FURP.ORG / PUBLIC DATA EXPLORER

RICHMOND MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349309060
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T14:50:25-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Charles A Barragato & Co LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third Avenue - 20th FLAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN743177454EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richmond Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% KEVIN MURPHYInCareOfNm
Business Name ControlRICHBusinessNameControlTxt
Phone7188182036PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1
Address Line2SuiteAddressLine2
CitySTATEN ISLANDCity
StateNYState
ZIP Code10310ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN MURPHYPersonNm
Person TitleSenior VP & CFOPersonTitleTxt
Phone7188182036PhoneNum
Signature2014-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo Pirozzi CPAPreparerPersonNm
PTINP00446022PTIN
Phone7188182036PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Richmond University Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerKEVIN MURPHYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10310ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$287,900,323GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rumcsi.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MEDICAL CENTER IS A NON-FOR-PROFIT HEALTH CARE PROVIDER SERVING THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2757TotalEmployeeCnt
Total Volunteers260TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$73NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,180,415PYContributionsGrantsAmt
CY Contributions Grants$22,198,170CYContributionsGrantsAmt
PY Program Service Revenue$288,111,994PYProgramServiceRevenueAmt
CY Program Service Revenue$258,289,236CYProgramServiceRevenueAmt
PY Investment Income$805,480PYInvestmentIncomeAmt
CY Investment Income$697,676CYInvestmentIncomeAmt
PY Other Revenue$8,299,862PYOtherRevenueAmt
CY Other Revenue$5,997,978CYOtherRevenueAmt
PY Total Revenue$313,397,751PYTotalRevenueAmt
CY Total Revenue$287,183,060CYTotalRevenueAmt
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$191,758,528PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$187,078,824CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$115,811,632PYOtherExpensesAmt
CY Other Expenses$89,362,749CYOtherExpensesAmt
PY Total Expenses$307,570,160PYTotalExpensesAmt
CY Total Expenses$276,441,573CYTotalExpensesAmt
PY Revenues Less Expenses$5,827,591PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,741,487CYRevenuesLessExpensesAmt
Total Assets BOY$142,847,490TotalAssetsBOYAmt
Total Assets EOY$149,297,511TotalAssetsEOYAmt
Total Liabilities BOY$120,981,755TotalLiabilitiesBOYAmt
Total Liabilities EOY$113,870,242TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,865,735NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,427,269NetAssetsOrFundBalancesEOYAmt
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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$236,130,814ExpenseAmt
Revenue$263,165,232RevenueAmt
DescRICHMOND UNIVERSITY MEDICAL CENTER IS A 478 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK.THE MAIN CAMPUS, LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND, IS LICENSED FOR 448 BEDS AND THE SECONDARY CAMPUS, LOCATED IN THE CLIFTON SECTION OF STATEN ISLAND, IS LICENSED FOR 30 BEDS. SERVICES PROVIDED AT THE WEST BRIGHTON CAMPUS, A DESIGNATED STROKE CENTER AND LEVEL 1 TRAUMA CENTER, ENCOMPASS NUMEROUS INPATIENT AND OUTPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS,OBSTETRICS/GYNECOLOGY, NICU, ADULT AND ADOLESCENT PSYCHIATRY, COMPREHENSIVE PSYCHIATRY EMERGENCY PROGRAM (CPEP) AND CLINIC SERVICES.SERVICES PROVIDED AT THE CLIFTON CAMPUS CONSIST PRIMARILY OF INPATIENT AND OUTPATIENT PSYCHIATRY SERVICES. OUTPATIENT PSYCHIATRY SERVICES. OUTPATIENT PSYCHIATRY SERVICES. OUTPATIENT PSYCHIATRY SERVICES.Desc
Total Program Service Expenses$236,130,814TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document236IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2757EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN MURPHYPersonNm
Phone7188183295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10310ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kathyrn K Rooney ESQ
Chairperson1.00.0Yes (X)Yes (X)$0$0$0
Allan Weissglass
Vice Chariperson1.00.0Yes (X)Yes (X)$0$0$0
Catherine Paulo ESQ
Secretary1.00.0Yes (X)Yes (X)$0$0$0
Gina Gutzeit
Treasurer1.00.0Yes (X)Yes (X)$0$0$0
Rev Dr Tony Baker SR
Trustee1.00.0Yes (X)$0$0$0
John Pepe MD
Trustee1.00.0Yes (X)$0$0$0
Katherine Connors
Trustee1.00.0Yes (X)$0$0$0
Pietro Carpenito MD
Trustee20.00.0Yes (X)$145,075$0$35,507
Sara W Gardner
Trustee1.00.0Yes (X)$0$0$0
James P Molinaro
Trustee1.00.0Yes (X)$0$0$0
Joseph Motta MD
Trustee20.00.0Yes (X)$233,749$0$18,873
Daniel Paulo MD
Trustee1.00.0Yes (X)$0$0$0
Jill O' Donnell-Tormey PHD
Trustee1.00.0Yes (X)$0$0$0
Ronald A Purpora
Trustee1.00.0Yes (X)$0$0$0
Dennis Quirk
Trustee1.00.0Yes (X)$0$0$0
John C Santora
Trustee1.00.0Yes (X)$0$0$0
John Vincent Scalia
Trustee1.00.0Yes (X)$0$0$0
Michael Breslin
Interim CEO/CFO40.00.0Yes (X)$608,931$0$47,579
Kevin Murphy
Executive VP & CFO40.00.0Yes (X)$32,154$0$0
Michael L Moretti MD
Chairman of OB/GYN40.00.0$770,977$0$41,643Yes (X)
Edwared Arura MD
Chief Medical Officer30.010.0$380,122$0$58,707Yes (X)
Pankaj R Patel MD
Chariman of Psychiatry40.00.0$389,429$0$41,643Yes (X)
Richard Salhaney
Senior VP Professional SER40.00.0$316,578$0$39,105Yes (X)
Brian McMahon
Chariman of Pediatrics40.00.0$149,290$0$19,910Yes (X)
Rosemarie Stazzone
Senior VP Nursing & CNO40.00.0$341,498$0$38,047Yes (X)
Anthony Barone MD
Medical Director, NICU40.00.0$478,990$0$36,640Yes (X)
Santosh Parab MD
Staff Physician, Pediatric40.00.0$406,432$0$36,594Yes (X)
Avijit Mukerji MD
Medical Director, OB/GYN40.00.0$346,051$0$36,643Yes (X)
Akella Chendrasekhar
Physician40.00.0$375,660$0$21,589Yes (X)
Philip E Otterbeck
Physician40.00.0$355,707$0$18,420Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,330,643TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$490,900TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ARAMARK CORPORATION
LOCKBOX 25271CHICAGOIL606731252FOOD SERVICES$2,777,359
RICHMOND EMERGENCY ASSOCIATION
3 CENTURY DRIVEPARSIPPANYNJ07054EMERGENCY ROOM SVCS$1,499,300
QUEST DIAGNOSTIC
7402 COLLECTION CENTER DRIVECHICAGOIL60693LAB SERVICES$839,376
DIALYSIS CLINICAL INC
800 CASTLETON AVESTATEN ISLANDNY10310DIALYSIS$743,000
NEXERA CONSULTING
555 WEST 57TH ST 15TH FLOORNEW YORKNY10019MATERIAL MGT SVCS$513,254
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Government Grants$20,897,446GovernmentGrantsAmt
All Other Contributions$1,300,724AllOtherContributionsAmt
Noncash Contributions$11,650NoncashContributionsAmt
Total Contributions$22,198,170TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUES621990$265,085,604$265,085,604$0
PROVISION FOR BAD DEBT621990-$15,666,074-$15,666,074
NYS DOH PUBLIC POOL REV621990$6,295,869$6,295,869
TEACHING REVENUE621990$2,182,182$2,182,182
CAPITATION REVENUE621910$391,655$391,655
FieldValueIRS element (for citing)
Total Program Service Revenue$258,289,236TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$524,412TotalRevenueColumnAmt
Exclusion$524,412ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$840,329RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$528,000RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$312,329RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$312,329TotalRevenueColumnAmt
Exclusion$312,329ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$152,264SecuritiesAmt
Other$21,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$152,264SecuritiesAmt
Other$21,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,264TotalRevenueColumnAmt
Exclusion$173,264ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$366,075FundraisingGrossIncomeAmt
Fundraising Direct Expenses$189,263FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,812TotalRevenueColumnAmt
Exclusion$176,812ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEANINFUL USE INCENTIVE AWARD900099$3,180,599$3,180,599
VENDOR REBATES AND REFUNDS900099$976,702$976,702
EXPENSE RECOVERY900099$718,695$718,695

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$632,841TotalRevenueColumnAmt
Related Or Exempt Func Income$111,336RelatedOrExemptFuncIncomeAmt
Exclusion$521,505ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,508,837OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,183,060TotalRevenueColumnAmt
Related Or Exempt Func Income$263,276,568RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,708,322ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,708,817TotalAmt
Program Services$3,102,121ProgramServicesAmt
Management And General$606,696ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,528,572TotalAmt
Program Services$113,358,525ProgramServicesAmt
Management And General$22,170,047ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,683,969TotalAmt
Program Services$10,609,099ProgramServicesAmt
Management And General$2,074,870ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,073,949TotalAmt
Program Services$20,972,300ProgramServicesAmt
Management And General$4,101,649ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,083,517TotalAmt
Program Services$8,434,034ProgramServicesAmt
Management And General$1,649,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$726,884TotalAmt
Program Services$607,979ProgramServicesAmt
Management And General$118,905ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$204,160TotalAmt
Program Services$170,763ProgramServicesAmt
Management And General$33,397ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$115,975TotalAmt
Program Services$115,975ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,529,198TotalAmt
Program Services$23,025,914ProgramServicesAmt
Management And General$4,503,284ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$676,827TotalAmt
Program Services$566,110ProgramServicesAmt
Management And General$110,717ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,907,362TotalAmt
Program Services$1,595,352ProgramServicesAmt
Management And General$312,010ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,514TotalAmt
Program Services$5,448ProgramServicesAmt
Management And General$1,066ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,409,907TotalAmt
Program Services$5,361,361ProgramServicesAmt
Management And General$1,048,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$77,995TotalAmt
Program Services$65,236ProgramServicesAmt
Management And General$12,759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$148,117TotalAmt
Program Services$123,888ProgramServicesAmt
Management And General$24,229ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,404,439TotalAmt
Program Services$1,174,698ProgramServicesAmt
Management And General$229,741ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,487,453TotalAmt
Program Services$4,589,804ProgramServicesAmt
Management And General$897,649ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,155,680TotalAmt
Program Services$5,985,139ProgramServicesAmt
Management And General$1,170,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$29,900,336$29,900,336$0$0
REPAIRS AND MAINTENANCE$4,122,978$3,448,533$674,445$0
LAUNDRY$1,038,052$868,245$169,807$0
DUES AND SUBSCRIPTIONS$553,180$462,691$90,489$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,897,692TotalAmt
Program Services$1,587,263ProgramServicesAmt
Management And General$310,429ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$276,441,573TotalAmt
Program Services$236,130,814ProgramServicesAmt
Management And General$40,310,759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,081,056BOYAmt
EOY$1,713,039EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,817,700BOYAmt
EOY$27,866,516EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,722,462BOYAmt
EOY$35,960,783EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$19,013,486BOYAmt
EOY$12,234,218EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,667,708BOYAmt
EOY$4,552,603EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$788,823BOYAmt
EOY$1,196,999EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,294,889LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,466,388LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,038,910BOYAmt
EOY$39,828,501EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,001,271BOYAmt
EOY$888,359EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,716,074BOYAmt
EOY$25,056,493EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$142,847,490BOYAmt
EOY$149,297,511EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,944,784BOYAmt
EOY$46,131,402EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,763,055BOYAmt
EOY$2,564,495EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,189,169BOYAmt
EOY$12,792,186EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,349,186BOYAmt
EOY$4,410,407EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,735,561BOYAmt
EOY$47,971,752EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,981,755BOYAmt
EOY$113,870,242EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,937,371BOYAmt
EOY$34,209,566EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$583,717BOYAmt
EOY$873,056EOYAmt

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$21,865,735BOYAmt
EOY$35,427,269EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$142,847,490BOYAmt
EOY$149,297,511EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,741,487ReconcilationRevenueExpnssAmt
Prior Period Adjustments$2,340,000PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$480,047OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$115,975OtherActivitiesAmt
Total Lobbying Expenditures$115,975TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1I, LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationTHE RICHMOND UNIVERSITY MEDICAL CENTER PAYS DUES TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), AND THE AMERICAN HEATRT ASSOCIATION (AHA). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HANYS AND AHA, A PORTION OF THESE DUES ARE ATTRIBUTATBEL TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2013 HANYS, GNYHA AND AHA ANNUAL DUES WERE $20,398, $80,799 AND $14,778 RESPECTIVELY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

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)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,516,364OtherCostOrOtherBasisAmt
Book Value$3,516,364BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,124,861OtherCostOrOtherBasisAmt
Depreciation$3,464,403DepreciationAmt
Book Value$25,660,458BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$244,789OtherCostOrOtherBasisAmt
Depreciation$82,836DepreciationAmt
Book Value$161,952BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,222,479OtherCostOrOtherBasisAmt
Depreciation$14,850,878DepreciationAmt
Book Value$8,222,802BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$186,396OtherCostOrOtherBasisAmt
Depreciation$68,270DepreciationAmt
Book Value$2,266,924BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,828,500TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSIT$194,195
INSURANCE REC. RECEIVABLE$20,721,400
SERP PENSION ASSET$264,075
DUE FROM AMBOY$3,876,823
FieldValueIRS element (for citing)
Total Book Value Other Assets$25,056,493TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$19,620,043
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY$28,120,358
OTHER LIABILITY$133,333
SERP PENSION LIABILITY$98,018
FieldValueIRS element (for citing)
Total Liability$47,971,752TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$296,540,320TotalRevEtcAuditedFinclStmtAmt
Other Revenue$8,639,996OtherRevenueAmt
Revenue Not Reported$8,639,996RevenueNotReportedAmt
Revenue Subtotal$287,900,324RevenueSubtotalAmt
Other Revenues Not Included-$717,264OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$717,264RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$287,183,060TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$286,100,581TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$9,659,008OtherExpensesIncludedAmt
Expenses Not Reported$9,659,008ExpensesNotReportedAmt
Expenses Subtotal$276,441,573ExpensesSubtotalAmt
Total Expenses Per Form990$276,441,573TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4THE ENDOWMENT FUND, ALSO KNOWN AS THE BELL SOCIETY ENDOWMENT FUND, IS INTENDED TO BENEFIT THE WORK OF THE MEDICAL CENTER. NO OTHER RESTRICTIONS HAVE BEEN PLACED ON THE USE OF THE INTEREST THAT IS EARNED ON THE PRINCIPAL BALANCE.
PART X, LINE 2THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE MEDICAL CENTERS POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND OTHER EXPENSES.
PART XI, LINE 2D - Other AdjustmentsAMBOY MEDICAL PRACTICE REV INCL IN CONSOL FINANCIALS $8,639,996
PART XI, LINE 4B - OTHER ADJUSTMENTSRENTAL EXPENSES $-528,000 DIRECT FUNDRAISING EXPENSES $-189,264 TOTAL TO SCHEDULE D, PART XI, LINE 4B $-717,264
PART XII, LINE 2D - Other AdjustmentsRENTAL EXPENSES $ 528,000 AMBOY MEDICAL PRACTICE EXPS INCL IN CONSOL FINANCIALS $8,941,744 FUNDRAISING DIRECT EXPENSES $ 189,264 TOTAL TO SCHEDULE D, PART XII, LINE 2D $9,659,012

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1Amt
Gross Receipts Event1$292,859GrossReceiptsEvent1Amt
Gross Revenue Event1$292,859GrossRevenueEvent1Amt
Non Cash Prizes Event1$327NonCashPrizesEvent1Amt
Rent Facility Costs Event1$61,800RentFacilityCostsEvent1Amt
Entertainment Event1$8,450EntertainmentEvent1Amt
Other Direct Expenses Event1$47,927OtherDirectExpensesEvent1Amt
Name Of Event2Golf OutingNameOfEvent2Amt
Gross Receipts Event2$73,215GrossReceiptsEvent2Amt
Gross Revenue Event2$73,215GrossRevenueEvent2Amt
Non Cash Prizes Event2$12,179NonCashPrizesEvent2Amt
Entertainment Event2$1,032EntertainmentEvent2Amt
Other Direct Expenses Event2$57,548OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$366,074GrossReceiptsTotalAmt
Gross Revenue Total Events$366,074GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$12,506NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$61,800RentFcltyCostsTotalEventsAmt
Entertainment Total Events$9,482EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$105,475OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$189,263DirectExpenseSummaryEventsAmt
Net Income Summary$176,811NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,702,805TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,189,226DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,513,579NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,933,607TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,698,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,235,275NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,636,412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,887,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,748,854NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,095,679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,653,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,442,666NetCommunityBenefitExpnsAmt
Total Expense0.08120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,528,882TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,397,557DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,131,325NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,624,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,050,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,573,991NetCommunityBenefitExpnsAmt
Total Expense0.11780TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,260,973TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,938,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,322,845NetCommunityBenefitExpnsAmt
Total Expense0.15670TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,598TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,598NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,598TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,598NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,666,074BadDebtExpenseAmt
Bad Debt Expense Attributable$1,333,081BadDebtExpenseAttributableAmt
Reimbursed By Medicare$61,899,071ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$49,401,217CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,497,854MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsInd
RICHMOND MEDICAL CENTER
1355 BARD AVENUESTATEN ISLANDNY10310Yes (X)Yes (X)Yes (X)Yes (X)
BAYLEY SETON HOSPITAL
275 VANDERBILT AVENUESTATEN ISLANDNY10304Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndOther FactorsOtherFactorsIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
RICHMOND MEDICAL CENTER
1Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)falseYes (true)Yes (X)WWW.RUMCSI.ORGYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (true)100Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
BAYLEY SETON HOSPITAL
2Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)falseYes (true)Yes (X)WWW.RUMCSI.ORGYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (true)100Yes (true)300.Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V LINE 3STATEN ISLAND HEART SOCIETY, SI CENTER FOR INDEPENDENT LIVING, EGER FOUNDATION, ST. PHILLIPS BATIST CHURCH, NORTH SHORE
PART V LINE 5PROVIDED TO LOCAL ELECTED OFFICALS FOR DISTRIBUTION TO THEIR CONSTITUENTS IN THEIR OFFICES.
PART LINE 12HSEE DESCRIBTION PART VI

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 2013 INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTS ASSOCIATED WITH "OTHER BENEFITS" WERE DETERMINED USING THE ACTUAL COSTS INCURRED BY THE PROGRAM USING AN INDIRECT OVERHEAD ALLOCATION, ADJUSTED FOR THE ACTUAL LOCATION OF THE PROGRAM.
PART I, LINE 7G:THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNT REPORTED FOR SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 2A, COLUMN (B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ -15,666,074.
