4A (Expenses $ 3005038827 including grants of $ 161671182) (Revenue $ 3087706091)
The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy 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 who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $45.5 million and $41.5 million for 2021 and 2020, respectively. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $13.3 million and $18.5 million for the years ended December 31, 2021 and 2020, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $83.6 million in 2021 and $41.0 million in 2020. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services

SCHEDULE H, PART V, LINE 3e
THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. SCHEDULE H, PART V, LINE 5 THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INPUT WAS OBTAINED FROM Organizations Providing Community Input Twenty-one interview sessions were held with 55 individuals representing 24 organizations. COLLECTIVELY, THESE 24 ORGANIZATIONS SERVE A WIDE-RANGE OF COMMUNITY RESIDENTS; INDIVIDUALLY, THESE SERVE MEDICALLY UNDERSERVED COMMUNITIES (SUCH AS LGBTQ INDIVIDUALS, IMMIGRANT POPULATIONS, AND COMMUNITY MEMBERS WITH LIMITED ENGLISH PROFICIENCY), LOW-INCOME COMMUNITIES (NOTABLY CHILDREN AND SENIORS), AND MINORITY POPULATIONS (INCLUDING CHINESE AND HISPANIC RESIDENTS). Organizations represented by these individuals are as follows: Catholic Charities; Children's Aid; Hatzalah Lower East Side; Icahn School of Medicine at Mount Sinai; Lighthouse Guild; Lower East Side Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 6; Manhattan Community Board 7; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel Heritage Initiative; Mount Sinai Brooklyn; Mount Sinai Health System; Mount Sinai Hospital; Mount Sinai Morningside; Mount Sinai Queens; New York City Department of Health and Mental Hygiene; Russian American Foundation; Sharing & Caring; Stuyvesant Town Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board This CHNA relies on multiple data sources and community input gathered between April and December 2020.

Schedule H, Part V, Line 6a
THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR Mount Sinai HOSPITAL AND THE Mount Sinai HOSPITAL OF QUEENS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/MSH-MSQ-CHNA-2020.pdf SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/ ImplementationStrategy-MSH-MSQ-180509-Final.pdf

