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Compliance & Privacy

Episcopal Health Services Inc. (EHS) has a long history of rendering quality healthcare services. EHS is committed to providing these services in accordance with applicable laws and in line with the highest ethical standards.

Compliance & Ethics

EHS’s Compliance Program, which has been adopted by the Board of Trustees, is designed to prevent, detect and deter health care fraud, waste, abuse and illegal or unethical conduct. EHS maintains a Code of Conduct, which provides standards and expectations of conduct for all individuals including EHS employees, personnel, staff, volunteers, students, and trainees as well as others associated or affiliated with EHS such as vendors, contractors and entities. EHS also maintains a Compliance Plan, which outlines the “day-to-day” operations that relate to the Compliance Program.

Privacy of Health and Personal Information

The protection of one’s health information and other personal information (e.g., social security number, bank account number) is of utmost importance. EHS is responsible for ensuring the confidentiality, integrity, and availability of your information and compliance with the privacy and security requirements under Federal and State law including the Health Insurance Portability and Accountability Act (HIPAA) and the New York State Stop Hacks and Improve Electronic Data Security Act (SHIELD). The Chief Corporate Compliance Officer also serves as EHS’s Privacy Officer.

EHS’s Notice of Privacy Practices describes how the health information about our patients may be used and disclosed and the rights afforded to them under HIPAA. EHS encourages you to take a moment and review this notice to become familiar with this notice.

Reporting Compliance & Privacy Concerns

To report suspected compliance issues and/or violations, please contact the Compliance and Privacy Department by calling (718) 869-5711 directly. You may also choose to report issues via the confidential and anonymous Compliance Hotline at 1-844-973-0162 or online at You can also e-mail us at

Note: If you suspect Medicare fraud, or that which involves a health plan, you can also contact the health plan sponsor directly or contact the Office of Inspector General at 1-800-HHS-TIPS.

EHS’s Policy on Non-Retaliation/Intimidation strictly prohibits intimidation, harassment or retaliation, in any form, against any individual or entity who in good faith participates in the EHS Compliance Program by reporting or participating in the investigation of any known or suspected violations of law, privacy, EHS policies and procedures, potential fraud, waste and abuse or other non-compliance.

All reports of suspected non-compliance are investigated and responded to in a prompt fashion. Confidentiality is afforded to the extent provided for under the law.