PART II:TO FOSTER AND IMPROVE COMMUNITY HEALTH REQUIRES A BROAD AND COMPREHENSIVE APPROACH TO MEET DOCUMENTED HEALTHCARE NEEDS FOR STATEN ISLAND. RUMCS SELECTED PREVENTION AGENDA PRIORITIES, BASED ON COMMUNITY HEALTH NEEDS ASCERTAINED FROM STATISTICAL EVIDENCE THROUGH NEW YORK AND NEW YORK CITY DEPARTMENTS OF HEALTH INCLUDE SMOKING CESSATION, HEALTHY MOTHERS/HEALTHY BABIES, EMERGENCY PREPAREDNESS, PRIMARY CARE EXPANSION AND YOUTH SUBSTANCE ABUSE PREVENTION. PRIORITY I: SMOKING CESSATION. SINCE AUGUST, 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. FUNDED BY THE NYS DEPARTMENT OF HEALTH TOBACCO CONTROL PROGRAM, THE CENTER WORKS WITH LOCAL HEALTH CARE PROVIDERS AND HEALTH CARE ORGANIZATIONS TO IMPLEMENT SYSTEMS FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE, PROVIDES ONGOING TRAINING AND TECHNICAL ASSISTANCE, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS, AND PROGRESS REPORTS. PRIORITY II: HEALTHY MOTHERS/HEALTHY BABIES. IN AN EFFORT TO INCREASE HEALTH OUTCOMES FOR MOTHERS AND BABIES, RUMC HAS TAKEN ON THE CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE AND IS PROMOTING BREASTFEEDING TO NEW MOTHERS. THE SPECIFIC AIM OF SERVICES PROVIDED IS TO EDUCATE HIGH-RISK, UNDERSERVED WOMEN OF CHILDBEARING AGE ABOUT THE IMPORTANCE OF BREASTFEEDING, AND TO ENSURE THAT THEY HAVE THE INFORMATION TO MAKE AN INFORMED DECISION ABOUT FEEDING THEIR NEWBORNS AND THE SUPPORT THEY NEED TO SUCCEED. PARTICIPANTS IN THE CENTERING PREGNANCY HAVE DEMONSTRATED IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, HIGHER BREASTFEEDING RATES, AND REDUCED EMERGENCY DEPARTMENT VISITS. RUMC HAS ALSO ADOPTED "LATCH ON NYC" INITIATIVES DESIGNED TO PROMOTE BREASTFEEDING BY NEW MOTHERS AND AS PART OF AN OVERALL AGENDA TO BECOME A "BABY FRIENDLY" HOSPITAL. PRIORITY III: EMERGENCY PREPAREDNESS. RUMC PARTICIPATES IN THE STATEN ISLAND EMERGENCY MANAGEMENT COALITION, ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE HOSPITAL, ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES AND VOLUNTARY AMBULANCES MAKE UP THE COALITION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR, BOTH INTERNALLY AND THROUGH THE COALITION TO HELP DEFINE SHORTCOMINGS IN OUR INTERNAL AND EMERGENCY OPERATIONS PLAN (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY. IN ADDITION TO THE FOUR PRIORITY AREAS, RICHMOND UNIVERSITY MEDICAL CENTER EDUCATES, INFORMS, AND ENGAGES THE COMMUNITY WE SERVE BY PROVIDING A COMPREHENSIVE SERIES OF DIVERSE HEALTH PROGRAMS THROUGHOUT THE YEAR,INCLUDING LECTURES, WORKSHOPS, AND SCREENINGS. OUR SPEAKERS BUREAU BRINGS MEDICAL EXPERTISE AND EDUCATION PROGRAMS TO COMMUNITY GROUPS. SPEAKERS INCLUDE PHYSICIANS,NURSES, DIETICIANS, AND OTHER HEALTHCARE EXPERTS WHO PROVIDE INFORMATION ON A VARIETY OF HEALTH TOPICS. WE DISSEMINATE HEALTH INFORMATION AT LOCAL HEALTH FAIRS AND EXPOSITIONS THROUGHOUT THE ISLAND. WE WORK COLLABORATIVELY WITH PARISH NURSE PROGRAMS, SCHOOLS, AND SENIOR CENTERS TO ENCOURAGE HEALTHY LIVING AND PREVENT ILLNESS THROUGHOUT THE COMMUNITY OF STATEN ISLAND. PRIORITY IV: PRIMARY CARE EXPANSION. RICHMOND UNIVERSITY MEDICAL CENTER WAS AWARDED A GRANT BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO EXPAND ITS INTERNAL MEDICINE RESIDENCY PROGRAM TO PROMOTE CAREERS IN PRIMARY CARE. THE PROGRAM TRAINS RESIDENTS IN COMMUNITY-BASED SITES SERVING THE POOREST AND UNDERSERVED ADULT POPULATION OF STATEN ISLAND. THIS INITIATIVE ENSURES THAT HIGH-QUALITY PRIMARY CARE SERVICES ARE AVAILABLE TO STATEN ISLANDS MEDICALLY UNDERSERVED POPULATION, IMPROVE ACCESS TO CARE, AND IMPROVE PATIENT OUTCOMES FOR OPTIMAL HEALTH. THE PROGRAM PLAYS AN INTEGRAL ROLE IN PROVIDING QUALITY HEALTH CARE TO STATEN ISLANDS MINORITY, INDIGENT AND MARGINALIZED POPULATION. PRIORITY V: YOUTH SUBSTANCE ABUSE PREVENTION. RICHMOND UNIVERSITY MEDICAL CENTER IS A MEMBER OF THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, A BROAD COALITION OF HEALTH AND SOCIAL SERVICE AGENCIES THAT ADVOCATE FOR AND SUPPORT PROGRAMS THAT ENCOURAGE HEALTH AND WELLNESS. THE PARTNERSHIPS AGENDA IN 2013 WAS YOUTH SUBSTANCE ABUSE (ALCOHOL AND DRUGS) AND TOBACCO PREVENTION. STATEN ISLAND HAS RECENTLY SEEN A SURGE IN PRESCRIPTION DRUG ABUSE CASES, PARTICULARLY AMONG YOUTH. RUMCS CLINICAL CHAIR FOR PSYCHIATRY AND ITS ASSISTANT VICE PRESIDENT OF OPERATIONS SERVE ON THE STEERING COMMITTEE OF THE POLICY AND ADVOCACY WORK GROUP OF THE TACKLING YOUTH SUBSTANCE ABUSE COLLABORATIVE. IN SO DOING, THEY HAVE ASSISTED WITH VARIOUS INITIATIVES INCLUDING A DRUG TAKE-BACK DAY IN CONJUNCTION WITH THE US DRUG ENFORCEMENT AGENCY TO ENCOURAGE RESIDENTS TO RETURN UNWANTED AND EXPIRED MEDICATIONS. OTHER PRIORITIES: RUMC HAS ALSO UNDERTAKEN OTHER MEASURES DESIGNED TO ASSIST THE COMMUNITY WITH HEALTH INFORMATION AND SERVICES. RUMC RECEIVED A GRANT FROM SUSAN G. KOMEN GREATER NEW YORK CITY TO ADMINISTER A BREAST CANCER NAVIGATION PROGRAM WHEREBY WOMEN DIAGNOSED WITH THE DISEASE ARE PROVIDED ASSISTANCE TO MANAGE THEIR CARE. THE NAVIGATOR WORKS WITH EACH PATIENT INDIVIDUAL THROUGH TESTING, DIAGNOSIS, TREATMENT AND FOLLOWUP CARE AS APPROPRIATE. RUMC IS ALSO A DESIGNATED "SAFE" CENTER, WHICH PROVIDES ASSISTANCE TO VICTIMS OF SEXUAL ASSAULT AND WORKS WITH A TEAM OF SOCIAL WORKERS, LAW ENFORCEMENT PERSONNEL AND CLINICAL STAFF TO ADDRESS THE NEEDS OF THE VICTIM. FINALLY, RUMC HAS PROVIDED PERIPHERAL ARTERY DISEASE SCREENINGS, INFORMATION SESSIONS ON BARRETTS ESOPHAGUS, LACTATION FORUMS,COLORECTAL AWARENESS EVENTS, AND A HOST OF OTHER SERVICES ON AN AS NEEDED BASIS AS REQUESTED BY ITS COMMUNITY PARTNERS.
PART III, SECTION A:LINE 2: THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE #1 ON PAGES 8 AND 10 OF THE ATTACHED AFS. 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. HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. LINE 4: THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 8 & 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, SECTION B, LINE 8:COSTING METHODOLOGY/SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2013 INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, SECTION C, LINE 9B:ALL PATIENTS WITH SELF PAY BALANCES RELATED TO SERVICES RENDERED AT RICHMOND UNIVERSITY MEDICAL CENTER ARE GIVEN THE OPPORTUNITY TO ADDRESS THEIR RESPONSIBILITY THROUGH A PAYMENT ARRANGEMENT OR A REDUCED FEE, BASED ON THE CRITERIA OF OUR FINANCIAL ASSISTANCE PROGRAM. A SLIDING FEE SCALE IS UTILIZED AND IS BASED UPON FAMILY INCOME AND NUMBER OF FAMILY MEMBERS. ALL PATIENTS WILL RECEIVE STATEMENTS AND/OR LETTERS AND ARE GIVEN THE OPPORTUNITY TO SATISFY THEIR OBLIGATION TO THE FACILITY PRIOR TO TRANSFER TO A COLLECTION AGENCY AND WRITE-OFF TO A BAD DEBT. PATIENTS WHO CANNOT AFFORD TO PAY ARE OFFERED INSTALLMENT PAYMENTS OR A REDUCTION IN BALANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM (FAP).
