New York / Health information management programs

Best CAHIIM-accredited health information management programs in New York, ranked (2026)

New York has 14 CAHIIM-accredited HIM and health informatics programs. We score every one of them on our seven-factor methodology and rank them head-to-head. The top program is CUNY School of Professional Studies's BSHIM, scoring 92/100.

Taylor Rupe, founder of healthinformationmanagementprograms.com

by , founder & editor

updated

New York skyline
14

Programs ranked

92

Top score

$62K

NY median HIM wage

9,080

HIM jobs in NY

Key Takeaways

  • CUNY School of Professional Studies ranks #1 in New York (92/100). Best public BS+MS pathway in New York (and the cheapest).
  • New York has 14 active CAHIIM-accredited programs: 8 AAS (8 in the SUNY and CUNY systems), 2 bachelor's (CUNY SPS online, SUNY Polytechnic Institute online), 3 master's (Adelphi, CUNY SPS, SUNY Oswego), 1 graduate certificate at Saint Thomas Aquinas.
  • Median HIM salary in New York is 61,720 per BLS OEWS May 2025. 90th percentile reaches 101,940. NYC cost of living absorbs much of the advantage; Upstate is a better cost-adjusted market.
  • Northwell Health is the largest NY employer of HIM staff. 21 hospitals, 85,000+ employees, anchors Long Island and NYC.
  • SHIN-NY is the most mature state HIE in the United States. Every New York hospital is mandated to connect. Operated by the New York eHealth Collaborative (NYeC) through 7 regional Qualified Entities.
  • NY SHIELD Act, effective March 2020, applies to any business handling NY residents' private information. Requires reasonable safeguards plus tightened breach reporting.
  • NY TAP and Excelsior Scholarship cover SUNY and CUNY tuition for eligible NY residents. Excelsior provides last-dollar coverage for families earning up to $125,000.

How we ranked

Our ranking methodology in one paragraph.

Every program is CAHIIM-accredited, so every program produces graduates eligible for the AHIMA RHIT or RHIA exam. We score each one 0-10 on seven factors: CAHIIM accreditation maturity (25%), program director credentials (15%), degree-level pathways (15%), delivery flexibility (15%), employer pipeline (15%), cost-effectiveness (10%), institutional reputation (5%).

Read the full methodology →

The ranked programs

The 14 CAHIIM-accredited HIM programs in New York, ranked.

RankInstitutionDegreeCityScoreCAHIIM
#1 CUNY School of Professional Studies BS New York 92/100 Continuing
#2 CUNY School of Professional Studies MS New York 83/100 Initial
#3 Alfred State College - SUNY College of Technology AAS Alfred 77.5/100 Continuing
#4 SUNY Polytechnic Institute BS Utica 77.5/100 Continuing
#5 SUNY Westchester Community College AAS Valhalla 76/100 Initial
#6 Borough of Manhattan Community College AAS New York 74.5/100 Continuing
#7 Suffolk County Community College AAS Brentwood 74/100 Continuing
#8 Onondaga Community College AAS Syracuse 71/100 Continuing
#9 SUNY Broome Community College AAS Binghamton 70.5/100 Continuing
#10 State University of New York at Oswego MS Oswego 69.5/100 Initial
#11 Adelphi University MS Garden City 69/100 Initial
#12 Mohawk Valley Community College AAS Utica 68/100 Continuing
#13 Nassau Community College AAS Garden City 65.5/100 Initial
#14 Saint Thomas Aquinas College Grad Cert Sparkill 60.5/100 Initial
#1
92/100

Overall score

CUNY School of Professional Studies (BS)

Best public BS+MS pathway in New York (and the cheapest)

BSHIM New York, NY Online CAHIIM Continuing Next Review 2033-2034

Why it ranks #1

CUNY SPS is the only public institution in NY running both a CAHIIM-accredited BSHIM and a CAHIIM-accredited MS in HIM at the same school. The BS is fully online. Director Memory Ndanga (PhD + RHIA) oversees both. Just re-accredited February 2026 with next review 2033-2034 (the longest CAHIIM horizon of any NY program). NYC residents who qualify for TAP and Excelsior can attend close to free.

Program Director

Memory Ndanga , PhD, RHIA

Address

119 West 31st Street, New York, NY, 10001

Contact

(646) 344-7324
memory.ndanga@cuny.edu

Score breakdown

Accreditation (25%)10/10
Director credentials (15%)8/10
Pathways (15%)8/10
Delivery (15%)10/10
Employer pipeline (15%)10/10
Cost (10%)9/10
Reputation (5%)8/10
Overall92/100

Visit program at sps.cuny.edu → · CAHIIM directory listing

#2
83/100

Overall score

CUNY School of Professional Studies (MS)

Best CUNY MS in Health Information Management (subject area HIM)

MS New York, NY Campus Based, Online CAHIIM Initial Next Review 2030-2031

Why it ranks #2

CUNY SPS's MS in HIM (not Health Informatics) is the only CAHIIM-accredited HIM-subject MS in NY. Campus or online. Director Memory Ndanga (PhD + RHIA). Initial CAHIIM since February 2023. Direct line to NYC Health + Hospitals, Mount Sinai, NYU Langone, Northwell, Memorial Sloan Kettering.

Program Director

Memory Ndanga , PhD, RHIA

Address

119 West 31st Street, New York, NY, 10001

Contact

(646) 344-7324
memory.ndanga@cuny.edu

Score breakdown

Accreditation (25%)7/10
Director credentials (15%)8/10
Pathways (15%)8/10
Delivery (15%)9/10
Employer pipeline (15%)10/10
Cost (10%)9/10
Reputation (5%)8/10
Overall83/100

Visit program at sps.cuny.edu → · CAHIIM directory listing

#3
77.5/100

Overall score

Alfred State College - SUNY College of Technology

Best fresh-accreditation SUNY AAS

AAS Alfred, NY Online CAHIIM Continuing Next Review 2033-2034

Why it ranks #3

Continuing CAHIIM accreditation, re-accredited February 2026, next review 2033-2034 (the longest horizon of any NY AAS). Director Erica Matteson holds MS + RHIA. Fully online SUNY AAS. SUNY tuition with full TAP and Excelsior eligibility.

Program Director

Erica Matteson , MS, RHIA

Address

10 Upper College Drive, Alfred, NY, 14897

Contact

(607) 587-3675
matteses@alfredstate.edu

Score breakdown

Accreditation (25%)10/10
Director credentials (15%)7/10
Pathways (15%)4/10
Delivery (15%)10/10
Employer pipeline (15%)6/10
Cost (10%)9/10
Reputation (5%)6/10
Overall77.5/100

Visit program at alfredstate.edu → · CAHIIM directory listing

#4
77.5/100

Overall score

SUNY Polytechnic Institute

Best SUNY BSHIM (only SUNY bachelor's)

BSHIM Utica, NY Online CAHIIM Continuing Next Review 2027-2028

Why it ranks #4

SUNY Poly's BSHIM is the SUNY-system bachelor's option, fully online from Utica. The natural progression target for AAS graduates from Alfred State, Mohawk Valley, SUNY Broome, and other SUNY community colleges. Director Andriana Semko holds MBA + RHIA + CCS + CCS-P + CPC (triple coding credential).

Program Director

Andriana Semko , MBA, RHIA, CCS, CCS-P, CPC

Address

100 Seymour Rd., Utica, NY, 13502

Contact

(315) 792-3580
tkachua@sunypoly.edu

Score breakdown

Accreditation (25%)8/10
Director credentials (15%)8/10
Pathways (15%)5/10
Delivery (15%)10/10
Employer pipeline (15%)7/10
Cost (10%)9/10
Reputation (5%)7/10
Overall77.5/100

Visit program at sunypoly.edu → · CAHIIM directory listing

#5
76/100

Overall score

SUNY Westchester Community College

Best Westchester / north-NYC suburb AAS

AAS Valhalla, NY Online CAHIIM Initial Next Review 2031-2032

Why it ranks #5

Director Sue Tural-Clarke is FAHIMA + holds MHA + RHIA + ICD-10-CM/PCS Trainer credentials. Initial CAHIIM since February 2024. Fully online. Serves Westchester County and the north NYC suburbs; commute distance to NYP/Columbia, Montefiore, and Northwell's lower Westchester facilities.

Program Director

Sue Tural-Clarke , MHA, RHIA, FAHIMA, ICD-10-CM/PCS Trainer

Address

Science Building, Rm 360, 75 Grasslands Road, Valhalla, NY, 10595

Contact

(914) 606-6953
st20@sunywcc.edu

Score breakdown

Accreditation (25%)7/10
Director credentials (15%)8/10
Pathways (15%)4/10
Delivery (15%)10/10
Employer pipeline (15%)9/10
Cost (10%)9/10
Reputation (5%)6/10
Overall76/100

Visit program at sunywcc.edu → · CAHIIM directory listing

#6
74.5/100

Overall score

Borough of Manhattan Community College

Best AAS in Manhattan (CUNY)

AAS New York, NY Campus Based, Online CAHIIM Continuing Next Review 2026-2027

Why it ranks #6

The only CAHIIM-accredited AAS in Manhattan. BMCC sits in Tribeca and is the largest CUNY community college by enrollment. Director Patricia Vander Hoff holds MBA + RHIA. Continuing CAHIIM since April 2016, due for renewal 2026-2027. Hybrid delivery. Direct feeder to NYC Health + Hospitals, Mount Sinai, NYU Langone, MSK.

Program Director

Patricia Vander Hoff , MBA, RHIA

Address

199 Chambers Street, N 799 B, New York, NY, 10007

Contact

(212) 220-8335
pvanderhoff@bmcc.cuny.edu

Score breakdown

Accreditation (25%)8/10
Director credentials (15%)6/10
Pathways (15%)4/10
Delivery (15%)8/10
Employer pipeline (15%)10/10
Cost (10%)9/10
Reputation (5%)7/10
Overall74.5/100

Visit program at bmcc.cuny.edu → · CAHIIM directory listing

#7
74/100

Overall score

Suffolk County Community College

Best Long Island AAS

AAS Brentwood, NY Online CAHIIM Continuing Next Review 2029-2030

Why it ranks #7

The largest community college on Long Island. Director Janine Ludwig holds MPH + RHIA. Continuing CAHIIM since May 2022. Fully online. Feeds Northwell's eastern Long Island hospitals and Catholic Health Long Island directly.

Program Director

Janine Ludwig , MPH, RHIA

Address

1001 Crooked Hill Road, Suffolk Federal Credit Union Arena; Office MC110, Brentwood, NY, 11717

Contact

(631) 851-6430
muccioj@sunysuffolk.edu

Score breakdown

Accreditation (25%)8/10
Director credentials (15%)6/10
Pathways (15%)4/10
Delivery (15%)10/10
Employer pipeline (15%)8/10
Cost (10%)9/10
Reputation (5%)6/10
Overall74/100

Visit program at sunysuffolk.edu → · CAHIIM directory listing

#8
71/100

Overall score

Onondaga Community College

Best Syracuse / Central New York AAS

AAS Syracuse, NY Campus Based, Online CAHIIM Continuing Next Review 2032-2033

Why it ranks #8

Director Dr. Karen Fabrizio holds EdD + MBA + RHIA + CHTS-CP. Continuing CAHIIM since November 2023, next review 2032-2033. Hybrid delivery. Feeds Upstate Medical University, St. Joseph's Health, and Crouse Health in the Syracuse region.

Program Director

Karen Fabrizio , EdD MBA RHIA CHTS-CP

Address

4585 West Seneca Turnpike, Syracuse, NY, 13215

Contact

(315) 498-2176
fabrizik@sunyocc.edu

Score breakdown

Accreditation (25%)8/10
Director credentials (15%)7/10
Pathways (15%)4/10
Delivery (15%)8/10
Employer pipeline (15%)7/10
Cost (10%)9/10
Reputation (5%)6/10
Overall71/100

Visit program at sunyocc.edu → · CAHIIM directory listing

#9
70.5/100

Overall score

SUNY Broome Community College

Best Southern Tier AAS

AAS Binghamton, NY Online CAHIIM Continuing Next Review 2029-2030

Why it ranks #9

Director Stephanie Albitz holds MA + RHIA. Continuing CAHIIM since July 2022. Fully online. Feeds UHS Wilson and Lourdes Hospital in the Binghamton / Southern Tier region.

