FURP.ORG / PUBLIC DATA EXPLORER

RICHMOND MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349302805
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T08:51:33-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191037341ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN743177454EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRICHBusinessNameControlTxt
Phone7188182036PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL J MESSINAPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone7188182036PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPAPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.243.90.186IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm06:58:10IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAAD235D504C2444AEC74171655760D719365F2AAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND UNIVERSITY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDANIEL J MESSINAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$353,003,539GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RUMCSI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVISION OF HEALTH CARE SERVICES TO THE PUBLICActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2751TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$2,009TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,009NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,338,373PYContributionsGrantsAmt
CY Contributions Grants$15,836,915CYContributionsGrantsAmt
PY Program Service Revenue$316,926,823PYProgramServiceRevenueAmt
CY Program Service Revenue$323,511,304CYProgramServiceRevenueAmt
PY Investment Income$252,618PYInvestmentIncomeAmt
CY Investment Income$115,837CYInvestmentIncomeAmt
PY Other Revenue$9,258,240PYOtherRevenueAmt
CY Other Revenue$11,910,015CYOtherRevenueAmt
PY Total Revenue$336,776,054PYTotalRevenueAmt
CY Total Revenue$351,374,071CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$208,921,422PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$218,061,784CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$116,939,516PYOtherExpensesAmt
CY Other Expenses$122,650,567CYOtherExpensesAmt
PY Total Expenses$325,860,938PYTotalExpensesAmt
CY Total Expenses$340,712,351CYTotalExpensesAmt
PY Revenues Less Expenses$10,915,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,661,720CYRevenuesLessExpensesAmt
Total Assets BOY$201,173,193TotalAssetsBOYAmt
Total Assets EOY$207,563,449TotalAssetsEOYAmt
Total Liabilities BOY$130,901,208TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,471,367TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$70,271,985NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$78,092,082NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$291,117,393ExpenseAmt
Grant$0GrantAmt
Revenue$323,511,304RevenueAmt
DescRICHMOND 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 2017, APPROXIMATELY $4,521,000 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 2017, INPATIENT VOLUME EXCEEDED 17,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 87,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 57,000 EMERGENCY ROOM VISITS AND OVER 200,000 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 2017. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,600 INPATIENT AND 11,300 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 2017. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,600 AND ACCOUNTED FOR MORE THAN 16,000 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$291,117,393TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document215IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2751EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOSEPH SAPORITOPersonNm
Phone7188182036PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN KRAUSE ROONEY ESQ
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
RONALD PURPORA
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
CATHERINE M PAULO ESQ
SECRETARY1.00Yes (X)Yes (X)$0$0$0
GINA GUTZEIT
TREASURER & FINANCE CHAIR1.00Yes (X)Yes (X)$0$0$0
DANIEL MESSINA
PRESIDENT & CEO37.50Yes (X)Yes (X)$1,175,956$0$181,3412.00
REV DR TONY BAKER SR
TRUSTEE1.00Yes (X)$0$0$0
KATHERINE ANNE CONNORS
TRUSTEE1.00Yes (X)$0$0$0
PIETRO CARPENITO MD
TRUSTEE37.50Yes (X)$522,754$0$67,779
SARA WARREN GARDNER MPH
TRUSTEE1.00Yes (X)$0$0$0
JAMES P MOLINARO
TRUSTEE1.00Yes (X)$0$0$0
ALAN BERNIKOW
TRUSTEE1.00Yes (X)$0$0$0
JILL O'DONNELL-TORMEY PHD
TRUSTEE1.00Yes (X)$0$0$0
ALLAN WEISSGLASS
TRUSTEE1.00Yes (X)$0$0$0
DENNIS W QUIRK
TRUSTEE1.00Yes (X)$0$0$0
JOHN C SANTORA
TRUSTEE1.00Yes (X)$0$0$01.00
JOHN VINCENT SCALIA SR
TRUSTEE1.00Yes (X)$0$0$0
PANKAJ R PATEL
TRUSTEE/CHAIR OF PSYCHIATRY8.00Yes (X)$156,544$0$01.00
SAMALA SWAMY MD
TRUSTEE10.00Yes (X)$186,602$0$0
FRANK SCAFURI MD
TRUSTEE21.00Yes (X)$92,915$0$28,143
STEVE KLEIN
