2025-11-13T12:05:14-06:00 2024-12-31 333709623 COHNREZNICK ADVISORY LLC 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2024-01-01 111631781 FLUSHING HOSPITAL MEDICAL CENTER FLUS 7186705000 4500 PARSONS BLVD FLUSHING NY 11355 MOUNIR F DOSS EXEC VP & CFO 7186705000 2025-11-13 1 1 LORI ROTHE YOKOBOSKY P01273422 2122970400 2025-11-11 2024 2025-03-06 01:10:19Z BRUCE J FLANZ 4500 PARSONS BLVD FLUSHING NY 11355 444887598 0 X WWW.FLUSHINGHOSPITAL.ORG X 1884 NY ACUTE CARE HOSPITAL 18 17 2244 18 0 0 7430227 10972474 407393291 427532241 569048 1919817 10803283 3891528 426195849 444316060 0 0 0 0 232311722 251771595 0 0 0 147069321 157220690 379381043 408992285 46814806 35323775 407880113 415883525 412479359 385158996 -4599246 30724529 ACUTE CARE HOSPITAL 0 0 359373631 431330082 FLUSHING HOSPITAL MEDICAL CENTER OPERATES A 299-BED FACILITY THAT PROVIDES HOSPITAL SERVICES, OUTPATIENT CLINIC SERVICES, AND EMERGENCY SERVICES. 359373631 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 519 0 1 2244 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MOUNIR F DOSS 7186705000 4500 PARSONS BLVD FLUSHING NY 11355 ALAN J JIN TRUSTEE 2.00 X 0 0 0 ANTHONY MAZZO CHAIRMAN 1.00 2.00 X X 0 0 0 ANTONIETTA MORISCO TRUSTEE 1.00 2.00 X 0 0 0 CHRIS HWANG TRUSTEE 1.00 X 0 0 0 DARREN MEYERS TRUSTEE 1.00 X 0 0 0 DOUGLAS W SINGER TRUSTEE 1.00 2.00 X 0 0 0 GEOFFREY DOUGHLIN 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 TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH LIANA TRUSTEE 1.00 2.00 X 0 0 0 MICHELLE STODDART TRUSTEE 1.00 2.00 X 0 0 0 NEIL FOSTER PHILLIPS TRUSTEE 1.00 2.00 X 0 0 0 PATRICK SUN CPA LREP TRUSTEE 1.00 X 0 0 0 PHILIPPA KARTERON TRUSTEE 1.00 2.00 X 0 0 0 ROBERT REICHENBACH SECRETARY 1.00 X X 0 0 0 ROBERT W KOOP TRUSTEE 1.00 2.00 X 0 0 0 SANG KI HAN TRUSTEE 1.00 X 0 0 0 THOMAS J SANTUCCI TRUSTEE 1.00 2.00 X 0 0 0 BRUCE J FLANZ PRESIDENT & CEO 15.00 50.00 X 0 3127835 70390 MOUNIR F DOSS EXEC VP & CFO 15.00 50.00 X 0 1939513 70390 ROBERT LEVINE EXEC VP & COO 40.00 X 549910 0 53382 BIJAN ANVAR CHAIRPERSON- PHYSICIAN 40.00 X 320266 0 69379 GULATI GAGAN PHYSICIAN 40.00 X 357737 0 73070 JAMES GIGLIO CHAIRMAN, EMERGENCY ROOM 40.00 X 605066 0 68570 MUDINA SHEIKH CHAIRPERSON- PHYSICIAN 40.00 X 403044 0 50182 FERRARI CATHERINE ASSISTANT VICE PRESIDENT 40.00 X 325023 0 32903 2561046 5067348 488266 659 0 1 0 EESON CONSTRUCTION TSG LLC 326 PIERMONT ROAD CLOSTER NJ 07624 CONSTRUCTION/BUILDING 8862312 SODEXO 500 ROSS STREET 154-0455 PITTSBURGH PA 15262 MANAGEMENT/FOOD SERVICES/HOUSKEEPING 4258297 ANTHONY IOCOVELLO 2988 LAWTON AVE BRONX NY 10465 CONSTRUCTION 2053025 WMS ELECTRICAL CONTRACTING LTD 1303 BLONDELL AVE BRONX NY 10461 MAINT & REPAIRS 1259321 FDR SERVICES CORP OF NEW YORK 44 NEWMANS COURT HEMPSTEAD NY 11550 LAUNDRY SERVICES 