RICHMOND MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: RICHMOND MEDICAL CENTER (EIN 74-3177454)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201123189349304647
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T14:07:13-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	743177454	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	RICK BORSCHUK	Name
Title	INTERIM CFO	Title
Phone	7188183295	Phone
Date Signed	2011-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS GREEN CPA	Name
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD MURPHY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	305905787	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RUMCSI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2798	TotalNbrEmployees
Total Nbr Volunteers	120	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8216631	ContributionsGrantsPriorYear
Contributions Grants Current Year	5744310	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	288126460	ProgramServiceRevenuePriorYear
Program Service Revenue CY	297952498	ProgramServiceRevenueCY
Investment Income Prior Year	61516	InvestmentIncomePriorYear
Investment Income Current Year	67726	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8622436	OtherRevenuePriorYear
Other Revenue Current Year	996456	OtherRevenueCurrentYear
Total Revenue Prior Year	305027043	TotalRevenuePriorYear
Total Revenue Current Year	304760990	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	181989149	SalariesEtcPriorYear
Salaries Etc Current Year	188821451	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	267313	TotalFundrsngExpCurrentYear
Other Expense Prior Year	114609281	OtherExpensePriorYear
Other Expenses Current Year	108572241	OtherExpensesCurrentYear
Total Expenses Prior Year	296598430	TotalExpensesPriorYear
Total Expenses Current Year	297393692	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8428613	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7367298	RevenuesLessExpensesCY
Total Assets BOY	70534246	TotalAssetsBOY
Total Assets EOY	89335672	TotalAssetsEOY
Total Liabilities BOY	75790820	TotalLiabilitiesBOY
Total Liabilities EOY	87564252	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-5256574	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1771420	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTH CARE PROVIDER SERVING THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. WE PROVIDE PREMIER QUALITY PATIENT CARE THROUGH A FULL SPECTRUM OF EMERGENT, ACUTE, PRIMARY, BEHAVIORAL HEALTH AND EDUCATIONAL SERVICES. WE DO THIS IN AN ENVIRONMENT THAT PROMOTES THE HIGHEST SATISFACTION AMONG PATIENTS, FAMILIES, PHYSICIANS AND STAFF.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	240915854	Expense
Revenue	298033460	Revenue
Description	RICHMOND UNIVERSITY MEDICAL CENTER IS A 510 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND IS LICENSED FOR 448 BEDS AND THE SECONDARY CAMPUS LOCATED IN THE CLIFTON SECTION OF STATEN ISLAND IS LICENSED FOR 62 BEDS.SERVICES PROVIDED AT THE WEST BRIGHTON CAMPUS, A DESIGNATED STROKE CENTER AND LEVEL 1 TRAUMA CENTER, ENCOMPASS NUMEROUS INPATIENT AND OUTPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, AND CLINIC SERVICES. SERVICES PROVIDED AT THE CLIFTON CAMPUS CONSIST PRIMARILY OF INPATIENT ALCOHOL AND DRUG DETOXIFICATION AND PSYCHIATRY SERVICES.THE MEDICAL CENTER ALSO PROVIDES AN ARRAY OF COMMUNITY OUTREACH SERVICES INCLUDING HEALTH EDUCATION, FREE AND LOW COST SCREENINGS AND IMMUNIZATIONS, A WIC PROGRAM, AND VARIOUS OTHER OUTPATIENT SERVICES.THE MEDICAL CENTER PROVIDES FOR THE HEALTHCARE NEEDS OF STATEN ISLAND'S MOST INDIGENT AND MARGINALIZED RESIDENTS. IN 2010, $18,299,000 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 2010, INPATIENT VOLUME EXCEEDED 22,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 116,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 53,000 EMERGENCY ROOM VISITS AND OVER 167,000 CLINIC AND BEHAVIOR HEALTH VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL / SURGICAL, BEHAVIORAL HEALTH AND OBSTETRICS / GYNECOLOGY.MEDICAL / SURGICALTHE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2010. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 2,000 INPATIENT AND 8,000 OUTPATIENT SURGERIES. INPATIENT MEDICAL/SURGICAL DISCHARGES TOTALED OVER 10,000 AND ACCOUNTED FOR MORE THAN 58,000 PATIENT DAYS. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. CARDIAC SURGERY IS PERFORMED AT THE STATEN ISLAND HEART INSTITUTE, WHICH IS A JOINT VENTURE OF RICHMOND UNIVERSITY MEDICAL CENTER AND STATEN ISLAND UNIVERSITY HOSPITAL.BEHAVIORAL HEALTHBEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2010. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 3,800 AND ACCOUNTED FOR MORE THAN 30,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM AND ALCOHOL AND CHEMICAL DETOXIFICATION SERVICES. BEHAVIOR HEALTH OUTPATIENT CARE IS AVAILABLE THROUGH THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), WHICH PROVIDES IMMEDIATE ACUTE PSYCHIATRIC CARE WITH AN EXTENDED OBSERVATION BED UNIT AND A MOBILE OUTREACH TEAM. OTHER OUTPATIENT SERVICES INCLUDE A CONTINUING DAY TREATMENT PROGRAM, SUBSTANCE ABUSE OUTPATIENT CLINICS, A SUBSTANCE ABUSE CRISIS CENTER, A GAMBLERS TREATMENT CENTER AND AN ONGOING EVALUATION AND REFERRAL SERVICE.OBSTETRICS / GYNECOLOGYDURING 2010, THERE WERE OVER 3,700 OB/GYN DISCHARGES. THE MEDICAL CENTER DELIVERED MORE BABIES THAN ANY OTHER FACILITY ON STATEN ISLAND. 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 3,000 EXPECTANT MOTHERS THROUGH THE AMBULATORY HOSPITAL OUTPATIENT CLINIC AND FREESTANDING PRENATAL CLINICS ON THE NORTH SHORE OF STATEN ISLAND.PLEASE SEE SCHEDULE H FOR ADDITIONAL CHARITY CARE AND COMMUNITY BENEFIT DETAILS.	Description
Total Program Service Expense	240915854	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	262	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2798	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RICK BORSCHUK INTERIM CFO	NamePerson