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH MOTTA MD
TRUSTEE (UNTIL 9/17)25.00Yes (X)$234,800$0$20,775
DANIEL PAULO MD
TRUSTEE (UNTIL 1/17)1.00Yes (X)$0$0$0
JOSEPH SAPORITO
SENIOR VP & CFO37.50Yes (X)$570,043$0$73,4582.00
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO37.50$649,031$0$57,980Yes (X)
RICHARD SALHANY
SENIOR VP PROFESSIONAL SERVICES37.50$427,760$0$64,2061.00Yes (X)
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN37.50$695,231$0$42,887Yes (X)
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICINE/CMO40.00$213,780$0$42,195Yes (X)
LOREN HARRIS MD
MEDICAL CHAIRMAN40.00$734,904$0$19,975Yes (X)
VLADIMIR RUBINSHTEY
PHYSICIAN37.50$858,699$0$37,487Yes (X)
PHILLIP OTTERBECK
PHYSICIAN40.00$637,745$0$19,9751.00Yes (X)
ELI SERUR
PHYSICIAN40.00$728,031$0$42,878Yes (X)
DOUGLAS COHEN MD
PHYSICIAN40.00$505,826$0$42,878Yes (X)
XIN Y LI
PHYSICIAN40.00$483,210$0$37,487Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,873,831TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$779,444TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K416IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RICHMOND EMERGENCY ASSOCIATES
3 CENTURY DRIVEPARSIPPANYNJ07054EMERGENCY ROOM DOCTOR STAFFING$1,546,525
DIALYSIS CLINICAL INC (DCI)
800 CASTLETON AVESTATEN ISLANDNY10310ACUTE SERVICES FEES$805,467
RN STAFFING SOLUTIONS LLC
1672 VICTORY BLVDSTATEN ISLANDNY10314STAFFING$731,888
RESTORIX HEALTH
445 HAMILTON AVE 800WHITE PLAINSNY10601WOUND CARE SERVICES$697,601
NEXERA CONSULTING
555 WEST 57TH ST 15TH FLOORNEW YORKNY10019PURCHASING SERVICES$577,931
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt
Related Organizations$2,644,500RelatedOrganizationsAmt
Government Grants$13,115,302GovernmentGrantsAmt
All Other Contributions$77,113AllOtherContributionsAmt
Total Contributions$15,836,915TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUES621990$317,239,613$317,239,613
NYS DOH PUBLIC POOL REV621990$6,271,691$6,271,691
FieldValueIRS element (for citing)
Total Program Service Revenue$323,511,304TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,662TotalRevenueColumnAmt
Unrelated Business Revenue$2,009UnrelatedBusinessRevenueAmt
Exclusion$102,653ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,733,984RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,629,468RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$104,516RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,516TotalRevenueColumnAmt
Exclusion$104,516ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,175SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,175SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,175TotalRevenueColumnAmt
Exclusion$11,175ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
VENDOR REBATES AND REFUNDS900099$6,022,616$6,022,616
STUDENT SERVICES INCOME900099$2,568,482$2,568,482
SHARED SERVICES900099$1,602,423$1,602,423

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,611,978TotalRevenueColumnAmt
Exclusion$1,611,978ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,805,499OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$351,374,071TotalRevenueColumnAmt
Related Or Exempt Func Income$323,511,304RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,009UnrelatedBusinessRevenueAmt
Exclusion$12,023,843ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,003,483TotalAmt
Program Services$5,129,844ProgramServicesAmt
Management And General$873,639ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$156,774,522TotalAmt
Program Services$133,960,380ProgramServicesAmt
Management And General$22,814,142ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,988,886TotalAmt
Program Services$11,098,717ProgramServicesAmt
Management And General$1,890,169ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,324,482TotalAmt
Program Services$25,911,602ProgramServicesAmt
Management And General$4,412,880ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,970,411TotalAmt
Program Services$10,228,453ProgramServicesAmt
Management And General$1,741,958ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$207,003TotalAmt
Program Services$176,856ProgramServicesAmt
Management And General$30,147ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$241,106TotalAmt
Program Services$205,993ProgramServicesAmt
Management And General$35,113ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$42,932TotalAmt
Management And General$42,932ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,855,186TotalAmt
Program Services$25,507,237ProgramServicesAmt
Management And General$4,347,949ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$773,766TotalAmt
Program Services$661,079ProgramServicesAmt
Management And General$112,687ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,675,084TotalAmt