Program Director

Stephanie Albitz , MA, RHIA

Address

PO Box 1017 Upper Front Street, Binghamton, NY, 13902

Contact

(607) 778-5507
albitzsa@sunybroome.edu

Score breakdown

Accreditation (25%)8/10
Director credentials (15%)6/10
Pathways (15%)4/10
Delivery (15%)10/10
Employer pipeline (15%)6/10
Cost (10%)9/10
Reputation (5%)5/10
Overall70.5/100

Visit program at sunybroome.edu → · CAHIIM directory listing

#10
69.5/100

Overall score

State University of New York at Oswego

Best SUNY MS in Biomedical & Health Informatics

MS Health Informatics Oswego, NY Campus Based, Online CAHIIM Initial Next Review 2031-2032

Why it ranks #10

The SUNY-system MS, campus or online from Oswego (north of Syracuse). Director Dr. Isabelle Bichindaritz holds PhD + CPHIMS. Initial CAHIIM since May 2024. SUNY tuition with TAP eligibility.

Program Director

Isabelle Bichindaritz , PhD, CPHIIMS

Address

7060 Route 104 West, Oswego, NY, 13126

Contact

(315) 312-2683
ibichind@oswego.edu

Score breakdown

Accreditation (25%)6/10
Director credentials (15%)7/10
Pathways (15%)5/10
Delivery (15%)9/10
Employer pipeline (15%)7/10
Cost (10%)9/10
Reputation (5%)7/10
Overall69.5/100

Visit program at ww1.oswego.edu → · CAHIIM directory listing

#11
69/100

Overall score

Adelphi University

Best private clinician-oriented MS in Healthcare Informatics

MS Health Informatics Garden City, NY Online CAHIIM Initial Next Review 2031-2032

Why it ranks #11

Private university in Garden City, Long Island. Director Dr. A. Hasan Sapci is an MD (the only physician-director among NY graduate programs), giving the curriculum a clinical-informatics lean. Initial CAHIIM since March 2024 (the longest forward review horizon: 2031-2032).

Program Director

A. Hasan Sapci , MD

Address

Nexus Building 357, 1 South Avenue, Garden City, NY, 11530

Contact

(516) 833-8156
sapci@adelphi.edu

Score breakdown

Accreditation (25%)6/10
Director credentials (15%)7/10
Pathways (15%)5/10
Delivery (15%)10/10
Employer pipeline (15%)9/10
Cost (10%)4/10
Reputation (5%)7/10
Overall69/100

Visit program at adelphi.edu → · CAHIIM directory listing

#12
68/100

Overall score

Mohawk Valley Community College

Best Mohawk Valley / Utica region AAS

AAS Utica, NY Online CAHIIM Continuing Next Review 2028-2029

Why it ranks #12

Director Heidi Palmiter holds BS + RHIA. Continuing CAHIIM since January 2021. Fully online. Feeds Mohawk Valley Health System (the dominant Utica-area network).

Program Director

Heidi Palmiter , BS, RHIA

Address

1101 Sherman Drive, Utica, NY, 13501

Contact

(315) 792-5378
hpalmiter@mvcc.edu

Score breakdown

Accreditation (25%)7/10
Director credentials (15%)6/10
Pathways (15%)4/10
Delivery (15%)10/10
Employer pipeline (15%)6/10
Cost (10%)9/10
Reputation (5%)5/10
Overall68/100

Visit program at mvcc.edu → · CAHIIM directory listing

#13
65.5/100

Overall score

Nassau Community College

Best Long Island campus-based AAS

AAS Garden City, NY Campus Based CAHIIM Initial Next Review 2027-2028

Why it ranks #13

Nassau CC in Garden City. Director Kelly Tamburello holds MBA + RHIA + CHDA. Initial CAHIIM since September 2020. Campus-only delivery (the only NY AAS without an online option). Feeds Northwell's Nassau-county hospitals directly.

Program Director

Kelly Tamburello , MBA, RHIA, CHDA

Address

One Education Drive, Building A 2005, Garden City, NY, 11530

Contact

(516) 572-7288, Ext. 26283
kelly.tamburello@ncc.edu

Score breakdown

Accreditation (25%)7/10
Director credentials (15%)7/10
Pathways (15%)4/10
Delivery (15%)4/10
Employer pipeline (15%)9/10
Cost (10%)9/10
Reputation (5%)6/10
Overall65.5/100

Visit program at collegecatalog.ncc.edu → · CAHIIM directory listing

#14
60.5/100

Overall score

Saint Thomas Aquinas College

Best graduate certificate (Digital Health Leader)

Grad Cert Sparkill, NY Campus Based, Online CAHIIM Initial Next Review 2030-2031

Why it ranks #14

Niche graduate certificate in Digital Health Leader at a private college in Sparkill (Hudson Valley). Designed for working healthcare leaders adding a credential, not a degree. Director Joseph Charleman holds DBA + LPN + CST + CSFA. Initial CAHIIM since January 2023. Campus or online.