Telephone Number	7188183295	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KATHRYN K ROONEY ESQ
CHAIRPERSON	1.00	X	X	0	0	0
ALLAN WEISSGLASS
VICE CHAIRPERSON	1.00	X	X	0	0	0
CATHERINE PAULO ESQ
SECRETARY	1.00	X	X	0	0	0
ROBERT MAZZUOCCOLA
ASSISTANT SECRETARY	1.00	X	X	0	0	0
GINA GUTZEIT
TREASURER	1.00	X	X	0	0	0
REV DR TONY BAKER SR
TRUSTEE	1.00	X		0	0	0
JOAN NERLINO CADDELL ESQ
TRUSTEE	1.00	X		0	0	0
KATHERINE CONNORS
TRUSTEE	1.00	X		0	0	0
MSGR JAMES DORNEY
TRUSTEE	1.00	X		0	0	0
SARA W GARDNER
TRUSTEE	1.00	X		0	0	0
JAMES P MOLINARO
TRUSTEE	1.00	X		0	0	0
JOSEPH MOTTA MD
TRUSTEE/DIRECTOR OF UROLOGY	5.00	X		138283	0	3587
BRIAN MCMAHON MD
TRUSTEE	1.00	X		18750	0	0
DANIEL PAULO MD
TRUSTEE	1.00	X		0	0	0
VINCENT PITTA ESQ
TRUSTEE	1.00	X		0	0	0
RONALD A PURPORA
TRUSTEE	1.00	X		0	0	0
DENNIS QUIRK
TRUSTEE	1.00	X		0	0	0
RICHARD MURPHY
PRESIDENT & CEO	60.00	X	X	895611	0	155079
PIETRO CARPENITO MD
TRUSTEE/EXEC VP MEDICINE	20.00	X		141706	0	32505
GARY TERRINONI
EXEC VP ADMIN & CFO	60.00		X	562322	0	93486
ROSEMARIE STAZZONE
SENIOR VP NURSING & CNO	37.50			277323	0	27886	X
MICHAEL L MORETTI MD
CHAIRMAN OF OB/GYN	60.00			696404	0	38673		X
ANTHONY BARONE MD
ASSOCIATE NEONATOLOGIST	60.00			431315	0	33757		X
EDWARD ARSURA MD
CHAIRMAN OF MEDICINE	60.00			373095	0	43141		X
LOREN HARRIS MD
CHAIRMAN OF SURGERY	60.00			538396	0	17712		X
PANJAK R PATEL MD
CHAIRMAN OF PSYCHIATRY	60.00			349991	0	38241		X
RICHARD SALHANY MBA
FORMER COO/CURRENT SVP PROFESSIONAL SVCS	37.50			307415	0	43948			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4730611	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	528015	TotalOtherCompensation
Number Individuals GT100 K	154	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK CORPORATION
1101 MARKET STREET	PHILADELPHIA	PA	19107	FOOD AND OTHER SUPPORT SERVICES	5088278
RICHMOND EMERGENCY MEDICAL ASSOCIATES
651 WEST MT PLEASANT AVE	LIVINGSTON	NJ	07039	EMERGENCY ROOM STAFFING	1588291
OCEANSIDE INSTITUTIONAL LAUNDRY
2525 LONG BEACH RD	OCEANSIDE	NY	11572	LAUNDRY SERVICES	1396491
DCI DIALYSIS CLINIC INC
800 CASTLETON AVE	STATEN ISLAND	NY	10310	DIALYSIS CLINIC TREATMENT	1001460
RICHMOND COUNTY AMBULANCE
1355 CASTLETON AVE	STATEN ISLAND	NY	10310	AMBULANCE SERVICE	268259

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
Fundraising Events	184721	FundraisingEvents
Government Grants	4165756	GovernmentGrants
All Other Contributions	1393833	AllOtherContributions
Total Contributions	5744310	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE	621990	275225943	275225943
NYS DOH PUBLIC POOL RE	621990	7373080	7373080
OPEN HEART SURGERY PRO	621990	6700778	6700778
PHYSICIAN PRACTICE INC	621990	6322035	6322035
TEACHING REVENUE	621990	1466444	1466444

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	864218	TotalRevenueColumn
Related Or Exempt Function Income	864218	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	297952498	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	67726	TotalRevenueColumn
Exclusion	$67,726	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	572652	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	971443	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-398791	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-398791	TotalRevenueColumn
Exclusion	-$398,791	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	161474	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	184721	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	161474	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Gaming	33138	GrossIncomeGaming
Gaming Direct Expenses	11880	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	21258	TotalRevenueColumn
Exclusion	$21,258	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL RESIDENT SALAR	900099	695154	$695,154
VENDOR REBATES AND REF	900099	237052	$237,052
OTHER INCOME	900099	134864	$65,567	69297

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	306919	TotalRevenueColumn
Related Or Exempt Function Income	11665	RelatedOrExemptFunctionIncome
Exclusion	$295,254	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1373989	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	304760990	TotalRevenueColumn
Related Or Exempt Function Income	298033460	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$983,220	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2697900	Total
Program Services	2158320	ProgramServices
Management And General	539580	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	184943	Total
Program Services	147954	ProgramServices
Management And General	36989	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	141589676	Total
Program Services	113271741	ProgramServices
Management And General	28126777	ManagementAndGeneral
Fundraising	191158	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6769084	Total
Program Services	5415267	ProgramServices
Management And General	1344259	ManagementAndGeneral
Fundraising	9558	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27452524	Total
Program Services	21962019	ProgramServices
Management And General	5457340	ManagementAndGeneral
Fundraising	33165	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10127324	Total
Program Services	8101859	ProgramServices
Management And General	2010841	ManagementAndGeneral
Fundraising	14624	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	786016	Total
Program Services	628813	ProgramServices
Management And General	157203	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	213777	Total
Program Services	171022	ProgramServices
Management And General	42755	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	118956	Total
Program Services	95165	ProgramServices
Management And General	23791	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	32778498	Total
Program Services	26222798	ProgramServices
Management And General	6555700	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	195725	Total
