Nursing Jobs in Lawrence, NY
Job Description We are looking for a compassionate and warm Home Health Aide to provide assistance in daily living and personal care services for our clients. This is a rewarding opportunity to make a difference in the lives of patients and their families. Some responsibilities include: Personal care - Bathing, dressing, grooming etc. - Meal and snack preparations - Home Health aide should accompany patient on errands, shopping and medical appointments - Provide companionship, empathy and basic emotional support - Medication reminders Housework - Cleaning the floors ( mop , sweep , vacuum etc.) - Washing dishes - Cleaning the bathrooms - Change the linen - Laundry Hours Choose your own! Pay $19 -$21 Benefit: Health Insurance Flexible schedule Paid time off Certification HHA required (Certified in NY) Our Agency prides itself in caring for our employees like family ! Call 718-596-2255 ext 205 today to join our team! $87,692 - $131,538 / year
Description A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for a patient’s condition that falls within their specialty area of practice. NOTE: Medical orders, progress notes and treatments plans are not required to be countersigned by a physician. Responsibilities Roles & Responsibilities: Demonstrates the ability to perform clinical/technical/service/administrative tasks Overall clinical responsibility for the quality, outcomes and effectiveness of various occupational medicine programs in accordance with Medical Center and NYS, JCAHO, CDC and OSHA guidelines. Clinical responsibility for medical services including follow-up, tracking and aggregate reporting Evaluating, diagnosing and treating occupational health and medical center employees/patients. Demonstrates knowledge of Division of Occupational Medicine and Workforce Health policies and procedures and implements them in the delivery of medical services. Demonstrates the ability to utilize computers and computer software to input and access patient information and general reports required for patient treatment and compliance status in the clinic and other Division of Occupational Medicine work sites. Maintains effective communication with clinic physicians on diagnosis and treatment of patients, as well as implementation of Division policies and procedures. Takes a regular proactive role in communicating and interacting with other members of the treatment team. Interact well with corporate and school client contacts Assumes responsibility for progress notes on patient encounters. Maintains accurate and well documented charts. Works with nursing staff to ensure optimal patient care and adherence to compliance program policies and procedures. Demonstrates knowledge of action, dosage and side effects of medication allowed by NYS law. Demonstrates competency in performing treatments and procedures, including blood drawing, EKG test administration, vision and audio tests, spirometry and fit testing. Assists in the development and implementation of protocols for efficient and optimal patient care. Provides for the safety of patients, staff and other employees and visitors in the clinical environment. Participates in on-going QI-QA programs. Develops and presents at educational sessions annually to adult patient populations Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area. Participates in the department’s performance improvement activities. Leads annual flu vaccine campaign, organizing and staffing PODs Observes the Health Care System’s compliance policies. Is familiar with and adheres to Medical Center and Department compliance policies and procedures. Proactively demonstrates responsibility and accountability for the timely and complete management, report, and tracking of clinical results. Promptly advises supervising physician of any issues arising in the treatment of patients and/or gathering, recording and dispersal of required medical documentation. Maintains patient/employee confidentiality in the management of information. Maintains security of confidential patient information and tools necessary to provide operational and clinical services at all Division work sites. Keeps documentation required for patient services and data entry secure, organized, up-to-date, clearly labeled and ready for the next member of the health care team in the established handling process. Utilizes time in an efficient, organized manner, while maintaining sensitivity to the need for patients to have sufficient time to communicate effectively. Proactively participates in expansion and improvement of Division of Occupational Medicine and Workforce Health operations at all assigned sites on a fluctuating schedule. Meets regularly with other members of health care team and other staff members to update policy, procedures, new treatment developments and strategies for efficient administration of services. Follows up on patient needs and requests promptly and appropriately. May be required to perform other duties as assigned or perform other duties when necessary. Tracks employees, volunteers and vendors annual health compliance Follows up on employees out on worker’s compensation Initiates referrals to specialty areas and fosters continuity of care Participates in team meetings and conferences Creates MS Power Point graphs to present aggregate data to leadership in meetings re (compliance, Flu program, work place exposures, other) Scans documents into EMR storage system (OnBase) Registers employees, volunteers, vendors, other in EMR system during each visit Answers incoming calls from Call Center Other non—clinical responsibilities as assigned by Medical or Clinical Director Qualifications Requirements: Master's from an accredited Nurse Practitioner Program Current NYS Nurse Practitioner and Registered Nurse licenses and registration certifications. Current ANCC certification. Willing to accept fluctuating hours as needed. Demonstrates a professional, courteous, and respectful attitude, Excellent technical and patient care skills. Excellent communication skills, written and verbal. Working knowledge of personal computers and some prior hands-on experience Models a customer service focus. Respects patient confidentiality, privacy and dignity. Requires appointment to Medical Center Allied Health Personnel Staff. Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $87692 - $131538 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. $145,000 - $168,000 / year
