RICHMOND MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201513209349306396
Schema version: 2014v5.0
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 G
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-16T14:00:44-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	2015-11-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIUS GREEN CPA JD	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	2159720701	PhoneNum
Preparation	2015-11-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	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	$307,919,285	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	2651	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	-$1,861	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,861	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,198,170	PYContributionsGrantsAmt
CY Contributions Grants	$16,501,429	CYContributionsGrantsAmt
PY Program Service Revenue	$258,289,236	PYProgramServiceRevenueAmt
CY Program Service Revenue	$283,600,294	CYProgramServiceRevenueAmt
PY Investment Income	$697,676	PYInvestmentIncomeAmt
CY Investment Income	$413,886	CYInvestmentIncomeAmt
PY Other Revenue	$5,997,978	PYOtherRevenueAmt
CY Other Revenue	$7,091,416	CYOtherRevenueAmt
PY Total Revenue	$287,183,060	PYTotalRevenueAmt
CY Total Revenue	$307,607,025	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	$187,078,824	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$182,889,717	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$89,362,749	PYOtherExpensesAmt
CY Other Expenses	$110,163,176	CYOtherExpensesAmt
PY Total Expenses	$276,441,573	PYTotalExpensesAmt
CY Total Expenses	$293,052,893	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,741,487	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,554,132	CYRevenuesLessExpensesAmt
Total Assets BOY	$149,297,511	TotalAssetsBOYAmt
Total Assets EOY	$156,786,372	TotalAssetsEOYAmt
Total Liabilities BOY	$113,870,242	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$111,453,618	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,427,269	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$45,332,754	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	$250,407,518	ExpenseAmt
Revenue	$287,606,144	RevenueAmt
Desc	RICHMOND UNIVERSITY MEDICAL CENTER IS A 510 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 62 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 INPATIENT ALCOHOL AND DRUG DETOXIFICATION AND PSYCHIATRY 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 2014, $6,234,000 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 2014, INPATIENT VOLUME EXCEEDED 20,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 111,500 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 52,000 EMERGENCY ROOM VISITS AND OVER 116,000 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 2014. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,500 INPATIENT AND 13,300 OUTPATIENT SURGERIES. INPATIENT MEDICAL/SURGICAL DISCHARGES TOTALED OVER 9,900 AND ACCOUNTED FOR MORE THAN 58,000 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 2014. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 3,300 AND ACCOUNTED FOR MORE THAN 29,000 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 2014, THERE WERE OVER 3,000 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 2,600 EXPECTANT MOTHERS THROUGH THE AMBULATORY HOSPITAL OUTPATIENT CLINIC AND FREESTANDING PRENATAL CLINICS ON THE NORTH SHORE OF STATEN ISLAND.RICHMOND UNIVERSITY MEDICAL CENTER IS ONE OF JUST 14 RECIPIENTS STATEWIDE TO RECEIVE A 2014 "IPRO" QUALITY AWARD. THE QUALITY AWARDS, GIVEN ANNUALLY BY "IPRO", THE MEDICARE QUALITY IMPROVEMENT ORGANIZATION FOR NEW YORK STATE, RECOGNIZE HEALTHCARE PROVIDERS THAT DEMONSTRATE A COMMITMENT TO IMPROVING HEALTHCARE SERVICES IN THE STATE. RICHMOND UNIVERSITY MEDICAL CENTER RECEIVED THE AWARD BECAUSE OF THEIR "ORGANIZATION-WIDE COMMITMENT TO PROMOTING THE EARLY DETECTION OF CHRONIC KIDNEY DISEASE (CKD) AND IMPROVING CARE FOR PATIENTS WITH THE DISEASE." RICHMOND UNIVERSITY MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES RUMC'S COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.	Desc
Total Program Service Expenses	$250,407,518	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	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	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	236	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2651	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	KEVIN MURPHY	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
RONALD PURPORA
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)		$425,988	$0	$53,001
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)		$244,639	$0	$19,262
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
ALLAN WEISSGLASS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DANIEL MESSINA
PRESIDENT & CEO	37.50		Yes (X)	$477,086	$0	$159,235	1.00
KEVIN MURPHY
SENIOR VP & CFO	37.50		Yes (X)	$433,976	$0	$57,182	1.00
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	37.50			$442,810	$0	$49,970		Yes (X)
RICHARD SALHANY
SENIOR VP PROFESSIONAL SERVICES	37.50			$335,990	$0	$52,336	1.00	Yes (X)
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	37.50			$766,877	$0	$41,935		Yes (X)
EDWARD ARSURA
CHIEF MEDICAL OFFICER	37.50			$401,893	$0	$57,136		Yes (X)
PANKAJ R PATEL
CHAIRMAN OF PSYCHIATRY	37.50			$410,052	$0	$38,843		Yes (X)
BRIAN MCMAHON
CHAIRMAN OF PEDIATRICS	20.00			$153,804	$0	$19,661		Yes (X)
SANTOSH PARAB
PHYSICIAN	40.00			$460,083	$0	$36,691			Yes (X)
ANTHONY BARONE
MEDICAL DIRECTOR, NICU	37.50			$519,463	$0	$36,736			Yes (X)
AKELLA CHENDRASEKHER
PHYSICIAN	37.50			$416,218	$0	$33,035			Yes (X)
PHILLIP OTTERBECK
PHYSICIAN	40.00			$523,753	$0	$19,275			Yes (X)
MICHAEL BERNSTEIN
PHYSICIAN	40.00			$468,191	$0	$24,475			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,480,823	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$698,773	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	337	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	$2,397,548
EMA RICHMOND EMERGENCY
3 CENTURY DRIVE	PARSIPPANY	NJ	07054	EMERGENCY SERVICES FOR EMPLOYEES	$1,801,250
QUEST DIAGNOSTIC
7402 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	LABORATORY SERVICES	$879,473
DIALYSIS CLINICAL INC (DCI)
800 CASTLETON AVE	STATEN ISLAND	NY	10310	ACUTE SERVICES FEES	$748,005
QUELLER FISHER WASHOR
233 BROADWAY 18TH FL	NEW YORK	NY	10279	LEGAL FEES	$556,250

