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PART I, LINE 3C:
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NYU LANGONE HOSPITALS MAY UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME AND FINANCIAL ASSISTANCE ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO.
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PART I, LINE 7:
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THE COST-TO-CHARGES RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED ON PART I, LINES 7A AND B. THE RATIO OF COST TO CHARGES ("RCC") WAS CALCULATED BY DIVIDING TOTAL PATIENT CARE EXPENSE BY GROSS PATIENT CHARGES. GIVEN THE DIFFERENCES IN THE PATIENT POPULATIONS OF MEDICARE AND MEDICAID, NYU LANGONE HOSPITALS CALCULATES A SEPARATE COST OF CARE FOR THESE DISCRETE PAYORS. AN OVERALL RATIO OF COST TO CHARGE WAS USED FOR THE REMAINING PATIENT POPULATION. TO DETERMINE AN OVERALL RCC, PATIENT CARE EXPENSE IS DETERMINED BY TAKING TOTAL OPERATING EXPENSE OF THE STATEMENT OF OPERATIONS (THE NYU LANGONE HOSPITALS UNCONSOLIDATED STATEMENT OF OPERATIONS EXCLUDING CCC550) AND ADJUSTING FOR CERTAIN EXPENSES THAT ARE UNRELATED TO PATIENT CARE. THESE EXPENSES INCLUDE SPECIALTY AND CONTRACT PHARMACY EXPENSE AS WELL AS EXPENSES RELATED TO SPENDING ON GRANTS, RESTRICTED FUNDS AND EXPENSES GENERATED FROM VARIOUS AUXILIARY ACTIVITIES, SUCH AS COSTS FOR PROVIDING SERVICES TO THE SCHOOLS OF MEDICINE ALONG WITH CAFETERIA, PARKING AND OTHER ITEMS. THE RATIO REPRESENTS THE PERCENTAGE OF NET COMMUNITY BENEFIT EXPENSES AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES EXCLUDING BAD DEBT EXPENSES.THE AMOUNT REPORTED ON LINE 7A INCLUDES CHARITY CARE AT THE ORGANIZATION'S FULL GROSS CHARGES AS REPORTED ON INSTITUTIONAL COST REPORTING (ICR S-10) WHICH IS REDUCED TO COST USING THE RATIO OF COST-TO-CHARGES METHOD DESCRIBED ABOVE. HISTORICALLY, THIS AMOUNT WAS REPORTED AS THE DISCOUNT PROVIDED FROM THE AMOUNTS GENERALLY BILLED REDUCED BY THE RATIO OF COST-TO-CHARGES.THE AMOUNT REPORTED ON LINE 7F INCLUDES AMOUNTS FROM THE INSTITUTIONAL COST REPORT AND THE ORGANIZATION'S ACTUAL EXPENSE. THE AMOUNT REPORTED ON LINE 7H REPRESENTS THE ORGANIZATION'S ACTUAL EXPENSE.
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PART I, LINE 7G:
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THE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY PROVIDING VARIOUS SERVICES AT A LOSS. SUBSIDIZED HEALTH SERVICES INCLUDE: CARDIAC REHABILITATION, PSYCHIATRY, NONINVASIVE CARDIOLOGY, MULTIPLE SCLEROSIS CENTER, INFLAMATORY BOWEL DISEASE CLINIC, PHYSICAL AND OCCUPATIONAL THERAPY, PATHOLOGY, DENTAL SERVICES, AND TRANSPLANT SURGERY. THE LOSS IS MEASURED BY THE EXCESS OF THE ORGANIZATION'S COSTS FOR THESE SERVICES OVER THE REVENUE GENERATED. THESE LOSSES EXCLUDE SERVICES THAT ARE OTHERWISE REPORTED AS CHARITY CARE, MEDICARE, OR MEDICAID ACTIVITIES.ADDITIONALLY, THE ORGANIZATION SUPPLEMENTS THE ADDITIONAL UNCOMPENSATED CARE PROVIDED BY THE FACULTY GROUP PRACTICE OFFICES OF THE NYU GROSSMAN SCHOOL OF MEDICINE AND THE CLINICS OF THE FAMILY HEALTH CENTERS AT NYU LANGONE WHICH ARE LOCATED THROUGHOUT THE ORGANIZATION'S SERVICE AREA.
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PART I, LN 7 COL(F):
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BAD DEBT EXPENSE IS NOT INCLUDED IN THE TOTAL EXPENSES ON THE FORM 990 STATEMENT OF FUNCTIONAL EXPENSES
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FORM 990, SCH. H, PART I, LINE 7E
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COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONSTHE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY PROVIDING VARIOUS PROGRAMS AND SERVICES, INCLUDING THE ACTIVITIES DESCRIBED IN OUR COMMUNITY SERVICE PLAN, SUPPORT OF THE PROGRAMS CARRIED OUT AT THE FAMILY HEALTH CENTERS AT NYU LANGONE AND VARIOUS COMMUNITY OUTREACH PROGRAMS. THE AMOUNT REPORTED ON LINE 7E REPRESENTS THE ORGANIZATION'S ACTUAL EXPENSE.
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FORM 990, SCH. H, PART I, LINE 7I
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CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFITTHE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY PROVIDING MONETARY SUPPORT TO ORGANIZATIONS IN FURTHERANCE OF SHARED HEALTH IMPROVEMENT PROGRAMS, INCLUDING THE ACTIVITIES CARRIED OUT BY THE NYU GROSSMAN SCHOOL OF MEDICINE AND VARIOUS COMMUNITY OUTREACH PROGRAMS. THE AMOUNT REPORTED ON LINE 7I REPRESENTS THE ORGANIZATION'S ACTUAL EXPENSE.
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PART II, COMMUNITY BUILDING ACTIVITIES:
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ACTIVITY: PARTICIPATION IN NATIONAL ENVIRONMENTAL HEALTH COHORTSNYU LANGONE HEALTH PARTICIPATES IN COHORTS AND COMMITMENTS AIMED TO IMPROVE NATIONAL AND GLOBAL ENVIRONMENTAL HEALTH. IT IS A FORUM TO COLLABORATE WITH OTHER HEALTH CARE INSTITUTIONS TO IDENTIFY AND SUPPORT INITIATIVES THAT GO BEYOND REGULATIONS TO REDUCE CHEMICAL EXPOSURE, IMPROVE ACCESS TO FRESH PRODUCE, REDUCE AIR POLLUTION AND MORE - ALL WITH THE CENTRAL GOAL TO TACKLE CLIMATE CHANGE AS A GLOBAL HEALTH ISSUE.OUR PARTICIPATION IN CITY AND NATIONAL COHORTS SUPPORTS ACTIVITIES THAT BENEFIT OUR LOCAL COMMUNITIES AND/OR ENABLES COLLECTIVE ACTION WITH OTHER HOSPITAL PARTICIPANTS TO DEMAND CHANGE FROM STAKEHOLDERS AND GOVERNMENT. FOR EXAMPLE, WE ARE PARTICIPANTS OF THE VOLUNTARY NYC OFFICE OF SUSTAINABILITY'S CARBON CHALLENGE FOR HOSPITALS WHICH REDUCES CITY-WIDE CARBON EMISSION, IMPROVING LOCAL AIR QUALITY. CURRENT NEW YORK AIR POLLUTION LEVELS CONTINUE TO THREATEN COMMUNITIES, PARTICULARLY LOWER-INCOME NEIGHBORHOODS, AND RAISE THE RISK FOR HEART AND LUNG HEALTH COMPLICATIONS. THE NEW YORK HEALTH DEPARTMENT ESTIMATES THAT PM2.5 POLLUTION CONTRIBUTES TO MORE THAN 3,000 DEATHS AND 2,000 HOSPITAL ADMISSIONS FOR CORONARY AND RESPIRATORY CONDITIONS ANNUALLY. WE ALSO PARTICIPATE IN HEALTH CARE WITHOUT HARM'S U.S. HEALTH CARE CLIMATE COUNCIL, WHICH RECOGNIZES CLIMATE CHANGE AS A PUBLIC HEALTH ISSUE AND SPECIFICALLY IDENTIFIES COMMUNITY BENEFIT INITIATIVES AS A PRIORITY IN ANNUAL GOALS. COHORTS INCLUDE: HEALTH CARE WITHOUT HARM (COMMUNITY BENEFIT, SUSTAINABLE PROCUREMENT, HEALTHY INTERIORS, AND LESS MEAT, BETTER MEAT); AND BEDFORD STUYVESANT RESTORATION CORPORATION (FARM TO HOSPITAL). AS A MEMBER OF THE HEALTHY INTERIORS COHORT, WE WORK WITH OUR FURNITURE AND FURNISHING MANUFACTURERS TO MAKE SURE THOSE PRODUCTS ARE FREE OF CHEMICALS OF CONCERN AND ULTIMATELY INCLUDE THOSE REQUIREMENTS INTO OUR NYU LANGONE RED+F DESIGN GUIDELINES. THIS REQUIREMENT NOT ONLY REDUCES CHEMICAL EXPOSURE WITHIN THE HOSPITAL, BUT REDUCES EXPOSURE TO THOSE WORKING THROUGHOUT THE PRODUCT MANUFACTURING CHAIN. IT ULTIMATELY REDUCES OR REMOVES RESPIRATORY AND/OR CARDIOVASCULAR HAZARDS, TOXINS, CARCINOGENS AND OTHER HARMFUL MATERIALS IN THE ENVIRONMENT AND IN THOSE COMMUNITIES VULNERABLE TO EXPOSURE.ACTIVITY: ORGANIC FOOD PURCHASESFOOD & NUTRITION SERVICES ("FNS") PURCHASE LOCAL AND ORGANIC FOODS FOR BOTH RETAIL AND PATIENT MENUS. THE ENERGY & SUSTAINABILITY TEAM WORK CLOSELY WITH CHEF JEFFREY HELD (CULINARY SUSTAINABILITY & WELLNESS, F&NS) TO INCORPORATE MORE LOCAL, ORGANIC, AND SUSTAINABLY-GROWN PRODUCE ACROSS THE INSTITUTION. LOCAL PURCHASING REDUCES TRANSPORTATION-RELATED EMISSIONS AND THEREFORE IMPROVES AIR QUALITY AND REDUCES PARTICULATE MATTER (POLLUTION). IT ALSO SUPPORTS LOCAL FARMS AND PRODUCERS' BUSINESSES AND LIVELIHOODS. PURCHASING ORGANIC PRODUCE REDUCES THE USE OF HARMFUL NON-ORGANIC PESTICIDES AND HERBICIDES. THOSE COMMUNITIES LIVING NEAR OR WORKING ON AN ORGANIC FARM EXPERIENCE LESS EXPOSURE TO TOXIC CHEMICALS AND THE COMMUNITY IS PROTECTED AS THESE CHEMICALS OFTEN LEECH INTO WATERWAYS AND THE PRODUCE AND LINGER IN THE AIR/CLOTHING. THE NUMEROUS NEGATIVE HEALTH EFFECTS THAT HAVE BEEN ASSOCIATED WITH CHEMICAL PESTICIDES INCLUDE, AMONG OTHER EFFECTS, DERMATOLOGICAL, GASTROINTESTINAL, NEUROLOGICAL, CARCINOGENIC, RESPIRATORY, REPRODUCTIVE, AND ENDOCRINE EFFECTS. FURTHERMORE, HIGH OCCUPATIONAL, ACCIDENTAL, OR INTENTIONAL EXPOSURE TO PESTICIDES CAN RESULT IN HOSPITALIZATION AND DEATH.BY ELIMINATING THE USE OF TOXIC PESTICIDES, ORGANIC FARMS ALSO PROVIDE A HEALTHIER WORK ENVIRONMENT THAN THEIR CONVENTIONAL COUNTERPARTS. RESEARCH SHOWS THAT EMPLOYEES ON CONVENTIONAL FARMS AND THEIR FAMILIES ARE AT SIGNIFICANT HEALTH RISKS FROM BEING EXPOSED TO PESTICIDES. EMPLOYEES MAY CARRY THOSE RISKS HOME, WHERE THEY MIGHT EXPOSE VULNERABLE POPULATIONS INCLUDING SMALL CHILDREN AND OLDER ADULTS TO CHEMICALS THAT CREATE CHRONIC TOXICITY. ACCORDING TO THE WORLD HEALTH ORGANIZATION, ANTIBIOTIC RESISTANCE IS ONE OF THE BIGGEST THREATS TO GLOBAL HEALTH, FOOD SECURITY, AND DEVELOPMENT TODAY. ANTIBIOTIC RESISTANCE LEADS TO LONGER HOSPITAL STAYS, HIGHER MEDICAL COSTS, AND INCREASED MORTALITY. AS A RESPONSE TO THIS THREAT, WE PURCHASE ANTIBIOTIC FREE POULTRY TO REDUCE EXPOSURE. HANDLING LIVESTOCK THAT'S BEEN GIVEN ANTIBIOTICS CAN ALSO CREATE LIVESTOCK-ASSOCIATED, ANTIBIOTIC-RESISTANT BACTERIA, WHICH THESE EMPLOYEES ALSO CAN SPREAD TO THEIR FAMILIES. THE PREVALENCE OF ANTIBIOTIC RESISTANT BACTERIA AND ZOONOTIC VIRUSES NATIONALLY AND GLOBALLY IS A RECOGNIZED RISK BY THE WORLD HEALTH ORGANIZATION TO POPULATION HEALTH AND IS EXACERBATED BY THE OVERUSE OF ANTIBIOTICS IN CONVENTIONAL AND NON-ORGANIC METHODS OF RAISING LIVESTOCK.AS A WAY TO ENCOURAGE HEALTHY, NUTRITIONAL DIETS FOR OUR COMMUNITY, AND STAFF AND THEIR FAMILIES, FNS MANAGES THE COOKING FOR WELLNESS VIDEO SERIES. THIS PROGRAM FEATURES RECIPES THAT INCORPORATE SEASONAL AND LOCAL PRODUCE, HIGHLIGHTS NUTRITIONAL VALUE OF INGREDIENTS, AND IMPORTANCE OF HEALTHY COOKING AT HOME. THESE VIDEOS ARE AVAILABLE TO ALL STAFF, PATIENTS, AND COMMUNITY MEMBERS ONLINE THROUGH THE NYU LANGONE YOUTUBE PAGE. IN FY23, THESE VIDEOS HAVE BEEN VIEWED BY THE PUBLIC OVER 4,000 TIMES, SHOWCASING PUBLIC ENGAGEMENT WITH THIS SERIES. THESE SERIES ALSO SHOWCASE COMMUNITY AMENITIES THAT PATIENTS CAN ACCESS AND UTILIZE. ACTIVITY: FARMERS MARKETSACCESS TO FRESH FOODS AND VEGETABLES INCREASES THE ADOPTION OF NUTRIOUS DIETS THAT CAN FIGHT OBESITY AND AVOID CHRONIC DISEASES. IN ADDITION, THESE FARMERS MARKETS INVITE LOCAL FARMS AND BUSINESSES, THUS SUPPORTING THE LOCAL ECONOMY AND OFFERING THEM A PLATFORM TO ENGAGE WITH OTHER COMMUNITY MEMBERS. IN FY23, WE HOSTED A FULL SEASON OF OUR LONG ISLAND FARMERS MARKET WHICH WAS FROM JUNE THROUGH OCTOBER AND INCLUDED 10 MARKETS. THIS MARKET ALSO INCLUDES COOKING DEMONSTRATIONS FOR STAFF AND THE PUBLIC TO SHOW HOW TO UTILIZE FRESH INGREDIENTS THAT ARE BETTER FOR YOUR HEALTH. ALL OF THESE MARKETS ARE OPEN TO THE PUBLIC AND ADVERTISED AS A PUBLIC AMENITY. THIS MARKET INVITES LOCAL VENDORS, THUS SUPPORTING THE LOCAL FOOD ECONOMY.ACTIVITY: URBAN BEE HIVEHONEYBEES PLAY A CRITICAL ROLE IN OUR FOOD SYSTEM, ACCOUNTING FOR THE POLLINATION OF OVER 130 VARIETIES OF FRUITS AND VEGETABLES AROUND THE GLOBE AND AFFECTING A THIRD OF OUR FOOD SUPPLY. ESPECIALLY IN CITIES WHERE THE NATURAL HABITAT FOR BEES IS LACKING, IT IS IMPORTANT FOR US TO