United Hospital Fund

ANNUAL REPORT 2017 Improving HealthCare for Every New Yorker and experience ofpatient care. stakeholders, anddevelop and supportinnovative programs that improve thequality, accessibility, affordability, nonprofit organization, we analyze publicpolicy to inform decisionmakers, findcommon ground amongdiverse United HospitalFund works to buildamore effective healthcare system for every New Yorker. Anindependent, UNITED HOSPITALUNITED ANNUALREPORT FUND Fiscal Year 2016-2017 2From thePresident 14Contributors 20 Staff 19JimTallon: AnAppreciation 11 4Coverage andAccess 6Improving Quality andEfficiency 10 8Clinical/Community Collaborations FinancialReport Grantmaking Corporate Secretary Amanda A.Williams Vice Presidents Chad Shearer Deborah E.Halper Senior Vice Presidents J.Sally Rogers Sheila M.Abrams Treasurer Sheila M.Abrams Vice Chairmen Frederick W. Telling, PhD John C.Simons President Anthony Shih,MD, MPH Chairman J. Barclay Collins II Officers OFFICERS ANDDIRECTORS Mary Beth C.Tully Frederick W. Telling, PhD Eileen Sullivan-Marx, PhD, RN Michael A.Stocker, MD, MPH John C.Simons Anthony Shih,MD, MPH Robert C.Osborne Susana R.Morales, MD Howard P. Milstein Josh N.Kuriloff Cary A.Kravet Eugene Keilin Jennifer L.Howse, PhD Michael R.Golding,MD Robert MD S.Galvin, J. Barclay Collins II Dale C.Christensen, Jr. Rev. Dr. JohnE.Carrington Jo Ivey Boufford, MD Lori Evans Bernstein Stephen Berger Bettina Alonso Directors James R.Tallon, Jr. President Emeritus Allan Weissglass Barbara P. Gimbel Timothy C.Forbes John K.Castle Honorary Directors United HospitalFund Chairman J. Barclay Collins II

and strategicactivity. We hopeyouwillcontinuetofollowandsupport ourprogress. as objectivepurveyorofcritical informationandtrusted,neutralforumfordiscussions that wecontinuetoplayaunique andimportantroleinNewYork’s healthcaresystem, As weendonechapterinUHF’s distinguishedhistoryandbegin another, whatisclear grateful toallofyou. Fromdelivery work.Othersprovidegenerousandessentialfunding support.We aredeeply For some,thatmeansdirectactionthroughpartnerships inourpolicy, quality, andservice Maintaining thiskindofenterpriserequires,too,anetwork ofcolleaguesandpartners. passion forchanginghealthcarethebetter, arewhatmoveoureffortsaheadeachday. remarkable staff.Theirbroadrangeofexpertiseandexperience, coupledwiththeir and aconvenerpartner, UHF’s collectivestrengthandreputationisgroundedinits As acenterofresearchandanalysis,anadvisorto supporterofinnovativeinitiatives, spanned 60yearsandincluded32ofactiveboardservice. thehonorary boardmemberandformervicechairman,whosecommitmenttoUHF’s mission substantial contributions.AndwearedeeplysaddenedbythedeathofMarySchachne, and DavidLevy, MD,whocompletedtheirtermsofserviceontheboard,havingmade NYU RoryMeyersSchoolofNursing.We alsobidfarewelltodirectorsMichelleAdams and EileenSullivan-Marx,deanErlinePerkinsMcGriffProfessorofNursingatthe Healthcare Group;JenniferHowse,formerpresidentoftheMarchDimesFoundation; expertise: RobertGalvin,MD,CEOandoperatingpartnerofBlackstone’s Equity chairmanThree newdirectorsjoinedourboardthisyear, deepeningitshealthcareandmanagement leadership searcheffortandtransition. and organizationaleffectiveness—andwhoplayedakeyroleinthesuccessofthisyear’s of directors,whobringtheirwisdomandenergiestoshapingUHFpriorities,programs, leadership ofanysingleindividual.We areindebtedtomembersofourdedicatedboard Of courseoursuccessesaswepursueUHF’s missionarenotduesolelytothevisionand indelibly markedUHF. also anongoinglegacy:histalentsandreputationasalistenerconsensusbuilder values. JimTallon, inretiringafter24years,leavesnotonlyanextraordinarycareerbut his ownperspectiveandstyletocarryingoutourmissionadvancinghistoric philanthropy, Tony bringsavaluableskillsetand improvement, populationhealth,andhealthcare quality andhealthsystemperformance A provennonprofitexecutivewithexpertisein MD, MPH,toUHF’s presidency. Closer tohome,wewelcomedAnthonyShih, accessibility, quality, andexperienceofcare. critical workthatwedotoimprovethe health careaccessreconfirmedtheneedfor renewed debateonfundamentalquestionsof transitions. AnewfederalAdministrationand By anystandards,2017wasayearofmajor and strategic activity. forum for discussions and trusted, neutral critical information objective purveyor of a uniquerole as We continue to play D N U F L A T I P S O H D E T I N U 2 United HospitalFund President Anthony Shih,MD, MPH experience of care. centered medicalhome;and bringingpatients’voicestotheforeensureabetter Fellowship Program;promoting effective,innovativemodelsofcare,suchasthepatient- improvement capacitythrough ourmulti-hospitalcollaborativesandClinical Quality strategies: improvingthemeasurement ofquality;increasingproviders’quality we continueourworktoadvance high-qualitycareforeveryone,throughamixof Thatiswhy after studyhasconfirmedthepersistenceofwidevariations inqualityofcare. guarantee high-quality, patient-centeredhealthcare.We’ve madegreatprogress,yetstudy As we’veknownfordecades,however, coverageandaccessalonearenotenoughto people butalsodrivesmanyoftheeffortsathealthcare deliverysystemreform. system. InNewYork, thereisnodoubtofitsimportance:itnotonlycovers6million as Congresscontinuestodebatetheroleofthatessential programinourbroaderhealth Over thenextfewyears,workofourMedicaidInstitute willbeparticularlyimportant gains thatwehavemadeandtoensurecoverageaccess forthosewhoarestillleftout. uncovering flaws,andpointingtowardpotentialsolutions—isneededbothtoprotectthe remain uninsured.Ourobjective,independentpolicyanalysis—trackingtrends, aggressive implementationoftheAffordableCareAct—over1millionNewYorkers through ChildHealthPlusandFamilyPlus,theMedicaidexpansion, Despite tremendousgainsininsurancecoverageNewYork Stateoverrecentdecades— health caresystem. work: improvingcoverageandaccess,ensuringthequalityefficiencyofour were bothimpressiveandinspiring,thatbecameevidentinthetwomajorfociofour year tenureofnow-PresidentEmeritusJamesR.Tallon, Jr., whoseaccomplishmentshere understanding howinterconnectedallthemovingpartsofthatsystemare.During24- When IassumedtheleadershipofUHF, Icametoanorganizationwellknownfor From the presidenthealth care system for every New Yorker. Hospital Fund’s mission—to buildamore effective continued relevance and importance ofUnited Ironically, that cloudofuncertainty hasclarifiedthe affecting careformillionsofAmericans. the healthsystem,potentiallydestabilizinginsuranceandprovidermarkets level, inwhichevenapparentlysmalldecisionscancauseripplesthroughout we’ve beenlivingthroughaperiodofunprecedenteduncertaintyatthefederal It’s aninterestingtimetobeworkinginhealthpolicy. Sincethe2016elections health ofallNewYorkers. forward toworkingtogetherimprovethe you foryourinterestandsupport,look anticipating thechallengesaheadofus.Ithank problems oftoday’s healthcaresystem,and UHF, wherewe’rehelping tosolvethecomplex to beworkinginhealthpolicy. I’mproudtobeat I’ll endwhereIstarted:theseareinterestingtimes broader rolethathealthcaresystemsplayinimprovingcommunityhealth. We’ll continuetoexpandsuchclinical-communitycollaborations,aswelladvancethe health care. Aging inPlaceinitiativeandourongoingworktosupporttheroleoffamilycaregivers on ourhistoriceffortsoutsidetheclinicalcaresystem,likerecentlycompleted community-based agenciestoaddresssocialandenvironmentalriskshealth.Itbuilds Initiative, putsUHFattheforefrontofthiswork,connectingpediatricclinicsto as wellspecifichealthcareneeds.Oneofoursignatureefforts,theChildren’s Health based organizationstoaddressissuessuchaspoverty, homelessness,andfoodinsecurity paradigm providerswillhavetoworkcloselywiththeircommunitiesandcommunity- to patients’overallhealth,notjustthehealthcaretheyreceive.To succeedinthisnew That’s changingnow, withnewpaymentandservicedeliverymodelsthatdrawattention care, andnotpayingenoughattentiontothebroaderdeterminantsofhealth. food insecurity. Yet untilrecently, providerswerealmostsolelyfocused onoptimalclinical root causesoftheirproblems—poverty, socialandculturalisolation,languagebarriers, care Icould,mypatients’healthandmentalwerevastlymoredependentonthe at acommunity-basedmentalhealthclinicinOakland,CA.ThoughIprovidedthebest I witnessedthisdailyatmyfirstjobasaphysician,servingimmigrantandrefugeefamilies disadvantaged populations,understandthisaswell. where welive,work,play, andlearn.Clinicians,especiallythose whoworkwith accounts forlessthan20percentofourhealthstatus,withmuchtherestinfluencedby Researchers havelongunderstoodthatcareprovidedinthehospitalordoctor’s office by reaching beyond increasingly investing inefforts to improve health work, we recognize theirlimitsaswell, andare While coverage andquality remain pillars ofour the healthcare system. challenges ahead. and anticipating the health care system, problems oftoday's the complex We're helpingsolve 3 T R O P E R L A U N N A 7 1 0 2

