UNITED HOSPITAL FUND ANNUAL REPORT 2020 A YEAR OF RESILIENCE

COVERAGE AND ACCESS

QUALITY AND EFFICIENCY

CLINICAL-COMMUNITY PARTNERSHIPS James R.Tallon,James Jr. President Emeritus J. Barclay Collins II Chair Emeritus Frederick W. Telling, PhD Stocker,Michael A. MD, MPH Osborne, Sr. C. Robert Michael MD R.Golding, Barbara P. Gimbel Timothy Forbes C. John K.Castle Rev. Dr. Carrington John E. DirectorsHonorary YastineBarbara A. Tully BethC. Mary PhD, RN,FAAN Eileen M.Sullivan-Marx, Simons John C. Anthony Shorris Anthony Shih,MD, MPH Seun Salami Osborne, Jr. C. Robert Susana R.Morales, MD Howard P. Milstein Meera Mani,MD, PhD Josh N.Kuriloff Kravet A. Cary Eugene J. Keilin Howse,Jennifer PhD L. Galvin,MD S. Robert Christophe Durand Samuel J. Daniel,MD, FACP, FACG Margaret Crotty J. Barclay Collins II Christensen,Dale C. Jr. Jo Ivey Boufford, MD Directors Corporate Secretary Williams A. Amanda Senior Vice Presidents ShearerChad Sally J. Rogers M.Abrams,Sheila CPA Treasurer M.Abrams,Sheila CPA Vice Chair Jo Ivey Boufford, MD President Anthony Shih,MD, MPH Chair Simons John C. Officers DIRECTORS OFFICERS AND

16 TABLE OFCONTENTS that prevent for health. equitableopportunities dismantle barriers inhealth policy health and care delivery programs thatimprove health health and care. We work to stakeholders, developing and innovative supporting and decision-makers, finding groundcommon diverse among for improvement, analyzing publicpolicy to inform nonprofitAn independent organization, we are a force equitablehealthand care system for every New Yorker. United HospitalFund works to buildaneffective IMPROVING HEALTH CARE FOR EVERY NEW YORKER 10 12 13 11 11 4 8 6 2 1 Staff Contributors Financial Summary Publications 2020 Grantmaking Clinical-Community Partnerships Quality Efficiency and Coverage Access and From President the From Chair the

from the CHAIR

ur health care system has been tested as never before during the past year. COVID-19 has taken an appalling toll, claiming lives and livelihoods and exacerbating already existing health disparities. New Yorkers have faced these adversities with their trademark resilience, and Oour health care workers have again and again put their own lives on the line to save the lives of others.

from the It is my second year as chair of United Hospital Fund, and I am immensely proud of how UHF has responded to new and daunting challenges during these unprecedented times. Our mission—to build an effective and equitable health care system for every New Yorker—could not be more important or timely. The following pages provide highlights of UHF’s work during the past year and offer glimpses of our goals in the year ahead. As you’ll see, our research and analysis, convening, and innovative programs have focused on both immediate needs in the face of Our mission—to COVID-19 and long-term, systemic challenges for build an effective New York’s health care system. In all our work, we place a special emphasis on equity and addressing the and equitable social factors driving disparities in health outcomes. health care system Our board of directors is critical to all that we do. for every New Yorker I thank Robert C. Osborne, Sr., and Frederick W. John C. Simons Telling for their decades of distinguished leadership —could not be more Chair and service and for their continuing roles as honorary United Hospital Fund important or timely. directors. And I am pleased to welcome five new directors this year: Margaret Crotty, CEO of Partnership with Children; Samuel J. Daniel, MD, assistant chief of gastroenterology and hepatology at Mount Sinai Morningside and Professor of Medicine at the Icahn School of Medicine; Christophe Durand, managing director and senior partner of Boston Consulting Group; Robert C. Osborne, Jr., a principal of The Osborne Group, Inc.; and Anthony E. Shorris, the John L. Weinberg/Goldman Sachs Visiting Professor at the Princeton School of Public and International Affairs, Princeton University. These accomplished individuals bring a diversity of experience and backgrounds that enrich UHF’s ongoing efforts to create a more accessible and equitable health care system for all New Yorkers. I am also deeply grateful for the exceptional leadership of UHF President Anthony Shih and for the exemplary resilience of UHF staff during this difficult year. No one could have foreseen the disruption we have all experienced, yet UHF staff members have handled it all with grace and a deep commitment to the critical mission entrusted to us. It is a true privilege to work with them. Our donors, funders, and partners have also stood by us during these tumultuous times. Their generosity and loyalty have enabled us to make a difference in the lives and health of New Yorkers. Thank you for all that you do to support United Hospital Fund. I look forward to what we will accomplish in the months and years ahead.