PART V, SECTION B, LINE 12H:RICHMOND MEDICAL CENTER: NUMBER OF DEPENDENTS; ESTIMATED LIVING COSTS; OTHER HARDSHIPS BAYLEY SETON HOSPITAL: NUMBER OF DEPENDENTS; ESTIMATED LIVING COSTS; OTHER HARDSHIPS
PART VI, LINE 2:COMMUNITY BENEFIT PLANNING IS FORUMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NY STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THE NY STATE DEPARMENT OF HEALTH'S STATE PLANNING AND RESEARCH SYSTEM (SPARCS) AND THE COMMUNITY HEALTH ASSESSMENT CLEARINGHOUSE PROVIDE PREVENTION QUALITY INDICATORS WHICH RUMC USES TO DETERMINE THE MOST PRESSING HEALHTCARE NEEDS OF THE COMMUNITY. RUMC UTILIZES INFORMATION FROM THE COUNTY HEALTH ASSESSMENT INDICATORS AND COUNTY HEALTH INDICATOR PROFILES. PREVENTION QUALITY INDICATORS (PQIS) AT THE ZIP CODE LEVEL IN NEW YORK STATE ARE USED TO IDENTIFY RATES OF ADMISSION TO THE HOSPITAL FOR CONDITIONS FOR WHICH GOOD OUTPATIENT CARE CAN POTENTIALLY PREVENT THE NEED FOR HOSPITALIZATION, OR FOR WHICH EARLY INTERVENTION CAN PREVENT COMPLICATIONS OR MORE SEVERE DISEASE. PQI PROVIDES INDICATOR SETS THAT DRILL DOWN TO RICHMOND COUNTY FOR SPECIFIC DISEASE PROCESSES. OTHER DISEASE SPECIFIC TRACKING DATA SUCH AS THE NY STATE CANCER REGISTRY AND THE NY STATE HEART AND STROKE REGISTRY HELP RUMC IDENTIFY THE MOST SERIOUS HEALTH NEEDS OF OUR COMMUNITY. RUMC USES THE NY STATE IDENTIFIED PREVENTION AGENDA'S TEN PRIORITIES FOR IMPACTING THE HEALTH OF ALL NEW YORK WHEN DETERMINING COMMUNITY BENEFIT PROGRAM DEVELOPMENT. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL BEING OF OUR COMMUNITY. THROUGH MEETINGS WITH THE HOSPITAL'S COMMUNITY HEALTH ADVISORY BOARD, THE LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS AND COMMUNITY LEADERS, RUMC DEVELOPS AN OVERALL STRATEGY TO ADDRESS THE CRITICAL HEALTHCARE ISSUES FACING OUR COMMUNITY. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES BASED ON COMMUNITY HEALTH NEEDS INCLUDED SMOKING CESSATION AND HEALTHY MOTHERS/HEALTHY BABIES, EMERGENCY PREPAREDNESS, PRIMARY CARE EXPANSION AND YOUTH SUBSTANCE ABUSE PREVENTION. PRIORITY I: SMOKING CESSATION. RUMC HAS TAKEN THE ROLE OF THE LEAD AGENCY IN COMBATING TOBACCO USE AND DEPENDENCE IN RICHMOND COUNTY, WHICH HAS THE HIGHEST RATE OF SMOKING OF THE FIVE BOROUGHS. SINCE AUGUST OF 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. THE CESSATION CENTER, CALLED ASSIST (ANTI-SMOKING STATEN ISLAND SUPPORT TEAM) IS FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, TOBACCO CONTROL PROGRAM. THE GOAL OF THE PROGRAM IS TO WORK WITH LOCAL HEALTHCARE PROVIDERS TO IMPLEMENT A SYSTEM FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE. ASSIST HAS CREATED A "SUPPORT TEAM"" OF EXPERTS IN THE FIELD OF TOBACCO DEPENDENCE, WHO WORK WITH PHYSICIANS ON ADDRESSING THE IMPORTANCE OF QUITTING SMOKING WITH PATIENTS. BECAUSE TOBACCO DEPENDENCE IS A CHRONIC, RELAPSING DISEASE, WE BELIEVE THAT HEALTHCARE PROVIDERS ARE IN THE BEST POSITION TO PROVIDE MESSAGES TO THEIR PATIENTS ABOUT THE IMPORTANCE OF QUITTING AND OFFER THE HELP THEY MAY NEED. THE CESSATION CENTER PROVIDES ON-GOING STAFF TRAINING FOR PHYSICIANS AND OTHER HEALTHCARE PROVIDERS ON TREATMENT INTERVENTIONS AND EFFECTIVE COUNSELING TECHNIQUES AND TECHNICAL ASSISTANCE INCLUDING CHART REVIEWS, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS AND PROGRESS REPORTS. ALL ASSIST STAFF ARE TRAINED CERTIFIED TOBACCO TREATMENT SPECIALISTS, WHICH ENABLES THE PROGRAM TO OFFER DIRECT PATIENT CESSATION SERVICES INCLUDING A QUIT SMOKING SUPPORT GROUP, PROVIDING NICOTINE REPLACEMENT THERAPY AND OTHE RESOURCES AND SUPPORT FOR QUITTING. THE ASSIST PROGRAM ALSO WORKS WITH THE NYS DEPARTMENT OF HEALTH ON REFERRALS OF INDIVIDUAL CLIENTS TO THE "QUIT LINE" - A TOLL FREE NUMBER FOR INDIVIDUALS LOOKING TO END THEIR SMOKING HABIT. PRIORITY II: HEALTHY MOTHERS/HEALTHY BABIES. RUMC'S COMMITMENT TO THE NEEDS OF THE POOR PREGNANT, POSTPARTUM, BREASTFEEDING WOMEN, INFANTS AND CHILDREN CAN BE DEMONSTRATED ON MANY LEVELS. RUMC HAS EARNED 5 STARS, THE HIGHEST ACHIEVEMENT LEVEL FROM THE INDEPENDENT HEALTH GRADES, WHICH INDICATES THE LEVEL OF CARE IS EXCELLENT. RUMC'S NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE LOWEST MORTALITY RATES IN NEW YORK CITY. ALL NICU INFANTS WHO ARE DISCHARGED BECOME PART OF AN AUTOMATED FOLLOW -UP PROGRAM WITH THE INSTITUTE OF BASIC RESEARCH FOR EARLY DETECTION OF ANY PROBLEMS. IN ACCORDANCE WITH BEST-PRACTICE POLICIES THAT IMPROVE OUTCOMES IN INFANTS, RUMC COLLABORATES WITH THE NYC DEPARTMENT OF HEALTH AND THE UNITED HOSPITAL FUND TO DEVELOP AND IMPLEMENT POLICIES THAT SUPPORT SKIN-TO-SKIN CONTACT AT BIRTH AND THAT ENCOURAGE THE INITIATION OF BREASTFEEDING WITHIN THE FIRST HOUR OF BIRTH. PHYSICIANS ARE EDUCATED ON BREASTFEEDING, STAFF IS TRAINED AS CERTIFIED LACTATION CONSULTANTS, AND A MULTIDISCIPLINARY TEAM MEETS MONTHLY TO ENSURE THAT BREASTFEEDING PROTOCOLS AND PROCEDURES ARE FOLLOWED. THE MEDICAL CENTER FOLLOWS THE MARCH OF DIMES CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE TO PROVIDE WOMEN WITH A HOLISTIC AND COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, SUPPORT, AND ACTIVE PARTICIPATION. THE CP PROGRAM ADDRESSES AT RISK BEHAVIORS, PROVIDES GROUP SUPPORT, AND ENCOURAGES SELF MONITORING SKILLS WHICH FOSTER PATIENT KNOWLEDGE AND INVOLVEMENT. PROGRAM PARTICIPANTS DEMONSTRATE IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, ESPECIALLY FOR INFANTS DELIVERED PRETERM, HIGH BREASTFEEDING RATES AND FEWER ER VISITS. RUMC IS PLANNING TO BECOME AN OFFICIAL "BABY FRIENDLY" HOSPITAL BY SUMMER 2015. PRIORITY III: EMERGENCY PREPARDNESS. THE LAST SEVERAL YEARS HAVE SHOWN THE COUNTRY JUST HOW IMPORTANT IT IS TO BE PREPARED FOR NATURAL DISASTERS, TERRORIST ATTACKS AND MAJOR ACCIDENTS. AT RICHMOND UNIVERSITY MEDICAL CENTER, WE TAKE EMERGENCY PREPARDNESS VERY SERIOUSLY AND ARE WORKING WITH COMMUNITY AGENCIES TO ENSURE THE BEST POSSIBLE OUTCOMES FOR ALL STATEN ISLANDERS. STATEN ISLAND HAS UNIQUE GEOGRAPHIC PROPERTIES THAT PRESENT MANY CHALLENGES FOR EMERGENCY PREPARDNESS. BEING AN ISLAND WITH ONE COMMUNTER FERRY AND FOUR BRIDGES, STATEN ISLAND, ALTHOUGH PART OF NEW YORK CITY, IS HEAVILY ISOLATED. IN THE INTEREST OF HAVING THE ISLAND BE ABLE TO MANAGE ITSELF FOR THE FIRST 96 HOURS OF A WIDE SCALE OR LOCAL DISASTER, THE NEW YORK STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE SUPPORTED AN IDEA TO CREATE AN INITIATIVE FOR STATEN ISLAND IN THE EVENT OF A DISASTER. IN ADDITION TO ITS OWN INTERNAL INITIATIVES, RUMC SUBSEQUENTLY JOINED THE STATEN ISLAND EMERGENCY MANAGEMENT COALITION, WHICH WAS ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE COALITION IS COMPRISED OF RUMC ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, VOLUNTARY AMBULANCES, AND OTHER HEALTH AND SOCIAL SERVICE ORGANIZATIONS. AS PART OF THE INITIATIVE, THE STATEN ISLAND MEDICAL COMMUNICATIONS AND OPERATIONS NODE (SIMCON) WAS CREATED. THIS SYSTEM IS TESTED ON A REGULAR BASIS WITH THE MEDICAL CENTER'S PARTICIPATION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR- BOTH INTERNALLY AND THROUGH THE COALITION. THESE DRILLS HELP TO DEFINE SHORTCOMINGS IN BOTH OUR INTERNAL AND EMERGENCY OPERATION PLANS (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY. PRIORITY IV: PRIMARY CARE EXPANSION. STATEN ISLAND RESIDENTS DEMONSTRATE SOME OF THE WORST HEALTH STATISTICS CITYWIDE FOR SUCH CHRONIC CONDITIONS AS DIABETES, HEART DISEASE, STROKE AND CANCER. THIS CAN BE ATTRIBUTED TO POOR DIET, SMOKING AND OBESITY AS WELL AS TO A LACK OF PRIMARY