BUILD THESE HABITATS AND HOST COLONIES THAT WILL MAINTAIN BIODIVERSITY IN OUR NEIGHBORHOODS AND SUPPORT URBAN AGRICULTURE BY PROMOTING POLLINATION OF FLORA. URBAN BEEKEEPING HELPS TO BUILD LOCAL FOOD SYSTEMS BY POLLINATING URBAN FARMS AND GARDENS. LOCAL FOODS MEAN THAT LESS TRANSPORTATION-RELATED EMISSIONS ARE PRODUCED THROUGHOUT THE FOOD SYSTEM, THUS REDUCING AIR POLLUTION WHICH CONSTRIBUTES TO SMOG AND POOR AIR QUALITY. RESIDENTS OF NYC ARE EXPOSED TO HIGH LEVELS OF AIR POLLUTION IN THE FORM OF FINE PARTICULATE MATTER (PM2.5) FROM COMBUSTION ACTIVITY, INCLUDING THE BURNING OF FUEL IN VEHICLES. A MAJOR SOURCE OF PM2.5 IN NYC IS TRAFFIC, WITH 17% OF ALL EMISSIONS COMING FROM TRAFFIC. RECENT STUDIES LINK AMBIENT PM2.5 AND OZONE SPECIFICALLY CAUSED BY VEHICLE EXHAUST EMISSIONS TO PREMATURE DEATHS. IN ADDITION, LONG-TERM AIR POLLUTION INCREASES VULNERABILITY TO EXPERIENCING THE MOST SEVERE COVID-19 OUTCOMES. BY DECREASING OUR CONTRIBUTIONS TO AIR POLLUTION, WE WILL HAVE A POSITIVE IMPACT ON THE POPULATIONS WE SERVE, BUT IN PARTICULAR THOSE RESIDENTS WITH UPPER RESPIRATORY ILLNESSES SUCH AS ASTHMA AND COPD. IN ADDITION, HONEYBEES INCREASE THE LIVELIHOOD OF FLORA AND NATURAL SPACES IN OUR COMMUNITIES. RESEARCH SHOWS THAT NATURE CAN BOOST PEOPLE'S MOOD AND DECREASE HEALING TIME.ACTIVITY: GREEN ROOF THE MANHATTAN MAIN CAMPUS HAS AN EXISTING GREEN ROOF AND ANOTHER CURRENTLY UNDER CONSTRUCTION. THESE GREEN ROOFS ARE PART OF THE INSTITUTION'S RESILIENCY INFRASTRUCTURE THAT ADDRESSES THE LOCAL COMMUNITY'S ABILITY WITHSTAND NATURAL DISASTERS. GREEN ROOF IS LAYER OF VEGETATION INSTALLED ON A TRADITIONAL FLAT OR PITCHED ROOF. THIS VEGETATION CAN CAPTURE AIRBORNE POLLUTANTS, ATMOSPHERIC DEPOSITION, AND FILTER NOXIOUS GASES, THUS IMPROVING THE QUALITY OF AIR IN THE IMMEDIATE COMMUNITY. IT ALSO RETAINS 70-90% OF PRECIPITATION IN THE SUMMERS AND 25-50% OF PRECIPITATION IN THE WINTERS, WHICH HELPS MANAGE STORMWATER RUNOFF AND REDUCE STRESS ON MUNICIPAL SEWER SYSTEMS AT PEAK FLOW PERIODS. GREEN ROOF TEMPERATURES CAN BE 30-40F LOWER THAN THOSE OF CONVENTIONAL ROOFS AND CAN REDUCE CITY-WIDE AMBIENT TEMPERATURES BY UP TO 5F; THUS REDUCING COMMUNITY HEAT STRESS WHICH IS AN ENVIRONMENTAL AND OCCUPATIONAL HAZARD.(CONTINUED BELOW)
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PART III, LINE 2:
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THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS REPORTED AS THE EXPENSE AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGES.
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PART III, LINE 3:
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BAD DEBT EXPENSE DOES NOT INCLUDE AMOUNTS FOR FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENTS.
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FORM 990, SCH. H, PART II, LINE 2 - COMMUNITY BUILDING ACTIVITIES
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(CONTINUED FROM ABOVE)ACTIVITY: EMERGENCY PREPAREDNESSCOMMUNITY SAFETY PREPAREDNESSWE RECOGNIZE THAT THE MAIN MANHATTAN HOSPITAL CAMPUS IS THE CLOSEST HOSPITAL TO A NUMBER OF MAJOR TOURIST/TRANSIT SITES (HERALD SQUARE, TIMES SQUARE, PENN STATION, GRAND CENTRAL, EMPIRE STATE BUILDING, UNITED NATIONS HQ). PARTICULARLY FOR LARGE GATHERING EVENTS AT THESE LOCATIONS, THE HOSPITAL HIRES A TRAINED MASS DECONTAMINATION TEAM ON STANDBY FOR POTENTIAL INFLUX OF PATIENTS DUE TO UNEXPECTED DISASTERS THAT REQUIRE DECONTAMINATION. I.E. TEAR GAS, BOMBS. THIS STANDBY TEAM IS NOT REQUIRED BY ANY REGULATORY BODY. THIS IS A PROACTIVE EFFORT BY EMER THAT PROTECTS THE COMMUNITY, RESULTING IN QUICKER RESPONSE AND ACTION TO EMERGENCIES.COMMUNITY DISASTER WORKFORCE TRAINING THE HOSPITAL HAS INVESTED HEAVILY IN PROFESSIONAL PERSONNEL DEDICATED TO DISASTER PREPAREDNESS EACH YEAR. THESE EXPENDITURES ENSURE THAT THE HOSPITAL WILL BE READY TO HANDLE A LARGE-SCALE DISASTER IN THE AREA AND MEET THE MEDICAL NEEDS OF THOSE THAT ARE IMPACTED. THIS PREPAREDNESS INCLUDES PLANS FOR HANDLING LARGE VOLUMES OF SICK OR INJURED PEOPLE UNDER VARIOUS SCENARIOS, SUCH AS FOR TERROR ATTACKS, POWER OUTAGES OR NATURAL DISASTERS SUCH AND HURRICANES AND BLIZZARDS. AS A COMMUNITY RESOURCE, NYU LANGONE HEALTH HAS RECOGNIZED THE NEED TO ENSURE THE CONTINUITY OF PATIENT CARE DURING EMERGENCIES AND DISASTERS AND HAS INVESTED TIME, ENERGY, AND RESOURCES TO ENSURE WE ARE A RESILIENT ORGANIZATION. EXERCISES INCLUDE SCENARIOS RANGING FROM INTERNAL EMERGENCIES, TO SUPPORTING VICTIMS FROM A MASS CASUALTY INCIDENT THAT OCCURS IN OUR COMMUNITY.
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PART III, LINE 4:
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FOLLOWING IS THE NYU LANGONE HOSPITALS' AUDITED FINANCIAL STATEMENT, FOOTNOTE ON UNCOMPENSATED CARE (FOOTNOTE 1, PAGE 13): AS A MATTER OF POLICY, NYU LANGONE HOSPITALS PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE UNDER ITS CHARITY CARE POLICY OR THROUGH ITS FINANCIAL AID PROGRAM. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN ACCORDANCE WITH THESE LAWS, NYU LANGONE HOSPITALS HAS IMPLEMENTED A DISCOUNT POLICY AND FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES, AND CAPACITY OF NYU LANGONE HOSPITALS, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THEIR CARE. UNDER THIS POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW LANGONE HOSPITALS TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. NET PATIENT SERVICE REVENUE RELATED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR EITHER MEDICAID ASSISTANCE OR NYU LANGONE HOSPITALS' FINANCIAL AID PROGRAM IS RECOGNIZED FOR THE AMOUNT OF CONSIDERATION TO WHICH NYU LANGONE HOSPITALS EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, NET OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS. IMPLICIT PRICE CONCESSION RATES FOR UNINSURED PATIENTS ARE REFINED ON AN ANNUAL BASIS.NYU LANGONE HOSPITALS' CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY, AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. PATIENTS ARE ELIGIBLE FOR THE CHARITY CARE FEE SCHEDULE IF THEY MEET CERTAIN INCOME TESTS. SINCE PAYMENT OF THE DIFFERENCE BETWEEN LANGONE HOSPITALS' STANDARD CHARGES AND THE CHARITY CARE FEE SCHEDULES IS NOT SOUGHT, THESE FORGONE CHARGES FOR CHARITY CARE ARE NOT REPORTED AS REVENUE.
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PART III, LINE 8:
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MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED ON PART III, SECTION B, LINES 5 AND 6 ARE DERIVED FROM THE MEDICARE COST REPORT FILED FOR THE FISCAL YEAR ENDED AUGUST 31,2023.
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PART III, LINE 9B:
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THE HOSPITAL RESERVES THE RIGHT TO TURN OVER TO COLLECTIONS THE ACCOUNTS OF PATIENTS WHO HAVE AN UNPAID BALANCE AND WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL NOT REFER TO COLLECTIONS ANY ACCOUNTS WHERE A FINANCIAL ASSISTANCE APPLICATION IS PENDING; THE PATIENT IS DETERMINED TO BE MEDICAID-ELIGIBLE AT THE TIME HOSPITAL SERVICES WERE RENDERED; OR PURSUING LEGAL ACTION WOULD INTERFERE WITH THE PATIENT'S ABILITY TO PAY HIS/HER MONTHLY LIVING EXPENSES. COLLECTION AGENTS ENGAGED BY THE HOSPITAL ARE REQUIRED TO COMPLY WITH THIS POLICY. FURTHERMORE, IF A LEGAL ACTION INSTITUTED BY THE COLLECTION AGENCY (ACTING ONLY ON THE HOSPITAL'S PRIOR CONSENT) IS DECIDED IN FAVOR OF THE HOSPITAL, THE HOSPITAL WILL NOT SEEK TO FORECLOSE THE PATIENT'S PRIMARY RESIDENCE (ALTHOUGH IT MAY FILE A LIEN) OR TO FREEZE A PATIENT'S BANK ACCOUNT OR GARNISH HIS/HER WAGES ABSENT EXTRAORDINARY CIRCUMSTANCES.
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PART VI, LINE 2:
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PUBLIC PARTICIPATION IN ASSESSING COMMUNITY NEED AND SETTING PRIORITIES HAS BEEN A CONTINUOUS PROCESS OVER THE PAST THREE YEARS. WE HAVE ENGAGED A RANGE OF STAKEHOLDERS - WITH A PARTICULAR FOCUS ON MEDICALLY UNDERSERVED RESIDENTS - TO ASSESS COMMUNITY NEEDS; SET PRIORITIES; DEVELOP, DESIGN, AND IMPLEMENT PROGRAMS; AND SHARE AND CELEBRATE PROGRESS AND RESULTS. WE EMPLOY DIVERSE, OFTEN MULTI-PRONGED, STRATEGIES AND RELY ON OUR EXTENSIVE NETWORK OF COMMUNITY PARTNERS AND ADVISORY BOARDS AND COMMITTEES TO PROVIDE ONGOING OUTREACH AND PROGRAM DEVELOPMENT. THE FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY STRUCTURE INCLUDES THE SUNSET PARK HEALTH COUNCIL AS THE COMMUNITY GOVERNING BOARD; CULTURALLY-SPECIFIC ADVISORY GROUPS; AND PROGRAM-SPECIFIC COUNCILS, INCLUDING THE TEEN HEALTH COUNCIL WHICH BRINGS TOGETHER NYU LANGONE FACULTY AND STAFF, COMMUNITY PARTNERS, AND POLICYMAKERS, MEETS QUARTERLY TO OVERSEE PROGRAM IMPLEMENTATION, SHARE FINDINGS, PROVIDE INSIGHT INTO COMMUNITY NEED, AND IDENTIFY PRIORITIES. IN ADDITION, EACH COMMUNITY SERVICE PLAN ("CSP") PROJECT HAS DEVELOPED DEEPER COMMUNITY RELATIONS OVER THE PAST THREE YEARS AND THESE HAVE PROVIDED AN IMPORTANT WAY FOR US TO UNDERSTAND AND SHAPE OUR CHNA AND GUIDE OUR PROGRAM IMPLEMENTATION AND ASSESSMENT. AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") AND PROGRAM IMPLEMENTATION, WE REGULARLY CONSULT WITH PUBLIC HEALTH AND POLICY EXPERTS IN THE CITY AND STATE HEALTH DEPARTMENTS, THE STATE OFFICE OF MENTAL HEALTH, THE CITY DEPARTMENT OF EDUCATION, THE NEW YORK CITY HOUSING AUTHORITY, THE NYC OFFICE OF HOUSING PRESERVATION AND DEVELOPMENT, AND OTHER AGENCIES AND ORGANIZATIONS WITH EXPERTISE ON THE NEEDS OF LOW-INCOME POPULATIONS, INCLUDING COMMUNITY LEADERS, RESIDENT ASSOCIATIONS, FAITH- AND COMMUNITY-BASED ORGANIZATIONS, ADVOCACY GROUPS, AND MEMBERS OF COMMUNITY BOARDS.TO UNDERSTAND MORE ABOUT COMMUNITY NEED AND TO SUPPORT POLICYMAKERS, PROVIDERS AND COMMUNITY GROUPS IN UNDERSTANDING COMMUNITY DEMOGRAPHICS, AND HOUSING AND HEALTH OUTCOMES (A HIGH COMMUNITY PRIORITY), WE UNDERTOOK A COMPREHENSIVE ANALYSIS OF EXISTING SOURCES OF DATA, INCLUDING THE NYC DEPARTMENT OF CITY PLANNING FACT FINDER; THE NYC DEPARTMENT OF HEALTH NEIGHBORHOOD HEALTH ATLAS; AND THE NYULHC CITY HEALTH DASHBOARD.SUMMARIES AND UPDATES OF THE CHNA AND CSP, ARE SHARED WITH COMMUNITY PARTNERS, AND COALITIONS, AS WELL AS WITH COMMUNITY BOARDS. THESE MEETINGS INCLUDE RESIDENTS, AS WELL AS REPRESENTATIVES FROM BUSINESSES, AND GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS. THESE SUMMARIES WERE ALSO USED TO INFORM AND SOLICIT INPUT FROM NYULH - BROOKLYN AND FAMILY HEALTH CENTERS AT NYU LANGONE ADVISORY GROUPS AND FRONTLINE STAFF AND FROM COMMUNITY PARTNERS, INCLUDING THE CSP COORDINATING COUNCIL.WE HAVE SOLICITED WRITTEN COMMENTS FROM THE PUBLIC ON OUR PREVIOUS CHNA AND IMPLEMENTATION PLAN BOTH THROUGH OUR WEBSITE AND AT PUBLIC MEETINGS. ALTHOUGH NO WRITTEN COMMENTS WERE RECEIVED, COMMENTS AND DISCUSSIONS FOLLOWED PUBLIC PRESENTATIONS AT COMMUNITY MEETINGS. THROUGH THIS IN-DEPTH AND COMMUNITY-ENGAGED PROCESS, WE HAVE COMPILED AND UPDATED OUR PROFILE OF THE HEALTH NEEDS AND STRENGTHS OF THE LOWER EAST SIDE AND CHINATOWN, SUNSET PARK AND RED HOOK AND HEMPSTEAD. THIS ANALYSIS HAS, IN TURN, INFORMED THE PRIORITIES THAT COMPRISE OUR COMMUNITY SERVICE PLAN.
