4A (Expenses $ 583282648 including grants of $ 240597) (Revenue $ 732757368)
"WHITE PLAINS HOSPITAL CENTER (""THE HOSPITAL"") IS A 292-BED ACUTE CARE NOT-FOR PROFIT HOSPITAL SERVING THE HEALTHCARE NEEDS OF PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER COUNTY, NEW YORK AND ITS SURROUNDING AREAS. ALL CARE AND SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION OR ABILITY TO PAY. THE HOSPITAL HAS A TRADITION OF EXCELLENCE THAT HAS EARNED IT AN OUTSTANDING REPUTATION FOR HIGH-QUALITY PATIENT CARE WITH DIRECT COMMUNITY INVOLVEMENT. THROUGHOUT ITS 129-YEAR HISTORY, THE HOSPITAL HAS CONTINUED TO RAISE THE BAR FOR MODERN, SOPHISTICATED HEALTHCARE, DELIVERING SERVICE IN A WARM COMMUNITY HOSPITAL SETTING AND REDEFINING WHAT IT MEANS TO BE A COMMUNITY HOSPITAL PROVIDING INNOVATIVE, CUTTING-EDGE THERAPIES AND SUPERB PHYSICIANSCLINICIANS' CARE. OUR OVER 4,000 EMPLOYEES PRIDE THEMSELVES ON PROVIDING COMPASSIONATE CARE EVERY DAY TO THE PATIENTS THEY SERVE. OUR PARTNERSHIP WITH MONTEFIORE HAS HELPED TO ACCELERATE OUR GROWTH AND ABILITY TO PROVIDE OUR COMMUNITY WITH ADVANCED CARE, CLOSE TO HOME. WITH ACCESS TO EXPANDED RESEARCH STUDIES AND CLINICAL TRIALS FOR OUR ONCOLOGY PATIENTS, A GROWING NUMBER OF CONTINUING MEDICAL EDUCATION OPPORTUNITIES FOR OUR PHYSICIANS AND OTHER PROVIDERS, AND SEAMLESS COLLABORATIVE WORK AMONG CLINICIANS. THE PARTNERSHIP HAS NOT ONLY MADE US STRONGER TOGETHER; IT HAS INSPIRED US TO RAISE THE BAR EVEN HIGHER FOR PATIENT CARE. THE HOSPITAL PROVIDES ACUTE INPATIENT AND EMERGENCY CARE, AS WELL AS A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. KEY CLINICAL SERVICES INCLUDE MATERNITY; A LEVEL III INTENSIVE NEONATAL CARE UNIT; CARDIAC SERVICES INCLUDING CARDIAC CATHETERIZATION LABORATORIES PERFORMING LIFESAVING EMERGENCY AND ELECTIVE ANGIOPLASTY, AS WELL AS CARDIAC ABLATION AND OTHER INNOVATIVE ELECTROPHYSIOLOGY PROCEDURES; ONCOLOGY; ORTHOPEDICS; STROKE CARE; AND SPECIALIZED SURGICAL SERVICES INCLUDING ROBOTIC, VASCULAR AND BARIATRIC, AS WELL AS A SEIZURE DIAGNOSTIC CENTER AND A WOUND CARE CENTER. IN JULY OF 2021, THE HOSPITAL OPENED THE CENTER FOR ADVANCED MEDICINE & SURGERY (CAMS), WPH'S LARGEST DEDICATED OUTPATIENT FACILITY. THIS NINE-STORY, 252,000-SQUARE-FOOT FT FACILITY OFFERS ACCESS TO WORLD-CLASS SPECIALISTS, TWO NEW HYPERBARIC CHAMBERS TO SUPPORT WOUND CARE, DIAGNOSTIC TECHNOLOGY, SPECIALIZED CLINICAL PROGRAMS AND THE ONLY PET/MRI IN NEW YORK, OUTSIDE OF NEW YORK CITY. IN NOVEMBER 2021, THE HOSPITAL INTRODUCED ITS CARDIAC SURGERY PROGRAM, MAKING WHITE PLAINS HOSPITAL ONE OF JUST TWO HOSPITALS IN WESTCHESTER COUNTY TO OFFER OPEN-HEART SURGERY. THE HOSPITAL'S EMERGENCY DEPARTMENT IS THE BUSIEST IN WESTCHESTER COUNTY, TREATING MORE THAN 58,000 PATIENTS ANNUALLY. THE EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND UTILIZES A TEAM-BASED APPROACH TO EFFECTIVELY AND EFFICIENTLY PROVIDE EMERGENCY CARE FOR BOTH PEDIATRIC AND ADULT PATIENTS. THE EMERGENCY