Dramatic improvement for individual New York's individual insurance market, before buyers, but uncertainty ahead and after the Affordable Care Act New York State of Health—the state health insurance exchange established under the Affordable Care Act—has been a key to 1,200,000 Equal access: connecting New Yorkers with affordable health insurance. For people in the individual market—who typically payed monthly First step to a healthier New York 1,000,000 premiums of more than $1,000 before the ACA—the exchange has been a special boon. Through on-exchange “qualified 800,000 health plans” and the new Essential Plan for lower-income New Universal, affordable, accessible health insurance offering Yorkers, along with off-exchange plans, individual-market comprehensive coverage is a prerequisite for obtaining adequate 600,000 enrollment has increased some 600 percent since 2013, to over a million people. care—and for an effective, equitable health care system. 400,000 The federal tax legislation recently signed into law repeals the penalty for not obtaining health insurance, which could New York has made remarkable leaps forward in decreasing the percent of residents 200,000 without health insurance. But over 1 million residents still lack insurance and many more adversely affect New York’s individual market. If healthier individuals forgo coverage, premiums will increase for those are underinsured. At a time of continuing federal efforts to roll back progress, UHF’s 0 remaining in the individual market, and insurers may be less Health Insurance Project and Medicaid Institute are working to maintain New York’s 2013 2014 2017 willing to offer coverage to a riskier population. leadership in improving coverage and the health care safety net, especially for vulnerable Note: Not all of the enrollment shown here represents previously uninsured New Yorkers. Prior to the exchange, Medicaid Managed Care enrollment, populations. for example, was done at the local district level.

• Our Health Insurance Project is the only initiative in New York that comprehensively Healthy NY Qualified Health Plan (off-exchange) Individual Qualified Health Plan (on-exchange) monitors and reports on the health and future sustainability of the state’s insurance Other Essential Plan market.

• Our new HealthWatch series provides timely data and insights to help New York assess Child Health Plus enrollment: a sharp increase, across the state and address the impact of federal policy changes affecting the future of coverage. Coverage and access and Coverage • Our experts are actively engaged in informing Medicaid policy as members of select Protecting children's workgroups overseeing the State’s payment reform roadmap, making decisions about coverage covered benefits, and creating value-based payment models and associated quality For more than 100 days in late 2017 and measures for Medicaid enrollees with significant behavioral health needs. early 2018, Congress failed to permanently fund the Children's Health Insurance • Through our Medicaid Institute we’re helping shape policy and operational changes to Program (CHIP), which covers more than 9 improve health care services for some six million of the most vulnerable New Yorkers. million children nationwide. Since 1997, CHIP The Institute is one of only a handful of independent research initiatives conducting has provided funds for New York State's detailed analysis of Medicaid utilization and cost data. Current work includes research own Child Health Plus program, which has on Medicaid trends over the past five years, opioid prescribing and medication-assisted reduced the uninsured rate among the treatment, and potentially inappropriate antibiotic prescribing. state's children from 12 to 2 percent. UHF's analysis of Child Health Plus enrollment 2.9% to 10.4% increasing by 17 percent over the previous 10.5% to 18.5% federal fiscal year informed the ongoing 18.6% to 26.3% debate in Washington, raising important 26.4% to 39.5% 39.6% to 73.6% questions about how long the existing state allotment and temporary fixes would allow the state to continue coverage for the nearly 360,000 New Yorkers on the program. 4 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 5

