4A (Expenses $ 252748606 including grants of $ 0) (Revenue $ 255432134)
WYCKOFF HEIGHTS MEDICAL CENTER PROVIDES INPATIENT MEDICAL, SURGICAL, OBSTETRIC, PEDIATRIC CARE AND OFFERS EMERGENCY, AMBULATORY SURGERY AND OUTPATIENT CLINICAL SERVICES. WYCKOFF HAS BEEN PROVIDING MEDICAL CARE TO THE COMMUNITY SINCE 1889. WYCKOFF DISCHARGED 12,399 PATIENTS IN 2021. THE HOSPITAL DELIVERED 1,052 BABIES OF WHICH 191 WERE FROM NEONATAL INTENSIVE CARE UNIT. WYCKOFF SEES 245,067 OUTPATIENT VISITS WHICH INCLUDES PEDIATRIC/ADULT EMERGENCY DEPARTMENT AND AMBULATORY SURGERY. THE HOSPITAL OFFERS SERVICES TO THOUSANDS AT ITS NETWORK OF COMMUNITY AMBULATORY CARE CENTERS AND PRESENTS EXTENSIVE COMMUNITY HEALTH EDUCATION AND SCREENING PROGRAMS. FOR FURTHER INFORMATION, PLEASE VISIT THE WEBSITE AT WWW.WYCKOFFHOSPITAL.ORG.

Section B, Line 5:
THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A COMMUNITY MEMBER SURVEY AND MEETINGS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT, PRIORITIZE NEEDS, AND DEVELOP STRATEGIES FOR THE COMMUNITY SERVICE PLAN. THESE STAKEHOLDERS INCLUDED LOCAL COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF THE LOCAL COMMUNITY BOARD.

Section B, LINE 11:
TWO PRIORITY NEEDS WERE IDENTIFIED IN WYCKOFF'S COMMUNITY HEALTH NEEDS ASSESSMENT: 1) IMPROVING HEALTH FOR WOMEN AND MOTHERS, BIRTH OUTCOMES AND CHILD HEALTH. 2) PREVENTING OTHER SEXUAL TRANSMITTED DISEASES. THESE NEEDS ARE BEING ADDRESSED VIA WYCKOFF'S ACTION PLAN (IMPLEMENTATION STRATEGY). WYCKOFF IS WORKING TO REDUCE PREMATURE BIRTHS, INCREASE THE NUMBER OF BREASTFED BABIES, AND REDUCE OBESITY IN CHILDREN THROUGH ITS WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM AND IT'S MATERNAL AND INFANT CHILD HEALTH COLLABORATIVE. WYCKOFF IS WORKING TO PREVENT HIV AND STDS THROUGH ITS POSITIVE HEALTH MANAGEMENT PROGRAM. THERE WERE NO NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT THAT ARE NOT BEING ADDRESSED BY WYCKOFF'S IMPLEMENTATION STRATEGY.

PART I, Line 7:
WYCKOFF HEIGHTS MEDICAL CENTER'S COSTING METHODOLOGY WAS BASED UPON THE 2021 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2021 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM THE NEW YORK STATE INSTITUTIONAL COST REPORT WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7.

PART II, LINE 3:
BEHAVIORAL HEALTH PROGRAM ACTIVITIES: WYCKOFF'S BEHAVIORAL HEALTH PROGRAMS HELP ADDRESS THE CRITICAL LACK OF MENTAL HEALTH AND SUBSTANCE USE SERVICES IN THE COMMUNITY. DESPITE NEARLY ONE IN FIVE INDIVIDUALS EXPERIENCING A MENTAL HEALTH CONDITION, BOTH BROOKLYN AND QUEENS HAVE A DEFICIT OF BEHAVIORAL HEALTH PROVIDERS - PARTICULARLY THOSE WHO TAKE PUBLIC INSURANCE - THUS CREATING A SIGNIFICANT UNMET NEED FOR CARE. TO IMPROVE ACCESS TO INTEGRATED, EVIDENCE BASED BEHAVIORAL HEALTH SERVICES, IN 2016 WYCKOFF LAUNCHED BEHAVIORAL HEALTH SERVICES ACROSS FOUR PRIMARY CARE CLINICS: POSITIVE HEALTH, ADULT MEDICINE, WOMEN'S HEALTH, AND