DEPARTMENT IS A VITAL SERVICE TO THOSE LIVING, WORKING AND VISITING WESTCHESTER COUNTY AND PROVIDES NEEDED EMERGENT CRITICAL CARE 24 HOURS A DAY, 365 DAYS OF THE YEAR. DESPITE THE PRIMARY CARE AND OUTREACH PROGRAMS AVAILABLE THROUGH THE HOSPITAL AND OTHERS SERVING THE COMMUNITY, FOR MANY UNINSURED AND UNDERINSURED, WHITE PLAINS HOSPITAL'S EMERGENCY ROOM IS THEIR PRIMARY SOURCE OF ACCESSING HEALTHCARE SERVICES. IN ADDITION, THE HOSPITAL ENHANCED ITS ""WPH CARES"" PATIENT DISCHARGE CALL PROGRAM IN 2021 TO INCLUDE A CONTACT CENTER. TO DATE, IT HAS HANDLED MORE THAN 154,000 CALLS. THE WPH CARES TEAM NOW CALLS ALL ACUTE DISCHARGES AND ED PATIENTS, WITH OVER 47,000 CALLS MADE DURING THE PROGRAM'S FIRST NINE MONTHS. IN 2021, WHITE PLAINS HOSPITAL WAS ONCE AGAIN RECOGNIZED WITH VARIOUS AWARDS AND ACCREDITATIONS, INCLUDING: - NAMED AMONG THE TOP 10% IN THE NATION FOR OUTSTANDING PATIENT EXPERIENCE BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS; - RECEIVED THE AMERICAN HEART ASSOCIATION'S ""GET WITH THE GUIDELINES - STROKE"" GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THE SIXTEENTH CONSECUTIVE YEAR, IN RECOGNITION OF ITS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR STROKE PATIENTS; -RECEIVED THE AMERICAN HEART ASSOCIATION'S ""GET WITH THE GUIDELINES - HEART FAILURE"" SILVER PLUS AWARD WITH TARGET: HEART FAILURE AND TARGET: TYPE 2 DIABETES HONOR ROLL QUALITY ACHIEVEMENT AWARD; - RECEIVED BY THE CARDIAC CATH LAB THE AMERICAN HEALTH ASSOCIATION'S SILVER ACHIEVEMENT AWARD AS A STEMI RECOVERY CENTER; - GRANTED A THREE-YEAR TERM OF ACCREDITATION AS A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE (DICOE) AND BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY; - RECOGNIZED 3 YEARS IN A ROW AS THE ONLY HOSPITAL IN WESTCHESTER AS A ""BEST REGIONAL HOSPITAL"" BY U.S. NEWS & WORLD REPORT; - RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS; - NAMED A 2021 PRESS GANEY GUARDIAN OF EXCELLENCE AWARD WINNER FOR PATIENT EXPERIENCE IN NEONATAL INTENSIVE CARE; - RECEIVED THE INTERNATIONAL BABY-FRIENDLY DESIGNATION FROM BABY-FRIENDLY USA FOR UPHOLDING THE HIGHEST STANDARDS OF INFANT FEEDING CARE; - THE ONLY HOSPITAL IN WESTCHESTER AND ONE OF ONLY 12 HOSPITALS IN NEW YORK STATE TO RECEIVE AN ""A"" SAFETY RATING FROM THE LEAPFROG GROUP. THIS MARKS THE 6TH CONSECUTIVE TIME THAT WHITE PLAINS HOSPITAL HAS RECEIVED THIS TOP GRADE; IT EARNED ITS 7TH CONSECUTIVE GRADE IN 2022. -THE ONLY HOSPITAL IN THE NEW YORK METRO AREA, AND ONE OF 16 IN THE U.S., TO EARN A 3-YEAR ACCREDIDATION FROM THE NATIONAL ACCREDIDATION PROGRAM FOR RECTAL CANCER; - RECOGNIZED FOR ITS COMMITMENT TO THE QUALITY CARE OF OLDER ADULTS BY NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS), EARNING EXEMPLAR STATUS; - NAMED TO HEALTHGRADES' LIST OF 100 BEST HOSPITALS NATIONALLY FOR PROSTATE SURGERY; - AWARDED THE GOLD LEVEL BEACON AWARD FOR NURSING EXCELLENCE IN THE INTENSIVE CARE UNIT (ICU) AND CARDIAC CARE