918356 37 10838903 133571 10972474 PATIENT SERVICES 611600 336895411 336895411 CAPITATION REVENUE 611600 82591303 82591303 OTHER PHYSICAN BILLINGS 621400 6401808 6401808 PHARMACY RX BILLING 621400 872263 872263 I&R TEACHING INCOME 621400 771456 771456 427532241 1919817 1919817 665225 571538 93687 93687 93687 MANAGEMENT REVENUE 900099 2639923 2639923 CAFETERIA AND VENDING MACHINE 900099 596233 596233 REBATES 900099 362992 362992 198693 198693 3797841 444316060 431330082 0 2013504 603292 521442 81850 180863062 155532955 25330107 12789299 11809166 980133 43079941 39000467 4079474 14436001 12429938 2006063 5549996 5549996 1144900 983011 161889 420848 360552 60296 86298 86298 33614211 32930755 683456 40305 34606 5699 855295 751391 103904 6964624 5979826 984798 5301468 4536128 765340 208842 208842 157665 135371 22294 865563 743172 122391 12038828 10336538 1702290 9137745 6659781 2477964 MEDICAL & SURGICAL SUPP 32605791 32605791 PROVISION FOR BAD DEBT 11377882 11377882 FOOD SERVICES 3519790 3519790 REPAIRS & MAINTENANCE 2856696 2843293 13403 30473943 25986636 4487307 408992285 359373631 49618654 0 6885327 11264516 53012819 96263493 205961 3988894 94080675 102398845 5642620 4721618 2837339 1669637 346259726 230267859 107613140 115991867 537451 226005 137064781 79358650 407880113 415883525 61398668 58535709 878381 15221018 11514951 8953850 338687359 302448419 412479359 385158996 X -4599246 30724529 -4599246 30724529 407880113 415883525 35323775 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 86298 0 0 0 86298 0 PART II-B, LINE 1: FLUSHING HOSPITAL MEDICAL CENTER IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE. 5167090 5167090 136085058 80035134 56049924 184110726 150232725 33878001 20896852 20896852 115991867 DUE FROM THIRD PARTY PAYORS 11921303 DUE FROM AFFILIATES 6700497 HEALTHFIRST RETAINED PAYMENTS 60736850 79358650 MEDICAL MALPRACTICE 38416972 DUE TO RELATED ORGANIZATIONS 159247660 DUE TO THIRD PARTY 104557782 OPERATING LEASE LIABILITY 226005 302448419 1233500111 -8060708 -8060708 1241560819 -797244759 -797244759 444316060 1198772344 801157941 801157941 397614403 11377882 11377882 408992285 PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY REVENUES 3,625,034. PROVISION FOR BAD DEBT EXPENSES -11,377,882. INTERCOMPANY ELIMINATIONS -307,860. PART XI, LINE 4B - OTHER ADJUSTMENTS: CAPITATION EXPENSES -796,673,221. RENTAL EXPENSE OFFSETTING RENTAL INCOME -571,538. PART XII, LINE 2D - OTHER ADJUSTMENTS: CAPITATION EXPENSES 796,673,221. RELATED PARTY EXPENSES 4,221,042. INTERCOMPANY ELMINATIONS -307,860. RENTAL EXPENSE OFFSETTING RENTAL INCOME 571,538. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 11,377,882. 