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PART VI, LINE 3:
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PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY BY APPROPRIATE SIGNAGE IN THE REGISTRATION AND INTAKE AREAS; INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE; AND RESPONSES TO DIRECT INQUIRIES. ALL HOSPITAL BILLS AND STATEMENTS WILL INCLUDE A STATEMENT THAT IF THE PATIENT WAS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, GREEK, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN, AND SPANISH, AND TRANSLATION SERVICES WILL BE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
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PART VI, LINE 4:
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AS A MAJOR ACADEMIC MEDICAL CENTER, NYULH SERVES A BROAD COMMUNITY OF DIVERSE POPULATIONS WITH A WIDE RANGE OF HEALTH CARE NEEDS. ITS PRIMARY SERVICE AREA INCLUDES MANHATTAN, BROOKLYN, LONG ISLAND AND QUEENS; AND THE SECONDARY SERVICE AREA EXTENDS INTO STATEN ISLAND, WESTCHESTER, AND NEW JERSEY. TO BEGIN TO UNDERSTAND THE NEEDS OF OUR PRIMARY SERVICE AREAS, WE REVIEWED PUBLICLY AVAILABLE DATA REPORTS AND SUMMARIES, SUCH AS THE COMMUNITY HEALTH PROFILES FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND THE PREVENTION AGENDA DASHBOARD FROM THE NEW YORK STATE DEPARTMENT OF HEALTH. ADDITIONAL SECONDARY DATA SOURCES WERE REVIEWED AND ANALYZED, AS DETAILED IN APPENDIX A OF OUR CHNA. BASED ON THAT REVIEW AND IN LIGHT OF OUR COMMITMENT TO CONTINUING OUR CSP PARTNERSHIPS AND WORK, THE 2022-2024 COMMUNITY SERVICE PLAN CONTINUES TO FOCUS ON THE COMMUNITIES SERVED THROUGH THE PREVIOUS PLANS; THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN, AND SUNSET PARK AND RED HOOK IN BROOKLYN. IN ADDITION, OVER THE COURSE OF THE PAST YEAR, FOLLOWING THE MERGER WITH WINTHROP HOSPITAL (NOW NYU LANGONE HOSPITAL - LONG ISLAND), WE HAVE UNDERTAKEN A CHNAA FOCUSED ON THE VILLAGE OF HEMPSTEAD IN NASSAU COUNTY AND HAVE BEGUN TO DEVELOP PROGRAMS TO MEET THE NEED AND PRIORITIES OF THIS VIBRANT BUT UNDER-RESOURCED COMMUNITY. OUR 2022-2024 PLAN EXTENDS TO THAT COMMUNITY AS WELL.THESE COMMUNITIES - THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN AND SUNSET PARK AND RED HOOK IN BROOKLYN, AND HEMPSTEAD IN NASSAU COUNTY - WERE SELECTED BASED ON THE NEED FOR SERVICE AS EVIDENCED BY SOCIAL DETERMINANTS OF HEALTH, HEALTH DISPARITIES, RISK FACTORS, AND UTILIZATION DATA. ALTHOUGH THESE COMMUNITIES ARE NOT GEOGRAPHICALLY CONTIGUOUS, THEY SHARE IMPORTANT SIMILARITIES, INCLUDING THE DIVERSITY OF THEIR POPULATIONS, AN INFRASTRUCTURE OF STRONG COMMUNITY-BASED ORGANIZATIONS.SUNSET PARKSUNSET PARK RESIDENTS MAKE UP THE HIGHEST PERCENTAGE OF INDIVIDUALS WHO USE NYU LANGONE HOSPITAL - BROOKLYN AND FAMILY HEALTH CENTERS AT NYU LANGONE. THE NEIGHBORHOOD IS A MIXED RESIDENTIAL, INDUSTRIAL, AND COMMERCIAL COMMUNITY IN SOUTHWEST BROOKLYN, ADJOINING THE WATERFRONT. SUNSET PARK CAN BE DESCRIBED AS ENCOMPASSING THREE GEOGRAPHIC AREAS: SUNSET PARK WEST, SUNSET PARK CENTRAL, AND SUNSET PARK EAST/ BOROUGH PARK WEST. THE POPULATION IN EACH OF THESE AREAS HAS GROWN BETWEEN 2010-2020 AND TODAY IS HOME TO ABOUT 146,000 RESIDENTS IN AGGREGATE. THIS GROWTH HAS BEEN DRIVEN BY AN INCREASE IN THE NUMBER OF ASIAN RESIDENTS, WHICH HAS OFFSET A DECLINE IN THE NUMBER OF LATINX RESIDENTS. OVERALL, 40% OF THE RESIDENTS ARE ASIAN, 39% ARE LATINX, AND 16% ARE WHITE. IN SUNSET PARK WEST, MOST RESIDENTS ARE LATINX (56%) WHILE IN SUNSET PARK CENTRAL AND SUNSET PARK EAST/BOROUGH PARK WEST, MOST RESIDENTS ARE ASIAN (57% AND 55% RESPECTIVELY). ABOUT 41% OF THE LATINX RESIDENTS ARE OF MEXICAN ORIGIN, AND ABOUT 91% OF THE ASIAN RESIDENTS ARE OF CHINESE ORIGIN.FOR NEARLY 200 YEARS, SUNSET PARK HAS SERVED AS A FIRST DESTINATION FOR IMMIGRANTS - TODAY, 50% OF RESIDENTS ARE BORN OUTSIDE THE UNITED STATES. ALTHOUGH, AS DESCRIBED IN SECTION I.D.1. LOCAL BUSINESSES HAVE BEEN HIT HARD BY THE PANDEMIC, TWO VIBRANT COMMERCIAL CORRIDORS OF SHOPS, RESTAURANTS, AND SMALL BUSINESSES CONTINUE TO SERVE THIS MULTI-CULTURAL COMMUNITY.WITH A NETWORK OF COMMUNITY- AND FAITH-BASED ORGANIZATIONS AND LOCAL INDUSTRIES THAT PROVIDE ENTRY-LEVEL SERVICE AND FACTORY JOBS, THE NEIGHBORHOOD HAS SUPPORTED AND PROVIDED A STRONG FOOTHOLD FOR MANY NEW IMMIGRANTS. ACCESS TO AND AWARENESS OF CULTURALLY-APPROPRIATE AND LINGUISTICALLY ACCESSIBLE HEALTH AND SOCIAL SERVICES IN THE COMMUNITY ARE CONSISTENTLY IDENTIFIED AS TOP NEEDS AND PRIORITIES BY COMMUNITY MEMBERS AND PARTNERS. MANY SUNSET PARK RESIDENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH; 78% OF RESIDENTS AGES 5 YEARS AND OLDER SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME, WITH SPANISH (38%) AND MANDARIN, CANTONESE OR OTHER CHINESE DIALECT (30%) BEING MOST COMMON. FIFTY-FOUR PERCENT OF RESIDENTS AGES 5 YEARS AND OLDER HAVE LIMITED ENGLISH PROFICIENCY.SOCIAL, ECONOMIC, AND ENVIRONMENTAL ISSUES CONTINUE TO BE TOP PRIORITIES IDENTIFIED BY COMMUNITY MEMBERS. SUNSET PARK IS A COMMUNITY THAT GRAPPLES WITH HIGH LEVELS OF POVERTY, LOW EDUCATIONAL ATTAINMENT, AND HEALTH DISPARITIES. TWENTY-SIX PERCENT OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 18% OF RESIDENTS IN NEW YORK CITY. FROM 2010 TO 2019, THE PERCENTAGE OF WEALTHIEST RESIDENTS (MAKING FIVE TIMES OR MORE OF THE POVERTY LEVEL) INCREASED FROM 12% TO 16% WHILE THE PERCENTAGE OF RESIDENTS WHO EXPERIENCED POVERTY REMAINED ROUGHLY THE SAME (FROM 27% TO 26%). WITH MEDIAN EARNINGS FOR SUNSET PARK WORKERS AT JUST OVER $26,000, COMPARED WITH NEARLY $41,000 FOR WORKERS CITYWIDE, MANY OF THOSE WHO WORK STILL EXPERIENCE POVERTY. POVERTY IS PARTICULARLY ACUTE AMONG CHILDREN - 36% OF CHILDREN UNDER 18 LIVE BELOW THE POVERTY LEVEL. ABOUT 43% OF ADULTS AGES 25 YEARS OR OLDER HAVE LESS THAN A HIGH SCHOOL DIPLOMA, INCLUDING 22% WHO HAVE LESS THAN A 9TH GRADE EDUCATION. THE LOWER LEVEL OF EDUCATIONAL ATTAINMENT IS IN PART A REFLECTION OF LIMITED EDUCATIONAL OPPORTUNITIES OUTSIDE THE UNITED STATES. EDUCATION IS HIGHLY VALUED BY FAMILIES IN THE COMMUNITY AND GRADUATION RATES OF STUDENTS WHO ATTENDED PUBLIC HIGH SCHOOLS IN SUNSET PARK ARE CONSISTENTLY AT OR ABOVE THE CITYWIDE RATE.PRIOR TO THE COVID PANDEMIC, UNEMPLOYMENT WAS 6% IN SUNSET PARK, SIMILAR TO NYC (6%); HOWEVER NEARLY ONE-QUARTER OF EMPLOYED SUNSET PARK RESIDENTS WORKED IN THE ARTS, ENTERTAINMENT, RECREATION, ACCOMMODATION AND FOOD SERVICES INDUSTRY AND MANY EMPLOYED IN THESE SECTORS LOST JOBS DURING THE PANDEMIC. IN RECENT CONVERSATIONS WITH COMMUNITY PARTNERS, ALL HAVE STRESSED THE NEED FOR WORKFORCE DEVELOPMENT FOR DOCUMENTED AND UNDOCUMENTED IMMIGRANTS ACROSS A REALISTIC RANGE OF JOB TYPES, NOTING THAT ADDRESSING ADULT LITERACY IS A PREREQUISITE TO SUCCESSFUL TRAINING AND EMPLOYMENT.SUNSET PARK RESIDENTS ARE NEARLY TWICE AS LIKELY TO LACK HEALTH INSURANCE THAN RESIDENTS CITYWIDE (14% VS. 8%), WITH RATES VARYING BY AGE. WHILE NEARLY ALL CHILDREN IN SUNSET PARK AND CITYWIDE HAVE SOME HEALTH INSURANCE, ABOUT 20% OF ADULTS AGES 18-64 YEARS ARE UNINSURED. OVERALL, FIFTY-SEVEN PERCENT OF SUNSET PARK RESIDENTS HAVE HEALTH INSURANCE THROUGH PUBLIC COVERAGE (E.G., MEDICAID OR MEDICARE).SUNSET PARK HAS A STRONG NETWORK OF TRUSTED COMMUNITY-BASED ORGANIZATIONS MANY OF WHICH HAVE SERVED THE COMMUNITY FOR SEVERAL GENERATIONS. IN CONVERSATIONS WITH THESE LONGSTANDING PARTNERS, THE NEED TO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH - THROUGH CULTURALLY APPROPRIATE OUTREACH AND ENGAGEMENT - WAS REPEATEDLY IDENTIFIED AS A KEY PRIORITY. ECONOMIC PRESSURES, FEAR IN THE FACE OF ANTI-IMMIGRANT SENTIMENT, LANGUAGE BARRIERS AND COMPETING PRIORITIES WERE ALL IDENTIFIED AS BARRIERS TO WELL-BEING, HEALTH AND HEALTH CARE ACCESS. WORKING WITH AND RELYING ON THESE TRUSTED PARTNERS IS A CENTRAL TO ALL OF OUR WORK IN THE COMMUNITY. ARAB AMERICAN COMMUNITY IN SOUTHWEST BROOKLYNDATA SPECIFIC TO THE ARAB AMERICAN COMMUNITY ARE DIFFICULT TO FIND AS DETAILED ETHNIC AND CULTURAL HERITAGE ARE NOT OFTEN COLLECTED ON POPULATION-BASED SURVEYS OR ADMINISTRATIVE RECORDS. A HEALTH NEEDS ASSESSMENT FOR THE BROOKLYN ARAB AMERICAN COMMUNITY WAS LAST CONDUCTED IN 2008. IN SEPTEMBER 2018 AT THE ARAB AMERICAN COMMUNITY ADVISORY GROUP QUARTERLY MEETING AT NYU LANGONE HOSPITAL--BROOKLYN, ARAB AMERICAN COMMUNITY PARTNERS ADVOCATED FOR AN UP-TO-DATE ASSESSMENT OF HEALTH NEEDS AND PRIORITIES TO BETTER INFORM NYU LANGONE HOSPITAL- BROOKLYN STRATEGIES FOR ENGAGING THE ARAB COMMUNITY. (SEE APPENDIX B FOR A FULL LIST OF THE PARTICIPATING PARTNERS.) THE PURPOSE OF THIS ASSESSMENT WAS TO DESCRIBE THE HEALTH NEEDS, PRIORITIES, AND BARRIERS TO HEALTH CARE SPECIFIC TO THE ARAB AMERICAN COMMUNITY IN BROOKLYN.MEMBERS FROM COMMUNITY-BASED ORGANIZATIONS AND HEALTH ORGANIZATIONS FORMED A WORKING GROUP TO DEVELOP THE SURVEY. A CONVENIENCE SAMPLE APPROACH WAS USED TO RECRUIT PARTICIPANTS. PARTNER ORGANIZATIONS INVITED THEIR PROGRAM PARTICIPANTS TO ANSWER THE SURVEY AND ALSO WORKED WITH MOSQUES, CHURCHES, AND OTHER PROGRAMS SERVING THE BROOKLYN ARAB AMERICAN COMMUNITY TO INVITE COMMUNITY MEMBERS TO PARTICIPATE. PARTICIPANTS WERE ELIGIBLE IF THEY WERE AT LEAST 18 YEARS OLD, SELF-IDENTIFIED AS ARAB AMERICAN, AND LIVED IN BROOKLYN. THE ANONYMOUS SURVEY WAS ADMINISTERED BY INTERVIEWERS WHO WERE TRAINED COMMUNITY MEMBERS FROM COMMUNITY ORGANIZATIONS IN THE PARTICIPANTS' PREFERRED LANGUAGE (ARABIC OR ENGLISH). RESPONSES WERE COLLECTED ON PAPER AND ENTERED INTO AN ELECTRONIC DATABASE BY TRAINED COMMUNITY ORGANIZATION AND HEALTH ORGANIZATION STAFF FLUENT IN BOTH ARABIC AND ENGLISH. DATA COLLECTION TOOK PLACE BETWEEN SEPTEMBER 2019 AND DECEMBER 2019.(CONTINUED PAGE 110)