Schedule H, Part V, Line 11
The 2020 MSH CHNA identified a number of significant health needs in the community. The CHNA process considered and assessed a wide range of primary and secondary data sources including structured interviews with persons who represent the broad interests of the community and those with expertise in public health, and assessments and studies prepared by other organizations. The CHNA report identified twelve health needs as significant in the community, as listed below in alphabetical order. Significant Community Health Needs Identified in the 2020 CHNA: - Access to Mental Health Care and Poor Mental Health Status - Access to Primary Health Care Services by Individuals with Limited - Aging Population Resources - Chronic Diseases and Contributing Lifestyle Factors - COVID-19 Pandemic and Effects - Environmental Determinants of Health - Homelessness - Navigating a Changing Health Care Provider Environment - Poverty, Financial Hardship, and Basic Needs Insecurity - Safe and Affordable Housing - Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care - Substance Abuse Many intended activities of MSH are expected to impact multiple needs identified in the CHNA. These activities are as described below. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in over 160 residency and fellowship programs. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. MSH participation in New York State Medicaid includes inpatient and outpatient services. In 2018, the payments for services provided to Medicaid patients were approximately 78 percent of the cost to provide these services. Community Health Improvement Activities. MSH supports numerous activities to improve community health through grants and in-kind contributions. These activities include the following: - Health screenings; - Community affairs programming; - Health information distribution; - Funding of grants for community programs; - Patient transportation and recreation; - Assistance with applications for Medicaid and other programs. Subsidized Health Services MSH hospital provides numerous inpatient and outpatient service lines that operate as losses. MSH continues to provide these services because the health of community members would diminish because other providers would be unlikely to provide these services. Subsidized health services provided by MSH include the following: - Financial support to Mount Sinai Beth Israel to provide care to community members; - Financial support to various primary care physician practices affiliated with the Icahn School of Medicine of Mount Sinai which provide care to community members; - Financial support of other Mount Sinai entities to develop programs to improve the health of community members. Health Care Services A full-range of health care services is available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Mount Sinai Department of Health Education The Mount Sinai Department of Health Education provides community-based health education programming in partnership with schools, senior centers, and non-profit organizations. The department offers onsite, school-based health education for students, parents, and staff, including mental health and sexual and reproductive The Mount Sinai Hospital : CHNA Implementation Strategy health curricula. It also offers programming for older adults, women and families in transitional housing settings, and groups operated by local community agencies. Karpas Health Information Center The Karpas Health Information Center provides wellness programs to enable residents remain safe, active, and vital members of the community. Staffed by health educators, Karpas is committed to providing resources that are nurturing to the mind, body, and spirit. Karpas health and wellness programs are established through partnerships with community-based organizations and dedicated to improving health outcomes for the community. The Karpas Health Education and Community Outreach Department reaches into the community and sponsors screenings, health presentations, and wellness workshops throughout Manhattan and Brooklyn. Center for Spirituality and Health The Center for Spirituality and Health at Mount Sinai's Icahn School of Medicine is dedicated to providing compassionate patient care with seamless coordination and to advancing spiritual care through unrivaled education, research, and outreach. Chaplains help people of all faiths find meaning, healing, hope, and comfort while experiencing the challenges of life. Other activities of MSH impact needs that the hospital selected to focus its efforts during the 2021-2023 time period. These activities, described below, impact the following selected needs: A. Access to Mental Health Care and Poor Mental Health Status; B. Access to Primary Health Care Services by Individuals with Limited Resources; C. Chronic Diseases and Contributing Lifestyle Factors; D. COVID-19 Pandemic and Effects E. Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and F. Substance Abuse (A) Access to Mental Health Care and Poor Mental Health Status The 2020 MSH CHNA found that mental health status is poor for many residents because of the impact of the COVID-19 pandemic, day-to-day pressures, substance abuse, and psychiatric disorders. The supply of mental health providers is insufficient to meet the demand for mental health services. Planned activities to increase access to mental health care and improve the mental health status of community residents are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community mental health needs. MSH actively participates in over 160 residency and fellowship programs. Residency and fellowship programs that are especially related to mental health care services are as follows: - Behavioral Neurology and Neuropsychiatry Fellowship; - Child and Adolescent Psychiatry Fellowship; - Geriatric Psychiatry Fellowship; - Psychiatry Residency; - Psychosomatic Medicine Fellowship; - T32 Clinical Neuroscience Research Fellowship; - Transgender Psychiatry Fellowship Program; - Triple Board Pediatrics, Psychiatry, and Child Psychiatry Combined Residency; and - VA Fellowship in Psychosis, Suicide, and Major Mental Illness. Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Specific mental health services available include ones discussed below. Mount Sinai's Department of Psychiatry The Mount Sinai Hospital's Department of Psychiatry, part of the Mount Sinai Behavioral Health System, is committed to improving mental and emotional health by providing outstanding inpatient and outpatient services for all ages. The department's multidisciplinary team of psychiatrists, psychologists, and social workers is committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. In addition to the outpatient clinic, two inpatient units, and dedicated emergency room, the Department of Psychiatry is home to a series of specialized treatment centers, which combine research, clinical service, and education into a comprehensive model of care for disorders ranging from Autism to Alzheimer's disease. Specific services include treatment for the following: - Alzheimer's disease; - Attention Deficit Hyperactivity Disorder (ADHD); - Autism Spectrum disorders; - Eating disorders; - Mood disorders (such as depression and bipolar disorder); - Obsessive-Compulsive Disorder (OCD); - Personality and Impulse Control disorders; - Post-Traumatic Stress Disorder (PTSD); - Schizophrenia; - Substance abuse; and - Tourette's Disorder. Promote Well-Being and Prevent Mental Disorders Behavioral Health is a comprehensive network located throughout the Mount Sinai Health System. The multidisciplinary team of psychiatrists, psychologists, counselors, social workers, registered nurses, and spiritual leaders are committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. B

SCHEDULE H SUPPLEMENTAL INFORMATION
Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G Included in subsidized health services is support for various primary care physician practices in the surrounding community. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2021, the Hospital transferred $21.2 million to other Mount Sinai entities. These funds are used to develop programs to improve the community served.

