE NYS PREVENTION AGENDA 2013-2017 OBJECTIVE IS TO REDUCE THIS RATIO TO 4.90). SIMILARLY, THE RATIO OF THE HISPANIC TEENAGE PREGNANCY RATE TO THE WHITE NON-HISPANIC TEENAGE PREGNANCY RATE IS 5.67 IN QUEENS (5.16 FOR NYS; THE NYS PREVENTION AGENDA 2013-2017 OBJECTIVE IS TO REDUCE THIS RATIO TO 4.10). NEIGHBORHOODS SERVED BY JAMAICA HOSPITAL DISPLAYED PERCENTAGES OF LOW BIRTH WEIGHT EVENTS AMONG TEENAGE MOTHERS THAT WERE COMPARABLE TO THE PERCENTAGES ACROSS QUEENS AND NYC, HIGHLIGHTING THE NEED FOR QUALITY PRENATAL CARE FOR ALL MOTHERS-TO-BE IN THE COMMUNITY.		SCHEDULE H, PART VI, LINE 2 CONTINUATION:
ONLY TWO HOSPITALS IN NYC (HARLEM HOSPITAL CENTER AND NYU LANGONE MEDICAL CENTER), AND 166 NATIONWIDE, ARE CURRENTLY DESIGNATED "BABY-FRIENDLY," MEANING THEY HAVE RECEIVED ACCREDITATION FROM THE BABY-FRIENDLY HOSPITAL INITIATIVE [A GLOBAL INITIATIVE LAUNCHED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF)] AS A BIRTHING FACILITY THAT IMPLEMENTS THE WHO'S TEN STEPS TO SUCCESSFUL BREASTFEEDING AND THE INTERNATIONAL CODE OF MARKETING OF BREAST-MILK SUBSTITUTES. JAMAICA HOSPITAL IS PART OF THE QUEENS BREASTFEEDING ALLIANCE (A LOCAL MEMBER OF THE NEW YORK STATEWIDE BREASTFEEDING COALITION, FORMED TO PROTECT, PROMOTE, AND SUPPORT BREASTFEEDING) AND HAS PARTICIPATED IN "LATCH ON NYC," AN INITIATIVE LAUNCHED BY NYC DOHMH IN 2012 TO SUPPORT BREASTFEEDING MOTHERS AND LIMIT THE PROMOTION OF FORMULA FEEDING. THE HOSPITAL HOPES TO BE DESIGNATED "BABY FRIENDLY" AS A RESULT OF THESE COLLABORATIVE EFFORTS.JAMAICA HOSPITAL'S BREASTFEEDING PROGRAM IS ENGAGED TO MEET THE NYS PREVENTION AGENDA 2013-2017'S OBJECTIVES OF INCREASING THE PERCENT OF INFANTS BORN IN NYS WHO ARE EXCLUSIVELY BREASTFED BY AT LEAST 10% (TO 48.1%) AND IMPROVING RACIAL, ETHNIC, AND ECONOMIC DISPARITIES IN BREASTFEEDING RATES IN NYS BY AT LEAST 10%. NYS DATA CLEARLY HIGHLIGHT DISPARITIES, BOTH RACIAL/ETHNIC (RATIO OF BLACK NON-HISPANIC TO WHITE NON-HISPANIC INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL WAS 0.52 IN 2010, TARGET IS 0.57; RATIO OF HISPANIC TO WHITE NON-HISPANIC PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL WAS 0.58 IN 2010, TARGET IS 0.64) AND SOCIOECONOMIC (RATIO OF MEDICAID TO NON-MEDICAID PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL WAS 0.60 IN 2010, TARGET IS 0.66) . GIVEN THE RACIAL/ETHNIC DEMOGRAPHICS OF JAMAICA HOSPITALS PRIMARY SERVICE AREA, WHICH MOSTLY COMPRISES BLACK, HISPANIC, AND ASIAN RESIDENTS, AND DATA INDICATING THAT THERE ARE RACIAL/ETHNIC DISPARITIES IN BREASTFEEDING RATES, IT IS ESSENTIAL FOR JHMC TO ADDRESS BREASTFEEDING AS A TOP PRIORITY. JAMAICA HOSPITAL RECOGNIZES THAT TO ADVANCE BREASTFEEDING INITIATIVES IN THE COMMUNITY, RESOURCES SUCH AS COUNSELING/EDUCATION AND CLINICAL INTERVENTIONS WILL NEED TO BE IMPLEMENTED. AS WITH ITS TOBACCO CESSATION INITIATIVE, JAMAICA HOSPITAL WILL ACTIVELY FOCUS ON IMPROVING RACIAL/ETHNIC AND ECONOMIC DISPARITIES IN BREASTFEEDING RATES AND PROVIDE SERVICES IN A CULTURALLY-SENSITIVE AND SUPPORTIVE MANNER.OTHER HEALTHCARE RESOURCES IN SOUTHWEST QUEENS, JAMAICA, AND EAST NEW YORKIN ADDITION TO JHMC, THERE ARE 31 HRSA-SUPPORTED FEDERALLY QUALIFIED HEALTH CENTERS OR LOOK-ALIKES