Bringing needed mental health care to primary care patients For people with mental health or substance use disorders, health or substance use conditions. Effective integration of the costs for treating chronic medical conditions can be two to behavioral health care into primary care—with routine Better quality: three times higher than in patients without coexisting mental screening and diagnosis, on-site treatment, and regular follow up—may reduce total health care costs for these patients by 9 to 16 percent, a number of studies have shown. Right care, right provider, right Co-existing mental health conditions increase medical spending* UHF grant making has enabled creation and testing of a step-by-step framework for gradually integrating behavioral 1,369 outcome health care into small primary care practices, to reach the 80 percent of their patients whose depression, anxiety, and other There's no quick fix to increase patient safety and improve efficacy common behavioral disorders remain untreated. and outcomes. That takes systematic, ongoing efforts, and the 757 751 kinds of collaborations we've pioneered and excel at. 661 579

Working with a broad range of partners—government, health care providers, family *Spending (per member per month) for medical care in Medicaid and Total 309 335 populations covers patients with mental health and/or substance use disorders; caregivers, and other stakeholders—UHF’s Innovation Strategies Initiative, Quality 280 medical spending for Commercial and Medicare populations covers patients Institute, and Families and Health Care Project are advancing transformative approaches without “serious and persistent” mental illness. Source: Melek SP, DT Norris, and J. Paulus. April 2014. Economic Impact of Integrated Medical-Behavioral to primary care, quality measurement and improvement, and transitions from Healthcare: Implications for Psychiatry. Denver: Milliman, Inc. 0 institutional care to the home care setting. Commercial Medicare Medicaid Total

Patients without mental health/substance use disorders (MH/SUD) • With the New York State Department of Health, UHF is building consensus on Patients with MH/SUD or non-serious-and-persistent mental illness

“value-based payment” and quality measures that encourage the healthy growth and

development of children living in low-income families and covered by Medicaid.

Combatting dangerous overuse of Initiative participants' prescribing habits • We track and analyze the growth of patient-centered medical homes and accountable antibiotics care organizations, and support the adoption of advanced primary care—focusing on Despite widespread understanding that antibiotics are roadblocks for small medical practices, which are key to addressing health care Overall rate

Quality and efficiency and Quality inappropriate for most respiratory infections, over- and of antibiotic Range of prescribing inequities. antibiotic mis-prescribing remain common. In 2017, UHF's Outpatient for acute prescribing respiratory Antibiotic Stewardship grant initiative (OASI) entered its rates infections • Our expertise is helping simplify and align quality reporting requirements, while for ARIs second phase, helping 35 physician practices owned by seven (ARIs) addressing a lack of measures—of the doctor-patient relationship, for example—that hospitals and health systems develop and implement strategies consumers find most valuable for making informed choices about care. to reduce unnecessary use of these drugs—and the concomitant risk of dangerous infections and multidrug • The UHF/GNYHA Clinical Quality Fellowship Program, an innovative 15-month resistance. The national picture intensive training, has prepared more than 175 area doctors and nurses, in nine classes to date, to become highly skilled quality improvement leaders in their institutions.

• As health care steadily moves from hospital and nursing home to the home care setting, — 154 million visits — of those Rxs of those Rxs our Families and Health Care Project provides vital guidance and support for family of all outpatient visits inappropriate written for ARIs result in antibiotic caregivers and for the health care professionals who work with them—such as teaching prescriptions

materials that complement a series of AARP videos on complex caregiving tasks.

Source: The Pew Charitable Trusts. May 2016. Antibiotic Use in Outpatient Settings: Health Experts Create National Targets to Reduce Unnecessary

Antibiotic Prescriptions.

6 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 7

Health care's limited impact on health Social determinants Health care of health (10-20%) (20-30%) Beyond the clinical setting: Enlisting community partners to improve Building partnerships for health the health of the most vulnerable Regular access to health care, especially preventive measures, Health status is clearly a significant element of "health." But for most For both individuals and specific populations, health status is people, the everyday environment—factors like housing and Genetics food insecurity, or family or neighborhood violence, all (30%) in large part a function of factors outside the doctor’s office, of which influence individual behaviors—has a far greater Individual including the “social determinants of health.” Addressing those impact on well-being and quality of life. behaviors (30-40%) requires new and productive relationships between the health UHF’s $700,000 Partnerships for Early Childhood Development Our PROPC-NY (Patient-Reported Outcomes in Primary care sector and community services. grant initiative and learning collaborative, which includes Care–New York) initiative, with support from the Engelberg funding from the Altman Foundation and The New York Foundation, is applying a similar approach to adult patients UHF initiatives are reaching beyond the health care system to address stressors—family Community Trust, is creating new alliances between hospital- and to pregnant women and the parents of children up to age dysfunction, poor housing, food insecurity—and leverage community supports essential to based pediatric practices and community-based agencies to 18 months. Participants are not only systematically gathering improving both immediate and long-term health and well-being. “close the loop” between health care and social services. The patients’ views of their health to help guide treatment and goal: routine screening of young children and their families assess its outcomes but are also, in an innovative departure, • To give children ages 0-3 a better start at healthy childhood and adulthood, UHF by clinicians for social determinants of health, referrals to local treating social determinants as integral to clinical outcomes partnered with New York State and leading health care and social service organizations organizations for services, and effective communication and and effective use of resources. in the “First 1000 Days on Medicaid” initiative, with an initial goal of increasing the follow up by both partners. percentage of children developmentally ready for school, through improved access to

health and social services. Screen for social determinants • UHF grant making is supporting innovative efforts to identify emergency department of health patients at risk for future homelessness, and effective preventive interventions. Review and document Screen • Our NORC Blueprint website and Health Indicators guides and tools—recently progress and resolution transferred to New York State Office of Aging ownership for even broader reach— or continued Record positive intervention are helping community-based agencies improve their strategic abilities to assess and Review result in health Record record and meet elderly clients’ needs and work effectively with health care partners to advance generate referral healthy aging.