Program Director

Joseph Charleman , DBA/LPN/CST/CSFA

Address

125 Route 340, Sparkill, NY, 10976-1050

Contact

(845) 398-4127
Jcharlem@stac.edu

Score breakdown

Accreditation (25%)6/10
Director credentials (15%)6/10
Pathways (15%)3/10
Delivery (15%)9/10
Employer pipeline (15%)7/10
Cost (10%)5/10
Reputation (5%)6/10
Overall60.5/100

Visit program at stac.edu → · CAHIIM directory listing

Best for…

Best New York HIM programs by category (long-tail rankings).

Best public BS+MS pathway in NY

CUNY School of Professional Studies

The only public NY institution running both a CAHIIM-accredited BSHIM and MS in HIM at the same school. Same director (Memory Ndanga PhD RHIA) coordinates both. Just re-accredited Feb 2026 with the longest CAHIIM horizon of any NY program.

Best SUNY-system BSHIM

SUNY Polytechnic Institute

Fully online from Utica. The natural progression target for SUNY AAS graduates. Director Andriana Semko holds triple coding credentials (CCS + CCS-P + CPC).

Best Manhattan AAS

Borough of Manhattan Community College

The only CAHIIM-accredited AAS in Manhattan. CUNY tuition. Direct feeder to NYC Health + Hospitals, Mount Sinai, NYU Langone, Memorial Sloan Kettering.

Best Long Island AAS

Suffolk County Community College

The largest community college on Long Island. Feeds Northwell's eastern LI hospitals and Catholic Health LI. Fully online.

Best fresh-accreditation SUNY AAS

Alfred State College

Re-accredited February 2026 with next review 2033-2034, the longest horizon of any NY AAS. Fully online SUNY College of Technology AAS.

Best Westchester / north-NYC suburb AAS

SUNY Westchester Community College

Director Sue Tural-Clarke is FAHIMA with ICD-10 Trainer credential. Fully online. Commute distance to NYP/Columbia, Montefiore, and Northwell's lower Westchester facilities.

Best private clinician-oriented MS

Adelphi University

Private Long Island university. Director Dr. A. Hasan Sapci is an MD, giving the curriculum a clinical-informatics lean. The longest forward CAHIIM review horizon of NY's master's programs (2031-2032).

Best Central NY MS in Biomedical & Health Informatics

SUNY Oswego

SUNY-system MS with campus or online delivery. SUNY tuition. Director Dr. Isabelle Bichindaritz holds PhD + CPHIMS.

Cheapest CAHIIM-accredited HIM program in NY

CUNY and SUNY systems (TAP + Excelsior)

All CUNY and SUNY programs qualify NY residents for Tuition Assistance Program (TAP) and the Excelsior Scholarship. Most NY residents pay close to zero out of pocket.

Best graduate certificate (Digital Health Leader)

Saint Thomas Aquinas College

A niche graduate certificate in Digital Health Leader at a private college in Sparkill (Hudson Valley). Not a degree, but a CAHIIM-accredited credential add for working healthcare leaders.

Credentials

HIM credentials and certifications in New York (RHIA, RHIT, CCS).

New York does not license HIM staff. The New York Health Information Management Association (NYHIMA) is the state AHIMA component with regional chapters in NYC, Long Island, the Hudson Valley, the Capital District, Central NY, Western NY, and the North Country.

CredentialFull NameEducation RequiredTypical NY Role
RHITRegistered Health Information TechnicianCAHIIM AASRecords, ROI, coder at Northwell/NYP/Mount Sinai/NYU
RHIARegistered Health Information AdministratorCAHIIM BSHIMHIM supervisor, privacy officer, SHIN-NY operations
CCSCertified Coding SpecialistRHIT/RHIA + coding experienceInpatient/outpatient coder, coding auditor

Salary data

Medical records specialist salary in New York.