THAT PROVIDE SERVICES IN QUEENS COUNTY . THE FOLLOWING FACILITIES PROVIDE PRIMARY AND/OR SPECIALTY HEALTHCARE SERVICES TO THE COMMUNITIES WITHIN JAMAICA HOSPITAL'S PRIMARY SERVICE AREA: COMMUNITY HEALTHCARE NETWORK, INC. (FQHC) CARE FOR THE HOMELESS (FQHC) DAMIAN FAMILY CARE CENTERS (DOES BUSINESS AS PROJECT SAMARITAN HEALTH SERVICES) (FQHC) HOUSING WORKS HEALTH SERVICES (FQHC) JOSEPH P. ADDABBO FAMILY HEALTH CENTER (FQHC) SUNSET PARK HEALTH COUNCIL, INC, (FQHC)THE HOSPITAL HAS PARTNERSHIPS WITH MANY OF THESE PROVIDERS THROUGH SEVERAL GRANT-FUNDED PROGRAMS AND ITS MEMBERSHIP IN QCCP, A STATE-DESIGNATED HEALTH HOME. THE HOSPITAL WILL BE FORGING MORE PARTNERSHIPS AROUND ITS TWO PREVENTION AGENDA PRIORITIES, AS DESCRIBED IN THE THREE YEAR ACTION PLAN. RESOURCES AND METHODS USED TO COMPLETE JAMAICA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTEXISTING, PUBLICALLY-AVAILABLE DATA RESOURCES WERE USED TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING: CENSUS: THE U.S. CENSUS COUNTS EVERY RESIDENT IN THE UNITED STATES. IT TAKES PLACE EVERY 10 YEARS. THE CENSUS ASKS ABOUT RACE, ETHNICITY, AGE, SEX, HOME OWNERSHIP, AND THE NUMBER OF PEOPLE IN THE HOME. AMERICAN COMMUNITY SURVEY: THE AMERICAN COMMUNITY SURVEY (ACS) IS AN ONGOING SURVEY THAT PROVIDES DATA EVERY YEAR. THE SURVEY ASKS A SAMPLE OF THE U.S. POPULATION ABOUT AGE, SEX, RACE, FAMILY AND RELATIONSHIPS, INCOME AND BENEFITS, HEALTH INSURANCE, EDUCATION, VETERAN STATUS, DISABILITIES, WORK, TRANSPORTATION, HOME, AND EXPENSES. NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH)'S COMMUNITY HEALTH SURVEY: THE NEW YORK CITY COMMUNITY HEALTH SURVEY (CHS) IS A TELEPHONE SURVEY CONDUCTED ANNUALLY BY THE DOHMH, DIVISION OF EPIDEMIOLOGY, BUREAU OF EPIDEMIOLOGY SERVICES. THE CHS PROVIDES ROBUST, SELF-REPORTED DATA ON THE HEALTH OF NEW YORKERS, INCLUDING NEIGHBORHOOD, BOROUGH, AND CITYWIDE ESTIMATES, ON A BROAD RANGE OF CHRONIC DISEASES AND BEHAVIORAL RISK FACTORS. THE CHS IS A CROSS-SECTIONAL SURVEY THAT SAMPLES APPROXIMATELY 10,000 ADULTS AGED 18 AND OLDER FROM ALL FIVE BOROUGHS OF NEW YORK CITY. A COMPUTER-ASSISTED TELEPHONE INTERVIEWING (CATI) SYSTEM IS USED TO COLLECT SURVEY DATA, AND INTERVIEWS ARE CONDUCTED IN A VARIETY OF DIFFERENT LANGUAGES. NEW YORK STATE DEPARTMENT OF HEALTH, BUREAU OF VITAL STATISTICS: THE NEW YORK STATE DEPARTMENT OF HEALTH (NYS DOH) COLLECTS BIRTH AND CAUSE OF DEATH INFORMATION FOR ALL BIRTHS AND DEATHS THAT OCCUR IN NEW YORK STATE. CAUSES OF DEATH ARE ATTRIBUTED TO THE UNDERLYING CAUSES CLASSIFIED ACCORDING TO THE TENTH REVISION OF THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD, 10TH REVISION OR ICD-10 CODES). BIRTH RELATED DATA AVAILABLE FOR REVIEW INCLUDE RACE/ETHNICITY OF MOTHER, LOW BIRTHWEIGHT/PREMATURE BIRTH EVENTS, PRIMARY FINANCIAL COVERAGE OF MOTHER DURING BIRTH, AND PERCENTAGE OF MOTHERS WHO RECEIVED EARLY/LATE/NO PRENATAL CARE. NEW YORK STATE DEPARTMENT OF HEALTH, COMMUNITY HEALTH ASSESSMENT CLEARINGHOUSE (CHAC): THE CHAC CONTAINS SEVERAL DATA RESOURCES THAT WERE OF PARTICULAR RELEVANCE TO JAMAICA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING COMMUNITY HEALTH INDICATORS, EPIQUERY, AS WELL AS LINKS TO SOCIODEMOGRAPHIC DATA SOURCES NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, OFFICE OF VITAL STATISTICS: THE NYC DOHMH'S OFFICE OF VITAL STATISTICS PRODUCES AN ANNUAL SUMMARY THAT PRESENTS DATA ON MANY IMPORTANT HEALTH INDICATORS SUCH AS LIFE EXPECTANCY, LEADING CAUSES OF DEATH AND THE INFANT MORTALITY RATE IN NYC. THE DOHMH USES THESE INDICATORS, WHICH ARE BROKEN DOWN BY ETHNIC GROUP, GENDER, AGE AND NEIGHBORHOODS, TO MONITOR PUBLIC HEALTH. HEALTHY PEOPLE 2020: MAINTAINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTHY PEOPLE IS AN INITIATIVE THAT PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. THE MOST CURRENT OBJECTIVES ARE DESCRIBED AS TARGETS TO ACHIEVE BY 2020. AIDSVU, EMORY UNIVERSITY ROLLINS SCHOOL OF PUBLIC HEALTH: IS AN INTERACTIVE, ONLINE MAP OF DATA, DELINEATING THE PREVALENCE OF HIV ACROSS THE U.S., AND PROVIDING DATA FOR COMPARISON AT THE LOCAL (ZIP CODE) LEVEL FOR NYC. ZIP CODE AND CENSUS TRACT DATA COME DIRECTLY FROM NYS, COUNTY AND NYC DOHMH HEALTH DEPARTMENTS, DEPENDING ON WHICH ENTITY IS RESPONSIBLE FOR HIV SURVEILLANCE IN A PARTICULAR GEOGRAPHIC AREA. NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, TAKE CARE NEW YORK 2016 BOROUGH-WIDE LISTENING SESSION (QUEENS): HELD ON MAY 14, 2013, THIS FEEDBACK SESSION SPONSORED BY THE NYC DOHMH PROVIDED AN OPPORTUNITY FOR COMMUNITY MEMBERS TO SHARE THEIR VIEWS ON WHAT COMMUNITY HEALTH NEEDS SHOULD BE PRIORITIZED TO IMPROVE HEALTH OUTCOMES. COMMUNITY-BASED ORGANIZATIONS, HEALTHCARE PROVIDERS, AND STAKEHOLDERS FROM THE GENERAL PUBLIC JOINED NYC DOHMH STAFF AND DISCUSSED HEALTHCARE/HEALTHY LIFESTYLE ISSUES AND STRATEGIES TO ADDRESS THEM. NEW YORK CITY COMMUNITY AIR SURVEY (NYCCAS): THE NYC DOHMH AND QUEENS COLLEGE (QC-CUNY) CONDUCT THE NYCCAS TO EVALUATE HOW AIR QUALITY DIFFERS ACROSS VARIOUS PARTS OF NYC. DEVELOPED ALONG WITH NYC'S SUSTAINABILITY INITIATIVE, PLANYC, THE NYCCAS EXAMINES HOW POLLUTANTS EMANATING FROM TRAFFIC, BUILDINGS (E.G., BOILERS AND FURNACES) AND OTHER SOURCES CAN AFFECT AIR QUALITY DIFFERENTIALLY ACROSS NYC'S NEIGHBORHOODS. THE NYCCAS TRACKS POLLUTANTS, SUCH AS SULFUR DIOXIDE, OZONE, NITROGEN OXIDES, AND FINE PARTICLES THAT ARE KNOWN TO CAUSE/EXACERBATE HEALTH PROBLEMS. TO CAPTURE DATA, NYCCAS TAKES AIR POLLUTION MEASUREMENTS AT APPROXIMATELY 100 LOCATIONS THROUGHOUT NYC EACH SEASON. NEW YORK STATE DEPARTMENT OF HEALTH, NEW YORK STATE STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) COLLECTS PATIENT-LEVEL DETAILS ON PATIENT CHARACTERISTICS, DIAGNOSES AND TREATMENTS, SERVICES, AND CHARGES FOR EVERY HOSPITAL DISCHARGE, AMBULATORY SURGERY PATIENT, AND EMERGENCY DEPARTMENT ADMISSION IN NEW YORK STATE. THESE DE-IDENTIFIED HOSPITAL DISCHARGE DATA ARE PARTICULARLY RELEVANT TO HOSPITALS, AGENCIES, AND HEALTH CARE ORGANIZATIONS WHEN MAKING DECISIONS REGARDING FINANCIAL PLANNING AND MONITORING OF INPATIENT AND AMBULATORY SURGERY SERVICES AND COSTS. NEW YORK CITY DEPARTMENT OF CITY PLANNING, COMMUNITY DISTRICT PROFILES: THESE PROFILES, WHICH CONTAIN INFORMATION ABOUT EACH OF NYC'S 59 COMMUNITY		SCHEDULE H, PART VI, LINE 5 CONTINUATION:

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY DIMARIA MD