UNIT (CCU) UNITS BY THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN); -THE ONLY HOSPITAL IN WESTCHESTER COUNTY TO HAVE RECEIVED 4 STARS ON BOTH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) OVERALL STAR RATING AND PATIENT EXPERINCE STAR RATING. -RE-DESIGNATED AS A MAGNET ORGANIZATION FOR THE 3RD TIME, A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE, BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM. THE HOSPITAL IS ALSO DEDICATED TO THE WELLNESS OF ITS COMMUNITY AND CONDUCTS A VARIETY OF COMMUNITY-FOCUSED EDUCATIONAL PROGRAMS THAT CONCENTRATE ON PREVENTION AND OVERALL WELLBEING. THESE PROGRAMS INCLUDE COMMUNITY LECTURES, ESSENTIAL SCREENINGS AND EDUCATIONAL EVENTS. WHITE PLAINS HOSPITAL WAS THE FOUNDER OF THE HEALTHY COMMUNITY INITIATIVE (HCI) TASKFORCE. THE HCI IS A COLLABORATIVE EFFORT WITH THE CITY OF WHITE PLAINS, THE MINISTERS FELLOWSHIP COUNCIL, THE WHITE PLAINS HOUSING AUTHORITY AND THE WHITE PLAINS SCHOOL DISTRICT, AS WELL AS OTHER STAKEHOLDERS IN THE COMMUNITY WHO TOGETHER OFFER FREE PROGRAMS AND RESOURCES PROMOTING HEALTHY BEHAVIORS AND DISEASE PREVENTION. EACH YEAR THE HOSPITAL APPLIES FOR AND RECEIVES A GRANT FROM THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP FOUNDATION) TO HOST A ""SEE, TEST & TREAT"" PROGRAM. SEE, TEST, & TREAT IS A FREE CANCER-SCREENING AND HEALTH-EDUCATION PROGRAM THAT BRINGS THE POWER OF DIAGNOSTIC MEDICINE TO WOMEN IN UNDERSERVED COMMUNITIES. IN A SINGLE DAY, UNINSURED AND UNDERINSURED WOMEN CAN RECEIVE A PELVIC EXAM, A PAP TEST WITH SAME DAY RESULTS, A SCREENING MAMMOGRAM (IF ELIGIBLE), CONNECTION TO FOLLOW-UP CARE, INTERPRETIVE SERVICES, TRANSLATED EDUCATIONAL MATERIALS, AND A HEALTHY MEAL. IN 2021, THIS EFFORT OFFERED 51 WOMEN FREE BREAST AND CERVICAL CANCER SCREENINGS. IN ADDITION, THE HOSPITAL HOSTED ITS ANNUAL NEIGHBORHOOD HEALTH FAIR, PROVDING FREE HEALTH SCREENINGS AND EDUCATION TO OVER 200 COMMUNITY MEMBERS. THE HOSPITAL WORKED TO HELP DRIVE WESTCHESTER'S COUNTY-WIDE VACCINATION RATE, VACCINATING MORE THAN 23,000 PEOPLE. IT FURTHER COORDINATED COVID-19 VACCINES FOR MORE THAN 1,000 STUDENTS IN SCHOOL DISTRICTS ACROSS WESTCHESTER COUNTY. ADDITIONALLY, THE HOSPITAL'S FAMILY HEALTH CENTER AND FEEDING WESTCHESTER PARTNERED TO ESTABLISH A FOOD PHARMACY PROGRAM FOR THOSE PATIENTS SUFFERING WITH FOOD INSECURITY. EVERY PATIENT AT WHITE PLAINS HOSPITAL'S FAMILY HEALTH CENTER IS SCREENDED FOR FOOD INSECURITY USNIG THE HUNGER VITAL SIGN FOOD INSECURITY FORM. THOSE WHO ARE DEEMED TO BE FOOD INSECURE ARE ELIGIBLE TO COME TO THE FAMILY HEALTH CENTER WEEKLY TO RECEIVE 1-2 BAGS OF SHELF STABLE FOOD. THE PROGRAM ASSISTS IN FEEDING OVER 300 HOUSEHOLDS IN WESTCHESTER COUNTY. IN ADDITION, WHITE PLAINS HOSPITAL CONTINUED TO OFFER EDUCATIONAL LECTURES VIRTUALLY ON A VARIETY OF TOPICS INCLUDING NUTRITION, STRESS MANAGEMENT, STROKE AWARNESS, TELEHEALTH, HEART HEALTH, FIRST AID TRAINING, BABY BASICS AND BREAST CANCER. Exceptional"