PEDIATRICS. MOST PATIENTS ENGAGE IN THE COLLABORATIVE CARE PROGRAM; THIS INITIATIVE PROVIDES ROUTINE DEPRESSION, ANXIETY, DRUG AND ALCOHOL USE SCREENINGS OF ALL PATIENTS, AS WELL AS ACCESS TO ONSITE, INTEGRATED BEHAVIORAL HEALTH SERVICES. PATIENTS WITH POSITIVE SCREENING SCORES ARE REFERRED TO A CARE MANAGER, A BEHAVIORAL HEALTH CLINICIAN WHO COLLABORATES CLOSELY WITH THE PATIENT'S PRIMARY CARE PROVIDER TO IMPROVE SYMPTOMS OF DEPRESSION AND ANXIETY THROUGH A PATIENT-DRIVEN MIX OF EVIDENCE-BASED INTERVENTIONS AND PSYCHOPHARMACOLOGY. HAVING BEHAVIORAL HEALTH PROVIDERS IN PRIMARY CARE REDUCES THE STIGMA OF SEEKING MENTAL HEALTH SERVICES AND IS SHOWN TO IMPROVE HEALTH OUTCOMES IN CONNECTION WITH A WIDE RANGE OF CHRONIC DISEASES. CONCURRENT WITH THE PROVISION OF INTEGRATED BEHAVIORAL HEALTH SERVICES, WYCKOFF OFFERS TRAINING TO INTERNAL MEDICINE, PEDIATRICS, AND OB-GYN RESIDENTS ON A WIDE VARIETY OF BEHAVIORAL HEALTH TOPICS INCLUDING MEDICATION MANAGEMENT, SUICIDE ASSESSMENTS, SCREENING FOR BEHAVIORAL HEALTH, SAFETY PLANNING, AND HARM REDUCTION STRATEGIES FOR WORKING WITH PATIENTS WITH SUBSTANCE USE ISSUES. THIS TRAINING ENSURES WYCKOFF IS CREATING A KNOWLEDGEABLE WORKFORCE OF PRIMARY CARE PROVIDERS, WHILE ALSO SUPPORTING RESIDENTS IN MEETING ALL THE PHYSICAL AND MENTAL HEALTH NEEDS OF THEIR PATIENTS AND THUS IMPROVING THE HEALTH OF THE COMMUNITY. HIV, HEPATITIS, AND STD PREVENTION AND CARE ACTIVITIES: WYCKOFF OFFERS THE MOST ROBUST AND COMPREHENSIVE HIV/HEPATITIS/AND SEXUAL HEALTH SERVICES PROGRAM IN THE LOCAL GEOGRAPHIC AREA. MANY OF THESE SERVICES ARE FUNDED BY CITY, STATE, AND FEDERAL GRANTS AND ALLOW WYCKOFF TO SERVE THE COMMUNITY IN A COMPREHENSIVE WAY WITH BOTH PREVENTION AND MEDICAL TREATMENT SERVICES INTEGRATED ALONGSIDE SUPPORTIVE SERVICES LIKE BEHAVIORAL HEALTH, COUNSELING, AND CASE MANAGEMENT. PREVENTION SERVICES INCLUDE SOCIAL MEDIA AND SOCIAL VENUE OUTREACH, INTEGRATED HIV/HCV/STI TESTING, SEXUALLY TRANSMITTED INFECTIONS (STI) TREATMENT/VACCINATION, BIOMEDICAL PREVENTION (PRE-AND POST-EXPOSURE PROPHYLAXIS), MENTAL HEALTH AND SUBSTANCE USE COUNSELING, PATIENT NAVIGATION INCLUDING BENEFITS NAVIGATION, AND INDIVIDUAL AND GROUP EVIDENCED-BASED INTERVENTIONS. WYCKOFF HAS BEEN PROVIDING ROUTINE HIV AND HEPATITIS TESTING SERVICES HOSPITAL-WIDE SINCE 2013 TO ALL ELIGIBLE PATIENTS 13 YEARS AND OLDER, IN COMPLIANCE WITH THE NEW YORK STATE HIV TESTING LAW. ADDITIONALLY, WYCKOFF PROVIDES TARGETED HIV TESTING AND COMMUNITY OUTREACH SERVICES WITH A FOCUS ON KEY POPULATIONS SUCH AS BLACK AND LATINO YOUNG MEN WHO HAVE SEX WITH MEN (MSM) AND WOMEN OF COLOR, COMMUNITIES WHICH ARE DISPROPORTIONATELY AFFECTED BY HIV. ONCE CLIENTS SCREEN POSITIVE FOR HIV, STIS OR HEPATITIS C, A DESIGNATED OUTREACH TEAM FOLLOWS UP WITH EACH CLIENT TO PROVIDE SUPPORT AND FOLLOW UP MEDICAL CARE COORDINATION. TO SUPPORT ENGAGEMENT AND RETENTION IN MEDICAL CARE, WYCKOFF PROVIDES