RICHMOND MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201643199349310379
Schema version: 2015v2.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T16:30:36-06:00	ReturnTs
Tax Period End	2015-12-31	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 VIRCHOW KRAUSE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	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	2016-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIUS C GREEN CPA	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	2159720701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$314,337,414	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2675	TotalEmployeeCnt
Total Volunteers	275	TotalVolunteersCnt
Total Gross UBI	$1,505	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,501,429	PYContributionsGrantsAmt
CY Contributions Grants	$8,411,671	CYContributionsGrantsAmt
PY Program Service Revenue	$283,600,294	PYProgramServiceRevenueAmt
CY Program Service Revenue	$297,328,910	CYProgramServiceRevenueAmt
PY Investment Income	$413,886	PYInvestmentIncomeAmt
CY Investment Income	$350,584	CYInvestmentIncomeAmt
PY Other Revenue	$7,091,416	PYOtherRevenueAmt
CY Other Revenue	$6,345,115	CYOtherRevenueAmt
PY Total Revenue	$307,607,025	PYTotalRevenueAmt
CY Total Revenue	$312,436,280	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	$182,889,717	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$198,038,336	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$110,163,176	PYOtherExpensesAmt
CY Other Expenses	$106,269,338	CYOtherExpensesAmt
PY Total Expenses	$293,052,893	PYTotalExpensesAmt
CY Total Expenses	$304,307,674	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,554,132	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,128,606	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,786,372	TotalAssetsBOYAmt
Total Assets EOY	$171,120,076	TotalAssetsEOYAmt
Total Liabilities BOY	$111,453,618	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$114,633,593	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$45,332,754	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,486,483	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	$260,024,198	ExpenseAmt
Revenue	$297,328,910	RevenueAmt
Desc	RICHMOND UNIVERSITY MEDICAL CENTER IS A 473 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS, LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND, IS LICENSED FOR 448 BEDS AND THE SECONDARY CAMPUS, LOCATED IN THE CLIFTON SECTION OF STATEN ISLAND, IS LICENSED FOR 25 BEDS.SERVICES PROVIDED AT THE WEST BRIGHTON CAMPUS, A DESIGNATED STROKE CENTER AND LEVEL 1 TRAUMA CENTER, ENCOMPASS NUMEROUS INPATIENT AND OUTPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, AND CLINIC SERVICES. SERVICES PROVIDED AT THE CLIFTON CAMPUS CONSIST PRIMARILY OF PSYCHIATRIC INPATIENT AND PSYCHIATRIC OUTPATIENT SERVICES.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 FOR THE HEALTHCARE NEEDS OF STATEN ISLAND'S MOST INDIGENT AND MARGINALIZED RESIDENTS. BASED ON COST, IN 2015, APPROXIMATELY $3,747,000 IN CHARITY CARE WAS PROVIDED TO PATIENTS WHO MEET CERTAIN NYS DEPARTMENT OF HEALTH AND SENIOR SERVICES CRITERIA. THESE PATIENTS RECEIVED SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IN 2015, INPATIENT VOLUME EXCEEDED 17,688 INPATIENT DISCHARGES ACCOUNTING FOR OVER 94,583 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 49,157 EMERGENCY ROOM VISITS AND OVER 183,706 CLINIC AND BEHAVIOR HEALTH VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL / SURGICAL, BEHAVIORAL HEALTH AND OBSTETRICS / GYNECOLOGY.MEDICAL / SURGICALTHE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2015. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,719 INPATIENT AND 11,487 OUTPATIENT SURGERIES. INPATIENT MEDICAL/SURGICAL DISCHARGES TOTALED OVER 9,046 AND ACCOUNTED FOR MORE THAN 51,738 PATIENT DAYS. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. BEHAVIORAL HEALTHBEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2015. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,716 AND ACCOUNTED FOR MORE THAN 19,944 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM AND ALCOHOL AND CHEMICAL DETOXIFICATION 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.OBSTETRICS / GYNECOLOGYDURING 2015, THERE WERE OVER 3,587 OB/GYN DISCHARGES. SERVICES INCLUDE PERINATAL SERVICES AND A NEONATAL INTENSIVE CARE UNIT, WHICH HAS ONE OF THE LOWEST MORTALITY RATES IN THE NY METROPOLITAN AREA. IN ADDITION, ALL TYPES OF MAJOR GYNECOLOGICAL SURGERIES ARE PERFORMED AT THE MEDICAL CENTER.OB/GYN OUTPATIENT CARE WAS DELIVERED TO APPROXIMATELY 2,318 EXPECTANT MOTHERS THROUGH THE AMBULATORY HOSPITAL OUTPATIENT CLINIC AND FREESTANDING PRENATAL CLINICS ON THE NORTH SHORE OF STATEN ISLAND.THE RUMC COMPREHENSIVE MEDICAL CARE AND COMPREHENSIVE PEDIATRIC CARE OUTPATIENT CLINICS UNDER THE MANAGEMENT OF THE AMBULATORY CARE DEPARTMENT HAVE SUCCESSFULLY COMPLETED THEIR 3 YEAR-LONG PARTICIPATION IN THE NYS HOSPITAL-MEDICAL HOME (HMH) DEMONSTRATION PROJECT. THE GRANT'S SIGNATURE INITIATIVE WAS RECOGNITION AS A PATIENT CENTERED MEDICAL HOME (PCMH) BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE (NCQA). THE ADULT AND PEDIATRIC OUTPATIENT CLINICS ACHIEVED PCMH LEVEL III RECOGNITION BY NCQA, THE HIGHEST DESIGNATION. THE CARDIAC CATHETERIZATION LABORATORY RECEIVED APPROVAL FOR NEW YORK STATE TO PERFORM ELECTIVE AND PRIMARY ANGIOPLASTY IN Q2 OF 2015. RUMC RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE PLUS. THIS MARKS THE FIFTH CONSECUTIVE YEAR THAT RUMC HAS BEEN RECOGNIZED WITH A QUALITY ACHIEVEMENT AWARD AND ITS FIRST ELITE PLUS RECOGNITION. RICHMOND UNIVERSITY MEDICAL CENTER HAS BEEN AWARDED AN ACCREDITATION BY THE AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) - AN INTERNATIONAL ORGANIZATION THAT SETS THE HIGHEST STANDARDS FOR BLOOD BANKS AND TRANSFUSION SERVICES.	Desc
Total Program Service Expenses	$260,024,198	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	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	0	TaxExemptBondsInd
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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	245	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2675	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	JOSEPH SAPORITO	PersonNm
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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 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
ALLAN WEISSGLASS
VICE CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
CATHERINE M PAULO
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
GINA GUTZEIT
TREASURER & CHAIR FINANCE	1.00	Yes (X)	Yes (X)	$0	$0	$0
REV DR TONY BAKER SR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JOHN PEPE MD
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KATHERINE ANNE CONNORS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
PIETRO CARPENITO MD
TRUSTEE	32.00	Yes (X)		$435,858	$0	$64,012
SARA WARREN GARDNER
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JAMES P MOLINARO
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JOSEPH MOTTA MD
TRUSTEE	25.00	Yes (X)		$236,130	$0	$20,141
DANIEL PAULO MD
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
RONALD PURPORA
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DANIEL MESSINA
PRESIDENT & CEO	37.50		Yes (X)	$843,474	$0	$158,487	2.00
JOSEPH SAPORITO
SENIOR VP & CFO (BEGIN 8/3/15)	37.50		Yes (X)	$173,653	$0	$35,029	1.00
KEVIN MURPHY
SENIOR VP & CFO (END 6/12/15)	37.50		Yes (X)	$296,339	$0	$32,377	1.00
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	37.50			$578,814	$0	$54,766		Yes (X)
RICHARD SALHANY
SENIOR VP PROFESSIONAL SER	37.50			$408,391	$0	$55,191	1.00	Yes (X)
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	37.50			$753,580	$0	$45,991		Yes (X)
EDWARD ARSURA
CHIEF MEDICAL OFFICER	37.50			$476,436	$0	$66,043		Yes (X)
PANKAJ R PATEL
CHAIRMAN OF PSYCHIATRY	37.50			$410,983	$0	$41,070	1.00	Yes (X)
SANTOSH PARAB
PHYSICIAN	40.00			$532,509	$0	$40,643			Yes (X)
ANTHONY BARONE
MEDICAL DIRECTOR, NICU	37.50			$562,903	$0	$40,688			Yes (X)
AKELLA CHENDRASEKHER
PHYSICIAN	37.50			$416,993	$0	$35,162			Yes (X)
PHILLIP OTTERBECK
PHYSICIAN	40.00			$539,683	$0	$19,625	1.00		Yes (X)
ELI SERUR
PHYSICIAN	80.00			$504,845	$0	$40,691			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,170,591	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$749,916	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	336	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
ARAMARK
LOCKBOX 25271 NETWORK PLACE	CHICAGO	IL	60673	FOOD SERVICES	$2,493,495
EMA RICHMOND EMERGENCY
3 CENTURY DRIVE	PARSIPPANY	NJ	07054	EMERGENCY SERVICES FOR EMPLOYEES	$1,830,206
DIALYSIS CLINICAL INC (DCI)
800 CASTLETON AVE	STATEN ISLAND	NY	10310	ACUTE SERVICES FEES	$902,055
RESTORIX HEALTH
445 HAMILTON AVE 800	WHITE PLAINS	NY	10601	WOUND CARE SERVICES	$857,489
RN STAFFING SOLUTIONS LLC
1672 VICTORY BLVD	STATEN ISLAND	NY	10314	STAFFING	$613,127

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,464,372	RelatedOrganizationsAmt
Government Grants	$5,910,428	GovernmentGrantsAmt
All Other Contributions	$1,036,871	AllOtherContributionsAmt
Total Contributions	$8,411,671	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES	621990	$291,094,278	$291,094,278
NYS DOH PUBLIC POOL REV	621990	$6,234,632	$6,234,632

Field	Value	IRS element (for citing)
Total Program Service Revenue	$297,328,910	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$201,004	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,505	UnrelatedBusinessRevenueAmt
Exclusion	$199,499	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$876,961	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,901,134	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,024,173	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,024,173	TotalRevenueColumnAmt