Program Services	156580	ProgramServices
Management And General	39145	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	34904254	Total
Program Services	27923403	ProgramServices
Management And General	6977367	ManagementAndGeneral
Fundraising	3484	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7801819	Total
Program Services	6047167	ProgramServices
Management And General	1754652	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	83694	Total
Program Services	66955	ProgramServices
Management And General	15974	ManagementAndGeneral
Fundraising	765	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	65878	Total
Program Services	52702	ProgramServices
Management And General	13176	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1978805	Total
Program Services	1583044	ProgramServices
Management And General	395761	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2670129	Total
Program Services	2136103	ProgramServices
Management And General	534026	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8532761	Total
Program Services	6826209	ProgramServices
Management And General	1706552	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	15975943	15975943
REPAIRS & MAINTENANCE	1182775	946220	236555
DUES & LICENSES	457351	365881	91470
TEMPORARY FUND EXPENSES	242445	193956	48489
STORAGE	175121	140097	35024

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	408294	Total
Program Services	326636	ProgramServices
Management And General	67099	ManagementAndGeneral
Fundraising	14559	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	297393692	Total
Program Services	240915854	ProgramServices
Management And General	56210525	ManagementAndGeneral
Fundraising	267313	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2210426	BOY
EOY	3344118	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14432059	BOY
EOY	15847577	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	31449799	BOY
EOY	36418124	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4623099	BOY
EOY	5474156	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	342847	BOY
EOY	519745	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	31498331	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6040874	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	15477854	BOY
EOY	25457457	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	494127	BOY
EOY	366607	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1504035	BOY
EOY	1907888	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	70534246	BOY
EOY	89335672	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28461954	BOY
EOY	29400553	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	1891667	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	24039374	BOY
EOY	32823777	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2500000	BOY
EOY	2349186	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	20789492	BOY
EOY	21099069	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	75790820	BOY
EOY	87564252	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-6505291	BOY
EOY	891440	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	904070	BOY
EOY	535333	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-5256574	BOY
EOY	1771420	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	70534246	BOY
EOY	89335672	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7367298	ReconcilationRevenueExpenses
Reconcilation Other Changes	-339304	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$118,956	OtherActivitiesAmount
Total Lobbying Expenditures IIB	118956	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	THE HOSPITAL PAID THE FOLLOWING DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS, OF WHICH A PERCENTAGE WAS ALLOCABLE TO LOBBYING COSTS: GNYHA - $24,000 (DUES) X 68.4% (LOBBYING PERCENTAGE) = $16,416 AHA - $67,789 (DUES) X 24.42% (LOBBYING PERCENTAGE) = $16,554 HANYS - $88,767 (DUES) X 30.2% (LOBBYING PERCENTAGE) = $26,808 THE HOSPITAL ALSO PROVIDED EMPLOYER CONTRIBUTIONS TO THE FOLLOWING GROUP OF WHICH A PORTION WAS USED FOR LOBBYING PURPOSES IN CONNECTION WITH HEALTH CARE POLICY ISSUES: 1199/SEIU AND GNYHA HEALTHCARE EDUCATION PROJECT ("HEP") ($59,178).	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13657480	OtherCostOrOtherBasis
Depreciation	850216	Depreciation
Book Value	12807264	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12780843	OtherCostOrOtherBasis
Depreciation	5163580	Depreciation
Book Value	7617263	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1543644	OtherCostOrOtherBasis
Depreciation	27078	Depreciation
Book Value	1516566	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	25457457	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO SAINT VINCENT CATHOLIC MEDICAL CENTER	$3,987,840
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$10,739,494
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$6,371,735

Field	Value	IRS element (for citing)
Total Of Amounts	21099069	TotalOfAmounts
Total Revenue	304760990	TotalRevenue
Total Expenses	297393692	TotalExpenses
Excess Or Deficit For Year	7367298	ExcessOrDeficitForYear
Other	-$339,304	OtherAmount
Total Adjustments	-339304	TotalAdjustments
Excess Or Deficit Per FS	7027994	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	306080892	TotRevenueEtcAuditedFinclStmt
Other Revenues	348459	OtherRevenues
Revenue Not Rptd F990	348459	RevenueNotRptdF990
Revenue Subtotal	305732433	RevenueSubtotal
Other Revenues Not Included	-971443	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-971443	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	304760990	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	299052898	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1659206	OtherExpensesIncluded
Expenses Not Rptd F990	1659206	ExpensesNotRptdF990