SECRETARY	0	214801	0	0	0	12704	0	5537	0	18074	0	251116	0	0
GEOFFREY DOUGHLIN MD
THIRD VICE PRESIDENT	396480	0	0	0	3564	0	6250	0	19235	0	425529	0	0	0
BRUCE FLANZ
PRESIDENT & CEO	694034	546364	0	0	142654	0	6250	0	18074	0	861012	546364	0	0
MOUNIR DOSS
EXECUTIVE VICE PRESIDENT &	550149	546364	0	0	77842	0	6250	0	18074	0	652315	546364	0	0
WILLIAM LYNCH
EXECUTIVE VICE PRESIDENT &	394465	0	0	0	2322	0	6250	0	18074	0	421111	0	0	0
GIDEON YOELI
RADIOLOGIST	420756	0	0	0	2322	0	6250	0	18032	0	447360	0	0	0
ROBERT GREENBAUM MD
RADIOLOGIST	411708	0	0	0	3564	0	6250	0	18032	0	439554	0	0	0
ROBERT SOLOMON
RADIOLOGIST	411508	0	0	0	966	0	6250	0	18032	0	436756	0	0	0
SABIHA RAOOF
DIAGNOSTIC RADIOLOGY	510778	0	0	0	0	0	6250	0	18074	0	535102	0	0	0
THOMAS SANTUCCI MD
CARDIOLOGY	428299	0	0	0	32370	0	6250	0	14099	0	481018	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	MEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTION. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, COLUMN C:	MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".
FORM 990, PART VII, SECTION A, LINE 1B:	ANTHONY DIMARIA, M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL NURSING HOME WORKING ABOUT 40 HOURS PER WEEK. ANTHONY DIMARIA, M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL MEDICAL CENTER, MEDISYS HEALTH NETWORK, OR THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL MEDICAL CENTER WORKING ABOUT 40 HOURS PER GEOFFREY DOUGHLIN M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER OR MEDISYS HEALTH NETWORK FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITYS FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK BROOKDALE HOSPITAL MEDICAL CENTER(THROUGH SEPTEMBER 2012) - 3.4 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R INCLUDING BROOKDALE RELATED ENTITIES THROUGH SEPTEMBER 2012 - 6.6 HOURS PER WEEK
FORM 990, PART XI, LINE 9:	PENSION ACTUARIAL LOSSES -9,101,247.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREET	JAMAICA	NY	11418	111864871	HEALTHCARE	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVD	FLUSHING	NY	11355	112813535	INACTIVE	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE D	BROOKLYN	NY	11236	112814707	PARKING GARAGE	NY	501(C)(3)	11A	MEDISYS HEALTH NETWORK	0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE D	BROOKLYN	NY	11236	113237483	HEALTHCARE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE D	BROOKLYN	NY	11236	237082540	HOUSING	NY	501(C)(2)	N/A	BROOKDALE HOSPITAL MEDICAL CENTER	0
BROOKDALE HOSPITAL MEDICAL CENTER
ONE BROOKDALE PLAZA	BROOKLYN	NY	11212	111631746	HEALTHCARE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZA	BROOKLYN	NY	11212	311634638	INACTIVE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPY	JAMAICA	NY	11418	113483140	INACTIVE	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPY	JAMAICA	NY	11418	237216197	HEALTHCARE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE D	BROOKLYN	NY	11236	112814765	SUPPORT	NY	501(C)(3)	11A	MEDISYS HEALTH NETWORK	0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPY	JAMAICA	NY	11418	542124788	HEALTHCARE	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPY	JAMAICA	NY	11418	113316802	ADMIN	NY	501(C)(3)	11A		0	N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOOR	NEW YORK	NY	10175	943474115	MANAGED CARE PLAN	NY	501(C)(3)	9	JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP	0