Exclusion	-$1,024,173	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$138,517	SecuritiesAmt
Other	$11,063	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	$138,517	SecuritiesAmt
Other	$11,063	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$149,580	TotalRevenueColumnAmt
Exclusion	$149,580	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDOR REBATES AND REFUNDS	900099	$2,367,143	$2,367,143
STUDENT SERVICES INCOME	900099	$2,346,102	$2,346,102
MEANINGFUL USE INCENTIVE AWARD	900099	$598,219	$598,219

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,057,824	TotalRevenueColumnAmt
Exclusion	$2,057,824	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,369,288	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$312,436,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$297,328,910	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,505	UnrelatedBusinessRevenueAmt
Exclusion	$6,694,194	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,354,515	TotalAmt
Program Services	$4,575,315	ProgramServicesAmt
Management And General	$779,200	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$141,704,123	TotalAmt
Program Services	$121,083,049	ProgramServicesAmt
Management And General	$20,621,074	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,699,454	TotalAmt
Program Services	$11,705,881	ProgramServicesAmt
Management And General	$1,993,573	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,505,306	TotalAmt
Program Services	$22,648,200	ProgramServicesAmt
Management And General	$3,857,106	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,774,938	TotalAmt
Program Services	$9,206,947	ProgramServicesAmt
Management And General	$1,567,991	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$634,566	TotalAmt
Program Services	$542,223	ProgramServicesAmt
Management And General	$92,343	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$264,000	TotalAmt
Program Services	$225,582	ProgramServicesAmt
Management And General	$38,418	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$45,582	TotalAmt
Program Services	$45,582	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,321,869	TotalAmt
Program Services	$20,782,501	ProgramServicesAmt
Management And General	$3,539,368	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$723,817	TotalAmt
Program Services	$618,486	ProgramServicesAmt
Management And General	$105,331	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,739,841	TotalAmt
Program Services	$1,486,656	ProgramServicesAmt
Management And General	$253,185	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,843	TotalAmt
Program Services	$4,993	ProgramServicesAmt
Management And General	$850	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,604,732	TotalAmt
Program Services	$4,789,120	ProgramServicesAmt
Management And General	$815,612	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$52,554	TotalAmt
Program Services	$44,906	ProgramServicesAmt
Management And General	$7,648	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$242,220	TotalAmt
Program Services	$206,972	ProgramServicesAmt
Management And General	$35,248	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$590,955	TotalAmt
Program Services	$504,958	ProgramServicesAmt
Management And General	$85,997	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,835,567	TotalAmt
Program Services	$5,840,841	ProgramServicesAmt
Management And General	$994,726	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,855,628	TotalAmt
Program Services	$6,712,461	ProgramServicesAmt
Management And General	$1,143,167	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$33,416,139	$28,553,354	$4,862,785
BAD DEBT	$12,296,724	$10,507,280	$1,789,444
REPAIRS & MAINTENANCE	$3,879,301	$3,314,777	$564,524
LABORATORY SERVICES	$1,548,230	$1,322,928	$225,302

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,211,770	TotalAmt
Program Services	$5,301,186	ProgramServicesAmt
Management And General	$910,584	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,307,674	TotalAmt
Program Services	$260,024,198	ProgramServicesAmt
Management And General	$44,283,476	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,581	BOYAmt
EOY	$3,581	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$40,937,425	BOYAmt
EOY	$44,568,532	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,390,064	BOYAmt
EOY	$31,516,817	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$7,308,249	BOYAmt
EOY	$8,375,573	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,747,720	BOYAmt
EOY	$5,544,524	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$719,165	BOYAmt
EOY	$1,019,702	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$81,015,332	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$29,173,280	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,291,241	BOYAmt
EOY	$51,842,052	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$525,484	BOYAmt
EOY	$287,591	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,864,443	BOYAmt
EOY	$27,961,704	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,786,372	BOYAmt
EOY	$171,120,076	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,600,508	BOYAmt
EOY	$34,571,834	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$710,284	BOYAmt
EOY	$583,821	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,184,501	BOYAmt
EOY	$10,183,433	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,291,413	BOYAmt
EOY	$1,829,724	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,666,912	BOYAmt
EOY	$67,464,781	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,453,618	BOYAmt
EOY	$114,633,593	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$43,860,544	BOYAmt
EOY	$50,884,160	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,127,563	BOYAmt
EOY	$5,257,676	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$344,647	BOYAmt
EOY	$344,647	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,332,754	BOYAmt
EOY	$56,486,483	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,786,372	BOYAmt
EOY	$171,120,076	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,128,606	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$20,793	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$244,714	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$2,801,202	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$45,582	OtherActivitiesAmt
Total Lobbying Expenditures	$45,582	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: AHA - $64,349 (DUES) X 22.12% (APPROX. LOBBYING PERCENTAGE) = $14,234 HANYS - $73,846 (DUES) X 28.03% (APPROX. LOBBYING PERCENTAGE) = $20,699 GNYHA - $12,500 (DUES) X 71.98% (APPROX. LOBBYING PERCENTAGE) = $8,998 THE HOSPITAL ALSO HAD A HEALTHCARE EDUCATION PROJECT THAT INCURRED $1,651 OF LOBBYING EXPENSES.	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)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$4,471,164	OtherCostOrOtherBasisAmt
Book Value	$4,471,164	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,032,809	OtherCostOrOtherBasisAmt
Depreciation	$4,201,587	DepreciationAmt
Book Value	$25,831,222	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$396,445	OtherCostOrOtherBasisAmt
Depreciation	$217,958	DepreciationAmt
Book Value	$178,487	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,747,378	OtherCostOrOtherBasisAmt
Depreciation	$19,016,974	DepreciationAmt
Book Value	$16,730,404	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,367,536	OtherCostOrOtherBasisAmt
Depreciation	$5,736,761	DepreciationAmt
Book Value	$4,630,775	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$51,842,052	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
SECURITY DEPOSITS	$204,610
INSURANCE RECOVERIES RECEIVABLE	$16,239,618
SERP PENSION ASSET	$331,174
DUE FROM AMBOY	$8,532,852
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION	$2,653,450

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$27,961,704	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$20,522,122
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$26,882,241
SERP LIABILITY	$413,342
LINE OF CREDIT PAYABLE	$2,000,000
ACCRUED NYSNA PENSION LIABILITY	$17,647,076

Field	Value	IRS element (for citing)
Total Liability	$67,464,781	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$304,821,099	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$20,793	NetUnrealizedGainsInvstAmt
Other Revenue	-$9,495,522	OtherRevenueAmt
Revenue Not Reported	-$9,516,315	RevenueNotReportedAmt
Revenue Subtotal	$314,337,414	RevenueSubtotalAmt
Other Revenues Not Included	-$1,901,134	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$1,901,134	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$312,436,280	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$293,912,084	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,901,134	OtherExpensesIncludedAmt
Expenses Not Reported	$1,901,134	ExpensesNotReportedAmt
Expenses Subtotal	$292,010,950	ExpensesSubtotalAmt
Other Expenses Not Included	$12,296,724	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$12,296,724	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$304,307,674	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 X, LINE 2:	THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 AND 2014. THE MEDICAL CENTER'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND OTHER EXPENSES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON F/S -12,296,724. PENSION LIABILITY ADJUSTMENT 618,667. CHANGE IN INVESTMENT IN FOUNDATION 2,182,535.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -1,901,134.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,901,134.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON F/S 12,296,724.

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	$7,516,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,746,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,770,147	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,033,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,975,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,057,953	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,550,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,722,398	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,828,100	NetCommunityBenefitExpnsAmt
Total Expense	0.05420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,104,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,651,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,453,304	NetCommunityBenefitExpnsAmt
Total Expense	0.08030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,698,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,478,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,219,533	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,803,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,130,441	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,672,837	NetCommunityBenefitExpnsAmt
Total Expense	0.10500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,353,776	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,852,839	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,500,937	NetCommunityBenefitExpnsAmt
Total Expense	0.15920	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,392,395	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,017,719	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$65,460,773	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,576,504	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$15,884,269	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	13	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	HTTP://RUMCSI.ORG/MAIN/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://RUMCSI.ORG/MAIN/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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 Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://RUMCSI.ORG/MAIN/FINANCIALASSISTANCESUMMARY.ASPX	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
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 ORDER TO GAUGE THE COLLECTIVE HEALTHCARE NEEDS OF THE COMMUNITY, RICHMOND UNIVERSITY MEDICAL CENTER CONDUCTED TWO SURVEYS, ONE OF STATEN ISLAND BASED ORGANIZATIONS AND THE OTHER OF INDIVIDUALS. RUMC SURVEYED 26 ORGANIZATIONS, INCLUDING COMMUNITY SOCIAL SERVICE ORGANIZATIONS, PHILANTHROPIC FOUNDATIONS, ELECTED OFFICIALS AND OTHERS TO DETERMINE ITS PRIORITY FOCUS AREAS. COMMUNITY LEADERS SURVEYED INCLUDED THE FOLLOWING ORGANIZATIONS:1. STATEN ISLAND HEART SOCIETY2. STATEN ISLAND CENTER FOR INDEPENDENT LIVING3. THE EGER FOUNDATION4. ST. PHILLIPS BAPTIST CHURCH5. NORTH SHORE RESCUE SQUAD6. STATEN ISLAND MENTAL HEALTH SOCIETY, INC.7. OFFICE OF THE STATEN ISLAND BOROUGH PRESIDENT8. NORTHFIELD BANK FOUNDATION9. THE STATEN ISLAND FOUNDATION10. STATEN ISLAND INTER-AGENCY COUNCIL FOR AGING11. NY 1 NEWS12. NEW YORK CENTER FOR INTERPERSONAL DEVELOPMENT13. ELM PARK CIVIC ASSOCIATION14. THE NORTH SHORE WATERFRONT GREENWAY, INC.15. NEW YORK CITY COMMUNITY BOARD 1 STATEN ISLAND16. NEW YORK CITY COMMUNITY BOARD 2 STATEN ISLAND17. CITY HARVEST18. GOLDFARB ABARNDT SALZMAN & KUTZIN LLP19. STAPLETON UAME CHURCH20. MEALS ON WHEELS OF STATEN ISLAND21. NEW YORK CITY COMMUNITY BOARD 1 STATEN ISLAND22. STATEN ISLAND BEHAVIORAL NETWORK23. OFFICE OF CONGRESSMAN MICHAEL GRIMM24. STATEN ISLAND ARTS25. COMMUNITY HEALTH CENTER OF RICHMOND26. COMMUNITY AGENCY FOR SENIOR CITIZENS, INC.IN ADDITION, RUMC SURVEYED STATEN ISLAND RESIDENTS FOR THEIR HEALTH NEED PRIORITIES. RUMC EMAILED OVER 5,000 RESIDENTS DIRECTLY THROUGH THE UTILIZATION OF PARTNER ORGANIZATIONS' EMAIL LISTS AND INTERNAL EMPLOYEE DISTRIBUTION, PROVIDED LINKS TO ITS COMMUNITY SURVEY AT LOCAL COMMUNITY OUTREACH EVENTS AND SOLICITED INPUT VIA SOCIAL MEDIA. OVERWHELMINGLY, INDIVIDUAL RESPONDENTS WERE FEMALE, WHITE AND MIDDLE-AGED. IT IS IMPORTANT TO NOTE THAT ALL THREE OF STATEN ISLAND'S COMMUNITY BOARDS RESPONDED WHICH REPRESENT THE ENTIRE POPULATION AND THEREFORE A TRUER PICTURE OF HEALTH NEEDS ACROSS ALL SOCIOECONOMIC STRATA OF THE BOROUGH.

RICHMOND MEDICAL CENTER

PART V, SECTION B, LINE 11: RUMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT WHICH HAS IDENTIFIED THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE AND ITS UNDERLYING CAUSES AS THE SINGLE MOST IMPORTANT HEALTH NEED FACING THE BOROUGH OF STATEN ISLAND WHERE SIGNIFICANT DISPARITIES EXIST ACROSS ETHNICITIES DUE TO SOCIOECONOMIC FACTORS. THE DECISION WAS SUPPORTED BY SURVEY RESPONDENTS WHO WERE QUERIED AS TO THEIR PREFERENCE FOR ADDRESSING THE 5 PRIORITY AREAS OUTLINED IN THE STATE'S PREVENTION AGENDA. RUMC HAS DECIDED TO ALIGN ITS INTERVENTIONS WITH THOSE RECOMMENDED BY THE NYS PREVENTION AGENDA 2013 - 2017 AND NYC TAKE CARE NEW YORK IN DEVELOPING ITS IMPLEMENTATION STRATEGY. TOWARD THAT END WE FEEL WE HAVE ADDRESSED THE HIGH PRIORITY AREAS NEEDS AREAS AND THE PLAN AND OUR INTERVENTIONS ARE DISCUSSED MORE FULLY IN PART VI.

Supplemental Information Detail SupplementalInformationDetail (14 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, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,296,724.
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:	ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE.