Expenses Subtotal	297393692	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	297393692	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUND, ALSO KNOWN AS THE BELL SOCIETY ENDOWMENT FUND, IS INTENDED TO BENEFIT THE WORK OF THE MEDICAL CENTER. NO OTHER RESTRICTIONS HAVE BEEN PLACED ON THE USE OF THE INTEREST THAT IS EARNED ON THE PRINCIPAL BALANCE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 AND 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		AMBOY MEDICAL PRACTICE NET LOSS INCLUDED IN CONSOLIDATED FINANCIALS -339,304.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		AMBOY MEDICAL PRACTICE REVENUE INCLUDED IN CONSOLIDATED FINANCIALS 348,459.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -971,443.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 971,443. AMBOY MEDICAL PRACTICE EXPENSES INCLUDED IN CONSOLIDATED FINANCIALS 687,763.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	203725	GrossReceiptsEvent1
Charitable Contributions Event1	113022	CharitableContributionsEvent1
Gross Revenue Event1	90703	GrossRevenueEvent1
Rent Facility Costs Event1	51736	RentFacilityCostsEvent1
Other Direct Expenses Event1	38967	OtherDirectExpensesEvent1
Name Of Event2	GOLF & TENNIS OUTING	NameOfEvent2
Gross Receipts Event2	142470	GrossReceiptsEvent2
Charitable Contributions Event2	71699	CharitableContributionsEvent2
Gross Revenue Event2	70771	GrossRevenueEvent2
Rent Facility Costs Event2	54455	RentFacilityCostsEvent2
Other Direct Expenses Event2	16316	OtherDirectExpensesEvent2
Gross Receipts Total	346195	GrossReceiptsTotal
Charitable Contributions Total	184721	CharitableContributionsTotal
Gross Revenue Total Events	161474	GrossRevenueTotalEvents
Rent Facility Costs Total Events	106191	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	55283	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	161474	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	33138	GrossRevenueOtherGaming
Cash Prizes Other Gaming	3287	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	8593	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	33138	GrossRevenueTotalGaming
Cash Prizes Total Gaming	3287	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	8593	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	11880	DirectExpenseSummaryGaming
Net Gaming Income Summary	21258	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NY	StatesWhereGamingConducted
Licensed	0	Licensed
Explanation If No	ONLY SIMPLE RAFFLES AND SILENT AUCTIONS ARE HELD AT SEVERAL LOCAL FUNDRAISING EVENTS DURING THE YEAR.	ExplanationIfNo
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.00000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Charitable Distrib Required	0	CharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV (2 entries)

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

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6072685	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2266584	DirectOffsettingRevenue
Net Community Benefit Expense	3806101	NetCommunityBenefitExpense
Percent Of Total Expense	0.01350	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	86111403	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78214509	DirectOffsettingRevenue
Net Community Benefit Expense	7896894	NetCommunityBenefitExpense
Percent Of Total Expense	0.02810	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	92184088	TotalCommunityBenefitExpense
Direct Offsetting Revenue	80481093	DirectOffsettingRevenue
Net Community Benefit Expense	11702995	NetCommunityBenefitExpense
Percent Of Total Expense	0.04160	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9458	TotalCommunityBenefitExpense
Net Community Benefit Expense	9458	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30351553	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10730097	DirectOffsettingRevenue
Net Community Benefit Expense	19621456	NetCommunityBenefitExpense
Percent Of Total Expense	0.06970	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21102888	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8993717	DirectOffsettingRevenue
Net Community Benefit Expense	12109171	NetCommunityBenefitExpense
Percent Of Total Expense	0.04300	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19590	TotalCommunityBenefitExpense
Net Community Benefit Expense	19590	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51483489	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19723814	DirectOffsettingRevenue
Net Community Benefit Expense	31759675	NetCommunityBenefitExpense
Percent Of Total Expense	0.11280	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	143667577	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100204907	DirectOffsettingRevenue
Net Community Benefit Expense	43462670	NetCommunityBenefitExpense
Percent Of Total Expense	0.15440	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	19548	TotalCommunityBuildingExpense
Net Community Building Expense	19548	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	19548	TotalCommunityBuildingExpense
Net Community Building Expense	19548	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,301,739	BadDebtExpenseAmount
Amount Attributable To	1590800	AmountAttributableTo
Amount Reimbursed By Medicare	64912828	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	57562040	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	7350788	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	0	EligibilityCriteriaExplained
Uses FPG Free	0	UsesFPGFree
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	0	ExplainsBasis
Explains Application Method	0	ExplainsApplicationMethod
Includes Publicity Measures	0	IncludesPublicityMeasures
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	0	NondiscrimEmergencyCarePolicy
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE COSTS ASSOCIATED WITH CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTS ASSOCIATED WITH "OTHER BENEFITS" WERE DETERMINED USING THE ACTUAL COSTS INCURRED BY THE PROGRAM USING AN INDIRECT OVERHEAD ALLOCATION, ADJUSTED FOR THE ACTUAL LOCATION OF THE PROGRAM.
