Lance's Corner

OSC Issues Report on New York Nonprofits

Jan 8, 2025

Per the notice below, the Office of the New York State Comptroller (OSC) has issued a report on nonprofit entities in New York State.

DiNapoli Releases Report on Nonprofit Industry

State Comptroller Thomas P. DiNapoli released a report that showed nonprofit organizations in 2022 provided 1.3 million jobs to New Yorkers, just over 1 in 6 private sector jobs in the state.  While the number of nonprofits increased nationally between 2017-2022, they declined in New York and the number of jobs also fell by 4.1%.

“Nonprofits play an important role in our state and local economies and are an essential part of the fabric of the communities they serve, but their numbers are shrinking,” DiNapoli said.  “Many nonprofits rely on government funding to support their services, and contract delays and slow payments have contributed to some of the challenges they face.  Policymakers need to ensure state agencies process contracts and payments for nonprofits on time, so they can carry out the work on which so many New Yorkers rely.”

Nonprofits Role in State Economy

In 2022, there were over 344,000 nonprofit organizations in the U.S., 3.1% of all private sector establishments.  With 33,536, nearly 1 in 10 of these nonprofits were located in New York, comprising 5% of the private sector statewide.  Nonprofits provided 12.8 million jobs nationwide in 2022, with the greatest number (10.6%) in New York.  In some regions of the state, they supported more than 1 in 5 private sector jobs.  Nonprofits in New York paid $96.8 billion in wages in 2022 (11.1% of the nationwide total).  Average annual wages paid by nonprofits in the state were lower than in the public and private sectors, in contrast to nonprofits in the rest of the country, where average wages were more in line with public and private sectors.  Statewide, three industry sectors accounted for 78.9% of nonprofits and 89.3% of nonprofit jobs in 2022.  The health care and social assistance sector had the largest share of nonprofit establishments (41.3%) and jobs (61.4%).  Other sectors with significant employment in New York include educational services, other services, professional and business services, and leisure and hospitality.

Decline in Nonprofits Since 2017

Although New York ranks among the highest for nonprofit establishments and employment, both numbers declined between 2017 and 2022.  The state experienced a loss of 626 nonprofits between 2017-2019, and recovered 453 over the following three years, a net loss of 173 establishments through 2022.  Prior to 2020, employment in nonprofits was growing in nearly every state and New York had the fourth highest increase with 32,348 additional jobs.  During the pandemic, the number of jobs at nonprofits plummeted nationwide, with a loss of 580,426.  Approximately 1 in every 5 nonprofit jobs lost was in New York.  By 2022, employment at other private sector establishments nationally had fully recovered, but nonprofits were still struggling.  New York had the lowest nonprofit job recovery, regaining just 7.4% of the jobs lost and fewer jobs than in 2017.  In addition to lagging other states, job growth for nonprofits in New York was also lower than that for other private sector establishments and the public sector from 2017 to 2022.  During the five-year period, nonprofit employment declined by 4.1% in comparison to a 1.5% decrease for the public sector and a 1% increase all other private sector establishments.

Nonprofit Employment Changes Chart

Regional Impact

DiNapoli’s report found that in 2022, almost 60% of the state’s nonprofits and two-thirds of their employment were in the downstate regions, with nearly half of all nonprofit jobs located in New York City.  However, nonprofits jobs are a higher share of private sector employment in upstate regions.  For example, in the Southern Tier, 1 in 4 private sector jobs are at a nonprofit.  In 2022, nonprofit employment in all regions remained below 2017 levels, with the largest declines in the Mohawk Valley (-12.3%), Western New York (-10.3%), and the Capital Region (-9.5%).

State Contract and Payment Delays

Nonprofits provide a number of services on behalf of the state, including mental health and public assistance, recovery aid from storms and other weather events, public safety, food, and arts and cultural programs.  Under state law, contracts are to be executed within 150 to 180 days after the funding for the program became law.  As noted in DiNapoli’s 2023 annual report on the implementation of the prompt contracting requirements, over 5,000 contracts, or 56%, with state agencies in 2023 were processed late.  A high share of late contracts is not a recent phenomenon; late contracts have been a persistent problem faced by nonprofits.  When contracts or payments are late, nonprofits may decrease the services provided, defer hiring or lay off workers, or rely on loans or lines of credit to get by.  State Comptroller DiNapoli reiterated his call for nonprofits’ contracts and payments to be processed by state agencies in a timely manner to ensure steady funding and avoid any disruption of services.

Report
The Critical Role of Nonprofits in New York

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc