RICHMOND MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202143199349304684
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T09:22:45-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1570 FRUITVILLE PIKE SUITE 400	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	743177454	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RICH	BusinessNameControlTxt
Phone	7188182036	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL J MESSINA	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	7188182036	PhoneNum
Signature	2012-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DANIEL	PersonFirstNm
Person Last	MESSINA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND UNIVERSITY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DANIEL J MESSINA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$370,256,950	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RUMCSI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2007	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC.	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	2825	TotalEmployeeCnt
Total Volunteers	18	TotalVolunteersCnt
Total Gross UBI	$882	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$30,571,596	PYContributionsGrantsAmt
CY Contributions Grants	$68,936,573	CYContributionsGrantsAmt
PY Program Service Revenue	$313,725,250	PYProgramServiceRevenueAmt
CY Program Service Revenue	$290,309,232	CYProgramServiceRevenueAmt
PY Investment Income	$865,638	PYInvestmentIncomeAmt
CY Investment Income	$831,264	CYInvestmentIncomeAmt
PY Other Revenue	$14,705,701	PYOtherRevenueAmt
CY Other Revenue	$8,479,491	CYOtherRevenueAmt
PY Total Revenue	$359,868,185	PYTotalRevenueAmt
CY Total Revenue	$368,556,560	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$240,067,777	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$253,583,831	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,806,952	PYOtherExpensesAmt
CY Other Expenses	$126,725,331	CYOtherExpensesAmt
PY Total Expenses	$369,874,729	PYTotalExpensesAmt
CY Total Expenses	$380,309,162	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,006,544	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$11,752,602	CYRevenuesLessExpensesAmt
Total Assets BOY	$296,789,651	TotalAssetsBOYAmt
Total Assets EOY	$394,638,891	TotalAssetsEOYAmt
Total Liabilities BOY	$223,637,194	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$344,891,060	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$73,152,457	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$49,747,831	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTH CARE PROVIDER SERVING THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. WE PROVIDE PREMIER QUALITY PATIENT CARE THROUGH A FULL SPECTRUM OF EMERGENT, ACUTE, PRIMARY, BEHAVIORAL HEALTH AND EDUCATIONAL SERVICES. WE DO THIS IN AN ENVIRONMENT THAT PROMOTES THE HIGHEST SATISFACTION AMONG PATIENTS, FAMILIES, PHYSICIANS AND STAFF.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$339,078,232	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$290,309,232	RevenueAmt
Desc	RICHMOND UNIVERSITY MEDICAL CENTER (RUMC OR THE MEDICAL CENTER) IS A 448 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS IS LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND.RUMC PROVIDES VARIOUS INPATIENT AND OUTPATIENT SERVICES, INCLUDING: MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, A DESIGNATED STROKE CENTER, A LEVEL 1 TRAUMA CENTER, BEHAVIORAL HEALTH SERVICES, EMERGENCY SERVICES AND CLINIC SERVICES. CONTINUED ON SCHEDULE O.THE MEDICAL CENTER ALSO PROVIDES AN ARRAY OF COMMUNITY OUTREACH SERVICES INCLUDING HEALTH EDUCATION, FREE AND LOW COST SCREENINGS AND IMMUNIZATIONS, A WIC PROGRAM, AND VARIOUS OTHER OUTPATIENT SERVICES.THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW YORK DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE CURRENT DHSS CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND COOPERATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COSTS ASSOCIATED WITH THE CHARITY CARE SERVICES PROVIDED ARE ESTIMATED BY APPLYING A COST-TO-CHARGE RATIO TO THE AMOUNT OF GROSS UNCOMPENSATED CHARGES FOR THE PATIENTS RECEIVING CHARITY CARE. UNCOMPENSATED CARE PROVIDED, BASED ON COST, WAS APPROXIMATELY $26,863,000 IN 2020 AND $22,398,000 IN 2019.THE MEDICAL CENTER ALSO PROVIDES COMMUNITY SERVICES, INCLUDING FREE AND LOW COST SCREENINGS, SUCH AS BLOOD PRESSURE, CHOLESTEROL AND IMMUNIZATION. FREE IMMUNIZATION IS OFFERED TO SENIOR CITIZENS. THE MEDICAL CENTER HOLDS VARIOUS EDUCATIONAL PROGRAMS CONCERNING SUCH TOPICS AS NUTRITION AND CHILDBIRTH. IN ADDITION, THE MEDICAL CENTER PROVIDES FREE SPACE TO VARIOUS COMMUNITY ORGANIZATIONS FOR THEIR MEETINGS.IN 2020, INPATIENT VOLUME EXCEEDED 13,800 INPATIENT DISCHARGES ACCOUNTING FOR OVER 74,500 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 37,800 EMERGENCY ROOM VISITS AND OVER 203,000 OTHER OUTPATIENT VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL / SURGICAL, BEHAVIORAL HEALTH AND OBSTETRICS / GYNECOLOGY.1) MEDICAL / SURGICAL:THE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2020. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,300 INPATIENT AND 4,500 OUTPATIENT SURGERIES. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. 2) BEHAVIORAL HEALTH:BEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2020. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,200 AND ACCOUNTED FOR MORE THAN 14,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM SERVICES. BEHAVIOR HEALTH OUTPATIENT CARE IS AVAILABLE THROUGH THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), WHICH PROVIDES IMMEDIATE ACUTE PSYCHIATRIC CARE WITH AN EXTENDED OBSERVATION BED UNIT AND A MOBILE OUTREACH TEAM. OTHER OUTPATIENT SERVICES INCLUDE A CONTINUING DAY TREATMENT PROGRAM, SUBSTANCE ABUSE OUTPATIENT CLINICS, A SUBSTANCE ABUSE CRISIS CENTER, A GAMBLERS TREATMENT CENTER AND AN ONGOING EVALUATION AND REFERRAL SERVICE.THE MEDICAL CENTER MERGED IN STATEN ISLAND MENTAL HEALTH SOCIETY, INC., EFFECTIVE JANUARY 1, 2019, TO ADVANCE THE RESPECTIVE CORPORATE AND CHARITABLE PURPOSES AND MISSIONS.	Desc
Total Program Service Expenses	$339,078,232	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	220	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2825	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVE MURRAY CHIEF FINANCIAL OFFICE	PersonNm
Phone	7188183295	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN KRAUSE ROONEY ESQ
CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
RONALD A PURPORA
VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
CATHERINE M PAULO ESQ
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
GINA GUTZEIT
TREASURER & FINANCE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
DANIEL J MESSINA MD
PRESIDENT & CEO	37.50	Yes (X)	Yes (X)	$878,830	$0	$202,089	2.00
REV DR TONY BAKER SR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KATHERINE ANNE CONNORS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
SARA WARREN GARDNER MPH
TRUSTEE	1.00	Yes (X)		$0	$0	$0
HON JAMES P MOLINARO
TRUSTEE	1.00	Yes (X)		$0	$0	$0
ALAN S BERNIKOW CPA
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JILL O'DONNELL-TORMEY PHD
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DENNIS W QUIRK
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JOHN C SANTORA
TRUSTEE	1.00	Yes (X)		$0	$0	$0	1.00
JOHN VINCENT SCALIA SR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
STEVEN M KLEIN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
PANKAJ R PATEL
TRUSTEE	1.00	Yes (X)		$0	$0	$0
TIMOTHY C HARRISON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JOHN TAPINIS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
THOMAS DELMASTRO
TRUSTEE	1.00	Yes (X)		$0	$0	$0
SAMALA SWAMY MD
TRUSTEE/CARDIOLOGIST	10.00	Yes (X)		$135,002	$0	$0
MARIANNE LABARBERA MD
TRUSTEE/PRES. MED STAFF	21.00	Yes (X)		$163,036	$0	$18,620
PIETRO CARPENITO MD
TRUSTEE/EXEC. VP/CMO	37.50	Yes (X)		$505,834	$0	$85,119
DAVE MURRAY
SENIOR VP & CFO	37.50		Yes (X)	$40,962	$0	$0
JOSEPH SAPORITO
SENIOR VP & CFO (UNTIL 12/20)	37.50		Yes (X)	$396,379	$0	$86,460	2.00
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	37.50			$555,272	$0	$57,044		Yes (X)
RICHARD SALHANY
CHIEF ADMIN OFFICER & PRESIDENT RUMC HEALTH NETWO	37.50			$505,225	$0	$84,544	1.00	Yes (X)
LOREN HARRIS MD
MEDICAL CHAIRMAN - SURGERY	40.00			$760,131	$0	$25,650		Yes (X)
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICINE	40.00			$390,840	$0	$41,605		Yes (X)
VLADIMIR RUBINSHTEY MD
PHYSICIAN	37.50			$580,636	$0	$19,883			Yes (X)
PHILLIP OTTERBECK MD
PHYSICIAN	40.00			$582,068	$0	$50,075	1.00		Yes (X)
JOSEPH MOTTA MD
PHYSICIAN	40.00			$554,277	$0	$50,315			Yes (X)
MICHAEL F CABBAD MD
PHYSICIAN	40.00			$835,496	$0	$58,629			Yes (X)
LANCE U JUNG MD
PHYSICIAN	40.00			$764,315	$0	$52,929			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,648,303	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$832,962	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	564	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RICHMOND EMERGENCY ASSOCIATES
3 CENTURY DRIVE	PARSIPPANY	NJ	07054	EMERGENCY ROOM DOCTOR STAFFING	$1,863,733
DELOITTE CONSULTING LLP
PO BOX 844717	DALLAS	TX	75284	CONSULTING SERVICES	$1,043,329
DIALYSIS CLINICAL INC (DCI)
800 CASTLETON AVE	STATEN ISLAND	NY	10310	ACUTE SERVICES FEES	$1,029,382
RESTORIX HEALTH
445 HAMILTON AVE 800	WHITE PLAINS	NY	10601	WOUND CARE SERVICES	$1,008,693
PETRONE ASSOCIATES LLC
728 CASTLETON AVE	STATEN ISLAND	NY	10310	RADIATION PHYSIC SERVICES	$671,131

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,835,667	RelatedOrganizationsAmt
Government Grants	$66,654,879	GovernmentGrantsAmt
All Other Contributions	$446,027	AllOtherContributionsAmt
Total Contributions	$68,936,573	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES	621990	$286,637,425	$286,637,425
NYS DOH PUBLIC POOL REV	621990	$3,671,807	$3,671,807

Field	Value	IRS element (for citing)
Total Program Service Revenue	$290,309,232	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,525	TotalRevenueColumnAmt
Unrelated Business Revenue	$882	UnrelatedBusinessRevenueAmt
Exclusion	$330,643	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,434	TotalRevenueColumnAmt
Exclusion	$164,434	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,280,328	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,700,390	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$579,938	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$579,938	TotalRevenueColumnAmt
Exclusion	$579,938	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$322,010	SecuritiesAmt
Other	$13,295	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$322,010	SecuritiesAmt
Other	$13,295	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$335,305	TotalRevenueColumnAmt
Exclusion	$335,305	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDOR REBATES AND REFUNDS	900099	$3,110,901	$3,110,901
SHARED SERVICES	900099	$1,460,489	$1,460,489
STUDENT SERVICES INCOME	900099	$864,132	$864,132

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,464,031	TotalRevenueColumnAmt
Exclusion	$2,464,031	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,899,553	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$368,556,560	TotalRevenueColumnAmt
Related Or Exempt Func Income	$290,309,232	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$882	UnrelatedBusinessRevenueAmt
Exclusion	$9,309,873	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,932,643	TotalAmt
Program Services	$4,304,808	ProgramServicesAmt
Management And General	$627,835	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$182,845,348	TotalAmt
Program Services	$159,572,520	ProgramServicesAmt
Management And General	$23,272,828	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,673,141	TotalAmt
Program Services	$15,423,677	ProgramServicesAmt
Management And General	$2,249,464	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,779,528	TotalAmt
Program Services	$31,225,456	ProgramServicesAmt
Management And General	$4,554,072	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,353,171	TotalAmt
Program Services	$10,780,841	ProgramServicesAmt
Management And General	$1,572,330	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$25,001,147	TotalAmt
Program Services	$21,818,964	ProgramServicesAmt
Management And General	$3,182,183	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$456,209	TotalAmt
Program Services	$398,142	ProgramServicesAmt
Management And General	$58,067	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$302,478	TotalAmt
Program Services	$263,978	ProgramServicesAmt
Management And General	$38,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$55,600	TotalAmt
Program Services	$55,600	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,628,117	TotalAmt
Program Services	$8,402,636	ProgramServicesAmt
Management And General	$1,225,481	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$614,175	TotalAmt
Program Services	$536,002	ProgramServicesAmt
Management And General	$78,173	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,499,507	TotalAmt
Program Services	$1,308,648	ProgramServicesAmt
Management And General	$190,859	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$127,999	TotalAmt
Program Services	$111,707	ProgramServicesAmt
Management And General	$16,292	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,473,041	TotalAmt
Program Services	$1,069,122	ProgramServicesAmt
Management And General	$403,919	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,634	TotalAmt
Program Services	$55,535	ProgramServicesAmt
Management And General	$8,099	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$196,933	TotalAmt
Program Services	$171,867	ProgramServicesAmt
Management And General	$25,066	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$187,047	TotalAmt
Program Services	$163,239	ProgramServicesAmt
Management And General	$23,808	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,417,330	TotalAmt
Program Services	$8,218,678	ProgramServicesAmt
Management And General	$1,198,652	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,672,546	TotalAmt
Program Services	$10,186,847	ProgramServicesAmt
Management And General	$1,485,699	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$39,403,469	$39,403,469
BAD DEBT EXPENSE	$16,135,690	$16,135,690
REPAIRS & MAINTENANCE	$6,979,197	$6,090,874	$888,323
LAUNDRY	$779,409	$779,409

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,731,803	TotalAmt
Program Services	$2,600,523	ProgramServicesAmt
Management And General	$131,280	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,309,162	TotalAmt
Program Services	$339,078,232	ProgramServicesAmt
Management And General	$41,230,930	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,049,056	BOYAmt
EOY	$16,021,399	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,794,090	BOYAmt
EOY	$86,257,528	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,749,777	BOYAmt
EOY	$33,733,636	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,928,919	BOYAmt
EOY	$5,866,553	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,367,985	BOYAmt
EOY	$7,388,621	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,815,103	BOYAmt
EOY	$2,166,235	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$214,532,635	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$73,803,542	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$104,074,584	BOYAmt
EOY	$140,729,093	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$50,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,373	BOYAmt
EOY	$24,187	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$97,911,764	BOYAmt
EOY	$102,401,639	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$296,789,651	BOYAmt
EOY	$394,638,891	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,918,253	BOYAmt
EOY	$78,801,454	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,082,832	BOYAmt
EOY	$27,369,535	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,617,015	BOYAmt
EOY	$95,543,939	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,615,019	BOYAmt
EOY	$2,244,293	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,404,075	BOYAmt
EOY	$140,931,839	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$223,637,194	BOYAmt
EOY	$344,891,060	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$64,390,296	BOYAmt
EOY	$38,135,128	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,762,161	BOYAmt
EOY	$11,612,703	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,152,457	BOYAmt
EOY	$49,747,831	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$296,789,651	BOYAmt
EOY	$394,638,891	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$11,752,602	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,748	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,678,772	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$55,600	OtherActivitiesAmt
Total Lobbying Expenditures	$55,600	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAID THE FOLLOWING DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, OF WHICH A PERCENTAGE WAS ALLOCABLE TO LOBBYING COSTS: 1) HANYS - $81,693 (DUES) X 20.44% (APPROX. LOBBYING PERCENTAGE) = $16,698 2) AHA - $67,946 (DUES) X 22.98% (APPROX. LOBBYING PERCENTAGE) = $15,614 3) 1199/HEALTHCARE EDUCATION PROJECT = $23,288	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$344,647	BeginningYearBalanceAmt
End Year Balance	$344,647	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$344,647	BeginningYearBalanceAmt
End Year Balance	$344,647	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$344,647	BeginningYearBalanceAmt
End Year Balance	$344,647	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$344,647	BeginningYearBalanceAmt
End Year Balance	$344,647	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$344,647	BeginningYearBalanceAmt
End Year Balance	$344,647	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,785,834	OtherCostOrOtherBasisAmt
Book Value	$4,785,834	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,214,885	OtherCostOrOtherBasisAmt
Depreciation	$19,498,108	DepreciationAmt
Book Value	$29,716,777	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,797,646	OtherCostOrOtherBasisAmt
Depreciation	$1,983,990	DepreciationAmt
Book Value	$19,813,656	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,886,795	OtherCostOrOtherBasisAmt
Depreciation	$41,630,652	DepreciationAmt
Book Value	$16,256,143	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,847,475	OtherCostOrOtherBasisAmt
Depreciation	$10,690,792	DepreciationAmt
Book Value	$70,156,683	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$140,729,093	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
SECURITY DEPOSITS	$346,481
INSURANCE RECOVERIES RECEIVABLE	$19,631,254
SERP PENSION ASSET	$1,445,508
DUE FROM AFFILIATES	$52,752,276
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION	$1,882,913
BOND RESERVE FUNDS	$26,061,107
CAPITALIZED INTEREST	$9
ESTIMATED THIRD PARTY PAYOR SETTLEMENT	$282,091

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$102,401,639	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
EST. 3RD PARTY PAYOR SETTLEMENTS	$21,432,649
EST. MEDICAL MALPRACTICE CLAIMS	$35,324,852
SERP LIABILITY	$4,810,338
ACCRUED NYSNA PENSION LIABILITY	$44,529,564
CAPITAL LEASES	$1,232,120
MEDICARE ADVANCE PAYMENTS	$33,602,316

Field	Value	IRS element (for citing)
Total Liability	$140,931,839	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$353,261,505	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$26,748	NetUnrealizedGainsInvstAmt