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 NY 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. THE NY STATE DEPARTMENT OF HEALTH'S STATE PLANNING AND RESEARCH SYSTEM (SPARCS) AND THE COMMUNITY HEALTH ASSESSMENT CLEARINGHOUSE PROVIDE PREVENTION QUALITY INDICATORS WHICH RUMC USES TO DETERMINE THE MOST PRESSING HEALTHCARE NEEDS OF THE COMMUNITY. RUMC UTILIZES INFORMATION FROM THE COUNTY HEALTH ASSESSMENT INDICATORS AND COUNTY HEALTH INDICATOR PROFILES. PREVENTION QUALITY INDICATORS (PQI'S) AT THE ZIP CODE LEVEL IN NEW YORK STATE ARE USED TO IDENTIFY RATES OF ADMISSION TO THE HOSPITAL FOR CONDITIONS FOR WHICH GOOD OUTPATIENT CARE CAN POTENTIALLY PREVENT THE NEED FOR HOSPITALIZATION, OR FOR WHICH EARLY INTERVENTION CAN PREVENT COMPLICATIONS OR MORE SEVERE DISEASE. PQI PROVIDES INDICATOR SETS THAT DRILL DOWN TO RICHMOND COUNTY FOR SPECIFIC DISEASE PROCESSES. OTHER DISEASE SPECIFIC TRACKING DATA SUCH AS THE NY STATE CANCER REGISTRY AND THE NY STATE HEART AND STROKE REGISTRY HELP RUMC IDENTIFY THE MOST SERIOUS HEALTH NEEDS OF OUR COMMUNITY. RUMC USES THE NY STATE IDENTIFIED PREVENTION AGENDA'S TEN PRIORITIES FOR IMPACTING THE HEALTH OF ALL NEW YORK WHEN DETERMINING COMMUNITY BENEFIT PROGRAM DEVELOPMENT. ADDITIONALLY, RUMC USES NEW YORK CITY DEPARTMENT OF HEALTH'S EPIQUERY, INTERACTIVE HEALTH INFORMATION SYSTEM, DATA FROM THE COMMUNITY HEALTH SURVEY REPORTS AND NEIGHBORHOOD STATISTICS. RUMC IS A PARTNER WITH NEW YORK CITY'S DEPARTMENT OF HEALTH IN THE PROGRAM "TAKE CARE NEW YORK". AS A TAKE CARE NY PARTNER, RUMC HAS BEEN AN ACTIVE PARTICIPANT IN PROGRAMS TO INFORM THE PUBLIC ABOUT HEALTH, TO IMPROVE MEDICAL PROVIDERS' DELIVERY OF SERVICES, AND TO ENCOURAGE POLICY CHANGES THAT IMPROVE HEALTH.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. THROUGH MEETINGS WITH THE HOSPITAL'S COMMUNITY HEALTH ADVISORY BOARD, THE LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, AND COMMUNITY LEADERS AND STAKEHOLDERS, RUMC DEVELOPS AN OVERALL STRATEGY TO ADDRESS THE CRITICAL HEALTHCARE ISSUES FACING OUR COMMUNITY. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES BASED ON COMMUNITY HEALTH NEEDS FOR 2013-2016 INCLUDED SMOKING CESSATION AND HEALTHY MOTHERS/HEALTHY BABIES, EMERGENCY PREPAREDNESS, PRIMARY CARE EXPANSION AND YOUTH SUBSTANCE ABUSE PREVENTION. THESE PRIORITIES WILL BE UPDATED UPON THE COMPLETION OF THE MEDICAL CENTER'S 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITY I: SMOKING CESSATION. RUMC HAS TAKEN THE ROLE OF THE LEAD AGENCY IN COMBATING TOBACCO USE AND DEPENDENCE IN RICHMOND COUNTY, WHICH HAS THE HIGHEST RATE OF SMOKING OF THE FIVE BOROUGHS. SINCE AUGUST OF 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. THE CESSATION CENTER, CALLED ASSIST (ANTI-SMOKING STATEN ISLAND SUPPORT TEAM) IS FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, TOBACCO CONTROL PROGRAM. THE GOAL OF THE PROGRAM IS TO WORK WITH LOCAL HEALTHCARE PROVIDERS TO IMPLEMENT A SYSTEM FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE. ASSIST HAS CREATED A "SUPPORT TEAM" OF EXPERTS IN THE FIELD OF TOBACCO DEPENDENCE, WHO WORK WITH PHYSICIANS ON ADDRESSING THE IMPORTANCE OF QUITTING SMOKING WITH PATIENTS. BECAUSE TOBACCO DEPENDENCE IS A CHRONIC, RELAPSING DISEASE, WE BELIEVE THAT HEALTHCARE PROVIDERS ARE IN THE BEST POSITION TO PROVIDE MESSAGES TO THEIR PATIENTS ABOUT THE IMPORTANCE OF QUITTING AND OFFER THE HELP THEY MAY NEED.THE CESSATION CENTER PROVIDES ON-GOING STAFF TRAINING FOR PHYSICIANS AND OTHER HEALTHCARE PROVIDERS ON TREATMENT INTERVENTIONS AND EFFECTIVE COUNSELING TECHNIQUES AND TECHNICAL ASSISTANCE INCLUDING CHART REVIEWS, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS AND PROGRESS REPORTS. ALL ASSIST STAFF ARE TRAINED CERTIFIED TOBACCO TREATMENT SPECIALISTS, WHICH ENABLES THE PROGRAM TO OFFER DIRECT PATIENT CESSATION SERVICES INCLUDING A QUIT SMOKING SUPPORT GROUP, PROVIDING NICOTINE REPLACEMENT THERAPY AND OTHER RESOURCES AND SUPPORT FOR QUITTING. THE ASSIST PROGRAM ALSO WORKS WITH THE NYS DEPARTMENT OF HEALTH ON REFERRALS OF INDIVIDUAL CLIENTS TO THE "QUIT LINE" - A TOLL FREE NUMBER FOR INDIVIDUALS LOOKING TO END THEIR SMOKING HABIT.THE MEDICAL CENTER CONTINUES TO HOST THE KIDS AGAINST TOBACCO (K.A.T.) PROGRAM, A COLLABORATIVE EFFORT AMONG TEENAGERS, INTERNISTS, PEDIATRICIANS, PHYSICIANS-IN-TRAINING, AND MEDICAL STUDENTS TO CREATE COMMUNITY OUTREACH PROGRAMS AND FILMS TO EDUCATE RESIDENTS ABOUT TOBACCO ABUSE.PRIORITY II: HEALTHY MOTHERS/HEALTHY BABIES. RUMC'S COMMITMENT TO THE NEEDS OF THE POOR PREGNANT, POSTPARTUM, BREASTFEEDING WOMEN, INFANTS AND CHILDREN CAN BE DEMONSTRATED ON MANY LEVELS. RUMC HAS EARNED 5 STARS, THE HIGHEST ACHIEVEMENT LEVEL FROM THE INDEPENDENT HEALTH GRADES, WHICH INDICATES THE LEVEL OF CARE IS EXCELLENT. RUMC'S NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE LOWEST MORTALITY RATES IN NEW YORK CITY. ALL NICU INFANTS WHO ARE DISCHARGED BECOME PART OF AN AUTOMATED FOLLOW-UP PROGRAM WITH THE INSTITUTE OF BASIC RESEARCH FOR EARLY DETECTION OF ANY PROBLEMS. IN ACCORDANCE WITH BEST-PRACTICE POLICIES THAT IMPROVE OUTCOMES IN INFANTS, RUMC COLLABORATES WITH THE NYC DEPARTMENT OF HEALTH AND THE UNITED HOSPITAL FUND TO DEVELOP AND IMPLEMENT POLICIES THAT SUPPORT SKIN-TO-SKIN CONTACT AT BIRTH AND THAT ENCOURAGE THE INITIATION OF BREASTFEEDING WITHIN THE FIRST HOUR OF BIRTH. PHYSICIANS ARE EDUCATED ON BREASTFEEDING, STAFF IS TRAINED AS CERTIFIED LACTATION CONSULTANTS, AND A MULTIDISCIPLINARY TEAM MEETS MONTHLY TO ENSURE THAT BREASTFEEDING PROTOCOLS AND PROCEDURES ARE FOLLOWED. THE MEDICAL CENTER WAS RECOGNIZED AS A "BABY FRIENDLY HOSPITAL" BY RUMC IS THE ONLY STATEN ISLAND HOSPITAL TO BE SO DESIGNATED AND IS THE SIXTH HOSPITAL IN NYC/METRO AREA AND THE 12TH HOSPITAL IN NEW YORK STATE TO RECEIVE THE STATUS. BABY-FRIENDLY USA, INC. IS THE U.S. AUTHORITY FOR THE IMPLEMENTATION OF THE BABY-FRIENDLY HOSPITAL INITIATIVE ("BFHI"), A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS INTERNATIONAL CHILDREN'S EMERGENCY FUND (UNICEF). THE INITIATIVE ENCOURAGES AND RECOGNIZES HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. THE MEDICAL CENTER FOLLOWS THE MARCH OF DIMES CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE TO PROVIDE WOMEN WITH A HOLISTIC AND COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, SUPPORT, AND ACTIVE PARTICIPATION. THE CP PROGRAM ADDRESSES AT RISK BEHAVIORS, PROVIDES GROUP SUPPORT, AND ENCOURAGES SELF MONITORING SKILLS WHICH FOSTER PATIENT KNOWLEDGE AND INVOLVEMENT. PROGRAM PARTICIPANTS DEMONSTRATE IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, ESPECIALLY FOR INFANTS DELIVERED PRETERM, HIGH BREASTFEEDING RATES AND FEWER ER VISITS. PRIORITY III: EMERGENCY PREPAREDNESS. THE LAST SEVERAL YEARS HAVE SHOWN THE COUNTRY JUST HOW IMPORTANT IT IS TO BE PREPARED FOR NATURAL DISASTERS, TERRORIST ATTACKS AND MAJOR ACCIDENTS. AT RICHMOND UNIVERSITY MEDICAL CENTER, WE TAKE EMERGENCY PREPAREDNESS VERY SERIOUSLY AND ARE WORKING WITH COMMUNITY AGENCIES TO ENSURE THE BEST POSSIBLE OUTCOMES FOR ALL STATEN ISLANDERS. STATEN ISLAND HAS UNIQUE GEOGRAPHIC PROPERTIES THAT PRESENT MANY CHALLENGES FOR EMERGENCY PREPAREDNESS. BEING AN ISLAND WITH ONE COMMUTER FERRY AND FOUR BRIDGES, STATEN ISLAND, ALTHOUGH PART OF NEW YORK CITY, IS HEAVILY ISOLATED. IN THE INTEREST OF HAVING THE ISLAND BE ABLE TO MANAGE ITSELF FOR THE FIRST 96 HOURS OF A WIDE SCALE OR LOCAL DISASTER, THE NEW YORK STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE SUPPORTED AN IDEA TO CREATE AN INITIATIVE FOR STATEN ISLAND IN THE EVENT OF A DISASTER. IN ADDITION TO ITS OWN INTERNAL INITIATIVES, RUMC SUBSEQUENTLY JOINED THE STATEN ISLAND EMERGENCY MANAGEMENT COALITION, WHICH WAS ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE COALITION IS COMPRISED OF RUMC ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, VOLUNTARY AMBULANCES, AND OTHER HEALTH AND SOCIAL SERVICE ORGANIZATIONS. AS PART OF THE INITIATIVE, THE STATEN ISLAND MEDICAL COMMUNICATIONS AND OPERATIONS N
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:	RUMC'S MISSION IS TO PROVIDE PREMIER QUALITY PATIENT CARE FOR THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. OUR POPULATION IS A CROSS MIX OF THE OVERALL POPULATION ON STATEN ISLAND; HOWEVER, SINCE WE ARE LOCATED ON THE NORTH SHORE, RUMC TREATS A SIGNIFICANTLY HIGHER NUMBER OF THE UNDERSERVED AND UNDER INSURED THAN HEALTHCARE PROVIDERS LOCATED IN OTHER AREAS OF STATEN ISLAND. THE PRIMARY SERVICE AREA OF RESIDENTS ON THE NORTH SHORE INCLUDES: WEST BRIGHTON (10310), MARINER'S HARBOR (10303), PORT RICHMOND (10302), ST. GEORGE (10301), AND STAPLETON (10304). OUR SECONDARY SERVICE AREA IS FROM ZIP CODES MARINER'S HARBOR/WILLOWBROOK (10314) AND ROSEBANK (10305). THE OFFICE OF THE STATE DEPUTY INDICATES THAT STAPLETON HAS A 21% POVERTY RATE, WHILE PORT RICHMOND HAS A 17.5% RATE, MARINER'S HARBOR AT 17.4%, AND WEST BRIGHTON WITH 15.4%; THESE ARE THE NEIGHBORHOODS WITH THE HIGHEST RATE OF POVERTY IN STATEN ISLAND AND ALL ARE LOCATED IN THE RUMC CATCHMENT AREA. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED THE FOLLOWING PRIMARY SERVICE AREAS, SERVED BY RUMC, AS PRIMARY HEALTH PROFESSIONAL SHORTAGE AREAS: ST. GEORGE (10301) AND STAPLETON (10304) PRIMARY CARE HPSA ID # 13699936E8; AND PORT RICHMOND (10302) AND MARINER'S HARBOR (10303) PRIMARY CARE HPSA ID # 136999365F. NORTH SHORE RESIDENTS (10302, 10304, 10303, 10310) ARE EXPERIENCING A SERIOUS SHORTAGE AND (10314) A STRESSED SHORTAGE OF PRIMARY CARE PROVIDERS SERVING MEDICAID ENROLLEES. ADDITIONALLY, ADMISSION RATES FOR AMBULATORY CARE SENSITIVE CASES PROVIDE AN IMPORTANT MEASURE OF AVAILABLE OUTPATIENT PRIMARY CARE SERVICES BECAUSE 2 OUT OF 5 EMERGENCY ROOM VISITS ARE FOR CONDITIONS THAT COULD HAVE BEEN PREVENTED WITH TREATMENT IN PRIMARY CARE SETTINGS. ZIP CODES 10302, 10301, 10304 AND 10305 HAVE AMBULATORY CARE SENSITIVE CONDITIONS (ACSC) ADMISSION RATES THAT ARE 100-150% HIGHER THAN THE CITYWIDE RATE. AMENDABLE MORTALITY (AM) IS A BROAD INDICATOR THAT MEASURES THE EXTENT TO WHICH A HEALTH CARE SYSTEM CONTROLS PREMATURE MORTALITY AMENABLE TO HEALTH CARE INTERVENTIONS, FROM DISEASE PREVENTION SERVICES TO PRIMARY CARE, AS WELL AS TO SPECIALTY SERVICES. A NEIGHBORHOOD COMPARISON SHOWS PORT-RICHMOND (10302) WITH AN AGE-ADJUSTED AM THAT IS 27% HIGHER THAN NEW YORK CITY, AND ADJUSTED RATES OF AVOIDABLE HOSPITAL CONDITION (AHC) FOR ST. GEORGE (10301) THAT IS 38% HIGHER THAN NEW YORK CITY. THE REPORT STATES: "THERE ARE SIGNIFICANT DISPARITIES IN ACCESS TO HEALTH CARE, WHICH AFFECT MORE THAN 178,000 STATEN ISLANDERS (40% OF THE POPULATION, MOSTLY ON THE NORTH SHORE IN ST. GEORGE AND PORT RICHMOND). THE HEALTH CARE SYSTEM FOR THIS POPULATION COULD BE IMPROVED BY TARGETING THESE AREAS FOR INCREASED AVAILABILITY OF HEALTH SERVICES RANGING FROM CLINICAL PREVENTION TO PRIMARY." THIS REPORT CONCLUDES THAT IT WILL BE IMPORTANT TO DEVELOP AN INTEGRATED RESPONSE TO THE AREAS OF HIGH RISK AND TO ASSEMBLE A MIX OF CLINICAL PREVENTION, PRIMARY CARE, AND SPECIALTY SERVICES THAT ARE TAILORED TO THE NEEDS OF STATEN ISLANDERS. THERE ARE STARTLING STATISTICS THAT CLEARLY INDICATE THE MOST SERIOUS LACK OF HEALTHCARE RESOURCES, COMBINED WITH POOR HEALTH STATUS AND POVERTY IS FOUND ON THE NORTH SHORE OF STATEN ISLAND. PORT RICHMOND, STAPLETON, ST. GEORGE AND MARINER'S HARBOR RESIDENTS HAVE AN ANNUAL HEART DISEASE HOSPITALIZATION 20% HIGHER THAN NYC; 1 OUT OF 4 RESIDENTS ARE OBESE, 8-9% OF THESE COMMUNITY RESIDENTS HAVE DIABETES; 22% OF ADULTS SMOKE IN THE NORTH SHORE AND 33% IN WILLOWBROOK (10314). MARINER'S HARBOR (10303) AND WILLOWBROOK (10314) NORTHERN-MID ISLAND HAVE A 60% HIGHER RATE OF HOSPITALIZATION FROM FALLS WITH FALL RELATED HIP FRACTURE HOSPITALIZATION RATES THAT ARE 50% HIGHER THAN NYC OVERALL. STAPLETON, ST. GEORGE, AND PORT RICHMOND COMMUNITIES HAVE A CANCER RATE THAT IS 20% HIGHER THAN NEW YORK CITY OVERALL. THE AVERAGE BIRTHRATE OF TEENAGERS IN 2003-2004 IN PORT RICHMOND WAS 106/1,000; THE REMAINDER OF STATEN ISLAND HAS A RATE OF 55/1,000 AND NYC HAS AN OVERALL RATE OF 75/1,000. THE INCIDENT OF INFANT MORTALITY FOR STAPLETON/ST. GEORGE IS 6/1,000 AND PORT RICHMOND IS 5.8/1,000, WHICH IS SIGNIFICANTLY HIGHER THAN THE 4.2/1,000 SOUTH SHORE AND 4/1,000 MID-ISLAND INFANT MORTALITY RATES. THERE ARE TWICE AS MANY NEW HIV DIAGNOSIS (48 VS. 24 PER 1,000 FOR STATEN ISLAND) FOR RESIDENTS IN THE BAYLEY SETON AREA PER THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE. THE OVERALL DEATH RATES FOR STATEN ISLAND WAS 828/100,000, 15.3% HIGHER THAN THE RATE FOR THE CITY. IN THE UNITED STATES THE PROPORTION OF THE POPULATION AGED >65 YEARS IS EXPECTED TO INCREASE FROM APPROXIMATELY 35 MILLION IN 2000 TO AN ESTIMATED 71 MILLION IN 2030, AND THE NUMBER OF PERSONS AGED >80 YEARS IS EXPECTED TO INCREASE FROM 9.3 MILLION IN 2000 TO 19.5 MILLION BY 2030. IN 1995, THE MOST POPULOUS STATES HAD THE LARGEST NUMBER OF OLDER PERSONS; NINE STATES (CALIFORNIA, FLORIDA, ILLINOIS, MICHIGAN, NEW JERSEY, NEW YORK, OHIO, PENNSYLVANIA, AND TEXAS) EACH HAD MORE THAN ONE MILLION PERSONS AGED >65 YEARS. IN 2010, SIMILAR TO THE U.S. AS A WHOLE, 13.5% OF NEW YORK STATE'S POPULATION WAS AGE 65 OR OLDER. THE PROPORTION OF ELDERLY IS PROJECTED TO CLIMB TO 20% OR MORE BY 2030, INCREASING FROM 3.2 MILLION TO OVER 5.3 MILLION AND THE STATE'S POPULATION AGE 85 AND OLDER IS PROJECTED TO INCREASE BY 76%, FROM 315,000 TO 556,000. CURRENTLY 12.7% OF THE STATEN ISLAND POPULATION IS 65 YEARS OF AGE AND OVER (59,344). WITH THIS STEADY INCREASE IN POPULATION AND RISING TREND IN THE AGING OF THE STATEN ISLAND POPULATION, THE COMMUNITY IS EXPERIENCING A RISE IN HEALTHCARE NEEDS AND HEALTHCARE COSTS. AS MORE BABY BOOMERS DEVELOP CHRONIC ILLNESSES, THE DEMAND ON THE HEALTHCARE SYSTEMS WILL RISE. WITH THIS IN MIND RICHMOND UNIVERSITY MEDICAL CENTER RECOGNIZES THAT OUR FOCUS MUST SHIFT TO PREVENTION ISSUES AND KEEPING PEOPLE HEALTHY.
PART VI, LINE 5:	RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 473-BED HOSPITAL, ONE OF TWO PRIVATE HOSPITALS SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND. LOCATED ON THE NORTH SHORE OF STATEN ISLAND WHERE THERE ARE THE HIGHEST POVERTY RATES, THE MEDICAL CENTER HAS FILLED THE ROLE OF A TRADITIONAL PUBLIC HOSPITAL BY CARING FOR THE IMPOVERISHED AND UNDERSERVED OF THE COMMUNITY. OUR COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENINGS, REACHED OVER 40,000 PEOPLE IN 2012. RUMC IS A MAJOR PARTICIPANT IN SEVERAL MAJOR ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND, INCLUDING AS A PRIMARY-SPONSOR OF THE ANNUAL STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION'S HEALTH AND WELLNESS CONFERENCE WHICH OFFERS A FORUM FOR THOUSANDS OF RESIDENTS TO INCREASE AWARENESS AND TAKE ACTION STEPS TO REDUCE THE INCIDENCE OF SMOKING AND OBESITY ON STATEN ISLAND. DURING THIS ANNUAL EVENT RESIDENTS ARE ABLE TO RECEIVE FREE SCREENINGS, OBSERVE HEALTHY MEALS DEMONSTRATIONS, PARTICIPATE IN FITNESS DEMONSTRATIONS, AND ATTEND MANY HEALTH RELATED SEMINARS. THE HEALTH CONFERENCE INCLUDES HEALTHY MEALS DEMONSTRATIONS, FITNESS DEMONSTRATIONS, AND MANY HEALTH RELATED SEMINARS. THROUGH THE RUMC SPEAKERS BUREAU, PHYSICIANS PRESENT HEALTH TALKS THROUGHOUT THE COMMUNITY ON AN ONGOING BASIS, TO EDUCATE THE PUBLIC ON WAYS TO STAY HEALTHY. RUMC PARTICIPATES IN THE ANNUAL BOARDWALK BASH SPONSORED BY ASSEMBLYWOMAN NICOLE MALLIOTAKIS: A PROGRAM FOR SENIORS AND THE "BACK TO THE BEACH" FAIR SPONSORED BY THE OFFICE OF THE BOROUGH PRESIDENT. RICHMOND UNIVERSITY MEDICAL CENTER HAS A LONG STANDING AND STRONG COLLABORATIVE RELATIONSHIP WITH THE AMERICAN CANCER SOCIETY, EASTERN DIVISION IN PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF STATEN ISLAND. IN 2012, RUMC PARTICIPATED AS A HOST SITE FOR REGISTRATION OF PARTICIPANTS IN ACS' NATIONAL CANCER PREVENTION STUDY-3. RUMC MAINTAINS INFORMAL RELATIONSHIPS WITH COMMUNITY AND VOLUNTEER AGENCIES SUCH AS THE PORT RICHMOND COMMUNITY HEALTH CENTER, THE COMMUNITY HEALTH ACTION CENTER, THE WOMEN'S HEALTH OUTREACH NETWORK, STATEN ISLAND INTER-AGENCY COUNCIL FOR THE AGING, THE CHAMBER OF COMMERCE, THE STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION AND PROJECT HOSPITALITY. FOR THIRTY YEARS, RICHMOND UNIVERSITY MEDICAL CENTER (RUMC) WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS, AND CHILDREN OF STATEN ISLAND. THE MISSION 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 HAS BEEN SUPPORTED BY AND CONSISTENT WITH THE OVERALL MISSION OF RUMC. RUMC WIC PROGRAM HAS HELPED THOUSANDS OF FAMILIES BY PROVIDING NUTRITIOUS FOOD, NUTRITION AND HEALTH EDUCATION, AND ASSISTANCE FOR ADDITIONAL HEALTH AND HUMAN SERVICES WHEN NEEDED. THE INTERPLAY BETWEEN THE RUMC PCAP PROGRAM, NURSE-FAMILY PARTNERSHIP, HEALTHY FAMILIES, HEAD START, AND RUMC WIC CREATES A DYNAMIC RELATIONSHIP THAT FOSTERS IMPROVED HEALTH FOR PREGNANT WOMEN, NEW MOTHERS, AND THEIR INFANTS. RUMC WIC HAS ASSISTED THE MEDICAL CENTER IN EFFORTS FOR LONGER GESTATION PERIODS, HIGHER BIRTH WEIGHTS, AND LOWER INFANT MORTALITY. RUMC WIC SERVICES PROVIDE FOR THE NEEDS OF WOMEN AND CHILDREN WHO HAVE A LOW INCOME, ARE UNDOCUMENTED CITIZENS, THE UNINSURED, THE UNDER-INSURED, RECENT IMMIGRANTS FROM VARIOUS COUNTRIES, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE, AND FOSTER CHILDREN. THE POPULATION THAT ACCESSES SERVICES AT THE RUMC WIC SITE ARE 50.7% HISPANIC AND 49.3% NON HISPANIC WITH 57.8% OF THE NON-HISPANIC POPULATION BEING BLACK OR AFRICAN AMERICAN. ACCORDING TO THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S COMMUNITY HEALTH PROFILES FOR ZIP CODES 10303, 10302, 10310 (PORT RICHMOND) WHICH IS SERVED BY THE RUMC WIC SITE, THE THREE IMPORTANT MEASURES OF MATERNAL AND INFANT HEALTH INDICATE THAT THIS PLANNING AREA IS NEAR OR HIGHER THAN THE CITYWIDE AVERAGE FOR THE FOLLOWING: WOMEN RECEIVING LATE OR NO PRENATAL CARE FOR NYC IS 30% OF LIVE BIRTHS AND FOR PORT RICHMOND IS 28% WITH THE NATIONAL GOAL OF LESS THAN 10%, BABIES BORN WITH LOW BIRTH WEIGHT (<2,500 GRAMS/5.5 LBS.) FOR NYC IS 8% OF LIVE BIRTHS AND PORT RICHMOND IS 10% WITH A NATIONAL GOAL OF 5%, INFANT MORTALITY RATES PER 1,000 LIVE BIRTHS ARE 6.2 FOR NYC AND 7.6 FOR PORT RICHMOND WITH A NATIONAL GOAL OF LESS THAN 4.5. IN THE STAPLETON/ST. GEORGE ZIP CODE AREAS (10301, 10304) SERVED BY RUMC. IT IS IMPORTANT TO NOTE THAT THE INFANT MORTALITY RATE COMPARED TO NYC IS SIGNIFICANTLY HIGHER AT 9.7 DEATHS PER 1,000 FOR PORT RICHMOND AND 6.2 FOR NYC WITH A NATIONAL GOAL OF 4.5. BECAUSE THERE IS SUCH A LARGE UNDOCUMENTED HISPANIC POPULATION IN STATEN ISLAND'S NORTH SHORE AND 50% OF THE RUMC WIC SITE POPULATION IS HISPANIC, OUR WORKING RELATIONSHIP WITH PROJECT HOSPITALITY, EL CENTRO, AND STATEN ISLAND FAMILY HEALTHCARE COALITION IS ESSENTIAL. PROJECT HOSPITALITY ASSISTS WOMEN WITH LITERACY, DOMESTIC VIOLENCE, LEGAL SERVICES, IMMIGRATION SERVICES, AND NETWORKS CLOSELY WITH RUMC WIC STAFF ON A DAILY BASIS IN ORDER TO BEST MEET THE NEEDS OF THIS POPULATION. WIC COLLABORATES IN PROGRAMS SUCH AS THE SAFE NY, HELD IN CONJUNCTION WITH THE NYC DEPARTMENT OF TRANSPORTATION, WHICH GIVES YOUNG MOTHERS AN OPPORTUNITY TO RECEIVE CAR SEAT GIVE-A WAYS AND ESSENTIAL INFORMATION ON NUTRITION THROUGH WIC AND WAYS TO PROTECT THEIR CHILDREN AND KEEP THEM SAFE. BABY SHOWERS ARE GIVEN AT THE WIC OFFICE FOR ALL PRENATALS AND PROMOTING BREAST-FEEDING IS AN ESSENTIAL COMPONENT OF THESE CELEBRATIONS. RUMC ALSO OPERATES A BREAST HEALTH PATIENT NAVIGATOR PROGRAM THAT OFFERS NAVIGATION SERVICES AND ASSISTANCE TO UNDERSERVED WOMEN WHO HAVE RECEIVED A DIAGNOSIS OF SUSPICIOUS FINDINGS OR BREAST CANCER, FROM DIAGNOSIS THROUGH TREATMENT. RICHMOND UNIVERSITY MEDICAL CENTER IS COMMITTED TO PROVIDING SENSITIVE, TIMELY, COMPREHENSIVE, AND HIGH QUALITY CARE TO SURVIVORS OF RAPE AND SEXUAL ASSAULT. RUMC IS PART OF THE STATEN ISLAND SEXUAL ASSAULT TASK FORCE AND WORKS WITH THE OFFICE OF THE DISTRICT ATTORNEY FOR RICHMOND COUNTY NYPD, RAPE VICTIMS' ADVOCACY GROUPS, AND OTHER LOCAL ORGANIZATIONS TO ASSURE COORDINATION OF SERVICES FOR THE RAPE SURVIVOR. RUMC WORKED SUCCESSFULLY WITH THE NEW YORK CITY ALLIANCE AGAINST SEXUAL ASSAULT TO BECOME THE ONLY SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) CENTER OF EXCELLENCE IN STATEN ISLAND. OUR CULTURALLY SENSITIVE, HOSPITAL-BASED PROGRAM TREATS ALL VICTIMS OF SEXUAL ASSAULT THROUGHOUT STATEN ISLAND, WITH SUPPORT FROM THE DEPARTMENT OF MEDICINE, OB/GYN, NURSING AND ADMINISTRATION. RUMC SERVES A FINANCIALLY DISADVANTAGED POPULATION THAT IS AT GREATER RISK THAN THE AVERAGE STATEN ISLAND RESIDENT. PROVIDING IN-PATIENT AND OUT-PATIENT BEHAVIORAL HEALTH SERVICES FOR STATEN ISLANDERS, AND, IN PARTICULAR, FOR THOSE WHO ARE MARGINALIZED AND DISENFRANCHISED, IS A HIGH PRIORITY FOR RUMC. RUMC HAS A WELL ESTABLISHED HISTORY WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS AND PROVIDERS. RUMC HAS A COLLABORATIVE RELATIONSHIP WHICH INCLUDES STATEN ISLAND MENTAL HEALTH SOCIETY, JEWISH BOARD FAMILY AND CHILDREN SERVICES, AND SOUTH BEACH PSYCHIATRIC CENTER'S CHILD-ADOLESCENT TRANSITION UNIT. RUMC HAS OUTREACH PROGRAMS TO EDUCATE RESIDENTS ON THE IMPORTANCE OF IDENTIFYING AND TREATING MENTAL HEALTH PROBLEMS. ACCORDING TO THE BERGER COMMISSION, RUMC IS "AN ESSENTIAL HOSPITAL," AS LARGE AREAS OF STATEN ISLAND ARE CURRENTLY CONSIDERED SERIOUS SHORTAGE AREAS (MAINLY LOCATED IN THE RUMC CATCHMENT AREA), ESPECIALLY FOR MEDICAID AND OTHER VULNERABLE POPULATIONS. RUMC IS A MEMBER OF COMMUNITY BOARD 1 WHICH REPRESENTS THE HOSPITAL'S CATCHMENT AREA. ANNUALLY, ADMINISTRATION ATTENDS ADVOCACY DAY IN ALBANY TO SPEAK TO STATE OFFICIALS ON HEALTH RELATED ISSUES IMPORTANT FOR THE STATEN ISLAND COMMUNITY AND PROMOTE COMMUNITY-WIDE EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION. RUMC BOARD MEMBERS AND ADMINISTRATORS MEET WITH LOCAL GOVERNMENT REPRESENTATIVES REGULARLY TO WORK OUT INITIATIVES THAT PROMOTE HEALTH FOR OUR COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 2 CONTINUATION:	RUMC STAFFED AN EMERGENCY COMMAND CENTER FOR 168 CONSECUTIVE HOURS DURING WHICH STAFF IMPLEMENTED DISASTER PLANS TO ADDRESS SUPPLY AND INVENTORY ISSUES AFTER ALL 3 BRIDGES CONNECTING STATEN ISLAND TO THE MAINLAND WERE SHUT DOWN, PROVIDED ADEQUATE STAFFING AND FACILITIES FOR STAFF WHO REMAINED ON SITE THROUGHOUT THE DISASTER, PROVIDED EMERGENCY BACKUP UTILITIES AND POWER, RESPONDED TO FACILITY DAMAGE AND REPAIRS AND ACCOMMODATED ADDITIONAL EMERGENCY CASES RESULTING FROM THE NATURE OF THE DISASTER AS WELL AS FROM SIUH'S DIVERSION STATUS.PRIORITY IV: PRIMARY CARE EXPANSION. STATEN ISLAND RESIDENTS DEMONSTRATE SOME OF THE WORST HEALTH STATISTICS CITYWIDE FOR SUCH CHRONIC CONDITIONS AS DIABETES, HEART DISEASE, STROKE, AND CANCER. THIS CAN BE ATTRIBUTED TO POOR DIET, SMOKING, AND OBESITY AS WELL AS TO A LACK OF PRIMARY CARE SERVICES. RUMC RECOGNIZES THAT PREVENTATIVE PRIMARY CARE IS ESSENTIAL TO STEMMING THE CURRENT HEALTH CRISES EXPERIENCED BY STATEN ISLANDERS. TOWARD