All topics / Health and Human Services
NYC Health + Hospitals
Created in 1969 by the New York State Legislature as a public benefit corporation, HHC took over operation of New York City's public hospitals from the Department of Hospitals in 1970. Its flagship, Bellevue Hospital, dates to 1736, making it the country's oldest public hospital; today, rebranded as NYC Health + Hospitals, it is the largest municipal health care system in the United States, employing about 45,000 people across acute care hospitals, long-term care facilities, and community clinics that serve as a safety net for uninsured and low-income New Yorkers.
What's working
- What percent of HIV patients retained in care?: 87.4% — beats target by 2.4%
- How many metroPlus membership cases are there?: 687,587 people enrolled
- How many unique patients are there?: 1,191,776,000 patients
- and 4 more below
What's getting worse
- How many uninsured patients were served?: 231,368 patients — decreasing, mostly reflecting a reporting change and Medicaid coverage expansion
- How many net days of revenue for accounts receivable are there?: 26.7 days — decreasing after rebounding from a FY24 cyberattack that disrupted billing
- What percent of eligible women receiving a mammogram screening?: 72.7% — misses target by 7.3%
- and 1 more below
Critical indicators
With a numeric target
What percent of eligible women receiving a mammogram screening?
72.7%Misses target by 7.3%
What percent of eligible women receiving a mammogram screening?
72.7%Misses target by 7.3%
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual | Target |
|---|---|---|
| FY22 | 72.7% | 80% |
| FY23 | 78.3% | 80% |
| FY24 | 79.7% | 80% |
| FY25 | 80.8% | 80% |
| FY26 (YTD) | 72.7% | 80% |
72.7% in FY26 — missed the City's own target for this indicator (7.3% below the 80% target), though it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
How many net days of revenue for accounts receivable are there?
26.7 days — decreasing after rebounding from a FY24 cyberattack that disrupted billingMisses target by 1.7 days
How many net days of revenue for accounts receivable are there?
26.7 days — decreasing after rebounding from a FY24 cyberattack that disrupted billingMisses target by 1.7 days
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual | Target |
|---|---|---|
| FY22 | 49.7 days | 42 days |
| FY23 | 46.4 days | 42 days |
| FY24 | 64.1 days | 42 days |
| FY25 | 31.8 days | 42 days |
| FY26 (YTD) | 26.7 days | 25 days |
H+H's own reporting says the FY24 spike to 64.1 days was "not reflective of actual performance": a February 2024 cyberattack on the clearinghouse vendor that processes patient statements, insurance eligibility, and claims disrupted the System's ability to post and reconcile payments, artificially inflating the accounts-receivable figure. The drop to 31.8 days in FY25 reflects the System having "mostly rebounded" from that disruption, plus a large one-time payment the System received at the end of June 2025.
Researched July 16, 2026 — NYC Health + Hospitals, Fiscal 2024 Mayor's Management Report, NYC Health + Hospitals, Fiscal 2025 Mayor's Management Report
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
What percent of HIV patients retained in care?
87.4%Beats target by 2.4%
What percent of HIV patients retained in care?
87.4%Beats target by 2.4%
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual | Target |
|---|---|---|
| FY22 | 82.1% | 85% |
| FY23 | 84.5% | 85% |
| FY24 | 87.3% | 85% |
| FY25 | 87.4% | 85% |
| FY26 (YTD) | Not available | 85% |
87.4% in FY25 — met the City's own target for this indicator (2.4% above the 85% target), and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
What is the post-acute care satisfaction rate?
89%Beats target by 2.7%
What is the post-acute care satisfaction rate?
89%Beats target by 2.7%
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual | Target |
|---|---|---|
| FY22 | 80.9% | 86.3% |
| FY23 | 84% | 86.3% |
| FY24 | 86.5% | 86.3% |
| FY25 | 89% | 86.3% |
| FY26 (YTD) | Not available | 86.3% |
89% in FY25 — met the City's own target for this indicator (2.7% above the 86.3% target), and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
Without a numeric target
How many uninsured patients were served?