Schedule H, Part V, Section B, Line 5
The process for preparing the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. Community health needs were identified through an ongoing dialogue with patients, community members, elected officials, community-based organizations, area business leaders and the local Department of Health who brought together a variety of health care facilities to collaborate on the priority agenda items. The collection of data from a sample of the Westchester County residents was an important element of the community health needs assessment. An online survey was collaboratively developed and made available across Westchester County, distributed by the Westchester County Department of Health, the Westchester County Executive's Office and the local Delivery System Reform Incentive Payment Program (DSRIP) over the winter and spring of 2019. Participants were asked to identify three health priorities for the community, the potential strategies, that in their opinion, would have the greatest impact on improving population health, and to rank their own personal health priorities. During this process, Westchester County compiled feedback from over 3,500 respondents, which was used to identify concerns by municipality. Secondary data was compiled to further supplement the data collected and show health indicators for the region. The socio-demographically similar counties, and sub county differences, when available, for more than twenty measures were evaluated. The priority areas were then selected and each of the planned interventions focused on specific priority populations to address ethnic and cultural disparities defined in the indicators for the population served by White Plains. Across Westchester, in addition to the local Department of Health consortium, there is now a MHVC DSRIP aligned Collaborative with membership from White Plains Hospital, Montefiore Mount Vernon, Montefiore New Rochelle, St. Joseph's Medical Center (including St. Vincent's Hospital Westchester), St. John's Riverside Hospital, and Burke Rehabilitation Hospital working to ensure that the CSP and DSRIP goals retain their alignment. As the CHNA process was conducted simultaneously with the New York State Community Service Plan (CSP) review, there is strong alignment between the areas of focus in this report and the areas presented in the CSP. White Plains Hospital will continue to work with its partners on existing program initiatives to advance the health of the community that it serves. Throughout the completion of the most recent community health survey, White Plains Hospital engaged with the Healthy Community Initiative Task Force, in addition to other community organizations, groups, and individuals to best understand the broad interests and needs of our community. The Healthy Community Initiative's mission is to positively impact the overall health of our community in a holistic way, working with municipal, community and private partners to create programs that focus on prevention and overall wellbeing. Task Force organizations included the White Plains Housing Authority, Feeding Westchester, local YWCA, Ministers Fellowship Council, Thomas H. Slater Center, White Plains Youth Bureau, The Office of the Mayor, City of White Plains, Calvary Baptist Church and El Centro Hispano, Inc. From various meetings, White Plains Hospital was better able to understand the varying needs and interests within our community. These collaborative partners are continually asked the following questions: - What can we do to assist you & the communities you serve to achieve your wellness goals? - Are there any unmet health-related needs? - Does your organizations health care priories align with the NYS prevention agenda items? Additionally, many community-based organizations are involved in committees chaired by White Plains Hospital, such as the Neighborhood Health Fair Committee. These committees present ongoing support and new perspectives on the progress of our initiatives and any new health issues that arise in our catchment areas.

Schedule H, Part V, Section B, Line 7a
The hospital Facility's most recently adopted implementation strategy is posted on the direct website: https://res.cloudinary.com/dpmykpsih/image/upload/white-plains-site-400/me dia/80f1c09239b440be94a2a4fb5bddb4d3/2019-community-health-needs-assessmen t-and-implementation-report.pdf

Schedule H, Part V, Section B, Line 10A
The hospital Facility's most recently adopted implementation strategy is posted on the direct website: https://res.cloudinary.com/dpmykpsih/image/upload/white-plains-site-400/me dia/80f1c09239b440be94a2a4fb5bddb4d3/2019-community-health-needs-assessmen t-and-implementation-report.pdf

Schedule H, Part V, Section B, Line 11
Despite each of the different methods and approaches to primary data collection in gathering community input, there was a consistent focus on mental health, food and nutrition, and child and adolescent health. These findings led to the selection of the Hospital's prevention agenda priority areas: (1) promote well-being and prevent mental and substance use disorders, and (2) promote healthy women, infants and children. These categories selected were both identified to be important across the population surveyed, reflected in the data as critical, and were in alignment with the New York State Prevention Agenda and are supported by existing programs and staff, the community, as well as the addition of new and modified programs. Activities in support of these priorities are being carried out with the input and support of our community partners. Under the first priority agenda item chosen (promote well-being and prevent mental and substance use disorders), White Plains Hospital selected the focus area of mental and substance use disorder prevention with the goal of preventing opioid and other substance misuse and deaths. In support of the Westchester County Department of Health, White Plains Hospital is committed to impacting the opioid epidemic present in our community and the nation by our plans to conduct naloxone administration training sessions as well as providing awareness and education in provider and community settings. Naloxone is an opioid antagonist that can quickly and safely reverse the potentially fatal effects of an opioid overdose. Evidence-based strategies have shown that targeted distribution programs help to train and equip individuals who are most likely to encounter or witness an overdose. Effective approaches include equipping first responders, educating the community as well as community distribution programs. Despite the high prevalence of mental health and substance use problems, many community members go without treatment, partly due to the lack of a proper diagnosis. The Hospital plans to implement CAGE_AID to screen patients, an evidence-based screening tool that has been shown to be effective in diagnosing at-risk individuals. The second priority area (promoting healthy women, infants and children) focuses on prenatal and infant health with the goal of increasing breastfeeding. White Plains Hospital and the Hospital's maternal child team understand the importance of supporting breastfeeding for the health of infants and their mothers. Hospitals are in a unique position to support breastfeeding immediately, from the first moments following birth. Breastfeeding, especially exclusive breastfeeding, is shown to reduce the risk of asthma, obesity, respiratory issues and other chronic conditions in children. For mothers, breastfeeding has been shown to reduce the risk of breast cancer, ovarian cancer, type 2 diabetes, heart disease and a multitude of other conditions. Promoting the health of the mother leads to better outcomes for a healthy newborn. The hospital is addressing this initiative by its plans to promote and implement maternity care practices consistent with the Baby Friendly Hospital initiative - Ten Steps to Successful Breastfeeding. The Baby Friendly Hospital Initiative is a global program to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding. Consistent with Baby Friendly guidelines, the hospital continues to encourage exclusive breastfeeding practices with the objective of increasing the percentage of infants who are exclusively breastfed in the hospital by 10%. The hospital plans also include support to at-risk mothers for preterm delivery by engagement and referral into clinical and community-based programs that address the social determinants of health. In addition to the Hospital's programs, Montefiore Health System, of which White Plains is a part of, has an extensive array of programs and services that address a wide range of the community needs. Although the Hospital, along with the Health System provides an array of programs and resources, the resources of our community partners are essential for the successful intervention in meeting the needs of the community and creating community-based services to prevent disease, enhance well-being and enact social changes that go beyond the traditional health care system. White Plains Hospital values its community partners and their consistent support and input regarding community health programming. In addition to the multiple resources that have been developed at White Plains Hospital and Montefiore independently and through partnership with other organizations, there is still an extensive need for community-based programs and resources that can augment these programs and services. Knowing how to access these resources is a particular challenge for the healthcare sector. Multiple, free and low-cost online tools have been developed that are now available for community members to access (i.e.hitesite.org). Available resources include those that also address the social determinants of Health. The Westchester County government website also provides a variety of lists and links to available community resources.

Schedule H, Part V, Section B, Lines 15D & 15E
White Plains Hospital has internal resources available for assistance with the FAP application process. Patient Accounts counselors are available who will assist any responsible individual requiring help completing the financial assistance application.