THIS END, RUMC HAS ASSISTED WITH THE ESTABLISHMENT OF 4 PRIMARY CARE PRACTICES ACROSS STATEN ISLAND. IN ADDITION, RUMC HAS SECURED A $2.8 MILLION GRANT TO EXPAND ITS INTERNAL MEDICINE RESIDENCY PROGRAM TO PROMOTE PRIMARY CARE SERVICES. THIS INITIATIVE TRAINS PHYSICIANS FROM DIVERSE BACKGROUNDS IN PATIENT-CENTERED, COST-EFFECTIVE, AND EVIDENCE-BASED CARE TO ENSURE THEY DELIVER HIGH-QUALITY, CULTURALLY AND LINGUISTICALLY AND EFFECTIVE PRIMARY CARE SERVICES. EACH RESIDENT TRAINS IN A COMMUNITY BASED SITE THAT CARES FOR THE UNDERSERVED POPULATION OF STATEN ISLAND. THE RESIDENT ASSUMES THE ONGOING RESPONSIBILITY FOR THE TOTAL CARE OF THE PATIENT. THE INITIATIVE ENSURES THAT HIGH-QUALITY PRIMARY CARE SERVICES ARE AVAILABLE TO MEDICALLY UNDERSERVED COMMUNITIES, ACCESS TO A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE IS IMPROVED, AND PATIENT OUTCOMES FOR OPTIMAL HEALTH ARE IMPROVED.PRIORITY V: YOUTH SUBSTANCE ABUSE PREVENTION. RICHMOND UNIVERSITY MEDICAL CENTER IS A MEMBER OF THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, A BROAD COALITION OF HEALTH AND SOCIAL SERVICE AGENCIES THAT ADVOCATE FOR AND SUPPORT PROGRAMS THAT ENCOURAGE HEALTH AND WELLNESS. IN 2012, THE PARTNERSHIP CREATED THE TACKLING YOUTH SUBSTANCE ABUSE INITIATIVE TO ADDRESS THE PREVALENCE OF OPIOID ABUSE BY STATEN ISLAND YOUTH. RUMC IS ON THE STEERING COMMITTEE OF THIS INITIATIVE WHICH HAS SPONSORED OUTREACH EVENTS AND FORUMS TO ADDRESS THIS ISSUE.

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 (15 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
PIETRO CARPENITO MD
TRUSTEE	$364,461	$0	$68,232	$0	$3,165	$0	$40,954	$0	$23,058	$0	$499,870	$0	$0	$0
JOSEPH MOTTA MD
TRUSTEE	$236,088	$0	$0	$0	$42	$0	$11,985	$0	$8,156	$0	$256,271	$0	$0	$0
DANIEL MESSINA
PRESIDENT & CEO	$699,821	$0	$142,581	$0	$1,072	$0	$140,350	$0	$18,137	$0	$1,001,961	$0	$0	$0
JOSEPH SAPORITO
SENIOR VP & CFO (BEGIN 8/3/15)	$173,653	$0	$0	$0	$0	$0	$27,333	$0	$7,696	$0	$208,682	$0	$0	$0
KEVIN MURPHY
SENIOR VP & CFO (END 6/12/15)	$186,111	$0	$109,603	$0	$625	$0	$20,848	$0	$11,529	$0	$328,716	$0	$0	$0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	$479,761	$0	$97,408	$0	$1,645	$0	$52,774	$0	$1,992	$0	$633,580	$0	$0	$0
RICHARD SALHANY
SENIOR VP PROFESSIONAL SER	$332,059	$0	$75,260	$0	$1,072	$0	$37,054	$0	$18,137	$0	$463,582	$0	$0	$0
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	$561,317	$0	$191,349	$0	$914	$0	$23,850	$0	$22,141	$0	$799,571	$0	$0	$0
EDWARD ARSURA
CHIEF MEDICAL OFFICER	$394,309	$0	$82,127	$0	$0	$0	$43,902	$0	$22,141	$0	$542,479	$0	$0	$0
PANKAJ R PATEL
CHAIRMAN OF PSYCHIATRY	$372,061	$0	$37,164	$0	$1,758	$0	$23,850	$0	$17,220	$0	$452,053	$0	$0	$0
SANTOSH PARAB
PHYSICIAN	$137,321	$0	$394,992	$0	$196	$0	$18,550	$0	$22,093	$0	$573,152	$0	$0	$0
ANTHONY BARONE
MEDICAL DIRECTOR, NICU	$167,593	$0	$394,992	$0	$318	$0	$18,550	$0	$22,138	$0	$603,591	$0	$0	$0
AKELLA CHENDRASEKHER
PHYSICIAN	$416,675	$0	$0	$0	$318	$0	$18,550	$0	$16,612	$0	$452,155	$0	$0	$0
PHILLIP OTTERBECK
PHYSICIAN	$200,693	$0	$338,865	$0	$125	$0	$18,550	$0	$1,075	$0	$559,308	$0	$0	$0
ELI SERUR
PHYSICIAN	$504,488	$0	$0	$0	$357	$0	$18,550	$0	$22,141	$0	$545,536	$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. NO INDIVIDUAL RECEIVED A DISTRIBUTION DURING THE YEAR ENDING DECEMBER 31, 2015. THE FOLLOWING HAD CONTRIBUTIONS DURING 2015: PIETRO CARPENITO - $4,945 ROSEMARIE STAZZONE - $47,680 EDWARD ARSURA - $81,856 RICHARD SALHANEY - $48,225 KEVIN MURPHY - $13,200

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. THE CEO'S BONUS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE CEO APPROVES THE BONUSES OF THE OTHER SENIOR ADMINISTRATIVE STAFF.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KATHRYN K ROONEY ESQ	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD CHAIRPERSON	RelationshipDescriptionTxt
Transaction	$206,059	TransactionAmt
Transaction	SEE PART V - KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (44 YEARS) RELATIONSHIP WITH THE MEDICAL CENTER AND PROVIDES, ON AN AS NEEDED, NON-EXCLUSIVE AND MARKET PRICE BASIS, SITTERS AND AIDES TO THE NURSING FLOORS. THE MEDICAL CENTER'S BOARD MAINTAINS A CONFLICT OF INTEREST POLICY, AND ALL TRANSACTIONS CONDUCTED WITH BOARD MEMBERS ARE AT ARM'S LENGTH. MS. ROONEY IS NOT A MEMBER OF THE EXECUTIVE COMPENSATION COMMITTEE AND DOES NOT VOTE ON EXECUTIVE COMPENSATION MATTERS. THIS AMOUNT REPRESENTS GROSS PAYMENTS MADE TO SAFE HARBOR HEALTHCARE SERVICES AND IS NOT NET OF EXPENSES INCURRED TO PROVIDE THESE SERVICES.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BOARD TRUSTEES JOSEPH MOTTA, M.D. AND PIETRO CARPENITO, M.D. - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF FORM 990 IS SENT TO MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW BEFORE FILING WITH THE IRS. THE ENTIRE BOARD RECEIVES A COPY OF FORM 990 BEFORE IT IS FILED WITH THE IRS.
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, ESQ., CHAIR RONALD PURPORA, VICE CHAIR CATHERINE PAULO, ESQ. SECRETARY GINA GUTZEIT, TREASURER & CHAIR FINANCE DENNIS QUIRK, CHAIR STRATEGIC PLANNING PETER STATHOPOULOS, M.D., PRESIDENT MEDICAL STAFF DANIEL MESSINA, PH.D., PRESIDENT & CEO, (EO)
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADUSTMENT 618,667. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION 2,182,535.

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	$0	TotalIncomeAmt
End Of Year Assets	$0	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 11A, 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 11A, 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
Q	$11,490,000	COST
AMBOY MEDICAL PRACTICE PC
D	$8,532,852	COST
RICHMOND MEDICAL CENTER FOUNDATION
C	$1,464,372	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