Program Services$1,431,134ProgramServicesAmt
Management And General$243,950ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,779TotalAmt
Program Services$3,229ProgramServicesAmt
Management And General$550ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,423,373TotalAmt
Program Services$3,779,177ProgramServicesAmt
Management And General$644,196ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$81,736TotalAmt
Program Services$69,832ProgramServicesAmt
Management And General$11,904ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$358,478TotalAmt
Program Services$306,271ProgramServicesAmt
Management And General$52,207ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$711,363TotalAmt
Program Services$607,764ProgramServicesAmt
Management And General$103,599ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,701,486TotalAmt
Program Services$7,434,248ProgramServicesAmt
Management And General$1,267,238ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,476,079TotalAmt
Program Services$5,532,938ProgramServicesAmt
Management And General$943,141ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$35,945,741$30,710,796$5,234,945
BAD DEBT$21,838,322$18,657,906$3,180,416
REPAIRS & MAINTENANCE$6,094,764$5,207,155$887,609
LABORATORY SERVICES$1,471,326$1,257,050$214,276

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,749,043TotalAmt
Program Services$3,239,732ProgramServicesAmt
Management And General$509,311ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$340,712,351TotalAmt
Program Services$291,117,393ProgramServicesAmt
Management And General$49,594,958ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,582BOYAmt
EOY$2,581EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,654,206BOYAmt
EOY$32,027,208EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,770,641BOYAmt
EOY$36,008,990EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,457,719BOYAmt
EOY$6,048,655EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,930,006BOYAmt
EOY$6,288,940EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,208,604BOYAmt
EOY$1,767,629EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$122,241,286LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,123,694LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$68,634,377BOYAmt
EOY$77,117,592EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$733,935BOYAmt
EOY$616,628EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,731,123BOYAmt
EOY$47,635,226EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$201,173,193BOYAmt
EOY$207,563,449EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,493,204BOYAmt
EOY$41,953,297EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,794,832BOYAmt
EOY$3,981,568EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$13,688,737BOYAmt
EOY$10,807,030EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,924,435BOYAmt
EOY$72,729,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$130,901,208BOYAmt
EOY$129,471,367EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,809,767BOYAmt
EOY$73,340,992EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,117,571BOYAmt
EOY$4,406,443EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,647BOYAmt
EOY$344,647EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,271,985BOYAmt
EOY$78,092,082EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,173,193BOYAmt
EOY$207,563,449EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,661,720ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$43,811NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,885,434OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$42,932OtherActivitiesAmt
Total Lobbying Expenditures$42,932TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAID THE FOLLOWING DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, OF WHICH A PERCENTAGE WAS ALLOCABLE TO LOBBYING COSTS: AHA - $65,104, (DUES) X 22.98% (APPROX. LOBBYING PERCENTAGE) = $14,961 HANYS - $77,114 (DUES) X 21.02% (APPROX. LOBBYING PERCENTAGE) = $16,209 GNYHA - $13,110 (DUES) X 89.72% (APPROX. LOBBYING PERCENTAGE) = $11,762ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$344,647BeginningYearBalanceAmt
End Year Balance$344,647EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$344,647BeginningYearBalanceAmt
End Year Balance$344,647EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$344,647BeginningYearBalanceAmt
End Year Balance$344,647EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$344,647BeginningYearBalanceAmt
End Year Balance$344,647EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$344,647BeginningYearBalanceAmt
End Year Balance$344,647EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,545,221OtherCostOrOtherBasisAmt
Depreciation$8,499,306DepreciationAmt