CARE SERVICES. RUMC RECOGNIZES THAT PREVENTATIVE PRIMARY CARE IS ESSENTIAL TO STEMMING THE CURRENT HEALTH CRISES EXPERIENCED BY STATEN ISLANDERS. TOWARD THIS END, RUMC HAS ASSISTED WITH THE ESTABLISHMENT OF 4 PRIMARY CARE PRACTICES ACROSS STATEN ISLAND. PRIORITY V: YOUTH SUBSTANCE ABUSE PREVENTION. RICHMOND UNIVERSITY MEDICAL CENTER IS A MEMBER OF THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, A BROAD COALITION OF HEALTH AND SOCIAL SERVICE AGENCIES THAT ADVOCATE FOR AND SUPPORT PROGRAMS THAT ENCOURAGE HEALTH AND WELLNESS. THE PARTNERSHIP'S AGENDA IN 2013 WAS YOUTH SUBSTANCE ABUSE (ALCOHOL AND DRUGS) AND TOBACCO PREVENTION. STATEN ISLAND HAS RECENTLY SEEN A SURGE IN PRESCRIPTION DRUG ABUSE CASES, PARTICULARLY AMONG YOUTH. RUMC'S CLINICAL CHAIR FOR PSYCHIATRY, ADMINISTRATIVE DIRECTOR OF PSYCHIATRY, AVP OF OPERATIONS, ALONG WITH A BOARD MEMBER SERVE ON THE STEERING COMMITTEE OF THE POLICY AND ADVOCACY WORK GROUP OF THE TACKLING YOUTH SUBSTANCE ABUSE COLLABORATIVE. IN SO DOING, THEY HAVE ASSISTED WITH VARIOUS INITIATIVES INCLUDING TWO DRUG TAKE-BACK DAYS IN CONJUNCTION WITH THE US DRUG ENFORCEMENT AGENCY TO ENCOURAGE RESIDENTS TO RETURN UNWANTED AND EXPIRED MEDICATIONS. THE AVP OF OPERATIONS ALSO WORKED TO COORDINATE SEVERAL PARENT WORKSHOPS IN COLLABORATION TYSA AND WORKING TO INCREASE THE AMOUNT OF WORKSHOP TRAI
PART VI, LINE 3:IN KEEPING WITH ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY WAY, REGARDLESS OF RACE, COLOR, CREED OR ETHNICITY. RUMC CONTINUES TO PROVIDE REDUCED-FEE OR FREE CARE IN ACCORDANCE TO PUBLIC LAW 2807(K)(9-A). ALTHOUGH NOT REQUIRED BY THIS LAW, WE DO EXTEND THIS POLICY TO INDIVIDUALS WHO MAY NOT BE QUALIFIED BASED ON THE GUIDELINES OF OUR FINANCIAL ASSISTANCE POLICY, BUT DO DEMONSTRATE AN INABILITY TO PAY ALL OF THEIR MEDICAL EXPENSES. AS PART OF BEST-PRACTICE CARE, RUMC IS IN COMMUNICATION WITH LOCAL COMMUNITY-BASED CONSUMER ADVOCATE ORGANIZATIONS TO BE CERTAIN THAT THEY ARE AWARE OF THE PROVISIONS OF OUR FINANCIAL AID POLICY. THE PATIENT ACCESS DEPARTMENT HAS RECEIVED SUMMARY DATA OF THE LAW AND OUR REQUIREMENTS. ASSISTANCE CONTINUES TO BE OFFERED BY OUR FINANCIAL SCREENING STAFF AND MEDICAL APPLICATION OFFICE TO THOSE INDIVIDUALS NOT ELIGIBLE FOR MEDICAID, AS WELL AS FINANCIAL SCREENING STAFF LOCATED IN OUR EMERGENCY DEPARTMENT. RUMC POSTS THE HOSPITAL'S CHARITY CARE POLICY SUMMARY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN MANY DIFFERENT LANGUAGES (AS DETERMINED BY RUMC'S ANNUAL LANGUAGE NEEDS ASSESSMENT) IN LOCATIONS SUCH AS THE EMERGENCY DEPARTMENT, INTAKE, REGISTRATION AND ADMISSION AREAS. PATIENTS ARE PROVIDED A SUMMARY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION AS PART OF THE INTAKE PROCESS AND FINANCIAL SCREENING PROCESS. PATIENT BILLS INCLUDE A STATEMENT ON FINANCIAL ASSISTANCE. EVERY PATIENT SEEN IN THE FINANCIAL OFFICE HAS A DISCUSSION ON THE AVAILABILITY OF GOVERNMENT BENEFITS SUCH AS MEDICAID AND AT THE SAME TIME QUALIFICATIONS ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. RUMC HAS AN INTERDISCIPLINARY TEAM THAT INTERACTS WITH FINANCIAL ASSISTANCE COUNSELORS SUCH AS SOCIAL WORKERS AND CASE MANAGERS TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. STAFF TRAINING ON FINANCIAL ASSISTANCE IS DONE ANNUALLY THROUGH AN IN-SERVICE PROGRAM THAT INCLUDES A REVIEW OF HOW TO QUALIFY PATIENTS FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. ALL THIRD PARTIES THAT WORK FOR RUMC IN THE COLLECTION OF FEES ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. RUMC'S FINANCIAL ASSISTANCE POLICY CLEARLY STATES THAT MEDICAL CARE IS PROVIDED TO INDIVIDUALS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY AND MAKES CERTAIN THAT ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED AND PROCESSED FAIRLY AND CONSISTENTLY WITH DIGNITY, COMPASSION AND IN A RESPECTFUL MANNER, CONSISTENT WITH RUMC MISSION AND VALUES.
PART VI, LINE 4:RUMC'S MISSION IS TO PROVIDE PREMIER QUALITY PATIENT CARE FOR THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. OUR POPULATION IS A CROSS MIX OF THE OVERALL POPULATION ON STATEN ISLAND; HOWEVER, SINCE WE ARE LOCATED ON THE NORTH SHORE, RUMC TREATS A SIGNIFICANTLY HIGHER NUMBER OF THE UNDERSERVED AND UNDER INSURED THAN HEALTHCARE PROVIDERS LOCATED IN OTHER AREAS OF STATEN ISLAND. THE PRIMARY SERVICE AREA OF RESIDENTS ON THE NORTH SHORE INCLUDES: WEST BRIGHTON (10310), MARINER'S HARBOR (10303), PORT RICHMOND (10302), ST. GEORGE (10301), AND STAPLETON (10304). OUR SECONDARY SERVICE AREA IS FROM ZIP CODES MARINER'S HARBOR/WILLOBROOK (10314) AND ROSEBANK (10305). THE OFFICE OF THE STATE DEPUTY INDICATES THAT STAPLETON HAS A 21% POVERTY RATE, WHILE PORT RICHMOND HAS A 17.5% , MARINER'S HARBOR AT 17.4% , AND WEST BRIGHTON WITH 15.4%; THESE ARE THE NEIGHBORHOODS WITH THE HIGHEST RATE OF POVERTY IN STATEN ISLAND AND ALL ARE LOCATED IN THE RUMC CATCHMENT AREA. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED THE FOLLOWING PRIMARY SERVICE AREAS, SERVED BY RUMC, AS PRIMARY HEALTH PROFESSIONAL SHORTAGE AREAS: ST. GEORGE (10301) AND STAPLETON (10304) PRIMARY CARE HPSA ID # 13699936E8; AND PORT RICHMOND (10302) AND MARINER'S HARBOR (10303) PRIMARY CARE HPSA ID # 136999365F. NORTH SHORE RESIDENTS (10302, 10304, 10303, 10310) ARE EXPERIENCING A SERIOUS SHORTAGE AND (10314) A STRESSED SHORTAGE OF PRIMARY CARE PROVIDERS SERVING MEDICAID ENROLLEES. ZIP CODES 10302, 10301, 10304 AND 10305 HAVE AMBULATORY CARE SENSITIVE CONDITIONS (ACSC) ADMISSION RATES THAT ARE 100-150% HIGHER THAN THE CITYWIDE RATE. AMENDABLE MORTALITY (AM) IS A BROAD INDICATOR THAT MEASURES THE EXTENT TO WHICH A HEALTH CARE SYSTEM CONTROLS PREMATURE MORTALITY AMENABLE TO HEALTH CARE INTERVENTIONS, FROM DISEASE PREVENTION SERVICES TO PRIMARY CARE, AS WELL AS TO SPECIALTY SERVICES. A NEIGHBORHOOD COMPARISON SHOWS PORT-RICHMOND (10302) WITH AN AGE-ADJUSTED AM THAT IS 27% HIGHER THAN NEW YORK CITY AND ADJUSTED RATES OF AVOIDABLE HOSPITAL CONDITION (AHC), FOR ST. GEORGE (10301) THAT IS 38% HIGHER THAN NEW YORK CITY. THE REPORT THAT STATES: "THERE ARE SIGNIFICANT DISPARITIES IN ACCESS TO HEALTH CARE, WHICH AFFECT MORE THAN 178,000 STATEN ISLANDERS (40% OF THE POPULATION, MOSTLY ON THE NORTH SHORE IN ST. GEORGE AND PORT RICHMOND), THE HEALTH CARE SYSTEM FOR THIS POPULATION COULD BE IMPROVED BY TARGETING THESE AREAS FOR INCREASED AVAILABILITY OF HEALTH SERVICES RANGING FROM CLINICAL PREVENTION TO PRIMARY." THIS REPORT CONCLUDES THAT IT WILL BE IMPORTANT TO DEVELOP AN INTEGRATED RESPONSE TO THE AREAS OF HIGH RISK AND TO ASSEMBLE A MIX OF CLINICAL PREVENTION, PRIMARY CARE, AND SPECIALTY SERVICES THAT RE-TAILORED TO THE NEEDS OF STATEN ISLANDERS. THERE ARE STARTLING STATISTICS THAT CLEARLY INDICATE THE MOST SERIOUS LACK OF HEALTHCARE RESOURCES, COMBINED WITH POOR HEALTH STATUS AND POVERTY IS FOUND ON THE NORTH SHORE OF STATEN ISLAND. PORT RICHMOND, STAPLETON, ST. GEORGE AND MARINER'S HARBOR RESIDENTS HAVE AN ANNUAL HEART DISEASE HOSPITILIZATION 20% HIGHER THAN NYC; 1 OUT OF 4 RESIDENTS ARE OBESE, 8-9% OF THESE COMMUNITY RESIDENTS HAVE DIABETES; 22% OF ADULTS SMOKE IN THE NORTH SHORE AND 33% IN WILLOBROOK (10314). MARINER'S HARBOR (10303) AND WILLOWBROOK (10314) NORTHERN-MID ISLAND HAVE A 60% HIGHER RATE OF HOSPITILIZATION FROM FALLS WITH FALL RELATED HIP FRACTURE HOSPITILIZATION RATES THAT ARE 50% HIGHER THAN NYC OVERALL. STAPLETON, ST. GEORGE, AND PORT RICHMOND COMMUNITIES HAVE A CANCER RATE THAT IS 20% HIGHER THAN NEW YORK CITY OVERALL. THE AVERAGE BIRTHRATE