RICHMOND MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201343189349302349
Schema version: 2012v2.1
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 G
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T13:35:29-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	743177454	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RICH	NameControl
Phone	7188182036	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1
City	STATEN ISLAND	City
State	NY	State
ZIP Code	10310	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL BRESLIN	Name
Title	EXECUTIVE VP ADMINISTRATION & CFO	Title
Phone	7188182036	Phone
Date Signed	2013-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	RICHMOND UNIVERSITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL BRESLIN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1
City	STATEN ISLAND	City
State	NY	State
ZIP Code	10310	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	314487303	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RUMCSI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	2696	TotalNbrEmployees
Total Nbr Volunteers	14	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8645687	ContributionsGrantsPriorYear
Contributions Grants Current Year	16180415	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	273771033	ProgramServiceRevenuePriorYear
Program Service Revenue CY	288111994	ProgramServiceRevenueCY
Investment Income Prior Year	31350364	InvestmentIncomePriorYear
Investment Income Current Year	807675	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2355646	OtherRevenuePriorYear
Other Revenue Current Year	8297667	OtherRevenueCurrentYear
Total Revenue Prior Year	316122730	TotalRevenuePriorYear
Total Revenue Current Year	313397751	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	188968467	SalariesEtcPriorYear
Salaries Etc Current Year	191758528	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	192207	TotalFundrsngExpCurrentYear
Other Expense Prior Year	108406350	OtherExpensePriorYear
Other Expenses Current Year	115811632	OtherExpensesCurrentYear
Total Expenses Prior Year	297374817	TotalExpensesPriorYear
Total Expenses Current Year	307570160	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18747913	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5827591	RevenuesLessExpensesCY
Total Assets BOY	139383402	TotalAssetsBOY
Total Assets EOY	142847490	TotalAssetsEOY
Total Liabilities BOY	119739449	TotalLiabilitiesBOY
Total Liabilities EOY	120981755	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	19643953	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	21865735	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	257257895	Expense
Revenue	288156370	Revenue
Description	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 2012, $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 2012, 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 2012. 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 2012. 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 2012, 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 2012 "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 SUCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.	Description
Total Program Service Expense	257257895	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	215	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2696	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL BRESLIN EXECUTIVE VP ADMIN	NamePerson
Telephone Number	7188183295	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	355 BARD AVENUE	AddressLine1
City	STATEN ISLAND	City
State	NY	State
ZIP Code	10310	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
KATHRYN K ROONEY ESQ
CHAIRPERSON	1.00	X	X	0	0	0
ALLAN WEISSGLASS
VICE CHAIRPERSON	1.00	X	X	0	0	0
CATHERINE PAULO ESQ
SECRETARY	1.00	X	X	0	0	0
GINA GUTZEIT
TREASURER	1.00	X	X	0	0	0
REV DR TONY BAKER SR
TRUSTEE	1.00	X		0	0	0
JOHN PEPE MD
TRUSTEE	1.00	X		0	0	0
KATHERINE CONNORS
TRUSTEE	1.00	X		0	0	0
PIETRO CARPENITO MD
TRUSTEE	20.00	X		171049	0	38227
SARA W GARDNER
TRUSTEE	1.00	X		0	0	0
JAMES P MOLINARO
TRUSTEE	1.00	X		0	0	0
JOSEPH MOTTA MD
TRUSTEE	20.00	X		185380	0	16426
DANIEL PAULO MD
TRUSTEE	1.00	X		0	0	0
JILL O'DONNELL-TORMEY PHD
TRUSTEE	1.00	X		0	0	0
RONALD A PURPORA
TRUSTEE	1.00	X		0	0	0
DENNIS QUIRK
TRUSTEE	1.00	X		0	0	0
JOHN C SANTORA
TRUSTEE	1.00	X		0	0	0
JOHN VINCENT SCALIA
TRUSTEE	1.00	X		0	0	0
RICHARD MURPHY
PRESIDENT & CEO	40.00	X	X	679649	0	40336
MICHAEL BRESLIN
EXECUTIVE VP & CFO	40.00		X	657578	0	112629
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	40.00			299581	0	32390	X
MICHAEL L MORETTI MD
CHAIRMAN OF OB/GYN	40.00			354771	0	41193	X
EDWARD ARSURA MD
CHIEF MEDICAL OFFICER	40.00			374829	0	56965	X
PANJAK R PATEL MD
CHAIRMAN OF PSYCHIATRY	40.00			365722	0	41193	X
RICHARD SALHANEY
SENIOR VP PROFESSIONAL SER	40.00			315516	0	53364	X
ANTHONY BARONE MD
MEDICAL DIRECTOR, NICU	40.00			518042	0	36290		X
SANTOSH PARAB MD
STAFF PHYSICIAN, PEDIATRIC	40.00			425677	0	36244		X
AVIJIT MUKERJI MD
MEDICAL DIRECTOR, OB/GYN	40.00			348655	0	36293		X
VITTORIO ROTELLA MD
CHIEF OF VASCULAR SURGERY	40.00			387517	0	36293		X
RICHARD STEINBRUCK
CHIEF OF SURGERY	40.00			304153	0	17150		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5388119	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	594993	TotalOtherCompensation
Number Individuals GT100 K	226	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK CORPORATION
25271 NETWORK PLACE	CHICAGO	IL	606731252	FOOD AND OTHER SUPPORT SERVICES	5110071
MEDLINE INDUSTRIES INC
BOX 382075	PITTSBURGH	PA	152518075	PHARMACEUTICAL SERVICES	2262591
DCI DIALYSIS CLINIC INC
88 PRINCETON JUNCTION RD	PRINCETON	NJ	08550	DIALYSIS CLINIC TREATMENT	998534
RICHMOND EMERGENCY MEDICAL ASSOCIATES
651 WEST MT PLEASANT AVE	LIVINGSTON	NJ	07039	EMERGENCY ROOM STAFFING	802125
QUEST DIAGNOSTICS INC
7402 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	DIAGNOSTICS	776075

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Fundraising Events	279988	FundraisingEvents
Government Grants	14366749	GovernmentGrants
All Other Contributions	1533678	AllOtherContributions
Total Contributions	16180415	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUES	621990	272018757	272018757
PHYSICIAN PRACTICE INCOME	621990	7810142	7810142
NYS DOH PUBLIC POOL REV	621990	4929532	4929532
TEACHING REVENUE	621990	2006300	2006300
CAPITATION REVENUE	621990	808436	808436

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	538827	TotalRevenueColumn
Related Or Exempt Function Income	538827	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	288111994	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	805480	TotalRevenueColumn
Exclusion	$805,480	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	500980	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	978749	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-477769	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-477769	TotalRevenueColumn
Exclusion	-$477,769	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2195	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2195	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2195	TotalRevenueColumn
Exclusion	$2,195	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	108704	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	279988	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	96140	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	12564	TotalRevenueColumn
Exclusion	$12,564	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	22747	GrossIncomeGaming
Gaming Direct Expenses	14663	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	8084	TotalRevenueColumn
Exclusion	$8,084	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MEANINGFUL USE INCENTIVE AWARD	900099	4473121	$4,473,121
GRANT AND SALARY RECOVERIES	900099	2161874	$2,161,874
VENDOR REBATES AND REFUNDS	900099	540344	$540,344

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1579449	TotalRevenueColumn
Related Or Exempt Function Income	68342	RelatedOrExemptFunctionIncome
Exclusion	$1,511,107	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8754788	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	313397751	TotalRevenueColumn
Related Or Exempt Function Income	288180336	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$9,037,000	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3898449	Total
Program Services	3118759	ProgramServices
Management And General	779690	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	140180455	Total
Program Services	112144364	ProgramServices
Management And General	27895911	ManagementAndGeneral
Fundraising	140180	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9586562	Total
Program Services	7669250	ProgramServices
Management And General	1907725	ManagementAndGeneral
Fundraising	9587	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27990776	Total
Program Services	22392621	ProgramServices
Management And General	5570164	ManagementAndGeneral
Fundraising	27991	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10102286	Total
Program Services	8081829	ProgramServices
Management And General	2010355	ManagementAndGeneral
Fundraising	10102	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	713096	Total
Program Services	570477	ProgramServices
Management And General	142619	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	220273	Total
Program Services	176218	ProgramServices
Management And General	44055	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	37988	Total
Program Services	37988	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34017666	Total
Program Services	30358105	ProgramServices
Management And General	3659561	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	587925	Total
Program Services	470340	ProgramServices
Management And General	117585	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11569194	Total
Program Services	9255355	ProgramServices
Management And General	2309492	ManagementAndGeneral
Fundraising	4347	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6911760	Total
Program Services	5333658	ProgramServices
Management And General	1578102	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	46371	Total
Program Services	37097	ProgramServices
Management And General	9274	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	154728	Total
Program Services	123782	ProgramServices
Management And General	30946	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2838016	Total
Program Services	2270413	ProgramServices
Management And General	567603	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4724859	Total
Program Services	3779887	ProgramServices
Management And General	944972	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8531387	Total
Program Services	6825110	ProgramServices
Management And General	1706277	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	23214821	23214821
BAD DEBT	18052896	18052896
REPAIRS & MAINTENANCE	1105560	884448	221112
LAUNDRY	1036557	829246	207311

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2048535	Total
Program Services	1631231	ProgramServices
Management And General	417304	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	307570160	Total
Program Services	257257895	ProgramServices
Management And General	50120058	ManagementAndGeneral
Fundraising	192207	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1184788	BOY
EOY	7081056	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10569624	BOY
EOY	11817700	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33333565	BOY
EOY	42722462	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	26991684	BOY
EOY	19013486	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4746319	BOY
EOY	4667708	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	566456	BOY
EOY	788823	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	50041463	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	14002553	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	36207705	BOY
EOY	36038910	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1239164	BOY
EOY	1001271	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	24544097	BOY
EOY	19716074	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	139383402	BOY
EOY	142847490	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40226293	BOY
EOY	44944784	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2183333	BOY
EOY	1763055	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	30687677	BOY
EOY	28189169	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2349186	BOY
EOY	3349186	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	44292960	BOY
EOY	42735561	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	119739449	BOY
EOY	120981755	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18443503	BOY
EOY	20937371	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	855803	BOY
EOY	583717	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	344647	BOY
EOY	344647	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19643953	BOY
EOY	21865735	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	139383402	BOY
EOY	142847490	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5827591	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3605809	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$37,988	OtherActivitiesAmount
Total Lobbying Expenditures IIB	37988	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	THE HOSPITAL PAID THE FOLLOWING DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, OF WHICH A PERCENTAGE WAS ALLOCABLE TO LOBBYING COSTS: AHA - $61,261 (DUES) X 25% (APPROX. LOBBYING PERCENTAGE) = $15,315 HANYS - $75,575 (DUES) X 30% (APPROX. LOBBYING PERCENTAGE) = $22,673	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	344647	BeginningOfYearBalance
End Of Year Balance	344647	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	344647	BeginningOfYearBalance
End Of Year Balance	344647	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	344647	BeginningOfYearBalance
End Of Year Balance	344647	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	344647	BeginningOfYearBalance
End Of Year Balance	344647	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	344647	BeginningOfYearBalance
End Of Year Balance	344647	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3516364	OtherCostOrOtherBasis
Book Value	3516364	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22334304	OtherCostOrOtherBasis
Depreciation	2820240	Depreciation
Book Value	19514064	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	152205	OtherCostOrOtherBasis
Depreciation	40444	Depreciation
Book Value	111761	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21751287	OtherCostOrOtherBasis
Depreciation	11087413	Depreciation
Book Value	10663874	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2287303	OtherCostOrOtherBasis
Depreciation	54456	Depreciation
Book Value	2232847	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	36038910	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
SECURITY DEPOSIT	124982
INSURANCE RECOVERIES RECEIVABLE	19332136
SERP PENSION ASSET	258956

Field	Value	IRS element (for citing)
Total Book Value Other Assets	19716074	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO SAINT VINCENT CATHOLIC MEDICAL CENTER	$150,000
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$17,363,724
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$25,091,166
OTHER LIABILITIES	$65,071
SERP PENSION LIABILITY	$65,600

Field	Value	IRS element (for citing)
Total Of Amounts	42735561	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	312931243	TotRevenueEtcAuditedFinclStmt
Other Revenues	-1445257	OtherRevenues
Revenue Not Rptd F990	-1445257	RevenueNotRptdF990
Revenue Subtotal	314376500	RevenueSubtotal
Other Revenues Not Included	-978749	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-978749	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	313397751	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	310709461	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3139301	OtherExpensesIncluded
Expenses Not Rptd F990	3139301	ExpensesNotRptdF990
Expenses Subtotal	307570160	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	307570160	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 2012 AND 2011. 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:		AMBOY MEDICAL PRACTICE REVENUE INCLUDED IN CONSOLIDATED FINANCIALS 1,390,681. PENSION LIABILITY ADJUSTMENT -2,835,938.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -978,749.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 978,749. AMBOY MEDICAL PRACTICE EXPENSES INCLUDED IN CONSOLIDATED FINANCIALS 2,160,552.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	240950	GrossReceiptsEvent1
Charitable Contributions Event1	194085	CharitableContributionsEvent1
Gross Revenue Event1	46865	GrossRevenueEvent1
Rent Facility Costs Event1	46850	RentFacilityCostsEvent1
Other Direct Expenses Event1	1559	OtherDirectExpensesEvent1
Name Of Event2	GOLF & TENNIS OUTING	NameOfEvent2
Gross Receipts Event2	147742	GrossReceiptsEvent2
Charitable Contributions Event2	85903	CharitableContributionsEvent2
Gross Revenue Event2	61839	GrossRevenueEvent2
Rent Facility Costs Event2	39343	RentFacilityCostsEvent2
Other Direct Expenses Event2	8388	OtherDirectExpensesEvent2
Gross Receipts Total	388692	GrossReceiptsTotal
Charitable Contributions Total	279988	CharitableContributionsTotal
Gross Revenue Total Events	108704	GrossRevenueTotalEvents
Rent Facility Costs Total Events	86193	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	9947	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	96140	DirectExpenseSummaryEvents
Net Income Summary	12564	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	22747	GrossRevenueOtherGaming
Cash Prizes Other Gaming	4279	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	10384	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	22747	GrossRevenueTotalGaming
Cash Prizes Total Gaming	4279	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	10384	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	14663	DirectExpenseSummaryGaming
Net Gaming Income Summary	8084	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NY	StatesWhereGamingConducted
Licensed	0	Licensed
Explanation If No	ONLY SIMPLE RAFFLES AND SILENT AUCTIONS ARE HELD AT SEVERAL LOCAL FUNDRAISING EVENTS DURING THE YEAR.	ExplanationIfNo
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Charitable Distrib Required	0	CharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S GAMING/SPECIAL EVENT BOOKS AND RECORDS	SCHEDULE G, PART III, LINE 14	THERE ARE NO FORMAL GAMING OR SPECIAL EVENTS BOOKS OR RECORDS THAT ARE MAINTAINED BY THE ORGANIZATION. HOWEVER, BASIC RECORDS OF SPECIAL EVENTS REVENUES AND EXPENSES AND RAFFLE RECEIPTS AND PRIZE DISBURSEMENTS INCLUDING NON-CASH PRIZE CONTRIBUTORS AND WINNERS ARE COMPILED FOR EACH GAMING EVENT.
GAMING MANAGER	SCHEDULE G, PART III, LINE 16	THE MEDICAL CENTER DOES NOT HAVE A GAMING MANAGER.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9565172	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2211431	DirectOffsettingRevenue
Net Community Benefit Expense	7353741	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85116842	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77754230	DirectOffsettingRevenue
Net Community Benefit Expense	7362612	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	94682014	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79965661	DirectOffsettingRevenue
Net Community Benefit Expense	14716353	NetCommunityBenefitExpense
Percent Of Total Expense	0.05080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46860	TotalCommunityBenefitExpense
Net Community Benefit Expense	46860	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28281548	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8101060	DirectOffsettingRevenue
Net Community Benefit Expense	20180488	NetCommunityBenefitExpense
Percent Of Total Expense	0.06970	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22061559	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15205664	DirectOffsettingRevenue
Net Community Benefit Expense	6855895	NetCommunityBenefitExpense
Percent Of Total Expense	0.02370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8069	TotalCommunityBenefitExpense
Net Community Benefit Expense	8069	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50398036	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23306724	DirectOffsettingRevenue
Net Community Benefit Expense	27091312	NetCommunityBenefitExpense
Percent Of Total Expense	0.09360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	145080050	TotalCommunityBenefitExpense
Direct Offsetting Revenue	103272385	DirectOffsettingRevenue
Net Community Benefit Expense	41807665	NetCommunityBenefitExpense
Percent Of Total Expense	0.14440	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	39849	TotalCommunityBuildingExpense
Net Community Building Expense	39849	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	39849	TotalCommunityBuildingExpense
Net Community Building Expense	39849	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,306,028	BadDebtExpenseAmount
Amount Attributable To	1291808	AmountAttributableTo
Amount Reimbursed By Medicare	63213515	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	49922494	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	13291021	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
RICHMOND MEDICAL CENTER
1	355 BARD AVENUE	STATEN ISLAND	NY	10310	X	X	X	X
BAYLEY SETON HOSPITAL
2	75 VANDERBILT AVENUE	STATEN ISLAND	NY	10304	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
RICHMOND MEDICAL CENTER
1	1	1	100.000000000000	1	300.000000000000	1	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	1	X	0	0
BAYLEY SETON HOSPITAL
2	1	1	100.000000000000	1	300.000000000000	1	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	1	X	0	0

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 2012 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 $ 18052896.
PART II: TO FOSTER AND IMPROVE COMMUNITY HEALTH REQUIRES A BROAD AND COMPREHENSIVE APPROACH TO MEET DOCUMENTED HEALTHCARE NEEDS FOR STATEN ISLAND. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES, BASED ON COMMUNITY HEALTH NEEDS ASCERTAINED FROM STATISTICAL EVIDENCE THROUGH NEW YORK AND NEW YORK CITY DEPARTMENTS OF HEALTH INCLUDE SMOKING CESSATION, HEALTHY MOTHERS/HEALTHY BABIES, EMERGENCY PREPAREDNESS, PRIMARY CARE EXPANSION AND YOUTH SUBSTANCE ABUSE PREVENTION.PRIORITY I: SMOKING CESSATION. SINCE AUGUST, 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. FUNDED BY THE NYS DEPARTMENT OF HEALTH TOBACCO CONTROL PROGRAM, THE CENTER WORKS WITH LOCAL HEALTH CARE PROVIDERS AND HEALTH CARE ORGANIZATIONS TO IMPLEMENT SYSTEMS FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE, PROVIDES ONGOING TRAINING AND TECHNICAL ASSISTANCE, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS, AND PROGRESS REPORTS.PRIORITY II: HEALTHY MOTHERS/HEALTHY BABIES. IN AN EFFORT TO INCREASE HEALTH OUTCOMES FOR MOTHERS AND BABIES, RUMC HAS TAKEN ON THE CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE AND IS PROMOTING BREASTFEEDING TO NEW MOTHERS. THE SPECIFIC AIM OF SERVICES PROVIDED IS TO EDUCATE HIGH-RISK, UNDERSERVED WOMEN OF CHILDBEARING AGE ABOUT THE IMPORTANCE OF BREASTFEEDING, AND TO ENSURE THAT THEY HAVE THE INFORMATION TO MAKE AN INFORMED DECISION ABOUT FEEDING THEIR NEWBORNS AND THE SUPPORT THEY NEED TO SUCCEED. PARTICIPANTS IN THE CENTERING PREGNANCY HAVE DEMONSTRATED IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, HIGHER BREASTFEEDING RATES, AND REDUCED EMERGENCY DEPARTMENT VISITS. RUMC HAS ALSO ADOPTED "LATCH ON NYC" INITIATIVES DESIGNED TO PROMOTE BREASTFEEDING BY NEW MOTHERS AND AS PART OF AN OVERALL AGENDA TO BECOME A "BABY FRIENDLY" HOSPITAL.PRIORITY III: EMERGENCY PREPAREDNESS. RUMC PARTICIPATES IN THE STATEN ISLAND EMERGENCY MANAGEMENT COALITION, ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE HOSPITAL, ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES AND VOLUNTARY AMBULANCES MAKE UP THE COALITION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR, BOTH INTERNALLY AND THROUGH THE COALITION TO HELP DEFINE SHORTCOMINGS IN OUR INTERNAL AND EMERGENCY OPERATIONS PLAN (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY. IN ADDITION TO THE FOUR PRIORITY AREAS, RICHMOND UNIVERSITY MEDICAL CENTER EDUCATES, INFORMS, AND ENGAGES THE COMMUNITY WE SERVE BY PROVIDING A COMPREHENSIVE SERIES OF DIVERSE HEALTH PROGRAMS THROUGHOUT THE YEAR, INCLUDING LECTURES, WORKSHOPS, AND SCREENINGS. OUR SPEAKERS BUREAU BRINGS MEDICAL EXPERTISE AND EDUCATION PROGRAMS TO COMMUNITY GROUPS. SPEAKERS INCLUDE PHYSICIANS, NURSES, DIETICIANS, AND OTHER HEALTHCARE EXPERTS WHO PROVIDE INFORMATION ON A VARIETY OF HEALTH TOPICS. WE DISSEMINATE HEALTH INFORMATION AT LOCAL HEALTH FAIRS AND EXPOSITIONS THROUGHOUT THE ISLAND. WE WORK COLLABORATIVELY WITH PARISH NURSE PROGRAMS, SCHOOLS, AND SENIOR CENTERS TO ENCOURAGE HEALTHY LIVING AND PREVENT ILLNESS THROUGHOUT THE COMMUNITY OF STATEN ISLAND.PRIORITY IV: PRIMARY CARE EXPANSION. RICHMOND UNIVERSITY MEDICAL CENTER WAS AWARDED A GRANT BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO EXPAND ITS INTERNAL MEDICINE RESIDENCY PROGRAM TO PROMOTE CAREERS IN PRIMARY CARE. THE PROGRAM TRAINS RESIDENTS IN COMMUNITY-BASED SITES SERVING THE POOREST AND UNDERSERVED ADULT POPULATION OF STATEN ISLAND. THIS INITIATIVE ENSURES THAT HIGH-QUALITY PRIMARY CARE SERVICES ARE AVAILABLE TO STATEN ISLAND'S MEDICALLY UNDERSERVED POPULATION, IMPROVE ACCESS TO CARE, AND IMPROVE PATIENT OUTCOMES FOR OPTIMAL HEALTH. THE PROGRAM PLAYS AN INTEGRAL ROLE IN PROVIDING QUALITY HEALTH CARE TO STATEN ISLAND'S MINORITY, INDIGENT AND MARGINALIZED POPULATION.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. THE PARTNERSHIP'S AGENDA IN 2012 WAS YOUTH SUBSTANCE ABUSE (ALCOHOL AND DRUGS) AND TOBACCO PREVENTION. STATEN ISLAND HAS RECENTLY SEEN A SURGE IN PRESCRIPTION DRUG ABUSE CASES, PARTICULARLY AMONG YOUTH. RUMC'S CLINICAL CHAIR FOR PSYCHIATRY AND ITS ASSISTANT VICE PRESIDENT OF OPERATIONS SERVE ON THE STEERING COMMITTEE OF THE POLICY AND ADVOCACY WORK GROUP OF THE TACKLING YOUTH SUBSTANCE ABUSE COLLABORATIVE. IN SO DOING, THEY HAVE ASSISTED WITH VARIOUS INITIATIVES INCLUDING A DRUG TAKE-BACK DAY IN CONJUNCTION WITH THE US DRUG ENFORCEMENT AGENCY TO ENCOURAGE RESIDENTS TO RETURN UNWANTED AND EXPIRED MEDICATIONS. OTHER PRIORITIES: RUMC HAS ALSO UNDERTAKEN OTHER MEASURES DESIGNED TO ASSIST THE COMMUNITY WITH HEALTH INFORMATION AND SERVICES. RUMC RECEIVED A GRANT FROM SUSAN G. KOMEN GREATER NEW YORK CITY TO ADMINISTER A BREAST CANCER NAVIGATION PROGRAM WHEREBY WOMEN DIAGNOSED WITH THE DISEASE ARE PROVIDED ASSISTANCE TO MANAGE THEIR CARE. THE NAVIGATOR WORKS WITH EACH PATIENT INDIVIDUAL THROUGH TESTING, DIAGNOSIS, TREATMENT AND FOLLOWUP CARE AS APPROPRIATE. RUMC IS ALSO A DESIGNATED "SAFE" CENTER, WHICH PROVIDES ASSISTANCE TO VICTIMS OF SEXUAL ASSAULT AND WORKS WITH A TEAM OF SOCIAL WORKERS, LAW ENFORCEMENT PERSONNEL AND CLINICAL STAFF TO ADDRESS THE NEEDS OF THE VICTIM. FINALLY, RUMC HAS PROVIDED PERIPHERAL ARTERY DISEASE SCREENINGS, INFORMATION SESSIONS ON BARRETT'S ESOPHAGUS, LACTATION FORUMS, COLORECTAL AWARENESS EVENTS, AND A HOST OF OTHER SERVICES ON AN AS NEEDED BASIS AS REQUESTED BY ITS COMMUNITY PARTNERS.
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."COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, LINES 2 AND 3: THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2012 INSTRUCTIONS FOR SCHEDULE H (FORM 990). 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.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 2012 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 V, SECTION B, LINE 12H: NUMBER OF DEPENDENTS; ESTIMATED LIVING COSTS; OTHER HARDSHIPS	RICHMOND MEDICAL CENTER
PART V, SECTION B, LINE 12H: NUMBER OF DEPENDENTS; ESTIMATED LIVING COSTS; OTHER HARDSHIPS	BAYLEY SETON HOSPITAL
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 RECIEVE 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.
NY	REPORTS FILED WITH STATES	PART VI, LINE 7
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, PROVIDE ADEQUATE STAFFING AND FACILITIES FOR STAFF WHO REMAINED ON SITE THROUGHOUT THE DISASTER, PROVIDE EMERGENCY BACKUP UTILITIES AND POWER, RESPOND TO FACILITY DAMAGE AND REPAIRS AND ACCOMMODATE 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 H, PART VI, LINE 2 CONTINUATION:

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PIETRO CARPENITO MD
TRUSTEE	169148	0	0	0	1901	0	19089	0	19138	0	209276	0	0	0
JOSEPH MOTTA MD
TRUSTEE	185290	0	0	0	90	0	9405	0	7021	0	201806	0	0	0
RICHARD MURPHY
PRESIDENT & CEO	676907	0	0	0	2742	0	26950	0	13386	0	719985	0	0	0
MICHAEL BRESLIN
EXECUTIVE VP & CFO	656768	0	0	0	810	0	92550	0	20079	0	770207	0	0	0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	297259	0	0	0	2322	0	29943	0	2447	0	331971	0	0	0
MICHAEL L MORETTI MD
CHAIRMAN OF OB/GYN	353481	0	0	0	1290	0	22050	0	19143	0	395964	0	0	0
EDWARD ARSURA MD
CHIEF MEDICAL OFFICER	372849	0	0	0	1980	0	37822	0	19143	0	431794	0	0	0
PANJAK R PATEL MD
CHAIRMAN OF PSYCHIATRY	363743	0	0	0	1979	0	22050	0	19143	0	406915	0	0	0
RICHARD SALHANEY
SENIOR VP PROFESSIONAL SER	314274	0	0	0	1242	0	33285	0	20079	0	368880	0	0	0
ANTHONY BARONE MD
MEDICAL DIRECTOR, NICU	517379	0	0	0	663	0	17150	0	19140	0	554332	0	0	0
SANTOSH PARAB MD
STAFF PHYSICIAN, PEDIATRIC	425403	0	0	0	274	0	17150	0	19094	0	461921	0	0	0
AVIJIT MUKERJI MD
MEDICAL DIRECTOR, OB/GYN	347365	0	0	0	1290	0	17150	0	19143	0	384948	0	0	0
VITTORIO ROTELLA MD
CHIEF OF VASCULAR SURGERY	387217	0	0	0	300	0	17150	0	19143	0	423810	0	0	0
RICHARD STEINBRUCK
CHIEF OF SURGERY	304153	0	0	0	0	0	17150	0	0	0	321303	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2012: MICHAEL BRESLIN, EXECUTIVE VP & CFO - $65,600 ROSEMARIE STAZZONE, SENIOR VP NURSING & CNO - $2,993 EDWARD ARSURA, MD, CHIEF MEDICAL OFFICER - $10,872 RICHARD SALHANEY, SENIOR VP PROFESSIONAL SERVICES & MEDICAL STAFF - $6,335 THESE AMOUNTS HAVE NOT BEEN FUNDED OR PAID IN 2012. IN ADDITION, RICHARD MURPHY RESIGNED IN 2012 AND FORFEITED THE RIGHT TO ANY FUNDS CREDITED TO HIM DURING 2010, 2011 AND 2012 UNDER THIS PLAN.

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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

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

Field	Value	IRS element (for citing)
Relationship	BOARD CHAIRPERSON	Relationship
Amount Of Transaction	279843	AmountOfTransaction
Description Of 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.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 A, LINE 3	DURING 2012, RICHARD BORSCHUK, OWNER OF FIRST IN HEALTH, LLC, WAS ENGAGED BY THE MEDICAL CENTER AS ITS INTERIM EVP/CFO. FIRST IN HEALTH, LLC WAS PAID A FEE BY THE MEDICAL CENTER FOR THE SERVICES THAT WERE PROVIDED BY MR. BORSCHUK AS INTERIM EVP/CFO.
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 RENUMERATION 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.	EXECUTIVE COMMITTEE
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 3,330,169. MANAGEMENT AND GENERAL EXPENSES 832,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,162,711. CLINICAL CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 6,541,713. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,541,713. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,157,796. MANAGEMENT AND GENERAL EXPENSES 539,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,697,245. BILLING & TRANSCRIPTION FEES: PROGRAM SERVICE EXPENSES 6,207,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,207,476. PATIENT SERVICE FEES: PROGRAM SERVICE EXPENSES 2,970,677. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,970,677. FOOD SERVICE FEES: PROGRAM SERVICE EXPENSES 2,876,140. MANAGEMENT AND GENERAL EXPENSES 719,035. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,595,175. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,375,859. MANAGEMENT AND GENERAL EXPENSES 1,093,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,469,824. OTHER PURCHASED SERVICES & FEES: PROGRAM SERVICE EXPENSES 1,898,275. MANAGEMENT AND GENERAL EXPENSES 474,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,372,845.	OTHER FEES
FORM 990, PART XI, LINE 9:	AMBOY MEDICAL PRACTICE NET LOSS INCLUDED IN CONSOLIDATED FINANCIALS -769,871. PENSION LIABILITY ADUSTMENT -2,835,938.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Percentage OwnershipPercentageOwnership
BRIDGE REGIONAL HEALTH SYSTEM
355 BARD AVENUE	STATEN ISLAND	NY	10310	205171165	HOLDING COMPANY	NY	N/A	C	0
AMBOY MEDICAL PRACTICE PC
C/O 355 BARD AVENUE	STATEN ISLAND	NY	10310	263381883	PHYSICIAN MEDICAL PRACTICE	NY		C	0	RICHMOND MEDICAL CENTER	-769872	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	AMBOY MEDICAL PRACTICE PC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionType
Amount Involved	769872	AmountInvolved
Method Of Amt Determination	COST	MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	CONTROLLED ENTITY	Identifier
Return Reference	FORM 990, PART IV, LINE 35	ReturnReference
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).	Explanation