Community collaborations Community Addressing social Document “Warm handoff” determinants of needs, Document to psychosocial establish Handoff staff or referral to health with patient-centered community-based systematic goals agency screening and referrals Discuss Follow Discuss up identified needs with Follow up patient to ensure appointment made, care established 8 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 9 UHF Grantmaking inpatient settings. dangerous misuseandoveruseofantibioticsinadditional nursing homesaswellhospitals,tohelpaddress Stewardship CertificateProgramwillbeexpandedto add contentonambulatorycare.TheAntibiotic number ofclinicianstrainedineach15-monthclassand The ClinicalQualityFellowshipProgramwillexpand the through twodistinctprogramsinpartnershipwithUHF. To increaseprovider capacityandenhancequalityofcare Greater New York HospitalAssociation $130,000 evidence-based treatmentfordepressionandanxiety. practices systematicallyscreenpatientsandprovide four primarycarepracticesinNewYork City, tohelpsuch developed anddisseminatedwithearlierUHFsupport—in behavioral healthcareservicesintoprimarycare— To testastep-by-stepframeworkforintegrating Montefiore Medical Center $188,320 over two years QUALITY ANDEFFICIENCY health onhospitalizations. registry toassesstheeffectofsocialdeterminants its-kind risk-screeningtool,protocolsfortheED,anda preventive interventions,throughcreationofafirst-of- risk forfuturehomelessnessanddevelopeffective To identifyemergencydepartmentpatientsatsignificant $135,000 over two years New York University SchoolofMedicine gathering anddisseminatingbestpoliciespractices. conditions—once theyarebackinthecommunity, by illness, substanceabusedisorders,andotherchronic all ofwhomhavehigherthanaverageratesmental transitioning fromprison,awaitingtrial,oronprobation— To improveaccesstoeffectivehealthcareforpeople Legal Action Center (LAC) $60,000 COVERAGE ANDACCESS underserved populations. health careinNewYork, andafocusonvulnerable the broadgoalofimprovingqualityanddelivery complement, andextendourprograminitiatives,with Grants awardedbyUnitedHospitalFundreflect, D N U F L A T I P S O H D E T I N U 0 1 *These grantsaremadepossiblethroughjointfundingbyUHF, theAltman participants developstrong,sustainablepartnerships. “feedback loop”;alearningcollaborativewillalsohelp organizations toensureeffectivereferralsandanongoing partnering with18community-basedsocialservice Eleven hospital-basedpediatricprimarycarepractices are routine screeningofyoungchildrenandtheirfamilies. addressing selectedsocialdeterminantsofhealththrough social-emotional developmentbyidentifyingand To positivelyaffectlifelongphysical,cognitive,and Partnerships for EarlyChildhoodDevelopment $531,562* HEALTH CARE/COMMUNITY COLLABORATIONS health-related behaviors. assess symptoms,physical/social/emotionalfunction,and status throughstructuredquestions,andcanbeusedto outcomes measuresthatelicitpatients’viewsoftheirhealth their voiceinprimarycarebyadvancingtheuseof To betterunderstandpatients’perspectivesandprioritize Initiative $149,322 over 18months Patient-Reported Outcomes inPrimaryCare–New York Episcopal HealthServices, Inc./St. John’s Episcopal NYULangoneHealthSystem/NYU Lutheran Family NYC Health+Hospitals,Gouverneur NYC Health+Hospitals,Coney IslandHospital Northwell Health,Cohen Children’s Medical Center NewYork-Presbyterian Queens NewYork-Presbyterian Hospital/Columbia University Mount SinaiHealthSystem/Icahn SchoolofMedicine Montefiore Medical Center Interfaith Medical Center, Bedford Dental Center, Bronx-Lebanon HospitalCenter Northwell Health Montefiore HealthSystem The Institute for Family Health Hospital HealthCenters Medical Center at Mount Sinai andBishopWalker HealthCare Center fiscal year. to Montefioreisincludedinthetotal but wasawardedinthesubsequent Community Trust providedadditionalfunds directlytograntees.Grantsupport includes AltmanFoundationsupportmadedirectlytoUHF. TheNewYork Foundation, andTheNewYork CommunityTrust. Total amountshown

Grantmaking Financial Report compared to$11.25million inFY16. revenue andsupportwas$11.27millioninFY17, related tothoserestrictedpurposes.Total operating 17, asUHFappliedthosefundstoexpensesincurred just above$900,000inFY16toover$1.2million support programspendingrosebyalmost$300,000,from release oftemporarilyrestrictedgrantfundsusedto over FY16’s totalofjustbelow$6.0million.Finally, the million inFY17,increasedbyapproximately$200,000 Endowment drawdownsforuseinoperations,nearly $6.2 in FY16to$1.8million17. slightly, asdidspecialeventrevenue—from$2.35million unrestricted endowment.Annualcontributionsdeclined $600,000 legacygiftinFY17,whichwasaddedtoits 17, withcontractsof$1.16million.UHFreceiveda million inFY16,wasmarkedbya$71,000decline UHF’s governmentandcontractrevenue,justover$1.23 $88,000 fromthe$1.07millionawardedinFY16,and Foundation grantincome,at$981,000inFY17,declined primarily frominvestmentgains. $9.8 milliontonetassetsof$89.0inFY16, Net assetsimprovedto$98.8millioninFY17,adding result ofthepost-retirementbenefitobligation’s reduction. from $5.1millioninFY16to$4.9million,primarilya investments. Liabilitiesdeclinedover$200,000inFY17, $103.6 millioninFY17,primarilyduetothegains of FY17,movingfrom$94.0millionin16toover Assets wereapproximately$9.6millionhigherattheend benefit. effective February28,2018,cappingtheliabilityforthis UHF enactedapost-retirementbenefitplanfreezethatis FY 16duetomarketinfluencesandchangesinmanagers. percent duringthefiscalyear, improvedsignificantlyfrom Board. Thevalueofinvestments,withareturn18.3 endowment drawforspecificexpensesauthorizedbythe prior years,andasitalsoappliedanadditionalspecial as UHFspentdowngrantsreceivedinthecurrentand decline inliabilities.Programmaticworkremainedsteady beneficial interestsinperpetualtrusts,aidedbyaslight primarily bygainsinmarketvalueofitsinvestmentsand UHF’s improvedfinancialpositioninFY17wasbolstered in NewYork’s healthcaresystem. continue toeffectivelysupportimprovementandchange and withanunwaveringcommitmenttoitsmission—will both nationallyandinNewYork, UHF—financiallyviable health carepolicydebateonceagaindominatestheagenda it headsintoFY18,althoughchallengesremain.Asthe UHF remainsfinanciallystableandwellpositionedas FY 16. was $9.84million,comparedtothe-$19.23millionlossin The changeinnetassetsfromallactivitiesFY17 non-operating activitiesinFY16of-$19.6million. FY 17of$9.50million,comparedtoanetlossfrom in perpetualtrusts,UHFpostednon-operatinggains changes inpost-retirementbenefitsandbeneficialinterests significant lossinFY16of-$19.18million.Together with $8.85 millionfrominvestmentactivity, comparedtothe In non-operatingactivity, UHFpostedanetgainof decline fromthe$377,000gainrealizedinFY16. operations producedagainof$344,000inFY17,slight $10.87 millionspentinFY16.Inall,netresultsfrom recognized inFY17totaled$10.93million,upfromthe a riseincommoncharges.Total operatingexpenses plan, offsetbyincreasesinoccupancycostsasaresultof costs inFY17,aresultofmovingtocommunity-rated All divisionsbenefittedfromadeclineinhealthinsurance activities relatedtoorganizationalstrategy. increased duetoconsultingfeesincurredforprojectsand from yeartoyear, asdidfundraising.Administrativecosts information servicesactivitiesremainedrelativelyconstant ceased operationsinDecember2016.Publicationsand in FY17,whileitsAgingPlaceprogramactivity introduced anewprogram,itsChildren’s HealthInitiative, FY 17,mostofwhomwerereplacedduringtheyear. UHF were lowerthaninFY16duetosomestaffattrition continued apaceinallofUHF’s issueareas,expenses childhood developmentinitiative.Whileprogramactivity due tothestart,inFebruary2017,ofamulti-partnerearly Grants awardedtootherorganizationsincreasedinFY17 1 1 T R O P E R L A U N N A 7 1 0 2 Financial Summary

