Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
ST BARNABAS HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
183RD STREET AND THIRD AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
BRONX, NY10457
D Employer identification number

13-1740122
E Telephone number

G Gross receipts $ 310,536,730
F Name and address of principal officer:
SCOTT COOPER MD THE PRESIDENT
183RD STREET AND THIRD AVENUE
BRONX,NY10457
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.stbarnabashospital.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1877
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVISION OF HEALTHCARE SEE DETAILS ON SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 19
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,172
6 Total number of volunteers (estimate if necessary) .... 6 102
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,735,968 4,696,993
9 Program service revenue (Part VIII, line 2g) ......... 304,595,697 299,886,118
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -12,879,490 1,841,959
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,711,850 3,011,359
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 298,164,025 309,436,429
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,539,875 2,564,480
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 173,399,950 175,516,340
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 147,509,407 141,207,178
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 323,449,232 319,287,998
19 Revenue less expenses. Subtract line 18 from line 12...... -25,285,207 -9,851,569
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 385,446,975 389,488,266
21 Total liabilities (Part X, line 26)............ 196,260,438 213,219,588
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 189,186,537 176,268,678
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: PROVISION OF HEALTHCARE SEE DETAILS ON SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts 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 (Code:   ) (Expenses $ 145,572,920 including grants of $   ) (Revenue $ 166,422,491 )
ST. BARNABAS HOSPITAL PROVIDED COMPASSIONATE AND COMPREHENSIVE HEALTH CARE SERVICES TO THE PEOPLE OF THE BRONX COMMUNITY IN THE CITY OF NEW YORK. DURING 2010, THE HOSPITAL PROVIDED INPATIENT HEALTHCARE SERVICES TO 21,151 PATIENTS. SEE SCHEDULE O FOR DETAILS.
4b (Code:   ) (Expenses $ 103,330,374 including grants of $ 2,500,000 ) (Revenue $ 116,190,180 )
DURING 2010, THE HOSPITAL PROVIDED 312,003 OUTPATIENT HEALTH CARE SERVICES TO PEOPLE IN THE NEIGHBORHOOD. THESE SERVICES INCLUDED 99,906 EMERGENCY ROOM VISITS WITH 18,765 ADMISSIONS; 32,266 DIALYSIS TREATMENTS; 28,796 METHADONE MAINTENANCE CLINIC VISITS; 21,868 DENTAL VISITS; 5,945 AMBULATORY SURGERY PROCEDURES; 143,987 AMBULATORY CARE VISITS. SEE SCHEDULE O FOR DETAILS.
4c (Code:   ) (Expenses $ 13,656,169 including grants of $   ) (Revenue $ 17,273,447 )
FORDHAM TREMONT COMMUNITY MENTAL HEALTH CENTER PROVIDES TREATMENT FOR SERIOUSLY AND PERSISTENLY MENTALLY ILL ADULTS, SERIOUSLY EMOTIONALLY DISTURBED CHILDREN AND MENTALLY ILL CHEMICAL ABUSERS. THE CENTER PROVIDED HEALTHCARE SERVICES TO 122,312 PATIENTS. SEE SCHEDULE O FOR DETAILS.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 391,759 including grants of $ 64,480 ) (Revenue $ 422,943 )
4e Total program service expensesMediumBullet$ 262,951,222
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
136
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,172
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
TODD GORLEWSKISENIOR VP CFO
183RD STREET AND 3RD AVE
BRONX,NY10457
(718) 960-9000
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) MILDRED ALLEN PHD
BOARD MEMBER
 1.0 X           0 0 0
(2) HON JOHN A BARONE
BOARD MEMBER
 1.0 X           0 0 0
(3) ELIZABETH BARTLETT
SENIOR VICE CHAIRMAN
 1.0 X           0 0 0
(4) MAUREEN D DONOVAN ESQ
VICE CHAIRPERSON
 1.0 X           0 0 0
(5) HELEN FOSTER
BOARD MEMBER
 1.0 X           0 0 0
(6) DAVID HARRIS
BOARD MEMBER
 1.0 X           0 0 0
(7) THOMAS HUGHES
BOARD MEMBER
 1.0 X           0 0 0
(8) CAROLYN JONES
BOARD MEMBER
 1.0 X           0 0 0
(9) JOHN J LORDAN
BOARD MEMBER
 1.0 X           0 0 0
(10) JOHN MCKEW
BOARD MEMBER
 1.0 X           0 0 0
(11) ANDREW MEZEY MD
BOARD MEMBER
 1.0 X           0 0 0
(12) CHARLES MOERDLER ESQ
BOARD MEMBER
 1.0 X           0 0 0
(13) GROVER O'NEIL JR
BOARD MEMBER
 1.0 X           0 0 0
(14) WENDY RODRIGUEZ
BOARD MEMBER
 1.0 X           0 0 0
(15) HOWARD SAFIR
BOARD MEMBER
 1.0 X           0 0 0
(16) ELIZABETH SANCHEZ LCSW
SECRETARY
 1.0 X           0 0 0
(17) THEODORE SPEVACK DO
BOARD MEMBER
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JOHN TOGNINO
VICE CHAIRMAN
 1.0 X           0 0 0
(19) BARRY WINTNER CFA
BOARD MEMBER
 1.0 X           0 0 0
(20) VICTOR WRIGHT
CHAIRMAN OF THE BOARD
 1.0 X           0 0 0
(21) ARTHUR KLEIN MD
BOARD MEMBER
 1.0 X           0 0 0
(22) SCOTT COOPER MD
PRESIDENT
 47.5     X       715,651 37,666 7,295
(23) LEONARD WALSH
CHIEF OPERATING OFFICER
 47.5     X       412,264 21,698 7,195
(24) NOAH CALDWELL
SR VICE PRESIDENT
 49.0     X       437,556 8,930 8,699
(25) PATRICIA S BELAIR
SR VICE PRESIDENT
 50.0     X       287,231 0 7,149
(26) CATHERINE GRAHAM
SR VICE PRESIDENT
 45.0     X       221,012 24,557 8,636
(27) KEITH D WOLF
SENIOR VICE PRESIDENT
 45.0     X       274,317 30,480 7,154
(28) JERRY R BALENTINE MD
MEDICAL DIRECTOR
 50.0     X       439,703 0 7,197
(29) PATRICIA CUNNINGHAM
SR VICE PRESIDENT
 47.5     X       192,012 10,106 8,622
(30) JOHN DIGIROLOMO
SR VICE PRESIDENT
 50.0     X       184,790 0 7,117
(31) TODD GORLEWSKI
SENIOR VP & CFO
 45.0     X       254,990 28,332 7,148
(32) MARTHA SULLIVAN
EXECUTIVE DIRECTOR
 50.0     X       166,035 0 7,111
(33) ARLENE ORTIZ-ALLENDE
SR VICE PRESIDENT
 50.0     X       165,650 0 8,611
(34) DEBRA KRAMER
VICE PRESIDENT
 50.0     X       151,850 0 8,607
(35) DAVID PERLSTEIN
MEDICAL DIRECTOR
 50.0       X     222,646 0 7,129
(36) JITENDRA BARMECHA
DIR MEDICAL CASE MANAGEMENT
 50.0       X     218,802 0 7,197
(37) DARA ROSENBERG MD
DIR OF DENTISTRY
 50.0         X   245,134 0 8,636
(38) JAMES HELLERMAN
DIR OF MEDICAL EDUCATION
 50.0         X   182,481 0 8,616
(39) JUDITH BERGER
CHIEF OF INF. DISEASES
 50.0         X   185,634 0 7,117
(40) ARUN SHARMA
AVP REIMBURSEMENT MGD CARE
 50.0         X   177,712 0 7,115
(41) WILLIAM DIBITETTO
AVP BUDGET & SPECIAL PROJECTS
 50.0         X   174,907 0 7,114
(42) RICHARD J RANK
FORMER CFO
             X 166,162 0 6,534
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,476,539 161,769 159,999
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet274
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ST BARNABAS ANESTHESIA ASSOCIATES
4422 THIRD AVE
BRONX,NY10457 		PHYSICIAN SERVICES 3,989,210
ST BARNABAS OBGYN
PO BOX 26835 GPO
NEW YORK,NY10087 		PHYSICIAN SERVICES 3,525,098
NY BRONX PEDIATRICS PC
4422 THIRD AVENUE
BRONXK,NY10087 		PHYSICIAN SERVICES 3,253,374
BRONX INTERNAL MEDICINE ASSOCIATES
4422 THIRD AVENUE
BRONX,NY10457 		PHYSICIAN SERVICES 3,097,688
BRONX SURGICAL SERVICES PC
4422 THIRD AVENUE
BRONX,NY10457 		PHYSICIAN SERVICES 2,668,119
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet40
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 4,359,017
f All other contributions, gifts, grants, and
similar amounts not included above1f 		337,976
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 4,696,993
Program Service Revenue Business Code
2a NET PATIENT REVENUE 621,110 267,618,932 267,618,932    
b FORDHAM TREMONT 621,110 17,273,447 17,273,447    
c HIP SOUTHERN REVENUE 621,110 13,345,739 13,345,739    
d SHARED SERVICES 900,099 600,000 600,000    
e SBH PC INCOME 900,099 1,038,000 1,038,000    
f All other program service revenue . 10,000 10,000    
g Total. Add lines 2a–2f........MediumBullet 299,886,118
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,872,172     1,872,172
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 2,694,798  
b Less: rental expenses 1,100,301  
c Rental income or (loss) 1,594,497  
d Net rental income or (loss).......MediumBullet 1,594,497     1,594,497
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory -33,083 2,870
b Less: cost or other basis and sales expenses    
c Gain or (loss) -33,083 2,870
d Net gain or (loss)..........MediumBullet -30,213     -30,213
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA INCOME 721,110 330,764     330,764
b VENDOR DISCOUNTS 900,099 495,965     495,965
c ST. MATHEWS UNIVERSITY MEDICAL STUDENT 900,099 117,500 117,500    
d All other revenue .... 472,633 305,443   167,190
e Total. Add lines 11a–11d ......MediumBullet 1,416,862
12 Total revenue. See Instructions....MediumBullet 309,436,429 300,309,061   4,430,375
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 2,564,480 2,564,480
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 5,439,831 4,188,670 1,251,161  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 126,477,100 97,387,367 29,089,733  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 5,314,733 4,092,344 1,222,389  
9 Other employee benefits ....... 27,880,497 21,467,983 6,412,514  
10 Payroll taxes ........... 10,404,179 8,011,218 2,392,961  
11 Fees for services (non-employees):        
a Management ...... 32,743,479 32,743,479    
b Legal ......... 788,370 607,045 181,325  
c Accounting ........... 337,865   337,865  
d Lobbying ........... 218,946   218,946  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 15,434,047 11,884,216 3,549,831  
g Other .......... 0      
12 Advertising and promotion .... 74,444 57,322 17,122  
13 Office expenses ....... 41,094,669 36,632,535 4,462,134 0
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 1,814,208 1,396,940 417,268  
17 Travel ............ 0      
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 581,059 447,415 133,644  
20 Interest ........... 3,047,366 2,346,472 700,894  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 19,066,616 14,681,294 4,385,322  
23 Insurance .............. 5,446,699 4,199,160 1,247,539  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROVISION FOR BAD DEBT 10,400,000 10,400,000    
b HIP CLAIMS EXPENSES 7,823,941 7,823,941    
c TEMPORARY SERVICES 2,019,341 2,019,341    
d AMORTIZATION 316,128   316,128  
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 319,287,998 262,951,222 56,336,776 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 20,937,706 2 9,583,701
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 27,895,166 4 37,921,995
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 1,609,989 9 1,487,099
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 502,766,548
b Less: accumulated depreciation. ..... 10b 302,279,523 201,746,799 10c 200,487,025
11 Investments—publicly traded securities .......... 69,457,341 11 69,720,352
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 63,799,974 15 70,288,094
16 Total assets. Add lines 1 through 15 (must equal line 34)... 385,446,975 16 389,488,266
Liabilities 17 Accounts payable and accrued expenses . 62,167,678 17 83,531,134
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 82,513,066 23 78,536,361
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 51,579,694 25 51,152,093
26 Total liabilities. Add lines 17 through 25..... 196,260,438 26 213,219,588
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 165,054,625 27 155,365,426
28 Temporarily restricted net assets ..... 3,577,149 28 3,769,043
29 Permanently restricted net assets ..... 20,554,763 29 17,134,209
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 189,186,537 33 176,268,678
34 Total liabilities and net assets/fund balances ..... 385,446,975 34 389,488,266
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
309,436,429
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
319,287,998
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-9,851,569
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
189,186,537
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-3,066,290
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
176,268,678
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ST BARNABAS HOSPITAL
  		Employer identification number