Schedule H, Part V, Section B, Lines 16a-16c
The hospital's FAP, plain language summary and FAP application can be found on the website: https://www.wphospital.org/patients-and-visitors/patients/financial-and-in surance-information.

1. Part I, line 7
The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from the ratio of patient care cost-to-charge. In calculating the patient care cost for the ratio, the organization reduced its operating expenses for its non-patient care costs and cost of its community benefits and building activities not relying on the RCC factor for costing purposes. In 2021, the organization received additional funding from the Cares Acts Provider Relief Fund and FEMA for direct reimbursement of COVID-19 expenses and loss revenue. The organization further adjusted its patient care cost to exclude the reimbursable COVID-19 expenses not adjusted in the prior year's cost to charge ratio calculation.

1. Part III, Section A, Line 2
THE cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense.

1. Part III, Section A, Line 3
The estimated amount of the organization's bad debt expense (at cost) attributed to patients under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care service indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid.

1. Part III, Section A, Line 4
"As reported in WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED financial statements, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: ""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 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""."

1. Part III, Section B, LINE 8
THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 reflects THE ACCUMULATED allowable COSTS OF TREATING MEDICARE PATIENTS as reported in the organization's Medicare Cost report reduced for the subsidized Health Service Medicare costs already reported in Part I, Line 7g of Schedule H. The Medicare Cost report uses the methodology of apportioning routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charges. Any Medicare shortfall from Part III, line 7 should be included as a community benefit, since the organization is rendering much needed health services mainly to a frail elderly population living on a fixed income with great health needs.

1. Part III, Section C, Line 9B
The Hospital uses predictive analysis to assist in charity care determinations in the absence of completed financial assistance applications. Such findings will not deem patients ineligible for financial assistance. If a patient completes a financial assistance application with documentation demonstrating that his income is lower than the category determined using predictive analysis, the patient's financial responsibility will be further reduced to the lower amount. Presumptive Charity uses financial information that is contained in a patient's credit report and other patient specific attributes to estimate a patient's income level and where they are in relation to the Federal poverty level to qualify under the Hospital's charity care policy. Presumptive eligibility may also be based on prior FAP eligibility or enrollment in certain specified means-tested public programs to presumptively determine if an individual is FAP eligible.

2. Needs Assessment
WHITE PLAINS HOSPITAL MEDICAL CENTER ASSESSES COMMUNITY NEEDS BY WORKING in PARTNERSHIP WITH OUR COMMUNITY, ASSESSING OUR PRESENT INITIATIVES, strategic plans AND PREVENTION AGENDA PRIORITIES. COMMUNITY health NEEDS are IDENTIFIED THROUGH AN ONGOING DIALOGUE WITH PATIENTS, community members, ELECTED officials, ORGANIZATIONS, AREA BUSINESS leaders AND OUR local department of health. In addition to the efforts made in collecting information for the CHNA, White Plains Hospital also connects with people who have no particular credentials except that they're part of our greater WPH community; this method has played a vital role in better serving our community and has proven to be of great value. It is especially important to get the prospective of those who often don't have a voice in community decisions and politics - lower income individuals, immigrants, and others who are often kept out of these discussions. This population is continually reached through free outreach programs, including both educational and physical screening events. Evaluation forms are provided at the events in order to understand the constant shift in the needs of our community. In 2021, the Hospital offered numerous programs aimed at providing services to the most at-risk members of the community. These outreach events and programs reached thousands of individuals, addressing health priorities such as cancer, heart disease, stroke, sleep issues, and nutrition.

3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
All intake, registration, and collection agency staff is trained on the Medical Center's financial aid policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial aid Office and a financial counselor will help the patient apply for financial aid.

6. Affiliated Health Care Systems
White Plains Hospital Medical Center is an affiliate of Montefiore Health System, Inc. The Health System is a leader in community health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports the health system well in its provision of service to the community.