ROCKREAL CORPORATION
101-10 AVENUE D	BROOKLYN	NY	11236	112814705	SUPPORT	NY	501(C)(3)	11A	MEDISYS HEALTH NETWORK	0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE D	BROOKLYN	NY	11236	237270262	HEALTHCARE	NY	501(C)(3)	7	SCHULMAN SCHACHNE INSTITUTE FOR NURSING	0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE D	BROOKLYN	NY	11236	113324040	HOUSING	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
SCHULMAN SCHACHNE INSTITUTE FOR NURSING
101-10 AVENUE D	BROOKLYN	NY	11236	237085986	HEALTHCARE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPY	JAMAICA	NY	11418	113340969	HEALTHCARE	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZA	BROOKLYN	NY	11212	112814704	INACTIVE	NY	501(C)(3)	9	MEDISYS HEALTH NETWORK	0
URBAN STRATEGIES
101-10 AVENUE D	BROOKLYN	NY	11236	113237480	HEALTHCARE	NY	501(C)(3)	3	LINROC COMMUNITY SERVICE CORP	0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPY	JAMAICA	NY	11418	113485165	PARKING GARAGE	NY	501(C)(3)	11A	MEDISYS HEALTH NETWORK	0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVD	FLUSHING	NY	11355	111631781	HOSPITAL	NY	501(C)(3)	3	MEDISYS HEALTH NETWORK	0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOOR	NEW YORK	NY	10175	203418837	HOLDING COMPANY	NY	JAMAICA HOSPITALLINROC COMMUNITY SERVICE CORP	RELATED	4314341	25944134	0	0	0.50000
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOOR	NEW YORK	NY	10175	133887900	MANAGEMENT SERVICES ORG.	NY								N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
BHMC ENTERPRISES
101-01 AVENUE D	BROOKLYN	NY	11236	112855200	LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVE	NY	N/A	C	0
BROOKDALE RX
101-01 AVENUE D	BROOKLYN	NY	11236	202041821	RETAIL PHARMACY	NY	N/A	C	0
FRR RECOVERY SERVICES
80 MARCUS DRIVE	MELVILLE	NY	11747	113454555	COLLECTION AGENCY	NY	N/A	C	0
HI TECH MEDICAL EQUIPMENT
103-51 101 ST	OZONE PARK	NY	11416	113313334	DURABLE MEDICAL EQUIPMENT COMPANY	NY	N/A	C	0
JAMAICA RX
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	205292781	RETAIL PHARMACY	NY	N/A	C	0
LCSC HOLDINGS
101-01 AVENUE D	BROOKLYN	NY	11236	113357198	HOLDING COMPANY	NY	N/A	C	0
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	030474027	HOME CARE STAFFING/INACTIVE	NY	N/A	C	0
MEDISYS IPA
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	113452476	PHYSICIAN CONTRACTING/INACTIVE	NY	N/A	C	0
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	113479920	HOLDING COMPANY	NY	N/A	C	0
MEDISYS VENTURES
111 STEWART AVE	HICKSVILLE	NY	11801	113431792	HOLDING COMPANY	NY	N/A	C	0
MHN REALTY
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	113458286	REAL ESTATE/INACTIVE	NY	N/A	C	0
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVD	FLUSHING	NY	11355	112843101	RETAIL PHARMACY	NY	N/A	C	0
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVD	FLUSHING	NY	11355	112843101	RETAIL PHARMACY	NY	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MEDISYS VENTURES
Q	921000	COST
NHP HOLDINGS LLC
S	3200000	COST
HI TECH- MEDICAL EQUIPMENT
P	728000	COST
FRR RECOVERY
P	4262000	COST
JAMAICA RX
P	588000	COST