BOTH RYAN WHITE PART B MEDICAL CASE MANAGEMENT AND RYAN WHITE PART A CARE COORDINATION SERVICES AS WELL AS NEW INNOVATIVE HIV CASE MANAGEMENT PROGRAMS SUCH AS THE UNDETECTABLES AND BE INTO HEALTH PROJECTS FUNDED BY NYC DOHMH GRANTS. THE BE INTO HEALTH PROGRAM PROVIDES TAILORED EVIDENCED-BASED INTERVENTIONS TO ADDRESS THE COMPREHENSIVE NEEDS OF BLACK AND HISPANIC/LATINO MSM WITH HIV. THE HIV, HEPATITIS, AND SEXUAL HEALTH GRANTS ARE INTEGRAL TO PROVIDING ACCESS IN THE BROOKLYN AND QUEENS COMMUNITIES SERVED BY WYCKOFF TO THE LATEST TESTING AND TREATMENT TECHNOLOGIES AND PROVIDING EDUCATION AND HEALTH PROMOTION AMONG COMMUNITY MEMBERS. THROUGH EARLY DIAGNOSIS, RAPID TREATMENT ACCESS, AND EDUCATION WYCKOFF ACTIVELY SUPPORTS THE REDUCTION IN NEW INFECTIONS, COMPREHENSIVE AND HIGH-QUALITY ACCESS TO TREATMENT MANAGEMENT, AND IMPROVED HEALTH OUTCOMES FOR PEOPLE LIVING WITH OR AT RISK FOR HIV AND/OR HEPATITIS. MATERNAL AND INFANT HEALTH ACTIVITIES: IN 2021, WYCKOFF IMPLEMENTED THREE NYS GRANT-FUNDED INITIATIVES THAT SUPPORT MATERNAL, INFANT AND CHILD HEALTH: THE MATERNAL AND INFANT COMMUNITY HEALTH COLLABORATIVES (MICHC, THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAMS, AND A NEW DOULA SERVICES PROJECT FUNDED BY THE NYS SENATE THROUGH MARCH 2021. THE MICHC PROGRAM AT WYCKOFF IS DESIGNED TO REACH AND ENGAGE WOMEN OF REPRODUCTIVE AGE (15-44 YEARS) AND THEIR FAMILIES TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES AND ELIMINATE RACIAL, ETHNIC, AND ECONOMIC DISPARITIES IN THOSE OUTCOMES, INCLUDING PRETERM BIRTH, LOW BIRTH WEIGHT, INFANT MORTALITY, AND MATERNAL MORTALITY. THE MICHC PROGRAM PROVIDES CULTURALLY- TAILORED EDUCATION AND SUPPORT SERVICES FOR TEENAGE MOTHERS AND HISPANIC, AFRICAN AMERICAN, AND FOREIGN-BORN WOMEN AND THEIR FAMILIES MICHC USES INDIVIDUAL HEALTH ASSESSMENTS, CARE PLANS, COMMUNITY HEALTH VISITS, COACHING AND INTERVENTIONS TO ADDRESS MATERNAL AND INFANT HEALTH BEHAVIORS AND ONGOING COMMUNITY ASSESSMENTS, NETWORKING AND CONSENSUS BUILDING TO COLLECTIVELY ADDRESS THE SOCIAL DETERMINANTS WHICH IMPACT HEALTH OUTCOMES FOR INDIVIDUALS AND FAMILIES. THE WYCKOFF WIC PROGRAM PROVIDES NUTRITIOUS FOOD, NUTRITION AND HEALTH EDUCATION, BREASTFEEDING PROMOTION AND SUPPORT, AND REFERRAL SERVICES TO LOW INCOME WOMEN, INFANTS AND CHILDREN WHO ARE AT HIGH RISK FOR POOR NUTRITION AND HEALTH OUTCOMES. THE PROGRAM SPECIFICALLY TARGETS PREGNANT, BREASTFEEDING, AND POSTPARTUM WOMEN AND THEIR CHILDREN UP TO 5 YEARS OF AGE. NUTRITION EDUCATION, INCLUDING INDIVIDUALIZED CONTACTS AND FACILITATED GROUP DISCUSSIONS, IS PROVIDED BY QUALIFIED NUTRITION STAFF AND IS PERSONALIZED TO MEET THE NEEDS, INTERESTS AND LEARNING STYLE OF EACH PARTICIPANT. BREASTFEEDING EDUCATION, PROMOTION AND SUPPORT IS PROVIDED TO ASSIST PARTICIPANTS IN REACHING THEIR BREASTFEEDING GOALS. THE FOODS IN THE WIC FOOD PACKAGES ARE SPECIFICALLY SELECTED TO INCLUDE KEY NUTRIENTS TO