Part II Community Building Expense
The Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on 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 when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2021 and 2020, changes in the Hospital's estimates of implicit price concessions, discounts, contractual adjustments or other reductions to expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2021 and 2020, was not significant. Part III, Line 8 Medicare Allowable Costs were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $32.5 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance.

3. Patient education and eligibility for assistance
All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses.

6. Part of an Affiliated Health Care System
"The Hospital is part of the Mount Sinai Health System (MSHS, ""the System"") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status."

7. Schedule H, Part VI, line 7
Community Benefit Report Mount Sinai files a community service plan in New York State.

2. Needs Assessment
"Federal regulations that govern the CHNA process allow hospital facilities to define the community they serve based on ""all of the relevant facts and circumstances,"" including the ""geographic location"" served by the hospital facility, ""target populations served"" (e.g., children, women, or the aged), and/or the hospital facility's principal functions (e.g., focus on a particular specialty area or targeted disease). The community defined by MSH accounts for over 80 percent of the hospital's 2019 inpatient discharges. Secondary data from multiple sources were gathered and assessed. Considering a wide array of information is important when assessing community health needs to ensure the assessment captures a wide range of facts and perspectives and to increase confidence that significant community health needs have been identified accurately and objectively. Input from 55 individuals was received through key informant interviews. These informants represented the broad interests of the community and included individuals with special knowledge of or expertise in public health. In addition, data was gathered to evaluate the impact of various services and programs identified in the previous CHNA process. Certain community health needs were determined to be ""significant"" if there was negative variance from benchmarks or the need was identified by multiple key informants. A significant need was identified as a priority if it was identified as problematic in at least two of the following three data sources: 1. The most recently available secondary data regarding the community's health; 2. Take Care New York 2024, the New York City Department of Health and Mental Hygiene's ""blueprint for advancing health equityCOVID-19 findings by the U.S. Centers for Disease Control and Prevention, and 3. Input from the key informants who participated in the interview process. Collaborating Organizations For this assessment, MSH collaborated with the Mount Sinai Health System and its following hospitals: Mount Sinai Beth Israel Hospital & Mount Sinai Brooklyn, Mount Sinai Morningside & Mount Sinai West, and New York Eye & Ear Hospital. CHNAs for these hospitals were developed alongside the MSH CHNA. This CHNA relies on multiple data sources and community input gathered between April and December 2020. A number of data limitations should be recognized when interpreting results. For example, some data (e.g., County Health Rankings, Behavioral Risk Factors Surveillance System, and others) exist only at a county-wide level of detail. Those data sources do not allow assessment of health needs at a more granular level of detail, such as by ZIP Code or census tract. Secondary data upon which this assessment relies measures community health in prior years. For example, the most recent mortality rates available for the region were data collected in 2017. The impacts of the most recent public policy developments, changes in the economy, and other community developments are not yet reflected in those data sets. The findings of this CHNA may differ from those of others conducted in the community. Differences in data sources, communities assessed (e.g., hospital service areas versus counties or cities), and prioritization processes can contribute to differences in findings. Twenty-one interview sessions were held with 55 individuals representing numerous organizations. Interviewees included: individuals with special knowledge of or experts in public health; local public health department representatives with information and expertise relevant to the health needs of the community; and individuals and organizations serving or representing medically underserved, low-income, and minority populations. The organizations that provided input are listed after the discussion of issues identified in the interviews. Interviews were conducted using a structured discussion guide. Informants were asked to discuss pre-COVID-19 community health issues and encouraged to think broadly about the social, behavioral, and other determinants of health. Interviewees were next asked to consider COVID-19-related issues associated with health status, health care access and services, chronic health conditions, populations with special needs, and health disparities. The frequency with which specific issues were mentioned and interviewees' perceptions of the severity (how serious or significant) and scope (how widespread) of each concern were assessed. The following health status issues and contributing factors were reported to be of greatest concern. Twenty-one interview sessions were held with 55 individuals representing 24 organizations. Organizations represented by these individuals are as follows: Catholic Charities; Children's Aid; Hatzalah Lower East Side; Icahn School of Medicine at Mount Sinai; Lighthouse Guild; Lower East Side Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 6; Manhattan Community Board 7; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel Heritage Initiative; Mount Sinai Brooklyn; Mount Sinai Health System; Mount Sinai Hospital; Mount Sinai Morningside; Mount Sinai Queens; New York City Department of Health and Mental Hygiene; Russian American Foundation; Sharing & Caring; Stuyvesant Town Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board"