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THE COMMUNITY SERVICE PLAN COORDINATING COUNCIL, COMPOSED OF NYU LANGONE HEALTH FACULTY AND STAFF FROM ACROSS THE INSTITUTION, LEADERSHIP AND STAFF OF OUR COMMUNITY PARTNERS, AND OTHER INTERESTED PARTNERS AND POLICYMAKERS, CONTINUES TO MEET EVERY THREE MONTHS. THE COUNCIL COORDINATES COMMUNITY SERVICE PLAN PROJECTS, ENSURING THAT THEY ARE MEETING MILESTONES, MAXIMIZING THEIR IMPACT, AND FOSTERING COLLABORATION ACROSS INSTITUTIONS AND SECTORS. WE CONTINUE TO FIND OPPORTUNITIES TO LEARN AND TO WORK ACROSS PROJECTS AND WITH COLLEAGUES THROUGHOUT THE INSTITUTION AND IN THE COMMUNITY. WE ALSO USE THIS FORUM TO DISTRIBUTE INFORMATION ABOUT THE NYULH FINANCIAL ASSISTANCE POLICY. IN ITS FIRST YEAR (2013), THE COORDINATING COUNCIL COLLABORATIVELY DEVELOPED A SET OF PRINCIPLES TO GUIDE THE CSP PARTNERSHIPS. THESE WERE INCORPORATED IN THE MEMORANDA OF UNDERSTANDING WITH PARTNERS AND PROVIDED GUIDANCE ABOUT INFORMATION SHARING, COMPENSATION OF PARTNERS AND COMMUNITY MEMBERS, AND RESPONSIBILITY FOR DISSEMINATION OF FINDINGS. IN 2019, THE COUNCIL REVISITED AND STRENGTHENED THESE COMMUNITY-BASED PARTICIPATORY PRINCIPLES, AND THEN USED THOSE PRINCIPLES AS A FOUNDATION FOR BRINGING A MORE DIRECT AND INTENTIONAL ANTI-RACISM FOCUS TO THE WORK. IN 2020, THE COUNCIL ADOPTED THE FOLLOWING GUIDING DOCUMENT:GUIDING PRINCIPLES TO INCREASE AUTHENTIC COMMUNITY ENGAGEMENT, IMPROVE HEALTH EQUITY, AND IMPLEMENT AN ANTI-RACIST AGENDA WE COMMIT TO:1. COLLABORATIVELY DEFINING THE COMMUNITY WITH WHICH WE ARE WORKING, UNDERSTANDING THE CAUSES AND CONSEQUENCES OF HEALTH INEQUITIES AND THE IMPACT OF STRUCTURAL RACISM* ON COMMUNITY HEALTH AND WELL-BEING, AND UNDERSTANDING OUR ROLES - AS INDIVIDUALS AND AS MEMBERS OR REPRESENTATIVES OF ORGANIZATIONS; 2. BUILDING RELATIONSHIPS OF TRUST AND APPRECIATION, AND TO TAKING THE TIME TO CONTINUALLY REFLECT ON, EVALUATE, AND STRENGTHEN OUR COLLABORATIVE PROCESSES;3. BUILDING ON AND LEVERAGING STRENGTHS AND RESOURCES WITHIN THE COMMUNITY;4. COLLABORATIVELY DEFINING THE ROLES OF ALL PARTNERS IN ALL PHASES OF THE WORK IN A WAY THAT LEVERAGES EXPERTISE, MINIMIZING BARRIERS TO PARTICIPATION, PARTICULARLY FOR THOSE WHO HAVE BEEN UNDERREPRESENTED IN THE PAST, AND ENSURING THAT THE CONTRIBUTION OF ALL PARTICIPANTS IS RECOGNIZED AND APPROPRIATELY COMPENSATED;5. LEARNING FROM EACH OTHER AND BUILDING OUR CAPACITIES AND SKILLS;6. ENSURING THAT ALL PARTNERS HAVE THE OPPORTUNITY AND RESOURCES TO PARTICIPATE IN THE COMMUNICATION OF FINDINGS AND KNOWLEDGE GAINED, RECOGNIZING THE NEED FOR PRIVACY AND PROTECTING PARTICIPANTS AND THE COMMUNITY FROM INADVERTENT HARM; AND7. MAKING A LONG-TERM COMMITMENT AND WORKING TO MAKE SUSTAINABLE CHANGE.TO HOLD OURSELVES ACCOUNTABLE, WE WILL:- COLLABORATIVELY DEVELOP A PLAN FOR EACH INITIATIVE, AND FOR THE CSP AS A WHOLE, TO INCREASE AUTHENTIC COMMUNITY ENGAGEMENT, IMPROVE HEALTH EQUITY, AND IMPLEMENT AN ANTI-RACIST AGENDA;- DEVELOP MECHANISMS TO REVIEW OUR PLANS, TO MEASURE PROGRESS, AND TO LEARN FROM OUR SUCCESSES AND CHALLENGES; AND- SHARE WHAT WE LEARN ALONG THE WAY, INTERNALLY AND WITH OTHER INTERESTED COLLABORATIONS.* AS DEFINED BY DR. MARY BASSETT AND COLLEAGUES, "STRUCTURAL RACISM REFERS TO THE TOTALITY OF WAYS IN WHICH SOCIETIES FOSTER RACIAL DISCRIMINATION THROUGH MUTUALLY REINFORCING SYSTEMS OF HOUSING, EDUCATION, EMPLOYMENT, EARNINGS, BENEFITS, CREDIT, MEDIA, HEALTH CARE, AND CRIMINAL JUSTICE. THESE PATTERNS AND PRACTICES IN TURN REINFORCE DISCRIMINATORY BELIEFS, VALUES, AND DISTRIBUTION OF RESOURCES."OVER THE COURSE OF THE PAST YEAR AND A HALF, EACH CSP PROJECT HAS SELECTED ONE OR MORE OF THESE PRINCIPLES AS A FOCUS FOR SELF-ASSESSMENT AND IMPLEMENTATION. SEE APPENDIX C, WHICH EXPLAINS THE PROCESS AND EXPECTATIONS. ALL CSP PROJECTS HAVE WORKED TO INCLUDE DEEPER PARTICIPATION BY COMMUNITY PARTNERS AND RESIDENTS, INCLUDING AND COMPENSATING PEOPLE WITH LIVED EXPERIENCE AS PROGRAM LEADERS, ON ADVISORY COMMITTEES, AND AS SPEAKERS AND MODERATORS. FOR EXAMPLE: THE HEALTH X HOUSING LAB ADVISORY COMMITTEE INCLUDES FIVE MEMBERS WITH LIVED EXPERIENCE OF HOMELESSNESS. THE LAB WORKS TO MINIMIZE BARRIERS TO PARTICIPATION BY ENSURING THAT COMMITTEE MEMBERS HAVE THE MATERIALS AND EQUIPMENT THEY NEED TO FULLY ENGAGE AS COMMITTEE MEMBERS. ALL OF THE LAB EVENTS FEATURE SPEAKERS WHO HAVE EXPERIENCED HOMELESSNESS OR HOUSING INSECURITY, RECOGNIZING THEIR SIGNIFICANT EXPERTISE. THE LAB'S "FLIPPING THE SCRIPT" EVENTS EXPLICITLY AIM TO CHALLENGE TRADITIONAL PARADIGMS OF WHO WE THINK OF AS EXPERTS AND TEACHERS IN MEDICAL EDUCATION, POSITIONING PATIENTS WITH LIVED EXPERIENCE OF HOMELESSNESS THEMSELVES AS THE EXPERT TEACHERS.THE COMMUNITY HEALTH WORKER RESEARCH AND RESOURCE CENTER (CHW-RRC) IS LED BY THE CHW LEARNING COMMITTEE, MADE UP OF FOUR TO SIX CHWS, WHO GUIDE CHW-RRC PROGRAMMING AND PROFESSIONAL DEVELOPMENT ACTIVITIES. THE QUARTERLY WELLNESS SURVEY FOR THE CHWS, WHICH WAS PREPARED COLLABORATIVELY WITH THE LEARNING COMMITTEE, LED TO THE CREATION OF MONTHLY MENTAL HEALTH SUPPORT GROUPS AND OTHER PROGRAMMING AND SUPPORT SERVICES. ALL OF THE CHW-RRC PROGRAMS, WHICH ARE ATTENDED BY HUNDREDS OF FRONTLINE WORKERS AND HEALTH PROFESSIONALS ACROSS THE COUNTRY, ARE MODERATED BY CHWS. THE CHW-RRC HAS ALSO ORGANIZED A TWO-SESSION PANEL FOR 3RD-YEAR MEDICAL STUDENTS, INTRODUCING THEM TO THE ROLE OF CHWS AND EXPLORING HOW MEDICAL STUDENTS AND PHYSICIANS CAN WORK EFFECTIVELY WITH THIS WORKFORCE. THIS EVENT HAS NOW BEEN INCORPORATED INTO THE MEDICAL SCHOOL'S SOCIAL DETERMINANTS OF HEALTH CURRICULUM.SIMILARLY, MUCH OF REACH FAR'S PANDEMIC OUTREACH AND EDUCATION HAS BEEN LED BY CHWS, WHO, AS MEMBERS OF THE AFFECTED COMMUNITIES, HAVE BEEN ABLE TO REACH COMMUNITY MEMBERS WITH ACCURATE INFORMATION BY ENGAGING TRUSTED LEADERS, AND MODERATING AND TRANSLATING AT COMMUNITY EVENTS.IN ALL OF ITS HIRING DECISIONS, PARENTCHILD+ HAS INCORPORATED COMMUNITY VOICE, INCLUDING CURRENT AND FORMER FAMILIES. THE PROGRAM IS ALSO IMPLEMENTING A COMMUNITY AMBASSADOR PROGRAM AS A PATHWAY FOR PROGRAM GRADUATES TO PROVIDE EDUCATION AND SUPPORT FOR OTHER COMMUNITY PARENTS REGARDING EARLY CHILDHOOD DEVELOPMENT AND LANGUAGE- AND LITERACY SKILL-BUILDING.PARENTCORPS ESTABLISHED THE SUNSET PARK PARENTCORPS COMMUNITY ADVISORY BOARD (CAB) IN SEPTEMBER 2020, INCLUDING LEADERS FROM SIX PRE-K PROGRAMS AND ONE ELEMENTARY SCHOOL. THE CAB ALSO INCLUDES A RACIALLY, ETHNICALLY, LINGUISTICALLY AND POSITIONALLY DIVERSE TEAM OF SIX INDIVIDUALS FROM NYU'S CENTER FOR EARLY CHILDHOOD HEALTH AND DEVELOPMENT, WHO ARE ACTIVE PARTICIPANTS IN MEETINGS AND COLLECTIVELY ASSESSED THE PROCESS AND PROGRESS OF THE CAB. THE CAB MEMBERS HAVE DISCUSSED RACISM AND DISCRIMINATION IN THE SCHOOL SYSTEM AND IN THE COMMUNITY, SHARING THEIR PERSONAL STORIES AS WELL AS INSIGHTS INTO STRUCTURAL RACISM. PARENTCORPS, WHICH HAS WORKED ON ISSUES OF RACIAL EQUITY FOR MANY YEARS, HAS PROVIDED ASSISTANCE TO OTHER CSP PROJECTS, INCLUDING THE GREENLIGHT PROGRAM, THAT ARE DEVELOPING COMMUNITY ADVISORY BOARDS, AND HAS SHARED EQUITY TOOLS AND FRAMEWORKS.PROJECT SAFE PEER EDUCATORS PARTICIPATE IN INTERVIEWS OF ALL NEW STAFF HIRES AND ARE INVOLVED IN THE DEVELOPMENT, DISSEMINATION, AND REVIEW OF PROGRAM EVALUATION TOOLS. ANNUAL "DATA DIALOGUES" ARE USED TO SHARE BACK AND DISCUSS PROGRAM IMPLEMENTATION AND OUTCOME DATA TO TEENS, STAFF, AND OTHER PROGRAM STAKEHOLDERS. THESE DIALOGUES SERVE TO INFORM CONTINUOUS PROGRAM IMPROVEMENT AND ADAPTATION. NOTABLY, PROJECT SAFE STAFF AND YOUTH REVISED THE LANGUAGE IN THE CBPA PRINCIPLES TO MAKE THEM MORE YOUTH-FRIENDLY, AND PROGRAM YOUTH MONITOR HOW EFFECTIVELY THE PROGRAM ADHERES TO THE CBPA/EQUITY PRINCIPLES. TO ENSURE THAT PROGRAM PARTICIPANTS FEEL SAFE AND SUPPORTED, PROJECT SAFE CREATED A HARASSMENT REPORTING FORM AND ADDED QUESTIONS TO THE QUARTERLY EVALUATION FORM TO ASSESS HOW WELCOME AND SAFE YOUTH FEEL EXPRESSING THEIR RACIAL, GENDER, OR SEXUAL IDENTITIES IN THE PROGRAM.CSP INITIATIVES ARE ALSO EDUCATING PROGRAM LEADERSHIP, STAFF AND THEIR COMMUNITIES ABOUT THE HISTORIC ROOTS OF THE INEQUITIES THAT THE PROGRAMS ARE INTENDED TO ADDRESS AND ARE DEVELOPING RESPONSIVE STRATEGIES. FOR EXAMPLE: THE BROOKLYN CONSORTIUM HAS ESTABLISHED A DIVERSITY EQUITY, INCLUSION AND ACCESSIBILITY (DEIA) WORKGROUP WITH THE BRONX HEALTH & HOUSING CONSORTIUM, COMPOSED OF EIGHT REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THE WORKGROUP HAS HELPED TO DEVELOP A LEADERSHIP SURVEY TO IDENTIFY STRENGTHS AND EXPERIENCES AMONG BOARD AND STEERING COMMITTEE LEADERSHIP AND OPPORTUNITIES FOR BRINGING NEW VOICES TO THE TABLE. THE WORKGROUP IS PLANNING A DEIA TRAINING AND IS DEVELOPING A PLAN TO SUPPORT POLICIES AND PRACTICES THAT ADDRESS THE IMPACT OF STRUCTURAL RACISM ON HEALTH AND HOUSING THROUGH RESEARCH AND ADVOCACY, CROSS-SECTOR RELATIONSHIPS, AND TRAINING. (CONTINUED ON PAGE 126)
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NYU LANGONE HEALTH SYSTEM (THE "HEALTH SYSTEM") IS THE SOLE CORPORATE MEMBER OF LANGONE HOSPITALS ("NYULH"). NYULH IS A QUATERNARY TEACHING HOSPITAL THAT OPERATES FIVE INPATIENT ACUTE CARE FACILITIES AND OVER 40 AMBULATORY FACILITIES IN MANHATTAN, BROOKLYN, AND LONG ISLAND. THE MANHATTAN 813-BED INPATIENT FACILITIES ARE COMPRISED OF THE KIMMEL PAVILION (WHICH ALSO HOUSES THE HASSENFELD CHILDREN'S HOSPITAL) AND TISCH HOSPITAL. NYU LANGONE ORTHOPEDIC HOSPITAL ("NYU ORTHOPEDICS"), ALSO LOCATED IN MANHATTAN, IS A 225-BED FACILITY SPECIALIZING IN ORTHOPEDIC, NEUROLOGIC, AND RHEUMATOLOGIC SERVICES. NYU LANGONE HOSPITAL-BROOKLYN ("NYU BROOKLYN") IS A 444-BED FACILITY IN THE SUNSET PARK SECTION OF BROOKLYN; AND NYU LANGONE - LONG ISLAND ("NYU LONG ISLAND") IS A 591-BED FACILITY LOCATED IN MINEOLA, NEW YORK. AMBULATORY FACILITIES INCLUDE THE LAURA AND ISAAC PERLMUTTER CANCER CENTER ("CANCER CENTER"), A COMPREHENSIVE CANCER AND AMBULATORY CARE CENTER, AS WELL AS A FREE-STANDING EMERGENCY DEPARTMENT IN THE COBBLE HILL SECTION OF BROOKLYN AMONGST OTHERS.NYU BROOKLYN HAD AN EXISTING AFFILIATION AGREEMENT WITH SUNSET PARK HEALTH COUNCIL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, D/B/A FAMILY HEALTH CENTER AT NYU LANGONE ("FHC"). FHC IS A DESIGNATED LEVEL 3 MEDICAL HOME AND A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") WHICH WAS ESTABLISHED AS A "CO-OPERATOR" WITH BROOKLYN. A NEW AFFILIATION AGREEMENT WAS EXECUTED IN FISCAL YEAR 2017 BETWEEN NYULH AND FHC WHICH WILL REMAIN IN EFFECT FOR AS LONG AS NYULH REMAINS A CO-OPERATOR OF THE FQHC.ON MARCH 1, 2022, PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT THE HEALTH SYSTEM BECAME THE SOLE CORPORATE MEMBER OF BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER (D/B/A LONG ISLAND COMMUNITY HOSPITAL ("LICH")), AN ACUTE CARE HOSPITAL LICENSED TO OPERATE 306 BEDS LOCATED IN SUFFOLK COUNTY. LICH CHANGED ITS NAME TO LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH, BUT CONTINUES TO DO BUSINESS AS LONG ISLAND COMMUNITY HOSPITAL.