UNITED HOSPITAL FUND ANNUAL REPORT 2020 1 Anthony Shih,MD, MPH United HospitalFund President 2 from the PRESIDENT F of COVID-19healthdisparities. community leaders,focusedonfosteringhealthequity, particularlyinthecontext summer MedicaidConference,whichconvenedstateofficials, researchers,and state’s Medicaidprogram,whichhasseenrapidgrowthinenrollment2020.Our the shifttopublicinsurancecoverage,wecontinuedour effortstostrengthenthe in English,Spanish,Chinese,Russian,Bengali,andHaitian Creole.And,with the state.We targetedthehardest-to-reachcommunities,disseminatingmaterials lost theirjob-basedhealthinsurancecoverageaboutother coverageoptionsin stepped inquicklythespringtohelpeducate1.4millionNewYorkers who The pandemic-inducedrecessioncausedlarge-scaleunemployment,andsowe individual andcommunityhealth. dialogue amonghealthcarestakeholders,andfosteringinnovationstoimprove force forhealthcareimprovementthroughresearchandpolicyanalysis,promoting health caresystemforallNewYorkers. We arenotaclinicalserviceprovider, buta us. Ourmissionistobuildaneffectiveandequitable challenges of2020byusingthetoolsavailableto At UnitedHospitalFund,werespondedtothe public good. put asidetheirowndesiresandwantsforthegreater one anotherlikeneverbefore.Andmanyindividuals of ourcountrycontinued.Neighborslookedoutfor worked tirelesslytoensurethatthebasicinfrastructure workers, sanitationandmanyothers,all professionals, grocerystoreemployees,publictransit answer wasclear. Essentialworkers, likehealthcare to getthroughthecrisisandcreateabetterfutureforallAmericans?Forsome, In themidstofallthisturmoil,manyusaskedourselves:Whatcanweeachdo beyond civildebateonideologicaldifferences. with oneofthemostviciouselectioncyclesinourhistory, inwhichsomewentfar Taylor, andcountlessotherslastyear. Ontopofallthis,weendedtheyear in thiscountry, aswerethedeathsofGeorgeFloyd,AhmaudArbery, Breonna communities wasjustonemoreexampleoftheoutcomesstructuralracism was notsharedequally. ThedisproportionateimpactonBlackandBrown WORKING TOWARD ABRIGHTERFUTURE economic recessionandsocialisolation.Andunsurprisingly, thispain just lastyearalone,butalsoforthewidespreadmiserycausedby Not onlyforthe20millionU.S.casesofCOVID-19and350,000deaths or many, 2020willberememberedforunprecedentedpainandsuffering. UNITED HOSPITAL FUND In the midstofallthis In the for allAmericans? create abetter future through crisis the and can we each doto get asked ourselves: What turmoil, many ofus ANNUAL REPORT 2020 As the pandemic accelerated, we responded to needs identified by the pediatricians working with us in our Children’s Health Initiative and built a COVID-19 resource center to help pediatricians support their patients and families. And although the pandemic had a disproportionate impact on the elderly, we observed that there were many young parents who also passed away. We decided to explore this further and, in partnership with the Boston Consulting Group, conducted new research on the number of children in New York State who lost a parent or The social justice guardian to COVID-19. Our resulting report helped draw policy attention to long-term consequences and potential solutions. movement and the Throughout the year, COVID-19 was constantly in the news cycle. But we noticed disparities in COVID-19 that although the coverage of the hospital response was robust, other perspectives health outcomes on the pandemic were being lost. To help inform the public dialogue, we launched among Black and a new commentary series highlighting issues not otherwise well covered by the general press. Experts from other care settings and disciplines weighed in on a wide Brown communities variety of topics in the context of COVID-19, such as community health centers, mutually reinforced primary care, home health, mental health, disparities, equity, and telehealth—just how inequitable health to name a few. in our country is. The social justice movement and the disparities in COVID-19 health outcomes among Black and Brown communities mutually reinforced how inequitable health in our country is. The health disparities are not limited to COVID-19 but cut across almost all medical conditions and are largely a result of differences in the social determinants of health—housing, nutrition, employment, etc.—which in turn have their roots in structural racism. At UHF we have been looking inward at our own organization’s efforts to promote diversity, equity, and inclusion, as well as externally at all our programs and activities. We will continue our long-standing efforts to expand health insurance coverage and improve quality of care, but perhaps more importantly for the long term, we will also double down on our work to address the social determinants of health at the intersection of the health care delivery system and the community. This is critical to achieving an equitable and just system in which everyone has the opportunity to live a long and healthy life. It has certainly been a challenging year, and I’m proud of our team at UHF and how they have responded in their work toward a brighter future. Thanks to all our friends and partners, and I look forward to working together on our shared goal of advancing health for all members of our society.

UNITED HOSPITAL FUND ANNUAL REPORT 2020 3 resilience resilience resilience ACCESS resilience resilience and Helped New Yorkers Who Lost Insurance During the COVID-19 Pandemic Gain Coverage

HF’s Health Insurance Project provides information and rigorous analysis to support universal, affordable, and comprehensive health insurance coverage and universal access to services. Our research has identified ways to expand and strengthen public and private health insurance, highlighted Ubarriers to coverage, helped protect New Yorkers from destructive federal policies, and shaped some solutions to emerging policy, regulatory, and implementation challenges.

A CONSUMER GUIDE AND AN OUTREACH CAMPAIGN

COVERAGE For the week ending March 12, 2020, about 14,000 New Yorkers filed unemployment insurance applications; in the month of April alone, over 1.5 million state residents submitted claims, and hundreds of thousands of workers also faced the loss of job-based health coverage. As this coronavirus- related unemployment surged, UHF’s Health Insurance Project developed and disseminated a consumer guide, Grim Times and Health Insurance: Maintaining Coverage During the Pandemic, published with support from The New York Community Trust.

The guide offers practical advice for New Yorkers on how to replace lost health coverage or find a new health insurance. UHF’s outreach campaign, plan. It contains details about relevant which was supported by Mother Cabrini state and federal consumer protection Health Foundation, extended the laws and the enrollment process, reach of the Marketplace’s statewide provides answers to frequently asked advertising campaign to specifically questions, and lists important resources. target New York City’s non-English- It is available in English, Spanish, speaking communities. UHF placed simplified Chinese, Russian, Bengali, ads in 19 publications in New York City Targeted outreach and Haitian Creole. with a total circulation of 470,000; the to an estimated publications reached specific ethnic UHF also partnered with the New York populations encouraging people to call 600,000 State of Health Marketplace to conduct or visit the New York State of Health newly uninsured a public information campaign to website to enroll. UHF also reached out New Yorkers inform underserved and non-English- to hundreds of community leaders for speaking communities in New York City help in getting information into the about their options for obtaining health hands of those who needed it most.

4 UNITED HOSPITAL FUND ANNUAL REPORT 2020 COVERAGE and ACCESS

Supported New York State's Critical Medicaid Program During a Year of Crisis

ew York’s $80 billion Medicaid program provides a broad range of health care services to a diverse group of New Yorkers. Medicaid’s role as a vital safety net was underscored over the past year as many New Yorkers lost jobs and health coverage during the pandemic- Ninduced economic recession. Enrollment in the state’s Medicaid program rose from 6 million in January 2020 to more than 6.8 million as of December 2020.

STRENGTHENING A VITAL PROGRAM

6.8 UHF’s Medicaid Institute works closely is supporting the Medicaid program million with New York State to improve the in addressing health inequities and New Yorkers Medicaid program, upon which a pursuing a health equity agenda. are enrolled in growing number of New Yorkers The Medicaid Institute conducted a Medicaid, a rely for coverage and health care. series of analyses last year, including UHF’s team provides analyses and an examination of New York State information to shape discussions of 12% Medicaid enrollment trends during Medicaid policy and implementation; increase from the “Great Recession” of 2007-2009 convenes and engages stakeholders January to and the impact of state and federal to inform policy decisions, identify December 2020 actions taken then, in order to shed best practices, and disseminate light on what to expect during knowledge; and facilitates and the pandemic-sparked economic manages specific policy development downturn. UHF’s team also analyzed and review processes. how the Medicaid program could In 2020, UHF’s annual Medicaid enhance care for chronic diseases, Conference was held virtually for the improve medical respite for homeless first time and focused on Medicaid as people with serious medical a vital program for improving health conditions as they transition to equity, specifically in light of how supportive housing, and promote COVID-19 has brought new awareness more quality and better health to historic health disparities. Over the outcomes through children’s value- next year, UHF’s Medicaid Institute based payment.

UNITED HOSPITAL FUND ANNUAL REPORT 2020 5 resilience resilience resilience EFFICIENCY resilience resilience and Tackled the Challenge of Improving Transitions From Skilled Nursing Facilities to Home

fter being discharged from a skilled nursing facility, the transition to home for elderly patients can be a jarring and perilous experience, putting them at risk of declining health, overuse of acute care services, social isolation, and high levels of stress and anxiety. The risk of Apoor outcomes is even higher for Medicare beneficiaries with multiple chronic conditions, lower socioeconomic status, dual Medicare/Medicaid eligibility, cognitive impairment, or limited English proficiency. QUALITY

A LEARNING COLLABORATIVE FOR SKILLED NURSING FACILITIES

UHF has engaged a group of eight The initiative, which is supported by New York skilled nursing facilities in a grant from Mother Cabrini Health a learning collaborative to improve Foundation, also surveyed recent transition planning so that it better patients and their family caregivers to aligns with the needs and priorities better understand their experiences of older, vulnerable patients and their around discharge planning and family caregivers. The collaborative transitions of care and identify common is designing interventions to tackle problems. UHF will publish reports problems with care coordination, highlighting its findings, lessons learned, continuity, communication, and and recommendations for overcoming medication management—all issues barriers to safe and effective transitions. made more complicated and pressing by the COVID-19 pandemic. Collaborative Learning collaborative participants: participants are considering the ■ Ferncliff Nursing Home and needs and capabilities of patients and Rehabilitation Center caregivers, including social needs, such The collaborative ■ Gurwin Jewish Nursing and as food, housing security, and access Rehabilitation Center is designing to transportation. interventions to ■ Jamaica Hospital Nursing Home tackle problems ■ The New Jewish Home, Sarah Neuman with patient ■ Parker Jewish Institute for Health and caregiver Care and Rehabilitation education, care ■ Schulman and Schachne Institute coordination, for Nursing and Rehabilitation ■ communication, Sea View Hospital Rehabilitation Center and Home and medication ■ Terence Cardinal Cooke Health management. Care Center

6 UNITED HOSPITAL FUND ANNUAL REPORT 2020 QUALITY and EFFICIENCY

Established a New Network of Leaders in Health Care Quality

nited Hospital Fund has a long-standing commitment to improving the quality of health care for all New Yorkers. In 2016, to further that goal, it established its Quality Institute, which is supported by Elaine and David Gould, William Randolph Hearst Foundation, the Robert A. and Patricia S. Levinson Award Fund at the New York Community Trust, Mother Cabrini Health Foundation, the New York UState Health Foundation, and TD Bank. In 2020, UHF launched the Quality Leaders Forum to bring emerging and established health care quality improvement leaders together to network among themselves and with nationally recognized quality leaders and to pursue opportunities for sharing best practices. Participants in the forum, organized in collaboration with Greater New York Hospital Association (GNYHA), include alumni from the UHF/GNYHA Clinical Quality Fellowship Program and honorees from UHF’s Tribute to Excellence in Health Care.