BLS OEWS May 2025 NY estimates for SOC 29-2072 Medical Records Specialists:

  • Median: $61,720 (national: $51,140)
  • Mean: $67,200
  • 10th pct: $40,730 · 90th pct: $101,940
  • Statewide employment: 9,080

NYC median is meaningfully higher than upstate, but so is cost of living. The 90th percentile is concentrated at Mount Sinai, NYU Langone, NewYork-Presbyterian, Memorial Sloan Kettering, and Northwell.

Salary distribution

Medical records specialist salary in New York vs. national median (BLS OEWS May 2025).

$30K$40K$50K$60K$70K$80K$90K$100K New York MED $62K National MED $51K

Source: BLS OEWS May 2025.

Workforce

New York health information management job market and top hospital employers.

Northwell Health. 21 hospitals, 85,000+ employees, the largest health system in New York.

NYU Langone Health. 50,000+ employees. Top-ranked academic medical center in NYC.

Mount Sinai Health System. 8 hospitals across NYC, 43,000+ employees.

NewYork-Presbyterian. 10 hospitals, Columbia and Cornell academic affiliates.

Montefiore Health System. 15+ hospitals across the Bronx and Hudson Valley, 41,000+ employees.

NYC Health + Hospitals. 11 acute-care hospitals (Bellevue, Elmhurst, Harlem, Kings County, etc.). The largest US public health system.

Upstate. URMC, Albany Medical Center, Stony Brook Medicine, Catholic Health Long Island, Bassett Healthcare, Memorial Sloan Kettering.

Health information exchange

SHIN-NY: the most mature state HIE in the US.

The Statewide Health Information Network for New York (SHIN-NY) is the most mature state-mandated HIE in the United States. Every NY hospital is required to connect. Operated by NYeC through seven regional Qualified Entities:

State regulation

New York state laws affecting health information management.

  • NY SHIELD Act (2019). Applies to any business handling NY residents' private information. Requires reasonable safeguards plus tightened breach reporting. Civil penalties up to $250,000.
  • Medical record retention (NY Public Health Law § 2803-d, 10 NYCRR 405.10). Adult records: 6 years from last patient contact. Minor records: at least 6 years past age of majority.
  • Patient access and copy fees (NY Public Health Law § 18). Patients are entitled to copies. Fees capped at $0.75 per page.
  • SHIN-NY participation (NY Public Health Law § 207-a). All NY hospitals must connect to SHIN-NY through a Qualified Entity.

Sources

Sources and references.

  1. healthinformationmanagementprograms.com Methodology.
  2. CAHIIM Program Directory.
  3. BLS OEWS: May 2025 NY estimates.
  4. AHIMA Certification Exams.
  5. New York eHealth Collaborative (NYeC): SHIN-NY operations.
  6. NY Higher Education Services Corporation: TAP and Excelsior.
  7. NY Attorney General: SHIELD Act enforcement.
  8. New York Health Information Management Association (NYHIMA).

FAQ

HIM programs in New York: frequently asked questions.

What is the best CAHIIM-accredited HIM program in New York?

On our methodology, CUNY School of Professional Studies ranks #1 (92/100). CUNY School of Professional Studies #2 (83/100). Alfred State College - SUNY College of Technology #3 (77.5/100).

How many CAHIIM-accredited HIM programs are in New York?

14 active. 8 AAS (mostly SUNY/CUNY), 2 bachelor's (CUNY SPS, SUNY Poly), 3 master's, 1 graduate certificate.

What is the average HIM salary in New York?

Median $61,720 per BLS OEWS May 2025. 90th pct $101,940.

Does NY require a license to work in HIM?

No. AHIMA credentials (RHIT, RHIA, CCS) are the standard.

Which NY hospitals hire the most HIM staff?

Northwell Health, NYU Langone, Mount Sinai, NewYork-Presbyterian, Montefiore, NYC Health + Hospitals, Memorial Sloan Kettering, Catholic Health Long Island, URMC, Albany Med, Stony Brook.

What is SHIN-NY?

The Statewide Health Information Network for New York. Every NY hospital is required to connect. The most mature state HIE in the US.

Can I get a HIM degree online in NY?

Yes. Most NY AAS programs are fully online. CUNY SPS BSHIM is online. SUNY Poly BSHIM is online. Adelphi MS is online. SUNY Oswego MS is online or campus.