Schedule H, Part I, Line 7g Subsidized Health Services
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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.
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Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
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3520759
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Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
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PERCENT OF TOTAL EXPENSE WAS CALCULATED AFTER SUBTRACTING $7,293,669 OF BAD DEBT EXPENSE THAT WAS REPORTED IN PART IX, LINE 25.
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Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
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COST OF BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE RATIO COST OF CHARGE TO THE BAD DEBT AMOUNT.
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Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
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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.
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Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
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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.
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Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
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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.
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Schedule H, Part V, Section B, Line 16a FAP website
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- ST. BARNABAS HOSPITAL: Line 16a URL: https://www.sbhny.org/financial-services/;
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Schedule H, Part V, Section B, Line 16b FAP Application website
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- ST. BARNABAS HOSPITAL: Line 16b URL: https://www.sbhny.org/financial-services/;
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Schedule H, Part V, Section B, Line 16c FAP plain language summary website
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- ST. BARNABAS HOSPITAL: Line 16c URL: https://www.sbhny.org/financial-services/;
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Schedule H, Part VI, Line 2 Needs assessment
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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.
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Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
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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.
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Schedule H, Part VI, Line 4 Community information
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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.
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Schedule H, Part VI, Line 5 Promotion of community health
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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.
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Schedule H, Part VI, Line 7 State filing of community benefit report
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NY
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