AN INSPIRING AND INFORMATIVE PROGRAM SERIES

The Quality Leaders Forum hosted three quality and developing smaller programs in 2020: initiatives that connect to the broader organizational strategy. ■ On March 3, the Quality Leaders He also spoke about the importance Forum’s inaugural event featured of taking action to address guest speaker Dr. Thomas Lee. health inequities. A national quality leader, Dr. Lee is chief medical officer of Press ■ On December 3, Margaret O’Kane, The network Ganey, a Harvard Medical School president and founder of the includes over Professor, and an internist and National Committee for Quality cardiologist who practices primary Assurance (NCQA), focused on the 65 members care at Brigham and Women’s state of the quality enterprise and drawn from the Hospital. Dr. Lee spoke about the promising directions for supporting graduates and faculty evolution of quality improvement health care transformation and of the UHF/GNYHA Clinical and emphasized that quality leaders greater alignment of health Quality Fellowship Program must create an environment of plans, health systems, and other as well as honorees compassion, trust, and respect and providers. She also highlighted gaps from the UHF Tribute encourage staff across all levels in existing quality measures and to Excellence in to share positive patient stories to performance results stratified by promote culture change that can race, ethnicity, and language that Health Care benefit those they serve. are central to advancing health equity goals. ■ On October 20, Maulik Joshi, DrPH, president and CEO of Meritus Health, described how western Maryland’s largest health care provider is pursuing a series of “bold goals” to improve health care

UNITED HOSPITAL FUND ANNUAL REPORT 2020 7 resilience resilience resilience PARTNERSHIPS resilience resilience Launched Statewide Initiative to Advance Health Equity Focusing on Children

here’s far more to health than health care alone. To address issues and social risk factors that can affect patients’ well-being outside the medical or clinical setting—such as food insecurity, poverty, and lack of stable housing—United Hospital Fund forges alliances Tbetween the health care system, public health agencies, social services, and the community. These clinical-community partnerships are critical to improving population health and to increasing access to care and enhancing the quality of care for the most disadvantaged among us.

THE PEDIATRICS FOR AN EQUITABLE DEVELOPMENTAL START (PEDS) LEARNING NETWORK TARGETS CHILDHOOD INEQUITIES

and support in implementing an equity- focused child health practice improve- ment project designed by each fellow.

The PEDS Learning Network also features a statewide learning collabora- tive for pediatric professionals commit- CLINICAL-COMMUNITY ted to addressing health inequities in early childhood development. Par- ticipants learn about best practices, promising interventions, and practice The first few years of life are crucial transformation tools to support equita- in establishing a path toward better ble pediatric primary care delivery. health and educational outcomes in adulthood. UHF launched the Pediatrics The PEDS Learning Network offers an for an Equitable Developmental Start online resource center with a diverse (PEDS) Learning Network to help set of tools for clinicians and best The PEDS Learning pediatric practices reduce childhood practices focused on reducing Network aims to reduce disparities through primary care-based disparities; these include case studies the impact of systemic interventions designed for children ages highlighting the approaches of several health care inequities 0–3. The goals include boosting healthy New York pediatric practices for for young children development, addressing unmet social promoting child health equity in their and their families by needs, and strengthening the families of daily work. The PEDS Learning Network supporting the young children in New York State. is part of UHF’s Children’s Health Initiative and is supported by Mother The program supports a 15-month Cabrini Health Foundation. 7,000 fellowship for physicians, nurses, clinical Medicaid child health social workers, and mental health providers in New York professionals. The first class of eight State in adopting fellows was named in September primary care-based 2020 and started receiving mentoring, interventions professional development opportunities,

8 UNITED HOSPITAL FUND ANNUAL REPORT 2020 CLINICAL-COMMUNITY PARTNERSHIPS

Spotlighted the Severe Impact of COVID-19 on New York’s Children

n September 2020, UHF released a groundbreaking analysis, prepared with Boston Consulting Group, on the severe, long-lasting, and racially disparate repercussions of the COVID-19 pandemic on children in New York State. The report, COVID-19 Ripple Effect: The Impact of COVID-19 on Children in New York State, estimates that, between March Iand July of 2020, 4,200 children lost a parent or guardian to the coronavirus and 325,000 children were pushed into or near poverty as a result of the economic downturn. The impact was particularly severe for Black and Hispanic/Latino children, who experienced the death of a parent or caregiver at twice the rate of Asian and white children.

COVID-19’S IMPACT ON CHILDREN IN NEW YORK STATE (MARCH-JULY 2020)

Number of children losing a parent or guardian by county

~4,200 children lost a parent or guardian to COVID-19, 57% of whom live in the Bronx, Brooklyn, or Queens

COVID-19's impact on children is centered in and 100+ children 5–100 children around NYC. 1–5 children 0 children

For additional findings as well as notes and methodology, please read the report on UHF’s website.