PART I, LINE 7G: THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNT REPORTED FOR SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15975943.
PART II: RUMC'S PLAN FOR A COMMUNITY BENEFIT INFRASTRUCTURE TO FOSTER AND IMPROVE COMMUNITY HEALTH REQUIRES A BROAD AND COMPREHENSIVE APPROACH TO MEET DOCUMENTED HEALTHCARE NEEDS FOR STATEN ISLAND. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES, BASED ON COMMUNITY HEALTH NEEDS ASCERTAINED FROM STATISTICAL EVIDENCE THROUGH NEW YORK STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH INCLUDE DIABETES, SMOKING CESSATION, HEALTHY MOTHERS/HEALTHY BABIES, AND EMERGENCY PREPAREDNESS.PRIORITY I: DIABETES: RUMC RECEIVED A GRANT FROM THE EMPIRE CLINICAL RESEARCH INVESTIGATOR PROGRAM (ECRIP) TO RESEARCH METABOLIC SYNDROME, CONSIDERED TO BE A PRECURSOR TO DEVELOPING DIABETES, ITS PREVALENCE, AND PROGRESSION IN ADULTS. TWO HUNDRED FORTY-TWO ADULTS ARE PARTICIPATING IN THE METABOLIC SYNDROME PREVALENCE STUDY AND WILL BE FOLLOWED FOR TWO YEARS. THE MEDICAL CENTER ALSO OPERATES AN ADOLESCENT WEIGHT MANAGEMENT CLINIC, DESIGNED TO OFFER SUPPORT AND SOLUTIONS FOR OBESE ADOLESCENTS. RUMC PARTICIPATES IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE'S (HANYS) DIABETES CAMPAIGN COLLABORATIVE TO IMPROVE OUTCOMES AND PREVENT COMPLICATIONS FOR PATIENTS WITH DIABETES.PRIORITY II: SMOKING CESSATION: SINCE AUGUST OF 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 III: HEALTHY MOTHERS/HEALTHY BABIES: IN AN EFFORT TO INCREASE HEALTHY OUTCOMES FOR MOTHERS AND BABIES, RUMC HAS TAKEN ON THE CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE AND IS PROMOTING BREASTFEEDING TO NEW MOTHERS. PARTICIPANTS IN THE CENTERING PREGNANCY HAVE DEMONSTRATED IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, HIGHER BREASTFEEDING RATES, AND REDUCED EMERGENCY DEPARTMENT VISITS.PRIORITY IV: EMERGENCY PREPAREDNESS: RUMC PARTICIPATES IN THE RICHMOND COUNTY EMERGENCY PREPAREDNESS HEALTHCARE COALITION (RCEPHC), 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 RCEPHC 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, 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.
PART III, LINE 4: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES."COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, LINES 2 AND 3: THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTING METHODOLOGY USED TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY WAS THE RATIO OF APPROVED CHARITY CARE APPLICATIONS TO TOTAL APPLICATIONS APPLIED TO SELF PAY BAD DEBTS ASSOCIATED WITH PATIENTS WHO DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBT RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION.HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE.
PART III, LINE 8: COSTING METHODOLOGY/SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990).
PART III, LINE 9B: ALL PATIENTS WITH SELF PAY BALANCES RELATED TO SERVICES RENDERED AT RICHMOND UNIVERSITY MEDICAL CENTER ARE GIVEN THE OPPORTUNITY TO ADDRESS THEIR RESPONSIBILITY THROUGH A PAYMENT ARRANGEMENT OR A REDUCED FEE, BASED ON THE CRITERIA OF OUR FINANCIAL ASSISTANCE PROGRAM. A SLIDING FEE SCALE IS UTILIZED AND IS BASED UPON FAMILY INCOME AND NUMBER OF FAMILY MEMBERS. ALL PATIENTS WILL RECEIVE STATEMENTS AND/OR LETTERS AND ARE GIVEN THE OPPORTUNITY TO SATISFY THEIR OBLIGATION TO THE FACILITY PRIOR TO TRANSFER TO A COLLECTION AGENCY AND WRITE-OFF TO A BAD DEBT. PATIENTS WHO CANNOT AFFORD TO PAY ARE OFFERED INSTALLMENT PAYMENTS OR A REDUCTION IN BALANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM (FAP).
