Primary Healthcare Clinics


BEST provides essential primary health care for the backstretch communities at the Aqueduct, Belmont and Saratoga racetracks. These services are made available free of charge to the backstretch communities regardless of insurance coverage. In addition to primary care services, workers are able to seek chiropractic, podiatric care, and acupuncture at the Belmont Primary Care Facility and chiropractic is available in the Saratoga facility.

BEST’s primary care facilities innoculations for Hepatitis A and B.  TDAP and we host annual Flu Shot drives from October to February.  BEST can test for Hepatitis C, HIV/AIDS and other sexually transmitted infections.

Health and Life Insurance


BEST facilitates enrollment into the NYS Health Exchange (of the Affordable Care Act -ACA) by providing all workers with ready access to NYS trained “navigators” and “certified assistant counselors”.  BEST provides all workers with up to $100 per month which is applied towards the cost of their health health insurance premium.

Backstretch workers who are ineligible for the ACA will be entitled to received free primary care and subsidies from BEST for medical specialists, prescription medication, physical therapy and more.  Most acute care medications are provided for free at BEST’s Belmont Clinic.  Other free supplies for health enhancement are available at BEST including, podiatry approved work shoes for diabetics, and sunglasses for those with eye disorders.  All backstretch workers are eligible for free term life insurance.

Transportation and Translation Services


BEST’s team of outreach coordinators and volunteers provide free transportation to and from medical and social service appointments as well as translation services to the Aqueduct, Belmont and Saratoga Backstretch Communities.

Over 500 workers benefit from these vital services annually.

Alcohol and Substance Abuse Counseling


Licensed by New York State Office of Alcohol and Substance Abuse, BEST provides on-site counseling for Alcoholism and Substance Abuse for the Aqueduct, Belmont and Saratoga Backstretch communities.

BEST counselor’s take a holistic approach to treating chemical dependency, utilizing individualized treatment plans which include cognitive behavior, motivational enhancement and 12-step therapies.

Since 1989, BEST has sponsored Alcoholics Anonymous Support Groups and recently became home to the only Spanish-speaking Narcotics Anonymous Group in Nassau County.