4. COMMUNITY INFORMATION
"WHITE PLAINS HOSPITAL primary service area is central and lower Westchester County. Westchester County is a large county located just North of New York City in the Hudson Valley. Westchester covers an area of 450 square miles and consists of 48 municipalities that includes urban, suburban and rural geographies. The estimated population of Westchester County is made up of more than 975,321 residents. The median household income for Westchester was $89,968, the fourth highest in New York state, after Nassau, Putnam and Suffolk counties. Westchester county is the third healthiest county in New York State, according to the 2017 & 2018 County Health Ranking, produced by the Robert Wood Foundation and the University of Wisconsin. Despite its overall high ranking, there is considerable room to both improve population health and reduce health disparities especially in minority populations. White Plains is the county seat and the 5th most populous city in Westchester County. According to the 2017 American Community Survey, White Plains has 58,404 residents and has experienced a 10.0% increase in population between 2000 and 2017. The City of White Plains is Ethnically diverse. Its population is 45.1% non-Hispanic white, 33.2% Hispanic, 12% non-Hispanic black, 7.7% Asian/Pacific Islander & 1.8% non-Hispanic other. Almost one-third (30.8%) of its residents are foreign-born. White Plains has the 4th largest proportion of the population that lives below the poverty-level (11.9%) in the county compared to 9.4% countywide. 18.6% of White Plains children live below poverty, higher than the countywide percentage of 11.7%. While Westchester County remains the healthiest counties in New York State, several of its individual municipalities continue to have significant health gaps. Portions of lower Westchester, specifically Mount Vernon, Yonkers, New Rochelle and White Plains are 'hot spots"" for various health outcomes, such as asthma, and preterm births in the County. Additionally certain groups such as some racial/ethnic minorities or those with less education experience poorer health outcomes as compared to the general population as a whole."

7. State Filing of Community Benefit Report
White Plains Hospital (WPH) is required to prepare a 3-year Community Service Plan (CSP) and submit its findings and action plans to the New York State Department of Health (NYSDOH); WPH submits an update to the CSP annually. White Plains Hospital's CSP is distributed to many internal and external audiences. Internal audiences are comprised of the Hospital's Board of Directors, employees, volunteers, WPH Friends (formerly the Auxiliary of WPH), and our medical staff, which is currently over 1,000 clinicians. External audiences include community based organizations, elected officials and government agencies, Healthcare Association of New York State (HANYS), and religious leaders. The CSP is distributed in the community at various events such as health screenings, health fairs, wellness seminars, and in public areas throughout the Hospital. It is also required to be posted online, and can be found in a PDF version on the Hospital's web site: wphospital.org. An announcement of the CSP's availability appears in several hospital newsletters, including those for the general community and for the hospital's employees and volunteers. The largest printing of this notification is in our wellness magazine, Health Matters, which is distributed to every household in Westchester County (329,000 households).