UNITED HOSPITAL FUND ANNUAL REPORT 2020 9 Grants awarded by United Hospital Fund reflect, complement, and extend our program initiatives, with the broad goal of improving the quality and delivery of health care for all New Yorkers. The grants included below were made in 2020.

QUALITY AND EFFICIENCY The New York Academy of Medicine ($50,000)

Transitions from Skilled Nursing Facility to To develop and pilot a virtual public deliberation Home: Improving Quality and Patient/Family that can be used by local communities to advise Experience ($200,000 to eight grantees) decision-makers with respect to community- informed preferences for accessing vaccines To support UHF’s Transitions from Skilled for COVID-19. Nursing Facility to Home: Improving Quality and Patient/Family Experience Initiative. The The project, conducted in collaboration with the purpose of this grant-funded initiative, launched New York City Department of Health and Mental in April 2020, is to improve the quality of patient Hygiene, gathered New York City residents' care transitions from skilled nursing facilities points of view on equitable COVID-19 vaccine (SNFs) to home and community-based settings. distribution, yielding a wealth of information on what is most important to New Yorkers when Through this initiative, which includes a learning considering fair vaccine distribution collaborative, eight skilled nursing facilities GRANTMAKING will develop expertise in designing transition Based on this pilot study in New York City, plans that better align with the needs of older the New York Academy of Medicine has patients and their family caregivers, with the created a digital guide for local municipalities goal of patients being more prepared to safely to use as they determine priorities in their return to their homes and communities. This own jurisdictions. UHF funded this work in initiative is funded in part by Mother Cabrini collaboration with New York State Health Health Foundation. Foundation and the de Beaumont Foundation for the English-language public deliberations Grantees and the Altman Foundation for the Spanish- ■ Ferncliff Nursing Home and language deliberations. Rehabilitation Center ■ Gurwin Jewish Nursing and Rehabilitation Center ■ Jamaica Hospital Nursing Home ■ The New Jewish Home, Sarah Neuman ■ Parker Jewish Institute for Health Care and Rehabilitation ■ Schulman and Schachne Institute for Nursing and Rehabilitation ■ Sea View Hospital Rehabilitation Center and Home ■ Terence Cardinal Cooke Health Care Center

10 UNITED HOSPITAL FUND ANNUAL REPORT 2020 PUBLICATIONS 2020 United Hospital Fund released the following publications in 2020. These include a new series of commentaries launched in response to the COVID-19 pandemic as well as regular reports.

COMMENTARIES For Health Care, a New Day and a Long Road Ahead (November 2020) COVID-19 Pandemic: Questions for the Future (March 2020) Emergency Department Visits in the Age of COVID: Some Lessons Learned (November 2020) Community Health Centers on the Brink (April 2020) Struggling in the Time of COVID: Viewing the Pandemic Through the Eyes of a Frontline Will COVID-19 Change the Way We Look Health Care Worker (December 2020) at Mental Health and Substance Misuse? (April 2020) To Advance Health Equity, We Must Bridge Gaps in Health Data and Measurement Payer Actions Can Help Sustain Primary Care (December 2020) During and After COVID-19 (April 2020) During the Pandemic, Home Health Aides REPORTS Deserve Respect, Protection, and Fair Pay NYSDOH Hospital Quality Rating Stakeholder (April 2020) Workgroup: Final Recommendations COVID-19 Deepens Existing Health Disparities (January 2020) (May 2020) NYSDOH Primary Care Quality COVID-19, Cities, and Health (May 2020) Rating Stakeholder Workgroup: Final Recommendations (January 2020) The Virus Has No Boundaries: How COVID-19 Affects People with Intellectual and Partnerships for Early Childhood Development: Developmental Disabilities (May 2020) Year 2 Update (January 2020) Grandparents and Traumatized Children: NYS Primary Care Core Measure Set Where Two Epidemics Converge (June 2020) (January 2020) Community Testing and Contact Tracing in a Deliver Us from Texas: As the ACA Turns 10, Time of Distrust (June 2020) Will the Supreme Court Step Up Again? (February 2020) A Post-COVID-19 Primary Care Agenda: First Steps (June 2020) Grim Times and Health Insurance: Maintaining Coverage During the Pandemic (April 2020) Examining the State of Telehealth During the COVID-19 Pandemic (June 2020) New York’s “Other” Individual Market Needs an Update (April 2020) Critical Connections: Coordinating Health and Housing Needs during COVID-19 (July 2020) Lessons from the Great Recession: New York Medicaid Enrollment During the COVID-19 Post-Acute Care and COVID-19: An Already Crisis (June 2020) Fraught Decision Becomes Even More Difficult (August 2020) The Road Forward: Framework for a Population Health Approach to Health and Housing Health Insurance: Rethinking Goals Amid Partnerships (June 2020) Interrupted Progress (August 2020) A Gift for 2020 Grads: Enhanced Premium To Prepare for the Next Pandemic, Health Care Subsidies for Student Loan Debtors (July 2020) Needs to Tackle Racism (September 2020) COVID-19 Ripple Effect: The Impact of COVID-19 Antibiotic Resistance in the Era of COVID-19 on Children in New York State (September 2020) (October 2020) Trump Administration Health Reimbursement Can You Provide Pre-existing Condition Arrangements Put ACA Subsidies at Risk for Protections Without the ACA? It’s Not So Easy Low-Income Workers (October 2020) (October 2020)

For authors or more information, please visit: https://uhfnyc.org/publications.