Other Revenue	-$17,022,193	OtherRevenueAmt
Revenue Not Reported	-$16,995,445	RevenueNotReportedAmt
Revenue Subtotal	$370,256,950	RevenueSubtotalAmt
Other Revenues Not Included	-$1,700,390	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$1,700,390	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$368,556,560	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$376,666,131	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$12,492,659	OtherExpensesIncludedAmt
Expenses Not Reported	$12,492,659	ExpensesNotReportedAmt
Expenses Subtotal	$364,173,472	ExpensesSubtotalAmt
Other Expenses Not Included	$16,135,690	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$16,135,690	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$380,309,162	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT FUND, ALSO KNOWN AS THE BELL SOCIETY ENDOWMENT FUND, IS INTENDED TO BENEFIT THE WORK OF THE MEDICAL CENTER. NO OTHER RESTRICTIONS HAVE BEEN PLACED ON THE USE OF THE INTEREST THAT IS EARNED ON THE PRINCIPAL BALANCE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON FINANCIALS -16,135,690. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION -886,503.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -1,700,390.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,700,390. CHANGE IN NET PERIODIC PENSION COST 663,229. PENSION LIABILITY ADJUSTMENT 10,129,040.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON FINANCIALS 16,135,690.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,556,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,297,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,259,755	NetCommunityBenefitExpnsAmt
Total Expense	0.03090	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,270,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,387,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,882,758	NetCommunityBenefitExpnsAmt
Total Expense	0.13150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,827,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,685,003	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,142,513	NetCommunityBenefitExpnsAmt
Total Expense	0.16240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,350,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,330,701	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,019,849	NetCommunityBenefitExpnsAmt
Total Expense	0.09340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,045,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,474,666	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,570,479	NetCommunityBenefitExpnsAmt
Total Expense	0.02900	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,395,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,805,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,590,328	NetCommunityBenefitExpnsAmt
Total Expense	0.12240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$204,223,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,490,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,732,841	NetCommunityBenefitExpnsAmt
Total Expense	0.28480	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,823,489	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,447,047	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$58,750,067	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$56,345,994	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,404,073	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Field	Value	IRS element (for citing)
State License	7004010H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	RUMCSI.ORG/FINANCIALASSISTANCESUMMARY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	RUMCSI.ORG/FINANCIALASSISTANCESUMMARY	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.RUMCSI.ORG/FINANCIALASSISTANCESUMMARY	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

RICHMOND MEDICAL CENTER

PART V, SECTION B, LINE 5: IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, RUMC SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THESE INDIVIDUALS PROVIDED PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES.RUMC IS AN ACTIVE PARTNER IN THE STATEN ISLAND COMMUNITY. OUR COMMUNITY PARTNERS WERE INVITED TO PARTICIPATE IN THE CHNA AS KEY INFORMANTS, AND ARE IMPORTANT STAKEHOLDERS IN OUR INITIATIVES TO ADDRESS PRIORITY HEALTH NEEDS. THE COMMUNITY HEALTH IMPROVEMENT PLAN DETAILS WAYS IN WHICH WE WILL WORK WITH LOCAL PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS. OUR COMMUNITY PARTNERSHIPS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:- RUMC IS A MEMBER OF STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS (SIPCW) WHICH BRINGS TOGETHER PARTNERS, STAKEHOLDERS, AND COMMUNITY MEMBERS TO FOCUS ON STATEN ISLANDERS IN NEED, ESPECIALLY THOSE FACING HEALTH BURDENS OR INEQUITIES.- RUMC CO-LEADS THE STATEN ISLAND PERFORMING PROVIDER SYSTEM (SI PPS) WITH STATEN ISLAND UNIVERSITY HOSPITAL, WHICH FOSTERS COLLABORATION AMONG MORE THAN 70 COMMUNITY BASED STATEN ISLAND PARTNERS.

RICHMOND MEDICAL CENTER

PART V, SECTION B, LINE 11: TO WORK TOWARD HEALTH EQUITY, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TO ADDRESS THE MOST PRESSING HEALTH NEEDS WITHIN STATEN ISLAND. USING FEEDBACK FROM COMMUNITY STAKEHOLDERS AND TAKING INTO ACCOUNT THE MEDICAL CENTER'S EXPERTISE AND RESOURCES, RUMC WILL FOCUS EFFORTS ON THESE TWO NEW YORK STATE PREVENTION AGENDA PRIORITIES:- PREVENT CHRONIC DISEASES- PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS SPECIFICALLY, THROUGH ITS COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, RUMC WILL EMPHASIZE TOBACCO PREVENTION, PREVENTIVE CARE AND DISEASE MANAGEMENT, AND INCREASING ACCESS TO PREVENTION AND TREATMENT SERVICES FOR MENTAL AND SUBSTANCE USE DISORDERS.RUMC WILL EMPLOY EVIDENCE-BASED INITIATIVES TO ADDRESS THE IDENTIFIED PRIORITY AREAS, AND LEVERAGE RESOURCES AND PARTNERSHIPS ACROSS THE COMMUNITY TO IMPROVE OUTCOMES FOR RESIDENTS.THE FOLLOWING SECTION HIGHLIGHTS SELECT PROGRAMS FROM RUMC'S APPROACH TO ADDRESS CHRONIC DISEASE, MENTAL HEALTH, AND SUBSTANCE USE DISORDER. TO MEASURE PROGRAM SUCCESS, RUMC WILL TRACK PARTICIPATION AND OUTCOMES.1) TOBACCO PREVENTION STRATEGIES AND INITIATIVES:- TOBACCO CESSATION PROGRAM: RUMC OFFERS A COMMUNITY TOBACCO CESSATION PROGRAM TWO TIMES PER YEAR, AS WELL AS A CERTIFIED TOBACCO TREATMENT SPECIALIST PROVIDING CESSATION COUNSELING AND HEALTH EDUCATION SPECIFICALLY TARGETING YOUTH VAPING.