SUPPLEMENT THE DIETARY NEEDS OF PARTICIPANTS TO POSITIVELY INFLUENCE GOOD HEALTH, GROWTH, AND DEVELOPMENT. WIC'S PARTICIPANT-CENTERED APPROACH PROMOTES PARTNERSHIPS WITH PARTICIPANTS ALLOWING FOR SERVICES TO BE TAILORED TO MEET NUTRITION AND CULTURAL NEEDS, CONCERNS, AND PREFERENCES. THIS CLOSE COLLABORATION ENABLES FAMILIES TO MAKE LIFELONG HEALTHY EATING AND LIFESTYLE CHOICES AND ATTAIN POSITIVE HEALTH OUTCOMES. FINALLY, THE DOULA SERVICES PROJECT WHICH WAS NEWLY FUNDED AT WYCKOFF FOR THE FIRST TIME STARTING OCTOBER 2021, WAS IMPLEMENTED AS A WAY TO ADDRESS AND REDUCE BIRTH INEQUITIES THAT LEAD TO HIGHER RISK OF PREGNANCY-ASSOCIATED DEATH AMONG BLACK AND LATINA WOMEN IN OUR COMMUNITY. IN NEW YORK CITY, BLACK WOMEN ARE 8 TIMES AND LATINA WOMEN 2 TIMES MORE LIKELY TO DIE FROM PREGNANCY-RELATED CAUSES, AND 3 TIMES AND 2 TIMES MORE LIKELY RESPECTIVELY TO SUFFER COMPLICATIONS DURING PREGNANCY AND BIRTH THAN WHITE WOMEN. ONE INTERVENTION THAT HAS BEEN ASSOCIATED WITH IMPROVED BIRTH OUTCOMES AND A BETTER LABOR, BIRTH, AND POSTPARTUM EXPERIENCE IS THE AVAILABILITY OF TRAINED DOULAS TO ACCOMPANY MOTHERS AND HELP THEM ADVOCATE FOR THEIR NEEDS AND CONCERNS. DOULAS ARE TRAINED CHILDBIRTH PROFESSIONALS WHO PROVIDE NON-MEDICAL PHYSICAL, EMOTIONAL, AND INFORMATIONAL SUPPORT TO PREGNANT PEOPLE AND THEIR FAMILIES BEFORE, DURING, AND AFTER CHILDBIRTH. THE WYCKOFF DOULA PROJECT EXPANDED ACCESS TO DOULA SERVICES TO PREGNANT PATIENTS RECEIVING PRENATAL CARE AT WYCKOFF BY PROVIDING STIPENDS TO DOULAS FOR SERVICES NOT COVERED BY PATIENTS' INSURANCE OR FOR UNINSURED PATIENTS. THE PROGRAM ALSO PROVIDED REFERRALS TO THE MICHC PROGRAM FOR CASE MANAGEMENT AND SUPPORTIVE SERVICES FOR WOMEN PRIOR TO AND AFTER BIRTH. OVER THE COURSE OF 5 MONTHS OF PROGRAM IMPLEMENTATION, WYCKOFF ENROLLED 24 UNIQUE CLIENTS AND PAID STIPENDS TO 4 DOULAS WHO PROVIDED ON AVERAGE 5 EDUCATIONAL AND SUPPORT SESSIONS TO EACH CLIENT INCLUDING ACCOMPANIMENT TO MEDICAL APPOINTMENTS, LABOR AND DELIVERY, AND POSTPARTUM HOME VISITS. ASTHMA PREVENTION AND EDUCATION: OUR COMMUNITY HAS SOME OF THE HIGHEST ASTHMA RATES IN NEW YORK CITY AND RESIDENTS EXPERIENCE MUCH HIGHER ASTHMA-RELATED EMERGENCY DEPARTMENT AND HOSPITAL DISCHARGE RATES THAN ELSEWHERE. TO ADDRESS SOME OF THE ASTHMA PREVENTION AND TREATMENT NEEDS IN OUR COMMUNITY, WYCKOFF HOSPITAL OFFERS SPECIALIZED PEDIATRIC PULMONOLOGY SERVICES IN THE PEDIATRIC CLINIC AND PARTNERS WITH MAKE THE ROAD, NY, A COMMUNITY BASED ORGANIZATION (CBO); TO PROVIDE ASTHMA EDUCATION, COMMUNITY AND HOME VISITS, AND PREVENTION AND REFERRAL SERVICES. IN 2016, WYCKOFF ACHIEVED

PART III, LINE 2:
"THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS and the implicit price concessions PER THE AUDITED FINANCIAL STATEMENTS (""AFS""). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 3 ON PAGE 15 OF THE AFS."

PART III, LINE 4:
THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B.