4. Community Information
"This section identifies and describes the community assessed by the Mount Sinai Hospital (MSH) and how it was determined. MSH's community is comprised of the entirety of New York City, including each of the five boroughs. The community is divided into neighborhoods utilized by the New York State Department of Health; with each of the 42 neighborhoods in New York City in the MSH community. Mount Sinai Hospital - Manhattan campus is located in the East Harlem neighborhood of Manhattan, and Mount Sinai - Queens campus is located in the neighborhood of Northwest Queens in Queens. New York City (the MSH community) was estimated to have a population of approximately 8.5 million persons in 2018. The community definition was validated based on the geographic origins of discharges from MS - Manhattan and MS - Queens. In 2019, the community collectively accounted for 80 percent of MSH's 65,756 inpatient discharges. In 2018, all of the boroughs had a higher proportion of women in the community. Manhattan had a lower proportion of residents aged 0 to 19 years, a higher proportion of those aged 20 to 44, and a higher proportion of those aged 65 and older than any other borough in New York City. The total population of all boroughs is expected to grow 2.6 percent from 2019 to 2024. All boroughs except Staten Island are expected to experience an increase in population among the 0-17, 35-64, and 65+ cohorts. Additionally, all boroughs are expected to experience a decrease in population in the 18-34 age cohort. The population aged 65 and older is expected to experience the highest growth rate in each of the boroughs. The proportion of the population 65 years of age and older varies by ZIP Code. The ZIP Codes of 11005 (Southeast Queens), 10022 (Gramercy Park - Murray), 10075 (Upper East Side), and 11360 (Flushing - Clearview had comparatively high proportions of this population cohort. New York City and the MSH community are very diverse. Black populations were most prevalent in the Bronx and Brooklyn. Queens had a higher proportion of Asian residents, while the Bronx had a higher proportion of Hispanic (or Latino) residents. The diversity of the community is important to recognize given the presence of health disparities and barriers to health care access experienced by different racial and ethnic groups. The percentage of Black residents is highest in the Brooklyn neighborhoods of East Flatbush, Flatbush, Bedford Stuyvesant-Crown Heights, and Canarsie-Flatlands. Asian residents are most concentrated in the Queens' neighborhoods of Flushing-Clearview, Bayside-Littleneck, and Fresh Meadows. Hispanic residents are most concentrated in the Bronx neighborhoods Hunts Point-Mott Haven, Crotona-Tremont, and Fordham-Bronx Park. .The Bronx, Brooklyn, Manhattan, and Queens compared unfavorably to New York State and the U.S. for the percentage of residents aged 25 and older who did not graduate high school. The Bronx was particularly unfavorable. . The Bronx compared unfavorably to New York State for the percentage of residents with a disability. . The percentage of residents who were linguistically isolated was higher than the state average in every borough in New York City except for Staten Island, and all were significantly higher than the United States average. Linguistic isolation is defined as the population aged five and older who speak a language other than English and speak English less than ""very well."""