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Fundraising	$56,581	FundraisingAmt
Government Grants	$15,488,479	GovernmentGrantsAmt
All Other Contributions	$956,369	AllOtherContributionsAmt
Total Contributions	$16,501,429	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES	621990	$273,344,916	$273,344,916
NYS DOH PUBLIC POOL REV	621990	$7,859,017	$7,859,017
RURAL FLOOR REVENUE	621990	$2,396,361	$2,396,361

Field	Value	IRS element (for citing)
Total Program Service Revenue	$283,600,294	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,024	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,861	UnrelatedBusinessRevenueAmt
Exclusion	$347,885	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$870,709	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$220,932	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$649,777	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$649,777	TotalRevenueColumnAmt
Exclusion	$649,777	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$67,862	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$67,862	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,862	TotalRevenueColumnAmt
Exclusion	$67,862	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$153,646	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$56,581	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$91,328	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,318	TotalRevenueColumnAmt
Exclusion	$62,318	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
STUDENT SERVICES INCOME	900099	$2,224,057	$2,224,057
MEANINGFUL USE INCENTIVE AWARD	900099	$1,507,141	$1,507,141
VENDOR REBATES AND REFUNDS	900099	$1,099,085		$1,099,085

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,549,038	TotalRevenueColumnAmt
Related Or Exempt Func Income	$274,652	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,274,386	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,379,321	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,607,025	TotalRevenueColumnAmt
Related Or Exempt Func Income	$287,606,144	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$1,861	UnrelatedBusinessRevenueAmt
Exclusion	$3,501,313	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,641,678	TotalAmt
Program Services	$3,964,822	ProgramServicesAmt
Management And General	$676,856	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$130,415,059	TotalAmt
Program Services	$111,397,758	ProgramServicesAmt
Management And General	$19,017,301	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,081,124	TotalAmt
Program Services	$10,319,438	ProgramServicesAmt
Management And General	$1,761,686	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,440,096	TotalAmt
Program Services	$21,730,387	ProgramServicesAmt
Management And General	$3,709,709	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,311,760	TotalAmt
Program Services	$8,808,085	ProgramServicesAmt
Management And General	$1,503,675	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$698,137	TotalAmt
Program Services	$596,334	ProgramServicesAmt
Management And General	$101,803	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$221,046	TotalAmt
Program Services	$188,813	ProgramServicesAmt
Management And General	$32,233	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$32,866	TotalAmt
Program Services	$32,866	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,245,299	TotalAmt
Program Services	$24,980,702	ProgramServicesAmt
Management And General	$4,264,597	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$596,488	TotalAmt
Program Services	$509,507	ProgramServicesAmt
Management And General	$86,981	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,446,138	TotalAmt
Program Services	$1,235,260	ProgramServicesAmt
Management And General	$210,878	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,564	TotalAmt
Program Services	$2,190	ProgramServicesAmt
Management And General	$374	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,659,636	TotalAmt
Program Services	$5,771,729	ProgramServicesAmt
Management And General	$887,907	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$71,028	TotalAmt
Program Services	$60,671	ProgramServicesAmt
Management And General	$10,357	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$217,446	TotalAmt
Program Services	$185,738	ProgramServicesAmt