Location New York, New York Shift: Evening (United States of America) Description: Care of the Highest Quality:Clinical Managers Make It Possible Clinical Manager/Assistant Nurse Manager - RN – 5West Pulmonary Stepdown - Nights A New Unit Delivering Excellence in Critical Care: Clinical Managers Make It Possible Clinical Manager/Assistant Nurse Manager - RN – 5West Pulmonary Stepdown - Evenings Join NewYork-Presbyterian/Weill Cornell Medical Center in shaping the future of our Medicine Pulmonary Stepdown Unit. Be on the cutting edge of healthcare and work with state-of-the-art technology, such as the next generation of Philips telemetry systems, allowing you to sharpen your skills each and every day. See and experience more than most can imagine at an Ivy League-affiliated campus where nursing teams put the patient at the center of everything we do. Oversee the nightly operations of our Pulmonary Stepdown Unit , ensuring the delivery of high-quality care and caring to our patients. Partner closely with Patient Care Director, who will help mentor and guide you in your new leadership role. Establish short- and long-term goals for the unit, manage and evaluate staff, lead nightly huddles, support clinical decision-making and work closely with interdisciplinary teams to coordinate services. Regularly assess unit operations (including patient flow and throughput) to identify room for improvement. Lead initiatives focused on enhancing quality and performance throughout the unit. Continuously move forward in your career, as you receive numerous opportunities to learn and grow. Position is Fulltime 4 evening shifts per work week, 2pm to 12 Midnight flexibility in shifts and days for meetings, JCAHO and payroll Preferred Criteria Master’s Degree in Nursing PCCN Certification Required Criteria At least two years of acute care RN experience in a stepdown unit (vent experience preferred) Demonstrated leadership skills Bachelor’s Degree in Nursing Current New York State RN license (or willingness to obtain) BCLS certification Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses. __________________ 2026 Best Companies in Healthcare, Biotech & Pharma – Glassdoor 2026 Best Place to Work – Glassdoor 2026 America’s Best Large Employers – Forbes 2026 America’s Best-In-State Employers – Forbes 2026 America’s Dream Employers – Forbes 2026 America’s Greatest Workplaces for Culture, Belonging & Community – Newsweek 2026 Best Places to Work in IT - Computerworld 2025 Great Place to Work Certified 2025 Best Employers for Women – Forbes 2025 Companies that Care – People 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $145,000-$168,000/Annual It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. 
$72,976.04 - $73,299.95 / year
NYU Langone Hospital—Long Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. Learn more about NYU Langone Hospital—Long Island , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , X , YouTube and Instagram . Position Summary: We have an exciting opportunity to join our team as a Licensed Practical Nurse - Multispeciality - Garden City. In this role, the successful candidate Provide care and treatment to patients and clinical and technical support to professional medical staff. Utilize clinical expertise to deliver safe, therapeutic, age-specific patient care through planning, implementation and evaluation. Works collaboratively with a multidisciplinaryHealth team to promote wellness and optimize patient outcomes. Perform phlebotomies and administer subcutaneous and intramuscular injections (SQ/IM). Job Responsibilities: Performs other duties as assigned Evaluate the health care of patientsfamilies and respond to care rendered. Make appropriate referrals, under the direction of the RNNPMD. Access and document patients response to nursing and interdisciplinary team interventions. Evaluate patients clinical status and report findings to the RNNPMD and address patient issues following established communication hierarchy. Participate in problem identification and problem solving in the work environment. Contribute to the growth and development of self, staff and students through participation in peer review, mentor relationships, formal and informal education. Ensure completion of patient care assignment in an organized and efficient manner. Delegate aspects of patient care to team members consistent with scope, capabilities and responsibilities of care giver and supervise completion of assigned tasks. Establish therapeutic relationship with patientfamily. Communicate directly and effectively with patients regarding their care or treatment using appropriate terminology and in a respectful manner. Interact with medical and support staff efficiently and professionally. Use proper patient education techniques. Minimum Qualifications: To qualify you must have a High School or GED required. Graduate of LPN program Current New York State Licensed Practical Nurse License and Registration. Basic computer skills. Good communication skills. Strong attention to details, accuracy and ability to multitask and set priorities.. Required Licenses: LPN Preferred Qualifications: 1 - 2 Years experience in private practice Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Hospital—Long Island provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Hospital—Long Island is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $72,976.04 - $73,299.95 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here 
$50,629.51 - $72,976.05 / year
NYU Langone Hospital—Long Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. Learn more about NYU Langone Hospital—Long Island , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , X , YouTube and Instagram . Position Summary: We have an exciting opportunity to join our team as a LPN, FGP - Dermatology - Great Neck. In this role, the successful candidate The FGP LPN will assist the RN in the care of patients and families by completing assigned patient care tasks, in accordance with the NYS LPN scope of practice and NYULH policy. In this role, the FGP LPN will provide competent, safe, and compassionate care with emphasis on an understanding of the challenges faced by health maintenance, illness, hospitalization, undergoing procedures, or diagnostic testing. The FGP LPN will check vital signs, recording a patients medical history, and utilize specialized skills and safety when carrying out specific tasks of patient care as assigned, including phlebotomy, point of care testing via finger stick, with certification, and electrocardiograms. Job Responsibilities: • Participates in patient centered quality and performance improvement program consistent with service and departmental programs. • Acquires and maintains current LPN knowledge and competence to fulfill responsibilities. • Supports the missions, philosophy, standards, goals and objectives of NYULH • Collects patient healthcare data systematically and, on an on-going basis, using appropriate assessment techniques and instruments. • Enforces adherence of NYULH and FGP policies and procedures and standards including but not limited to HIPAA, Compliance, Human Resources, etc. • Participates