OF TEENAGERS IN 2003-2004 IN PORT RICHMOND WAS 106/1,000; THE REMAINDER OF STATEN ISLAND HAS A RATE OF 55/1,000 AND NYC HAS AN OVERALL RATE OF 75/1,000. THE INCIDENT OF INFANT MORTALITY FOR STAPLETON/ST. GEORGE IS 6/1,000 AND PORT RICHMOND IS 5.8/1,000, WHICH IS SIGNIFICANTLY HIGHER THAN THE 4.2/1,000 SOUTH SHORE AND 4/1,000 MID-ISLAND INFANT MORTALITY RATES. THERE ARE TWICE AS MANY NEW HIV DIAGNOSIS (.48 VS. 24 PER 1,000 FOR STATEN ISLAND) FOR RESIDENTS IN THE BAYLEY SETON AREA PER THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGEINE. THE OVERALL DEATH RATES FOR STATEN ISLAND WAS 828/100,000, 15.3% HIGHER THAN THE RATE FOR THE CITY. IN THE UNITED STATES THE PROPORTION OF THE POPULATION AGED >65 YEARS IS EXPECTED TO INCREASE FROM APPROXIMATELY 35 MILLION IN 2000 TO AN ESTIMATED 71 MILLION IN 2030, AND THE NUMBER OF PERSONS AGED >80 YEARS IS EXPECTED TO INCREASE FROM 9.3 MILLION IN 2000 TO 19.5 MILLION BY 2030. IN 1995, THE MOST POPULOUS STATES HAD THE LARGEST NUMBER OF OLDER PERSONS; NINE STATES (CALIFORNIA, FLORIDA, ILLINOIS, MICHIGAN, NEW JERSEY, NEW YORK, OHIO, PENNSYLVANIA, AND TEXAS) EACH HAD MORE THAN ONE MILLION PERSONS AGED >65 YEARS. IN 2010, SIMILAR TO THE USE AS A WHOLE, 13.5% OF NEW YORK STATE'S POPULATION WAS AGE 65 OR OLDER. THE PROPORTION OF ELDERLY IS PROJECTED TO CLIMB TO 20% OR MORE BY 2030, INCREASING FROM 3.2 MILLION TO OVER 5.3 MILLION AND THE STATE'S POPULATION AGE 85 AND OLDER IS PROJECTED TO INCREASE BY 76%, FROM 315,000 TO 556,000. CURRENTLY 12.7% OF THE STATEN ISLAND POPULATION IS 65 YEARS OF AGE AND OVER (59,344). WITH THIS STEADY INCREASE IN POPULATION AND RISING TREND IN THE AGING OF THE STATEN ISLAND POPULATION, THE COMMUNITY IS EXPERIENCING A RISE IN HEALTHCARE NEEDS AND HEALTHCARE COSTS. AS MORE BABY BOOMERS DEVELOP CHRONIC ILLNESSES THE DEMAND ON THE HEALTHCARE SYSTEMS WILL RISE. WITH THIS IN MIND RICHMOND UNIVERSITY MEDICAL CENTER RECOGNIZES THAT OUR FOCUS MUST SHIFT TO PREVENTION ISSUES AND KEEPING PEOPLE HEALTHY. ONE COMMUNTER FERRY AND FOUR BRIDGES, STATEN ISLAND, ALTHOUGH PART OF NEW YORK CITY, IS HEAVILY ISOLATED. IN THE INTEREST OF HAVING THE ISLAND BE ABLE TO MANAGE ITSELF FOR THE FIRST 96 HOURS OF A WIDE SCALE OR LOCAL DISASTER, THE NEW YORK STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE SUPPORTED AN IDEA TO CREATE AN INITIATIVE FOR STATEN ISLAND IN THE EVENT OF A DISASTER. IN ADDITION TO ITS OWN INTERNAL INITIATIVES, RUMC SUBSEQUENTLY JOINED THE STATEN ISLAND EMERGENCY MANAGEMENT COALITION, WHICH WAS ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE COALITION IS COMPRISED OF RUMC ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, VOLUNTARY AMBULANCES, AND OTHER HEALTH AND SOCIAL SERVICE ORGANIZATIONS. AS PART OF THE INITIATIVE, THE STATEN ISLAND MEDICAL COMMUNICATIONS AND OPERATIONS NODE (SIMCON) WAS CREATED. THIS SYSTEM IS TESTED ON A REGULAR BASIS WITH THE MEDICAL CENTER'S PARTICIPATION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR- BOTH INTERNALLY AND THROUGH THE COALITION. THESE DRILLS HELP TO DEFINE SHORTCOMINGS IN BOTH OUR INTERNAL AND EMERGENCY OPERATION PLANS (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY. PRIORITY IV: PRIMARY CARE EXPANSION. STATEN ISLAND RESIDENTS DEMONSTRATE SOME OF THE WORST HEALTH STATISTICS CITYWIDE FOR SUCH CHRONIC CONDITIONS AS DIABETES, HEART DISEASE, STROKE AND CANCER. THIS CAN BE ATTRIBUTED TO POOR DIET, SMOKING AND OBESITY AS WELL AS TO A LACK OF PRIMARY CARE SERVICES. RUMC RECOGNIZES THAT PREVENTATIVE PRIMARY CARE IS ESSENTIAL TO STEMMING THE CURRENT HEALTH CRISES EXPERIENCED BY STATEN ISLANDERS. TOWARD THIS END, RUMC HAS ASSISTED WITH THE ESTABLISHMENT OF 4 PRIMARY CARE PRACTICES ACROSS STATEN ISLAND. PRIORITY V: YOUTH SUBSTANCE ABUSE PREVENTION. RICHMOND UNIVERSITY MEDICAL CENTER IS A MEMBER OF THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, A BROAD COALITION OF HEALTH AND SOCIAL SERVICE AGENCIES THAT ADVOCATE FOR AND SUPPORT PROGRAMS THAT ENCOURAGE HEALTH AND WELLNESS. THE PARTNERSHIP'S AGENDA IN 2013 WAS YOUTH SUBSTANCE ABUSE (ALCOHOL AND DRUGS) AND TOBACCO PREVENTION. STATEN ISLAND HAS RECENTLY SEEN A SURGE IN PRESCRIPTION DRUG ABUSE CASES, PARTICULARLY AMONG YOUTH. RUMC'S CLINICAL CHAIR FOR PSYCHIATRY, ADMINISTRATIVE DIRECTOR OF PSYCHIATRY, AVP OF OPERATIONS, ALONG WITH A BOARD MEMBER SERVE ON THE STEERING COMMITTEE OF THE POLICY AND ADVOCACY WORK GROUP OF THE TACKLING YOUTH SUBSTANCE ABUSE COLLABORATIVE. IN SO DOING, THEY HAVE ASSISTED WITH VARIOUS INITIATIVES INCLUDING TWO DRUG TAKE-BACK DAYS IN CONJUNCTION WITH THE US DRUG ENFORCEMENT AGENCY TO ENCOURAGE RESIDENTS TO RETURN UNWANTED AND EXPIRED MEDICATIONS. THE AVP OF OPERATIONS ALSO WORKED TO COORDINATE SEVERAL PARENT WORKSHOPS IN COLLABORATION TYSA AND WORKING TO INCREASE THE AMOUNT OF WORKSHOP TRAINERS INTERNALLY FOR THE HOSPITAL TO BETTER SERVE THE COMMUNITY. OTHER PRIORITIES: RUMC HAS ALSO UNDERTAKEN OTHER MEASURES DESIGNED TO ASSIST THE COMMUNITY WITH HEALTH INFORMATION AND SERVICES. RUMC RECEIVED A GRANT FROM SUSAN G. KOMEN GREATER NEW YORK CITY TO ADMINISTER A BREAST CANCER NAVIGATION PROGRAM WHEREBY MEN AND WOMEN DIAGNOSED WITH THE DISEASE ARE PROVIDED ASSISTANCE TO MANAGE THEIR CARE. THE NAVIGATOR WORKS WITH EACH PATIENT INDIVIDUALLY THROUGH TESTING, DIAGNOSIS, TREATMENT AND FOLLOWUP CARE AS APPROPRIATE. RUMC IS ALSO A DESIGNATED "SAFE" CENTER, W
PART VI, LINE 5:RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 473-BED HOSPITAL, ONE OF TWO PRIVATE HOSPITALS SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND. LOCATED ON THE NORTH SHORE OF STATEN ISLAND WHERE THERE IS THE HIGHEST POVERTY RATES, THE MEDICAL CENTER HAS FILLED THE ROLE OF A TRADITIONAL PUBLIC HOSPITAL BY CARING FOR THE IMPOVERISHED AND UNDERSERVED OF THE COMMUNITY. OUR COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENINGS, REACHED OVER 20,000 PEOPLE IN 2013. RUMC IS A MAJOR PARTICIPANT IN SEVERAL MAJOR ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND. RUMC PARTICIPATES IN THE ANNUAL STATEN ISLAND HEALTH AND WELLNESS EXPO WHICH OFFERS A FORUM FOR THOUSANDS OF RESIDENTS TO INCREASE AWARENESS AND TAKE ACTION STEPS TO ADOPT HEALTHY LIFESTYLES. DURING THIS ANNUAL EVENT ALL ATTENDEES ARE ABLE TO RECEIVE FREE SCREENINGS, OBSERVE HEALTHY MEALS DEMONSTRATIONS, PARTICIPATE IN FITNESS DEMONSTRATIONS AND ATTEND MANY HEALTH RELATED SEMINARS. THROUGH THE RUMC SPEAKERS BUREAU, PHYSICIANS PRESENT HEALTH TALKS THROUGHOUT THE COMMUNITY ON AN ONGOING BASIS TO EDUCATE THE PUBLIC ON WAYS TO STAY HEALTHY. RUMC PARTICIPATES IN THE ANNUAL BOARDWALK BASH: PROGRAM FOR SENIORS AND THE "BACK TO THE BEACH" FAIR SPONSORED BY THE OFFICE OF THE BOROUGH PRESIDENT. RICHMOND UNIVERSITY MEDICAL CENTER HAS A LONG STANDING AND STRONG COLLABORATIVE RELATIONSHIP WITH THE AMERICAN CANCER SOCIETY, EASTERN DIVISION IN PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF STATEN ISLAND. RUMC MAINTAINS INFORMAL RELATIONSHIPS WITH COMMUNITY AND VOLUNTEER AGENCIES SUCH AS THE PORT RICHMOND COMMUNITY HEALTH CENTER, THE COMMUNITY HEALTH ACTION CENTER, THE WOMEN'S HEALTH OUTREACH NETWORK, STATEN ISLAND INTER-AGENCY COUNCIL FOR THE AGING, THE CHAMBER OF COMMERCE, THE STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION AND PROJECT HOSPITALITY. FOR THIRTY YEARS RICHMOND UNIVERSITY MEDICAL CENTER (RUMC) WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING, AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES HAS BEEN SUPPORTED BY AND CONSISTENT WITH THE OVERALL