Statement of Financial Position Statement of Activities Year ended February 28, 2017 Year ended February 28, 2017

ASSETS OPERATING REVENUES AND SUPPORT Cash and cash equivalents $ 2,159,915 Public support: Grants and other receivables, net 575,586 Foundation grants $ 981,291 Other assets 734,046 Legacies 600,000 Investments 93,997,874 Government and exchange contracts 1,159,258 Property and equipment, net 2,263,838 Contributions 301,141 Special events 2,223,230 Beneficial interest in perpetual trusts 3,920,060 (Less direct expenses) (425,599) Total assets $103,651,319 Total public support 4,839,321

Other revenues: LIABILITIES AND NET ASSETS Conferences and other 78,097 Liabilities: Investment return designated for current operations 6,197,193 Accounts payable and other liabilities $ 782,953 Other investment income 155,816 Deferred rent obligation 2,469,222 Grant commitments 1,073,689 Total other revenues 6,431,106 Accrued post-retirement benefits 526,793 Total operating revenues and support 11,270,427 Total liabilities 4,852,657 OPERATING EXPENSES Net assets: Program services: Unrestricted $ 76,749,490 Grants 1,100,070 Temporarily restricted 15,700,260 Health services research, policy analysis, and education 5,046,175

Permanently restricted 6,348,912 Publications and information services 1,170,240 Total net assets 98,798,662 Total program services 7,316,485 Total liabilities and net assets $103,651,319 Supporting services: Administrative and general 2,753,397 Fundraising 856,920 Total supporting services 3,610,317 Total operating expenses 10,926,802 Change in net assets from operations 343,625

NON-OPERATING ACTIVITIES AND SUPPORT Investment return more than amounts designated for current operations 8,849,750 Post-retirement-related changes other than net periodic post-retirement cost 270,740 Change in value of beneficial interest in perpetual trusts 380,102 Tax expense from unrelated business income (2,116) Change in net assets from non-operating activities and support 9,498,476 Change in total net assets 9,842,101 Net assets at beginning of year 88,956,561 Net assets at end of year $ 98,798,662

Complete audited financial statements are available on the United Hospital Fund website at www.uhfnyc.org, Complete audited financial statements are available on the United Hospital Fund website at www.uhfnyc.org, or you may contact the New York State Charities Bureau, 120 Broadway, New York, NY 10271. or you may contact the New York State Charities Bureau, 120 Broadway, New York, NY 10271.