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FORM 990, SCH. H, PART VI, LINE 4 - DESCRIPTION OF COMMUNITY
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(CONTINUED FROM PAGE 103)A TOTAL OF 511 ARAB AMERICAN ADULTS LIVING IN BROOKLYN RESPONDED TO THE SURVEY. MOST PARTICIPANTS WERE BETWEEN THE AGES OF 25-64 YEARS (69%), FEMALE (60%), AND RESPONDED TO THE SURVEY IN ARABIC (58%). RESPONDENTS WERE BORN IN A VARIETY OF COUNTRIES, INCLUDING YEMEN (25%), MOROCCO (24%), EGYPT (14%), UNITED STATES (11%), PALESTINE (7%) AND SYRIA (7%). ANNUAL HOUSEHOLD INCOME WAS LESS THAN $25,000 FOR 45% OF PARTICIPANTS. DIABETES, CANCER, HEART DISEASE, OBESITY AND MENTAL HEALTH WERE SELECTED BY PARTICIPANTS AS THE MOST COMMON HEALTH ISSUES FACING THE BROOKLYN ARAB AMERICAN COMMUNITY. THESE ISSUES ALIGN WITH PREVALENT HEALTH CONDITIONS IDENTIFIED IN THIS SURVEY. FOR EXAMPLE, DIABETES WAS MORE COMMON AMONG ARAB AMERICAN ADULTS IN THIS SURVEY (16%) THAN AMONG ADULTS IN NEW YORK CITY (11%); A PATTERN SIMILAR TO A STUDY CONDUCTED IN MICHIGAN. RISK FACTORS FOR HEART DISEASE, LIKE HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL WERE ALSO COMMON AMONG SURVEY PARTICIPANTS (25% AND 26%, RESPECTIVELY). AMONG PARTICIPANTS WHO REPORTED A HEIGHT AND WEIGHT, ABOUT 24% WERE OBESE. ABOUT 20% OF ADULTS IN THE SURVEY WERE AT RISK FOR CURRENT DEPRESSION.AFFORDABLE HOUSING AND ACCESS TO QUALITY MEDICAL CARE WERE SELECTED BY PARTICIPANTS AS THE MOST COMMON RESOURCES NEEDED TO SUPPORT THE HEALTH OF THE BROOKLYN ARAB AMERICAN COMMUNITY. THESE RESOURCE NEEDS ALSO ALIGN WITH CONDITIONS IDENTIFIED IN THE SURVEY. FOR EXAMPLE, ABOUT 20% OF PARTICIPANTS REPORTED NOT HAVING ENOUGH MONEY TO PAY THEIR RENT/MORTGAGE. THIS PERCENTAGE IS LIKELY EVEN HIGHER NOW, AS THE IMPACTS OF UNEMPLOYMENT AND HIGHER COST OF LIVING DUE TO THE COVID PANDEMIC CONTINUE TO BE FELT. WHILE 95% OF PARTICIPANTS REPORTED HAVING HEALTH INSURANCE, ABOUT 28% OF PARTICIPANTS REPORTED NOT BEING ABLE TO GET NEEDED MEDICAL CARE IN THE PAST YEAR-MORE THAN TWICE THE PERCENT OF ADULTS IN NEW YORK CITY OVERALL. AMONG THOSE WHO COULD NOT GET NEEDED CARE, TRANSPORTATION PROBLEMS AND COST WERE THE MOST COMMON BARRIERS NOTED. CANCER WAS A MAIN HEALTH CONCERN NOTED, AND TIMELY CANCER SCREENING WAS FOUND TO BE LOWER AMONG BROOKLYN ARAB AMERICAN PARTICIPANTS THAN NEW YORK CITY ADULTS OVERALL. ABOUT 44% OF PARTICIPANTS AGED 45 YEARS OR OLDER HAD A TIMELY COLON CANCER SCREENING TEST, COMPARED TO ABOUT 69% OF ADULTS AGE 50 YEARS OR OLDER CITYWIDE.ABOUT 66% OF FEMALE PARTICIPANTS AGES 45 YEARS OR OLDER HAD A TIMELY BREAST CANCER SCREENING (MAMMOGRAM), COMPARED TO ABOUT 76% OF WOMEN AGES 40 YEARS OR OLDER CITYWIDE. ABOUT 52% OF FEMALE PARTICIPANTS HAD A TIMELY CERVICAL CANCER SCREENING TEST, COMPARED TO ABOUT 85% OF WOMEN CITYWIDE. RESULTS FROM THIS SURVEY WERE PRESENTED BY A WORKGROUP MEMBER FROM A COMMUNITY-BASED PARTNER ORGANIZATION AT A VIRTUAL MEETING OF THE ARAB AMERICAN COMMUNITY ADVISORY GROUP IN FEBRUARY 2021. THESE RESULTS WERE ALSO PRESENTED TO EXECUTIVE LEADERSHIP OF THE FAMILY HEALTH CENTERS AT NYU LANGONE. THE LOWER EAST SIDE AND CHINATOWNTO INCREASE OUR IMPACT AND CREATE OPPORTUNITIES FOR SYNERGY ACROSS PROGRAMS, STARTING WITH THE 2013-2016 CHNAA, NYULH FOCUSED ON THE AREA CLOSEST TO THE MANHATTAN CAMPUS WITH THE GREATEST NEED: THE LOWER EAST SIDE AND CHINATOWN. THE LOWER EAST SIDE/CHINATOWN COMMUNITY DISTRICT (MANHATTAN COMMUNITY DISTRICT 3), WHICH INCLUDES NEIGHBORING EAST VILLAGE, IS A COMMUNITY WITH CONCENTRATED POCKETS OF POVERTY AND A HIGH PERCENTAGE OF LATINX AND ASIANS - GROUPS THAT EXPERIENCE DISPARITIES IN MANY HEALTH OUTCOMES. LOCATED ALONG THE EASTERN SHORE OF LOWER MANHATTAN, THIS NEIGHBORHOOD IS ONE OF THE EARLIEST AREAS SETTLED IN NEW YORK CITY AND WAS A HISTORIC STOP FOR IMMIGRANTS IN THE 19TH AND EARLY 20TH CENTURY. TODAY, THE COMMUNITY DISTRICT IS HOME TO ABOUT 163,000 RESIDENTS, INCLUDING 34% BORN OUTSIDE THE UNITED STATES. IMMIGRANT POPULATIONS COMPRISE A LARGE PERCENTAGE (56%) OF RESIDENTS IN THE CHINATOWN NEIGHBORHOOD. TODAY, THE DISTRICT'S POPULATION IS ABOUT 34% WHITE, 31% ASIAN, AND 24% LATINX. THE LATINX POPULATION IS LARGELY PUERTO RICAN (59%) AND DOMINICAN (17%) WHILE THE ASIAN POPULATION IS PRIMARILY CHINESE (86%).OVERALL, 27% OF THE POPULATION IN MANHATTAN COMMUNITY DISTRICT 3 HAVE LIMITED ENGLISH PROFICIENCY. AMONG THE CHINESE LANGUAGE SPEAKERS, 77% SPEAK ENGLISH "LESS THAN VERY WELL" COMPARED WITH 57% FOR CHINESE LANGUAGE SPEAKERS IN MANHATTAN AS A WHOLE. COMPARED WITH NYC (14%), MANHATTAN CD 3 HAS A HIGHER PERCENT OF ADULTS AGES 65 YEARS AND OLDER-19% OF THE POPULATION OVERALL, WITH HIGHER PERCENTS THE CHINATOWN NEIGHBORHOOD AREA (28%).IN ITS MOST RECENT NEEDS STATEMENT, THE COMMUNITY BOARD HIGHLIGHTED THE NEED FOR MAINTAINING AND EXPANDING SENIOR SERVICES, NOTING CONCERNS ABOUT SOCIAL ISOLATION, DEPRESSION, FOOD ACCESS AND THE NEED FOR CULTURALLY AND LINGUISTICALLY APPROPRIATE INFORMATON AND ACCESS HEALTH AND SOCIAL SERVICES. WITH 27% OF INDIVIDUALS LIVING BELOW POVERTY, THE LOWER EAST SIDE/CHINATOWN STANDS IN STARK CONTRAST TO THE SURROUNDING NEIGHBORHOODS IN LOWER MANHATTAN - THE FINANCIAL DISTRICT AND GREENWICH VILLAGE/SOHO - WHICH RANK AMONG THE NEIGHBORHOODS WITH THE LOWEST POVERTY RATES IN ALL OF NEW YORK CITY (6% AND 8% RESPECTIVELY). YET EVEN WITHIN THE COMMUNITY DISTRICT, THERE ARE AREAS OF WEALTH, WITH 27% OF RESIDENTS. HAVING INCOMES FIVE TIMES HIGHER THAN POVERTY LEVEL. NEWER WEALTHIER DEVELOPMENTS ARE ARISING ALONGSIDE OLDER HOUSING STOCK HOME TO RESIDENTS WITH LOWER INCOMES. ABOUT 28% OF ALL PUBLIC HOUSING UNITS IN MANHATTAN ARE LOCATED IN COMMUNITY DISTRICT 3 (ABOUT 8% OF THE TOTAL FOR NYC); YET AS THE NEIGHBORHOOD CONTINUES TO GENTRIFY, THERE IS GROWING COMMUNITY CONCERN ABOUT ACCESS TO AFFORDABLE HOUSING. NEARLY 90% OF HOUSING UNITS ARE RENTER-OCCUPIED AND 24% OF RENTER-HOUSEHOLDS ARE SEVERELY RENT-BURDENED (SPEND MORE THAN 50% OF INCOME ON RENT). RED HOOKRED HOOK IS A RESILIENT, DIVERSE AND LIVELY WATERFRONT COMMUNITY IN BROOKLYN. THE NEIGHBORHOOD IS HOME TO NEW YORK'S SECOND LARGEST PUBLIC HOUSING COMPLEX, THE RED HOOK HOUSES. MORE THAN HALF OF RED HOOK RESIDENTS LIVE IN PUBLIC HOUSING. THE MAJORITY OF RED HOOK RESIDENTS ARE RACIAL AND ETHNIC MINORITIES. THIRTY-NINE PERCENT IDENTIFY AS LATINX, 30% BLACK, 21% WHITE, AND 5% ASIAN. ALTHOUGH THE OVERALL POPULATION OF RED HOOK HAS REMAINED RELATIVELY STEADY BETWEEN 2010-2020, THERE HAS BEEN AN INCREASE IN THE WHITE AND ASIAN POPULATION AND A DECREASE IN LATINX AND BLACK POPULATION. ABOUT ONE-THIRD OF RED HOOK RESIDENTS AGES FIVE YEARS AND OLDER SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH SPANISH BEING MOST COMMON (25%). TWENTY-THREE PERCENT OF RED HOOK'S APPROXIMATELY 11,000 RESIDENTS ARE UNDER THE AGE OF 18.LIKE MANY NYC NEIGHBORHOODS, RED HOOK IS EXPERIENCING GENTRIFICATION. IN THE AREAS SURROUNDING THE RED HOOK HOUSES, THE PERCENTAGE OF THE WEALTHIEST RESIDENTS (INCOMES AT LEAST FIVE TIMES HIGHER THAN POVERTY LEVEL) DOUBLED, FROM 24% IN 2006-2010 TO 43% IN 2015-2019. WHILE THE POVERTY RATE FOR RED HOOK OVERALL IS 36%, THE RATE IS THREE TIMES HIGHER IN THE CENSUS TRACT CONTAINING RED HOOK HOUSES COMPARED WITH THE SURROUNDING CENSUS TRACTS (45% VS 15%).POVERTY, HIGH UNEMPLOYMENT, AND LOW EDUCATIONAL ATTAINMENT ARE CHALLENGES IN THE COMMUNITY. FORTY-THREE PERCENT OF CHILDREN UNDER THE AGE OF 18 RED HOOK LIVE IN POVERTY. PRIOR TO THE COVID-19 PANDEMIC, 19% OF RESIDENTS 16 AND OLDER WERE UNEMPLOYED, COMPARED WITH 6% OF RESIDENTS CITYWIDE. ABOUT 27% OF WORKERS WERE EMPLOYED IN EDUCATIONAL, HEALTH CARE OR SOCIAL ASSISTANCE INDUSTRY AND ABOUT 15% OF WORKERS WERE EMPLOYED IN RETAIL TRADE. THIRTY-ONE PERCENT OF ADULTS HAVE NOT COMPLETED HIGH SCHOOL.RED HOOK IS GEOGRAPHICALLY ISOLATED. MANY RESIDENTS LIVE FAR FROM THE SUBWAY SYSTEM AND THE NEIGHBORHOOD IS CUT OFF FROM THE REST OF BROOKLYN BY THE BROOKLYN QUEENS EXPRESSWAY, CAUSING DIFFICULTY IN ACCESSING RESOURCES NOT AVAILABLE IN THE COMMUNITY. COMMUNITY CONCERNS ABOUT ACCESS TO HEALTHCARE AND AFFORDABLE FOOD HAVE INCREASED WITH THE CLOSURES OF LONG ISLAND COLLEGE HOSPITAL IN 2013 AND PATHMARK IN 2015. THIS ISOLATION, HOWEVER, ALSO FOSTERS SOCIAL COHESION, NEIGHBORHOOD PRIDE, AND RESILIENCY.RED HOOK IS HOME TO A DEDICATED NETWORK OF NON-PROFITS, ARTS AND CULTURAL ORGANIZATIONS, RELIGIOUS INSTITUTIONS, AND RESIDENT-LED COMMUNITY BUILDING ACTIVITIES. IN OUR SURVEY OF COMMUNITY RESIDENTS, 39% OF COMMUNITY MEMBERS RATED COMMUNITY-BASED ORGANIZATIONS AS A TOP STRENGTH IN RED HOOK. RED HOOK WAS GREATLY AFFECTED BY SUPERSTORM SANDY AND RECOVERY EFFORTS CONTINUE. MOST OF THE RED HOOK BALLFIELDS WERE CLOSED IN 2012 AND AGAIN IN 2015 BECAUSE OF LEAD SOIL CONTAMINATION. TWO ARE NOW OPEN AND EFFORTS ARE UNDERWAY TO FIX THE THIRD. (CONTINUED BELOW)