UNITED HOSPITAL FUND ANNUAL REPORT 2020 11 STATEMENT OF FINANCIAL POSITION STATEMENT OF ACTIVITIES Year ended February 29, 2020 Year ended February 29, 2020

ASSETS OPERATING REVENUES AND SUPPORT

Cash and cash equivalents $2,685,692 Public support: Grants and other receivables, net 1,053,376 Foundation grants $2,153,820 Other assets 697,628 Government and exchange contracts 1,080,798 Investments 92,460,078 Contributed services 500,000 Contributions 304,144 Property and equipment, net 1,549,314 Special events 1,983,595 Beneficial interest in perpetual trusts 4,041,412 (Less direct expenses) (262,409)

Total assets $102,487,500 Total public support 5,759,948

Other revenues: LIABILITIES AND NET ASSETS Conferences and other 80,525 Liabilities: Investment return appropriated and designated for current operations: Accounts payable and other liabilities $651,441 Quasi-endowment 4,564,502 Deferred rent obligation 1,865,866 Donor-restricted endowment 965,500 Grant commitments 454,710 Other investment income 246,242 Accrued postretirement benefits 499,832 Total other revenues 5,856,769 Total liabilities 3,471,849 Gain on sale of property and equipment —

Net assets: Total operating revenues and support 11,616,717 Without donor restrictions OPERATING EXPENSES Undesignated 721,783 Program services: FINANCIAL SUMMARY FINANCIAL Board-designated endowment 74,845,968 Grants 629,588 Total net assets without Health services research, policy analysis, 75,567,751 donor restrictions and education 5,022,950 Publications and information services 1,272,389 With donor restrictions Time or purpose 1,877,808 Total program services 6,924,927 Endowment returns subject to Supporting services: future appropriation 15,099,828 Administrative and general 2,731,011 Perpetual 6,470,264 Fundraising 943,148

Total net assets with donor Total supporting services 3,674,159 23,447,900 restrictions Total operating expenses 10,599,086 Total net assets 99,015,651 Change in net assets from operations 1,017,631

Total liabilities and net assets $102,487,500 NON-OPERATING ACTIVITIES AND SUPPORT

Investment return more than amounts designated for current operations 298,929 Postretirement-related changes other than net periodic postretirement cost (116,491) Change in value of beneficial interest in perpetual trusts 12,340

Change in net assets from non-operating activities and support 194,778 Change in total net assets 1,212,409 Complete audited financial statements are available on the United Hospital Fund website at www.uhfnyc.org, or you may Net assets at beginning of year 97,803,242 contact the New York State Charities Bureau, 120 Broadway, Net assets at end of year $99,015,651 New York, NY 10271.

12 UNITED HOSPITAL FUND ANNUAL REPORT 2020 CONTRIBUTORS ANNUAL SUPPORT $10,000 to $24,999 $5,000 to $9,999 Received January 1, 2020–December 1199SEIU United Healthcare ABM Industries 31, 2020 Workers East Charina Foundation, Inc. American Hospital Association Deerfield $100,000 and Over Bank of America Empire BlueCross BlueShield Health Research Incorporated Stephen Berger and Cynthia HealthPlus William Randolph Hearst Foundation C. Wainwright Ernst & Young LLP The Leona M. and Harry B. Helmsley Bloomberg Philanthropies Fidelis Care New York Charitable Trust Jo Ivey Boufford, MD Peter Georgescu Mother Cabrini Health Foundation Bristol-Myers Squibb Benjamin W. Heineman, Jr. New York State Department of Health Brookfield John S. & Florence G. Lawrence TIAA The Brooklyn Hospital Center Foundation, Inc. John K. Castle LiveOnNY $50,000 to $99,999 Dale C. Christensen, Jr. Medical Staff of Maimonides Altman Foundation Columbia Property Trust Medical Center ChangeLab Solutions Margaret M. Crotty Manatt, Phelps & Phillips, LLP Elaine and David Gould Josh N. Kuriloff, Cushman & McKissack & McKissack (NY) Hearst Wakefield, Inc. MediSys Health Network Inc. The Esther A. and Joseph Deloitte LLP Carolyn and Gene Mercy Klingenstein Fund, Inc. Christophe Durand MJHS Henry and Lucy Moses Fund, Inc. EmblemHealth, Inc. NuHealth/Nassau University The New York Community Trust- Medical Center Robert A. and Patricia S. Levinson Empire BlueCross BlueShield, an Award Fund Anthem company The Omer Foundation Jim and Marilyn Simons Gail and Alfred Engelberg Parker Jewish Institute for Health Care and Rehabilitation Stuart Family Foundation, Lisa G. & Hilary Carla Feshbach Scott M. Stuart, Sageview Capital Geller & Company Pfizer Inc TD Bank, N.A. Hackensack Meridian Health Alex Rovt, PhD Healthcare Association of SBH Health System $25,000 to $49,999 New York State Spellman High Voltage BronxCare Health System Healthcare Education Project Electronics Corporation Coalition of Asian-American IPA HealthCare Partners, IPA St. John’s Episcopal Hospital J. Barclay Collins II HPS Investment Partners LLC William and Lynda G. Steere The Commonwealth Fund IPRO Taconic Investment Partners LLC Galvin Family Fund Eugene J. Keilin Frederick and Barbara Clark Telling Goldman Sachs Lazard Fern and Lenard Tessler Gray Foundation Maimonides Medical Center Yale New Haven Health System Greater New York Hospital Meera Mani, MD, PhD/McKinsey Anonymous (1) Association & Company Hospital for Special Surgery Northwell Health JPMorgan Chase Barry F. Schwartz Charles S. Keene Foundation, Inc. Shenker Russo & Clark LLP Kravet Inc. Anthony Shih and Yvonne Tsang Marie-Josée and Henry R. Kravis Howard Smith, Jr. The Page & Otto Marx, Jr. Foundation SOMOS Memorial Sloan Kettering SUNY Downstate Medical Center Cancer Center Visiting Nurse Service of New York Howard P. Milstein Barbara A. Yastine Montefiore Health System Mount Sinai Health System Jamie C. Nicholls Tishman Speyer