Book Value$38,045,915BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,124,827OtherCostOrOtherBasisAmt
Depreciation$809,468DepreciationAmt
Book Value$3,315,359BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,885,600OtherCostOrOtherBasisAmt
Depreciation$28,606,068DepreciationAmt
Book Value$21,279,532BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,214,474OtherCostOrOtherBasisAmt
Depreciation$7,208,852DepreciationAmt
Book Value$10,005,622BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,117,592TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$333,792
INSURANCE RECOVERIES RECEIVABLE$15,681,872
SERP PENSION ASSET$779,118
DUE FROM AFFILIATES$26,393,299
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION$3,825,617
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$621,528
FieldValueIRS element (for citing)
Total Book Value Other Assets$47,635,226TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$15,153,654
ESTIMATED MEDICAL MALPRACTICE CLAIMS$27,904,258
SERP LIABILITY$763,274
LINE OF CREDIT PAYABLE$7,294,543
ACCRUED NYSNA PENSION LIABILITY$19,739,433
CAPITAL LEASES$1,874,310
FieldValueIRS element (for citing)
Total Liability$72,729,472TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$331,209,028TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$43,811NetUnrealizedGainsInvstAmt
Other Revenue-$21,838,322OtherRevenueAmt
Revenue Not Reported-$21,794,511RevenueNotReportedAmt
Revenue Subtotal$353,003,539RevenueSubtotalAmt
Other Revenues Not Included-$1,629,468OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,629,468RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$351,374,071TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$323,388,931TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,514,902OtherExpensesIncludedAmt
Expenses Not Reported$4,514,902ExpensesNotReportedAmt
Expenses Subtotal$318,874,029ExpensesSubtotalAmt
Other Expenses Not Included$21,838,322OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$21,838,322ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$340,712,351TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 F/S -21,838,322.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -1,629,468.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 1,629,468. PENSION LIABILITY ADJUSTMENT 1,457,088. CHANGE IN INVESTMENT IN FOUNDATION 1,428,346.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED AGAINST REVENUES ON F/S 21,838,322.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,460,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,125,809DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,334,625NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,928,282TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,656,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,271,989NetCommunityBenefitExpnsAmt
Total Expense0.04790TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,388,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,782,102DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,606,614NetCommunityBenefitExpnsAmt
Total Expense0.05840TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,851,788TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,890,981DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,960,807NetCommunityBenefitExpnsAmt
Total Expense0.07830TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,800,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,894,230DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,906,215NetCommunityBenefitExpnsAmt
Total Expense0.03110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,652,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,785,211DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,867,022NetCommunityBenefitExpnsAmt
Total Expense0.10940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$159,040,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$105,567,313DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,473,636NetCommunityBenefitExpnsAmt
Total Expense0.16780TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,790,550BadDebtExpenseAmt
Bad Debt Expense Attributable$1,737,165BadDebtExpenseAttributableAmt
Reimbursed By Medicare$68,910,450ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$54,109,471CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$14,800,979MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd
FieldValueIRS element (for citing)
State License7004010HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.RUMCSI.ORG/COMMUNITYHEALTHNEEDSASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://RUMCSI.ORG/FINANCIALASSISTANCESUMMARYFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RICHMOND MEDICAL CENTERPART 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 CENTERPART 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $21,838,322.
