The Suburban Hospital Alliance of New York State, LLC, is a consortium of 51 not-for-profit and public hospitals advocating for better health care policy for all those living and working in the nine counties north and east of New York City – Nassau and Suffolk counties on Long Island and Westchester, Rockland, Orange, Sullivan, Putnam, Dutchess, and Ulster counties in the Hudson Valley.

The Suburban Hospital Alliance, also known as SHANYS, was informally founded in 2006 by the Northern Metropolitan Hospital Association (NorMet) and the Nassau-Suffolk Hospital Council (NSHC). In 2012, these two organizations officially formed the Suburban Hospital Alliance. NSHC represents hospitals on Long Island and NorMet represents hospitals in the Hudson Valley. The Suburban Alliance ensures that the specific concerns of suburban hospitals from the Hudson Valley region and from the Long Island region are heard in Albany and Washington. Issues related to work force, managed care, patient safety, capital financing, medical malpractice, and reimbursement dominate the agenda and differ in subtle as well as more significant ways from these same and other issues facing rural and urban areas. The Alliance offers strength in numbers and has been influential in securing positive legislative and regulatory reforms for hospitals, especially in the area of managed care.

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