PART III, LINE 9B:
"WYCKOFF HEIGHTS MEDICAL CENTER'S (""WHMC"") COLLECTION POLICY FOLLOWS THE GUIDELINES ESTABLISHED BY NEW YORK STATE LAW. WHMC'S COLLECTION POLICY, IN CONJUNCTION WITH THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, ENSURES THAT EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE. WHMC HAS A WRITTEN DEBT COLLECTION POLICY - ALL SELF-PAY BALANCES ARE OUTSOURCED TO A DESIGNATED SELF-PAY AGENCY FOR COLLECTION. TRUE SELF-PAYS WILL BE FORWARDED ON DAY ONE FROM FINAL BILL. SELF-PAY AFTER INSURANCE PAYMENT OR FINAL INSURANCE DENIAL WILL BE TRANSFERRED TO THE OUTSOURCE COMPANY AS SOON AS THE ACCOUNT IS IDENTIFIED AS HAVING A SELF-PAY BALANCE. ACCOUNTS WILL BE WORKED BY THE OUTSOURCE (EARLY OUT) COMPANY FOR ONE HUNDRED TWENTY (120) DAYS. THE EARLY OUT AGENCY WILL ALSO IDENTIFY ACCOUNTS THAT QUALIFY FOR CHARITY CARE BASED ON NEW YORK GUIDELINES. IF UNPAID AT THE END OF THE CYCLE THE ACCOUNT WILL BE TRANSFERRED TO A DESIGNATED BAD DEBT COLLECTION AGENCY. THE BAD DEBT AGENCIES WILL WORK THE ACCOUNTS FOR SIX (6) MONTHS. IF THE AGENCY FAILS IN THEIR COLLECTION EFFORT, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL AS UNCOLLECTIBLE WITH THE EXCEPTION OF ACCOUNTS WITH ACTIVE PAYMENT ARRANGEMENTS. ITEMIZED BILLS WILL BE AVAILABLE TO PATIENTS UPON REQUEST. PROCEDURE: 1. ALL PATIENTS WITH A SELF-PAY BALANCE (TRUE SELF-PAY OR SELF-PAY BALANCE AFTER INSURANCE) WILL BE TRANSFERRED TO A DESIGNATED SELF-PAY AGENCY FOR PROCESSING. THE AGENCY WILL: A. IDENTIFY AND RETURN ACCOUNTS THAT QUALIFY FOR CHARITY CARE PER NEW YORK GUIDELINES. B. PROCESS A LETTER SERIES (THREE LETTERS) WITHIN ONE HUNDRED TWENTY (120) DAYS. IN ADDITION TO WRITTEN STATEMENTS, PATIENTS WILL RECEIVE A MINIMUM OF THREE (3) PHONE CALLS IN AN ATTEMPT TO COLLECT UPON THEIR OPEN ACCOUNT. C. IDENTIFY ACCOUNTS WITH RETURN MAIL/NO CURRENT PHONE NUMBER THAT CAN NOT BE LOCATED AND RETURN THE ACCOUNT TO BE PLACED IN BAD DEBT. D. AFTER THE ONE HUNDRED TWENTY (120) DAY PERIOD AND THERE HAS BEEN NO PAYMENT RECEIVED, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL TO BE REVIEWED FOR BAD DEBT PLACEMENT. NOTE: ACCOUNTS WITH PAYMENT ARRANGEMENTS WILL REMAIN AT THE AGENCY UNTIL THEY ARE PAID-IN-FULL. AGENCY WILL CLOSE AND RETURN ACCOUNTS THAT HAVE BROKEN PAYMENT ARRANGEMENTS. 2. A BAD DEBT PRE-LIST WILL BE REVIEWED WEEKLY AND ACCOUNTS PLACED WITH A DESIGNATED BAD DEBT AGENCY FOR A PERIOD OF SIX (6) MONTHS WILL BE CHANGED TO BDCLOSED - BAD DEBT CLOSED ACCOUNT IDENTIFIES THE ACCOUNT AS HAVING ALL COLLECTION EFFORTS EXHAUSTED. THE EXCEPTIONS FOR RETURNING ACCOUNTS AT SIX MONTHS ARE ACCOUNTS WITH ACTIVE PAYMENT ARRANGEMENTS. 3. ACCOUNTS RETURNED FROM THE BAD DEBT AGENCIES WILL BE REVIEWED: A. MEDICARE COPAY/DEDUCTIBLE AMOUNTS WILL BE DOCUMENTED. B. ACCOUNTS CLAIMED AS UNCOLLECTIBLE WILL BE CODED AS 'BAD DEBT RETURNS'(BDCLOSED), WHICH IDENTIFIES THE ACCOUNTS AS HAVING ALL COLLECTION EFFORTS EXHAUSTED. 4. MONTHLY-THE PATIENT ACCOUNTS MANAGER WHO OVERSEES OUTSOURCING WILL: A. RECONCILE THE INVENTORY B. CONDUCT AN AUDIT ON COMPLIANCE TO THIS POLICY AND REPORT THOSE RESULTS TO THE ASSOCIATE VICE-PRESIDENT."