Management And General	$31,708	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$993,247	TotalAmt
Program Services	$848,410	ProgramServicesAmt
Management And General	$144,837	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,224,435	TotalAmt
Program Services	$5,316,779	ProgramServicesAmt
Management And General	$907,656	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,515,838	TotalAmt
Program Services	$6,419,868	ProgramServicesAmt
Management And General	$1,095,970	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$31,874,057	$27,226,139	$4,647,918
BAD DEBT	$14,665,514	$12,526,969	$2,138,545
REPAIRS & MAINTENANCE	$3,948,176	$3,372,448	$575,728
LABORATORY SERVICES	$1,304,913	$1,114,629	$190,284

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,446,348	TotalAmt
Program Services	$3,797,976	ProgramServicesAmt
Management And General	$648,372	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$293,052,893	TotalAmt
Program Services	$250,407,518	ProgramServicesAmt
Management And General	$42,645,375	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,713,039	BOYAmt
EOY	$2,581	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$27,866,516	BOYAmt
EOY	$40,937,425	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,960,783	BOYAmt
EOY	$28,390,064	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$12,234,218	BOYAmt
EOY	$7,308,249	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,552,603	BOYAmt
EOY	$4,747,720	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,196,999	BOYAmt
EOY	$719,165	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$66,166,144	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,874,903	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,828,501	BOYAmt
EOY	$43,291,241	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$888,359	BOYAmt
EOY	$525,484	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,056,493	BOYAmt
EOY	$30,864,443	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,297,511	BOYAmt
EOY	$156,786,372	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,131,402	BOYAmt
EOY	$34,600,508	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,564,495	BOYAmt
EOY	$710,284	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$12,792,186	BOYAmt
EOY	$9,184,501	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,410,407	BOYAmt
EOY	$2,291,413	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,971,752	BOYAmt
EOY	$64,666,912	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,870,242	BOYAmt
EOY	$111,453,618	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,209,566	BOYAmt
EOY	$43,860,544	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$873,056	BOYAmt
EOY	$1,127,563	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	$35,427,269	BOYAmt
EOY	$45,332,754	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$149,297,511	BOYAmt
EOY	$156,786,372	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,554,132	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$4,648,647	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	$32,866	OtherActivitiesAmt
Total Lobbying Expenditures	$32,866	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 - $63,398 (DUES) X 22.80% (APPROX. LOBBYING PERCENTAGE) = $14,455 HANYS - $74,843 (DUES) X 24.60% (APPROX. LOBBYING PERCENTAGE) = $18,411	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	$3,516,364	OtherCostOrOtherBasisAmt
Book Value	$3,516,364	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,071,369	OtherCostOrOtherBasisAmt
Depreciation	$2,778,651	DepreciationAmt
Book Value	$23,292,718	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$396,445	OtherCostOrOtherBasisAmt
Depreciation	$179,318	DepreciationAmt
Book Value	$217,127	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,424,803	OtherCostOrOtherBasisAmt
Depreciation	$15,510,265	DepreciationAmt
Book Value	$12,914,538	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,757,163	OtherCostOrOtherBasisAmt
Depreciation	$4,406,669	DepreciationAmt
Book Value	$3,350,494	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$43,291,241	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
SECURITY DEPOSITS	$167,945
INSURANCE RECEIVABLE	$17,461,863
SERP PENSION ASSET	$271,029
DUE FROM AMBOY	$6,620,882
DUE FROM STATEN ISLAND UNIVERSITY HOSPITAL	$6,116,521
DUE FROM FOUNDATION	$226,203

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$30,864,443	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$18,322,673
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$26,205,477
SERP LIABILITY	$216,726
LINE OF CREDIT PAYABLE	$3,000,000
ACCRUED NYSNA PENSION LIABILITY	$16,922,036

Field	Value	IRS element (for citing)
Total Liability	$64,666,912	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 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 2014 AND 2013. THE MEDICAL CENTER'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND OTHER EXPENSES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF OUTING	Event1Nm
Gross Receipts Event1	$178,217	GrossReceiptsEvent1Amt
Charitable Contri Event1	$36,400	CharitableContriEvent1Amt
Gross Revenue Event1	$141,817	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,110	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$55,282	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$16,766	OtherDirectExpensesEvent1Amt
Event2	CLAM BAKE	Event2Nm
Gross Receipts Event2	$32,010	GrossReceiptsEvent2Amt
Charitable Contri Event2	$20,181	CharitableContriEvent2Amt
Gross Revenue Event2	$11,829	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$658	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$11,829	RentFacilityCostsEvent2Amt
Entertainment Event2	$600	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,083	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$210,227	GrossReceiptsTotalAmt
Charitable Contributions Tot	$56,581	CharitableContributionsTotAmt
Gross Revenue Total Events	$153,646	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$4,768	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$67,111	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$600	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$18,849	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$91,328	DirectExpenseSummaryEventsAmt
Net Income Summary	$62,318	NetIncomeSummaryAmt

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	$10,158,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,712,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,446,005	NetCommunityBenefitExpnsAmt
Total Expense	0.02320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,779,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,618,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,160,767	NetCommunityBenefitExpnsAmt
Total Expense	0.03660	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,938,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,331,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,606,772	NetCommunityBenefitExpnsAmt
Total Expense	0.05980	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,031,041	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,013,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,017,571	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,555,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,727,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,828,264	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,586,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,741,150	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,845,835	NetCommunityBenefitExpnsAmt
Total Expense	0.12190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,525,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,072,673	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,452,607	NetCommunityBenefitExpnsAmt
Total Expense	0.18170	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,215,513	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,264,654	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$66,780,231	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,520,612	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$17,259,619	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)
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	WWW.RUMCSI.ORG	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	WWW.RUMCSI.ORG	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 Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
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