MISSION OF RUMC. RUMC WIC PROGRAM HAS HELPED THOUSANDS OF FAMILIES BY PROVIDING NUTRITIOUS FOOD, NUTRITION AND HEALTH EDUCATION, AND ASSISTANCE FOR ADDITIONAL HEALTH AND HUMAN SERVICES WHEN NEEDED. THE INTERPLAY BETWEEN THE RUMC PCAP PROGRAM, NURSE-FAMILY PARTNERSHIP, HEALTHY FAMILIES, HEAD START, AND RUMC WIC CREATES A DYNAMIC RELATIONSHIP THAT FOSTERS IMPROVED HEALTH FOR PREGNANT WOMEN, NEW MOTHERS, AND THEIR INFANTS. RUMC WIC HAS ASSISTED THE MEDICAL CENTER IN EFFORTS FOR LONGER GESTATION PERIODS, HIGHER BIRTH WEIGHTS, AND LOWER INFANT MORTALITY. RUMC WIC SERVICES PROVIDE FOR THE NEEDS OF WOMEN AND CHILDREN WHO HAVE A LOW INCOME, ARE UNDOCUMENTED CITIZENS, THE UNINSURED, THE UNDER-INSURED, RECENT IMMIGRANTS FROM VARIOUS COUNTRIES, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE AND FOSTER CHILDREN. THE POPULATION THAT ACCESSES SERVICES AT THE RUMC WIC SIT ARE 50.7% HISPANIC AND 49.3% NON HISPANIC WITH 57.8% OF THE NON-HISPANIC POPULATION BEING BLACK OR AFRICAN AMERICAN. ACCORDING TO THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S COMMUNITY HEALTH PROFILES FOR ZIP CODES 10303, 10302, 10310 (PORT RICHMOND) WHICH IS SERVED BY THE RUMC WIC SITE, THE THREE IMPORTANT MEASURES OF MATERNAL AND INFANT HEALTH INDICATE THAT THIS PLANNING AREA IS NEAR OR HIGHER THAN THE CITYWIDE AVERAGE FOR THE FOLLOWING: WOMEN RECEIVING LATE OR NO PRENATAL CARE FOR NYC IS 30% OF LIVE BIRTHS AND FOR PORT RICHMOND IS 28% WITH THE NATIONAL GOAL OF LESS THAN 10%, BABIES BORN WITH LOW BIRTH WEIGHT (<2,500 GRAMS/5.5 LBS.) FOR NYC IS 8% OF LIVE BIRTHS AND PORT RICHMOND IS 10% WITH A NATIONAL GOAL OF 5% INFANT MORTALITY RATES PER 1,000 LIVE BIRTHS ARE 6.2 FOR NYC AND 7.6 FOR PORT RICHMOND WITH A NATIONAL GOAL OF LESS THAN 4.5. IN THE STAPLETON/ST.GEORGE ZIP CODE AREAS (10301, 10304) SERVED BY RUMC, IT IS IMPORTANT TO NOTE THAT THE INFANT MORTALITY RATE COMPARED TO NYC IS SIGNIFICANTLY HIGHER AT 9.7 DEATHS PER 1,000 FOR PORT RICHMOND AND 6.2 FOR NYC WITH A NATIONAL GOAL OF 4.5. BECAUSE THERE IS SUCH A LARGE UNDOCUMENTED HISPANIC POPULATION IN STATEN ISLAND'S NORTH SHORE AND 50% OF THE RUMC WIC SITE POPULATION IS HISPANIC, OUR WORKING RELATIONSHIP WITH PROJECT HOSPITALITY, EL CENTRO, AND STATEN ISLAND FAMILY HEALTHCARE COALITION IS ESSENTIAL. PROJECT HOSPITALITY ASSISTS WOMEN WITH LITERACY, DOMESTIC VIOLENCE, LEGAL SERVICES, IMMIGRATION SERVICES AND NETWORKS CLOSELY WITH RUMC WIC STAFF ON A DAILY BASIS IN ORDER TO BEST MEET THE NEEDS OF THIS POPULATION. WIC COLLABORATES IN PROGRAMS SUCH AS THE SAFE NY, HELD IN CONJUNCTION WITH THE NYC DEPARTMENT OF TRANSPORTATION, WHICH GIVES YOUNG MOTHERS AN OPPORTUNITY TO RECEIVE CAR SEAT GIVE-A WAYS AND ESSENTIAL INFORMATION ON NUTRITION THROUGH WIC AND WAYS TO PROTECT THEIR CHILDREN AND KEEP THEM SAFE. BABY SHOWERS ARE GIVEN AT THE WIC OFFICE FOR ALL PRENATALS AND PROMOTING BREAST-FEEDING IS AN ESSENTIAL COMPONENT OF THESE CELEBRATIONS. RUMC ALSO OPERATES A BREAST HEALTH PATIENT NAVIGATOR PROGRAM THAT OFFERS NAVIGATION SERVICES AND ASSISTANCE TO UNDERSERVED WOMEN WHO HAVE RECEIVED A DIAGNOSIS OF SUSPICIOUS FINDINGS OR BREAST CANCER, FROM DIAGNOSIS THROUGH TREATMENT. RICHMOND UNIVERSITY MEDICAL CENTER IS COMMITTED TO PROVIDING SENSITIVE, TIMELY, COMPREHENSIVE AND HIGH QUALITY CARE TO SURVIVORS OF RAPE AND SEXUAL ASSAULT. RUMC IS PART OF THE STATEN ISLAND SEXUAL ASSAULT TASK FORCE AND WORKS WITH THE OFFICE OF THE DISTRICT ATTORNEY FOR RICHMOND COUNTY NYPD, RAPE VICTIMS' ADVOCACY GROUPS AND OTHER LOCAL ORGANIZATIONS TO ASSURE COORDINATION OF SERVICES FOR THE RAPE SURVIVOR. RUMC WORKED SUCCESSFULLY WITH THE NEW YORK CITY ALLIANCE AGAINST SEXUAL ASSAULT TO BECOME THE ONLY SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) CENTER OF EXCELLENCE IN STATEN ISLAND. OUR CULTURALLY SENSITIVE, HOSPITAL- BASED PROGRAM TREATS ALL VICTIMS OF SEXUAL ASSAULT THROUGHOUT STATEN ISLAND, WITH SUPPORT FROM THE DEPARTMENT OF MEDICINE, OB/GYN, NURSING AND ADMINISTRATION. RUMC SERVES A FINANCIALLY DISADVANTAGED POPULATION THAT IS AT GREATER RISK THAN THE AVERAGE STATEN ISLAND RESIDENT. PROVIDING IN-PATIENT AND OUT-PATIENT BEHAVIORAL HEALTH SERVICES FOR STATEN ISLANDERS, AND, IN PARTICULAR, FOR THOSE WHO ARE MARGINALIZED AND DISENFRANCHISED, IS A HIGH PRIORITY FOR RUMC. RUMC HAS A WELL ESTABLISHED HISTORY WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS AND PROVIDERS. RUMC HAS OUTREACH PROGRAMS TO EDUCATE RESIDENTS ON THE IMPORTANCE OF IDENTIFYING AND TREATING MENTAL HEALTH PROBLEMS. RUMC IS A MEMBER OF COMMUNITY BOARD 1 WHICH REPRESENTS THE HOSPITAL'S CATCHMENT AREA. ANNUALLY, THE ADMINISTRATION ATTENDS ADVOCACY DAY IN ALBANY TO SPEAK TO STATE OFFICIALS ON HEALTH RELATED ISSUES IMPORTANT FOR THE STATEN ISLAND COMMUNITY AND PROMOTE COMMUNITY-WIDE EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION. RUMC BOARD MEMBERS AND ADMINISTRATORS MEET WITH LOCAL GOVERNMENT REPRESENTATIVES REGULARLY TO WORK OUT INITIATIVES THAT PROMOTE HEALTH FOR OUR COMMUNITY.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:NY
PART VI, LINE 2 CONTINUATION:RUMC STAFFED AN EMERGENCY COMMAND CENTER FOR 168 CONSECUTIVE HOURS DURING WHICH STAFF IMPLEMENTED DISASTER PLANS TO ADDRESS SUPPLY AND INVENTORY ISSUES AFTER ALL 3 BRIDGES CONNECTING STATEN ISLAND TO THE MAINLAND WERE SHUT DOWN, PROVIDE ADEQUATE STAFFING AND FACILITIES FOR STAFF WHO REMAINED ON SITE THROUGHOUT THE DISASTER, PROVIDE EMERGENCY BACKUP UTILITIES AND POWER, RESPOND TO FACILITY DAMAGE AND REPAIRS AND ACCOMMODATE ADDITIONAL EMERGENCY CASES RESULTING FROM THE NATURE OF THE DISASTER AS WELL AS FROM SIUHS DIVERSION STATUS. PRIORITY IV: PRIMARY CARE EXPANSION. STATEN ISLAND RESIDENTS DEMONSTRATE SOME OF THE WORST HEALTH STATISTICS CITYWIDE FOR SUCH CHRONIC CONDITIONS AS DIABETES, HEART DISEASE, STROKE AND CANCER. THIS CAN BE ATTRIBUTED TO POOR DIET, SMOKING AND OBESITY AS WELL AS TO A LACK OF PRIMARY CARE SERVICES. RUMC RECOGNIZES THAT PREVENTATIVE PRIMARY CARE IS ESSENTIAL TO STEMMING THE CURRENT HEALTH CRISES EXPERIENCED BY STATEN ISLANDERS. TOWARD THIS END, RUMC HAS ASSISTED WITH THE ESTABLISHMENT OF 4 PRIMARY CARE PRACTICES ACROSS STATEN ISLAND. IN ADDITION, RUMC HAS SECURED A $2.8 MILLION GRANT TO EXPAND ITS INTERNAL MEDICINE RESIDENCY PROGRAM TO PROMOTE PRIMARY CARE SERVICES. THIS INITIATIVE TRAINS PHYSICIANS FROM DIVERSE BACKGROUNDS IN PATIENT-CENTERED, COST-EFECTIVE, AND EVIDENCE-BASED CARE TO ENSURE THEY DELIVER HIGH-QUALITY, CULTURALLY AND LINGUISTICALLY AND EFFECTIVE PRIMARY CARE SERVICES. EACH RESIDENT TRAINS IN A COMMUNITY BASED SITE THAT CARES FOR THE UNDERSERVED POPULATION OF STATEN ISLAND. THE RESIDENT ASSUMES THE ONGOING RESPONSIILITY FOR THE TOTAL CARE OF THE PATIENT. THE INITIATIVE ENSURES THAT HIGH-QUALITY PRIMARY CARE SERVICES ARE AVAILABLE TO MEDICALLY UNDERSERVED COMMUNITIES, ACCESS TO A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE IS IMPROVED AND PATIENT OUTCOMES FOR OPTIMAL HEALTH ARE IMPROVED. PRIORITY V: YOUTH SUBSTANCE ABUSE PREVENTION. RICHMOND UNIVERSITY MEDICAL CENTER IS A MEMBER OF THE STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS, A BROAD COALITION OF HEALTH AND SOCIAL SERVICE AGENCIES THAT ADVOCATE FOR AND SUPPORT PROGRAMS THAT ENCOURAGE HEALTH AND WELLNESS. IN 2013, THE PARTNERSHIP CREATED THE TACKLING YOUTH SUBSTANCE ABUSE INITIATIVE TO ADDRESS THE PREVALENCE OF OPIOID ABUSE BY STATEN ISLAND YOUTH. RUMC IS ON THE STEERING COMMITTEE OF THIS INITIATIVE WHICH HAS SPONSORED OUTREACH EVENTS AND FORUMS TO ADDRESS THIS ISSUE.