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WYCKOFF HEIGHTS MEDICAL CENTER IS COMMITTED TO PROVIDE ACCESS TO THE HIGHEST LEVEL OF CARE WITH COMPASSION, DIGNITY AND RESPECT. WE ARE ALSO COMMITTED TO CARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. WE NOT ONLY PROVIDE VARIOUS ASSISTANCES TO PATIENTS WHO CAN'T PAY FOR PART OR ALL OF THE CARE THEY RECEIVE BUT ALSO HELP PATIENTS WITH BROADER FISCAL RESPONSIBILITIES TO BALANCE THE NEEDED FINANCIAL ASSISTANCE. WYCKOFF HEIGHTS MEDICAL CENTER CURRENTLY HAS THE FOLLOWING PRINCIPALS WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: *PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS *MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS *OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED RESOURCES *IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER *IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PAYMENT OBLIGATIONS. WYCKOFF HEIGHTS MEDICAL CENTER PROVIDES FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL POLICIES ON FINANCIAL SUPPORT AND FEDERAL, STATE AND LOCAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES IS AVAILABLE TO PATIENTS THROUGH HOSPITAL'S WEBSITE, HOSPITAL POSTERS AND FLYERS. INFORMATION IS ALSO AVAILABLE IN SPANISH, WHICH IS THE MAIN LANGUAGE, SPOKEN IN THE COMMUNITY AND POSTED IN THE WAITING AREAS FOR THE EMERGENCY ROOM, THE WOMEN'S HEALTH, THE SECOND FLOOR MAIN CLINIC AREA AND THE OFFSITE CLINICS. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. THE HOSPITAL HAS ONSITE MEDICAID ELIGIBILITY REPRESENTATIVES AND THEY MAKE BEDSIDE VISITS TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO THE PATIENT'S DISCHARGE. WYCKOFF HEIGHTS MEDICAL CENTER HAS DEVELOPED A WRITTEN POLICY FOR THE BILLING, COLLECTION ON CHARITY CARE AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS IN NEED IN A PROFESSIONAL, CONSISTENT MANNER. WYCKOFF EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING PATIENT REGISTRARS, FINANCIAL INVESTIGATORS, CUSTOMER SERVICE REPRESENTATIVES, AND BILLING AND COLLECTION REPRESENTATIVES) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES.

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"PURSUANT TO NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L, WYCKOFF HEIGHTS MEDICAL CENTER (""WHMC"") IS REQUIRED TO FILE A COMPREHENSIVE COMMUNITY SERVICE PLAN (""CSP"") WITH THE NEW YORK STATE DEPARTMENT OF HEALTH (""DOH"") EVERY 3 YEARS. THE TEXT OF NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L IS AS FOLLOWS: COMMUNITY SERVICE PLANS. (1) THE GOVERNING BODY OF A VOLUNTARY NON-PROFIT GENERAL HOSPITAL MUST ISSUE AN ORGANIZATIONAL MISSION STATEMENT IDENTIFYING AT A MINIMUM THE POPULATIONS AND COMMUNITIES SERVED BY THE HOSPITAL AND THE HOSPITAL'S COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. (2) THE GOVERNING BODY MUST AT LEAST EVERY THREE YEARS: (I) REVIEW AND AMEND AS NECESSARY THE HOSPITAL MISSION STATEMENT; (II) SOLICIT THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SUCH ISSUES AS THE HOSPITAL'S PERFORMANCE AND SERVICE PRIORITIES; (III) DEMONSTRATE THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, TO PROVIDE CHARITY CARE SERVICES AND TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED; AND (IV) PREPARE AND MAKE AVAILABLE TO THE PUBLIC A STATEMENT SHOWING ON A COMBINED BASIS A SUMMARY OF THE FINANCIAL RESOURCES OF THE HOSPITAL AND RELATED CORPORATIONS AND THE ALLOCATION OF AVAILABLE RESOURCES TO HOSPITAL PURPOSES INCLUDING THE PROVISION OF FREE OR REDUCED CHARGE SERVICES. (3) THE GOVERNING BODY MUST AT LEAST ANNUALLY PREPARE AND MAKE AVAILABLE TO THE PUBLIC AN IMPLEMENTATION REPORT REGARDING THE HOSPITAL'S PERFORMANCE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. (4) THE GOVERNING BODY SHALL FILE WITH THE COMMISSIONER ITS MISSION STATEMENT, ITS ANNUAL IMPLEMENTATION REPORT, AND AT LEAST EVERY THREE YEARS A REPORT DETAILING AMENDMENTS TO THE STATEMENT AND REFLECTING CHANGES IN THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. THE ABOVE-REFERENCED CSP REQUIREMENT WAS ENHANCED BY THE DOH'S PREVENTION AGENDA INITIATIVE. THIS INITIATIVE IS A PROCESS THAT ASKS HOSPITALS SUCH AS WHMC TO WORK WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS AND INCLUDE THIS COLLABORATIVE WORK IN THE WHMC'S CSP UPDATE SUBMITTED TO DOH. INFORMATION ON THE NEW YORK STATE DOH PREVENTION AGENDA CAN BE FOUND AT WWW.HEALTH.STATE.NY.US/PREVENTION/PREVENTION_AGENDA. WHMC LIES IN CULTURALLY DIVERSE QUEENS AND KINGS COUNTY OF NEW YORK CITY. WHMC DETERMINES ITS COMMUNITY HEALTH NEEDS BY PARTICIPATING WITH COMMUNITY GROUPS AND LOCAL HEALTH DEPARTMENT ACTIVITIES. THE HOSPITAL ANALYZES INTERNAL PATIENT SURVEY, UTILIZATION DATA AND BULLETINS AND REPORTS FROM NYS DEPARTMENT OF HEALTH, NYS VITAL STATISTICS, GNYHA AND HANYS TO UNDERSTAND THE DEMOGRAPHICS AND UNMET NEEDS WITHIN THE COMMUNITY. WHMC WORKS CLOSELY WITH THE LOCAL HEALTH DEPARTMENT AND COMMUNITY GROUPS. THE HOSPITAL IS ABLE TO CONSTANTLY MEET THE EMERGING HEALTH CARE NEEDS FROM THE COMMUNITY. THE HOSPITAL IDENTIFIES THE FOLLOWING NEEDS WITHIN THE COMMUNITY: THE NEED TO ACCESS ADVANCED QUALITY HEALTH CARE; THE NEED TO RECEIVE QUALITY CARE FOR THE UNDERSERVED BY OPEN ENROLLMENT OF MEDICAID AND MEDICAID MANAGED CARE PROGRAMS; THE NEED TO OBTAIN HEALTH EDUCATION, DISEASE PREVENTION AND DISEASE MANAGEMENT TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. IN SUMMARY, THE HOSPITAL FOCUS PRIMARILY ON POSITIVELY IMPACTING THE HEALTH OF OUR COMMUNITY WITH PROGRAMS THAT ARE CULTURALLY AND LINGUISTICALLY TAILORED TO MEET THE UNMET NEEDS OF WOMEN, INFANTS, SENIORS AND MINORITIES IN OUR COMMUNITY."

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WYCKOFF HEIGHTS MEDICAL CENTER IS A 324-BED ACUTE CARE ACADEMIC MEDICAL CENTER COMMITTED TO THE COMPLEX MISSION OF PATIENT CARE, TEACHING AND COMMUNITY SERVICE. THE HOSPITAL HAS ENSURED CONTINUED BROOKLYN AND QUEENS COUNTY COMMUNITY PARTICIPATION AND OUTREACH ACTIVITIES THROUGH LINKAGES WITH COMMUNITY BASED ORGANIZATIONS, LOCAL PHYSICIAN PRACTICES, D&T CENTERS, HOME CARE AGENCIES AND NURSING HOMES. WYCKOFF HEIGHTS MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE FIVE PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS); BUSHWICK, WILLIAMSBURG, BEDFORD-STUYVESANT, EAST NEW YORK AND Ridgewood Queens. THE HOSPITAL IS LOCATED IN BROOKLYN NEAR THE BROOKLYN/QUEENS BORDER, AND SERVES THE BUSHWICK, BEDFORD STUYVESANT, EAST NEW YORK AND GREENPOINT COMMUNITIES OF BROOKLYN, AS WELL AS THE RIDGEWOOD, GLENDALE, MASPETH AND MIDDLE VILLAGE COMMUNITIES OF QUEENS. THE HOSPITAL SERVICE AREAS HAVE A TOTAL POPULATION OF 812,205. Racial and Ethnic breakdowns of communities in the Wyckoff service area: 28% Black, 33% Latino, 30% White, 6% Asian, 2% Other, 20% Limited English proficiency. The hospital is located in zip code 11237 which corresponds with Bushwick, the neighborhood where the largest proportion of Wyckoff patients reside. Bushwick has a population of 112,388 and the following sociodemographics: 65% Latino, 20% Black, 9% White, 5% Asian, 1% Other, 28% Limited English Proficiency. The poverty rates for the neighborhoods served by Wyckoff ranged from 17% (Williamsburg/Greenpoint) to 25% in Bushwick and 30% in East NY. Seventy-six percent of Wyckoff's patients are insured by public insurance or are uninsured, which designates the medical center a safety-net hospital.