12 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 13 Contributors

ENDOWMENT FUNDS $25,000 to $49,999 Geller & Company Lori Evans Bernstein and William Bernstein $2,500 to $4,999 $1,000 to $2,499 The total of legacies and memorial and AARP Public Policy Institute Hackensack Meridian Health Fidelis Care New York Affinity Health Plan AbleTo, Inc. other endowment fund gifts received prior ABM Industries The John A. Hartford Foundation, Inc. Fisher Brothers Foundation Inc. Karyn and Charles Bendit American Hospital Association to March 1, 2017, was $18,079,691. Stephen Berger and Cynthia C. Wainwright Healthcare Association of New York State Fritsche Anderson Realty Partners, LLC Jo Ivey Boufford, MD Archdiocese of New York Of this sum, $231,960 was distributed Bronx-Lebanon Hospital Center Heritage Medical Systems Healthfirst, Inc. Brookhaven Memorial Hospital Medical Catherine A. Arnst to UHF’s beneficiary hospitals directly, John K. Castle IPRO Steven Hochberg Center Atalanta Corporation by the terms of the legacies. The Commonwealth Fund Isabella Geriatric Center, Inc. IBE Trade Corp. Vincent Cannariato The Bachmann Strauss Family Fund, Inc. Greater New York Hospital Association / Island Outreach Foundation Inc. Innovant CenterLight Health System Maureen Baehr Legacy Gifts Received GNYHA Ventures, Inc. JAD Corporation of America Institute on Medicine as a Profession Centers Health Care Jack D. Barchas, MD (fiscal year 2017) Healthcare Education Project J.P. Morgan Jonas Center for Nursing and Veterans Jane H. Choate Thomas R. Block Patricia S. Levinson Hospital for Special Surgery The Henry J. Kaiser Family Foundation Healthcare CityMD David Blumenthal, MD Robert Wood Johnson Foundation Kravet Inc. Jones Lang LaSalle Colliers International NY LLC Borak Group Inc. Charles S. Keene Foundation, Inc. Josh N. Kuriloff MediSys Health Network Inc. Crystal Run Healthcare Gregory C. Burke 2016-17 CONTRIBUTORS Maimonides Medical Center John S. & Florence G. Lawrence MetroPlus Health Plan Curry Automotive Cammack Retirement Group Support received March 1, 2016 – Manatt, Phelps & Phillips, LLP Foundation, Inc. MJHS Jennie L. and Richard K. DeScherer Card & Associates February 28, 2017 Memorial Sloan Kettering Cancer Center LiveOnNY Nassau Health Care Foundation PEO Eastern Long Island Hospital Cardiovascular Research Foundation The Fan Fox and Leslie R. Samuels LiveOnNY Foundation Newmark Grubb Knight Frank Empire BlueCross BlueShield HealthPlus Castle Connolly Medical Ltd. $100,000 and Over Foundation, Inc. Josiah Macy Jr. Foundation The New York Academy of Medicine Michael Gould and Sara Moss Robert B. Catell The Peter and Carmen Lucia Buck Stamford Health MultiPlan, Inc. New York Community Bank The Green Fund Inc. The Central National-Gottesman Foundation The Starr Foundation New York eHealth Collaborative New York Community Hospital Health Management Associates Foundation Charina Endowment Fund Sullivan, Cotter and Associates, Inc. NewYork-Presbyterian Brooklyn New York Football Giants Inserra Supermarkets, Inc. Cleaning Systems Co. Fund for Public Health in NY, Population Methodist Hospital NuHealth/Nassau University Medical Eugene J. Keilin CohnReznick Health Improvement Program $10,000 to $24,999 NewYork-Presbyterian Queens Center The Litwin Foundation, Inc. Columbia University Medical Center Hess Foundation Inc. Advocate Community Providers Shenker Russo & Clark LLP NYC Health + Hospitals Loeb & Loeb, LLP Community Health Care Association of The New York Community Trust Aetna Better Health of New York The STERIS Foundation NYU Rory Meyers College of Nursing M&T Bank New York State New York State Department of Health Alliance for Home Health Quality Michael A. Stocker, MD Pfizer Inc Medical Staff of Maimonides Medical Community Healthcare Network New York State Health Foundation & Innovation Frederick and Barbara Clark Telling Platinum Maintenance Service Corp. Center Geoffrey K. Doughlin, MD TIAA AposTherapy Fern and Lenard Tessler Proskauer Rose LLP Peter W. May EisnerAmper LLP The James S. & Merryl H. Tisch Bloomberg Philanthropies Tishman Speyer Mark L. Regante Mutual of America Joan Ellis and Jun-Ya Nakatsugawa Foundation, Inc. Brookfield UCLA Moving Health Care Upstream Richmond University Medical Center The New Jewish Home Timothy C. Forbes The Brooklyn Hospital Center Walgreen Co. The Rudin Foundation, Inc. Nixon Peabody LLP Cynthia Foster Curry $50,000 to $99,999 Calvary Hospital Weill Cornell Medicine St. Mary’s Healthcare System for Children NYC Health + Hospitals/Elmhurst Georgescu Family Foundation Hearst Corporation Charina Foundation, Inc. SBH Health System NYU Winthrop Hospital Bruce A. Gimbel Foundation, Inc. Montefiore Health System Dale C. Christensen, Jr. $5,000 to $9,999 Chad E. Shearer Karen and Robert Osborne The Arnold P. Gold Foundation Henry and Lucy Moses Fund, Inc. Benjamin K. Chu, MD ACI Rehab Simone Development Park Slope Anesthesia Associates PC Clifford and Katherine Goldsmith Mount Sinai Health System Andrea G. Cohen, JD Assured Environments Howard Smith, Jr. Pillsbury Winthrop Shaw Pittman LLP Philanthropic Fund The New York Community Trust – J. Barclay Collins II Blue Wolf Healthcare Services, Southampton Hospital Polish & Slavic Federal Credit Union David and Elaine Gould Robert A. and Patricia S. Levinson CSRA, Inc. ModernMD, and Allen Health Spellman High Voltage Electronics RiverSpring Health featuring Marc Gourevitch, MD, MPH Award Fund Davis Polk & Wardwell The Boston Consulting Group, Inc. Corporation the Hebrew Home at Riverdale Greenberg Traurig, LLP NewYork-Presbyterian Hospital Diehard Exterminating, Inc. / Pest Brown & Weinraub, PLLC William and Lynda G. Steere St. Luke’s Cornwall Hospital The Harry Frank Guggenheim Foundation Northwell Health Elimination Systems Technology, Inc. / Callahan Capital Properties Strauss Paper Co. Structure Tone, Inc. Edna and Monroe C. Gutman Foundation TD Charitable Foundation ProServe Environmental Russell L. Carson Jim and Norma Tallon Kenneth E. Thorpe, PhD Healthix University of Kentucky The Durst Organization C.R. Bard, Inc. TPG Architecture, LLP US Health Group, Maximus Anne and John Herrmann EmblemHealth, Inc. Crystal & Company Trinitas Regional Medical Center Vornado Realty Trust Institute for Family Health Inc. Emigrant Savings Bank EDMAR Cleaning Corp. Visiting Nurse Service of New York Waldner’s Business Environments Interfaith Medical Center The Engelberg Foundation Epstein Becker & Green, PC VVA LLC Arthur Y. Webb Sharon H. Jacquet Wyckoff Heights Medical Center The John L. & Sue Ann Weinberg Mary C. Johnson and Thomas Steiglehner Foundation The Katowitz/Radin Fund

