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St Barnabas Hospital

Sbh Health System
4422 Third Avenue
Bronx, NY 10457
Bed count446Medicare provider number330399Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 131740122
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
28.43%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 483,031,170
      Total amount spent on community benefits
      as % of operating expenses
      $ 137,316,468
      28.43 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 15,447,707
        3.20 %
        Medicaid
        as % of operating expenses
        $ 56,952,267
        11.79 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 28,248,549
        5.85 %
        Subsidized health services
        as % of operating expenses
        $ 35,917,945
        7.44 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 750,000
        0.16 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 2,105,243
        0.44 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 224796436 including grants of $ 879257) (Revenue $ 253314715)
      ST. BARNABAS HOSPITAL PROVIDED COMPASSIONATE AND COMPREHENSIVE HEALTH CARE SERVICES TO THE PEOPLE OF THE BRONX COMMUNITY IN THE CITY OF NEW YORK. DURING 2021, THE HOSPITAL PROVIDED INPATIENT HEALTHCARE SERVICES TO 13,966 PATIENTS
      4B (Expenses $ 152161795 including grants of $ 0) (Revenue $ 55685161)
      DURING 2021, THE HOSPITAL PROVIDED 388,365 OUTPATIENT HEALTHCARE SERVICES. THESE SERVICES INCLUDED 111,829 AMBULATORY CARE VISITS; 62,624 EMERGENCY & PEDIATRIC EMERGENCY VISITS; 22,294 DIALYSIS TREATMENTS; 5,046 AMBULATORY SURGERY TREATMENTS; 186,572 METHADONE MAINTENANCE CLINIC TREATMENTS.
      4C (Expenses $ 7791850 including grants of $ 0) (Revenue $ 8829273)
      THE MISSION OF SBH BEHAVIORAL HEALTH, IS TO IMPROVE THE MENTAL HEALTH AND THE OVERALL QUALITY OF LIFE FOR THE DIVERSE RESIDENTS OF THE COMMUNITY. THE CENTER PROVIDED HEALTHCARE SERVICES TO 79,081 PATIENTS.
      4D (Expenses $ 2033318 including grants of $ 0) (Revenue $ 77859817)
      OTHER PROGRAM SERVICE ACCOMPLISHMENTS:ST. BARNABAS HOSPITAL ALSO PROVIDED VARIOUS OTHER PROGRAMS TO SUPPORT THE HOSPITAL'S EXEMPT PURPOSE, SUCH AS FINANCIAL AID PROGRAMS AND HEALTH AND EDUCATION PROMOTION PROGRAMS AND VARIOUS COMMUNITY OUTREACH ACTIVITIES.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      ST. BARNABAS HOSPITAL
      PART V, SECTION B, LINE 3J: A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS ARE IDENTIFIED IN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE DRAWN FROM PRIMARY AND SECONDARY DATA AND EXTENSIVE COMMUNITY ENGAGEMENTS.