Schedule J IRS990ScheduleJ

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 PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Pietro Carpenito MD
Trustee$143,331$0$0$0$1,744$0$16,337$0$19,170$0$180,582$0$0$0
Joseph Motta MD
Trustee$233,707$0$0$0$42$0$11,852$0$7,021$0$252,622$0$0$0
Michael Breslin
Interim CEO/CFO$608,557$0$0$0$374$0$27,500$0$20,079$0$656,510$0$0$0
Michael L Moretti MD
Chairman of OB/GYN$770,382$0$0$0$595$0$22,500$0$19,143$0$812,620$0$0$0
Edwared Arura MD
Chief Medical Officer$379,209$0$0$0$913$0$39,564$0$19,143$0$438,829$0$0$0
Pankaj R Patel MD
Chariman of Psychiatry$388,515$0$0$0$914$0$22,500$0$19,143$0$431,072$0$0$0
Richard Salhaney
Senior VP Professional SER$315,506$0$0$0$1,072$0$33,835$0$5,270$0$355,683$0$0$0
Anthony Barone MD
Medical Director, NICU$478,672$0$0$0$318$0$17,500$0$19,140$0$515,630$0$0$0
Santosh Parab MD
Staff Physician, Pediatric$406,301$0$0$0$131$0$17,500$0$19,094$0$443,026$0$0$0
Avijit Mukerji MD
Medical Director, OB/GYN$345,137$0$0$0$914$0$17,500$0$19,143$0$382,694$0$0$0
Brian McMahon
Chariman of Pediatrics$149,283$0$0$0$7$0$13,500$0$6,410$0$169,200$0$0$0
Rosemarie Stazzone
Senior VP Nursing & CNO$339,853$0$0$0$1,645$0$35,600$0$2,447$0$379,545$0$0$0
Akella Chendrasekhar
Physician$375,448$0$0$0$212$0$17,500$0$4,089$0$397,249$0$0$0
Philip E Otterbeck
Physician$355,615$0$0$0$92$0$17,500$0$920$0$374,127$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4B:THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2013: ROSEMARIE STAZZONE, SENIOR VP NURSING & CNO - $8,100 EDWARD ARSURA, MD, CHIEF MEDICAL OFFICER - $12,064 RICHARD SALHANEY, SENIOR VP PROFESSIONAL SER - $6,335 THESE AMOUNTS HAVE NOT BEEN FUNDED OR PAID IN 2013.
PART I, LINE 7:THE ORGANIZATION PAID TO ITS CHIEF EXECUTIVE OFFICER,CHIEF FINANCIAL OFFICER, CHAIRMAN OF PSYCHIATRY, SENIOR VP-NURSING, CHIEF MEDICAL OFFICER, AND SENIOR VP-PROFESSIONAL SERVICES VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION OF VARIOUS GOALS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KATHRYN K ROONEY ESQ
BOARD CHAIRPERSON$197,628SEE PART Vfalse
PIETRO CARPENITO MD
BOARD MEMBER$0SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BUSINESS TRANSACTIONS INVOLVING INTERESSTED PERSONS:(A) NAME OF PERSON: KATHRYN K. ROONEY, ESQ. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD CHAIRPERSON (C) AMOUNT OF TRANSACTION: $197,628. (D) DESCRIPTION OF TRANSACTION: SEE PART V - KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (50 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. (E) SHARING OF ORGANIZATION REVENUES? = NO
SCH L, Part IV(A) NAME OF PERSON: PIETRO CARPENITO, MD (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: TRUSTEE (C) AMOUNT OF TRANSACTION: N/A (D) DESCRIPTION OF TRANSACTION: SEE PART V - DR. PIETRO CARPENITO AND HIS GROUP PROVIDE ANESTHEIOLOGY SERVICES TO THE PATIENTS OF RUMC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:WE DO THIS IN AN ENVIRONMENT THAT PROMOTES THE HIGHEST SATISFACTION AMONG PATIENTS, FAMILIES, PHYSICIANS AND STAFF.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: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 ISLANDS MOST INDIGENT AND MARGINALIZED RESIDENTS. BASED ON COST, IN 2013, $5,868,000 IN CHARITY CARE WAS PROVIDED TO PATIENTS WHO MEET CERTAIN NYS DEPARTMENT OF HEALTH AND SENIOR SERVICES CRITERIA. THESE PATIENTS RECEIVED SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IN 2013, INPATIENT VOLUME EXCEEDED 17,800 INPATIENT DISCHARGES ACCOUNTING FOR OVER 97,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 65,000 EMERGENCY ROOM VISITS AND OVER 100,000 CLINIC AND BEHAVIOR HEALTH VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL/SURGICAL,BEHAVIORAL HEALTH AND OBSTETRICS/GYNECOLOGY. MEDICAL / SURGICAL THE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2013. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,800 INPATIENT AND 13,000 OUTPATIENT SURGERIES. INPATIENT MEDICAL/SURGICAL DISCHARGES TOTALED OVER 8,800 AND ACCOUNTED FOR MORE THAN 57,000 PATIENT DAYS. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. BEHAVIORAL HEALTH BEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2013. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,500 AND ACCOUNTED FOR MORE THAN 21,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM AND ALCOHOL AND CHEMICAL DETOXIFICATION SERVICES. BEHAVIOR HEALTH OUTPATIENT CARE IS AVAILABLE THROUGH THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), WHICH PROVIDES IMMEDIATE ACUTE PSYCHIATRIC CARE WITH AN EXTENDED OBSERVATION BED UNIT AND A MOBILE OUTREACH TEAM. OTHER OUTPATIENT SERVICES INCLUDE A CONTINUING DAY TREATMENT PROGRAM, SUBSTANCE ABUSE OUTPATIENT CLINICS, A SUBSTANCE ABUSE CRISIS CENTER, A GAMBLERS TREATMENT CENTER AND AN ONGOING EVALUATION AND REFERRAL SERVICE. OBSTETRICS / GYNECOLOGY DURING 2013, THERE WERE OVER 3,200 OB/GYN DISCHARGES. SERVICES INCLUDE PERINATAL SERVICES AND A NEONATAL INTENSIVE CARE UNIT, WHICH HAS ONE OF THE LOWEST MORTALITY RATES IN THE NY METROPOLITAN AREA. IN ADDITION, ALL TYPES OF MAJOR GYNECOLOGICAL SURGERIES ARE PERFORMED AT THE MEDICAL CENTER. OB/GYN OUTPATIENT CARE WAS DELIVERED TO APPROXIMATELY 9,000 EXPECTANT MOTHERS THROUGH THE AMBULATORY HOSPITAL OUTPATIENT CLINIC AND FREESTANDING PRENATAL CLINICS ON THE NORTH SHORE OF STATEN ISLAND. RICHMOND UNIVERSITY MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES RUMCS COMMITMENT AND SUCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES. MEDICAL CENTER RECEIVED THE AWARD BECAUSE OF THEIR "ORGANIZATION-WIDE COMMITMENT TO PROMOTING THE EARLY DETECTION OF CHRONIC KIDNEY DISEASE (CKD) AND IMPROVING CARE FOR PATIENTS WITH THE DISEASE." RICHMOND UNIVERSITY MEDICAL CENTER HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES RUMCS COMMITMENT AND SUCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.
FORM 990, PART VI, SECTION A, LINE 2:BOARD TRUSTEES JOSEPH MOTTA, M.D. AND PIETRO CARPENITO, M.D. - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11:A COPY OF FORM 990 IS SENT TO MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW BEFORE FILING WITH THE IRS. THE ENTIRE BOARD RECEIVES A COPY OF FORM 990 BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C:CONFLICT OF INTEREST POLICY FORMS ARE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTOR LEVEL THROUGH THE PRESIDENTS 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 ORGANIZATIONS BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND TO EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE RENUMERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATIONS PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATIONS 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 2013 TO PERFORM THESE SERVICES. THE COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT PERSONS. THIS COMMITTEE REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND RECORDS THEIR REVIEW IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19:UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART VI, LINE 1AEXECUTIVE COMMITTEE: THE EXECUTIVE COMMITTEE HAS BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THE SCOPE OF THE COMMITTEES 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.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:PENSION LIABILITY ADUSTMENT $2,180,164 LOSS ON EARLY TERMINATION OF CAPITAL LEASE $-1,700,117 TOTAL TO FORM 990, PART XI, LINE 9 $480,047

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
AMBOY MEDICAL PRACTICE
355 BARD AVENUESTATEN ISLANDNY10310263381883HEALTHCARENY501(C)(3)11 TYPE IRUMCYes (true)
RICHMOND MEDICAL CENTER FOUNDATION INC
355 BARD AVENUESTATEN ISLANDNY10310271059815SUPPORTNY501(C)(3)11 TYPE IRUMCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BRIDGE REGIONAL HEALTH SYSTEMBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1355 BARD AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10310ZIPCode
FieldValueIRS element (for citing)
EIN205171165EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMBOY MEDICAL PRACTICE PCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$810,132InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCONTROLLED ENTITYFormAndLineReferenceDesc
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