PART VI, LINE 2: RICHMOND UNIVERSITY MEDICAL CENTER'S (RUMC) BOARD, ADMINISTRATION AND STAFF FUNCTION FROM AN UNDERSTANDING THAT HEALTH IS THE CORNERSTONE OF A PRODUCTIVE AND POSITIVE QUALITY-OF-LIFE FOR EVERY STATEN ISLANDER. AS SUCH, OUR FOCUS IS NOT ONLY ON HEALING THE SICK, BUT ALSO UNDERSTANDING THE ROOT CAUSE OF CONDITIONS AFFECTING STATEN ISLANDERS AND WHAT WE CAN DO TO PREVENT THE DISEASE PROCESSES PREVALENT IN OUR COMMUNITY. RUMC UTILIZES A VARIETY OF SOURCES AND APPROACHES TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. COMMUNITY BENEFIT PLANNING IS FORMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NY STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THE NY STATE DEPARTMENT OF HEALTH'S STATE PLANNING AND RESEARCH SYSTEM (SPARCS), AND THE COMMUNITY HEALTH ASSESSMENT CLEARINGHOUSE PROVIDE PREVENTION QUALITY INDICATORS WHICH RUMC USES TO DETERMINE THE MOST PRESSING HEALTHCARE NEEDS OF THE COMMUNITY. RUMC UTILIZES INFORMATION FROM THE COUNTY HEALTH ASSESSMENT INDICATORS AND COUNTY HEALTH INDICATOR PROFILES. PREVENTION QUALITY INDICATORS (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.ADDITIONALLY, RUMC USES NEW YORK CITY DEPARTMENT OF HEALTH'S EPIQUERY, INTERACTIVE HEALTH INFORMATION SYSTEM, DATA FROM THE COMMUNITY HEALTH SURVEY REPORTS AND NEIGHBORHOOD STATISTICS. RUMC IS A PARTNER WITH NEW YORK CITY'S DEPARTMENT OF HEALTH IN THE PROGRAM "TAKE CARE NEW YORK." AS A TAKE CARE NY PARTNER RUMC HAS BEEN AN ACTIVE PARTICIPANT IN PROGRAMS TO INFORM THE PUBLIC ABOUT HEALTH, TO IMPROVE MEDICAL PROVIDERS' DELIVERY OF SERVICES, AND TO ENCOURAGE POLICY CHANGES THAT IMPROVE HEALTH. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL BEING OF OUR COMMUNITY. THROUGH MEETINGS WITH THE HOSPITAL'S COMMUNITY HEALTH ADVISORY BOARD, THE LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS AND COMMUNITY LEADERS, RUMC DEVELOPS AN OVERALL STRATEGY TO ADDRESS THE CRITICAL HEALTHCARE ISSUES FACING OUR COMMUNITY. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES BASED ON COMMUNITY HEALTH NEEDS FOR 2010 INCLUDED CHRONIC DISEASE (DIABETES), SMOKING CESSATION AND HEALTHY MOTHERS/HEALTHY BABIES AND EMERGENCY PREPAREDNESS AS DISCUSSED IN THE COMMUNITY SERVICE PLAN SUBMITTED TO NY STATE DEPARTMENT OF HEALTH AND DISTRIBUTED TO THE COMMUNITY AT LARGE ON THE RUMC WEBSITE.PRIORITY 1: CHRONIC DISEASE: DIABETESACCORDING TO THE NEW YORK CITY DEPARTMENT OF HEALTH, STATEN ISLAND HAS SEEN AN ESTIMATED 73 PERCENT INCREASE IN THE INCIDENCE OF DIABETES SINCE 2002. IT IS ALSO ESTIMATED THAT 25 PERCENT OF CHILDREN ON STATEN ISLAND ARE OBESE OR OVERWEIGHT WHICH LEADS TO DEVELOPING DIABETES. THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE NORTH SHORE OF STATEN ISLAND, RICHMOND UNIVERSITY MEDICAL CENTER'S CATCHMENT AREA, HAS A 10 PERCENT HIGHER HOSPITALIZATION RATE RELATED TO DIABETES THAN THE REMAINDER OF METRO NEW YORK. PHYSICIANS AT RICHMOND UNIVERSITY MEDICAL CENTER TREAT PATIENTS WITH DIABETES IN BOTH OUR MEDICAL CLINICS AND AS INPATIENTS.RUMC RECEIVED A GRANT FROM THE EMPIRE CLINICAL RESEARCH INVESTIGATOR PROGRAM (ECRIP) TO RESEARCH METABOLIC SYNDROME, CONSIDERED TO BE A PRECURSOR TO DEVELOPING DIABETES, ITS PREVALENCE, AND PROGRESSION IN ADULTS. TWO HUNDRED FORTY-TWO ADULTS, 20 YEARS OF AGE AND OVER, ARE PARTICIPATING IN THE METABOLIC SYNDROME PREVALENCE STUDY AND WILL BE FOLLOWED FOR TWO YEARS. THE MEDICAL CENTER ALSO OPERATES AN ADOLESCENT WEIGHT MANAGEMENT