SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    21,520,349 11,772,262 9,748,087 1.78 %
b Medicaid (from Worksheet 3, column a) . . . . .     250,655,609 252,811,174 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     58,466   58,466 0.01 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 272,234,424 264,583,436 9,806,553 1.80 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).         0 0 %
f Health professions education (from Worksheet 5) . . .     53,976,962 28,284,820 25,692,142 4.70 %
g Subsidized health services (from Worksheet 6) . . . .     90,309,308 46,003,657 44,305,651 8.11 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     750,000   750,000 0.14 %
j Total. Other Benefits . . 0 0 145,036,270 74,288,477 70,747,793 12.95 %
k Total. Add lines 7d and 7j . 0 0 417,270,694 338,871,913 80,554,346 14.75 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
3,520,759
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
33,925,663
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
25,032,323
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
8,893,340
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST BARNABAS HOSPITAL
183RD STREET AND THIRD AVENUE
BRONX,NY10457
WWW.SBHNY.ORG
7000014H
X     X     X      
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST BARNABAS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.sbhny.org/community/community-service-plan/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2023
Page 5
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST BARNABAS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.sbhny.org/financial-services/
b
https://www.sbhny.org/financial-services/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
ST BARNABAS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST BARNABAS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E 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.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - ST. BARNABAS HOSPITAL. 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.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Barnabas Hospital. SBH HEALTH SYSTEM IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY AND PROVIDING THE HIGHEST QUALITY CARE IN A COMPASSIONATE, COMPREHENSIVE, AND SAFE ENVIRONMENT WHERE THE PATIENT ALWAYS COMES FIRST, REGARDLESS OF THEIR ABILITY TO PAY, IMMIGRATION STATUS, OR SEXUAL ORIENTATION. 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, PUBLIC HEALTH EXPERTS, 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 ADDRESSING THOSE NEEDS AND CONCERNS. IN 2022, THROUGH THE SUPPORTED EFFORTS OF SBH OFFICE OF COMMUNITY AND GOVERNMENT AFFAIRS, SBH SELECTED TWO COMMUNITY HEALTH PRIORITIES BASED ON A COMMUNITY HEALTH NEEDS ASSESSMENT AND INVOLVEMENT OF BOARD SPECTRUM OF COMMUNITY-BASED ORGANIZATIONS INTERESTED IN ACHIEVING HEALTH EQUITY. PARTICIPANTS INCLUDED PUBLIC HEALTH EXPERTS, 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 AND INCREASING FOOD SECURITY. INDIVIDUALS ARE LISTED IN CHNA ON PAGE 70 TO 74. AFTER PANDEMIC FALLOUT, PUBLIC PARTICIPATION IN MONITORING PRIORITIES BEGAN TO REGAIN MOMENTUM. THE SBH WELLNESS ALLIANCE, A COMMUNITY LEVEL COALITION THAT BRINGS TOGETHER VARIOUS SEGMENTS OF THE COMMUNITY, IS HOLDING MONTHLY MEETINGS. PARTICIPANTS REFLECT THE DIVERSITY OF THE COMMUNITY: COMMUNITY BASED ORGANIZATIONS, LOCAL CLERGY, PUBLIC HEALTH EXPERTS, SCHOOL LEADERS, COMMUNITY BOARD MEMBERS, LAW ENFORCEMENT AND MORE. IT IS AN ONGOING EFFORT TO EDUCATE, INFORM AND SEEK GUIDANCE FROM THE BRONX COMMUNITY ON VARIOUS HEALTH TOPICS AS WELL AS TO RESPOND TO COMMUNITY INQUIRIES ON HEALTH-RELATED ISSUES, AT THESE MEETINGS, PRESENTATIONS UPDATING THE COMMUNITY ON THE LINGERING IMPACT OF COVID, RESOURCES AVAILABLE TO MEET THE COMMUNITY NEEDS, REMINDERS OF THE IMPORTANCE TO RETURN TO ROUTINE CHECKUPS AND THE LATEST HEALTH CARE INFORMATION. THE NEW SBH HEALTH & WELLNESS CENTER IS IN FULL OPERATIONS. 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 STRIVES TO CREATE A CULTURE OF LIFELONG WELLNESS AND SELF-EMPOWERMENT BY OFFERING INNOVATIVE SERVICES AND PROGRAMS FOCUSED ON PREVENTION AND HEALTHY CHOICES FOR THE COMMUNITY. THE CENTER INCLUDES A FITNESS CENTER, A ROOFTOP FARM, A TEACHING KITCHEN. IN THE CLINICAL WING FLOOR IS A URGENT CARE CENTER, A BREAST IMAGING CENTER AND WOMEN'S AND CHILDREN'S HEALTH SERVICES. SBH HAS A PARTNERSHIP WITH PROJECT EATS, NONPROFIT ORGANIZATION, TO MANAGE THE URBAN FARM. DURING 2022, VISITORS INCLUDING GOVERNMENT OFFICIALS ATTENDED TOUR TO LEARN ABOUT SBH EFFORTS TO MOVE TOWARD HEALTH EQUITY IN OUR COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. BARNABAS HOSPITAL. THE CHNA WAS CONDUCTED SOLELY BY SBH HEALTH SYSTEM.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST. BARNABAS HOSPITAL. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITY: NYC DEPARTMENT OF MENTAL HEALTH AND HYGIENE.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Barnabas Hospital. 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 AND (2) PROMOTE A HEALTHY AND SAFE ENVIRONMENT REDUCING VIOLENCE BY TARGETING PREVENTION PROGRAM TO HIGHEST RISK POPULATION. (1) 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, ACCESS TO HEALTHIER FOOD RANKED #5 IN PRIORITY AREA FOR THE COMMUNITY And RANKED 4 IN AREAS THAT NEED ATTENTION. (2) PROMOTE HEALTHY AND SAFE ENVIRONMENT: IN THE COMMUNITY SURVEY, GUN VIOLENCE PREVENTION RANKED #1 FOR PRIORITY HEALTH ISSUE. 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. DETAILED MATRICES DENOTING THE DESCRIPTION OF THE INTERVENTIONS AS WELL AS PROCESS MEASURES ARE SHOWN ON PAGES 84 TO 88 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 REGARD TO HEALTH OUTCOMES AND FACTORS. THEREFORE, THE COUNTY REQUIRES ENORMOUS HEALTH NEEDS THAT REQUIRE MULTIPLE PARTIES AND EXTENSIVE RESOURCES. SBH IS SERVING A COMMUNITY WITH MULTIPLE COMPLEX HEALTH AND SOCIAL NEEDS AND ECONOMICALLY CHALLENGED. 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 ADDRESS THE NEED FOR COMMUNITY BASED PROGRAMS AND RESOURCES THAT CAN AUGMENT SBH PROGRAMS AND SERVICES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Page 9
Schedule H (Form 990) 2023
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address Type of Facility (describe)
1 SBH HEALTH SYSTEM AMBULATORY CARE CLIN
4487 3RD AVENUE
BRONX,NY10457
HOSPITAL EXTENSION CLINIC
2 SBH WOMEN INFANTS AND CHILDREN
2021 GRAND CONCOURSE
BRONX,NY10453
HOSPITAL EXTENSION CLINIC
3 SBH HEALTH SYSTEM METHADONE
4535-39 THIRD AVENUE
BRONX,NY10457
HOSPITAL EXTENSION CLINIC
4 SBH BEHAVIORAL HEALTH FACILITY
260 EAST 188TH STREET
BRONX,NY10458
HOSPITAL EXTENSION CLINIC
5 SBH HEALTH SYSTEM HEMODIALYSIS CLINIC
4443 3RD AVENUE
BRONX,NY10457
HOSPITAL EXTENSION CLINIC
6 Wellness Center
4509 Third Avenue
Bronx,NY10457
HOSPITAL EXTENSION CLINIC
7
8
9
10
Schedule H (Form 990) 2023
Page 10
Schedule H (Form 990) 2023
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 7g Subsidized Health Services 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 3520759
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance PERCENT OF TOTAL EXPENSE WAS CALCULATED AFTER SUBTRACTING $7,293,669 OF BAD DEBT EXPENSE THAT WAS REPORTED IN PART IX, LINE 25.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount COST OF BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE RATIO COST OF CHARGE TO THE BAD DEBT AMOUNT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 PAGE 16, NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16a FAP website - ST. BARNABAS HOSPITAL: Line 16a URL: https://www.sbhny.org/financial-services/;
Schedule H, Part V, Section B, Line 16b FAP Application website - ST. BARNABAS HOSPITAL: Line 16b URL: https://www.sbhny.org/financial-services/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. BARNABAS HOSPITAL: Line 16c URL: https://www.sbhny.org/financial-services/;
Schedule H, Part VI, Line 2 Needs assessment THE COMMUNITY HEALTH NEEDS ASSESSMENT [CHNA] DESCRIBES THE PEOPLE AND THE HEALTH OF OUR BRONX COMMUNITY USING MULTIPLE DATA SOURCES. THE PROCESS FOR PREPARING THE 2022-2024 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 2022-24 COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED A PRIMARY DATA COLLECTION STRATEGY IN CONJUNCTION WITH SECONDARY DATA. SBH DEVELOPED A COMMUNITY LEVEL APPROACH INVOLVING VARIOUS SEGMENTS OF THE COMMUNITY INTERESTED IN ACHIVEING HEALTH EQUITY. SBH HAS DEVELOPED VARIOUS MEMORANDUMS OF AGREEMENTS WITH COMMUNITY ORGANIZATIONS. THERE WERE PUBLIC HEALTH EXPERTS, 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 A CONTINUOUS PROCESS OVER THE PAST TWO YEARS. SBH, ON AN ONGOING BASIS, REVIEWS SECONDARY DATA, EXPLAINED THE NYS PREVENTION AGENDA AND DISCUSSED POTENTIAL PROGRAMS WITH COMMUNITY PARTNERS. SBH 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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.
Schedule H, Part VI, Line 4 Community information SBH 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.
Schedule H, Part VI, Line 5 Promotion of community health THROUGH 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.
Schedule H, Part VI, Line 7 State filing of community benefit report NY
Schedule H (Form 990) 2023
Additional Data


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