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FORM 990, SCH. H, PART VI, LINE 4 - DESCRIPTION OF COMMUNITY
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(CONTINUED FROM ABOVE)MANY RED HOOK RESIDENTS ARE ALSO IMPACTED BY POOR HOUSING CONDITIONS THAT AFFECT THE ENTIRE NYCHA SYSTEM, SUCH AS HEAT AND HOT WATER OUTAGES, MOLD, AND RISK FOR LEAD EXPOSURE. RED HOOK IS ALSO EXPERIENCING A PERIOD OF RAPID DEVELOPMENT AND MAJOR RECONSTRUCTION, WHICH HAS HAD A SUBSTANTIAL EFFECT ON THE HEALTH AND WELL-BEING OF RESIDENTS. STRESSORS INCLUDE: LOSS OF GREEN SPACE, AIR AND NOISE POLLUTION, AND POTENTIAL EXPOSURE TO MOLD AND LEAD DUE TO THE ONGOING CONSTRUCTION WITHIN AND AROUND THE NYCHA RED HOOK HOUSES. ADDITIONALLY, THE CONSTRUCTION OF TRUCKING DELIVERY FACILITIES IN RED HOOK HAS INTRODUCED AN INFLUX OF COMMERCIAL TRUCKS DRIVING AND IDLING ON THE STREETS OF RED HOOK, CAUSING CONCERN FOR THOSE WITH RESPIRATORY ISSUES.HEMPSTEAD, NASSAU COUNTYFOLLOWING THE MERGER OF NYU LANGONE HEALTH AND WINTHROP HOSPITAL (NOW NYU LANGONE HOSPITAL - LONG ISLAND) IN THE SUMMER OF 2019, WE LAUNCHED AN IN-DEPTH, COMMUNITY-ENGAGED NEEDS AND ASSETS ASSESSMENT, FOCUSING INITIALLY ON THE VILLAGE OF HEMPSTEAD, WHICH IS RESPONSIBLE FOR THE GREATEST NUMBER OF HOSPITAL DISCHARGES AND EMERGENCY DEPARTMENT VISITS AND WHICH, AS DESCRIBED BELOW, IS AN AREA OF HIGH NEED.BEGINNING IN JULY 2021, TEN LOCAL CBOS, TOGETHER WITH RELEVANT STAFF, HAVE BEEN MEETING MONTHLY TO IDENTIFY WHAT IS KNOWN AND WHAT INFORMATION IS MISSING ABOUT COMMUNITY HEALTH NEEDS, ASSETS, AND PRIORITIES. THE GROUP REVIEWED ANALYSES FROM SECONDARY DATA SOURCES AND THEN DEVELOPED DATA COLLECTION AND ENGAGEMENT STRATEGIES, INCLUDING COORDINATION WITH A SURVEY BEING CONDUCTED BY THE LONG ISLAND HEALTH COLLABORATIVE. THE GROUP ALSO HELPED TO HOST SIX GROUP DISCUSSIONS WITH 37 PARTICIPANTS, INCLUDING STAFF MEMBERS FROM THE PEDIATRIC CENTER AND THE MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, AND CONDUCTED SEVERAL ONE-ON-ONE INTERVIEWS WITH STAFF WHO LIVE IN THE COMMUNITY.THIS PROCESS WILL CONTINUE AS PART OF OUR ON-GOING COMMITMENT TO COMMUNITY ENGAGEMENT AND TO COMMUNITY PARTICIPATION IN PROGRAM DEVELOPMENT, IMPLEMENTATION AND ASSESSMENT. WE REPORT HERE ON OUR FINDINGS TO DATE AND EXPECT TO LEARN MORE OVER THE COMING MONTHS AND YEARS.LIKE MANY COMMUNITIES ACROSS LONG ISLAND, HEMPSTEAD WAS SETTLED IN THE MID-1600'S BY ENGLISH IMMIGRANTS ON LAND PURCHASED FROM NATIVE AMERICANS. BY THE MID-1800'S HEMPSTEAD WAS A THRIVING SETTLEMENT AND IMPORTANT CENTER OF TRADE FOR COMMUNITIES ON LONG ISLAND. IN 1853, THE INCORPORATED VILLAGE OF HEMPSTEAD BECAME THE FIRST SELF-GOVERNING COMMUNITY IN WHAT WAS THEN QUEENS COUNTY. IN THE EARLY 1900'S, THE TOWN OF HEMPSTEAD BUILT A TOWN HALL IN THE VILLAGE AND TODAY THE VILLAGE REMAINS HOME TO TOWN GOVERNMENT OFFICES. HEMPSTEAD WAS A COMMERCIAL, CIVIC, AND TRANSPORTATION CENTER LONG BEFORE THE POST-WAR HOUSING AND POPULATION BOOM THAT TRANSFORMED THE SURROUNDING AREAS IN NASSAU COUNTY. YET, WHAT MAY BE VIEWED AS A BOOM FOR OTHER COMMUNITIES ALSO CONTRIBUTED TO DIS-INVESTMENT AND LOSS OF BUSINESSES WITHIN THE VILLAGE OF HEMPSTEAD DURING THE 1970'S-1980'S. IN THE 1990'S THERE WAS A CONCERTED EFFORT TO REDEVELOP AND RE-INVEST IN THE VILLAGE TO STRENGTHEN ITS POSITION AS A TOWN GOVERNMENT CENTER AND RE-ESTABLISH ITS COMMERCIAL RETAIL PRESENCE. THE POPULATION OF HEMPSTEAD HAS GROWN IN THE PAST TWO DECADES AND TODAY IS THE MOST POPULOUS VILLAGE IN NASSAU COUNTY WITH 59,000 RESIDENTS ACCORDING TO THE 2020 CENSUS. THIS OVERALL POPULATION INCREASE IS DRIVEN BY AN INCREASE IN THE LATINX POPULATION WHICH TODAY NUMBERS NEARLY 30,000 ACCOUNTING FOR 50% OF THE POPULATION. BETWEEN 2000 AND 2020, THERE HAS BEEN A DECREASE IN THE NUMBER OF BLACK RESIDENTS; IN 2020, 39% OF THE POPULATION WAS BLACK, DOWN FROM 51% IN 2000. IN NASSAU COUNTY OVERALL IN 2020, 56% OF THE POPULATION WAS WHITE, 18% LATINX, 12% ASIAN, AND 11% BLACK. IN TALKING WITH PEOPLE WHO LIVE AND/OR WORK IN HEMPSTEAD SOME COMMON THEMES EMERGE. PEOPLE SPEAK ABOUT HEMPSTEAD WITH PRIDE. THE DIVERSITY OF THE COMMUNITY IS VALUED. NEIGHBORS ARE DESCRIBED AS NICE PEOPLE, FRIENDLY, WILLING TO HELP, AND THE COMMUNITY LOOKS OUT FOR ONE ANOTHER. THERE IS A STRONG FOCUS ON THE IMPORTANCE OF FAMILY. COMMUNITY MEMBERS DESCRIBED NUMEROUS ASSETS AVAILABLE IN HEMPSTEAD, INCLUDING THE AFRICAN AMERICAN MUSEUM OF NASSAU COUNTY, RETAIL OPTIONS, CHURCHES, CONVENIENT LOCATION, WALKABILITY, TRANSPORTATION OPTIONS, A PUBLIC LIBRARY, AND PARKS. MANY MENTIONED RESOURCES AVAILABLE THROUGH THE MANY COMMUNITY-BASED ORGANIZATIONS. COMMUNITY MEMBERS ALSO DESCRIBED SOME AREAS OF NEED TO MAKE HEMPSTEAD AN EVEN BETTER PLACE TO LIVE AND BE HEALTHY.WHILE SECONDARY DATA SOURCES ARE USEFUL IN DESCRIBING COMMUNITY-LEVEL INDICTORS AND MAKING COMPARISONS WITH OTHER AREAS, WE RECOGNIZE THAT SECONDARY SOURCES OF DATA CANNOT TELL A COMPLETE STORY OF A COMMUNITY. IN THIS SECTION, WE USED INFORMATION GATHERED FROM MULTIPLE COMMUNITY CONVERSATIONS TO CONTEXTUALIZE SOME CORE INDICATORS. ABOUT 41% OF HEMPSTEAD RESIDENTS ARE IMMIGRANTS. TOP BIRTH COUNTRIES FOR THE IMMIGRANT POPULATION ARE: EL SALVADOR (34%), JAMAICA (13%), HONDURAS (12%), AND HAITI (8%). ABOUT 49% OF HEMPSTEAD RESIDENTS AGES FIVE YEARS OR OLDER SPEAK ONLY ENGLISH AND 43% SPEAK SPANISH. AMONG SPANISH-SPEAKERS, NEARLY TWO OUT THREE SPEAK ENGLISH LESS THAN "VERY WELL".AS ONE COMMUNITY MEMBER HIGHLIGHTED, MANY IMMIGRANTS LEAVE THEIR LIVES BEHIND AND MUST START OVER WHEN THEY ARRIVE IN HEMPSTEAD. SOME HAVE FLED VIOLENCE AND POVERTY IN THEIR HOME COUNTRIES. OTHERS FOLLOWED FAMILY MEMBERS WHO SETTLED IN HEMPSTEAD, FURTHER STRENGTHENING THE STRONG FAMILY TIES WITHIN THE COMMUNITY. MANY COME TO HEMPSTEAD SPEAKING ONLY SPANISH AND THE LACK OF BI-LINGUAL SERVICES AND INFORMATION CAN BE A BARRIER TO ACCESSING CARE AND OTHER NEEDS. IN ADDITION, ANTI-IMMIGRANT RHETORIC AND FEAR OF DEPORTATION FOR THEMSELVES OR FAMILY MEMBERS CAN IMPACT ACCESS TO NEEDED SERVICES. YET, THIS SHARED SENSE OF EXPERIENCE ALSO CONTRIBUTES TO THE SENSE OF BELONGING. ABOUT 72% OF HEMPSTEAD RESIDENTS AGES 25 YEARS OR OLDER HAVE AT LEAST A HIGH SCHOOL DEGREE AND 18% HAVE A BACHELOR'S DEGREE OR HIGHER. IN NASSAU COUNTY OVERALL, 92% HAVE AT LEAST A HIGH SCHOOL DEGREE AND 47% HAVE A BACHELOR'S DEGREE OR HIGHER. WHILE EDUCATIONAL ATTAINMENT IN PART REFLECTS LIMITED EDUCATIONAL OPPORTUNITIES AVAILABLE IN COUNTRIES OUTSIDE THE US, FOR MANY YEARS HIGH SCHOOL GRADUATION RATES FOR HEMPSTEAD WERE MUCH LOWER THAN OTHER COMMUNITIES ALTHOUGH GAINS HAVE BEEN MADE MORE RECENTLY. PARENTS IN THE COMMUNITY SPOKE ABOUT THE IMPORTANCE OF EDUCATION FOR THEIR CHILDREN AND EXPRESSED CONCERN ABOUT THE QUALITY OF THE LOCAL PUBLIC SCHOOLS. IN FEBRUARY 2020, NEW YORK STATE ASSIGNED A MONITOR TO OVERSEE OPERATIONS OF THE HEMPSTEAD SCHOOL DISTRICT. PRIVATE AND CHARTER SCHOOLS IN THE AREA ARE EXPENSIVE OR BASED ON A LOTTERY ADMISSION PROCESS, FURTHER ADDING STRESS TO PARENTS CONCERNED ABOUT HOW TO PROVIDE THEIR CHILDREN WITH BETTER EDUCATIONAL OPPORTUNITIES. THE MEDIAN HOUSEHOLD INCOME IN NASSAU COUNTY IS $118,453, MAKING IT ONE OF THE WEALTHIEST COUNTIES IN AMERICA. BUT NOT EVERY COMMUNITY IN THE COUNTY EXPERIENCES THIS LEVEL OF PROSPERITY. IN HEMPSTEAD, MEDIAN