231,368 patients — decreasing, mostly reflecting a reporting change and Medicaid coverage expansion
How many uninsured patients were served?
231,368 patients — decreasing, mostly reflecting a reporting change and Medicaid coverage expansion
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 391,810 patients |
| FY23 | 219,943 patients |
| FY24 | 249,785 patients |
| FY25 | 231,368 patients |
| FY26 (YTD) | Not available |
Two distinct, documented factors drive this swing. First, the FY22-to-FY23 drop is mostly a reporting change: H+H's own notes say the methodology switched to exclude insured patients who received non-billable services, which had previously "artificially inflated" the count, making FY22 and later years not directly comparable. Second, the decline after FY24 reflects New York State Medicaid expansions -- including continuous eligibility for children under six and Medicaid coverage for New Yorkers 65+ regardless of immigration status -- plus the correction of a temporary inflation in FY24's figure caused by a February 2024 cyberattack on a health care claims/insurance-eligibility vendor that disrupted insurance verification system-wide.
Researched July 16, 2026 — NYC Health + Hospitals, Fiscal 2023 Mayor's Management Report, NYC Health + Hospitals, Fiscal 2025 Mayor's Management Report
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
How many metroPlus membership cases are there?
687,587 people enrolled
How many metroPlus membership cases are there?
687,587 people enrolled
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 648,369 people enrolled |
| FY23 | 715,343 people enrolled |
| FY24 | 715,898 people enrolled |
| FY25 | 687,587 people enrolled |
| FY26 (YTD) | Not available |
687,587 people enrolled in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
How many unique patients are there?
1,191,776,000 patients
How many unique patients are there?
1,191,776,000 patients
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 1,110,039,000 patients |
| FY23 | 1,204,174,000 patients |
| FY24 | 1,210,437,000 patients |
| FY25 | 1,191,776,000 patients |
| FY26 (YTD) | Not available |
1,191,776,000 patients in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
How many eConsults were completed?
395,090 econsults
How many eConsults were completed?
395,090 econsults
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 404,406 econsults |
| FY23 | 426,532 econsults |
| FY24 | 437,552 econsults |
| FY25 | 395,090 econsults |
| FY26 (YTD) | Not available |
395,090 econsults in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
What percent of follow-up appointment kept within 30 days after behavioral health discharge?
65%
What percent of follow-up appointment kept within 30 days after behavioral health discharge?
65%
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 48.1% |
| FY23 | 54% |
| FY24 | 62% |
| FY25 | 65% |
| FY26 (YTD) | Not available |
65% in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
What percent of MetroPlus Health Plan medical spending at Health + Hospitals?
38.4%
What percent of MetroPlus Health Plan medical spending at Health + Hospitals?
38.4%
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 42.4% |
| FY23 | 43.3% |
| FY24 | 43.5% |
| FY25 | 38.4% |
| FY26 (YTD) | Not available |
38.4% in FY25 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia
How much NYC Care enrollment is there?
121,806 people enrolled
How much NYC Care enrollment is there?
121,806 people enrolled
* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.
View as table
| Fiscal year | Actual |
|---|---|
| FY22 | 113,178 people enrolled |
| FY23 | 119,234 people enrolled |
| FY24 | 143,503 people enrolled |
| FY25 | 140,222 people enrolled |
| FY26 (YTD) | 121,806 people enrolled |
121,806 people enrolled in FY26 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.
Why this is tracked
New York State created the Health and Hospitals Corporation in 1969 (Chapter 1016 of the Laws of 1969) to take over the city's public hospitals from the Department of Hospitals, which it did in June 1970. Structuring it as a quasi-independent public benefit corporation, rather than a standard city department, freed it from direct control by the City's budget agency and let it collect its own revenue and make its own purchasing decisions — while the City retained ownership of the facilities. That structure exists because the system's core mission — treating all New Yorkers regardless of ability to pay — depends on financial flexibility a typical city department doesn't have.
History of New York City Health and Hospitals Corporation — FundingUniverse, NYC Health + Hospitals — Wikipedia