      ST. BARNABAS HOSPITAL
      PART V, SECTION B, LINE 5: SBH BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP HAVE A STRONG COMMITMENT TO EFFORTS TO EXPAND AND MAINTAIN WORKING PARTNERSHIPS WITH THE ENTIRE SPECTRUM OF COMMUNITY LEADERS AND ORGANIZATIONS, WHICH INCLUDES COMMUNITY-BASED ORGANIZATIONS, COLLEGES, BUSINESS LEADERS AND A NETWORK OF CHURCHES. SBH LEADERSHIP RECOGNIZES POPULATION HEALTH MANAGEMENT REQUIRES INCREASING LEADERSHIP ENGAGEMENT, COLLABORATING WITH COMMUNITY PARTNERS AND EXPANDING THE SCOPE OF SERVICES TO FOCUS ON PREVENTION AND WELLNESS PROGRAMS FOR THE COMMUNITY WE SERVE.SBH HEALTH SYSTEM SERVES THE COUNTY OF THE BRONX, WHICH IS THE NATION'S POOREST COUNTY; 26.4% OF THE POPULATION LIVES IN POVERTY. IT IS THE FIRST COUNTY IN NEW YORK CITY TO HAVE A MAJORITY OF PEOPLE OF COLOR AND IS THE ONLY NEW YORK CITY COUNTY WITH A LATINO MAJORITY. THE BELMONT/EAST TREMONT SECTION OF BRONX COMMUNITY DISTRICT #6 IS PRIMARY SERVICE AREA. THEREFORE, SPECIAL ATTENTION IS TAKEN TO UNDERSTAND THEIR NEEDS AND THE SOLUTIONS REQUIRED TO ADDRESS THOSE NEEDS AND CONCERNS.IN 2019, THROUGH THE SUPPORTED EFFORTS OF SBH OFFICE OF COMMUNITY AND GOVERNMENT AFFAIRS, SBH SELECTED THREE COMMUNITY HEALTH PRIORITIES INVOLVING VARIED COMMUNITY-BASED ORGANIZATIONS INTERESTED IN HEALTH ISSUES ADDRESSED. PARTICIPANTS INCLUDED PUBLIC HEALTH EXPERTS AT SBH, COMMUNITY-BASED ORGANIZATIONS, LOCAL BUSINESSES, RELEVANT HEALTH INSURANCE COMPANIES, ELECTED OFFICIALS AND GOVERNMENT AGENCIES PARTICIPATED IN VARIOUS LEVELS IN THE PRIORITIZATION PROCESS. THE PRIORITIES CHOSEN INCLUDED IMPLEMENTING THE HOSPITAL RESPONDER VIOLENCE PREVENTION PROGRAM, ACHIEVING BABY FRIENDLY STATUS AND INCREASING FOOD SECURITY.DURING 2020, THE COVID PANDEMIC RESTRICTIONS CURTAILED IN PERSON PROGRAMING AND DIVERTED ALL HOSPITALS PRIORITY ATTENTION TO LIFE SAVING EFFORTS. COVID-19 HAD A DISPROPORTIONATE NEGATIVE EFFECT ON THE BRONX. PRIOR TO COVID, THE BRONX ALREADY RANKED 62 OUT OF 62 COUNTIES IN HEALTH OUTCOMES. THE BRONX, WHICH HAS THE HIGHEST PROPORTION OF RACIAL/ETHNIC MINORITIES, THE MOST PERSONS LIVING IN POVERTY, AND THE LOWEST LEVELS OF EDUCATIONAL ATTAINMENT HAD HIGHER RATES OF HOSPITALIZATION AND DEATH RELATED TO COVID-19 THAN THE OTHER FOUR NYC BOROUGHS.IN 2021, THERE WAS A CAREFUL REVIVAL OF COMMUNITY INTERVENTIONS. IN PERSON, EVENTS AND MEETING MOVED TO VIRTUAL ENVIRONMENT. AS IN PERSON VISITS GREW, WE WERE ABLE TO FURTHER DEVELOP FOOD INSECURITY AND HOSPITAL-RESPONDER VIOLENCE PREVENTION PROGRAMMING. BABY FRIENDLY STATUS WAS ACHIEVED.DUE TO THE CONTINUED PANDEMIC IMPACT, PUBLIC PARTICIPATION IN ASSESSING COMMUNITY NEEDS AND SETTING PRIORITIES CONTINUED TO BE LIMITED. THE SBH WELLNESS ALLIANCE, A COMMUNITY LEVEL COALITION THAT BRINGS TOGETHER SEGMENTS OF THE COMMUNITY, MET VIRTUALLY HAVING A SIGNIFICANT IMPACT ON COMMUNITY HEALTH. PARTICIPANTS INCLUDED PUBLIC HEALTH EXPERTS AT SBH, COMMUNITY BASED ORGANIZATIONS, LOCAL BUSINESSES, RELEVANT HEALTH INSURANCE COMPANIES, ELECTED OFFICIALS AND GOVERNMENT AGENCIES PARTICIPATED IN VARIOUS LEVELS IN THE PRIORITIZATION PROCESS. DUE TO THE PANDEMIC, OUR SBH WELLNESS ALLIANCE MEETING SWITCHED TO VIRTUAL. AT THESE MEETINGS, PRESENTATIONS UPDATING THE COMMUNITY ON THE IMPACT OF COVID, RESOURCES AVAILABLE TO MEET THE COMMUNITY NEEDS, REMINDERS OF THE IMPORTANCE TO RETURN TO ROUTINE CHECKUPS AND, AND THE LATEST HEALTH CARE INFORMATION.IN LATE 2020, WE HIGHLY ANTICIPATED SBH HEALTH & WELLNESS CENTER OPENED. THE GOAL OF THE CENTER IS TO BE A PIONEER IN SUPPORTING COMMUNITY ACCESS TO A HEALTHY LIFE IN THE BRONX BY PROVIDING NUTRITIONAL EDUCATION, ACCESS TO HEALTHY FOOD AND FITNESS ACTIVITIES CUSTOMIZED TO OUR PATIENT'S UNIQUE NEEDS. THE CENTER AT SBH IS DESIGNED TO CREATE A CULTURE OF LIFELONG WELLNESS AND SELF-EMPOWERMENT BY OFFERING INNOVATIVE SERVICES AND PROGRAMS FOCUSED ON PREVENTION AND HEALTHY CHOICES FOR THE BRONX COMMUNITY. THE CENTER INCLUDES A FITNESS CENTER, A ROOFTOP FARM, A TEACHING KITCHEN, HOLISTIC PROGRAMS LIKE YOGA AND MEDITATION AN URGENT CARE CENTER, A BREAST IMAGING CENTER AND WOMEN'SAND CHILDREN'S HEALTH SERVICES. SBH ENTERED INTO A PARTNERSHIP WITH PROJECT EATS, NONPROFIT ORGANIZATION, TO MANAGE THE URBAN FARM. WE IMPLEMENTED SEVERAL NEW PROGRAMS LIKE HEALTHY LIVING FUNDED BY MOTHER CARINE FOUNDATION, DAILY COOKING CLASSES, BOXING AND OTHER FREE CLASSES IN THE FITNESS CENTER. IN THE CLINICAL SUITE THERE WERE 2,200 VISITS IN 2021.
      ST. BARNABAS HOSPITAL
      PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITAL FACILITY: MONTEFIORE MEDICAL CENTER.
      ST. BARNABAS HOSPITAL
      PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITY: NYC DEPARTMENT OF MENTAL HEALTH AND HYGIENE.PART V, SECTION B, LINE 7ATHE HOSPITAL'S CHNA REPORT IS AVAILABLE AT THE DIRECT WEBSITE:HTTP://WWW.SBHNY.ORG/COMMUNITY/COMMUNITY-SERVICE-PLAN/?TERM=CHNAPART V, SECTION B, LINE 10ATHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE DIRECT WEBSITE:HTTP://WWW.SBHNY.ORG/COMMUNITY/COMMUNITY-SERVICE-PLAN/?TERM=CHNA
      ST. BARNABAS HOSPITAL