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THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION AND TREATMENT IN A SAFE ENVIRONMENT. WYCKOFF PROVIDES COMPREHENSIVE PRIMARY AND SECONDARY LEVEL INPATIENT AND OUTPATIENT MEDICAL, SURGICAL, OBSTETRIC/GYNECOLOGIC AND PEDIATRIC CARE SERVICES. WYCKOFF PROVIDES TERTIARY HEALTHCARE SERVICES, INCLUDING RENAL DIALYSIS, MEDICAL ONCOLOGY SERVICES, NEUROSURGERY, GENETICS, NUCLEAR MEDICINE AND RADIATION ONCOLOGY. AMBULATORY PODIATRIC AND DENTAL SERVICES ARE ALSO AVAILABLE. IN OUR COMMITMENT TO PATIENT-CENTERED CARE, WYCKOFF POLICY EMPHASIZES AMBULATORY ALTERNATIVES TO INPATIENT CARE WHEN FEASIBLE TO PROMOTE RESPONSIBILITY AND PATIENT INDEPENDENCE. EXPANDED COMMUNITY OUTREACH PROGRAMS AND AMBULATORY CENTERS FACILITATE PATIENT ACCESS, WHILE PROMOTING OUR MANY ALLOPATHIC AND OSTEOPATHIC EDUCATIONAL AND TEACHING PROGRAMS. WYCKOFF HEIGHTS MEDICAL CENTER HAS CREATED THE FOLLOWING OBJECTIVES TO HELP US MEET OUR MISSION AND VISION: *PROVIDES THE HIGHEST LEVEL OF CARE FOR ALL PATIENTS, RECOGNIZING THE WORTH AND DIGNITY OF EACH INDIVIDUAL *IMPROVES THE HEALTH STATUS OF THE COMMUNITY BY ACTIVELY PARTICIPATING IN AN ORGANIZED, INNOVATIVE, INTEGRATED HEALTH CARE SYSTEM, USING A FOCUS ON MANAGED CARE *PROMOTES AND SUPPORTS ALL EFFORTS TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENT, EMPLOYEES AND VISITORS *WORKS IN PARTNERSHIP WITH PHYSICIANS AND ALL HEALTH CARE PROVIDERS AND EMPLOYEES TO ENCOURAGE PROFESSIONAL GROWTH AND DEVELOPMENT, IN ORDER TO BETTER SERVE THE COMMUNITY AND TO UNDERSTAND AND MEET THE NEEDS OF OUR CULTURALLY DIVERSE POPULATION *IS COMMITTED TO THE ONGOING EMPLOYABILITY OF OUR EMPLOYEES THROUGH THEIR GROWTH AND DEVELOPMENT, DESPITE THE INABILITY TO GUARANTEE INDIVIDUAL JOBS IN A CHANGING HEALTH CARE ENVIRONMENT, BY WORKING TOGETHER RESPONSIBLY AND RESPECTING EACH ROLE HERE. *FOSTERS A SCHOLARLY ATMOSPHERE, SUPPORTING EDUCATIONAL PROGRAMS AND ENDOWMENTS THAT ENHANCE THE COMPETENCY OF ALL INDIVIDUALS WITHIN THE SYSTEM, TO PROMOTE DELIVERY OF HEALTH CARE THAT IS SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT AND EQUITABLE *IS CREATING HEALTH INFORMATION SYSTEMS AND NETWORKS DEDICATED TO MONITORING, STREAMLINING AND IMPROVING THE QUALITY OF CLINICAL AND SERVICE FUNCTIONS, WHILE MAINTAINING PATIENT CONFIDENTIALITY AND YET RESPONDING TO THE HEALTH CARE MARKET GROWTH, OPTIMAL FINANCIAL DEVELOPMENT AND WISE USE OF FINANCIAL ASSETS *PROVIDES MODERN, PROGRESSIVE HEALTH CARE TECHNOLOGIES THAT IMPROVE THE QUALITY OF CARE *PROVIDES OUTREACH TO MEMBERS OF THE COMMUNITY WITH SPECIAL NEEDS, INCLUDING INFANTS, YOUNG CHILDREN AND ADOLESCENTS, PERSONS WITH DISABILITIES, CHRONIC CONDITIONS AND LIFE-THREATENING DISORDERS SUCH AS HIV/AIDS AND SENIOR CITIZENS *PROMOTES AND SUPPORTS PREVENTIVE MEDICINE PROGRAMS THAT REDUCE OCCURRENCE OF DISEASE THROUGH EDUCATION AND PROACTIVE MEASURES *MEASURES SUCCESS BY HOW WELL WE MEET OR EXCEED THE EXPECTATIONS OF OUR COMMUNITY AND PATIENTS *STRIVES TO CREATE A CULTURE OF SERVICE EXCELLENCE IN EVERY ASPECT OF PATIENT CARE. BY PROVIDING OUTSTANDING SERVICE CONSISTENTLY, WE SEEK TO ESTABLISH LIFELONG RELATIONSHIP WITH PATIENTS, EMPHASIZING THAT CARE FOR THE PATIENT ALWAYS COME FIRST. WYCKOFF HEIGHTS MEDICAL CENTER'S MISSION AND COMMITMENT TO QUALITY SERVICE ENABLES THE HOSPITAL TO BECOME THE PREMIER HEALTH CARE PROVIDER FOR THE CULTURALLY DIVERSE COMMUNITY WE SERVE.