HOUSEHOLD INCOME IS $62,569, AND 41% OF HOUSEHOLD EARN LESS THAN $50,000 PER YEAR. POVERTY IS THREE TIMES HIGHER IN HEMPSTEAD THAN IN NASSAU COUNTY (19% VS 6%). MANY OF THE FOCUS GROUP PARTICIPANTS AND COMMUNITY PARTNERS MENTIONED FINANCIAL INSECURITY AS A STRUGGLE IN THE COMMUNITY. IN PART, LIMITED EMPLOYMENT OPPORTUNITIES MEAN THAT RESIDENTS CAN ONLY FIND WORK IN LOW-WAGE OCCUPATIONS AND OFTEN HAVE TO WORK MULTIPLE JOBS TO SUPPORT THEMSELVES AND THEIR FAMILIES. LIMITED INCOME WAS ALSO NOTED AS A BARRIER TO ACCESSING HEALTHCARE, PARTICULARLY PREVENTIVE SERVICES. THE HOUSING LANDSCAPE IN HEMPSTEAD IS COMPRISED MOSTLY OF MULTI-UNIT HOUSING (55%), INCLUDING 33% OF HOUSING UNITS IN STRUCTURES CONTAINING TWENTY OR MORE UNITS. ABOUT 45% OF HOUSING UNITS IN HEMPSTEAD ARE SINGLE UNIT, COMPARED WITH 79% IN NASSAU COUNTY. THERE ARE FOUR PUBLIC HOUSING DEVELOPMENTS IN HEMPSTEAD, INCLUDING TWO DEVELOPMENTS DEDICATED TO HOUSING SENIORS. ABOUT 10% OF HOUSING UNITS IN HEMPSTEAD ARE CROWDED (1.01 TO 1.50 PEOPLE PER ROOM), WITH AN ADDITIONAL 3% CONSIDERED SEVERELY CROWDED (1.51 OR MORE PEOPLE PER ROOM). IN NASSAU COUNTY, 2% OF HOUSING UNITS ARE CROWDED AND 1% ARE SEVERELY CROWDED.MOST HOUSING IN HEMPSTEAD IS RENTER-OCCUPIED (59%); COMPARED TO 19% OF HOUSING UNITS IN NASSAU COUNTY. ABOUT 36% OF RENTER-OCCUPIED HOUSING UNITS IN HEMPSTEAD ARE SEVERELY RENT-BURDENED (RENT IS 50% OR MORE OF INCOME), COMPARED WITH 31% IN NASSAU COUNTY.FOCUS GROUP PARTICIPANTS NOTED THE NEED FOR AFFORDABLE HOUSING, AS WELL AS SERVICES AND HOUSING FOR PEOPLE EXPERIENCING HOMELESSNESS. SOME NOTED THAT MULTIPLE GENERATIONS OF A FAMILY LIVE TOGETHER, PROVIDING VALUED FAMILY SUPPORT BUT ALSO RESULTING IN CROWDING. (CONTINUED BELOW)
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FORM 990, SCH. H, PART VI, LINE 4 - DESCRIPTION OF COMMUNITY
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(CONTINUED FROM ABOVE)HEMPSTEAD IS A MAJOR TRANSIT HUB, WITH A LONG ISLAND RAILROAD (LIRR) STATION TERMINUS AND NASSAU INTER-COUNTY EXPRESS (NICE) BUS TERMINAL LOCATED AT THE ROSA PARKS HEMPSTEAD TRANSIT CENTER. HEMPSTEAD HOUSEHOLDS ARE LESS LIKELY TO HAVE A VEHICLE AVAILABLE; 24% OF HOUSEHOLDS HAVE NO VEHICLE AVAILABLE, COMPARED WITH 7% IN NASSAU COUNTY. WHILE PUBLIC TRANSPORTATION OPTIONS ARE MORE PLENTIFUL IN HEMPSTEAD RELATIVE TO OTHER PARTS OF NASSAU COUNTY, TRANSPORTATION OPTIONS WITHIN HEMPSTEAD ARE LIMITED AND SOME CITED THIS AS A BARRIER TO ACCESSING MEDICAL CARE AND OTHER SERVICES. A REPORT FROM THE NASSAU COUNTY COMPTROLLER'S OFFICE HIGHLIGHTED FIVE CENSUS TRACTS IN HEMPSTEAD CONSIDERED TO HAVE LIMITED ACCESS TO FOOD-AREAS WHERE 33% OR MORE OF THE POPULATION LIVED MORE THAN MILE FROM THE NEAREST SUPERMARKET OR LARGE GROCERY STORE-INCLUDING TWO CENSUS TRACTS CONSIDERED FOOD DESERTS DUE TO LIMITED VEHICLE AVAILABILITY. A LACK OF HEALTHY FOOD CHOICES AT THE SUPERMARKET WAS NOTED AS A FACTOR THAT MAKES IT HARD TO STAY HEALTHY. ACCESS TO FOOD WAS NOTED AS A NEED; WHICH SOME COMMUNITY PARTNERS ARE ALREADY HELPING TO FILL. FOR EXAMPLE, ST. GEORGE'S EPISCOPAL CHURCH AND THE SALVATION ARMY HAVE FOOD PANTRIES.OVERALL, 14% OF HEMPSTEAD RESIDENTS DO NOT HAVE HEALTH INSURANCE -- MORE THAN THREE TIMES THE RATE FOR NASSAU COUNTY OVERALL (4%). THIS IS DRIVEN BY THE PERCENT OF RESIDENTS AGES 19-64 YEARS WHO DO NOT HAVE COVERAGE (21% IN HEMPSTEAD, COMPARED TO 6% IN NASSAU COUNTY). NEARLY ALL CHILDREN AND OLDER ADULTS IN HEMPSTEAD HAVE HEALTH INSURANCE, SIMILAR TO NASSAU COUNTY.TIMELY BREAST CANCER SCREENING (76%) AND CERVICAL CANCER SCREENING (86%) RATES ARE SIMILAR FOR WOMEN IN HEMPSTEAD AND NASSAU COUNTY. TIMELY SCREENING FOR COLON CANCER IS LOWER IN HEMPSTEAD THAN NASSAU COUNTY (54% VS 62%)POTENTIALLY AVOIDABLE HOSPITALIZATIONS ARE DEFINED AS THOSE THAT MAY BE PREVENTED WITH BETTER ACCESS TO PRIMARY CARE. HEMPSTEAD (ZIP CODE 11550) HAD THE SECOND HIGHEST RATE OF POTENTIALLY AVOIDABLE HOSPITALIZATIONS (251 PER 10,000 ADULTS) OF ALL ZIP CODES IN NASSAU COUNTY. FALLS ARE THE LEADING CAUSE OF INJURY-RELATED DEATHS AND HOSPITAL VISITS AMONG ADULTS AGES 65 YEARS AND OLDER IN NEW YORK STATE. THE FALLS-RELATED HOSPITALIZATION RATE IS HIGHER AMONG OLDER ADULTS IN NASSAU COUNTY (237 PER 10,000) COMPARED WITH OLDER ADULTS STATEWIDE (194 PER 10,000). IN ADDITION TO DESCRIBING THE BURDEN OF DEATHS BEFORE AGE ONE YEAR, THE INFANT MORTALITY RATE IS OFTEN USED AS A MARKER OF COMMUNITY HEALTH STATUS GIVEN ITS RELATION TO STRUCTURAL FACTORS THAT IMPACT HEALTH. THE INFANT MORTALITY RATE IN HEMPSTEAD WAS 4 PER 1,000 LIVE BIRTHS, SLIGHTLY HIGHER THAN NASSAU COUNTY OVERALL (3 PER 1,000). HEMPSTEAD (ZIP CODE 11550) HAD THE HIGHEST RATE OF ASTHMA-RELATED EMERGENCY DEPARTMENT VISITS AMONG CHILDREN OF ALL ZIP CODES IN NASSAU COUNTY. HEMPSTEAD (ZIP CODE 11550) HAD THE SECOND HIGHEST TEEN PREGNANCY RATE OF ALL ZIP CODES IN NASSAU COUNTY (69 PER 1,000 FEMALES AGES 15-19). OVERALL, HEMPSTEAD RESIDENTS SUFFER DISPROPORTIONATELY FROM CHRONIC DISEASE AND MENTAL DISTRESS AS COMPARED WITH THE REST OF NASSAU COUNTY. ABOUT 36% OF HEMPSTEAD ADULTS ARE OBESE, COMPARED WITH 25% IN NASSAU COUNTY. AMONG STUDENTS ATTENDING SCHOOL IN THE HEMPSTEAD SCHOOL DISTRICT, 25% OF ELEMENTARY STUDENTS ARE OBESE AND 31% OF MIDDLE/HIGH SCHOOL STUDENTS ARE OBESE. (BY CONTRAST, IN NASSAU COUNTY, 16% OF ELEMENTARY SCHOOL STUDENTS AND 15% OF MIDDLE/HIGH SCHOOL STUDENTS ARE OBESE.) ABOUT 35% OF HEMPSTEAD ADULTS HAVE HIGH BLOOD PRESSURE, COMPARED WITH 25% IN NASSAU COUNTY. ABOUT 15% OF HEMPSTEAD ADULTS HAVE DIABETES, COMPARED WITH 8% IN NASSAU COUNTY. ABOUT 15% OF HEMPSTEAD ADULTS EXPERIENCED FREQUENT MENTAL DISTRESS (FEELING LIKE MENTAL HEALTH WAS NOT GOOD FOR 14 OR MORE DAYS IN PAST MONTH), COMPARED WITH 11% IN NASSAU COUNTY. ABOUT 33% OF HEMPSTEAD ADULTS WERE NOT PHYSICALLY ACTIVE COMPARED WITH 20% IN NASSAU COUNTY. ABOUT 17% OF HEMPSTEAD ADULTS SMOKE, COMPARED WITH 12% IN NASSAU COUNTY.COMMUNITY MEMBERS DESCRIBED HEALTH IN VERY HOLISTIC TERMS, INCLUDING PHYSICAL, EMOTIONAL, AND MENTAL HEALTH. WHILE MANY REFLECTED ON HEALTH AS BEING MORE THAN HEALTHCARE, SOME ALSO NOTED LACK OF ACCESS TO HEALTHCARE AS A TOP NEED. MANY CITED THE NEED TO ADDRESS LANGUAGE AND TRANSPORTATION BARRIERS RELATED TO HEALTHCARE ACCESS. MANY ALSO NOTED A NEED FOR MORE HEALTHCARE FACILITIES, ESPECIALLY SITES OFFERING LOW-COST OR SLIDING SCALE OPTIONS AND A 24-HOUR PHARMACY. MANY INTERVIEWEES NOTED THE IMPORTANCE OF GETTING EXERCISE AS A KEY ELEMENT TO STAYING HEALTHY. AS DESCRIBED ABOVE, PARKS WERE CITED AS A COMMUNITY ASSET; SOME SUGGESTED THAT IT WOULD BE BENEFICIAL IF THERE WERE MORE STRUCTURED ACTIVITIES AVAILABLE AT PARKS - TO PROMOTE PHYSICAL ACTIVITY AND COMMUNITY BUILDING. CONCERN WAS EXPRESSED ABOUT THE LIMITED HOURS THAT PARKS ARE OPEN AND SEVERAL PEOPLE NOTED SAFETY CONCERNS, IN TERMS OF PHYSICAL INFRASTRUCTURE (I.E., LACK OF FENCES AROUND PLAYGROUNDS TO PREVENT YOUNG CHILDREN FROM RUNNING OUT OF THE AREA) AND CRIME. CONCERNS ABOUT CRIME AND SAFETY WERE ALSO NOTED AS BARRIERS TO WALKING ALONE. IN ONE GROUP, IT WAS SUGGESTED THAT A RECREATION CENTER FOR TEENS WOULD HELP PROMOTE PHYSICAL ACTIVITY AND POTENTIALLY HELP REDUCE CRIME.GOOD NUTRITION AND HEALTHY EATING WERE ALSO MENTIONED AS KEY TO GOOD HEALTH. SOME INTERVIEWEES NOTED THAT FOOD PRICES AND LACK OF ACCESS TO NUTRITIOUS FOODS MADE IT HARD TO STAY HEALTHY, PARTICULARLY FOR RESIDENTS WITH CHRONIC CONDITIONS LIKE DIABETES. SOME SUGGESTED SUPPLEMENTING INCREASED ACCESS TO HEALTHY FOOD OPTIONS WITH NUTRITION PROGRAMS AIMED AT DEVELOPING SKILLS NEEDED TO COOK HEALTHIER MEALS.COMMUNITY MEMBERS ALSO NOTED A NUMBER OF RESOURCES AND SERVICES THAT WERE AVAILABLE THROUGH LOCAL COMMUNITY-BASED ORGANIZATIONS AS AN ASSET TO SUPPORT HEALTH AND WELL-BEING. BOTH RESIDENTS AND CBOS CITED A NEED FOR INCREASED AWARENESS OF AVAILABLE SERVICES, AND NOTED THE NEED FOR ORGANIZATIONS TO BUILD TRUST AND ACTIVELY ENGAGE IN OUTREACH. SUGGESTIONS INCLUDED CREATING A REPOSITORY OR GUIDE, AS WELL AS ADVERTISING IN COMMUNITY SPACES LIKE LAUNDROMATS AND THROUGH SOCIAL MEDIA.