13-1740122
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ST BARNABAS HOSPITAL
  		Employer identification number

13-1740122
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ST BARNABAS HOSPITAL
  		Employer identification number

13-1740122
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
218,946
j
Total. lines 1c through 1i ...................................
218,946
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES ST. BARNABAS HOSPITAL HAS PAID MEMBERSHIP DUES TO GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND HOSPITAL ASSOCIATION OF NEW YORK STATE(HANYS). IN 2010, GNYHA AND HANYS SPENT $80,475 AND $138,471, RESPECTIVELY, TO INFLUENCE LEGISLATION IN THE STATE OF NEW YORK.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 43,303,184 70,103,476 98,154,551
b Contributions ........ 32,650 35,550 43,226
c Investment earnings or losses ... 4,524,514 4,757,241 -19,383,915
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		1,276,766 31,506,001 8,634,988
f Administrative expenses .... 41,232 87,083 105,509
g End of year balance ...... 46,542,350 43,303,183 70,073,365
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet100.000 %
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   12,814,890 12,814,890
b Buildings ................   279,385,734 143,180,167 136,205,567
c Leasehold improvements ............        
d Equipment ................   190,367,447 159,099,356 31,268,091
e Other .................   20,198,477   20,198,477
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 200,487,025
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM NYC AND OTHER PAYORS 776,725
(2) FUNDS HELD IN TRUST BY OTHERS 19,427,691
(3) DUE FROM PHYSICIANS GROUPS 1,246,191
(4) GRANTS RECEIVABLE 1,770,647
(5) DUE FROM RELATED PARTIES 1,966,729
(6) MEDICARE/MEDICAID RECEIVABLE 234,417
(7) HIP & MISCELLANEOUS RECEIVABLE 1,247,683
(8) DUE FROM PAYOR REIMBRS PRGRM 22,291,005
(9) DUE FROM UCHC 12,137,774
(10) DUE FROM AFFILIATES 1,294,663
(11) DEFERRED MORTGAGE COSTS 7,894,569
Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 70,288,094
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
MALPRACTICE LIABILITY ESTIM 21,638,868
ACCRUED POSTRETIREMENT BENEFIT 1,734,396
ACCRUED PENSION COST NET 24,404,122
OTHER LONG TERM LIABILITIES 3,374,707





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 51,152,093
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 309,436,429
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 319,287,998
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -9,851,569
4 Net unrealized gains (losses) on investments .......................... 4 5,294,078
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -8,360,368
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -3,066,290
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -12,917,859
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 316,150,538
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 5,294,078
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 319,730
e Add lines 2a through 2d ..................... 2e 5,613,808
3 Subtract line 2e from line 1..................... 3 310,536,730
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -1,100,301
c Add lines 4a and 4b....................... 4c -1,100,301
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 309,436,429
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 320,388,299
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 1,100,301
e Add lines 2a through 2d...................... 2e 1,100,301
3 Subtract line 2e from line 1..................... 3 319,287,998
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 319,287,998
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SCHEDULE D, PART V, LINE 4 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS CONSISTENT WITH INDUSTRY PRACTICE, MANAGEMENT AND THE HOSPITAL'S BOARD OF TRUSTEES FURTHER UNDERSTAND THAT EXPENDITURES FROM A DONOR-RESTRICTED FUNDS IS LIMITED TO THE USES AND PURPOSES FOR WHICH THE ENDOWMENT FUND IS ESTABLISHED AND THE USE OF NET APPRECIATION, REALIZED GAINS (WITH RESPECT TO ALL ASSETS) AND UNREALIZED GAINS (WITH RESPECT ONLY TO READILY MARKETABLE ASSETS) IS LIMITED TO THE EXTENT THAT THE FAIR VALUE OF A DONOR-RESTRICTED FUND EXCEEDS THE HISTORIC DOLLAR VALUE OF THE FUND (UNLESS THE APPLICABLE GIFT INSTRUMENT INDICATES THAT NET APPRECIATION SHALL NOT BE EXPENDED), TO THE EXTENT THAT SUCH EXPENDITURE IS PRUDENT, CONSIDERING THE LONG AND SHORT TERM NEEDS OF THE HOSPITAL IN CARRYING OUT ITS PURPOSES, ITS PRESENT AND ANTICIPATED FINANCIAL REQUIREMENTS, EXPECTED TOTAL RETURN ON ITS INVESTMENTS AND GENERAL ECONOMIC CONDITIONS.
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS 1) CHANGE IN PENSION AND POSTRETIREMENT BENEFITS :($6,604,271) THE HOSPITAL HAS A NONCONTRIBUTORY DEFINED BENEFIT PENSION PLAN COVERING SUBSTANTIALLY ALL OF THE NONUNION EMPLOYEES AT THE HOSPITAL, THE NURSING HOME, UCHC AND FORDHAM TREMONT. THE HOSPITAL ALLOCATES A PORTION OF THE TOTAL ANNUAL PENSION EXPENSE TO THE NURSING HOME AND UCHC. THE BENEFITS ARE BASED ON THE FIVE HIGHEST YEARS OF EMPLOYEE COMPENSATION. THE HOSPITAL'S FUNDING POLICY IS TO CONTRIBUTE ANNUALLY THE MINIMUM FUNDING REQUIREMENT. CONTRIBUTIONS ARE INTENDED TO PROVIDE NOT ONLY FOR BENEFITS ATTRIBUTED TO SERVICE TO DATE BUT ALSO FOR THOSE EXPECTED TO BE EARNED IN THE FUTURE. EFFECTIVE SEPTEMBER 1, 2005, THE PLAN WAS AMENDED SO THAT A PARTICIPANT'S MONTHLY NORMAL RETIREMENT BENEFITS WILL BE DETERMINED UNDER THE FOLLOWING FORMULA (SUBJECT TO THE LIMIT OF 60% OF THE PARTICIPANT'S AVERAGE MONTHLY COMPENSATION). EMPLOYEES WITH FIVE OR MORE YEARS OF SERVICE ARE ENTITLED TO ANNUAL PENSION BENEFITS BEGINNING AT THE NORMAL RETIREMENT AGE OF THE EARLIER OF AGE 65 OR AGE 60 WITH THIRTY YEARS OF SERVICE EQUAL TO 1.5% OF THEIR AVERAGE MONTHLY COMPENSATION TIMES YEARS OF SERVICE; OFFSET OR REDUCED BY 1.6% OF THEIR ANNUAL PRIMARY SOCIAL SECURITY BENEFITS TIMES YEARS OF SERVICE. THIS AMENDED FORMULA APPLIES FOR ALL YEARS OF SERVICE CREDITED UNDER THE PLAN, INCLUDING YEARS OF SERVICE COMPLETED PRIOR TO SEPTEMBER 1, 2005. HOWEVER, A PARTICIPANT'S NORMAL RETIREMENT BENEFIT WILL NOT BE LESS THAN THE AMOUNT EARNED UNDER THE PRIOR FORMULA AS OF SEPTEMBER 1, 2005. NOTICE OF THIS PLAN AMENDMENT HAS BEEN PROVIDED TO ALL PARTICIPANTS TO FULFILL REQUIREMENTS UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. EFFECTIVE JANUARY 1, 2009, THE PLAN WAS FROZEN TO NEW PARTICIPANTS. EFFECTIVE JUNE 26, 2009, THE PENSION PLAN WAS AMENDED TO TEMPORARILY FREEZE BENEFITS. UNDER THIS AMENDMENT, PARTICIPANTS GENERALLY WILL NOT EARN ANY ADDITIONAL BENEFITS DURING 2009. PARTICIPANTS WHO HAVE NOT COMPLETED AT LEAST 1,000 HOURS OF SERVICE BY JUNE 26, 2009 WILL NOT BE CREDITED WITH A YEAR OF SERVICE FOR 2009 IN DETERMINING NORMAL RETIREMENT BENEFIT. COMPENSATION, IN 2009, GENERALLY WILL NOT BE TAKEN INTO ACCOUNT IN DETERMINING AVERAGE MONTHLY COMPENSATION. EFFECTIVE FOR THE PLAN YEAR BEGINNING JANUARY 1, 2011, THE PLAN WAS AMENDED TO PERMANENTLY FREEZE BENEFITS. AS A RESULT OF THIS AMENDMENT NO NEW PARTICIPANTS WILL BE ELIGIBLE TO ENTER THE PLAN AND COMPENSATION FOR 2010 AND FUTURE YEARS WILL NOT BE TAKEN INTO ACCOUNT IN DETERMINING AVERAGE MONTHLY COMPENSATION. IN ADDITION TO THE DEFINED BENEFIT PENSION PLAN, THE HOSPITAL PROVIDES HEALTH CARE AND LIFE INSURANCE BENEFITS TO ITS RETIRED EMPLOYEES ELIGIBLE FOR THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. AN EMPLOYEE IS ELIGIBLE IF THEY ARE AGE 60 OR OLDER; HAVE COMPLETED FIVE YEARS OF SERVICE IMMEDIATELY BEFORE RETIREMENT; AND ARE INSURED AS AN ACTIVE EMPLOYEE IMMEDIATELY BEFORE RETIREMENT. THIS BENEFIT WAS TERMINATED FOR NEW EMPLOYEES EFFECTIVE JANUARY 1, 2009. EFFECTIVE FEBRUARY 1, 2010, THE HOSPITAL MODIFIED ITS POSTRETIREMENT HEALTH BENEFIT. A FORMAL NOTICE WAS DISTRIBUTED TO MEDICARE ELIGIBLE RETIREES GIVING THEM THE OPTION TO ENROLL IN A MEDICARE ADVANTAGE PLAN IN WHICH THE HOSPITAL WOULD BE PROVIDING A $100 MONTHLY SUBSIDY TO OFFSET THE PREMIUM. IN ADDITION, THIS BENEFIT WAS AMENDED FOR ACTIVE EMPLOYEES AND ESTABLISHED SPECIFIC CRITERIA THAT CONSIDERS BOTH AGE AND YEARS OF SERVICE TO DETERMINE ELIGIBILITY. ACTIVE EMPLOYEES WHO DO NOT MEET THESE CRITERIA AS OF FEBRUARY 1, 2010 ARE NOT ELIGIBLE FOR POSTRETIREMENT HEALTH BENEFITS THROUGH THE HOSPITAL. AS A RESULT OF THE POSTRETIREMENT BENEFIT PLAN AMENDMENT, THE HOSPITAL'S POSTRETIREMENT HEALTHCARE BENEFIT PLAN NO LONGER IS ELIGIBLE FOR MEDICARE PART D PRESCRIPTION DRUG FEDERAL SUBSIDY AND THIS SUBSIDY HAS THEREFORE BEEN EXCLUDED FROM THE DETERMINATION OF THE POSTRETIREMENT BENEFIT OBLIGATION AT DECEMBER 31, 2010. THE HOSPITAL RECORDED AN ADJUSTMENT TO THE PENSION AND POSTRETIREMENT BENEFITS AS OF DECEMBER 31, 2010 AND 2009 OF $6,604,271 AND ($15,419,097), RESPECTIVELY, WHICH IS REPORTED AS AN ADJUSTMENT TO THE HOSPITAL'S UNRESTRICTED NET ASSETS WITHIN THE STATEMENTS OF OPERATIONS.
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS PERMANENTLY RESTRICTED UNREALIZED GAINS ON INVESTMENTS: $1,232,279
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS TEMPORARILY RESTRICTED INTEREST AND DIVIDEND INCOME: $262,500
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS TEMPORARLY RESTRICTED GIFTS AND BEQUESTS: $249,124
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS CHANGE IN RESTRICTED NET ASSETS: $319,730
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS TEMPORARLY RESTRICTED NET ASSETS RELEASED FROM RESTRICTION FOR OPERATING PURPOSES: ($319,730)
SCHEDULE D, PART XI, LINE 8 OTHER CHANGES OF NET ASSETS EQUITY TRANSFER: ($3,500,000)
SCHEDULE D, PART XII, LINE 2D OTHER BOOK INCOME NOT INCLUDED IN RETURN NET ASSETS RELEASED FROM RESTRICTIONS: ($319,730)
SCHEDULE D, PART XII, LINE 4B OTHER REVENUE RENTAL EXPENSES: ($1,100,301)
SCHEDULE D, PART XIII, LINE 2D OTHER EXPENSES RENTAL EXPENSES: $1,100,301
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care 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 discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does 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
Charity Care and Certain Other Community Benefits at Cost
Charity Care 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 Charity care at cost (from
Worksheets 1 and 2) .. 		    19,170,351 13,465,435 5,704,916 1.850 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    145,938,808 133,433,745 12,505,062 4.050 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    165,109,159 146,899,180 18,209,978 5.900 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		           
f Health professions education
(from Worksheet 5) .. 		    45,961,059 20,332,731 25,628,328 8.300 %
g Subsidized health services
(from Worksheet 6) .. 		    38,275,273 24,879,604 13,395,669 4.340 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    2,500,000 0 2,500,000 0.780 %
jTotal Other Benefits ...     86,736,332 45,212,335 41,523,997 13.420 %
kTotal. Add lines 7d and 7j. ..     251,845,491 192,111,515 59,733,975 19.320 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(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            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
3,983,106
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
43,472,229
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
22,994,027
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
20,478,202
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
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(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) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ST BARNABAS HOSPITAL
183RD STREET AND THIRD AVENUE
BRONX,NY10457 		X                
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ST BARNABAS HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and 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?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?8
Name and address Type of Facility (Describe)
1 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
2 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
3 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
4 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
5 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
6 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
7 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
8 AMBULATORY CARE CLINIC AT UNION HOSPITAL
60 EAST 188TH STREET
BRONX,NY10458 		HOSPITAL EXTENSION CLINIC
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments 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.
Identifier ReturnReference Explanation
SCHEDULE H, PART I, LINE 3C:   N/A - THE HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIBILITY.
SCHEDULE H, PART I, LINE 6A:   THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS ALWAYS AVAILABLE TO THE PUBLIC.
SCHEDULE H, 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 THE THIRD 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, COLUMN F:   $10,400,000
SCHEDULE H, PART I, LINE 7:   PERCENT OF TOTAL EXPENSE WAS CALCULATED AFTER DIVIDING THE NET COMMUNITY BENEFIT EXPENSE BY THE TOTAL EXPENSES OF THE ORGANIZATION FROM FORM 990, PART IX, LINE 25, COLUMN A.
SCHEDULE H, PART III, LINE 4:   COST OF BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE RATIO COST OF CHARGE TO THE BAD DEBT EXPENSES FOOTNOTE IS IN AFS PAGE 9 NET PATIENT REVENUE, ACCOUNTS RECEIVABLE, ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
SCHEDULE H, PART III, LINE 8:   ST. BARNABAS HOSPITAL DOES NOT REPORT ANY SHORTFALL ON LINE 7 DUE TO THE FACT THAT THE HOSPITAL RECEIVES SIGNIFICANT AMOUNT OF MONIES FROM DISPROPORTIONATED SHARE AND GRADUATE MEDICAL EDUCATION. THE HOSPITAL SERVES A LARGE INDIGENT POPULATION AND HAS AN EXTENSIVE TEACHING PROGRAM CONSISTING OF 270 RESIDENTS AND INCURS LOSSES IN PROVIDING CARE TO THE INDIGENT POPULATIONS AND TRAINING HEALTHCARE PROFESSIONALS.
SCHEDULE H, PART III, LINE 9B:   THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. - IF PATIENT DOES NOT HAVE THE MEANS OF PAYING AND WAS NOT DEEMED MEDICAID ELIGIBLE THE HOSPITAL PROVIDES CHARITY CARE BASED ON SLIDING SCALE OPTIONS. - PROPER DOCUMENTATION SHOULD BE RECEIVED WITHIN 5 TO 7 BUSINESS DAYS, OTHERWISE, THE COLLECTIONS ASPECT APPLIES. - LITERATURE WILL ALSO BE SENT TO THE PATIENT PERTAINING TO THEIR SITUATION. ALL ACTIONS TAKEN ON AN ACCOUNT SHOULD BE DOCUMENTED IN THE HBO WITHOUT ANY HESITATION.
SCHEDULE H, PART V   NOT APPLICABLE
SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT THE ST. BARNABAS HOSPITAL COMMUNITY SERVICE PLAN WORKGROUP CONDUCTED ASSESSMENTS OF ITS CONSTITUENCIES WHEN CONSIDERING BOTH SHORT AND LONG TERM NEEDS. THIS WAS DONE UTILIZING A VARIETY OF GOVERNMENT AND PRIVATE SOURCES, INCLUDING NYS PERFORMANCE QUALITY INDICATORS, NYC COMMUNITY PROFILES FOR 2006, THE 2000 U.S. CENSUS INFORMATION AND NYC DEPARTMENT OF CITY PLANNING REPORTS AS WELL AS HEALTH REPORTS AND REGULAR INTERNAL HOSPITAL STATISTICAL ABSTRACTS. THE ANALYSIS OF NEED FOCUSED ON THE IMMEDIATE GEOGRAPHIC SERVICE AREA SURROUNDING THE HOSPITAL, ITS AFFILIATED LOCATIONS AND OUR DIVERSE PATIENT POPULATION.
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 IN FIVE LANGUAGES (ENGLISH, SPANISH, ALBANIAN, FRENCH AND CHINESE). 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 HOSPITAL SERVICE AREA SUBSTANTIAL INEQUALITIES REMAIN AMONG NEW YORKERS OF DIFFERENT ECONOMIC AND RACIAL/ETHNIC GROUPS. POOR NEW YORKERS, AS WELL AS AFRICAN-AMERICAN AND HISPANIC NEW YORKERS, BEAR A DISPROPORTIONATE BURDEN OF ILLNESS AND PREMATURE DEATH. POOR HEALTH IS CONCENTRATED IN CERTAIN NEW YORK NEIGHBORHOODS. FACTORS ASSOCIATED WITH POOR HEALTH, SUCH AS POOR ACCESS TO MEDICAL CARE, UNHEALTHY BEHAVIORS, AND POOR LIVING CONDITIONS, ARE MORE COMMON AMONG CERTAIN ECONOMIC AND RACIAL/ETHNIC GROUPS. THE BRONX IS RACIALLY AND ETHNICALLY DIVERSE. ACCORDING TO THE 2000 CENSUS, 48% OF ALL BRONXITES ARE HISPANIC, 31% ARE BLACK OR AFRICAN AMERICAN, 14.5% ARE WHITE AND 5% "OTHER"; AND 32% OF ALL BRONX CITIZENS ARE FOREIGN BORN. LOW SOCIO-ECONOMIC STATUS AMONG BRONX RESIDENTS HAS SEVERE HEALTH IMPLICATIONS. THE 2005 AMERICAN COMMUNITY SURVEY REPORTS THAT 29% OF BRONXITES LIVE BELOW THE POVERTY LEVEL. A "TAKE CARE NEW YORK" REPORT ISSUED BY THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE ADVISES THAT BRONX RESIDENTS ARE TWICE AS LIKELY TO LACK A "MEDICAL HOME" WHEN COMPARED TO OTHERS IN NYC. THE BRONX HAS THE HIGHEST AIDS DEATH RATE OF ALL FIVE BOROUGHS AND SUFFERS EPIDEMIC RATES OF DIABETES, PEDIATRIC ASTHMA, OBESITY AND TEEN PREGNANCY. AT THE TIME OF THIS WRITING, THE BRONX HAS THE HIGHEST UNEMPLOYMENT RATE OF THE 5 NYC COUNTIES. ST. BARNABAS HOSPITAL IS A CENSUS PARTNER TO THE 2010 US CENSUS RECOGNIZING THE ROLE OF IMMIGRATION AND THE CHANGING DEMOGRAPHICS OF THE BRONX, WHICH IS EVIDENT IN THE MULTITUDE OF LANGUAGES SPOKEN BY HOSPITAL PATIENTS AT ANY TIME.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH IN KEEPING WITH OUR STATED MISSION, ST. BARNABAS HOSPITAL STRIVES TO BE AN ACTIVE MEMBER OF THE COMMUNITY. THE HOSPITAL PROVIDES SUPPORT TO THE LOCAL ECONOMY AS A HEALTH RESOURCE AND CONTRIBUTES MIGHTILY TO THE SOCIAL AND CULTURAL LIFE OF THE COMMUNITIES IT HAS SERVED FOR THE PAST 150 YEARS. ST. BARNABAS REMAINS ALERT TO OPPORTUNITIES TO EXPAND ITS ACTIVITIES IN ORDER TO BEST ADDRESS THE COMPLEX HEALTH AND HUMAN SERVICE NEEDS OF A MEDICALLY UNDERSERVED POPULATION. TO THAT END, THE HOSPITAL WORKS IN CLOSE COLLABORATION WITH EXISTING COMMUNITY ORGANIZATIONS AND AREA SERVICE PROVIDERS IN THAT WE SHARE COMMON GOALS: PROVIDING HIGH-QUALITY CARE, ENHANCING THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HOSPITAL, EMPHASIZING EFFICIENCY, RESPECTING HEALTH CARE CONSUMERS AND AN UNYIELDING COMMITMENT TO RENDERING COMPETENT AND COMPASSIONATE MEDICAL CARE. WE CONSIDER COMMUNITY BUILDING TO BE SYNONYMOUS WITH CAPACITY BUILDING. ST. BARNABAS MAKES A CONCERTED EFFORT TO FORGE IMPORTANT PARTNERSHIPS IN THE SURROUNDING COMMUNITIES, BECAUSE, AS EXPERIENCE HAS SHOWN, FOSTERING AND MAINTAINING ONGOING RELATIONSHIPS WITH A BROADER BASE OF AGENCIES WILL RESULT IN SIGNIFICANTLY INCREASING THE ACCESSIBILITY OF QUALITY CARE FOR A LARGER NUMBER OF HEALTH CARE CONSUMERS. IT IS FOR THIS PURPOSE THAT ST. BARNABAS HAS DEVELOPED AN EXTENSIVE SERVICE DELIVERY NETWORK OVER THE YEARS, REPRESENTATIVE OF A WEALTH OF HEALTH AND HUMAN SERVICES RESOURCES. ST. BARNABAS HAS PLAYED A PIVOTAL ROLE IN DEVELOPING COOPERATIVE ARRANGEMENTS WITH THESE ORGANIZATIONS IN ORDER TO CONDUCT AN ASSESSMENT OF COMMUNITY NEEDS THAT ACCURATELY REFLECTS THE HEALTH PRIORITIES OF THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THIS IS INDEED A COLLABORATIVE EFFORT, INVOLVING THE INVALUABLE STRATEGIC PLANNING AND COOPERATION OF THE A HOST OF ORGANIZATIONS AND AGENCIES, INCLUDING THE BRONX DISTRICT PUBLIC HEALTH OFFICE, THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, ISLAND PEER REVIEW ORGANIZATION (IPRO), A NATIONAL ORGANIZATION PROVIDING HEALTH ASSESSMENT AND IMPROVEMENT SERVICES, AS WELL AS LOCAL COMMUNITY BOARDS, PLANNING COUNCILS AND COMMUNITY BASED ORGANIZATIONS. AS A LEAD ORGANIZATION, ST. BARNABAS MARSHALS THESE IMPORTANT RESOURCES TO IDENTIFY HEALTH PRIORITIES AND CREATE MECHANISMS THAT ADDRESS THEM. ALL OF THESE ACTIVITIES ARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING FOR THE AREA RESIDENTS WHO STRONGLY RELY ON ST. BARNABAS AND ITS EXTENSIVE HEALTH SERVICE DELIVERY NETWORK AS THEIR PRIMARY SOURCE OF MEDICAL CARE AND SOCIAL SERVICES.
SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTHCARE SYSTEM IN KEEPING WITH OUR BELIEF THAT HEALTH PROMOTION AND EDUCATION ARE ESSENTIAL TO THE MISSION OF ST. BARNABAS, THE HOSPITAL HAS DEVELOPED AND CURRENTLY MAINTAINS A NUMBER OF PROGRAMS AND INITIATIVES IN THESE AREAS. IN ADDITION, ST. BARNABAS ACTIVELY PARTICIPATES AS A MEMBER OF A NUMBER OF HEALTH CARE ORGANIZATIONS IN THE BOROUGH, PRINCIPAL AMONG THEM ARE THE FOLLOWING: BRONX HEALTH LINK ST. BARNABAS HOSPITAL IS A CHARTER MEMBER OF THE BRONX HEALTH LINK, A UNIQUE PARTNERSHIP CREATED BY THE BOROUGH'S FOUR MAJOR HEALTH CARE INSTITUTIONS AND THE BRONX BOROUGH PRESIDENT'S OFFICE. THE BRONX HEALTH LINK WORKS CLOSELY WITH MORE THAN 140 COMMUNITY ORGANIZATIONS TO IDENTIFY HEALTH CONCERNS AND TO DEVELOP PROGRAMS TO MEET THESE NEEDS, ESPECIALLY THOSE OF RESIDENTS IN MEDICALLY UNDERSERVED COMMUNITIES. BRONX DISTRICT PUBLIC HEALTH OFFICE'S HEALTH SUMMIT THE DIRECTOR OF COMMUNITY AFFAIRS OF ST. BARNABAS SERVES AS THE CHAIR OF THE HEALTH & HUMAN SERVICES COMMITTEE OF COMMUNITY PLANNING BOARD #6, AND, IN THIS CAPACITY, CONVENES MONTHLY MEETINGS AT WHICH MEMBERS DISCUSS ALL ASPECTS OF HEALTH CARE DELIVERY IN THE DISTRICT AND MAKE RECOMMENDATIONS FOR IMPROVEMENT IN RENDERING CARE. THE DIRECTOR REPRESENTS THE HOSPITAL AT HEALTH SUMMITS SPONSORED BY THE BRONX DISTRICT HEALTH OFFICE, A SATELLITE OF THE NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE. REPRESENTATIVES OF THE SIX COMMUNITY PLANNING BOARDS SERVING THE SOUTH BRONX ATTEND THESE IMPORTANT SUMMITS TO DISCUSS THE HEALTH STATUS OF THEIR RESPECTIVE DISTRICTS AND FOCUS ON HEALTH PRIORITIES AND MEASURES TO BE TAKEN TO ADDRESS THEM. COMMUNITY SERVICE PLAN EACH YEAR, ST. BARNABAS HOSPITAL, ALONG WITH EVERY NOT-FOR-PROFIT HOSPITAL IN NEW YORK STATE, PREPARES AND SUBMITS A COMMUNITY SERVICE PLAN TO THE NEW YORK STATE DEPARTMENT OF HEALTH. THESE PLANS INCLUDE THE HOSPITAL'S MISSION STATEMENT, A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS AND SERVICE PRIORITIES, AND A STRATEGIC PLAN INDICATING THE HOSPITAL'S COMMITMENT TO ADDRESSING THESE PRIORITIES. ST. BARNABAS HAS FORMED A COMMUNITY SERVICE WORKGROUP, REPRESENTATIVE OF ALL OF THE MEMBERS OF THE HOSPITAL'S SERVICE DELIVERY NETWORK, IN THE PREPARATION OF THIS DOCUMENT. THE HEALTH AND WELL-BEING OF THE COMMUNITY ARE OF PARAMOUNT IMPORTANCE TO ST. BARNABAS HOSPITAL. OUR FOCUS HAS BEEN ON REFORMING AND RESHAPING THE CURRENT HEALTH CARE DELIVERY SYSTEM IN A CONCERTED EFFORT TO MAKE IT MORE RESPONSIVE TO THE EVER-CHANGING AND EVER-INCREASING HEALTH AND HUMAN SERVICE NEEDS OF HEALTH CARE CONSUMERS. OUR EFFORTS IN THIS REGARD WOULD NOT ENJOY THE SUCCESS THAT THEY HAVE WITHOUT THE INVALUABLE EXPERTISE, INSPIRATION AND COMMITMENT OF THOSE COMMUNITY ORGANIZATIONS THAT PARTNER WITH ST. BARNABAS TO BRING OUR PLANS TO FRUITION.
SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT  
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number
13-1740122
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) UNION COMMUNITY HEALTH CENTER INC260 EAST 188 STREET
BRONX,NY10458 		13-4074478 501(C)(3)   2,500,000 FMV SHARED SRVCS GENERAL SUPPORT
(2) UNITED HOSPITAL350 FIFTH AVENUE
NEW YORK,NY10118 		13-1562656 501(C)(3) 12,000       GENERAL SUPPORT
(3) AMERICAN CANCER SOCIETY2 LYON PLACE
WHITE PLAINS,NY10601 		16-0743902 501(C)(3) 10,000       GENERAL SUPPORT
(4) MHHC FOUNDATION85 WEST BURNSIDE AVENUE
BRONX,NY10453 		13-3276364 501(C)(3) 6,000       GENERAL SUPPORT
















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
7
3
Enter total number of other organizations ................................ . Bullet Image
13
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I, Part I, Line 2 Monitoring of grant funds ALL OPERATIONS ARE CLOSELY MANAGED BY THE PROGRAM MANAGERS AND VARIOUS DEPARTYENTS WITHIN FINANCE AND ADMINISTRATION (I.E., CFO, CONTROLLER'S DIVISION, GRANTS AND CONTRACTS, LEGAL SERVICES AND ADMINISTRATIVE SERVICES). THERE IS REGULAR MONTHLY MONITORING BY THESE MANAGERS. MID-YEAR BUDGET REVIEWS ARE PERFORMED BY SENIOR MANAGEMENT TO REVIEW THE ACTIVITIES OF ALL PROGRAMS AND ADJUST TO CHANGES IN BUDGET ASSUMPTIONS. QUARTERLY REPORTS ARE SUBMITTED TO THE SPONSOR PER CONTRACT OR GRANT REQUIREMENTS.
Schedule I (Form 990) 2010


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) SCOTT COOPER MD (i)
(ii)		 715,651
37,666 		0
0 		0
0 		548
29 		6,382
336 		722,581
38,031 		0
0
(2) RICHARD J RANK (i)
(ii)		 166,162
0 		0
0 		0
0 		0
0 		6,534
0 		172,696
0 		0
0
(3) LEONARD WALSH (i)
(ii)		 379,014
19,948 		33,250
1,750 		0
0 		548
29 		6,287
331 		419,099
22,058 		0
0
(4) NOAH CALDWELL (i)
(ii)		 437,556
8,930 		0
0 		0
0 		2,035
42 		6,490
132 		446,081
9,104 		0
0
(5) PATRICIA S BELAIR (i)
(ii)		 287,231
0 		0
0 		0
0 		577
0 		6,572
0 		294,380
0 		0
0
(6) CATHERINE GRAHAM (i)
(ii)		 221,012
24,557 		0
0 		0
0 		1,869
208 		5,903
656 		228,784
25,421 		0
0
(7) KEITH D WOLF (i)
(ii)		 274,317
30,480 		0
0 		0
0 		519
58 		5,919
658 		280,755
31,196 		0
0
(8) JERRY R BALENTINE MD (i)
(ii)		 439,703
0 		0
0 		0
0 		577
0 		6,620
0 		446,900
0 		0
0
(9) PATRICIA CUNNINGHAM (i)
(ii)		 192,012
10,106 		0
0 		0
0 		1,973
104 		6,218
327 		200,203
10,537 		0
0
(10) JOHN DIGIROLOMO (i)
(ii)		 184,790
0 		0
0 		0
0 		577
0 		6,540
0 		191,907
0 		0
0
(11) TODD GORLEWSKI (i)
(ii)		 241,490
26,832 		13,500
1,500 		0
0 		519
58 		5,914
657 		261,423
29,047 		0
0
(12) MARTHA SULLIVAN (i)
(ii)		 166,035
0 		0
0 		0
0 		577
0 		6,534
0 		173,146
0 		0
0
(13) DAVID PERLSTEIN (i)
(ii)		 222,646
0 		0
0 		0
0 		577
0 		6,552
0 		229,775
0 		0
0
(14) DARA ROSENBERG MD (i)
(ii)		 245,134
0 		0
0 		0
0 		2,077
0 		6,559
0 		253,770
0 		0
0
(15) JAMES HELLERMAN (i)
(ii)		 182,481
0 		0
0 		0
0 		2,077
0 		6,539
0 		191,097
0 		0
0
(16) JUDITH BERGER (i)
(ii)		 185,634
0 		0
0 		0
0 		577
0 		6,540
0 		192,751
0 		0
0
(17) ARUN SHARMA (i)
(ii)		 177,712
0 		0
0 		0
0 		577
0 		6,538
0 		184,827
0 		0
0
(18) JITENDRA BARMECHA (i)
(ii)		 218,802
0 		0
0 		0
0 		577
0 		6,620
0 		225,999
0 		0
0
(19) WILLIAM DIBITETTO (i)
(ii)		 174,907
0 		0
0 		0
0 		577
0 		6,537
0 		182,021
0 		0
0
(20) ARLENE ORTIZ-ALLENDE (i)
(ii)		 165,650
0 		0
0 		0
0 		2,077
0 		6,534
0 		174,261
0 		0
0
(21) DEBRA KRAMER (i)
(ii)		 145,850
0 		6,000
0 		0
0 		2,077
0 		6,530
0 		160,457
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE J, PART III OFFICERS' COMPENSATION ST. BARNABAS HOSPITAL SHARES PROFESSIONAL, PERSONNEL AND OTHER ANCILLARY SERVICES WITH ITS RELATED ENTITIES FOR NORMAL BUSINESS OPERATIONS. TOTAL COMPENSATION FOR OFFICERS DISCLOSED IN SCHEDULE J IS PAID BY ST. BARNABAS HOSPITAL. HOWEVER, SALARY EXPENSE IS ALLOCATED TO RELATED ORGANIZATION ST. BARNABAS NURSING HOME, INC. BASED ON THE EMPLOYEE'S TIME DEVOTED TO THE ORGANIZATION. THE ALLOCATED COMPENSATION IS TREATED AS IF PAID DIRECTLY BY ST. BARNABAS NURSING HOME AND WAS REPORTED ON FORM 990 OF SBNH FOR TAX YEAR 2010.
SCHEDULE J PART I LINE 4A   RICHARD J RANK, THE FORMER CFO, RECEIVED SEVERANCE PAYMENT OF 172,696 FROM ST. BARNABAS HOSPITAL FOR 2010.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BRONX PARK PULMONARY MEDICINE SERVICE PROVIDER 218,000 SEE SCHEDULE O   No
(2) STROOCK STROOCK AND LAVAN LLP LEGAL SERVICE PROVIDER 304,491 SEE SCHEDULE O   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS 1) DR. SCOTT COOPER IS A PARTNER OF BRONX PARK PULMONARY MEDICINE. DURING 2010, DR. SCOTT COOPER WAS NOT PAID BY BRONX PARK PULMONARY MEDICINE FOR SALARY OR PENSION BENEFIT PLAN. HOWEVER, BRONX PARK PULMONARY MEDICINE PAID HEALTH AND DISABILITY INSURANCE PLAN FOR DR. SCOTT COOPER DURING 2010. IN ADDITION, BUSINESS-RELATED EXPENSES, SUCH AS GAS AND PARKING FEES WERE PAID FOR DR. SCOTT COOPER DURING 2010. ST. BARNABAS PAID $218,000 FOR SERVICES PROVIDED BY BRONX PARK PULMONARY MEDICINE DURING 2010.
SCHEDULE L, PART IV, LINE 2 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS 2) STROOCK STROOCK AND LAVAN, LLP, 180 MAIDEN LANE, NEW YORK, NY 10038, LAW FIRM, ASSISTS ST. BARNABAS HOSPITAL WITH CONSULTING WORK RELATED TO THE GARAGE CONSTRUCTION CONTRACT LOCATED 4422 THIRD AVENUE, BRONX, NY 10457, OTHER REAL PROPERTIES ISSUES, CIR (COMMITTEE FOR INTERN RESIDENT) LITIGATION, AND UNION HOSPITAL REZONIING. THE HOSPITAL HAS PAID STROOCK STROOCK AND LAVAN, LLP $304,941 FOR LEGAL SERVICES WHICH THE HOSPITAL REPORTED IN FORM 1099. CHARLES MOERDLER, ESQ, BOARD MEMBER, IS A PARTNER OF THIS LAW FIRM. CHARLES MOERDLER RECEIVES NO COMPENSATION FOR ANY HOURS HE SPENDS ON THE UNION HOSPITAL REDEVELOPMENT OR OTHER HOSPITAL ISSUES. ANY TIME HE USES IS VOLUNTARY IN CONJUNCTION WITH HIS ROLE AS BOARD TRUSTEE. OTHER PARTNERS AND STAFF THAT PROVIDE LEGAL SERVICES FROM STROOCK, BILL FOR THEIR SERVICES ACCORDINGLY AND ALL LEGAL INVOICES ARE REVIEWED BY HOSPITAL'S IN-HOUSE COUNSEL AND FINANCE. CHARLES MOERDLER DID NOT PROVIDE BILLABLE LEGAL SERVICES FOR THE HOSPITAL.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Identifier Return Reference Explanation
FORM 990, PART III MISSION STATEMENT ST. BARNABAS HOSPITAL IS THE FLAGSHIP OF THE ST. BARNABAS HOSPITAL HEALTHCARE NETWORK, A MAJOR HEALTHCARE SYSTEM SERVICING THE BRONX COMMUNITY. ST. BARNABAS TRACES ITS ORIGIN TO A HOME FOR INCURABLES FOUNDED IN THE BRONX IN 1866. TODAY, AS A HIGH-TECH, 461-BED ACUTE CARE HOSPITAL AND LEVEL I TRAUMA CENTER, ST. BARNABAS RETAINS DEEP ROOTS IN THE COMMUNITY. A NONSECTARIAN, NOT-FOR-PROFIT HOSPITAL, ST. BARNABAS PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY MEDICAL, MENTAL HEALTH, AND DENTAL SERVICES AT MULTIPLE LOCATIONS THROUGHOUT THE BOROUGH OF THE BRONX. ST. BARNABAS HOSPITAL IS DEDICATED TO PROVIDING COMPASSIONATE AND COMPREHENSIVE HEALTH CARE TO THE PEOPLE OF THE BRONX COMMUNITY, ASSURING THE SICK, INJURED AND DISABLED HAVE COMPLETE AND OPEN ACCESS TO THE HIGHEST QUALITY OF CARE, REGARDLESS OF AGE, SEX, SEXUAL PREFERENCE, RACE, COLOR, NATIONALITY, CREED, OR ABILITY TO PAY. DURING 2010, THE HOSPITAL PROVIDED HEALTH CARE SERVICES TO 21,151 INPATIENTS AND 312,003 OUTPATIENTS. THESE OUTPATIENT SERVICES INCLUDED: 99,906 EMERGENCY ROOM VISITS WITH 18,765 ADMISSIONS; 32,266 DIALYSIS TREATMENTS; 28,796 METHADONE MAINTENANCE CLINIC VISITS; 26,868 DENTAL CLINIC VISITS; 5,945 AMBULATORY SURGERY PROCEDURES; 143,987 AMBULATORY CARE AND 122,312 MENTAL HEALTH CLINIC VISITS. THE HOSPITAL, IN KEEPING WITH ITS MISSION AND PHILOSOPHY TO EXTEND QUALITY AND COMPASSIONATE HEALTHCARE, RECOGNIZES THAT SOME PATIENTS ARE UNABLE TO COMPENSATE THE HOSPITAL FOR THEIR TREATMENT EITHER THROUGH THIRD-PARTY COVERAGE, OR THEIR OWN RESOURCES. THE HOSPITAL PROVIDES FREE CARE TO PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR SERVICES RENDERED. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY $46,788,602 IN 2010. IN ADDITION, ST. BARNABAS HOSPITAL IS GUIDED BY THESE PRINCIPLES: 1. ST. BARNABAS HOSPITAL SERVICES ARE DETERMINED LARGELY BY THE HEALTH CARE NEEDS AND PRIORITIES OF THE COMMUNITIES IT SERVES. WITHIN THE RESTRICTIONS AND ACCOMMODATIONS DEMANDED BY LAW, REGULATION, TECHNOLOGY, AND AVAILABLE RESOURCES, ST. BARNABAS HOSPITAL CONTINUES TO DEVELOP AND EXPAND ITS MEDICAL AND HUMAN SERVICES NETWORK THROUGHOUT THE BRONX. 2. ST. BARNABAS HOSPITAL IS ALERT TO OPPORTUNITIES TO EXPAND ITS ACTIVITIES TO MEET THE NEEDS OF PEOPLE IN ITS SERVICE AREA WHO ARE PRESENTLY UNDERSERVED AND WHO WOULD BENEFIT FROM THE HOSPITAL'S RESOURCES AND PROGRAMS. THE HOSPITAL, WHEREVER APPROPRIATE, COOPERATES WITH OTHER HOSPITALS AND AGENCIES IN MEETING THESE NEEDS. 3. ST. BARNABAS STRIVES TO SERVE AS AN ACTIVE MEMBER OF THE COMMUNITY. IT PROVIDES SUPPORT TO THE LOCAL ECONOMY AS A HEALTH RESOURCE AND CONTRIBUTES TO THE SOCIAL AND CULTURAL LIFE OF THE COMMUNITY. ST. BARNABAS STRIVES TO SERVE AS A RESPONSIBLE AND CONCERNED EMPLOYER BY PROVIDING A SUITABLE WORK ENVIRONMENT. AS A CORPORATE MEMBER OF THE COMMUNITY, ST. BARNABAS SEEKS TO CONTRIBUTE ITS SHARE TO COMMUNITY DEVELOPMENT AND MAINTENANCE OF THE ENVIRONMENT CONSONANT WITH ITS RESOURCES AND IN KEEPING WITH ITS MISSION. 4. ST. BARNABAS HOSPITAL WORKS CLOSELY WITH EXISTING COMMUNITY ORGANIZATIONS IN THE PROMOTION OF GOOD HEALTH OF PERSONS BY PROVIDING: EDUCATION REGARDING PHYSICAL AND MENTAL HEALTH; SCREENING AND PREVENTIVE HEALTH PROGRAMS THAT WILL DETECT THE EARLY STAGES OF UNHEALTHY CONDITIONS OR DISEASES; AND BY MAKING HOSPITAL STAFF AVAILABLE TO THE COMMUNITY FOR EDUCATIONAL PROGRAMS. 5. ST. BARNABAS HOSPITAL RESPONDS TO THE GROWING DEMAND FOR AMBULATORY CARE PROGRAMS, PARTICULARLY FOR COMPREHENSIVE AND CONTINUOUS PRIMARY CARE, AND A COMPREHENSIVE EMERGENCY CARE SYSTEM. THE HOSPITAL'S TRADITIONAL FOCUS ON PRIMARY CARE CLINICS WILL CONTINUE TO EVOLVE INTO COMPREHENSIVE CASE MANAGED AMBULATORY GROUP PRACTICES BY CREATING NEW MODELS OF PRIMARY CARE AND PHYSICIAN RECRUITMENT IN RESPONSE TO CHANGING FEDERAL AND STATE LAWS AND REGULATIONS. 6. THROUGHOUT ITS EVOLUTION, THE ST. BARNABAS TRADITION OF COMPLETE AND OPEN ACCESS TO THE SICK, INJURED, DISABLED, AND INFIRM, REGARDLESS OF AGE, SEX, SEXUAL PREFERENCE, RACE, COLOR, CREED, NATIONALITY, AND ECONOMIC STATUS, REMAINS ITS CHIEF OPERATING PRINCIPLE. FORM 990, PART III, LINE 4D OTHER PROGARM SERVICE ACCOMPLISHMENT ST. BARNABAS HOSPITAL ALSO PROVIDED VARIOUS OTHER PRORAMS TO SUPPORT THE HOSPITAL'S EXEMPT PURPOSE, SUCH AS FINANCIAL AID PROGRAMS AND HEALTH AND EDUCATION PROMOTION PROGRAMS AND VARIOUS COMMUNITY OUTREACH ACTIVITIES.
FORM 990, PART VI, LINE 1 EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE GOVERNING BODY. IT IS AUTHORIZED TO ACT ON BEHALF OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD AND TO TAKE ANY ACTION OTHER THAN THOSE ITEMS SPECIFICALLY PROHIBITED BY NEW YORK LAW.
FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, ST. BARNABAS COMMUNITY ENTERPRISES, INC. WHICH IS A NOT-FOR-PROFIT 501(C)(3) CORPORATION.
FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY THE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, LINE 8 DOCUMENTATION OF MEETINGS BOARD MEETING MINUTES AND BOARD SUBCOMMITTEE MINUTES ARE KEPT ON FILE.
FORM 990, PART VI, LINE 11A REVIEW PROCESS FOR FORM 990 THE TAX RETURN WAS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO THE NOVEMBER 15TH FILING DATE. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ST. BARNABAS HOSPITAL'S ("SBH") CONFLICT OF INTEREST POLICIES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. SBH'S BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS IN CHARGE OF REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN MEETING MINUTES. SBH'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT.
FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF THE PRESIDENT/CEO'S COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS, AND IT UTILIZES AN ANALYSIS OF THE CEO'S SALARY PREPARED BY SULLIVAN COTTER, AN INDEPENDENT EXTERNAL ADVISOR, USING INDUSTRY BENCHMARKING DATA FOR THE REVIEW PROCESS FOR THE PRESIDENT/CEO.
FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON GUIDESTAR. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII AVERAGE HOURS THE AVERAGE HOURS PER WEEK DEVOTED BY THE REPORTED INDIVIDUALS TO THE RELATED ORGANIZATION ARE: SCOTT COOPER MD - 2.5 LEONARD WALSH - 2.5 NOAH CALDWELL - 1 CATHERINE GRAHAM - 5 KEITH D WOLF - 5 PATRICIA CUNNINGHAM - 2.5 TODD GORLEWSKI - 5
FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS NET CHANGE IN UNREALIZED GAINS ON INVESTMENTS : $5,294,078 PERMANENTLY RESTRICTED UNREALIZED GAINS ON INVESTMENTS: $1,232,279 TEMPORARLY RESTRICTED INTEREST AND DIVIDEND INCOME : $ 262,500 TEMPORARLY RESTRICTED GIFTS AND BEQUESTS : $ 249,124 CHANGE IN PENSION AND POSTRETIREMENT BENEFITS :($6,604,271) EQUITY TRANSFER :($3,500,000) TOTAL CHANGE IN NET ASSETS :($3,066,290)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ST BARNABAS HOSPITAL
 
Employer identification number

13-1740122
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) MOLLY ROSE LLC
C/O SBH 4422 THIRD AVENUE
BRONX,NY10457
26-1897452 		SRVC COMPANY NY 0 0 SBH
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ST BARNABAS NURSING HOME

2175 QUARRY ROAD

BRONX,NY10457
13-3622351 		NURSING HOME NY 501(C)(3) 9 SB COMMUNITY
 
 
 
(2) ST BARNABAS COMMUNITY ENTERPRISES

183RD STREET AND 3RD AVENUE

BRONX,NY10457
06-1175581 		HEALTH CARE NY 501(C)(3) 3 NONE
 
 
 
(3) ST BARNABAS COMMUNITY HEALTH PLAN INC

4422 3RD AVENUE

BRONX,NY10457
13-3717546 		MEDICAID CO NY 501(C)(3) 9 SB COMMUNITY
 
 
 
(4) ADAMS PLACE HOLDING CORPORATION

183RD STREET AND 3RD AVENUE

BRONX,NY10457
13-3731627 		TITLE HOLDING NY 501(C)(2)   SB COMMUNITY
 
 
 






For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ARTHUR MANAGEMENT CORPORATION (AMC)
CO SBH 4422 THIRD AVENUE
BRONX,NY10457
06-1174733 		HOLDING COMPANY NY SBCE
  		C      
(2) ST BARNABAS CORRECTIONAL HEALTH SYSTEM
C/O SBH 4422 THIRD AVENUE
BRONX,NY10457
06-1174731 		FORMER BILLING CO NY AMC
  		C      
(3) SBH PHYSICIANS PC
4422 THIRD AVENUE
BRONX,NY10457
27-2892195 		MEDICINE NY SBH
  		C 1,038,000   100.000 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ARTHUR MANAGEMENT CORPORATION

 Q 3,500,000  
(2) ST BARNABAS NURSING HOME

 P 8,550,000  
(3) SBH PHYSICIANS PC

 P 1,038,000  
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: