RICHMOND MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201913199349308236
Schema version: 2018v3.1
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T11:48:57-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	743177454	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL J MESSINA	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	7188182036	PhoneNum
Signature	2019-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.89.178.154	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	12:17:14	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54E	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$358,181,467	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RUMCSI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2007	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2738	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$1,979	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,909	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,836,915	PYContributionsGrantsAmt
CY Contributions Grants	$25,070,118	CYContributionsGrantsAmt
PY Program Service Revenue	$323,511,304	PYProgramServiceRevenueAmt
CY Program Service Revenue	$315,315,484	CYProgramServiceRevenueAmt
PY Investment Income	$115,837	PYInvestmentIncomeAmt
CY Investment Income	$491,941	CYInvestmentIncomeAmt
PY Other Revenue	$11,910,015	PYOtherRevenueAmt
CY Other Revenue	$16,046,850	CYOtherRevenueAmt
PY Total Revenue	$351,374,071	PYTotalRevenueAmt
CY Total Revenue	$356,924,393	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$218,061,784	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$219,275,642	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$122,650,567	PYOtherExpensesAmt
CY Other Expenses	$123,586,400	CYOtherExpensesAmt
PY Total Expenses	$340,712,351	PYTotalExpensesAmt
CY Total Expenses	$342,862,042	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,661,720	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,062,351	CYRevenuesLessExpensesAmt
Total Assets BOY	$207,563,449	TotalAssetsBOYAmt
Total Assets EOY	$255,798,298	TotalAssetsEOYAmt
Total Liabilities BOY	$129,471,367	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$165,020,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$78,092,082	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$90,777,882	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTH CARE PROVIDER SERVING THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. WE PROVIDE PREMIER QUALITY PATIENT CARE THROUGH A FULL SPECTRUM OF EMERGENT, ACUTE, PRIMARY, BEHAVIORAL HEALTH AND EDUCATIONAL SERVICES. WE DO THIS IN AN ENVIRONMENT THAT PROMOTES THE HIGHEST SATISFACTION AMONG PATIENTS, FAMILIES, PHYSICIANS AND STAFF.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$293,396,270	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$315,315,484	RevenueAmt
Desc	RICHMOND UNIVERSITY MEDICAL CENTER (RUMC OR THE MEDICAL CENTER) IS A 448 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS IS LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND.RUMC PROVIDES VARIOUS INPATIENT AND OUTPATIENT SERVICES, INCLUDING: MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, A DESIGNATED STROKE CENTER, A LEVEL 1 TRAUMA CENTER, BEHAVIORAL HEALTH SERVICES, EMERGENCY SERVICES AND CLINIC SERVICES. 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 2018, APPROXIMATELY $5,101,000 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. THE MEDICAL CENTER ALSO PROVIDED COMMUNITY BENEFITS BY PROVIDING SERVICES TO MEDICAID PATIENTS AT RATES THAT WERE BELOW THE COSTS FOR PROVIDING SUCH SERVICES. IN 2018, INPATIENT VOLUME EXCEEDED 15,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 79,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 58,000 EMERGENCY ROOM VISITS AND OVER 190,000 OTHER OUTPATIENT 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 2018. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,600 INPATIENT AND 6,000 OUTPATIENT SURGERIES 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 2018. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,300 AND ACCOUNTED FOR MORE THAN 14,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM SERVICES. BEHAVIOR HEALTH OUTPATIENT CARE IS AVAILABLE THROUGH THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), WHICH PROVIDES IMMEDIATE ACUTE PSYCHIATRIC CARE WITH AN EXTENDED OBSERVATION BED UNIT AND A MOBILE OUTREACH TEAM. OTHER OUTPATIENT SERVICES INCLUDE A CONTINUING DAY TREATMENT PROGRAM, SUBSTANCE ABUSE OUTPATIENT CLINICS, A SUBSTANCE ABUSE CRISIS CENTER, A GAMBLERS TREATMENT CENTER AND AN ONGOING EVALUATION AND REFERRAL SERVICE.	Desc
Total Program Service Expenses	$293,396,270	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	209	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2738	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOSEPH SAPORITO SR VP CFO	PersonNm
Phone	7188182036	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN KRAUSE ROONEY ESQ
CHAIRPERSON	1.00	Yes (X)	Yes (X)	$0	$0	$0
RONALD PURPORA
VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
CATHERINE M PAULO ESQ
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
GINA GUTZEIT
TREASURER & FINANCE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
DANIEL MESSINA
PRESIDENT & CEO	37.50	Yes (X)	Yes (X)	$834,610	$0	$185,096	2.00
PIETRO CARPENITO MD
TRUSTEE	37.50	Yes (X)		$482,796	$0	$77,288
REV DR TONY BAKER SR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KATHERINE ANNE CONNORS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
THOMAS DELMASTRO
TRUSTEE	1.00	Yes (X)		$0	$0	$0
SARA WARREN GARDNER MPH
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JAMES P MOLINARO
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JILL O'DONNELL-TORMEY PHD
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DENNIS W QUIRK
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JOHN C SANTORA
TRUSTEE	1.00	Yes (X)		$0	$0	$0	1.00
JOHN VINCENT SCALIA SR
TRUSTEE	1.00	Yes (X)		$0	$0	$0
PANKAJ R PATEL
TRUSTEE/CHAIR OF PSYCHIATRY	40.00	Yes (X)		$81,150	$0	$0	1.00
SAMALA SWAMY MD
TRUSTEE	40.00	Yes (X)		$189,995	$0	$0
ALAN BERNIKOW
TRUSTEE	1.00	Yes (X)		$0	$0	$0
STEVEN KLEIN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
ALLAN WEISSGLASS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
MARIANNE LABARBERA MD
TRUSTEE/PRES MED STAFF	40.00	Yes (X)		$138,928	$0	$398
FRANK SCAFURI MD
TRUSTEE (UNTIL 06/18)	1.00	Yes (X)		$0	$0	$0
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICIN	40.00		Yes (X)	$470,054	$0	$69,737
JOSEPH SAPORITO
SENIOR VP & CFO	37.50		Yes (X)	$528,066	$0	$73,907	2.00
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	37.50			$570,084	$0	$58,486		Yes (X)
RICHARD SALHANY
SENIOR VP PROFESSIONAL SER	37.50			$416,209	$0	$65,361	1.00	Yes (X)
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	37.50			$832,740	$0	$43,337		Yes (X)
LOREN HARRIS MD
MEDICAL CHAIRMAN	40.00			$755,465	$0	$25,825		Yes (X)
ELI SERUR
PHYSICIAN	40.00			$982,471	$0	$43,228			Yes (X)
DOUGLAS COHEN MD
PHYSICIAN	40.00			$741,222	$0	$43,228			Yes (X)
VLADIMIR RUBINSHTEY
PHYSICIAN	37.50			$619,822	$0	$37,837			Yes (X)
XIN Y LI
PHYSICIAN	40.00			$509,689	$0	$37,837			Yes (X)
PHILLIP OTTERBECK
PHYSICIAN	40.00			$519,999	$0	$20,325	1.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,673,300	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$781,890	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	446	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RICHMOND EMERGENCY ASSOCIATES
3 CENTURY DRIVE	PARSIPPANY	NJ	07054	EMERGENCY ROOM DOCTOR STAFFING	$1,862,430
RESTORIX HEALTH
445 HAMILTON AVE 800	WHITE PLAINS	NY	10601	WOUND CARE SERVICES	$876,868
DIALYSIS CLINICAL INC (DCI)
800 CASTLETON AVE	STATEN ISLAND	NY	10310	ACUTE SERVICES FEES	$840,415
NEXERA CONSULTING
555 WEST 57TH ST 15TH FLOOR	NEW YORK	NY	10019	PURCHASING SERVICES	$531,215
RN STAFFING SOLUTIONS LLC
1672 VICTORY BLVD	STATEN ISLAND	NY	10314	STAFFING	$516,425

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,084,608	RelatedOrganizationsAmt
Government Grants	$22,770,685	GovernmentGrantsAmt
All Other Contributions	$214,825	AllOtherContributionsAmt
Total Contributions	$25,070,118	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES	621990	$308,016,144	$308,016,144
NYS DOH PUBLIC POOL REV	621990	$7,299,340	$7,299,340

Field	Value	IRS element (for citing)
Total Program Service Revenue	$315,315,484	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$267,705	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,979	UnrelatedBusinessRevenueAmt
Exclusion	$265,726	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,715,311	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,257,074	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$458,237	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$458,237	TotalRevenueColumnAmt
Exclusion	$458,237	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$214,236	SecuritiesAmt
Other	$10,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$214,236	SecuritiesAmt
Other	$10,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,236	TotalRevenueColumnAmt
Exclusion	$224,236	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDOR REBATES AND REFUNDS	900099	$6,898,462	$6,898,462
OTHER PROGRAM INCOME	900099	$3,246,022	$3,246,022
STUDENT SERVICES INCOME	900099	$2,651,182	$2,651,182

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,792,947	TotalRevenueColumnAmt
Exclusion	$2,792,947	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,588,613	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$356,924,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$315,315,484	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,979	UnrelatedBusinessRevenueAmt
Exclusion	$16,536,812	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,900,291	TotalAmt
Program Services	$5,049,469	ProgramServicesAmt
Management And General	$850,822	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$158,599,544	TotalAmt
Program Services	$135,729,490	ProgramServicesAmt
Management And General	$22,870,054	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,732,273	TotalAmt
Program Services	$11,752,079	ProgramServicesAmt
Management And General	$1,980,194	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,784,703	TotalAmt
Program Services	$24,633,949	ProgramServicesAmt
Management And General	$4,150,754	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,258,831	TotalAmt
Program Services	$10,491,108	ProgramServicesAmt
Management And General	$1,767,723	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$421,111	TotalAmt
Program Services	$360,387	ProgramServicesAmt
Management And General	$60,724	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$242,394	TotalAmt
Program Services	$207,441	ProgramServicesAmt
Management And General	$34,953	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$29,290	TotalAmt
Management And General	$29,290	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,986,160	TotalAmt
Program Services	$23,094,756	ProgramServicesAmt
Management And General	$3,891,404	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$816,983	TotalAmt
Program Services	$699,174	ProgramServicesAmt
Management And General	$117,809	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,442,741	TotalAmt
Program Services	$2,090,498	ProgramServicesAmt
Management And General	$352,243	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,300	TotalAmt
Program Services	$2,824	ProgramServicesAmt
Management And General	$476	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,590,723	TotalAmt
Program Services	$3,928,741	ProgramServicesAmt
Management And General	$661,982	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$59,634	TotalAmt
Program Services	$51,035	ProgramServicesAmt
Management And General	$8,599	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$289,817	TotalAmt
Program Services	$248,025	ProgramServicesAmt
Management And General	$41,792	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$943,876	TotalAmt
Program Services	$807,769	ProgramServicesAmt
Management And General	$136,107	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,170,681	TotalAmt
Program Services	$7,848,269	ProgramServicesAmt
Management And General	$1,322,412	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,273,718	TotalAmt
Program Services	$3,657,448	ProgramServicesAmt
Management And General	$616,270	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$37,100,535	$31,750,638	$5,349,897
BAD DEBT EXPENSE	$22,088,239	$18,903,115	$3,185,124
REPAIRS & MAINTENANCE	$5,477,317	$4,687,488	$789,829
LICENSES & FEES	$2,381,083	$2,037,731	$343,352

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,268,798	TotalAmt
Program Services	$5,364,836	ProgramServicesAmt
Management And General	$903,962	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$342,862,042	TotalAmt
Program Services	$293,396,270	ProgramServicesAmt
Management And General	$49,465,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,208,327	BOYAmt
EOY	$9,639,555	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,821,462	BOYAmt
EOY	$18,783,650	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,008,990	BOYAmt
EOY	$47,504,977	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,048,655	BOYAmt
EOY	$10,707,496	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,288,940	BOYAmt
EOY	$6,209,659	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,767,629	BOYAmt
EOY	$1,326,305	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$129,832,433	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$52,814,194	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,117,592	BOYAmt
EOY	$77,018,239	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$616,628	BOYAmt
EOY	$72,560	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$47,635,226	BOYAmt
EOY	$84,485,857	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$207,563,449	BOYAmt
EOY	$255,798,298	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,953,297	BOYAmt
EOY	$46,948,709	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,981,568	BOYAmt
EOY	$3,699,195	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$50,580,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,807,030	BOYAmt
EOY	$4,456,040	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,729,472	BOYAmt
EOY	$59,336,472	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$129,471,367	BOYAmt
EOY	$165,020,416	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,340,992	BOYAmt
EOY	$87,155,525	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,406,443	BOYAmt
EOY	$3,277,710	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,092,082	BOYAmt
EOY	$90,777,882	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$207,563,449	BOYAmt
EOY	$255,798,298	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,062,351	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$92,674	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,283,877	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$29,290	OtherActivitiesAmt
Total Lobbying Expenditures	$29,290	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAID THE FOLLOWING DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, OF WHICH A PERCENTAGE WAS ALLOCABLE TO LOBBYING COSTS: HANYS - $81,039 (DUES) X 17.51% (APPROX. LOBBYING PERCENTAGE) = $14,190 GNYHA - $15,100 (DUES) X 100% (APPROX. LOBBYING PERCENTAGE) = $15,100	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,471,164	OtherCostOrOtherBasisAmt
Book Value	$4,471,164	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,842,635	OtherCostOrOtherBasisAmt
Depreciation	$10,996,919	DepreciationAmt
Book Value	$36,845,716	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,481,165	OtherCostOrOtherBasisAmt
Depreciation	$774,190	DepreciationAmt
Book Value	$3,706,975	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,842,842	OtherCostOrOtherBasisAmt
Depreciation	$33,234,980	DepreciationAmt
Book Value	$16,607,862	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,194,627	OtherCostOrOtherBasisAmt
Depreciation	$7,808,105	DepreciationAmt
Book Value	$15,386,522	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$77,018,239	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
SECURITY DEPOSITS	$323,777
INSURANCE RECOVERIES RECEIVABLE	$15,136,334
SERP PENSION ASSET	$837,221
DUE FROM AFFILIATES	$39,412,750
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION	$2,687,103
BOND RESERVE FUNDS	$16,488,811
CAPITALIZED INTEREST	$4,569,389
DEFERRED BOND ISSUANCE COSTS	$5,030,472

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$84,485,857	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$12,653,249
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$25,158,093
SERP LIABILITY	$881,579
ACCRUED NYSNA PENSION LIABILITY	$19,310,652
CAPITAL LEASES	$521,532
DUE TO AFFILIATES	$811,367

Field	Value	IRS element (for citing)
Total Liability	$59,336,472	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$334,716,677	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$92,674	NetUnrealizedGainsInvstAmt
Other Revenue	-$23,372,116	OtherRevenueAmt
Revenue Not Reported	-$23,464,790	RevenueNotReportedAmt
Revenue Subtotal	$358,181,467	RevenueSubtotalAmt
Other Revenues Not Included	-$1,257,074	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$1,257,074	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$356,924,393	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$322,030,877	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,257,074	OtherExpensesIncludedAmt
Expenses Not Reported	$1,257,074	ExpensesNotReportedAmt
Expenses Subtotal	$320,773,803	ExpensesSubtotalAmt
Other Expenses Not Included	$22,088,239	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$22,088,239	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$342,862,042	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT FUND, ALSO KNOWN AS THE BELL SOCIETY ENDOWMENT FUND, IS INTENDED TO BENEFIT THE WORK OF THE MEDICAL CENTER. NO OTHER RESTRICTIONS HAVE BEEN PLACED ON THE USE OF THE INTEREST THAT IS EARNED ON THE PRINCIPAL BALANCE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON FINANCIALS -22,088,239. PENSION LIABILITY ADJUSTMENT 43,143. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION -1,138,514. GAIN ON TERMINATION OF LEASE 238,255. LOSS ON EXTINGUISHMENT OF DEBT -426,761.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -1,257,074.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,257,074.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUES ON FINANCIALS 22,088,239.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,964,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,911,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,052,827	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,455,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,666,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,789,239	NetCommunityBenefitExpnsAmt
Total Expense	0.04300	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,419,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,577,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,842,066	NetCommunityBenefitExpnsAmt
Total Expense	0.05880	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,189,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,148,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,041,620	NetCommunityBenefitExpnsAmt
Total Expense	0.07490	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,204,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,619,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,584,851	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,394,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,767,953	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,626,471	NetCommunityBenefitExpnsAmt
Total Expense	0.10480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,814,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,345,820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,468,537	NetCommunityBenefitExpnsAmt
Total Expense	0.16360	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,940,501	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,782,150	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$64,630,426	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$52,362,300	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$12,268,126	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	RUMCSI.ORG/UPLOADS/PUBLIC/DOCUMENTS/FINANCIAL%20ASSISTANCE%20POLICY%20WEBSI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	RUMCSI.ORG/UPLOADS/PUBLIC/DOCUMENTS/INITIAL%20APPLICATION.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	RUMCSI.ORG/FINANCIALASSISTANCESUMMARY	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

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ExplanationExplanationTxt

RICHMOND MEDICAL CENTER

PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS A SIGNIFICANT ASPECT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. RUMC COLLABORATED WITH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE TO OBTAIN COMMUNITY MEMBER INPUT. THE HEALTH DEPARTMENT HELD COMMUNITY CONSULTATIONS IN NEIGHBORHOODS ACROSS THE CITY, INCLUDING STATEN ISLAND, BETWEEN OCTOBER 2015 AND MARCH 2016. THEY SPOKE WITH MORE THAN 800 NEW YORKERS ABOUT TAKE CARE NEW YORK 2020 (TCNY 2020) GOALS AND LOCAL PRIORITIES FOR CHANGE. TAKE CARE NEW YORK 2020 IS THE CITY'S PLAN TO IMPROVE RESIDENT HEALTH AND ADDRESS HEALTH DISPARITY. THE INPUT RECEIVED AT THE COMMUNITY CONSULTATIONS WILL HELP RUMC COLLABORATE WITH THE HEALTH DEPARTMENT AND THE COMMUNITY TO PLAN FOR ACTION.TO AUGMENT THE COMMUNITY CONSULTATIONS, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED IN AUGUST 2016 TO SOLICIT INPUT FROM COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. KEY INFORMANTS WERE ASKED A SERIES OF QUESTIONS ABOUT THEIR PERCEPTIONS OF HEALTH NEEDS IN THE COMMUNITY, HEALTH DRIVERS, BARRIERS TO CARE, QUALITY AND RESPONSIVENESS OF HEALTH PROVIDERS, AND RECOMMENDATIONS FOR COMMUNITY HEALTH IMPROVEMENT.AT EACH COMMUNITY CONSULTATION HOSTED BY THE HEALTH DEPARTMENT, PARTICIPANTS WERE ASKED TO RANK THE INDICATORS OUTLINED IN THE TCNY 2020 PLAN ACCORDING TO ORDER OF IMPORTANCE FOR THE LOCAL COMMUNITY, WHERE THE #1 RANK REPRESENTS THE MOST IMPORTANT INDICATOR. ADDITIONALLY, PARTICIPANTS WERE ENGAGED IN DISCUSSIONS ABOUT THE HEALTH GOALS OF THE LOCAL COMMUNITY AND LOCAL ASSETS THAT CAN HELP ACHIEVE THOSE GOALS.

RICHMOND MEDICAL CENTER

PART V, SECTION B, LINE 11: RUMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT WHICH HAS IDENTIFIED THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE AND ITS UNDERLYING CAUSES AS THE SINGLE MOST IMPORTANT HEALTH NEED FACING THE BOROUGH OF STATEN ISLAND WHERE SIGNIFICANT DISPARITIES EXIST ACROSS ETHNICITIES DUE TO SOCIOECONOMIC FACTORS. THE DECISION WAS SUPPORTED BY SURVEY RESPONDENTS WHO WERE QUERIED AS TO THEIR PREFERENCE FOR ADDRESSING THE 5 PRIORITY AREAS OUTLINED IN THE STATE'S PREVENTION AGENDA. RUMC HAS DECIDED TO ALIGN ITS INTERVENTIONS WITH THOSE RECOMMENDED BY THE NYS PREVENTION AGENDA 2013 - 2017 AND NYC TAKE CARE NEW YORK IN DEVELOPING ITS IMPLEMENTATION STRATEGY. TOWARD THAT END WE FEEL WE HAVE ADDRESSED THE HIGH PRIORITY AREAS NEEDS AREAS AND THE PLAN AND OUR INTERVENTIONS ARE DISCUSSED MORE FULLY IN PART VI. RUMC LEADERSHIP RECOGNIZES THAT THE HOSPITAL CAN HAVE THE GREATEST IMPACT ON THE COMMUNITY BY FOCUSING HEALTH IMPROVEMENT EFFORTS ON THE MOST PRESSING NEEDS IDENTIFIED FROM THE CHNA RESEARCH. RUMC WILL CONTINUE EXISTING EFFORTS AND WILL LEND SUPPORT TO OTHER LEAD ORGANIZATIONS, BUT WILL NOT DEVELOP A SPECIFIC FOCUS FOR THE FOLLOWING NEW YORK STATE PREVENTION AGENDA PRIORITIES:- PROMOTE A HEALTHY AND SAFE ENVIRONMENT- PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN- PREVENT SEXUALLY TRANSMITTED DISEASES, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTS ASSOCIATED WITH CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTS ASSOCIATED WITH "OTHER BENEFITS" WERE DETERMINED USING THE ACTUAL COSTS INCURRED BY THE PROGRAM USING AN INDIRECT OVERHEAD ALLOCATION, ADJUSTED FOR THE ACTUAL LOCATION OF THE PROGRAM.
PART I, LINE 7G:	THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNT REPORTED FOR SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $22,088,239.
PART III, LINE 2:	THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, LINE 3:	THE COSTING METHODOLOGY USED TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY WAS THE RATIO OF APPROVED CHARITY CARE APPLICATIONS TO TOTAL APPLICATIONS APPLIED TO SELF PAY BAD DEBTS ASSOCIATED WITH PATIENTS WHO DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBT RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE STILL PROVIDING SERVICES TO THESE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
PART III, LINE 4:	ACCOUNTS RECEIVABLE, PATIENTS, ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, LINE 9B:	ALL PATIENTS WITH SELF PAY BALANCES RELATED TO SERVICES RENDERED AT RICHMOND UNIVERSITY MEDICAL CENTER ARE GIVEN THE OPPORTUNITY TO ADDRESS THEIR RESPONSIBILITY THROUGH A PAYMENT ARRANGEMENT OR A REDUCED FEE, BASED ON THE CRITERIA OF OUR FINANCIAL ASSISTANCE PROGRAM. A SLIDING FEE SCALE IS UTILIZED AND IS BASED UPON FAMILY INCOME AND NUMBER OF FAMILY MEMBERS. ALL PATIENTS WILL RECEIVE STATEMENTS AND/OR LETTERS AND ARE GIVEN THE OPPORTUNITY TO SATISFY THEIR OBLIGATION TO THE FACILITY PRIOR TO TRANSFER TO A COLLECTION AGENCY AND WRITE-OFF TO A BAD DEBT. PATIENTS WHO CANNOT AFFORD TO PAY ARE OFFERED INSTALLMENT PAYMENTS OR A REDUCTION IN BALANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM (FAP).
PART VI, LINE 2:	RICHMOND UNIVERSITY MEDICAL CENTER'S (RUMC) BOARD, ADMINISTRATION AND STAFF FUNCTION FROM AN UNDERSTANDING THAT HEALTH IS THE CORNERSTONE OF A PRODUCTIVE AND POSITIVE QUALITY-OF-LIFE FOR EVERY STATEN ISLANDER. AS SUCH, OUR FOCUS IS NOT ONLY ON HEALING THE SICK, BUT ALSO UNDERSTANDING THE ROOT CAUSE OF CONDITIONS AFFECTING STATEN ISLANDERS AND WHAT WE CAN DO TO PREVENT THE DISEASE PROCESSES PREVALENT IN OUR COMMUNITY. RUMC UTILIZES A VARIETY OF SOURCES AND APPROACHES TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY WE SERVE.COMMUNITY BENEFIT PLANNING IS FORMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NEW YORK STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. RUMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS OUR PRIMARY SERVICE AREA, STATEN ISLAND. THE 2016 CHNA BUILDS UPON OUR 2013 CHNA AND WAS CONDUCTED IN A TIMELINE CONSISTENT WITH THE REQUIREMENTS SET FORTH BY THE AFFORDABLE CARE ACT FOR NON-PROFIT HOSPITALS AND THE NEW YORK STATE DEPARTMENT OF HEALTH COMMUNITY SERVICE PLAN INITIATIVE. THE PURPOSE OF THE ASSESSMENT WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS. WE EXAMINED A VARIETY OF HOUSEHOLD AND HEALTH STATISTICS TO CREATE A FULL PICTURE OF THE HEALTH AND SOCIAL DETERMINANTS ACROSS STATEN ISLAND. THE FINDINGS HELP ENSURE THAT OUR INITIATIVES, ACTIVITIES AND PARTNERSHIPS MEET THE NEEDS OF OUR COMMUNITIES. QUANTITATIVE AND QUALITATIVE METHODS, REPRESENTING BOTH PRIMARY AND SECONDARY RESEARCH, WERE USED TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS STATEN ISLAND. PRIMARY RESEARCH METHODS SOUGHT TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH METHODS SOUGHT TO IDENTIFY COMMUNITY HEALTH NEEDS AND TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. THE FOLLOWING RESEARCH WAS CONDUCTED TO DETERMINE COMMUNITY HEALTH NEEDS: 1) A REVIEW OF PUBLIC HEALTH AND DEMOGRAPHIC DATA PORTRAYING THE HEALTH AND SOCIOECONOMIC STATUS OF THE COMMUNITY; AND 2) A KEY INFORMANT SURVEY WITH 30 COMMUNITY REPRESENTATIVES WAS USED TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES. THE 2016 CHNA WAS OVERSEEN BY A STEERING COMMITTEE OF REPRESENTATIVES FROM RUMC AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, WITH INPUT FROM COMMUNITY REPRESENTATIVES AND PARTNERS.RUMC LEADERSHIP REVIEWED FINDINGS FROM THE CHNA RESEARCH, INCLUDING PUBLIC HEALTH AND SOCIOECONOMIC MEASURES AND INPUT RECEIVED FROM KEY INFORMANTS, TO DETERMINE THE HIGHEST PRIORITIES ACROSS STATEN ISLAND AND TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS. BASED ON THE 2016 CHNA RESEARCH FINDINGS AND EXISTING SERVICES, RESOURCES, AND AREAS OF EXPERTISE, RUMC SELECTED PRIORITIES TO ADDRESS DURING THE NEXT THREE YEAR CYCLE. THE PRIORITIES ARE ALIGNED WITH THE NEW YORK STATE PREVENTION AGENDA AND TAKE CARE NEW YORK 2020. THE RATIONALE AND CRITERIA USED TO SELECT THESE PRIORITIES INCLUDED: A) PREVALENCE OF DISEASE AND NUMBER OF COMMUNITY MEMBERS IMPACTED; B) RATE OF DISEASE IN COMPARISON TO LOCAL AND NATIONAL BENCHMARKS; C) HEALTH DISPARITIES AMONG RACIAL AND ETHNIC MINORITIES; D) EXISTING PROGRAMS, RESOURCES, AND EXPERTISE TO ADDRESS THE ISSUE; E) INPUT FROM REPRESENTATIVES OF UNDERSERVED POPULATIONS; AND F) ALIGNMENT WITH CONCURRENT PUBLIC HEALTH AND SOCIAL SERVICE ORGANIZATION INITIATIVES.PRIORITY I: PREVENT CHRONIC DISEASESCHRONIC DISEASE RATES ARE INCREASING ACROSS THE NATION AND ARE THE LEADING CAUSES OF DEATH AND DISABILITY. THE STATEN ISLAND HEART DISEASE DEATH RATE IS THE HIGHEST OF THE NYC BOROUGHS, AND EXCEEDS THE NATIONAL RATE. HEART DISEASE IS OFTEN A RESULT OF HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL. MORE THAN 25% OF STATEN ISLAND ADULTS REPORT HAVING HIGH BLOOD PRESSURE AND/OR HIGH CHOLESTEROL, A SIMILAR PERCENTAGE TO NYC OVERALL. STATEN ISLAND HAS HIGHER CANCER INCIDENCE AND DEATH RATES COMPARED TO ALL OF NYC. AMONG THE FOUR MOST COMMONLY DIAGNOSED CANCERS (FEMALE BREAST, COLORECTAL, LUNG, AND PROSTATE), STATEN ISLAND INCIDENCE RATES EXCEED NYC FOR ALL CANCER TYPES, EXCEPT PROSTATE. STATEN ISLAND DEATH RATES EXCEED NYC FOR ALL CANCER TYPES, EXCEPT FEMALE BREAST. STATEN ISLAND LUNG CANCER INCIDENCE AND DEATH RATES ARE THE HIGHEST IN COMPARISON TO NYC. CHRONIC LOWER RESPIRATORY DISEASE (CLRD) ENCOMPASSES DISEASES LIKE CHRONIC OBSTRUCTIVE PULMONARY DISORDER, EMPHYSEMA, AND ASTHMA. STATEN ISLAND HAS THE HIGHEST RATE OF CLRD DEATH AMONG NYC BOROUGHS; THE RATE INCREASED 6 POINTS FROM 2008 TO 2014. STATEN ISLAND ALSO HAS THE HIGHEST PERCENTAGE OF ADULTS WITH A CURRENT ASTHMA DIAGNOSIS.CHRONIC DISEASES ARE OFTEN PREVENTABLE THROUGH REDUCED HEALTH RISK BEHAVIORS LIKE SMOKING, INCREASED PHYSICAL ACTIVITY AND GOOD NUTRITION, AND EARLY DETECTION. STATEN ISLAND CONTINUES TO HAVE THE HIGHEST ADULT SMOKING RATE AMONG NYC BOROUGHS, AND EXCEEDS THE HEALTHY PEOPLE 2020 GOAL FOR SMOKING (12%) BY NEARLY 5 POINTS. THE PERCENTAGE OF STATEN ISLAND HIGH SCHOOL STUDENTS WHO REPORT SMOKING CIGARETTES ON ONE OR MORE OF THE PAST 30 DAYS IS THE HIGHEST OF THE FIVE BOROUGHS AND EXCEEDS THE NYC AVERAGE BY NEARLY 4 POINTS. IN STATEN ISLAND, THE PERCENTAGE OF OBESE ADULTS IS ALSO NEARLY 5 POINTS HIGHER THAN THE CITY AVERAGE. TO ADDRESS THESE IDENTIFIED HEALTH RISKS, RUMC IS UNDERTAKING A MULTI-FACETED APPROACH WITH THE GOAL TO INCREASE SCREENING RATES FOR CARDIOVASCULAR DISEASE, DIABETES AND BREAST, CERVICAL AND COLORECTAL CANCERS, ESPECIALLY AMONG DISPARATE POPULATIONS. THIS APPROACH INCLUDES, BUT IS NOT LIMITED TO: A) CONTINUING AS A PARTNER IN THE NEW YORK STATE DEPARTMENT OF HEALTH CANCER SERVICES PROGRAM, OFFERING FREE BREAST, CERVICAL, AND COLORECTAL SCREENINGS TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED; B) CONTINUING TO OFFER THE BREAST HEALTH PATIENT NAVIGATION INITIATIVE, PROVIDING FREE MAMMOGRAPHY EDUCATION AND SCREENINGS AND SUPPORTING WOMEN WHO HAVE ABNORMAL MAMMOGRAPHY FINDINGS AND BARRIERS TO ACCESSING APPROPRIATE CARE (TRANSPORTATION, CHILDCARE, INABILITY TO PAY, ETC.); C) FOSTERING COLLABORATION AMONG COMMUNITY-BASED ORGANIZATIONS AND CLINICIANS TO IDENTIFY UNDERSERVED POPULATIONS AND IMPLEMENT PROGRAMS TO IMPROVE EDUCATION AND ACCESS FOR PREVENTATIVE SERVICES; D) USING MEDIA AND HEALTH COMMUNICATIONS TO BUILD PUBLIC AWARENESS AND DEMAND FOR PREVENTATIVE SERVICES; E) CONTINUE UTILIZING ELECTRONIC HEALTH RECORDS AND THE PATIENT PORTAL TO REMIND PATIENTS OF PREVENTIVE AND FOLLOW-UP CARE SERVICES; F) PARTICIPATING IN COMMUNITY HEALTH AND OUTREACH EVENTS HOSTED BY STATEN ISLAND PARTNER ORGANIZATIONS AND BUSINESSES TO PROMOTE FREE SCREENINGS AND EDUCATION; AND G) PARTNERING WITH THE STATEN ISLAND PERFORMING PROVIDER SYSTEM (SI PPS) TO DEVELOP A PUBLIC CAMPAIGN TO PROMOTE UTILIZATION OF PREVENTIVE CARE SERVICES. IN ADDITION, RICHMOND UNIVERSITY MEDICAL CENTER IS A PARTNER IN THE SI PPS DIABETES MANAGEMENT PROJECT. THE GOAL OF THE PROJECT IS TO ENSURE THAT CLINICAL PRACTICES IN THE COMMUNITY AND AMBULATORY CARE SETTINGS USE EVIDENCE-BASED STRATEGIES TO IMPROVE MANAGEMENT OF DIABETES AND LINK PATIENTS TO SELF-MANAGEMENT PROGRAMS. IN ADDITION TO THE ROBUST ENDOCRINE SERVICES ALREADY OFFERED BY RUMC, RUMC HAS IMPLEMENTED A BARIATRIC PROGRAM THAT INCLUDES BOARD CERTIFIED BARIATRIC SURGEONS AND BARIATRIC SURGERY INTERVENTIONS. BARIATRIC SURGERY IS AN EVIDENCE-BASED PROCEDURE THAT HAS BEEN PROVEN EFFECTIVE IN IMPROVING POPULATION HEALTH WITH REGARD TO OBESITY AND DIABETES.TO REDUCE ILLNESS, DISABILITY, AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE, RUMC CONTINUES TO OFFER A TOBACCO CESSATION PROGRAM FOR ADULTS AGES 18 YEARS OR OLDER. THE 6-WEEK PROGRAM IS LED BY A LUNG NURSE NAVIGATOR. PARTICIPANTS ARE PROVIDED INFORMATION, INDIVIDUAL COUNSELING, AND COPING MECHANISMS IN ORDER TO BETTER FIGHT THEIR ADDICTION. THE LUNG NURSE NAVIGATOR MAINTAINS CONSTANT CONTACT WITH PARTICIPANTS, OFFERING THEM SUPPORT AND ASSISTANCE WHENEVER THE NEED ARISES. RUMC ALSO CONTINUES TO PROMOTE AND PUBLICIZE THE NYS SMOKERS' QUITLINE, ESPECIALLY AMONG DISPARATE POPULATIONS.
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:	RICHMOND UNIVERSITY MEDICAL CENTER PRIMARILY SERVES STATEN ISLAND, ONE OF FIVE BOROUGHS COMPRISING NEW YORK CITY. STATEN ISLAND'S 2017 POPULATION OF 479,458 REPRESENTS AN INCREASE OF 2.3% FROM THE 2010 CENSUS. OUR POPULATION IS A CROSS MIX OF THE OVERALL POPULATION, HOWEVER WE ARE LOCATED ON THE NORTH SHORE. AS A RESULT, RUMC TREATS A SIGNIFICANTLY HIGHER NUMBER OF THE UNDERSERVED AND UNDER INSURED THAN HEALTHCARE PROVIDERS IN OTHER AREAS OF STATEN ISLAND.THE PRIMARY SERVICE AREA FOR RUMC INCLUDES THE ZIP CODE COMMUNITIES IN ST. GEORGE (10301), PORT RICHMOND (10302); MARINER'S HARBOR (10303); STAPLETON (10304); ROSEBANK (10305), WEST BRIGHTON (10310), AND WILLOWBROOK (10314). COMPARISON OF EACH ZIP CODE SHOWS THAT FIVE OF THE ZIP CODES IN RUMC'S PRIMARY SERVICE AREA HAVE THE HIGHEST NUMBER OF FAMILIES LIVING IN POVERTY (10310, 10303, 10304, 10302, 10301). IN FACT THERE ARE TWICE AS MANY FAMILIES LIVING IN POVERTY IN THE 10310 ZIP CODE THAN COMPARED TO THE BOROUGH OVERALL.STATEN ISLAND RESIDENTS ARE LESS LIKELY TO SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE WHEN COMPARED TO THE NATION, BUT MORE LIKELY WHEN COMPARED TO NEW YORK CITY. THE BOROUGH'S MOST COMMON LANGUAGES, OTHER THAN ENGLISH, ARE INDO-EUROPEAN (12.3%) AND SPANISH (10.5%). RESIDENTS IN ZIP CODES 10305 AND 10303 ARE THE LEAST LIKELY TO SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE (51.9% AND 58.2% RESPECTIVELY). INDO-EUROPEAN LANGUAGES ARE THE SECOND MOST COMMON LANGUAGES IN ZIP CODE 10305, WHILE SPANISH IS THE SECOND MOST COMMON LANGUAGE IN ZIP CODE 10303.STATEN ISLAND HAS A COMPARABLE RACIAL AND ETHNIC MAKEUP TO THE NATION WITH 39.9% OF RESIDENTS IDENTIFYING WITH A RACE OTHER THAN WHITE AND 18.6% OF RESIDENTS IDENTIFYING AS HISPANIC OR LATINO. STATEN ISLAND IS LESS RACIALLY AND ETHNICALLY DIVERSE COMPARED TO NEW YORK CITY OVERALL. THE BOROUGH'S MEDIAN AGE IS OLDER THAN CITY AND NATIONAL MEDIANS.CURRENTLY 15.8% OF STATEN ISLAND'S POPULATION IS 65 YEARS OF AGE AND OLDER. WITH THIS STEADY INCREASE IN POPULATION AND THE RISING TREND IN THE AGING OF STATEN ISLAND'S POPULATION OVERALL, THE COMMUNITY IS EXPERIENCING A RISE IN HEALTHCARE NEEDS AND HEALTHCARE COSTS. AS MORE BABY BOOMERS DEVELOP CHRONIC ILLNESSES, THE DEMAND ON THE HEALTHCARE SYSTEM WILL RISE. WITH THIS IN MIND, RICHMOND UNIVERSITY MEDICAL CENTER RECOGNIZES THAT ITS FOCUS MUST SHIFT TO PREVENTION ISSUES AND KEEPING PEOPLE HEALTHY.
PART VI, LINE 5:	RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 400-PLUS BED HOSPITAL, ONE OF ONLY TWO PRIVATE HOSPITALS SERVING THE ENTIRE POPULATION OF THE BOROUGH. OUR COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENING, REACH THOUSANDS EACH YEAR. THE HOSPITAL IS THE MAIN SPONSOR AND/OR ACTIVE PARTICIPANT IN SEVERAL ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND, INCLUDING THE STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION'S HEALTH AND WELLNESS CONFERENCE HELD EACH FALL. THE CONFERENCE OFFERS THOUSANDS OF RESIDENTS A FORUM TO HAVE ACCESS TO EDUCATIONAL MATERIALS, SPEAK WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS, AND HAVE HEALTH SCREENINGS CONDUCTED ON THE PREMISES. OUR COMMUNITY OUTREACH TEAM, KNOWN AS TRAUMA, ATTENDS OVER 100 COMMUNITY EVENTS EACH YEAR, PROVIDING BROCHURES, EDUCATIONAL MATERIALS, AND HANDS ON TRAINING TO THOUSANDS OF ADULTS AND CHILDREN ANNUALLY. PROGRAMS THEY PROVIDE INCLUDE "STOP THE BLEED", WHICH DISCUSSES HOW TO HANDLE BLEEDING EMERGENCIES, AND HANDS ON CPR WHICH SHOWS PEOPLE THE BASICS OF CARDIOPULMONARY RESUSCITATION. FOR MORE THAN 30 YEARS RUMC'S WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION IS TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES. WIC SERVICES ASSIST WOMEN AND CHILDREN WHO HAVE LOW INCOME, ARE UNDOCUMENTED CITIZENS, ARE UNINSURED, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE, AND FOSTER CHILDREN. OVER 50% OF THE PEOPLE ACCESSING SERVICES AT THE WIC SITE ARE HISPANIC.RUMC HAS A WELL-ESTABLISHED HISTORY OF WORKING WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS TO WORK COLLABORATIVELY TO ASSIST THOSE IN THE BOROUGH WITH MENTAL HEALTH ISSUES. AMONG ITS PARTNERS ARE THE STATEN ISLAND MENTAL HEALTH SOCIETY, AND JEWISH BOARD OF FAMILY AND CHILDREN SERVICES. RUMC ALSO MAINTAINS RELATIONSHIPS WITH THE LOCAL COMMUNITY ORGANIZATIONS IN ITS VICINITY AND WITH STATEN ISLAND COMMUNITY BOARD #1. THE COMMUNITY HEALTH ACTION CENTER, STATEN ISLAND CHAMBER OF COMMERCE, PROJECT HOSPITALITY, AND THE PORT RICHMOND COMMUNITY HEALTH CENTER ARE JUST A FEW OF THE LOCAL ORGANIZATIONS RUMC MAINTAINS PARTNERSHIPS WITH. HOSPITAL ADMINISTRATION AND MEMBERS OF THE BOARD OF TRUSTEES VISIT ALBANY ANNUALLY TO LOBBY FOR HEALTHCARE ISSUES AND TO SPEAK WITH STATE HEALTH OFFICIALS.IN ADDITION TO THE COMMUNITY, RUMC MAINTAINS REGULAR COMMUNICATIONS WITH ALL OF STATEN ISLAND'S ELECTED OFFICIALS INCLUDING THE BOROUGH PRESIDENT. THESE PARTNERS ARE MET WITH ON A REGULAR BASIS ALLOWING ADMINISTRATION TO PROVIDE UPDATES ON SERVICE AND SEEK SUPPORT FROM THEM FOR ISSUES IMPORTANT TO THE HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 2 CONTINUATION:	IN RECENT MONTHS' RUMC HAS ALSO OPENED A STAND-ALONE CENTER FOR CANCER CARE, BRING ALL OF ITS CANCER RESOURCES FOR THE EDUCATION, DIAGNOSIS AND TREATMENT OF CANCER UNDER ONE ROOF. IN A SEPARATE LOCATION ON THE GROUNDS OF THE HOSPITAL, RUMC HAS OPENED A CARDIOPULMONARY REHABILITATION CENTER GIVING PATIENTS ACCESS TO STATE OF THE ART EQUIPMENT AND PROGRAMS SO THEY CAN LEAD HEALTHIER AND MORE PRODUCTIVE LIVES. IN THE COMING MONTHS, RUMC WILL ALSO OPEN A BREAST AND WOMAN'S CARE CENTER AS WELL AS A SEPARATE INSTITUTE FOR WEIGHT LOSS AND METABOLIC SURGERY.PRIORITY II: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE STATEN ISLAND RESIDENTS ARE PRIMARILY AFFECTED BY SUBSTANCE ABUSE ISSUES RATHER THAN MENTAL HEALTH ISSUES; HOWEVER, THERE IS A STRONG CONNECTION BETWEEN THE TWO CONDITIONS. BOTH ADULTS AND YOUTH IN STATEN ISLAND ARE MORE LIKELY TO ABUSE ALCOHOL. STATEN ISLAND HAS THE HIGHEST PERCENTAGE OF DRIVING DEATHS DUE TO ALCOHOL IMPAIRMENT AMONG ALL NYC BOROUGHS, AND HIGH SCHOOL STUDENTS ARE THE MOST LIKELY TO REPORT CONSUMING ALCOHOL AND BINGE DRINKING. APPROXIMATELY 29% OF STATEN ISLAND HIGH SCHOOL STUDENTS REPORT DRINKING WITHIN THE PAST 30 DAYS. THE DRUG-INDUCED DEATH RATE IN STATEN ISLAND IS THE HIGHEST OF ALL NYC BOROUGHS AND EXCEEDS THE NATIONAL RATE. THE RATE HAS BEEN ON THE RISE SINCE 2007, INCREASING 7 POINTS. AMONG HIGH SCHOOL STUDENTS, STATEN ISLAND HAS THE HIGHEST RATES OF SUBSTANCE ABUSE FOR ALL REPORTED DRUGS (MARIJUANA, COCAINE, HEROIN, ECSTASY, AND PAIN MEDICATION).STATEN ISLAND ADULTS REPORT A LOWER 30-DAY AVERAGE OF POOR MENTAL HEALTH DAYS WHEN COMPARED TO OTHER NYC BOROUGHS AND THE NATION AND ARE LESS LIKELY TO HAVE BEEN DIAGNOSED WITH DEPRESSION. THE STATEN ISLAND SUICIDE AND MENTAL AND BEHAVIORAL DISORDERS DEATH RATES ARE ALSO LOWER THAN BOTH NYC AND NATIONAL RATES AND MEET HEALTHY PEOPLE 2020 GOALS (AS APPLICABLE). HOWEVER, IN A 2013 SURVEY AMONG HIGH SCHOOL STUDENTS, MORE THAN 25% OF STATEN ISLAND STUDENTS REPORTED FEELING SO SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE, THAT THEY STOPPED DOING THEIR USUAL ACTIVITIES; APPROXIMATELY 9% OF STUDENTS ATTEMPTED SUICIDE ONE OR MORE TIMES DURING THE PAST YEAR. THE PERCENTAGES ARE ON PAR WITH NYC OVERALL, BUT NOTEWORTHY. LACK OF BEHAVIORAL HEALTH SERVICES WITHIN STATEN ISLAND WAS IDENTIFIED BY KEY INFORMANTS AS A KEY BARRIER TO RECEIVING TIMELY AND APPROPRIATE CARE.TO HELP PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL (MEB) DISORDERS, RUMC IS ADDRESSING UNDERAGE DRINKING, AND NON-MEDICAL USE OF PRESCRIPTION DRUGS BY YOUTH. RUMC WILL CONTINUE TO SERVE ON THE BOARD OF ADVISORS FOR THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS AND SUPPORT THEIR INITIATIVE, TACKLING YOUTH SUBSTANCE ABUSE (TYSA). THE TYSA INITIATIVE IS A CROSS-SECTOR COALITION AIMED AT DRIVING MAJOR IMPROVEMENTS IN YOUTH SUBSTANCE ABUSE ON STATEN ISLAND. COMMON GOALS SHARED BY THE INITIATIVE ARE TO REDUCE THE PERCENTAGE OF YOUTH REPORTING ALCOHOL USE IN THE PAST 30 DAYS AND OPIATES EVER BY 2020. AS A PARTNER IN THE INITIATIVE, RUMC WILL SUPPORT ACTIVITIES TO: A) ADVOCATE FOR SYSTEMS-LEVEL CHANGE AT THE LOCAL, STATE, AND FEDERAL LEVEL; B) COLLECT AND SHARE DATA THAT DRIVES INITIATIVES; C) CONNECT THE COMMUNITY WITH NEEDED RESOURCES USING THE STATEN ISLAND DRUG AND ALCOHOL TREATMENT RESOURCE GUIDE AND RUMC BEHAVIORAL HEALTH RESOURCES; D) EDUCATE THE COMMUNITY ON SUBSTANCE ABUSE; AND E) STRENGTHEN PROVIDER AND PATIENT EDUCATION TO ADDRESS PRESCRIPTION DRUG MISUSE AND REDUCE ACCIDENTAL OVERDOSERUMC IS ALSO HELPING TO IDENTIFY AND STRENGTHEN OPPORTUNITIES FOR IMPLEMENTING MEB HEALTH PROMOTION AND MEB DISORDER PREVENTION WITH INDIVIDUALS. RICHMOND UNIVERSITY MEDICAL CENTER CONTINUES TO SERVE ON THE STEERING COMMITTEE OF THE STATEN ISLAND PPS BEHAVIORAL HEALTH INFRASTRUCTURE PROJECT (BHIP). THE GOAL OF BHIP IS TO HELP STRENGTHEN MENTAL HEALTH AND SUBSTANCE ABUSE INFRASTRUCTURE ACROSS SYSTEMS. THE PEER COUNSELOR WARM HANDOFF PROGRAM AT RUMC LAUNCHED IN 2016. THE PROGRAM CONNECTS SUBSTANCE USE DISORDER PATIENTS THAT VISIT THE EMERGENCY DEPARTMENT WITH TIMELY AND APPROPRIATE WITHDRAWAL MANAGEMENT, CARE COORDINATION, AND OTHER TREATMENT SERVICES. RUMC'S SILBERSTEIN OUTPATIENT CHEMICAL DEPENDENCE PROGRAM EXISTS TO REHABILITATE INDIVIDUALS SUFFERING FROM CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS. SILBERSTEIN PROVIDES IN-HOUSE SERVICES OFFERING SUPPORT TO CLIENTS AND THE COMMUNITY. UP TO 35 WEEKLY GROUP THERAPY SESSIONS ARE HELD AT THE CLINIC, WHILE ALCOHOLICS ANONYMOUS (AA) MEETINGS ARE HOSTED DAILY AND ARE OPEN TO THE PUBLIC. SILBERSTEIN ALSO COLLABORATES WITH OTHER AGENCIES SERVING INDIVIDUALS IN NEED OF SUBSTANCE ABUSE TREATMENT TO IMPROVE SERVICES. PARTNER AGENCIES INCLUDE TREATMENT ALTERNATIVES TO STREET CRIME (TSAC), DRUG TREATMENT COURT, ADMINISTRATION FOR CHILDREN SERVICES (ACS), AND LOCAL AND STATE REHAB, DETOX AND RESIDENTIAL FACILITIES. CLIENTS OF THE SILBERSTEIN CLINIC ARE ALSO TRAINED TO DETECT AND PREVENT AN OPIOID OVERDOSE THROUGH THE USE OF NALOXONE (NARCAN). THE NASAL SPRAY MEDICATION CAN BE ADMINISTERED TO AN OVERDOSING USER DURING AN OVERDOSE EVENT TO BLOCK THE EFFECTS OF OPIOIDS AND RESUSCITATE THE PATIENT. KITS ARE DISTRIBUTED AT SILBERSTEIN AND CLIENTELE ARE EDUCATED ON ADMINISTRATION OF THE ANTIDOTE.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL MESSINA
PRESIDENT & CEO	$834,473	$0	$0	$0	$137	$0	$166,351	$0	$18,745	$0	$1,019,706	$0	$0	$0
PIETRO CARPENITO MD
TRUSTEE	$469,204	$0	$0	$0	$13,592	$0	$52,422	$0	$24,866	$0	$560,084	$0	$13,184	$0
SAMALA SWAMY MD
TRUSTEE	$189,995	$0	$0	$0	$0	$0	$0	$0	$0	$0	$189,995	$0	$0	$0
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICIN	$469,978	$0	$0	$0	$76	$0	$51,150	$0	$18,587	$0	$539,791	$0	$0	$0
JOSEPH SAPORITO
SENIOR VP & CFO	$448,184	$0	$79,745	$0	$137	$0	$50,180	$0	$23,727	$0	$601,973	$0	$0	$0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	$513,581	$0	$0	$0	$56,503	$0	$56,494	$0	$1,992	$0	$628,570	$0	$56,239	$0
RICHARD SALHANY
SENIOR VP PROFESSIONAL SER	$416,072	$0	$0	$0	$137	$0	$40,466	$0	$24,895	$0	$481,570	$0	$0	$0
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN	$561,703	$0	$270,890	$0	$147	$0	$24,750	$0	$18,587	$0	$876,077	$0	$0	$0
LOREN HARRIS MD
MEDICAL CHAIRMAN	$755,415	$0	$0	$0	$50	$0	$24,750	$0	$1,075	$0	$781,290	$0	$0	$0
ELI SERUR
PHYSICIAN	$982,395	$0	$0	$0	$76	$0	$19,250	$0	$23,978	$0	$1,025,699	$0	$0	$0
DOUGLAS COHEN MD
PHYSICIAN	$616,172	$0	$125,000	$0	$50	$0	$19,250	$0	$23,978	$0	$784,450	$0	$0	$0
VLADIMIR RUBINSHTEY
PHYSICIAN	$251,364	$0	$368,446	$0	$12	$0	$19,250	$0	$18,587	$0	$657,659	$0	$0	$0
XIN Y LI
PHYSICIAN	$272,553	$0	$237,124	$0	$12	$0	$19,250	$0	$18,587	$0	$547,526	$0	$0	$0
PHILLIP OTTERBECK
PHYSICIAN	$200,000	$0	$319,989	$0	$10	$0	$19,250	$0	$1,075	$0	$540,324	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS ACCRUED CONTRIBUTIONS TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2018: DANIEL MESSINA, PRESIDENT & CEO - $136,101 ROSEMARIE STAZZONE, SENIOR VP NURSING & CNO - $26,244 PIETRO CARPENITO, TRUSTEE - $22,172 RICHARD SALHANEY, SENIOR VP PROFESSIONAL SERVICES - $10,216 JOSEPH SAPORITO, SENIOR VP & CFO - $19,930 THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2018: PIETRO CARPENITO, TRUSTEE - $13,184 ROSEMARIE STAZZONE, SENIOR VP NURSING & CNO - $56,239

PART I, LINE 7

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$47,286,413	TotalProceedsAmt
In Reserve Fund	$3,586,063	InReserveFundAmt
Issuance Costs From Proceeds	$1,084,150	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$6,766,329	OtherSpentProceedsAmt
Unspent	$35,849,871	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I BOX F	THE PROCEEDS OF THE 2018 BONDS WILL BE USED TO (I) REFINANCE THE MEDICAL CENTER'S EXISTING REVOLVING LOAN PAYABLE, TERM LOAN PAYABLE, AND FIRST MORTGAGE LOAN PAYABLE, (II) FINANCE THE COST OF VARIOUS CAPITAL IMPROVEMENTS TO THE MEDICAL CENTER'S CAMPUS, (III) FUND A DEBT SERVICE RESERVE FUND AND A CAPITALIZED INTEREST FUND, AND (IV) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE 2018 BONDS.
SCHEDULE K, PART II LINE 3	TOTAL PROCEEDS OF ISSUE REPORTED IN PART II LINE 3 REPRESENTS THE AMOUNT OF BOND PROCEEDS DRAWN DOWN AS OF 12/31/2018. TOTAL ISSUE PRICE OF THE 2018 BONDS IS REPORTED IN PART I.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF FORM 990 IS SENT TO MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW BEFORE FILING WITH THE IRS. THE ENTIRE BOARD RECEIVES A COPY OF FORM 990 BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY FORMS ARE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTOR LEVEL THROUGH THE PRESIDENT'S OFFICE AND COLLECTED THERE AS WELL. ALL FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER. IF POTENTIAL CONFLICTS ARE IDENTIFIED, THE INDIVIDUAL IS CONTACTED FOR ADDITIONAL INFORMATION. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE FOR ACTION WHERE APPLICABLE. A BOARD MEMBER WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER AND WILL BE EXCUSED FROM THE PORTION OF THE MEETING WHERE THE MATTER IS DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 15	IN 2009, THE ORGANIZATION'S BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND TO EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE IS ADVISED BY OUTSIDE COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT, EACH OF WHOM OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. THIS CONSULTANT WAS ENGAGED EACH YEAR FROM 2009 THROUGH 2012 TO PERFORM THESE SERVICES, AND A MARKET STUDY WAS COMPLETED IN 2015. THE COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT PERSONS. THIS COMMITTEE REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND RECORDS THEIR REVIEW IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 1A	THE EXECUTIVE COMMITTEE HAS BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THE SCOPE OF THE COMMITTEE'S AUTHORITY IS TO ACT WITH FULL POWER ON THE BEHALF OF THE BOARD OF TRUSTEES. ALL EXECUTIVE COMMITTEE MEMBERS ARE MEMBERS OF THE GOVERNING BODY. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE AS FOLLOWS: KATHRYN K. ROONEY RONALD PURPORA CATHERINE M. PAULO GINA GUTZEIT DENNIS QUIRK DANIEL J. MESSINA
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADUSTMENT 43,143. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION -1,138,514. GAIN ON TERMINATION OF LEASE 238,255. LOSS ON EXTINGUISHMENT OF DEBT -426,761.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	471464075	EIN
Primary Activities	ACCOUNTABLE CARE ORGANIZATION	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$4,871,914	TotalIncomeAmt
End Of Year Assets	$5,437,438	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RICHMOND MEDICAL CENTER FOUNDATION INC
C	$2,084,608	COST
RICHMOND MEDICAL CENTER FOUNDATION INC
D	$299,048	COST
AMBOY MEDICAL PRACTICE PC
D	$39,113,702	COST

Supplemental Information Detail SupplementalInformationDetail

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