      "PART V, SECTION B, LINE 11: SBH IDENTIFIED THE FOLLOWING ACTION AREAS AS PRIORITIES FOR THE SBH SERVICE AREA OF BRONX COUNTY, COMMUNITY DISTRICT #6/BELMONT- EAST TREMONT.THE PRIORITY AREA ARE (1) PREVENT CHRONIC DISEASES BY INCREASING FOOD SECURITY (2) PROMOTE A HEALTHY AND SAFE ENVIRONMENT REDUCING VIOLENCE BY TARGETING PREVENTION PROGRAM TO HIGHEST RISK POPULATION AND (3) INCREASE THE PERCENTAGE OF INFANTS WHO ARE EXCLUSIVELY BREAST FED IN THE HOSPITALS.PREVENT CHRONIC DISEASES - A FOCUS ON REDUCTION OF OBESITY IN CHILDREN, REACHED THROUGH A FOCUS ON HEALTHY EATING AND FOOD SECURITY. IN THE COMMUNITY SURVEY, FOOD AND NUTRITION RANKED #2 FOR ""PRIORITY HEALTH ISSUES"", ACCESS TO HEALTHIER FOOD RANKED #1 IN ""MOST HELPFUL ACTIONS FOR THE COMMUNITY AND #1 AS ""PRIORITY HEALTH ISSUES"" FOR INDIVIDUALS. WE WILL SCREEN FOR FOOD INSECURITY.PROMOTE HEALTHY AND SAFE ENVIRONMENT - A FOCUS TO REDUCE VIOLENCE BY TARGETING PREVENTION PROGRAMS PARTICULARLY TO HIGHEST RISK POPULATIONS. IN THE COMMUNITY SURVEY AND IN VARIOUS FORUMS, VIOLENT CRIME IS A MAJOR CONCERN. SBH WILL IMPLEMENT CURE VIOLENCE WITH BRONX RISES AGAINST GUN VIOLENCE (B.R.A.G.), THE NYC DEPARTMENT OF HEALTH, DOCTORS OF THE WORLD AND NYPD.PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - A FOCUS TO INCREASE BREASTFEEDING. SBH IS TO BE DESIGNATED AS A BABY FRIENDLY HOSPITAL. THE REQUIREMENTS TO BE A BABY FRIENDLY HOSPITAL CREATES THE CULTURE TO TEACH AND SUSTAIN BREASTFEEDING PRACTICES. UNDER THE SUPERVISION OF THE NYC DEPARTMENT OF HEALTH & MENTAL HEALTH, ALL MILESTONES WILL BE REACHED TO ACQUIRE SAID DESIGNATION.DETAILED MATRICES DENOTING THE DESCRIPTION OF THE INTERVENTIONS AS WELL AS PROCESS MEASURES ARE SHOWN ON PAGES 84 TO 89 OF THE CHNA.SIGNIFICANT NEEDS NOT ADDRESSED WITH RESPECT TO SIGNIFICANT NEEDS NOT ADDRESSED, THE BRONX CONTINUES TO BE 62 OUT OF 62 COUNTIES IN NEW YORK STATE IN REGARDS TO HEALTH OUTCOMES AND FACTORS. THEREFORE, THE COUNTY REQUIRES ENORMOUS HEALTH NEEDS THAT REQUIRE MULTIPLE PARTIES AND RESOURCES. SBH IS SERVING A COMMUNITY WITH MULTIPLE COMPLEX HEALTH AND SOCIAL NEEDS. SBH RECOGNIZES THAT IT CANNOT ADDRESS ALL MAJOR HEALTH NEEDS IDENTIFIED IN THIS PROCESS DUE TO SIGNIFICANT RESOURCE CONSTRAINTS. SBH HAS DEVELOPED PARTNERSHIP WITH OTHER ORGANIZATIONS TO HELP FILL THE NEED FOR COMMUNITY BASED PROGRAMS AND RESOURCES THAT CAN AUGMENT SBH PROGRAMS AND SERVICES."
      PART V, SECTION B, LINE 16A, 16B & 16C:
      WWW.SBHNY.ORG/FINANCIAL-SERVICES/?TERM=FINANCIAL+ASSISTANCE+POLICY
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 7:
      PERCENT OF TOTAL EXPENSE WAS CALCULATED AFTER SUBTRACTING $7,293,669 OF BAD DEBT EXPENSE THAT WAS REPORTED IN PART IX, LINE 25.