5. Promotion of Community Health
"While Westchester County is one of the healthiest counties in New York state, several of its individual municipalities continue to have significant health gaps. According to data from the New York State Prevention Agenda Dashboard and the American Community Survey, portions of lower Westchester - specifically Mount Vernon, Yonkers, New Rochelle and White Plains - are ""hot spots"" for such health conditions as asthma, diabetes, and preterm births. Additionally, certain groups, including some racial/ethnic minorities (African American & Hispanic) and those individuals with less education, experience poorer health outcomes as compared to the general population. White Plains Hospital has a well-established commitment to the health of its Westchester community beyond the walls of its hospital and physicians' practices. Throughout the year, the Hospital hosts and/or collaborates with various community-based organizations to offer innovative programs to impact health and wellness among residents. While these programs are open to patients and the public, there is a great importance given to outreach to our at-risk community members. Due to the COVID-19 pandemic, White Plains Hospital was unable to host many in-person events in 2021. In order to continue to serve the needs of its community, the Hospital pivoted to offering virtual events and participated in more than 20 outreach events throughout the year. Highlights of community outreach efforts Healthy Community Initiative (HCI)/COVID-19 Response: As a founding member of the Healthy Community Initiative, the Hospital continues to expand programming, resources, and education for the Westchester community. In collaboration with the City of White Plains, the Ministers Fellowship Council, and the White Plains School District and Housing Authority, the HCI Task Force aims to enhance the health of its community and empower individuals with the tools they need to take better care of themselves and their families to lead longer, healthier lives. The impact of the COVID-19 pandemic on the community was unexpected and immediate, and White Plains Hospital had to quickly focus on educational initiatives to provide essential information around the virus, vaccination and how to remain safe. Education: The Hospital created educational materials on COVID-19, including fact sheets, FAQs, and other information on where to get tested and how to properly quarantine, and distributed them to such community partners as local schools, housing authorities, and religious groups. Those documents evolved into an HCI Resource Guide that contains COVID-19 information, as well as essential resources related to rent/mortgage assistance, health insurance, unemployment information, senior resources, childcare assistance, and other services. Additionally, we made the commitment to educate members of our community through virtual lectures on the importance of immunizations and the COVID-19 vaccine. Screenings and Vaccinations: White Plains Hospital coordinated and administered COVID-19 vaccines to more than 23,000 people, including 100% of our staff. In 2021, we coordinated 140 off-campus vaccine pop-up sites, setting up clinics at schools, the Westchester County Airport, and even the Empire City Casino to make sure our community had access to these lifesaving shots. In addition, the hospital created dedicated COVID-19 vaccine website to educate the community about the vaccine and help schedule appointments. Addressing Food Insecurity - The Family Heath Center Food Pharmacy: The pandemic impacted our community in a multitude of ways. We quickly recognized the increase in those facing food insecurity and partnered with Feeding Westchester to help our local families. This partnership led to the Hospital creating an on-site Food Pantry, ""The Food Pharmacy,"" at the Hospital's Family Health Center. The FHC screens every patient for food insecurity using the Hunger Vital Sign food insecurity screening tool. If the individual screens in for being food insecure they qualify for 1-2 bags of shelf stable items. These include beans, canned vegetables, pasta, nuts and other essentials. The patient is allowed to come back once every week, regardless of if they have an appointment are not. In 2021, we were able to feed over 600 individuals including 200 households within White Plains and 114 households outside the city of White Plains. Opening the Lines of Communication - Table Talk: To encourage healthy family discussions and support parents as they address today's most complex issues, White Plains Hospital created an educational tool for families called ""Table Talk."" Distributed to the White Plains Youth Bureau, these age-appropriate decks of cards featured conversation starters around issues like health, relationships, mental health, COVID, racism and more. The HCI group piloted the cards and provided feedback to enable modifications in the deck. The card decks have since been given out at local high school career days and health fairs. Breaking Down Barriers - See Test & Treat: Despite the COVID-19 pandemic, White Plains Hospital was able to hold its annual See, Test & Treat cancer screening program, testing 51 women. See, Test & Treat is a free cancer-screening and health education program that brings the power of diagnostic medicine to women in underserved communities. The program connects uninsured women with pathologists and healthcare providers to answer any questions and receive a same-day pelvic and clinical breast exam, a PAP test (with same-day results), and a screening mammogram. Participants are also provided with a connection to follow-up care, interpretive services, translated educational materials, and a healthy meal. Connecting with Our Community - Speaking Engagements/Virtual Lectures: White Plains Hospital conducted 16 physician-led education lectures in 2021 both in person and virtually. These lectures were presented at local corporations, schools, libraries, and other community organizations and offered the latest insights on timely health issues such as: . The Importance of Sleep and Your Health . Nutrition and Weight Management . Mental Health - Stress Management . COVID Overview and Updates . Breast Cancer: Facts and Myths of Breast Cancer . Skin Cancer Awareness . Heart Health . Immunizations . Brain Health & Healthy Aging In addition, in early 2021 the Hospital hosted a virtual Wellness Day at Rochambeau Alternative High School in White Plains. Students participated in interactive presentations and activity led by a physician and dietitian on topics such as nutrition, smoking cessation, fitness, and first aid. Support Groups & Education Classes: White Plains Hospital understands the importance of providing support services and resources to patients, caregivers and community members. The Hospital offered a series of programs to support the following groups: Alzheimer's, Opioid Addiction, Dementia, Ostomy, Bariatric Surgery, Parenting, Stroke, Breast Cancer, Head and Neck Cancer, Breast Cancer and Caregiver programs. During the pandemic, in-person sessions were cancelled, however, the Hospital was able to conduct virtual support groups for families who experienced a loss during COVID, as well as those who needed support dealing with family members with Dementia."