UNITED HOSPITAL FUND ANNUAL REPORT 2020 13

$2,500 to $4,999 $1,000 to $2,499 Karen and Robert Osborne AARP New York Aetna Better Health of New York Nicole and Bruce Paisner AdvantageCare Physicians Priscilla Almodovar and Eric R. Dinallo Martin D. Payson Alliant Insurance Services The Maureen Baehr Charitable Fund Lee H. Perlman and Linda Riefberg Atlas Capital Group, LLC Thomas R. Block Elizabeth S. and Carl H. Pforzheimer III Brown & Weinraub, PLLC Center for the Study of Social Policy Pine Cone Fund Catholic Health Services of Mr. and Mrs. Albert Cheong Linda Farber Post and Kalmon D. Long Island Benjamin K. Chu, MD, and Post, MD Jennie L. and Richard K. DeScherer Donna Moylan Primary Care Development Joan Ellis and Jun-Ya Nakatsugawa The City University of New York Corporation Meyer and Florence Frucher (CUNY) Public Health Solutions The Green Fund Inc. Columbia University Irving RiverSpring Health featuring the Medical Center Hebrew Home at Riverdale Gurwin Jewish Nursing & Rehabilitation Center The Cowles Charitable Trust Mary Gordon Roberts Healthfirst, Inc. Samuel J. Daniel, MD Alexander Robertson Healthix Stephanie L. Davis Charles and Martha Rogers The Arthur Loeb Foundation Geoffrey K. Doughlin, MD Lynn B. Rogut Peter W. May Elizabeth Seton Children’s Center Jennifer Serravello McKissack & McKissack (DC) Epstein Becker & Green, P.C. John C. Simons CONTRIBUTORS MetroPlus Health Plan Michael and Elizabeth Fascitelli Lorie A. Slutsky Montefiore St. Luke’s Cornwall Lauri Levitt and Michael Friedland St. Mary’s Healthcare System for Children Susana R. Morales, MD Robert A. Guimento Suburban Hospital Alliance of Deanna Mulligan Edna and Monroe C. Gutman Foundation New York State, LLC The New Jewish Home Deborah Halper Eileen Sullivan-Marx, PhD, RN New York eHealth Collaborative The John A. Hartford Foundation, Inc. TPG Architecture, LLP New York Eye and Ear Infirmary of Mary Beth C. Tully Mount Sinai Jennifer L. Howse, PhD Dino J. Veronese Michael Nierenberg Paul and Kimberly Huchro Susan C. Waltman Perella Weinberg Partners Interfaith Medical Center The John L. & Sue Ann Weinberg Pillsbury Winthrop Shaw Pittman LLP Anne F. Johnson Foundation PricewaterhouseCoopers Mark J. Kator Dennis P. Whalen Proskauer Rose LLP Miriam Katowitz Wyckoff Heights Medical Center Richmond University Medical Center Katten Muchin Rosenman LLP Anonymous (2) Sally J. Rogers Kaye Foundation Dr. and Mrs. Thomas P. Sculco Tara Marie Kazak Chad E. Shearer Rhonda S. Kershner Simone Development Kingsbrook Jewish Medical Center The Bernard & Anne Spitzer Joan M. Leiman, PhD Charitable Trust Loeb & Loeb LLP Stamford Health M&T Bank Verizon Josiah Macy Jr. Foundation Vornado Realty Trust Maximus Arthur Y. Webb Nancy R. Mayer Family Fund Weill Cornell Medicine Michael R. McGarvey, MD Peter Weinberg Milbank Memorial Fund New York State Health Foundation Nixon Peabody LLP NYC Health + Hospitals NYU Rory Meyers College of Nursing