in coordination of unit activities to provide patient care in a healing, humane and caring environment. • Engages in self-assessment and participates in activities to promote own professional growth and development. • Obtains patient vital signs, weights, EKGs as needed. Performs blood collection/phlebotomy as needed. • Administers medications, including injections in accordance with NYULMC clinical guidelines and NYS Scope of Practice • Assists with maintaining patient flow to and from exam rooms and treatment areas. Assists in escorting patients. Ensure chart is available, with relevant lab work and test reports if indicated, for physician when the physician sees the patient. • Maintains an awareness of current patient centered evidence-based practices and uses knowledge of applicable research data in provision of patient care. • Collaborates with members of the interdisciplinary team and promotes collegial relationships. • Assists patients and communicates with licensed providers to obtain prescription renewals as needed. • Performs patient related functions as directed by the Licensed Provider and/or Registered Nurse (RN), and documents properly. These may include the following, as governed by LPN scope of practice: medication administration, vaccination, other injections, and patch placement, set up and/or assist for procedure. • Communicates directly with patients regarding their care or treatment using appropriate terminology and respectful manner. Interacts with medical staff efficiently. Interacts with support staff professionally. • Serves as a support and resource for nursing staff and providers • Demonstrates knowledge of the NYUMC Service Standards and incorporates into the performance of responsibilities. • Functions as a respectful member of the health care team. • Ensures clinical compliance with Patient Safety initiatives and reporting • Ensures clinical in-baskets are maintained and encounters are closed within a timely manner. • Considers needs and behaviors of specific patient age and cultural groups in all patient care activities. • Completes annual competencies such as Fire Safety, Hazardous Waste, Medsled, HIPPA compliance, etc. Patient Experience Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter. • Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off) • Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate • Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging. • Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate. • Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.) • Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience. • Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles. Minimum Qualifications: To qualify you must have a Graduate of LPN program with current NYS OP LPN licensure and registration. Ability to complete multiple tasks efficiently and thrive in a team work environment which pursues a positive patient care experience. Physical stamina, manual dexterity, visual and aural acuity to perform responsibilities needed also required.. Required Licenses: LPN Preferred Qualifications: BLS certification preferred Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Hospital—Long Island provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Hospital—Long Island is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $72,976.05 - $50,629.51 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here 
$98,200 - $130,800 / year
Overview Manages, coordinates, facilitates and supports the members of the interdisciplinary team in provision of hospice care to patient/families of VNS Health Hospice Care Program, including After Hours. Ensures the implementation of clinical/quality improvement initiatives for hospice services in compliance with regulatory requirements. Demonstrates knowledge and commitment to excellence in clinical practice and customer service. Works under general direction. *This role includes a $15K sign-on bonus, payable in two installments during your first year of employment with VNS Health. • Ensures the use of an interdisciplinary approach to assess the medical, physical, social, emotional and spiritual needs of the patient. Ensures that support and direction to patient’s families are provided in accordance with the patient’s Interdisciplinary Plan of Care/Hospice Care mission, objectives, policies and procedures. • Participates in Hospice Team meetings, IDG management meetings, and serves on relevant committees for the purposes of information exchange, team collaboration, development of procedures and documentation tools, development of quality and training. • Ensures full regulatory compliance with Hospice Conditions of Participation and standards through review, monitoring and audit (ad hoc / regular) of files, processes and procedures. • Collaborates with Quality Improvement/Education in the development and implementation of quality improvement and educational activities to ensure professional practice standards are consistently met for each member of the team. Participates in the design, implementation, evaluation and modification of quality initiatives and educational plans. • Initiates, coordinates, performs and assists in the analysis of clinical, regulatory and fiscal practice. Assists leadership in achieving Hospice Care goals, objectives, and fiscal targets by providing support with compliance and/or innovation to achieve improvement. • Manages the day to day operations of the department, which includes effective caseload or visit management, achievement of productivity and revenue/expenditure targets for Hospice Care. • Completes all work assignments, which includes audits, reports and projects. • Performs all duties inherent in a managerial role. Ensures effective staff training, evaluates staff performance, provides input for the development of the department budget, and hires, promotes, and terminates staff and recommends salary actions as appropriate. • Facilitates and manages the interdisciplinary group for provision of an effective and comprehensive hospice services to patient/families of VNSNY Hospice Program. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Licensed and currently registered to practice as Nurse Practitioner in New York State and DEA license preferred Education: Bachelor's Degree in Nursing from an approved program accredited by the National League of Nursing or Health or Human Services field or the equivalent work experience required Work Experience: Minimum of three years clinical experience in hospice required Effective oral, written and interpersonal communication skills required Clinical management experience preferred Knowledge of personal computer operations, including MS Office applications preferred Pay Range USD $98,200.00 - USD $130,800.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