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 STATESNY
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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL MESSINA
PRESIDENT & CEO$825,394$0$346,998$0$3,564$0$161,837$0$19,504$0$1,357,297$0$0$0
PIETRO CARPENITO MD
TRUSTEE$382,751$0$133,145$0$6,858$0$42,884$0$24,895$0$590,533$0$0$0
PANKAJ R PATEL
TRUSTEE/CHAIR OF PSYCHIATRY$126,974$0$29,570$0$0$0$0$0$0$0$156,544$0$0$0
SAMALA SWAMY MD
TRUSTEE$186,602$0$0$0$0$0$0$0$0$0$186,602$0$0$0
JOSEPH MOTTA MD
TRUSTEE (UNTIL 9/17)$234,662$0$0$0$138$0$11,944$0$8,831$0$255,575$0$0$0
JOSEPH SAPORITO
SENIOR VP & CFO$442,542$0$125,179$0$2,322$0$49,731$0$23,727$0$643,501$0$0$0
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO$508,979$0$136,488$0$3,564$0$55,988$0$1,992$0$707,011$0$0$0
RICHARD SALHANY
SENIOR VP PROFESSIONAL SERVICES$349,081$0$76,357$0$2,322$0$39,311$0$24,895$0$491,966$0$0$0
MICHAEL L MORRETTI
CHAIRMAN OF OB/GYN$561,962$0$131,289$0$1,980$0$24,300$0$18,587$0$738,118$0$0$0
MITCHELL FOGEL MD
SENIOR VP/CHAIR OF MEDICINE/CMO$213,323$0$0$0$457$0$23,608$0$18,587$0$255,975$0$0$0
LOREN HARRIS MD
MEDICAL CHAIRMAN$733,961$0$0$0$943$0$18,900$0$1,075$0$754,879$0$0$0
VLADIMIR RUBINSHTEY
PHYSICIAN$315,336$0$543,093$0$270$0$18,900$0$18,587$0$896,186$0$0$0
PHILLIP OTTERBECK
PHYSICIAN$200,385$0$437,090$0$270$0$18,900$0$1,075$0$657,720$0$0$0
ELI SERUR
PHYSICIAN$627,707$0$99,034$0$1,290$0$18,900$0$23,978$0$770,909$0$0$0
DOUGLAS COHEN MD
PHYSICIAN$505,375$0$0$0$451$0$18,900$0$23,978$0$548,704$0$0$0
XIN Y LI
PHYSICIAN$273,415$0$209,495$0$300$0$18,900$0$18,587$0$520,697$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS ACCRUED CONTRIBUTIONS TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2017: DANIEL MESSINA, PRESIDENT & CEO - $132,137 ROSEMARIE STAZZONE, SENIOR VP NURSING & CNO - $26,288 PIETRO CARPENITO, TRUSTEE - $13,184 RICHARD SALHANEY, SENIOR VP PROFESSIONAL SERVICES - $9,611 JOSEPH SAPORITO, SENIOR VP & CFO - $20,031 THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING 2017: PIETRO CARPENITO, TRUSTEE - $24,722
PART I, LINE 7AN ANNUAL INCENTIVE PROGRAM (AIP) HAS BEEN ESTABLISHED AND APPROVED BY THE FACILITY OUTLINING THE COMPONENTS OF THE BONUS PROGRAM. ORGANIZATIONAL GOALS ARE ESTABLISHED ANNUALLY. ADDITIONALLY, ANNUAL GOALS FOR EACH INDIVIDUAL ELIGIBLE FOR THE AIP PROGRAM ARE SET. THE AIP BONUS FOR EACH ELIGIBLE INDIVIDUAL IS BASED ON HOW WELL THE ORGANIZATION MET THE ESTABLISHED ORGANIZATIONAL GOALS, AND HOW WELL THAT INDIVIDUAL MET HIS/HER INDIVIDUALLY ESTABLISHED GOALS. THERE IS ALSO A SMALL PERCENTAGE THAT IS AWARDED AT THE DISCRETION OF THE CEO (OR BOARD COMMITTEE WITH RESPECT TO THE CEO'S BONUS DETERMINATION). THE APPROVAL OF ALL BONUSES ARE DOCUMENTED. THE CEO'S BONUS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE CEO APPROVES THE BONUSES OF THE OTHER SENIOR ADMINISTRATIVE STAFF.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKATHRYN K ROONEY ESQPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD CHAIRPERSONRelationshipDescriptionTxt
Transaction$59,217TransactionAmt