1 1 1 X 1 X 1 1 0 1 1 33180382 5289614 27890768 0.07010 164744514 140338347 24406167 0.06140 197924896 145627961 52296935 0.13150 1791172 1791172 0.00450 37241161 16807443 20433718 0.05140 139744036 80981644 58762392 0.14780 178776369 97789087 80987282 0.20370 376701265 243417048 133284217 0.33520 1 11377882 42103011 55009145 -12906134 X 1 1 1 1 FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BLVD FLUSHING NY 11355 X X X X FLUSHING HOSPITAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.FLUSHINGHOSPITAL.ORG 1 22 1 WWW.FLUSHINGHOSPITAL.ORG 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 1 X WWW.FLUSHINGHOSPITAL.COM X WWW.FLUSHINGHOSPITAL.COM X 1 0 1 0 0 FLUSHING HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 5: FLUSHING HOSPITAL MEDICAL CENTER (FHMC OR FLUSHING HOSPITAL), ESTABLISHED IN 1884, SERVES A CULTURALLY DIVERSE, DENSELY POPULATED, URBAN AREA SPANNING 48 ZIP CODES. FHMC'S PRIMARY SERVICE AREA INCLUDES 14 ZIP CODES LOCATED THROUGHOUT QUEENS COMMUNITY DISTRICTS 3 (EAST ELMHURST, JACKSON HEIGHTS, AND NORTH CORONA), 4 (CORONA, CORONA HEIGHTS, ELMHURST, AND LEFRAK CITY), AND 7 (AUBURNDALE, BAY TERRACE, COLLEGE POINT, EAST FLUSHING, FLUSHING, QUEENSBORO HILL, AND WHITESTONE), AS WELL AS ZIP CODES 11377 AND 11378. IN MANY OF THESE COMMUNITIES, THE EFFECTS OF POVERTY ON HEALTH, INCLUDING DIFFICULTY OBTAINING NUTRITIOUS FOOD, UNEMPLOYMENT, AND THE BURDEN OF HIGH RENTS, ARE HIGH.CHRONIC DISEASES, OBESITY, TOBACCO USE, BEHAVIORAL HEALTH CONCERNS, MATERNAL MORBIDITY, AND LATE OR NO PRENATAL CARE ARE AMONG THE HEALTH ISSUES HIGHLIGHTED IN THE COMMUNITY-LEVEL DATA ANALYSES THAT FHMC CONDUCTED FOR THIS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE HEALTH CONCERNS WERE ALSO IDENTIFIED BY RESIDENTS OF THE HOSPITAL'S SERVICE AREA WHO RESPONDED TO A HEALTH NEEDS ASSESSMENT SURVEY SPONSORED BY A COALITION OF HOSPITALS DURING THE SPRING OF 2022. AS EVIDENCED IN THE DATA AND THE SURVEY RESPONSES, THE SOCIAL DETERMINANTS OF HEALTH (SDH) SUCH AS LOW EDUCATIONAL ATTAINMENT, UNSTABLE HOUSING, POOR PHYSICAL CONDITIONS OF NEIGHBORHOODS, AND LOW ENGAGEMENT IN PRIMARY OR PREVENTATIVE CARE AND MENTAL OR BEHAVIORAL HEALTH CARE, ALL CONTRIBUTE TO THE HIGH INCIDENCE AND PREVALENCE OF CHRONIC DISEASES AS WELL AS POOR HEALTH OUTCOMES IN SOME SERVICE AREA NEIGHBORHOODS, WHILE OTHERS PERFORM BETTER THAN NYC AS A WHOLE. THE DATA ANALYSES PRESENTED IN THIS DOCUMENT PROVIDE A HIGH-LEVEL SNAPSHOT OF THE HEALTH STATUS OF RESIDENTS IN FHMC'S PRIMARY SERVICE AREA, WHILE ILLUSTRATING THE DIVERSITY OF POPULATION-LEVEL HEALTH BEHAVIORS AND OUTCOMES ACROSS DIFFERENT COMMUNITY DISTRICTS IN THE AREA. BY HIGHLIGHTING THESE PATTERNS ON A NEIGHBORHOOD LEVEL, THESE DATA PROVIDE INSIGHT INTO THE SERVICES AND RESOURCES MOST NEEDED BY RESIDENTS. FHMC HAS ADOPTED A FOCUS ON SDH THROUGH A NEW INITIATIVE TO DOCUMENT THESE ISSUES IN THE MEDICAL RECORD