5. Promotion of Community Health
The Mount Sinai Hospital is dedicated to the health and well-being of its diverse communities. From free health screenings and counseling to exercise classes and home-based care, we offer a wealth of services and programs for people of all ages. We work closely with governing bodies, schools, religious organizations, and social service agencies to meet our community's needs. Our goal is to help you be your healthiest. We maintain solid partnerships with community-based health organizations. These partnerships continue to provide us with countless opportunities to expand and increase your access to quality care and wellness education. Our extensive work with community groups and city agencies to build programs such as Prescriptions for Good Health and Growing Up Healthy in East Harlem, a community-based study exploring environmental factors affecting the health of children, enables us to improve treatment approaches and allows us to help you to make better-informed decisions about your health. We maintain long-standing connections to our local, national, and global communities. The following programs highlight some of the extraordinary outreach services we offer our community. East Harlem Health Outreach Partnership (EHHOP): A student-run clinic at the Icahn School of Medicine at Mount Sinai provides affordable, high-quality, comprehensive care. Jack Martin Fund Clinic: A New York State Department of Health-designated AIDS center which provides screening and treatment for infectious diseases including tuberculosis and hepatitis C co-infection. Linkage House: A residence for the community's elderly, offering safe and affordable housing as well as access to quality health care and programs. Martha Stewart Center for Living at Mount Sinai: Providing elderly adults with access to medical care, healthy living activities, educational programs, and resources to support specific needs and interest. Mount Sinai Adolescent Health Center: Offering confidential, comprehensive medical, mental health, and prevention education services to young people between the ages of 10 and 22. Mount Sinai Comprehensive Health Program-Downtown: A full-service clinic in Chelsea offering HIV/AIDS testing, quality health care, and counseling. Mount Sinai Diabetes Center: The center designs personalized plans for treating and managing type 1, type 2, and pregnancy-associated diabetes. Mount Sinai Health Home: This free service for Medicaid patients, funded by the New York Department of Health, which coordinates health care services for its members. Mount Sinai Visiting Doctors Program: The largest academic home-visit program in the nation, providing superior home-based care to adults with complex and serious illnesses. Sexual Assault and Violence Intervention Program (SAVI): Offers free and confidential counseling, referrals, and support to survivors of sexual or domestic violence. The Department of Health Education: Works with schools and other community organizations to provide individuals and families, primarily in East Harlem, with the knowledge, skills, resources and support necessary to achieve excellent health and well-being. World Trade Center (WTC) Health Program: Offers monitoring, physical and mental health treatment, and medication at no cost to eligible WTC first responders, workers, and volunteers. The Mount Sinai Greenmarket is a partnership between The Mount Sinai Hospital and GrowNYC. Every Wednesday from 8 am to 5 pm, starting on June 24th through to November 25th, we invite shoppers to buy locally grown fresh fruits and vegetables and seasonal baked goods. Along with fresh produce, the Greenmarket offers: Discount coupons and promotions Healthy cooking demonstrations and recipe exchanges Free medical screenings Textile and rechargeable battery drop-off Food scrap collection We maintain a network of affiliations, alliances, and partnerships with governing bodies, schools, religious institutions, social agencies, Chambers of Commerce, and, of course, our neighbors themselves. Our mission is to increase access to quality care for medically underserved populations. We host a community roundtable every month to identify and address the needs of the East and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and community advisory board members attend these meetings. Representatives from the Mount Sinai Hospital also participate in regular community meetings with the following organizations: Abyssinian Development Corporation Boriken Neighborhood Health Center Bronx Aids Services Children's Aid Society Community Board No. 11-Manhattan, Health & Human Services Committee East Harlem Chamber of Commerce East Harlem HIV Care Network East Harlem Partnership for Cancer Greater Harlem Chamber of Commerce Jewish Home and Hospital Little Sisters of the Assumption Family Health Services New York Academy of Medicine New York City Housing Authority-Carver Houses Tenants Association and Johnson Tenants Association Settlement Health Association Union Settlement Association Yorkville Common Pantry