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FORM 990, SCH. H, PART VI, LINE 5 - COMMUNITY HEALTH IMPROVEMENT
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(CONTINUED FROM PAGE 109)PARENTCHILD+ HAS SELECTED PROGRAM MATERIALS THAT CAN SPUR CONVERSATIONS ABOUT RACE, AND HAS SUPPORTED AND EDUCATED STAFF IN UNDERSTANDING BIASES. THE PROGRAM PRIORITIZES AN ANTI-BIAS AND DIVERSE APPROACH TO CURRICULAR BOOK CHOICES, INCLUDING MORE BOOKS THAT FEATURE PEOPLE OF VARIOUS RACES AND ETHNICITIES (NOT JUST THOSE OF PROGRAM FAMILIES). STAFF ARE TRAINED AND SUPPORTED TO ELICIT AND ENGAGE FAMILIES IN THE RESULTING CONVERSATIONS ABOUT RACE. PROGRAM LEADERSHIP IS WORKING WITH STAFF TO RECOGNIZE AND DISCUSS THEIR OWN BIASES.REACH FAR HAS WORKED WITH IMAMS OF TWO MOSQUES, ASSAFA ISLAMIC CENTER AND BROOKLYN ISLAMIC CENTER, WHO DELIVERED TWO FRIDAY SERMONS ON ANTI-RACISM AND EQUALITY IN ISLAMIC BELIEF, REACHING ABOUT 500 CONGREGANTS. PARENTCORP PARTNERS WITH MULTIPLE PARTNERS TO UNDERSTAND THE IMPACT OF STRUCTURAL RACISM AND TO PROMOTE ANTI-RACIST PRACTICES. FOR EXAMPLE, IN ITS PROFESSIONAL LEARNING SESSION FOCUSED ON CULTURALLY RESPONSIVE EDUCATION, PRE-K TEACHERS AND LEADERS ARE GUIDED TO REFLECT ON THEIR OWN IDENTITIES AND BIASES, AND HOW THEY MAY AFFECT THE CLASSROOM ENVIRONMENT; TO NAVIGATE CONVERSATIONS ABOUT RACE (USING AN ESTABLISHED FRAMEWORK AND TOOLS FROM COURAGEOUS CONVERSATIONS ABOUT RACE); TO LEARN STRATEGIES FOR ADDRESSING THEIR DISCOMFORT; AND TO INCORPORATE CULTURALLY RESPONSIVE EDUCATION INTO DAILY CLASSROOM PRACTICE. THE COORDINATING COUNCIL WILL CONTINUE TO OVERSEE PROGRAM IMPLEMENTATION, WORK COLLABORATIVELY TO FIND POINTS OF SYNERGY ACROSS PROGRAMS AND NEIGHBORHOODS, AND ASSESS PROGRESS AND MAKE MID-COURSE CORRECTIONS. IN ADDITION, EACH PROGRAM COLLECTS DATA ABOUT LEVELS OF PARTICIPATION, PARTICIPANT SATISFACTION, AND IMPACT ON HEALTH AND WELL-BEING. THIS IS DONE THROUGH ATTENDANCE RECORDS, SURVEYS, AND OTHER FORMS OF DATA COLLECTION. ATTACHED AS APPENDIX E IS A TABLE SUMMARIZING GOALS AND PERFORMANCE MEASURES, TOGETHER WITH SOURCES OF DATA TO BE USED TO MEASURE OUTCOMES FOR EACH CSP PROJECT. GROWING OUT OF OUR COMMUNITY HEALTH NEEDS AND ASSETS ASSESSMENT (CHNAA) AND ALIGNING WITH THE NEW YORK STATE PREVENTION AGENDA AND NEW YORK CITY AND NASSAU COUNTY PUBLIC HEALTH PRIORITIES, THE NYU LANGONE HOSPITALS THREE-YEAR IMPLEMENTATION PLAN (THE COMMUNITY SERVICE PLAN, "CSP") FOCUSES ON PREVENTING CHRONIC DISEASES BY PROMOTING HEALTHY EATING AND FOOD SECURITY, DECREASING TOBACCO USE AND EXPOSURE TO SECONDHAND SMOKE, ADDRESSING THE INTERSECTION OF HEALTH AND HOUSING, SUPPORTING DISEASE SELF-MANAGEMENT, AND CONNECTING PEOPLE TO RESOURCES THAT ADDRESS SOCIAL AND HEALTH RISK FACTORS. THE PLAN ALSO PROMOTES HEALTHY WOMEN, INFANTS AND CHILDREN THROUGH PARENTING PROGRAMS, BY CONNECTING FAMILIES TO NEEDED RESOURCES, AND THROUGH EARLY CHILDHOOD AND TEEN PREGNANCY PREVENTION PROGRAMS. WE ALSO HAVE AN EMERGING PORTFOLIO OF PROJECTS THAT FOCUS ON PROMOTING A HEALTHY AND SAFE ENVIRONMENT BY REDUCING FALLS AMONG VULNERABLE POPULATIONS. OUR COMMUNITY SERVICE PLAN PROGRAMS SPAN MULTIPLE SECTORS: EARLY CHILDHOOD SETTINGS AND SCHOOLS, PRIMARY CARE, HOUSING, AND COMMUNITY SETTINGS, SUCH AS FAITH-BASED ORGANIZATIONS AND SOCIAL SERVICE PROVIDERS. DRAWING ON ITS EXPERTISE IN DEVELOPING AND IMPLEMENTING EFFECTIVE APPROACHES TO HEALTH PROMOTION AT THE COMMUNITY LEVEL, THE DEPARTMENT OF POPULATION HEALTH (DPH) HAS SERVED AS THE ARCHITECT FOR THE CHNAA AND PLAN SINCE 2013. SINCE 2016, DPH AND THE FAMILY HEALTH CENTERS AT NYU LANGONE HAVE WORKED TOGETHER TO DEVELOP A CSP DESIGNED TO CREATE SYNERGIES ACROSS PROGRAMS AND TO TAKE ADVANTAGE OF THE COMBINED EXPERTISE OF OUR LARGER INSTITUTION, THE STRONG FOUNDATION OF WORK UNDER BOTH OF OUR PREVIOUS PLANS, AND THE STRENGTHS OF OUR COMMUNITY PARTNERSHIPS.BEGINNING IN 2022, THE CHNAA AND CSP EXPANDED TO INCLUDE NYU LANGONE HOSPITAL - LONG ISLAND (FORMERLY WINTHROP HOSPITAL), FOCUSED INITIALLY ON BUILDING COMMUNITY PARTNERSHIP AND DEVELOPING PROGRAMS TO MEET THE NEEDS OF THE HEMPSTEAD COMMUNITY. THROUGH ITS COMMUNITY SERVICE PLAN, NYULH BRINGS TO BEAR A WIDE RANGE OF EXPERTISE: IN HEALTHY EATING AND OBESITY PREVENTION, HEALTH LITERACY, PARENTING, FAMILY AND COMMUNITY ENGAGEMENT, SMOKING CESSATION, PREVENTION SCIENCE, AND POPULATION HEALTH. THE PROGRAMS AND PRIORITIES REMAIN CONSISTENT WITH NYULH PRIOR YEARS' COMMUNITY SERVICE PLANS, BUT UNDER THE CURRENT CSP, EXISTING PROGRAMS HAVE BEEN EXTENDED AND NEW INITIATIVES ADDED. THE CSP'S GEOGRAPHIC SCOPE INCLUDES THE LOWER EAST SIDE AND CHINATOWN IN MANHATTAN, AND SUNSET PARK AND RED HOOK IN BROOKLYN; WE RECENTLY ALSO COMPLETED AN INITIAL NEEDS AND ASSETS ASSESSMENT IN HEMPSTEAD IN NASSAU COUNTY AND ARE BEGINNING TO IMPLEMENT CSP PROGRAMS THERE AS WELL.PRIORITY AREAS OF FOCUS PREVENTING CHRONIC DISEASESTHE HEALTHY FOOD INITIATIVE ADDRESSES FOOD SECURITY AND HEALTHY FOOD AVAILABILITY IN SUNSET PARK, BROOKLYN AND SURROUNDING COMMUNITIES THROUGH EVIDENCE-INFORMED INTERVENTIONS FOCUSED ON EMERGENCY FOOD ACCESS, SCREENING AND CASE MANAGEMENT, COMMUNITY EDUCATION, AND A COMMUNITY-WIDE COALITION OF FOOD SYSTEMS STAKEHOLDERS.GREENLIGHT, AN EARLY CHILDHOOD OBESITY PREVENTION PROGRAM TO IMPROVE HEALTH LITERACY AND FOSTER HEALTHFUL DIET- AND ACTIVITY-RELATED BEHAVIOR, IS BEING ADAPTED AND IMPLEMENTED IN PARTNERSHIP WITH THE CHARLES B. WANG COMMUNITY HEALTH CENTER AND THE SEVENTH AVENUE FAMILY HEALTH CENTER AT NYU LANGONE IN SUNSET PARK. IN THE NEXT CSP CYCLE, IT WILL BE EXTENDED TO THE SUNSET PARK FAMILY HEALTH CENTER AT NYU LANGONE, AS WELL AS THE NYULH PEDIATRIC PRACTICE IN HEMPSTEAD, LONG ISLAND. RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH FOR ASIAN AND ARAB AMERICANS (REACH FAR), AN EVIDENCE-BASED PROGRAM DESIGNED TO PREVENT CARDIOVASCULAR DISEASE BY INCREASING ACCESS TO HEALTHY FOODS AND PROVIDING CULTURALLY TAILORED HEALTH COACHING AND MESSAGES, IS BEING IMPLEMENTED IN MOSQUES ON THE LOWER EAST SIDE, MANHATTAN AND IN SUNSET PARK AND KENSINGTON, BROOKLYN.TOBACCO FREE COMMUNITY INCLUDES AN ARRAY OF PROGRAMS TO ADDRESS HIGH SMOKING RATES AMONG IMMIGRANT POPULATIONS, PARTICULARLY ASIAN AMERICAN MEN: A COMMUNITY NAVIGATOR PROGRAM; A CITYWIDE COALITION THAT IS ADDRESSING TOBACCO-RELATED POLICIES, FACILITATING ACCESS TO SMOKING CESSATION TREATMENT AND DEVELOPING A REPOSITORY OF RESOURCES; AND A PROGRAM TO EDUCATE YOUTH ABOUT E-CIGARETTES. THESE PROGRAMS ARE BEING IMPLEMENTED IN PARTNERSHIP WITH ASIAN AMERICANS FOR EQUALITY, THE CHARLES B. WANG COMMUNITY HEALTH CENTER, THE CHINESE AMERICAN PLANNING COUNCIL, THE NEW YORK CITY HOUSING AUTHORITY, AND THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE - TOBACCO POLICY AND PROGRAM. THE STANFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, AN EVIDENCE-BASED EDUCATIONAL PROGRAM DESIGNED TO BUILD DISEASE MANAGEMENT SKILLS AND CONFIDENCE, IS BEING IMPLEMENTED IN LIBRARIES AND OTHER COMMUNITY SETTINGS IN NASSAU COUNTY.THE RED HOOK COMMUNITY HEALTH NETWORK IS A NETWORK OF COMMUNITY-BASED ORGANIZATIONS AND HEALTH PARTNERS WORKING TO IMPROVE THE HEALTH OF RED HOOK RESIDENTS BY EXPANDING ACCESS TO HEALTH AND SOCIAL SERVICES, SUPPORTING A COMMUNITY HEALTH WORKER PROGRAM, AND ORGANIZING TO ADDRESS ROOT CAUSES OF HEALTH DISPARITIES OF THE COMMUNITY.THE COMMUNITY HEALTH WORKER RESEARCH AND RESOURCE CENTER (CHW-RRC) EXPANDS ACCESS TO TRAINING AND UP-TO-DATE INFORMATION ON HEALTH TOPICS AND COMMUNITY RESOURCES FOR CHWS ACROSS NYC AND NATIONALLY, PROVIDING SOCIAL AND PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR CHWS WITHIN THE NYULH SYSTEM, AND PROVIDING TECHNICAL SUPPORT, EVALUATION, AND CONVENING OPPORTUNITIES TO SUPPORT COMMUNITY-BASED ORGANIZATIONS, HEALTH SYSTEMS, MUNICIPAL AGENCIES, AND RESEARCH ORGANIZATIONS TO STRENGTHEN AND BETTER UNDERSTAND THE ROLE OF CHWS IN PROMOTING THE HEALTH OF VULNERABLE COMMUNITIES.THE BROOKLYN HEALTH AND HOUSING CONSORTIUM IS A COLLABORATIVE NETWORK OF HEALTH CARE, HOUSING, HOMELESS AND SOCIAL SERVICES ORGANIZATIONS, AND GOVERNMENT PARTNERS WITH THE SHARED GOAL OF IMPROVING HEALTH EQUITY AND HOUSING STABILITY BY FOSTERING CROSS-SECTOR RELATIONSHIPS, INFORMING POLICY, AND BUILDING CAPACITY OF FRONTLINE WORKERS TO SUPPORT BROOKLYN RESIDENTS WITH UNMET HEALTH AND HOUSING NEEDS.THE HEALTH BY HOUSING (HXH) LAB CONDUCTS RESEARCH TO BUILD THE EVIDENCE BASE FOR INITIATIVES, PROGRAMS, AND POLICIES AT THE INTERSECTION OF HEALTH AND HOUSING; INFORMS POLICY AND PROGRAMS RELATED TO HEALTH AND HOUSING THROUGH EVIDENCE-BASED ADVISING AND RESEARCH DISSEMINATION; AND PROVIDES EDUCATION TO EXPAND THE REACH OF PRACTICE-RELEVANT EVIDENCE ON HEALTH AND HOUSING.PROMOTING HEALTHY WOMEN, INFANTS AND CHILDRENPARENTCHILD+ (PC+), A NATIONAL, EVIDENCE-BASED EARLY LITERACY, PARENTING AND SCHOOL-READINESS PROGRAM, SERVES LOW-INCOME IMMIGRANT FAMILIES IN SUNSET PARK. THE PROGRAM PROVIDES INTENSIVE HOME VISITING TO FAMILIES WITH CHILDREN BETWEEN TWO AND FOUR YEARS OLD WHO ARE CHALLENGED BY POVERTY, LOW LEVELS OF EDUCATION, LANGUAGE AND LITERACY BARRIERS AND OTHER OBSTACLES. (CONTINUED BELOW)
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FORM 990, SCH. H, PART VI, LINE 5 - COMMUNITY HEALTH IMPROVEMENT
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(CONTINUED FROM ABOVE)PARENTCORPS, AN EVIDENCE-BASED FAMILY-CENTERED EARLY CHILDHOOD INTERVENTION TO IMPROVE CHILD HEALTH, BEHAVIOR AND LEARNING, HAS BEEN ASSESSING NEEDS AND PROVIDING RESPONSIVE SUPPORT TO THE EARLY CHILDHOOD COMMUNITY IN SUNSET PARK, INCLUDING PARENTCORPS PROFESSIONAL DEVELOPMENT AND PROGRAMMING. THE PROGRAM WILL EXPAND TO REACH 12 PRE-K PROGRAMS AND OFFER RESOURCES SYSTEM-WIDE.THE VIDEO INTERACTION PROJECT (VIP), AN EVIDENCE-BASED PARENTING PROGRAM THAT USES VIDEOTAPING AND DEVELOPMENTALLY-APPROPRIATE TOYS, BOOKS AND RESOURCES TO HELP PARENTS STRENGTHEN EARLY DEVELOPMENT AND LITERACY IN THEIR CHILDREN, WILL CONTINUE TO SERVE SUNSET PARK AND EXTEND ITS REACH TO ADDITIONAL LOCATIONS.PROJECT SAFE, A PEER EDUCATION PROGRAM EMPLOYING AN EVIDENCE-BASED YOUTH DEVELOPMENT APPROACH TO PREVENT TEEN PREGNANCY AND HIV/AIDS, WILL CONTINUE BEING IMPLEMENTED IN SUNSET PARK AND OTHER BROOKLYN COMMUNITIES. ENHANCED FAMILY SUPPORT SERVICES WILL BE PROVIDED AT THE NYU LANGONE - LONG ISLAND PEDIATRIC PRACTICE IN HEMPSTEAD WHERE A FAMILY SUPPORT COUNSELOR WILL SCREEN PATIENTS FOR SOCIALS NEEDS, CONNECT THEM TO A NETWORK OF LOCAL SERVICES, AND FOLLOW UP TO ENSURE THAT CARE IS RECEIVED. THE PRACTICE WILL ALSO IMPLEMENT REACH OUT AND READ, AN EVIDENCE-BASED EARLY LITERACY PROGRAM.PROMOTING A HEALTHY AND SAFE ENVIRONMENTTAI CHI FOR ARTHRITIS FOR FALLS PREVENTION AND A MATTER OF BALANCE, TWO EVIDENCE-BASED FALL PREVENTION PROGRAMS, ARE BEING IMPLEMENTED AT THE LONG ISLAND HOSPITAL WELLNESS CENTER, TWO LIBRARIES AND OTHER COMMUNITY SETTINGS. THE CSP BROOKLYN DATA STATION SUPPORTS PARTNERSHIPS AND FOSTERS COLLABORATIONS THAT AIM TO IMPROVE POPULATION HEALTH IN SUNSET PARK, RED HOOK AND OTHER PARTS OF BROOKLYN. THE DATA STATION ALSO SUPPORTS THE CHNAAS ACROSS ALL OF THE GEOGRAPHIC AREAS THAT COMPRISE OUR CSP, PROVIDING A RANGE OF DATA SERVICES, SUPPORTING A KNOWLEDGE NETWORK AND A FORUM TO TRANSLATE FINDINGS INTO ACTION TO IMPROVE HEALTH.THROUGH THE COMMUNITY HEALTH NEEDS AND ASSETS ASSESSMENT AND PARTNERSHIPS EMBEDDED IN THE COMMUNITY SERVICE PLAN, WE AIM TO CREATE A PLATFORM FOR EVIDENCE-BASED HEALTH PROMOTION AND DISEASE PREVENTION AT THE NEIGHBORHOOD LEVEL WITH A FOCUS ON ISSUES OF HIGH PRIORITY TO THE PUBLIC'S HEALTH.
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.