VA New York Harbor Healthcare System

The VA New York Harbor Healthcare System operates as a multi-campus network rather than a single hospital, anchored by a medical center on East 23rd Street in Manhattan and a second campus in Brooklyn, with additional outpatient clinics across the boroughs and Long Island. A third campus on Staten Island has historically been part of the system as well. Academic affiliations with NYU Grossman School of Medicine and SUNY Downstate make the facilities teaching sites for residents, fellows, and health professions students, and support active research programs.

Services include inpatient medical and surgical care, intensive care, surgery, primary care, and a wide range of outpatient specialty clinics, alongside mental and behavioral health programs covering outpatient treatment, PTSD care, substance use treatment, and extensive outreach to veterans experiencing homelessness. Extended care and rehabilitation support an aging population. Nurses practice across critical care, medical-surgical, perioperative, outpatient, and mental health settings, with roles and acuity differing by campus. The patient population reflects the city's makeup, spanning many languages and countries of origin, which shapes daily practice. Nursing positions fall under federal employment, with locality pay adjustments reflecting New York City costs.