- TOBACCO USE DISORDER TREATMENT: RUMC PROVIDES TREATMENT FOR TOBACCO USE DISORDERS WITHIN OUR CENTER FOR INTEGRATIVE BEHAVIORAL MEDICINE. THE PROGRAM WAS IMPLEMENTED WITH SUPPORT FROM THE NYC TOBACCO CESSATION TRAINING & TECHNICAL ASSISTANCE CENTER.2) PREVENTIVE CARE AND MANAGEMENT STRATEGIES AND INITIATIVES- NEW YORK STATE DEPARTMENT OF HEALTH CANCER SERVICES PROGRAM (CSP): AS A PARTNER AGENCY IN THE CSP, RUMC PROVIDES FREE BREAST, CERVICAL, AND COLORECTAL SCREENINGS AND DIAGNOSTIC SERVICES TO ELIGIBLE WOMEN AND MEN WHO LIVE IN NEW YORK.- BREAST HEALTH PATIENT NAVIGATION INITIATIVE: SUPPORTED BY A GRANT FROM THE NYC AFFILIATE OF SUSAN G. KOMEN FOR THE CURE, RUMC PROVIDES NAVIGATION SERVICES TO INCREASE ACCESS TO MAMMOGRAPHY AND BREAST HEALTHCARE, TARGETING UNDERSERVED WOMEN.- CARE TRANSITIONS PROGRAM: RUMC SUPPORTS THIS PROGRAM IN COLLABORATION WITH THE VISITING NURSE ASSOCIATION TO REDUCE 30-DAY READMISSION RATES WITHIN THE MEDICAID POPULATION.- MEDICAID ACCELERATED EXCHANGE (MAX): RUMC SUPPORTS THIS PROGRAM AS PART OF THE SI PPS TO IMPROVE OUTCOMES AND REDUCE UNNECESSARY CARE FOR EMERGENCY DEPARTMENT (ED) SUPER-UTILIZERS.- DIABETES MANAGEMENT PROGRAM: RUMC SUPPORTS THIS PROGRAM AS PART OF THE SI PPS TO ENSURE USE OF EVIDENCE-BASED PROTOCOLS FOR DIABETES MANAGEMENT IN THE CLINICAL SETTING, AND IMPROVE PATIENT OUTCOMES THROUGH CARE MANAGEMENT INCENTIVES AND SERVICES.- BARIATRIC AND METABOLIC INSTITUTE: RUMC OPENED THE INSTITUTE IN AUGUST 2018 TO OFFER DIVERSE SURGICAL AND NON-SURGICAL CARE TO ASSIST RESIDENTS STRUGGLING WITH OBESITY.3) PREVENT MENTAL AND SUBSTANCE USE DISORDERS STRATEGIES AND INITIATIVES- BEHAVIORAL HEALTH INFRASTRUCTURE PROJECT: RUMC SERVES ON THE STEERING COMMITTEE FOR THIS SI PPS-BASED PROJECT, WHICH FOCUSES ON REDUCING UNNECESSARY HOSPITALIZATIONS AND INCREASING ACCESS TO QUALITY BEHAVIORAL HEALTH SERVICES ON STATEN ISLAND.- PEER COUNSELOR WARM HANDOFF PROGRAM: RUMC PROVIDES THIS PROGRAM IN PARTNERSHIP WITH COMMUNITY PROVIDERS TO CONNECT PATIENTS SEEN IN THE ED FOR A SUBSTANCE USE DISORDER WITH TIMELY AND APPROPRIATE WITHDRAWAL MANAGEMENT AND TREATMENT SERVICES.- RELAY: RUMC PROVIDES RELAY PEERS TO PROVIDE FOLLOW-UP CONSULTATION FOR PATIENTS SEEN IN THE ED FOR A NONFATAL OVERDOSE. THE PROGRAM WAS IMPLEMENTED IN PARTNERSHIP WITH THE NYC DOHMH AND COMMUNITY HEALTH ACTION OF STATEN ISLAND (CHASI).- OPIOID OVERDOSE PREVENTION PROGRAM: AS A REGISTERED OPIOID OVERDOSE PREVENTION PROGRAM, THE RUMC SILBERSTEIN CLINIC PROVIDES TRAINING TO COMMUNITY MEMBERS, PATIENTS, AND PROFESSIONALS ON HOW TO RECOGNIZE, RESPOND, AND GIVE NALOXONE.- TACKLING YOUTH SUBSTANCE ABUSE: RUMC IS A PARTNER IN THE SIPCW TACKLING YOUTH SUBSTANCE ABUSE PROGRAM TO EDUCATE THE COMMUNITY, REDUCE STIGMA, SHARE DATA, AND PROVIDE OPPORTUNITIES FOR YOUTH AND COMMUNITY ENGAGEMENT, AMONG OTHER SERVICES.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTS ASSOCIATED WITH CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTS ASSOCIATED WITH "OTHER BENEFITS" WERE DETERMINED USING THE ACTUAL COSTS INCURRED BY THE PROGRAM USING AN INDIRECT OVERHEAD ALLOCATION, ADJUSTED FOR THE ACTUAL LOCATION OF THE PROGRAM.
PART I, LINE 7G:	THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNT REPORTED FOR SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $16,135,690.
PART III, LINE 2:	THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, LINE 3:	THE COSTING METHODOLOGY USED TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY WAS THE RATIO OF APPROVED CHARITY CARE APPLICATIONS TO TOTAL APPLICATIONS APPLIED TO SELF PAY BAD DEBTS ASSOCIATED WITH PATIENTS WHO DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBT RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE STILL PROVIDING SERVICES TO THESE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE AT THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS, AND DO NOT BEAR INTEREST. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT REVENUE IN THE PERIOD OF THE CHANGE. ACCOUNTS ARE WRITTEN OFF THROUGH THE PROVISION FOR BAD DEBTS WHEN THE MEDICAL CENTER HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS.
PART III, LINE 8:	MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, LINE 9B:	ALL PATIENTS WITH SELF PAY BALANCES RELATED TO SERVICES RENDERED AT RICHMOND UNIVERSITY MEDICAL CENTER ARE GIVEN THE OPPORTUNITY TO ADDRESS THEIR RESPONSIBILITY THROUGH A PAYMENT ARRANGEMENT OR A REDUCED FEE, BASED ON THE CRITERIA OF OUR FINANCIAL ASSISTANCE PROGRAM. A SLIDING FEE SCALE IS UTILIZED AND IS BASED UPON FAMILY INCOME AND NUMBER OF FAMILY MEMBERS. ALL PATIENTS WILL RECEIVE STATEMENTS AND/OR LETTERS AND ARE GIVEN THE OPPORTUNITY TO SATISFY THEIR OBLIGATION TO THE FACILITY PRIOR TO TRANSFER TO A COLLECTION AGENCY AND WRITE-OFF TO A BAD DEBT. PATIENTS WHO CANNOT AFFORD TO PAY ARE OFFERED INSTALLMENT PAYMENTS OR A REDUCTION IN BALANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM (FAP).
PART VI, LINE 2:	RICHMOND UNIVERSITY MEDICAL CENTER'S (RUMC) BOARD, ADMINISTRATION AND STAFF FUNCTION FROM AN UNDERSTANDING THAT HEALTH IS THE CORNERSTONE OF A PRODUCTIVE AND POSITIVE QUALITY-OF-LIFE FOR EVERY STATEN ISLANDER. AS SUCH, OUR FOCUS IS NOT ONLY ON HEALING THE SICK, BUT ALSO UNDERSTANDING THE ROOT CAUSE OF CONDITIONS AFFECTING STATEN ISLANDERS AND WHAT WE CAN DO TO PREVENT THE DISEASE PROCESSES PREVALENT IN OUR COMMUNITY. RUMC UTILIZES A VARIETY OF SOURCES AND APPROACHES TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY WE SERVE.COMMUNITY BENEFIT PLANNING IS FORMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NEW YORK STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. TO ENSURE OUR SERVICES ARE ALIGNED WITH THE HEALTHCARE NEEDS OF OUR COMMUNITY, WE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THIS STUDY HELPS US TO DETERMINE AND PORTRAY HEALTH STATUS, GATHER STAKEHOLDER PERSPECTIVES, DEFINE EXISTING COMMUNITY ASSETS, AND ULTIMATELY BETTER SERVE OUR COMMUNITY.RUMC REPRESENTATIVES LED THE 2019 CHNA AND OVERSAW RESEARCH AND STAKEHOLDER ENGAGEMENT. STEERING COMMITTEE MEMBERS ARE LISTED BELOW, ALONG WITH THE CONSULTANT TEAM MEMBERS. COMMUNITY HEALTH CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, AND REPORT WRITING.THE 2019 CHNA WAS CONDUCTED FROM FEBRUARY TO JUNE 2019 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES WITHIN STATEN ISLAND. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. SPECIFIC CHNA STUDY METHODS INCLUDED:- AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH, DEMOGRAPHIC, AND SOCIAL MEASURES.- A KEY INFORMANT SURVEY WITH 22 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES.
PART VI, LINE 3:	IN KEEPING WITH ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY WAY, REGARDLESS OF RACE, COLOR, CREED OR ETHNICITY. RUMC CONTINUES TO PROVIDE REDUCED-FEE OR FREE CARE IN ACCORDANCE TO PUBLIC LAW 2807(K)(9-A). ALTHOUGH NOT REQUIRED BY THIS LAW, WE DO EXTEND THIS POLICY TO INDIVIDUALS WHO MAY NOT BE QUALIFIED BASED ON THE GUIDELINES OF OUR FINANCIAL ASSISTANCE POLICY, BUT DO DEMONSTRATE AN INABILITY TO PAY ALL OF THEIR MEDICAL EXPENSES. AS PART OF BEST-PRACTICE CARE, RUMC IS IN COMMUNICATION WITH LOCAL COMMUNITY-BASED CONSUMER ADVOCATE ORGANIZATIONS TO BE CERTAIN THAT THEY ARE AWARE OF THE PROVISIONS OF OUR FINANCIAL AID POLICY. THE PATIENT ACCESS DEPARTMENT HAS RECEIVED SUMMARY DATA OF THE LAW AND OUR REQUIREMENTS. ASSISTANCE CONTINUES TO BE OFFERED BY OUR FINANCIAL SCREENING STAFF AND MEDICAL APPLICATION OFFICE TO THOSE INDIVIDUALS NOT ELIGIBLE FOR MEDICAID, AS WELL AS FINANCIAL SCREENING STAFF LOCATED IN OUR EMERGENCY DEPARTMENT. RUMC POSTS THE HOSPITAL'S CHARITY CARE POLICY SUMMARY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN MANY DIFFERENT LANGUAGES (AS DETERMINED BY RUMC'S ANNUAL LANGUAGE NEEDS ASSESSMENT) IN LOCATIONS SUCH AS THE EMERGENCY DEPARTMENT, INTAKE, REGISTRATION AND ADMISSION AREAS. PATIENTS ARE PROVIDED A SUMMARY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION AS PART OF THE INTAKE PROCESS AND FINANCIAL SCREENING PROCESS. PATIENT BILLS INCLUDE A STATEMENT ON FINANCIAL ASSISTANCE. EVERY PATIENT SEEN IN THE FINANCIAL OFFICE HAS A DISCUSSION ON THE AVAILABILITY OF GOVERNMENT BENEFITS SUCH AS MEDICAID AND AT THE SAME TIME QUALIFICATIONS ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. RUMC HAS AN INTERDISCIPLINARY TEAM THAT INTERACTS WITH FINANCIAL ASSISTANCE COUNSELORS SUCH AS SOCIAL WORKERS AND CASE MANAGERS TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. STAFF TRAINING ON FINANCIAL ASSISTANCE IS DONE ANNUALLY THROUGH AN IN-SERVICE PROGRAM THAT INCLUDES A REVIEW OF HOW TO QUALIFY PATIENTS FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. ALL THIRD PARTIES THAT WORK FOR RUMC IN THE COLLECTION OF FEES ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. RUMC'S FINANCIAL ASSISTANCE POLICY CLEARLY STATES THAT MEDICAL CARE IS PROVIDED TO INDIVIDUALS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY AND MAKES CERTAIN THAT ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED AND PROCESSED FAIRLY AND CONSISTENTLY WITH DIGNITY, COMPASSION AND IN A RESPECTFUL MANNER, CONSISTENT WITH RUMC MISSION AND VALUES.
PART VI, LINE 4:	THE 2018 POPULATION OF STATEN 1SLAND IS 485,143; APPROXIMATELY 42% OF RESIDENTS LIVE IN THE NORTH SHORE. THE NORTH SHORE EXPERIENCED THE GREATEST POPULATION GROWTH OF THE THREE STATEN 1SLAND REGIONS FROM 2010 TO 2018 (2.7%) AND IS PROJECTED TO EXPERIENCE THE GREATEST GROWTH THROUGH 2023 (2.7%). STATEN 1SLAND OVERALL IS PROJECTED TO EXPERIENCE 2.4% POPULATION GROWTH BY 2023 COMPARED TO 3.3% ACROSS NYC.STATEN ISLAND ZIP CODE ANALYSIS:ZIP CODE OF RESIDENCE IS ONE OF THE MOST IMPORTANT PREDICTORS OF HEALTH DISPARITY; WHERE RESIDENTS LIVE MATTERS IN DETERMINING THEIR HEALTH. THE COMMUNITY NEED 1NDEX (CN1) WAS DEVELOPED BY DIGNITY HEALTH AND TRUVEN HEALTH ANALYTICS TO ILLUSTRATE THE POTENTIAL FOR HEALTH DISPARITY AT THE ZIP CODE LEVEL.
PART VI, LINE 5:	RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 400-PLUS BED HOSPITAL, ONE OF ONLY TWO PRIVATE HOSPITALS SERVING THE ENTIRE POPULATION OF THE BOROUGH. OUR COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENING, REACH THOUSANDS EACH YEAR. THE HOSPITAL IS THE MAIN SPONSOR AND/OR ACTIVE PARTICIPANT IN SEVERAL ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND, INCLUDING THE STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION'S HEALTH AND WELLNESS CONFERENCE HELD EACH FALL. THE CONFERENCE OFFERS THOUSANDS OF RESIDENTS A FORUM TO HAVE ACCESS TO EDUCATIONAL MATERIALS, SPEAK WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS, AND HAVE HEALTH SCREENINGS CONDUCTED ON THE PREMISES. OUR COMMUNITY OUTREACH TEAM, KNOWN AS TRAUMA, ATTENDS OVER 100 COMMUNITY EVENTS EACH YEAR, PROVIDING BROCHURES, EDUCATIONAL MATERIALS, AND HANDS ON TRAINING TO THOUSANDS OF ADULTS AND CHILDREN ANNUALLY. PROGRAMS THEY PROVIDE INCLUDE "STOP THE BLEED", WHICH DISCUSSES HOW TO HANDLE BLEEDING EMERGENCIES, AND HANDS ON CPR WHICH SHOWS PEOPLE THE BASICS OF CARDIOPULMONARY RESUSCITATION. FOR MORE THAN 30 YEARS RUMC'S WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION IS TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES. WIC SERVICES ASSIST WOMEN AND CHILDREN WHO HAVE LOW INCOME, ARE UNDOCUMENTED CITIZENS, ARE UNINSURED, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE, AND FOSTER CHILDREN. OVER 50% OF THE PEOPLE ACCESSING SERVICES AT THE WIC SITE ARE HISPANIC.RUMC HAS A WELL-ESTABLISHED HISTORY OF WORKING WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS TO WORK COLLABORATIVELY TO ASSIST THOSE IN THE BOROUGH WITH MENTAL HEALTH ISSUES. AMONG ITS PARTNERS ARE THE STATEN ISLAND MENTAL HEALTH SOCIETY, AND JEWISH BOARD OF FAMILY AND CHILDREN SERVICES. RUMC ALSO MAINTAINS RELATIONSHIPS WITH THE LOCAL COMMUNITY ORGANIZATIONS IN ITS VICINITY AND WITH STATEN ISLAND COMMUNITY BOARD #1. THE COMMUNITY HEALTH ACTION CENTER, STATEN ISLAND CHAMBER OF COMMERCE, PROJECT HOSPITALITY, AND THE PORT RICHMOND COMMUNITY HEALTH CENTER ARE JUST A FEW OF THE LOCAL ORGANIZATIONS RUMC MAINTAINS PARTNERSHIPS WITH. HOSPITAL ADMINISTRATION AND MEMBERS OF THE BOARD OF TRUSTEES VISIT ALBANY ANNUALLY TO LOBBY FOR HEALTHCARE ISSUES AND TO SPEAK WITH STATE HEALTH OFFICIALS.IN ADDITION TO THE COMMUNITY, RUMC MAINTAINS REGULAR COMMUNICATIONS WITH ALL OF STATEN ISLAND'S ELECTED OFFICIALS INCLUDING THE BOROUGH PRESIDENT. THESE PARTNERS ARE MET WITH ON A REGULAR BASIS ALLOWING ADMINISTRATION TO PROVIDE UPDATES ON SERVICE AND SEEK SUPPORT FROM THEM FOR ISSUES IMPORTANT TO THE HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL J MESSINA MD
PRESIDENT & CEO	$875,266	$0	$0	$0	$3,564	$0	$175,740	$0	$26,349	$0	$1,080,919	$0	$0	$0
MICHAEL F CABBAD MD
PHYSICIAN	$711,061	$0	$120,625	$0	$3,810	$0	$25,650	$0	$32,979	$0	$894,125	$0	$0	$0
LANCE U JUNG MD
PHYSICIAN	$306,826	$0	$456,199	$0	$1,290	$0	$19,950	$0	$32,979	$0	$817,244	$0	$0	$0
LOREN HARRIS MD
MEDICAL CHAIRMAN - SURGERY	$758,841	$0	$0	$0	$1,290	$0	$25,650	$0	$0	$0	$785,781	$0	$0	$0
PHILLIP OTTERBECK MD
PHYSICIAN	$275,416	$0	$306,352	$0	$300	$0	$25,269	$0	$24,806	$0	$632,143	$0	$0	$0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	$548,414	$0	$0	$0	$6,858	$0	$57,044	$0	$0	$0	$612,316	$0	$0	$0
JOSEPH MOTTA MD
PHYSICIAN	$553,587	$0	$0	$0	$690	$0	$19,950	$0	$30,365	$0	$604,592	$0	$0	$0
VLADIMIR RUBINSHTEY MD
PHYSICIAN	$257,268	$0	$323,068	$0	$300	$0	$18,030	$0	$1,853	$0	$600,519	$0	$0	$0
PIETRO CARPENITO MD
TRUSTEE/EXEC. VP/CMO	$495,229	$0	$0	$0	$10,605	$0	$52,140	$0	$32,979	$0	$590,953	$0	$0	$0
RICHARD SALHANY
CHIEF ADMIN OFFICER & PRESIDENT RUMC	$501,661	$0	$0	$0	$3,564	$0	$51,565	$0	$32,979	$0	$589,769	$0	$0	$0
JOSEPH SAPORITO
SENIOR VP & CFO (UNTIL 12/20)	$396,377	$0	$0	$0	$2	$0	$53,819	$0	$32,641	$0	$482,839	$0	$0	$0
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICINE	$388,860	$0	$0	$0	$1,980	$0	$31,350	$0	$10,255	$0	$432,445	$0	$0	$0
MARIANNE LABARBERA MD
TRUSTEE/PRES. MED STAFF	$162,640	$0	$0	$0	$396	$0	$8,187	$0	$10,433	$0	$181,656	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2020: CONTRIBUTIONS: - PIETRO CARPENITO - $20,790 - DANIEL J. MESSINA - $144,390 - JOSEPH SAPORITO - $22,469 - ROSEMARIE STAZZONE - $25,694 - RICHARD SALHANY - $20,215

PART I, LINE 7

AN ANNUAL INCENTIVE PROGRAM (AIP) HAS BEEN ESTABLISHED AND APPROVED BY THE FACILITY OUTLINING THE COMPONENTS OF THE BONUS PROGRAM. ORGANIZATIONAL GOALS ARE ESTABLISHED ANNUALLY. ADDITIONALLY, ANNUAL GOALS FOR EACH INDIVIDUAL ELIGIBLE FOR THE AIP PROGRAM ARE SET. THE AIP BONUS FOR EACH ELIGIBLE INDIVIDUAL IS BASED ON HOW WELL THE ORGANIZATION MET THE ESTABLISHED ORGANIZATIONAL GOALS, AND HOW WELL THAT INDIVIDUAL MET HIS/HER INDIVIDUALLY ESTABLISHED GOALS. THERE IS ALSO A SMALL PERCENTAGE THAT IS AWARDED AT THE DISCRETION OF THE CEO (OR BOARD COMMITTEE WITH RESPECT TO THE CEO'S BONUS DETERMINATION). THE APPROVAL OF ALL BONUSES ARE DOCUMENTED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	BUILD NYC RESOURCE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issued	2018-12-20	BondIssuedDt
Issue Price	$132,065,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$98,634,101	TotalProceedsAmt
In Reserve Fund	$7,350,996	InReserveFundAmt
Capitalized Interest	$7,865,015	CapitalizedInterestAmt
Issuance Costs From Proceeds	$3,191,623	IssuanceCostsFromProceedsAmt
Capital Expenditures	$54,750,019	CapitalExpendituresAmt
Other Spent Proceeds	$6,766,329	OtherSpentProceedsAmt
Unspent	$18,710,120	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, BOX F:	THE PROCEEDS OF THE 2018 BONDS WILL BE USED TO (I) REFINANCE THE MEDICAL CENTER'S EXISTING REVOLVING LOAN PAYABLE, TERM LOAN PAYABLE, AND FIRST MORTGAGE LOAN PAYABLE, (II) FINANCE THE COST OF VARIOUS CAPITAL IMPROVEMENTS TO THE MEDICAL CENTER'S CAMPUS, (III) FUND A DEBT SERVICE RESERVE FUND AND A CAPITALIZED INTEREST FUND, AND (IV) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE 2018 BONDS.
SCHEDULE K, PART II LINE 3:	TOTAL PROCEEDS OF ISSUE REPORTED IN PART II LINE 3 REPRESENTS THE AMOUNT OF BOND PROCEEDS DRAWN DOWN AS OF 12/31/2020 NET OF BOND DISCOUNT OF $3,827,437 PLUS INTEREST INCOME. TOTAL ISSUE PRICE OF THE 2018 BONDS IS REPORTED IN PART I.
SCHEDULE K, PART III LINE 9, PART IV LINE 7 AND PART V:	RUMC HAS PROCEDURES IN PLACE AND IS WORKING ON FORMALIZING THE PROCEDURES INTO WRITTEN POLICIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF FORM 990 WAS SENT TO MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW BEFORE FILING WITH THE IRS. THE BOARD RECEIVED A COPY BEFORE THE FORM WAS FILED AND WAS GIVEN A CHANCE TO REVIEW IT IN DETAIL AND POSE QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY FORMS ARE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTOR LEVEL THROUGH THE PRESIDENT'S OFFICE AND COLLECTED THERE AS WELL. ALL FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER. IF POTENTIAL CONFLICTS ARE IDENTIFIED, THE INDIVIDUAL IS CONTACTED FOR ADDITIONAL INFORMATION. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE FOR ACTION WHERE APPLICABLE. A BOARD MEMBER WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER AND WILL BE EXCUSED FROM THE PORTION OF THE MEETING WHERE THE MATTER IS DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 15	IN 2009, THE ORGANIZATION'S BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND TO EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE IS ADVISED BY OUTSIDE COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT, EACH OF WHOM OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. THIS CONSULTANT WAS ENGAGED EACH YEAR FROM 2009 THROUGH 2012 TO PERFORM THESE SERVICES, AND A MARKET STUDY WAS COMPLETED IN 2015. THE COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT PERSONS. THIS COMMITTEE REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND RECORDS THEIR REVIEW IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 1A:	THE EXECUTIVE COMMITTEE HAS BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THE SCOPE OF THE COMMITTEE'S AUTHORITY IS TO ACT WITH FULL POWER ON THE BEHALF OF THE BOARD OF TRUSTEES. ALL EXECUTIVE COMMITTEE MEMBERS ARE MEMBERS OF THE GOVERNING BODY. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE AS FOLLOWS: - KATHRYN K. ROONEY - RONALD PURPORA - CATHERINE M. PAULO - GINA GUTZEIT - DENNIS QUIRK - DANIEL J. MESSINA
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADUSTMENT -10,129,040. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION -886,503. CHANGE IN NET PERIODIC PENSION COST -663,229.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND QUALITY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	335 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Field	Value	IRS element (for citing)
EIN	471464075	EIN
Primary Activities	ACCOUNTABLE CARE ORGANIZATION	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$3,462,333	TotalIncomeAmt
End Of Year Assets	$3,209,562	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND MEDICAL CENTER	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
AMBOY MEDICAL PRACTICE PC
355 BARD AVENUE	STATEN ISLAND	NY	10310	263381883	PHYSICIAN MEDICAL PRACTICE	NY	501(C)(3)	LINE 12A, I	RICHMOND MEDICAL CENTER	Yes (1)
RICHMOND MEDICAL CENTER FOUNDATION INC
355 BARD AVENUE	STATEN ISLAND	NY	10310	271059815	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 12A, I	RICHMOND MEDICAL CENTER	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BRIDGE REGIONAL HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10310	ZIPCd

Field	Value	IRS element (for citing)
EIN	205171165	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AMBOY MEDICAL PRACTICE PC
D	$52,200,668	COST
RICHMOND MEDICAL CENTER FOUNDATION INC
C	$1,835,667	COST
RICHMOND MEDICAL CENTER FOUNDATION INC
D	$551,608	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, PART IV, LINE 35:	FormAndLineReferenceDesc
Explanation	RICHMOND MEDICAL CENTER (THE "COMPANY") IS AFFILIATED WITH AMBOY MEDICAL PRACTICE, PC ("AMBOY"), A NEW YORK PROFESSIONAL SERVICES CORPORATION, WHICH WAS ESTABLISHED TO PROVIDE PRIMARY CARE SERVICES TO THE COMMUNITY AND HAS ONE SHAREHOLDER, THE CHIEF MEDICAL OFFICER OF THE COMPANY. THE COMPANY AND AMBOY ARE PARTIES TO A CERTAIN STOCK RESTRICTION AGREEMENT (THE "RESTRICTION AGREEMENT") WHICH PROVIDES, AMONG OTHER THINGS, THAT WITHOUT THE CONSENT OF THE COMPANY, THE CHIEF MEDICAL OFFICER MAY NOT TRANSFER HIS/HER STOCK IN AMBOY, OR CAUSE AMBOY TO DISSOLVE, MERGE, ISSUE STOCK, COMMENCE LITIGATION, SELL OR LEASE REAL PROPERTY, BORROW OR LEND MONEY, OR FILE FOR BANKRUPTCY. THE RESTRICTION AGREEMENT ALSO PROVIDES THAT THE CHIEF MEDICAL OFFICER MUST, UPON THE REQUEST OF THE COMPANY, TRANSFER ALL OF HIS/HER STOCK IN AMBOY TO A COMPANY DESIGNEE. DUE TO THESE RESTRICTIONS, AMBOY IS CONSIDERED A CONTROLLED ENTITY WITHIN THE MEANING OF SECTION 512(B)(13).	ExplanationTxt