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Net days of revenue for accounts receivable
Provide medical, mental health and substance abuse services to New York City residents regardless of their ability to pay. — Enhance the sustainability of the Health+Hospitals system.
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
* 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 |
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
Source: Division of Finance, Epic Electronic Medical Records System — via NYC Open Data: Mayor's Management Report, Agency Performance Indicators
Coverage shown: FY22–FY26, reported quarterly.
Definition: Net days of revenue in patient accounts receivables including inpatient and outpatient.