14 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 15 Contributors

Katten Muchin Rosenman, LLP Lorie A. Slutsky Ted Kesten Matching Gifts George and Mariana Kaufman Sodexo Health Care Services Christopher F. Koller The Commonwealth Fund Douglas A. Kellner, Esq. Peter and Susan Solomon Family Debra A. Lally Mutual of America Foundation Helen L. Kimmel Foundation Joan M. Leiman, PhD The Pfizer Foundation, Inc. Campaign for a Healthier New York Kingsbrook Jewish Medical Center Suburban Hospital Alliance of New York Edwin Deane and Judith S. Leonard Michael Labadorf State, LLC Honorable Dominic J. Lodato Special Acknowledgments In a time of unprecedented uncertainty in health care—of challenges to the Phyllis R. Lantos Craig B. Thompson, MD Andrea L. Lucas United Hospital Fund gratefully The Ronald & Jo Carole Lauder ToneyKorf Partners LLC The David & Sondra Mack Foundation, Inc. acknowledges donations of goods and fundamental belief in accessible, affordable, high-quality health care— Foundation Mary Beth C. Tully Frank J. Maddalena services from: United Hospital Fund remains committed to building a more effective Carol Levine Urban Health Plan, Inc. Edgar O. Mandeville, MD health care system for all New Yorkers. The Arthur Loeb Foundation Vinson & Elkins LLP Dorothy W. Marks Google Inc. Christina Maggi Bruce and Fredda Vladeck McVicker & Higginbotham, Inc. Groupe Clarins The challenges described in this annual report, and our important and March of Dimes Mark Wagar Nasry Michelen McVicker & Higginbotham, Inc. James S. Marcus Foundation Susan C. Waltman Milliman New York Metropolitan New York Library Council effective efforts to address them, speak to the essential role we play— The Harold C. and Helen R. Mayer Family Kenneth L. Wessel MLMIC Services, Inc. bringing together stakeholders with different viewpoints for honest and Foundation, Inc. W.H. Christian & Sons, Inc. Michael A. Moran constructive dialogue, providing objective and respected analysis of Michael R. McGarvey, MD Paul L. Wexler Jean & Albert Nerken Foundation Medicare Rights Center Dennis P. Whalen Peter Newell pressing issues to inform decision making, and stimulating and supporting Ira and Susan Millstein William F. Ryan Community Health Center New York College of Podiatric Medicine / partnership efforts aimed at testing new ideas and spreading best Susana R. Morales, MD Simon A. Zysman, MD Foot Center of New York practices. Moses & Singer LLP NewYork-Presbyterian Brooklyn Methodist Auxiliary of The Mount Sinai Hospital $500 to $999 Hospital Auxiliary But our ability to continue this work depends on the generous support of NYU Wagner Graduate School Sheila M. Abrams Nicholas & Lence Communications LLC contributors. Gifts, both large and small, to our Campaign for a Healthier of Public Service AcademyHealth Laurie Niles Ostgrodd Foundation Priscilla Almodovar Amanda S. Parsons, MD, MBA New York provide essential funding for UHF’s work during these turbulent Nicole and Bruce Paisner John H. Asiel Stowe and Charlton Phelps Charitable Fund times for our health care system. Carl and Betty Pforzheimer Donna Astion, MD Gerta G. and Jerome B. Posner, MD Pine Cone Fund Bank of America, N.A. Peter J. Powers* For 138 years, United Hospital Fund has been an independent force shaping Linda Farber Post and Richard A. Berman Morna Reid-Schwartz Foundation, Inc. positive change in New York’s health care, with a special focus on our most Kalmon D. Post, MD Paul J. Brignola Peter A. Rogers Primary Care Development Corporation Kenneth and Kathryn C. Chenault Lynn B. Rogut vulnerable populations and the health care challenges and inequities they Public Health Solutions Community Service Society of New York Eleanor A. and John E. Rorer face. With your support we can continue to help steer a steady course Q Capital Strategies, LLC John and Ingrid Connolly The Rosenthal-Newman Fund toward affordable, accessible, high-quality health care. Please join us as a Rita Rasmussen Margaret M. Crotty Charles M. Strain Lonny Reisman, MD Stephanie L. Davis Lisa Tananbaum vital partner in that work. Mary Gordon Roberts Mary A. DeBare The Veronese Charitable Gift Fund Charles F. Rogers III Helen C. Evarts Mark Von Ulrich Sally J. Rogers Arthur and Susan L. Fleischer Earl and Gina Ingolia Weiner The Rogosin Institute Diane and Blaine Fogg Bobby and Allan Weissglass The Ronald O. Perelman and Claudia Michael R. Golding, MD David Woodlock Cohen Center for Reproductive Robert A. Guimento Medicine of Weill Cornell Kathryn Haslanger and Gordon Berlin Medical College Dr. Harvey L. Hecht and Dr. Gail S. Hecht Deceased * Florence & Robert A. Rosen Family Michael Hecht Foundation Lesley B. and Joseph C. Hoopes, Jr. Ellen and Harold Rubin Judith B. and Jacob S. Israel, MD Betsy and John Simons Wallace E. Johnson, MD

16 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 17 James R. Tallon, Jr., Strategic Initiatives Fund