14 UNITED HOSPITAL FUND ANNUAL REPORT 2020

CONTRIBUTORS $500 to $999 Charles F. Rogers III Sheila M. Abrams Mr. and Mrs. John E. Rorer Catherine A. Arnst Dr. Samuel L. Seward and John H. Asiel Dr. Kara L. Bickham Andrew Blakemore William M. Tomai E.H.R. & N.M. Blitzer Fund Bruce and Fredda Vladeck Michelle Levy Branower David Woodlock Michael P. Breslin Matching Gifts Paul J. Brignola Boston Consulting Group, Inc. Elvira Brundage Bristol-Myers Squibb Gregory C. Burke McKinsey & Company Cammack Retirement Group NASDAQ Phil Cha The Pfizer Foundation, Inc. Rosalie Chandler UnitedHealthcare Community Plan H. Chung and J. Pang Fund Andrea G. Cohen, JD Special Acknowledgments John and Ingrid Connolly United Hospital Fund gratefully Kenneth Egan acknowledges donations of goods The Episcopal Diocese of Long Island and services from: Helen C. Evarts Boston Consulting Group FAIR Health Google Inc. Thomas F. Gilbane, Jr. Katherine W. Goldsmith Francis J. Greenburger Foundation Joyce P. Haynes Drs. John Healey and Paula Olsiewski Judith & Paul Hochhauser Foundation Inc. Lesley B. and Joseph C. Hoopes, Jr. Hillary S. Jalon Mary C. Johnson and Thomas Steiglehner Wallace E. Johnson, MD Jim and Theresa Kilman Michael Labadorf Mark Levenfus Carol Levine Honorable Dominic J. Lodato The David & Sondra Mack Foundation, Inc. Reginald Eugene Manning, MD Medicare Rights Center Ricardo A. Mestres, Jr. New Jersey Health Care Quality Institute Peter Newell Northeast Business Group on Health Robert C. Osborne, Jr. Emily Regas

UNITED HOSPITAL FUND ANNUAL REPORT 2020 15 Anthony Shih DEVELOPMENT Alexandra Brandes President Director, Medicaid Institute Michelle Levy Branower Sheila M. Abrams Director of Annual Giving and Hillary Browne Senior Vice President for Special Events Administrative Assistant Administration and Finance Rosalie Chandler Gabriela Groenke Sally J. Rogers Development Manager Executive and Program Assistant Senior Vice President for Maryam Diaab Joan Guzik STAFF Communications and Campaign Manager Director, Quality Improvement, Development Quality Institute Emily Regas Chad Shearer Director of Major Gifts Hollis Holmes Senior Vice President for Grants Manager Policy and Program HUMAN RESOURCES Pooja Kothari OFFICE OF THE PRESIDENT Marc Cantave Senior Program Manager Amanda A. Williams Receptionist Kevin Mallon Special Assistant to the President Vaughn Murria Program Assistant and Corporate Secretary Director, Human Resources Peter Newell and Chief Diversity, Equity, Director, Health Insurance Project BUSINESS MANAGEMENT & Inclusion Officer Susan Olivera Quincy McLain Jatna Rojas Senior Program Manager Controller Human Resources Associate Kristina Ramos-Callan Mala Mohan and Diversity, Equity, & Senior Program Manager Senior Accountant Inclusion Officer Lynn Rogut Dwayne Robinson INFORMATION TECHNOLOGY Director, Quality and Team Junior Accountant Francesca Demane Leader, Quality Institute COMMUNICATIONS Digital Marketing Manager Sarah Scaffidi Catherine Arnst Joey Rodriguez Research Analyst Director, Public Information Director of Information SUPPORT SERVICES Jennifer Fanelli Technology Communications Assistant Sharen Whitley Privetté Frank Dunn Support Services Assistant Adam Fifield Information Technology Manager Director of Communications Samuel Rios LIBRARY Manager Miles P. Finley Managing Editor Wil Yates FELLOWS AND SCHOLARS Librarian Mary C. Johnson Carol Levine Special Projects Advisor PROGRAM AND POLICY Senior Fellow and Former Director, Families and Health Emily Arsen Care Project Senior Research Analyst Lee Partridge Anne-Marie J. Audet Senior Fellow Senior Medical Officer

16 UNITED HOSPITAL FUND ANNUAL REPORT 2020 Our Work. Your Support. A Healthier New York.

HF’s annual Campaign for a Healthier New York changes people’s lives for the better. But our work would not be possible without the generosity of concerned and caring individuals, corporations, and foundations. In these difficult and uncertain times for health Ucare, United Hospital Fund remains committed to building an effective and equitable health care system for all New Yorkers. That means one that is affordable and accessible, provides a better patient experience and the highest quality of care, and achieves optimal health outcomes. The challenges described in this annual report, and our important and effective efforts to address them, speak to the essential role we play: bringing together stakeholders with different viewpoints for honest and constructive dialogue, providing objective and respected analysis of pressing issues to inform decision-making, and stimulating and supporting partnership efforts that test new ideas and spread best practices. Gifts, both large and small, to our Campaign for a Healthier New York provide essential funding for our work. With your support, UHF can continue to help steer a steady course toward affordable, accessible, high-quality health care. Please join us as a vital partner in that work. For more information, please contact Emily Regas at (212) 494-0743 or [email protected]. UHF is a not-for-profit charitable organization under Section 501(c)(3) of the Internal Revenue Code (federal tax ID# 13-1562656), and all gifts are tax-deductible to the full extent allowed by law. United Hospital Fund 1411 Broadway, 12th Floor New York, NY 10018-3496 T: 212.494.0700 F: 212.494.0800 www.uhfnyc.org

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