Field	Value	IRS element (for citing)
Form And Line Reference	RICHMOND MEDICAL CENTER	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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 2014 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 $ 14,665,514.
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:	FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "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:	COSTING METHODOLOGY/SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2014 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, 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 2012 INCLUDED SMOKING CESSATION AND HEALTHY MOTHERS/HEALTHY BABIES, EMERGENCY PREPAREDNESS, PRIMARY CARE EXPANSION AND YOUTH SUBSTANCE ABUSE PREVENTION.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 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 NODE (SIMCON) WAS CREATED. THIS SYSTEM IS TESTED ON A REGULAR BASIS WITH THE MEDICAL CENTER'S PARTICIPATION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR - BOTH INTERNALLY AND THROUGH THE COALITION. THESE DRILLS HELP TO DEFINE SHORTCOMINGS IN BOTH OUR INTERNAL AND EMERGENCY OPERATION PLANS (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY.IN 2012, RUMC'S EMERGENCY PREPAREDNESS PREPARATIONS WERE TESTED AS THE HOSPITAL PREPARED FOR AND IMPLEMENTED A PLAN TO ADDRESS THE CONSEQUENCES OF SUPERSTORM SANDY, ONE OF WHICH WAS THE DIVERSION OF STATEN ISLAND UNIVERSITY HOSPITAL, FOR WHICH RUMC HAD TO ASSUME RESPONSIBILITY FOR ALL EMERGENCY MEDICAL CARE ON THE ISLAND.
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), 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 510-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 27,000 PEOPLE IN 2012. RUMC IS A MAJOR PARTICIPANT IN SEVERAL MAJOR ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND, INCLUDING THE ANNUAL STATEN ISLAND 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: 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
SCHEDULE H, 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-EFECTIVE, 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 RESPONSIILITY 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	$274,244	$0	$150,000	$0	$1,744	$0	$33,545	$0	$19,456	$0	$478,989	$0	$0	$0
JOSEPH MOTTA MD
TRUSTEE	$244,597	$0	$0	$0	$42	$0	$12,403	$0	$6,859	$0	$263,901	$0	$0	$0
DANIEL MESSINA
PRESIDENT & CEO	$436,550	$0	$40,000	$0	$536	$0	$149,524	$0	$9,711	$0	$636,321	$0	$0	$0
KEVIN MURPHY
SENIOR VP & CFO	$407,905	$0	$25,000	$0	$1,071	$0	$41,800	$0	$15,382	$0	$491,158	$0	$0	$0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	$441,165	$0	$0	$0	$1,645	$0	$47,978	$0	$1,992	$0	$492,780	$0	$0	$0
RICHARD SALHANY
SENIOR VP PROFESSIONAL SERVICES	$334,918	$0	$0	$0	$1,072	$0	$36,025	$0	$16,311	$0	$388,326	$0	$0	$0
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	$684,712	$0	$81,251	$0	$914	$0	$23,400	$0	$18,535	$0	$808,812	$0	$0	$0
EDWARD ARSURA
CHIEF MEDICAL OFFICER	$401,893	$0	$0	$0	$0	$0	$41,693	$0	$15,443	$0	$459,029	$0	$0	$0
PANKAJ R PATEL
CHAIRMAN OF PSYCHIATRY	$375,306	$0	$33,832	$0	$914	$0	$23,400	$0	$15,443	$0	$448,895	$0	$0	$0
BRIAN MCMAHON
CHAIRMAN OF PEDIATRICS	$153,621	$0	$0	$0	$183	$0	$14,019	$0	$5,642	$0	$173,465	$0	$0	$0
SANTOSH PARAB
PHYSICIAN	$167,813	$0	$292,074	$0	$196	$0	$18,200	$0	$18,491	$0	$496,774	$0	$0	$0
ANTHONY BARONE
MEDICAL DIRECTOR, NICU	$227,070	$0	$292,074	$0	$319	$0	$18,200	$0	$18,536	$0	$556,199	$0	$0	$0
AKELLA CHENDRASEKHER
PHYSICIAN	$415,899	$0	$0	$0	$319	$0	$18,200	$0	$14,835	$0	$449,253	$0	$0	$0
PHILLIP OTTERBECK
PHYSICIAN	$208,847	$0	$314,795	$0	$111	$0	$18,200	$0	$1,075	$0	$543,028	$0	$0	$0
MICHAEL BERNSTEIN
PHYSICIAN	$373,846	$0	$93,750	$0	$595	$0	$23,400	$0	$1,075	$0	$492,666	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2014: PIETRO CARPENITO - $4,945 ROSEMARIE STAZZONE - $19,378 EDWARD ARSURA - $13,093 RICHARD SALHANEY - $7,425 DANIEL MESSINA - $120,924 KEVIN MURPHY - $13,200 THESE AMOUNTS HAVE NOT BEEN FUNDED OR PAID IN 2014.
PART I, LINE 7	THE ORGANIZATION PAID TO ITS CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHAIRMAN OF PSYCHIATRY, SENIOR VP-NURSING, CHIEF MEDICAL OFFICER, AND SENIOR VP-PROFESSIONAL SERVICES VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION OF VARIOUS GOALS INCLUDING FINANCIAL GOALS.

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	$210,284	TransactionAmt
Transaction	SEE PART V - KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (43 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. 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 -4,831,673. GAIN ON TERMINATION OF LEASE 183,026.

Schedule R IRS990ScheduleR

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	0	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AMBOY MEDICAL PRACTICE PC
Q	$9,880,000	COST
AMBOY MEDICAL PRACTICE PC
D	$5,048,285	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