USING A STANDARDIZED FORMAT AND TO ADDRESS THEM IN PARTNERSHIP WITH LOCAL COMMUNITY-BASED ORGANIZATIONS USING A CLOSED LOOP TECHNOLOGY PLATFORM TO ENSURE THAT ALL PARTIES ARE KEPT ABREAST OF THE SOCIAL SERVICE SUPPORTS RECEIVED BY EACH PATIENT.BREASTFEEDING, WHICH LOWERS THE RISK OF DEATH FROM INFECTIOUS DISEASES IN A CHILD'S FIRST TWO YEARS OF LIFE AND CAN REDUCE THE RISK OF CHILDHOOD OBESITY, ASTHMA, AND THE RISK OF A WOMAN DEVELOPING BREAST OR OVARIAN CANCER, IS UNEVENLY PRACTICED IN THE FHMC SERVICE AREA AND IN NEW YORK CITY (NYC) OVERALL. FHMC HAS FOCUSED ON IMPROVING RATES OF EXCLUSIVE BREASTFEEDING AMONG WOMEN GIVING BIRTH IN THE HOSPITAL AND THOSE ATTENDING ITS AMBULATORY CARE CENTERS WITH THEIR INFANTS, AS WELL AS AMONG MOTHERS IN THE COMMUNITY. THE HOSPITAL IS DESIGNATED AS A BABY-FRIENDLY USA HOSPITAL THAT OFFERS AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER TO BABY BONDING.TOBACCO USE AND SECONDHAND SMOKE, AS WELL AS HOUSEHOLD/OUTDOOR AIR POLLUTION, WERE IDENTIFIED AS ONGOING COMMUNITY HEALTH CONCERNS THAT ARE CORRELATED WITH CHRONIC DISEASE, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS WELL AS CANCER. RESPONDING TO THE NEEDS OF THE COMMUNITY, FHMC HAS FOCUSED ON IMPROVING TOBACCO CESSATION RATES. THE HOSPITAL WAS AWARDED GOLD STAR STATUS FROM THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (DOHMH) TOBACCO-FREE HOSPITALS CAMPAIGN IN RECOGNITION OF ITS TOBACCO CESSATION PROGRAMMING AND SUCCESSES AND CONTINUES TO COMPLY WITH THE CAMPAIGN'S STANDARDS. WITH THE BENEFIT OF QUANTITATIVE HEALTH STATUS DATA AT THE LOCAL LEVEL AND THE COMMUNITY'S INPUT ABOUT THEIR HEALTH CONCERNS, THE HOSPITAL HAS CHOSEN TO HIGHLIGHT THE PREVALENCE OF THESE BEHAVIORS BREASTFEEDING AND TOBACCO USE IN ITS SERVICE AREA AS WELL AS THE HOSPITAL'S CONCERTED EFFORTS TO ADDRESS THEM IN ITS THREE-YEAR COMPREHENSIVE COMMUNITY SERVICE PLAN AND IMPLEMENTATION PLAN. THESE INITIATIVES ARE IN ALIGNMENT WITH THE NEW YORK STATE PREVENTION AGENDA PRIORITIES AND THE HEALTHY PEOPLE 2030 GOALS. PART I, LN 7 COL(F): BAD DEBT EXPENSE IS ESTIMATED BASED ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASED ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOWS: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANCE ARE GIVEN DISCOUNT BASED ON OUR CHARITY CARE POLICY (MEDICAID RATE). IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORTS THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND THE HOSPITAL WRITES OFF THE ACCOUNT AS BAD DEBT. BAD DEBT RELATED TO LINE 3: BAD DEBT EXPENSE IS ALLOCATED TO THE PATIENTS WHO ARE ENTITLED TO FINANCIAL AID BASED ON CHARITY CARE VOLUME PATIENTS. PART II, COMMUNITY BUILDING ACTIVITIES: THE OVERARCHING STRATEGY OF NEW YORK STATE'S (NYS) PREVENTION AGENDA IS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL NEW YORKERS AND PROMOTE HEALTH EQUITY IN POPULATIONS WHO EXPERIENCE DISPARITIES. THIS STRATEGY INCLUDES AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH DEFINED BY HEALTHY PEOPLE 2030 AS THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE NYS PREVENTION AGENDA COMPRISES OR INCLUDES FIVE PRIORITY AREAS, EACH WITH COORDINATING FOCUS AREAS AND GOALS:1. PRIORITY AREA 1. PREVENT CHRONIC DISEASES2. PRIORITY AREA 2. PROMOTE A HEALTHY AND SAFE ENVIRONMENT3. PRIORITY AREA 3. PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN4. PRIORITY AREA 4. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS5. PRIORITY AREA 5. PREVENT COMMUNICABLE DISEASESBASED ON RESULTS COLLECTED FROM ITS COMMUNITY HEALTH SURVEY, HEALTH STATUS DATA IN THIS REPORT, AND THE HOSPITAL'S CAPABILITIES AND RESOURCES, FLUSHING HOSPITAL MEDICAL CENTER (FHMC) HAS IDENTIFIED TWO NYS PREVENTION AGENDA FOCUS AREAS (CORRESPONDING TO NYS PREVENTION AGENDA PRIORITY AREAS 1 AND 3) TO ADDRESS AS A PART OF ITS 2022-2024 COMMUNITY SERVICE PLAN: TOBACCO PREVENTION AND PERINATAL AND INFANT HEALTH. ALL NYS PREVENTION AGENDA PRIORITY AREAS IN FHMC'S SERVICE AREA ARE AFFECTED BY A MYRIAD OF SOCIAL DETERMINANTS OF HEALTH. THIS RECOGNITION SUPPORTS THE VIEW THAT HEALTH IS NOT SIMPLY ABOUT INDIVIDUAL BEHAVIOR OR EXPOSURE TO RISK, BUT HOW THE SOCIAL AND ECONOMIC STRUCTURE OF A POPULATION SHAPES ITS HEALTH". PART III, LINE 4: FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:FLUSHING HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, FLUSHING HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. FLUSHING HOSPITAL PROVIDES CHARITY CARE IN THE AMOUNT OF THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COST TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. TOTAL FOREGONE CHARGES FOR CHARITY CARE WERE $9.1 MILLION AND $6.0 MILLION FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. THIS EQUATES TO AN APPROXIMATE COST OF $7.7 MILLION AND $4.8 MILLION FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. PART III, LINE 8: ALLOWABLE COSTS ARE FROM THE HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASED ON MEDICARE GUIDELINES. MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS OVER $35.8 MILLION. EXCLUSION OF THESE COSTS RESULTED IN A SURPLUS ON LINE 7. PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT.THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 40 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION. PART VI, LINE 2: FHMC FULFILLS ITS MISSION TO PROVIDE SUPERIOR SERVICE TO OUR PATIENTS AND OUR COMMUNITY IN A CARING ENVIRONMENT.THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXAMINES THE HEALTH NEEDS OF THE RESIDENTS OF THE NEIGHBORHOODS SERVED BY THE HOSPITAL USING DATA FROM SEVERAL