TransactionSEE PART V - KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (45 YEARS) RELATIONSHIP WITH THE MEDICAL CENTER AND PROVIDES, ON AN AS NEEDED, NON-EXCLUSIVE AND MARKET PRICE BASIS, SITTERS AND AIDES TO THE NURSING FLOORS. THE MEDICAL CENTER'S BOARD MAINTAINS A CONFLICT OF INTEREST POLICY, AND ALL TRANSACTIONS CONDUCTED WITH BOARD MEMBERS ARE AT ARM'S LENGTH. MS. ROONEY IS NOT A MEMBER OF THE EXECUTIVE COMPENSATION COMMITTEE AND DOES NOT VOTE ON EXECUTIVE COMPENSATION MATTERS. THIS AMOUNT REPRESENTS GROSS PAYMENTS MADE TO SAFE HARBOR HEALTHCARE SERVICES AND IS NOT NET OF EXPENSES INCURRED TO PROVIDE THESE SERVICES.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD TRUSTEES JOSEPH MOTTA, M.D. AND PIETRO CARPENITO, M.D. - BUSINESS RELATIONSHIP BOARD TRUSTEES CATHERINE PAULO AND DANIEL PAULO - FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CCONFLICT 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 15IN 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 19THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 1ATHE EXECUTIVE COMMITTEE HAS BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THE SCOPE OF THE COMMITTEE'S AUTHORITY IS TO ACT WITH FULL POWER ON THE BEHALF OF THE BOARD OF TRUSTEES. ALL EXECUTIVE COMMITTEE MEMBERS ARE MEMBERS OF THE GOVERNING BODY. THE MEMBERS OF THE EXECUTIVE COMMITTEE ARE AS FOLLOWS: KATHRYN K. ROONEY, ESQ., CHAIR ALLAN WEISSGLASS, VICE CHAIR CATHERINE M. PAULO, ESQ. SECRETARY GINA GUTZEIT, TREASURER & FINANCE CHAIR DENNIS QUIRK, CHAIR STRATEGIC PLANNING DANIEL MESSINA, PH.D., PRESIDENT & CEO, (EO)
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADUSTMENT -1,457,088. CHANGE IN BENEFICIAL INTEREST IN THE FOUNDATION -1,428,346.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND QUALITY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1335 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd
FieldValueIRS element (for citing)
EIN471464075EIN
Primary ActivitiesACCOUNTABLE CARE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$3,473,744TotalIncomeAmt
End Of Year Assets$1,209,000EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RICHMOND MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AMBOY MEDICAL PRACTICE PC
355 BARD AVENUESTATEN ISLANDNY10310263381883PHYSICIAN MEDICAL PRACTICENY501(C)(3)LINE 12A, IRICHMOND MEDICAL CENTERYes (1)
RICHMOND MEDICAL CENTER FOUNDATION INC
355 BARD AVENUESTATEN ISLANDNY10310271059815SUPPORTING ORGANIZATIONNY501(C)(3)LINE 12A, IRICHMOND MEDICAL CENTERYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRIDGE REGIONAL HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10310ZIPCd
FieldValueIRS element (for citing)
EIN205171165EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RICHMOND MEDICAL CENTER FOUNDATION INC
C$2,644,500COST
AMBOY MEDICAL PRACTICE PC
Q$17,023,220COST
AMBOY MEDICAL PRACTICE PC
D$26,289,010COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART IV, LINE 35FormAndLineReferenceDesc
ExplanationRICHMOND 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