Created to honor Jim Tallon and advance his vision of health care equity for all New Yorkers, Jim Tallon: An Appreciation this fund supports timely and objective analysis of critical issues facing New York, and strategic program initiatives fostering creative problem solving, open dialogue and exchange among stakeholders, and effective interventions and innovations. For more than 40 years, Jim Tallon has been at the heart of New York’s steady progress toward a more accessible, effective, equitable health care system. From his leadership in the state’s Assembly through his leadership of UHF, Jim has left a record of extraordinary Funds will be targeted to three pressing and overarching health care concerns: achievement and a legacy of lasting, positive change. Expanding essential, comprehensive insurance coverage Ensuring the viability of the health care safety net In his 19 years in the Assembly—eight as health independent roles, including—at the Clinton Addressing cost and quality-of-care issues through innovation. committee chair and six as majority leader—Jim became Administration’s request—UHF-led planning for what known for both his belief in the transformative power of would become the National Quality Forum. facts and his ability to synthesize and explain complex data. But he was equally known for his skill at consensus In demand as a contributor to both local and national Donors (as of September 2017) Patrons Contributors and coalition building—reaching across the aisle, dialogue, Jim chaired The Commonwealth Fund and the Dale C. Christensen, Jr. Sheila M. Abrams listening, moderating, forging productive collaborations Kaiser Commission on Medicaid and the Uninsured, and Underwriter Andrea G. Cohen, JD Bettina Alonso that resulted in an impressive roster of legislation. In served on the boards of the Joint Commission, Alliance Hearst Corporation The Commonwealth Fund Richard A. Berman 1999, he was named one of 25 leaders who had made for Health Reform, Association for Health Services Ferguson/Nazareth Family Jo Ivey Boufford, MD “sweeping improvements” in New Yorkers’ lives over the Research, and Institute on Medicine as a Profession, Pacesetters Charitable Fund Rev. Dr. John E. Carrington past 25 years. along with numerous other advisory boards and Stephen Berger and Fidelis Care New York Stephanie L. Davis commissions. He was a member, too, of the New York Cynthia C. Wainwright David and Elaine Gould Jennie L. and Richard K. DeScherer Jim’s vision and voice served equally well in his 24 years State Board of Regents. J. Barclay Collins II Kravet Inc. Helen C. Evarts as UHF president. His tenure brought new visibility to Paul E. Francis Josiah Macy Jr. Foundation Kristine Moore Gebbie, DrPH our participation in State efforts to reshape health policy, As important as activities are, though, is the hallmark of Greater New York Hospital Bruce A. Gimbel Foundation, Inc. and to our own work—independently and with the all Jim’s work: his never losing sight of the potential Association/GNYHA Ventures, Inc. Sponsors Michael Gould broader health care community—on quality, innovation, human costs and gains of efforts to effect change. Frederick and Barbara Clark Telling Lori Evans Bernstein and Deborah E. Halper and accountability. Jim was a steadying, sage guide Intrinsic to every strategic decision made under his William Bernstein Kathryn Haslanger and Gordon Berlin through an era of daunting challenges and diverse leadership was Jim’s belief in the fundamental value of Leaders Emigrant Savings Bank Michael F. Hogan, PhD perspectives, engaging policymakers, providers, payers, equitable, high-quality, universal health care, and the Charina Endowment Fund Heritage Medical Systems Institute on Medicine as a Profession and consumers in finding common ground and need to ensure that for the most vulnerable and Richard Cotton Northwell Health David H. Klein producing workable solutions. underserved. Josh N. Kuriloff Richard Ravitch Michael R. McGarvey, MD Cynthia D. Shenker, Susana R. Morales, MD Initiatives begun under Jim’s leadership broadened the In the end, what most stands out Benefactors Shenker Russo & Clark LLP The New Jewish Home scope of UHF’s work and reinforced the The Engelberg Foundation about Jim is simply his humanity. The Howard Smith, Jr. Martin D. Payson interconnectedness of the health system’s many elements. Healthcare Association of New York Michael A. Stocker, MD Carol Raphael Among those new programs were the Families and results of his deep caring and his State Kenneth E. Thorpe, PhD Sally J. Rogers Health Care Project, Aging in Place Initiative, Medicaid The Shelley & Donald Rubin optimistic belief in the value of public Mary Beth C. Tully Chad E. Shearer Institute, Quality Institute, Partnerships for Early Foundation John C. Simons Childhood Development, and—in partnership with service, hand in hand with his Lorie A. Slutsky Greater New York Hospital Association—the signature Bruce and Fredda Vladeck Clinical Quality Fellowship Program and multi-hospital commitment to excellence, have Bobby and Allan Weissglass quality improvement collaboratives. Jim’s coalition- touched the lives of all New Yorkers. building skills also marked the development of a number of initiatives that have gone on to play major We are grateful for having been a major part of his long and successful career, and trust that his wisdom and voice will continue to resonate across health care for years to come.

18 UNITED HOSPITAL FUND 2017 ANNUAL REPORT 19 Staff Opportunities to Help

Anthony Shih, MD, MPH Communications Information Systems Peter Newell President Debra Romeo Lally Director, Health Insurance Catherine Arnst Director Project Sheila M. Abrams Director, Public Information Senior Vice President for Francesca Demane Lynn Rogut Administration and Finance / Andrea L. Lucas Database Associate Director, Quality Measurement Treasurer Director, Publications and Care Transformation Joey Rodriguez Sally J. Rogers Miles P. Finley Network Administrator Hillary J. Browne Senior Vice President for Editor Administrative Assistant Communications and Sharen Whitley Privetté United Hospital Fund relies on your generosity to support our mission of building a more Development Mary C. Johnson Software Support Specialist Matlin Gilman Special Projects Advisor Health Policy Analyst effective health care system for every New Yorker. One especially meaningful way to help is to remember UHF in your will. Through a bequest you can support innovation and Rachelle Kredentser Gabriela Groenke necessary change in health care while linking your name for years to come with a cause Office of the President Administrative and Library Executive and Program larger than any single institution. Communications Assistant Assistant Amanda A. Williams Wil Yates A bequest may allow you to make a more significant gift than you could otherwise afford Assistant to the President / Librarian Hollis Holmes in your lifetime and may also reduce your estate taxes. Moreover, your support will enable Corporate Secretary Grants Manager UHF to continue to be a center for ideas, activity, and participation for future generations. Development Iris M. Alvarado Pooja Kothari When discussing your estate plans with your lawyer or financial advisor, you may want to Executive Assistant Christina Maggi Program and Policy Initiatives Program Manager consider incorporating the following simple language in your will: “I give and bequeath to Director United Hospital Fund ____ percent of my total estate [or $_____, or other property].” Deborah E. Halper Roopa Mahadevan Michelle Levy-Branower Vice President, Program and Policy Manager Business Management Assistant Director Education and Program Please let us know if your estate plans already include a gift to UHF, so that we may include Initiatives Kevin Mallon you as a member of our Legacy Society. Sharon Butler Rosalie Chandler Administrative Assistant Controller Development Associate Chad Shearer You can also contribute to our Campaign for a Healthier New York. This annual fundraising Vice President for Policy; Nathan Myers effort provides essential support for our current work to ensure accessible, affordable, Kristen Beatty Maryam A. Diaab Director, Medicaid Institute Senior Health Policy Analyst high-quality health care for all. Staff Accountant Campaign Coordinator Anne-Marie J. Audet, MD Kristina Ramos-Callan For more information on bequests, other special giving plans, or our annual fundraising Mala Mohan Senior Medical Officer, Program Manager campaign, please call Christina Maggi, director of development, at 212.494.0728. Staff Accountant Quality Institute Human Resources Misha Sharp United Hospital Fund is a not-for-profit charitable organization under Section 501(c)(3) Dwayne Robinson Vaughn Murria Suzanne Brundage Research Analyst Junior Accountant Director Program Director, Children’s of the Internal Revenue Code (federal tax ID# 13-1562656) and all gifts are tax deductible Health Initiative to the full extent allowed by law. Jennifer Monroy Human Resources Generalist Gregory C. Burke Support Services Director, Innovation Strategies Jatna Rojas Samuel Rios Receptionist Joan Guzik Manager Director, Quality Improvement Frank Dunn Carol Levine Support Services Assistant United Hospital Fund is proud that it meets all of the Better Business Bureau’s Standards for Charity Accountability. Director, Families and Health Care Project

20 UNITED HOSPITAL FUND Design: Mark Von Ulrich/Maria Kerdel-De Marco United Hospital Fund 1411 Broadway, 12th Floor New York, NY 10018-3496 T: 212.494.0700 F: 212.494.0800 www.uhfnyc.org