SOURCES. COMMUNITY HEALTH DATA DESCRIBING FHMC'S PSA POPULATION WILL BE PRESENTED, PRIMARILY FROM QUANTITATIVE PUBLIC DATA FROM THE NYC DOHMH AND QUALITATIVE DATA OBTAINED FROM RESIDENTS IN A 2022 COMMUNITY HEALTH NEEDS SURVEY SPONSORED BY A COALITION OF HOSPITALS. OTHER DATA SOURCES INCLUDE THE NYS DEPARTMENT OF HEALTH (DOH) AND THE U.S. CENSUS AMERICAN COMMUNITY SURVEY. FOLLOWING THE PRESENTATION OF HEALTH STATUS DATA FOR THE NEIGHBORHOODS LOCATED IN QUEENS COMMUNITY DISTRICTS 3, 4, AND 7, RESULTS OF A CHNA SURVEY IN FHMC'S SERVICE AREA ARE PRESENTED. MOST OF THE DATA IN THIS REPORT ARE FROM THE NYC DOHMH'S COMMUNITY HEALTH PROFILES (2018) AND THE 2022 COMMUNITY HEALTH NEEDS SURVEY RESULTS. ALL OTHER DATA AND SOURCES ARE FOOTNOTED.IN NYC, NEIGHBORHOODS ARE DESCRIBED AND CATEGORIZED DIFFERENTLY ACROSS AGENCIES AND ORGANIZATIONS. THESE DIFFERENCES ARE RELEVANT TO HOW COMMUNITY HEALTH DATA ARE ANALYZED AND PRESENTED IN THIS DOCUMENT. IN THE 2019-2021 CHNA, FHMC REPORTED NEIGHBORHOOD DATA ACCORDING TO THE TRADITIONAL CONVENTION EITHER DEFINED BY NYC COMMUNITY DISTRICTS OR CDS (THE 59 NYC CDS WERE ESTABLISHED BY LOCAL LAW IN 1975) OR UNITED HEALTH FUND (UHF) NEIGHBORHOODS (AN INDEPENDENT, NONPROFIT, HEALTH SERVICES RESEARCH AND PHILANTHROPIC ORGANIZATION DEFINING 34 NYC NEIGHBORHOODS COMPRISED OF ADJOINING ZIP CODE AREAS, DESIGNATED TO APPROXIMATE NYC COMMUNITY PLANNING DISTRICTS). UTILIZING THESE SCHEMA, FHMC'S PRIMARY SERVICE AREA (PSA) HAS TRADITIONALLY BEEN DEFINED AS COVERING THE QUEENS NEIGHBORHOODS OF FLUSHING-CLEARVIEW AND WEST QUEENS. RESULTANT TO THE LATEST DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY, NEW GEOGRAPHIES NOW REFLECT THE POST-REDISTRICTING POLITICAL BOUNDARY CHANGES ENACTED BY THE NYC BOARD OF ELECTIONS (DUE TO 2020 CENSUS REVISIONS TO CENSUS TRACTS AND BLOCKS). THE NEIGHBORHOOD MAPS WHICH FOLLOW DISPLAY CDS WITH THE ZIP CODES AND NEIGHBORHOODS LOCATED WITHIN THEM FOR THE PSA. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, SOME HEALTH INFORMATION MAY BE PRESENTED EITHER BY CD, OR BY UHF NEIGHBORHOODS, DEPENDING ON THE MOST UP TO DATE SOURCE.FHMC'S SERVICE AREA WAS DETERMINED BY ANALYZING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) DISCHARGE DATA AT THE ZIP CODE LEVEL. THE NEIGHBORHOODS WITH THE HIGHEST VOLUMES OF PATIENTS WERE DETERMINED TO BE THE PSA. NEIGHBORHOODS WITH AT LEAST 2% OF INPATIENT CASES WERE CONSIDERED THE HOSPITAL'S SECONDARY SERVICE AREA (SSA). THE PSA AND SSA TOGETHER ACCOUNT FOR APPROXIMATELY 84% OF THE HOSPITAL'S TOTAL INPATIENT CASES, WITH THE PSA ACCOUNTING FOR 56% AND THE SSA 28%. THE FHMC COMMUNITY HEALTH NEEDS ASSESSMENT WILL FOCUS ON THE HOSPITAL'S PSA. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE FLUSHING HOSPITAL FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:FLUSHING HOSPITAL DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. PART VI, LINE 4: THE OVERALL RESIDENT PRIMARY SERVICE AREA (PSA) POPULATION IS APPROXIMATELY 738,600. THIS POPULATION INCLUDES 178,000 IN QUEENS COMMUNITY DISTRICT 3 (EAST ELMHURST, JACKSON HEIGHTS, AND NORTH CORONA), 183,900 IN QUEENS COMMUNITY DISTRICT 4 (CORONA, CORONA HEIGHTS, ELMHURST, AND LEFRAK CITY), 255,700 IN QUEENS COMMUNITY DISTRICT 7 (AUBURNDALE, BAY TERRACE, COLLEGE POINT, EAST FLUSHING, FLUSHING, QUEENSBORO HILL, AND WHITESTONE), 82,000 IN ZIP CODE 11377, AND 39,000 IN ZIP CODE 11378. UNLESS OTHERWISE NOTED, THE NYC PLANNING COMMUNITY DISTRICT PROFILES WERE USED FOR PSA POPULATION DEMOGRAPHIC DATA. THE POPULATION OF THE PSA IS SLIGHTLY YOUNGER THAN THAT OF NYC, WITH SIMILAR PROPORTIONS OF THE POPULATION WHO ARE WOMEN OF CHILD-BEARING AGE.IN COMPARISON TO NYC, A GREATER PROPORTION OF RESIDENTS IN THE PSA IDENTIFY AS RACES OTHER THAN WHITE, INCLUDING SEVERAL PREDOMINANTLY HISPANIC COMMUNITIES IN QUEENS CD 3 AND QUEENS CD 4 AND PREDOMINANTLY ASIAN IMMIGRANT AND ASIAN-AMERICAN COMMUNITIES IN QUEENS CD 7.OVERALL, THE PSA IS VERY RACIALLY AND ETHNICALLY DIVERSE, WITH LARGE POPULATIONS OF FOREIGN-BORN RESIDENTS 63% OF QUEENS CD 3 RESIDENTS, 66% OF QUEENS CD 4 RESIDENTS, AND 57% OF QUEENS CD 7 RESIDENTS ARE FOREIGN-BORN. PART VI, LINE 5: THE HOSPITAL DIRECTLY ADDRESSES MOST OF THE HEALTH PROBLEMS OBSERVED IN ITS SERVICE AREA AND INCLUDED IN THE NYS PREVENTION AGENDA. IT REFERS PATIENTS TO SPECIALIZED HEALTH CARE PROVIDERS FOR SERVICES IT DOES NOT PROVIDE.FOR NON-MEDICAL SOCIAL DETERMINANTS OF HEALTH (SDH) ISSUES, SUCH AS FOOD INSECURITY, UNEMPLOYMENT OR HOMELESSNESS, STAFF ROUTINELY REFERS PATIENTS TO TRUSTED PARTNER AGENCIES WHO CAN ADDRESS THESE PROBLEMS. TO KEEP BETTER TRACK OF THESE REFERRALS, THE HOSPITAL HAS RECENTLY IMPLEMENTED AN AUTOMATED CLOSED-LOOP REFERRAL AND FEEDBACK PROCESS, WHICH STARTS WITH DOCUMENTATION OF SDH PROBLEMS IN THE EHR, REFERRAL OF PATIENTS WITH ONE OR MORE HIGH RISK SCORES TO TRUSTED PARTNERS, AND RECEIPT OF FEEDBACK IN THE EHR ABOUT THE OUTCOME OF THE REFERRAL.THE HOSPITAL IS SETTING UP A STAFF TRAINING PROGRAM AIMED AT REDUCING EXPLICIT AND IMPLICIT BIAS IN CARE, WHICH ARE RECOGNIZED AS MAJOR FACTORS IN THE DISPARITIES IN CARE THAT ARE FOUND AMONG THE RACIAL AND ETHNIC MINORITY GROUPS WHO LIVE IN THE HOSPITAL'S SERVICE AREAS. ALL NURSING STAFF WILL PARTICIPATE IN GRAND ROUNDS ON THE TOPIC THIS WINTER. PHYSICIANS WILL PARTICIPATE IN SIMILAR TRAINING. ORIENTATION FOR NEW HIRES WILL INCLUDE IMPLICIT AND EXPLICIT BIAS TRAINING.BASED ON COMMUNITY HEALTH STATISTICS, COMMUNITY HEALTH NEED SURVEY RESULTS AND THE HOSPITAL'S RESOURCES AND CAPABILITIES, HOSPITAL LEADERSHIP DECIDED TO CONTINUE ITS FOCUS ON TWO EXISTING PROGRAMS IN THE NEXT 3-YEAR CYCLE OF ITS COMMUNITY SERVICE PLAN/IMPLEMENTATION PLAN:- PROMOTE TOBACCO USE CESSATION- INCREASE BREASTFEEDINGFHMC USED THE FOLLOWING CRITERIA IN SELECTING THESE FOCUS AREAS:- ALIGNMENT WITH NYS PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE, FOCUS AREA 3: - TOBACCO PREVENTION, GOAL 3.2: PROMOTE TOBACCO USE CESSATION.2. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, FOCUS AREA 2: PERINATAL AND INFANT HEALTH; GOAL 2.2: INCREASE BREASTFEEDING.- ALIGNMENT WITH HEALTHY PEOPLE 2030 OBJECTIVES:1. REDUCE CURRENT TOBACCO USE IN ADULTS.2. REDUCE CURRENT TOBACCO USE IN ADOLESCENTS.3. INCREASE THE PROPORTION OF INFANTS WHO ARE BREASTFED EXCLUSIVELY THROUGH AGE 6 MONTHS.- ALIGNMENT WITH SURVEY RESULTS1. CIGARETTE SMOKING/TOBACCO USE/VAPING IS RATED AS BELOW AVERAGE IN RELATIVE SATISFACTION WITH SERVICES. CONNECTION BETWEEN SMOKING/TOBACCO USE/VAPING AND CANCER AND HEART DISEASE IS STRONG. RESPONDENTS RATED CANCER AND HEART DISEASE AS RELATIVELY HIGH IN IMPORTANCE.2. WOMEN'S AND MATERNITY CARE IS RATED AS RELATIVELY BELOW AVERAGE IN SATISFACTION WITH SERVICES. PART VI, LINE 6: AFFILIATED HEALTH CARE: MEDISYS HEALTH SYSTEM PART VI, LINE 7, REPORTS FILED WITH STATES NY 0 0 0 0 0 0 0 0 0 BRUCE J FLANZ PRESIDENT & CEO 0 3007835 0 0 0 120000 0 8625 0 61765 0 3198225 0 0 MOUNIR F DOSS EXEC VP & CFO 0 1903001 0 0 0 36512 0 8625 0 61765 0 2009903 0 0 JAMES GIGLIO CHAIRMAN, EMERGENCY ROOM 601502 0 0 0 3564 0 8625 0 59945 0 673636 0 0 0 ROBERT LEVINE EXEC VP & COO 540310 0 0 0 9600 0 8625 0 44757 0 603292 0 0 0 MUDINA SHEIKH CHAIRPERSON- PHYSICIAN 401109 0 0 0 1935 0 8625 0 41557 0 453226 0 0 0 GULATI GAGAN PHYSICIAN 355415 0 0 0 2322 0 8625 0 64445 0 430807 0 0 0 BIJAN ANVAR CHAIRPERSON- PHYSICIAN 317944 0 0 0 2322 0 8134 0 61245 0 389645 0 0 0 FERRARI CATHERINE ASSISTANT VICE PRESIDENT 321459 0 0 0 3564 0 8134 0 24769 0 357926 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEDISYS HEALTH NETWORK IS THE SOLE MEMBER OF THE ORGANIZATION. 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 11B 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, IT IS FINALIZED AND SUBSEQUENTLY 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 COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD. 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, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK FORM 990, PART VII, COLUMN C: MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES OF FORM 990. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST IN THE FORM 990 INSTRUCTIONS TO BE CONSIDERED A "KEY EMPLOYEE". THEREFORE, PART VII OF FORM 990 DOES NOT REPORT THE COMPENSATION OF ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE". 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