      PART I, LINE 7G:
      SUBSIDIZED HEALTH SERVICES ARE IDENTIFIED AS THOSE SERVICES WHICH ARE ESSENTIAL TO THE COMMUNITY. THE HOSPITAL IS INCURRING LOSSES WHILE PROVIDING THESE SERVICES TO THE COMMUNITY. COST OF SUBSIDIZED HEALTH SERVICES WAS CALCULATED BY APPLYING HOSPITAL RATIO OF COST TO CHARGE TO THE GROSS CHARGES FOR SUBSIDIZED SERVICES AND THE COST WAS OFFSET BY THE REVENUE RECEIVED FROM THIRD PARTY PAYERS. NET COMMUNITY BENEFIT EXPENSE WAS CALCULATED AFTER REDUCING THE COST FOR BAD DEBT EXPENSES, COST FOR MEDICAID PROGRAMS AND CHARITY CARE COST ASSOCIATED WITH THE SUBSIDIZED HEALTH SERVICES.
      PART III, LINE 2:
      COST OF BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE RATIO COST OF CHARGE TO THE BAD DEBT AMOUNT.
      PART III, LINE 4:
      IN MAY 2014, THE FASB ISSUED ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (ASU 2014-09). THE HOSPITAL ADOPTED THE STANDARD EFFECTIVE JANUARY 1, 2018, USING THE FULL RETROSPECTIVE METHOD. AS A RESULT, CERTAIN PATIENT ACTIVITY WHERE COLLECTION IS UNCERTAIN PREVIOUSLY REPORTED AS THE PROVISION FOR BAD DEBTS IS NOW REFLECTED AS AN IMPLICIT PRICE CONCESSION AND IS INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. ADDITIONALLY, UPON ADOPTION OF ASU 2014-09, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS RECLASSIFIED AS A COMPONENT OF PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. OTHER ASPECTS OF THE HOSPITAL'S IMPLEMENTATION OF ASU 2014-09 IMPACTING NET PATIENT SERVICE REVENUE, WHICH INCLUDE JUDGMENTS REGARDING COLLECTION ANALYSES AND ESTIMATES OF VARIABLE CONSIDERATION AND THE ADDITION OF CERTAIN QUALITATIVE AND QUANTITATIVE DISCLOSURES, ARE REFLECTED IN THE NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS FOUND ON PAGES 13-15 OF THE AUDITED FINANCIAL STATEMENTS. THE FOLLOWING IS THE METHODOLOGY FOR WHICH THE ORGANIZATION ACCOUNTS FOR BAD DEBTS: ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE HOSPITAL ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES AND ASSESS THE IMPACT, IF ANY, ON ALLOWANCE ESTIMATES. THE HOSPITAL BELIEVES THAT THE COLLECTABILITY OF ITS RECEIVABLES IS DIRECTLY LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES IT PROVIDES. REVISIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS. COST OF BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE RATIO OF COST TO CHARGE TO THE BAD DEBT AMOUNT. BAD DEBT EXPENSE PROCEDURE IS DESCRIBED IN THE AFS FOOTNOTE LOCATED ON PAGES 13-14, NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.
      PART III, LINE 8:
      ST. BARNABAS HOSPITAL DOES NOT REPORT ANY SHORTFALL ON LINE 7 DUE TO THE FACT THAT THE HOSPITAL RECEIVES A SIGNIFICANT AMOUNT OF MONEY FROM DISPROPORTIONATE SHARE AND GRADUATE MEDICAL EDUCATION. THE HOSPITAL SERVES A LARGE INDIGENT POPULATION AND HAS AN EXTENSIVE TEACHING PROGRAM CONSISTING OF 210 RESIDENTS AND INCURS LOSSES IN PROVIDING CARE TO THE INDIGENT POPULATIONS AND TRAINING HEALTHCARE PROFESSIONALS.
      PART III, LINE 9B:
      ALL SELF-PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, HOWEVER, IF THE PATIENT WAS NOT DEEMED ELIGIBLE AND HAS NO MEANS OF PAYING THEY ARE REFERRED TO THE PATIENT FINANCIAL SERVICES OFFICE WHERE IT'S DETERMINED WHETHER THEY QUALIFY FOR CHARITY CARE BASED ON SLIDING SCALE OPTIONS. PROPER DOCUMENTATION IS REQUIRED TO BE SUBMITTED IN ORDER TO QUALIFY FOR CHARITY CARE OPTIONS. LITERATURE WILL ALSO BE SENT TO THE PATIENT PERTAINING TO THEIR SITUATION. ALL ACTIONS TAKEN ON AN ACCOUNT SHOULD BE DOCUMENTED IN THE HOSPITAL BUSINESS OFFICE WITHOUT ANY HESITATION.
      PART VI, LINE 2:
      NEEDS ASSESSMENTTHE COMMUNITY HEALTH NEEDS ASSESSMENT [CHNA] DESCRIBES THE PEOPLE AND THE HEALTH OF OUR BRONX COMMUNITY USING MULTIPLE DATA SOURCES. THE PROCESS FOR PREPARING THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT WAS A COMMUNITY COLLABORATIVE PROCESS, INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE ARTICULATED NEEDS OF THE COMMUNITY INCLUDING THE CLINICAL AND SOCIAL DETERMINANTS OF HEALTH. THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED A PRIMARY DATA COLLECTION STRATEGY IN CONJUNCTION WITH SECONDARY DATA. SBH HAS AN ONGOING COMMITMENT TO EXPAND AND MAINTAIN WORKING PARTNERSHIPS WITH THE ENTIRE SPECTRUM OF COMMUNITY AGENCIES/GROUPS. SBH DEVELOPED A COMMUNITY LEVEL APPROACH INVOLVING SUCH COMMUNITY-BASED ORGANIZATIONS INTERESTED IN HEALTH ISSUES ADDRESSED. SBH HAS DEVELOPED VARIOUS MEMORANDUMS OF AGREEMENTS WITH COMMUNITY ORGANIZATIONS. THERE WERE PUBLIC HEALTH EXPERTS AT SBH, COMMUNITY-BASED ORGANIZATIONS, LOCAL BUSINESSES, RELEVANT HEALTH INSURANCE COMPANIES, ELECTED OFFICIALS AND GOVERNMENT AGENCIES PARTICIPATED IN VARIOUS LEVELS IN THE PRIORITIZATION PROCESS. THEIR PARTICIPATION IN ASSESSING COMMUNITY NEEDS AND SETTING PRIORITIES HAS BEEN CONTINUOUS PROCESS OVER THE PAST THREE YEARS. SBH, ON AN ONGOING BASIS, REVIEWED SECONDARY DATA, EXPLAINED THE NYS PREVENTION AGENDA AND DISCUSSED POTENTIAL PROGRAMS WITH COMMUNITY PARTNERS. WE ENGAGED A RANGE OF STAKEHOLDERS WITH PARTICULAR FOCUS ON ECONOMICALLY CHALLENGED, RACIALLY DIVERSE LOCAL RESIDENTS TO ASSESS COMMUNITY NEEDS; SET PRIORITIES; DEVELOP DESIGN PROPOSED INTERVENTIONS. THE STAKEHOLDERS WERE INCLUDED EARLY IN DEVELOPMENT, DESIGN AND DECISION-MAKING. A COMPONENT OF THE CONSENSUS BUILDING PROCESS WAS TO REVIEW RELEVANT EVIDENCE-BASED COMMUNITY RESOURCES TO COMPREHENSIVELY ADDRESS SOCIAL DETERMINANTS THAT AFFECT OUR COMMUNITY.
      PART VI, LINE 3:
      ST. BARNABAS IS COMMITTED TO ENSURING THAT EVERYONE VISITING THE FACILITY IS AWARE OF ITS FINANCIAL AID POLICY AND FINANCIAL AID PROGRAM FOR UNINSURED AND UNDERINSURED PATIENTS. IN THIS VEIN, THE HOSPITAL PUBLISHES A FINANCIAL AID BROCHURE, ACCESS BEST CARE, IN BOTH ENGLISH AND SPANISH, THE PREDOMINANT LANGUAGES OF THE HOSPITAL COMMUNITY. IN ADDITION, HOSPITAL FINANCIAL AID DOCUMENTS AND APPLICATIONS ARE AVAILABLE TO BE TRANSLATED IF NEEDED. COLLECTION AGENCY VENDORS ARE REQUIRED TO ACKNOWLEDGE IN WRITING THEIR AWARENESS AND COMPLIANCE WITH HOSPITAL COLLECTION POLICIES AS THEY REPRESENT AN EXTENSION OF THE HOSPITAL FINANCE OFFICE.
      PART VI, LINE 5:
      PROMOTION OF PUBLIC HEALTHTHROUGH THE HOSPITAL'S PERFORMING PROVIDER SYSTEM, BRONX PARTNERS FOR HEALTH COMMUNITIES (BPHC), THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF THE BRONX COMMUNITY. BY IMPLEMENTING INNOVATIVE COMMUNITY-LEVEL PROJECTS WHICH TRANSFORM THE SYSTEM OF CLINICAL DELIVERY, THE HOSPITAL SEEKS TO PROMOTE COMMUNITY HEALTH. THROUGH THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROJECTS THAT ARE DESIGNED TO MEET THE COMMUNITY'S UNIQUE HEALTH NEEDS, THE HOSPITAL IS BUILDING A COORDINATED, COMMUNITY-BASED HEALTHCARE SYSTEM FOCUSED ON THE WELLNESS OF EVERY BRONX RESIDENT.
      PART VI, LINE 4:
      COMMUNITY INFORMATIONSBH HEALTH SYSTEM HAS IDENTIFIED THE BRONX AS ITS PRIMARY SERVICE AREA AND IT IS WITHIN THIS GEOGRAPHIC AREA THAT SBH HEALTH SYSTEM HAS DISTRIBUTED ITS COMMUNITY-BASED PRIMARY CARE AND SPECIALTY AMBULATORY SERVICES. SBH'S PRIMARY SERVICE AREA IS COMPRISED OF THE FOLLOWING BRONX ZIP CODES: 10451, 10453, 10454, 10455, 10457, 10458, 10459, 10460, AND 10468. HOWEVER, GIVEN THAT SBH OPERATES A LEVEL 2 TRAUMA CENTER AND OFFERS HIGH-DEMAND PROGRAMS SUCH AS A MOBILE MAMMOGRAPHY PROGRAM, IT SERVES THE ENTIRE BRONX. OTHER HOSPITALS PROVIDING SERVICE IN THESE ZIP CODES INCLUDE: MONTEFIORE MEDICAL CENTER, BRONX LEBANON HOSPITAL CENTER, JACOBI MEDICAL CENTER AND LINCOLN MEDICAL CENTER. BRONX COUNTY IS NEW YORK CITY'S FIRST BOROUGH TO HAVE A MAJORITY OF PEOPLE OF COLOR AND IT IS THE ONLY BOROUGH WITH A LATINO MAJORITY. THE BRONX IS AMONGST THE YOUNGEST COUNTIES IN NEW YORK STATE WITH A MEDIAN AGE OF 33.6 AND 25.3% OF THE POPULATION BEING UNDER THE AGE OF 18Y. THE BRONX HAS THE HIGHEST PROPORTION OF SINGLE-PARENT HEADED HOUSEHOLDS IN THE US (19.2%). FURTHERMORE, THE BRONX HAS QUALIFIED AS A WHOLE COUNTY HEALTH PROFESSIONS SHORTAGE AREA (HPSA) BY HRSA, SINCE 2008, AS ALMOST HALF (45%) OF OUR POPULATION IS CURRENTLY LIVING IN A HPSA DESIGNATED GEOGRAPHIC AREA.
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      AFFILIATED HEALTHCARE SYSTEMN/A
      PART VI, LINE 7, REPORTS FILED WITH STATES
      NY