CLINIC, DESIGNED TO OFFER SUPPORT AND SOLUTIONS FOR OBESE ADOLESCENTS, AGES 11 THROUGH 21.RUMC CURRENTLY PARTICIPATES IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE'S (HANYS) DIABETES CAMPAIGN COLLABORATIVE WHICH INCLUDES PROVISIONS DESIGNED TO HELP HOSPITAL-BASED CLINICS AND PRIMARY CARE CENTERS IMPROVE OUTCOMES AND PREVENT COMPLICATIONS FOR PATIENTS WITH DIABETES.PRIORITY 2: SMOKING CESSATIONRUMC HAS TAKEN THE ROLE OF THE LEAD AGENCY IN COMBATING TOBACCO USE AND DEPENDENCE IN RICHMOND COUNTY, WHICH HAS THE HIGHEST RATE OF SMOKING OF THE FIVE BOROUGHS. SINCE AUGUST OF 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. THE CESSATION CENTER, CALLED ASSIST (ANTI-SMOKING STATEN ISLAND SUPPORT TEAM) IS FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, TOBACCO CONTROL PROGRAM. THE GOAL OF THE PROGRAM IS TO WORK WITH LOCAL HEALTHCARE PROVIDERS TO IMPLEMENT A SYSTEM FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE. ASSIST HAS CREATED A "SUPPORT TEAM" OF EXPERTS IN THE FIELD OF TOBACCO DEPENDENCE, WHO WORK WITH PHYSICIANS ON ADDRESSING THE IMPORTANCE OF QUITTING SMOKING WITH PATIENTS. BECAUSE TOBACCO DEPENDENCE IS A CHRONIC, RELAPSING DISEASE, WE BELIEVE THAT HEALTHCARE PROVIDERS ARE IN THE BEST POSITION TO PROVIDE MESSAGES TO THEIR PATIENTS ABOUT THE IMPORTANCE OF QUITTING AND OFFER THE HELP THEY MAY NEED. THE CESSATION CENTER PROVIDES ON-GOING STAFF TRAINING FOR PHYSICIANS AND OTHER HEALTHCARE PROVIDERS ON TREATMENT INTERVENTIONS AND EFFECTIVE COUNSELING TECHNIQUES AND TECHNICAL ASSISTANCE INCLUDING CHART REVIEWS, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS AND PROGRESS REPORTS. ALL ASSIST STAFF ARE TRAINED CERTIFIED TOBACCO TREATMENT SPECIALISTS, WHICH ENABLES THE PROGRAM TO OFFER DIRECT PATIENT CESSATION SERVICES INCLUDING A QUIT SMOKING SUPPORT GROUP, PROVIDING NICOTINE REPLACEMENT THERAPY AND OTHER RESOURCES AND SUPPORT FOR QUITTING. THE MEDICAL CENTER CONTINUES TO HOST THE KIDS AGAINST TOBACCO (K.A.T.) PROGRAM, A COLLABORATIVE EFFORT AMONG TEENAGERS, INTERNISTS, PEDIATRICIANS, PHYSICIANS-IN-TRAINING, AND MEDICAL STUDENTS TO CREATE COMMUNITY OUTREACH PROGRAMS AND FILMS TO EDUCATE RESIDENTS ABOUT TOBACCO ABUSE.PRIORITY 3: HEALTHY MOTHERS/HEALTHY BABIESRUMC'S COMMITMENT TO THE NEEDS OF THE POOR PREGNANT, POSTPARTUM, BREASTFEEDING WOMEN, INFANTS AND CHILDREN CAN BE DEMONSTRATED ON MANY LEVELS. THE CENTER FOR WOMEN'S AND CHILDREN'S SERVICES AT RUMC DELIVERS MORE THAN 3,000 BABIES A YEAR AND OUR NURSES HAVE BEEN THE WINNERS OF THE JOHNSON & JOHNSON CHILDBIRTH NURSING TEAM AWARD, NOMINATED BY OUR PATIENTS, FOR SEVERAL YEARS. 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, HIGHER BREASTFEEDING RATES AND FEWER ER VISITS.SEE CONTINUATION
PART VI, LINE 3: IN KEEPING WITH ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY WAY, REGARDLESS OF RACE, COLOR, CREED OR ETHNICITY. RUMC CONTINUES TO PROVIDE REDUCED-FEE OR FREE CARE IN ACCORDANCE TO PUBLIC LAW 2807(K)(9-A). ALTHOUGH NOT REQUIRED BY THIS LAW, WE DO EXTEND THIS POLICY TO INDIVIDUALS WHO MAY NOT BE QUALIFIED BASED ON THE GUIDELINES OF OUR FINANCIAL ASSISTANCE POLICY, BUT DO DEMONSTRATE AN INABILITY TO PAY ALL OF THEIR MEDICAL EXPENSES. AS PART OF BEST-PRACTICE CARE, RUMC IS IN COMMUNICATION WITH LOCAL COMMUNITY-BASED CONSUMER ADVOCATE ORGANIZATIONS TO BE CERTAIN THAT THEY ARE AWARE OF THE PROVISIONS OF OUR FINANCIAL AID POLICY. THE PATIENT ACCESS DEPARTMENT HAS RECEIVED SUMMARY DATA OF THE LAW AND OUR REQUIREMENTS. ASSISTANCE CONTINUES TO BE OFFERED BY OUR FINANCIAL SCREENING STAFF AND MEDICAL APPLICATION OFFICE TO THOSE INDIVIDUALS NOT ELIGIBLE FOR MEDICAID, AS WELL AS FINANCIAL SCREENING STAFF LOCATED IN OUR EMERGENCY DEPARTMENT. RUMC POSTS THE HOSPITAL'S CHARITY CARE POLICY SUMMARY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN MANY DIFFERENT LANGUAGES (AS DETERMINED BY RUMC'S ANNUAL LANGUAGE NEEDS ASSESSMENT) IN LOCATIONS SUCH AS THE EMERGENCY DEPARTMENT, INTAKE, REGISTRATION AND ADMISSION AREAS. PATIENTS ARE PROVIDED A SUMMARY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION AS PART OF THE INTAKE PROCESS AND FINANCIAL SCREENING PROCESS. PATIENT BILLS INCLUDE A STATEMENT ON FINANCIAL ASSISTANCE. EVERY PATIENT SEEN IN THE FINANCIAL OFFICE HAS A DISCUSSION ON THE AVAILABILITY OF GOVERNMENT BENEFITS SUCH AS MEDICAID AND AT THE SAME TIME QUALIFICATIONS ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. RUMC HAS AN INTERDISCIPLINARY TEAM THAT INTERACTS WITH FINANCIAL ASSISTANCE COUNSELORS SUCH AS SOCIAL WORKERS AND CASE MANAGERS TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. STAFF TRAINING ON FINANCIAL ASSISTANCE IS DONE ANNUALLY THROUGH AN IN-SERVICE PROGRAM THAT INCLUDES A REVIEW OF HOW TO QUALIFY PATIENTS FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. ALL THIRD PARTIES THAT WORK FOR RUMC IN THE COLLECTION OF FEES ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. RUMC'S FINANCIAL ASSISTANCE POLICY CLEARLY STATES THAT MEDICAL CARE IS PROVIDED TO INDIVIDUALS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY AND MAKES CERTAIN THAT ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED AND PROCESSED FAIRLY AND CONSISTENTLY WITH DIGNITY, COMPASSION AND IN A RESPECTFUL MANNER, CONSISTENT WITH RUMC MISSION AND VALUES.
PART VI, LINE 4: RUMC'S MISSION IS TO PROVIDE PREMIER QUALITY PATIENT CARE FOR THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. OUR POPULATION IS A CROSS MIX OF THE OVERALL POPULATION ON STATEN ISLAND; HOWEVER, SINCE WE ARE LOCATED ON THE NORTH SHORE, RUMC TREATS A SIGNIFICANTLY HIGHER NUMBER OF THE UNDERSERVED AND UNDER INSURED THAN HEALTHCARE PROVIDERS LOCATED IN OTHER AREAS OF STATEN ISLAND. THE PRIMARY SERVICE AREA OF RESIDENTS ON THE NORTH SHORE INCLUDES: WEST BRIGHTON (10310), MARINER'S HARBOR (10303), PORT RICHMOND (10302), ST. GEORGE (10301), STAPLETON (10304). OUR SECONDARY SERVICE AREA IS FROM ZIP CODES MARINERS HARBOR/WILLOWBROOK (10314) AND ROSEBANK (10305). THE OFFICE OF THE STATE DEPUTY INDICATES THAT STAPLETON HAS A 21% POVERTY RATE, WHILE PORT RICHMOND HAS A 17.5%, MARINER'S HARBOR AT 17.4%, AND WEST BRIGHTON WITH 15.4%; THESE ARE THE NEIGHBORHOODS WITH THE HIGHEST RATE OF POVERTY IN STATEN ISLAND AND ALL ARE LOCATED IN THE RUMC CATCHMENT AREA. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED THE FOLLOWING PRIMARY SERVICE AREAS, SERVED BY RUMC, AS PRIMARY HEALTH PROFESSIONAL SHORTAGE AREAS: ST. GEORGE (10301) AND STAPLETON (10304) PRIMARY CARE HPSA ID # 13699936E8; AND PORT RICHMOND (10302) AND MARINER'S HARBOR (10303) PRIMARY CARE HPSA ID # 136999365F. NORTH SHORE RESIDENTS (10302, 10304, 10303, 10310) ARE EXPERIENCING A SERIOUS SHORTAGE AND (10314) A STRESSED SHORTAGE OF PRIMARY CARE PROVIDERS SERVING MEDICAID ENROLLEES. ADDITIONALLY, ADMISSION RATES FOR AMBULATORY CARE SENSITIVE CASES PROVIDE AN IMPORTANT MEASURE OF AVAILABLE OUTPATIENT PRIMARY CARE SERVICES BECAUSE 2 OUT OF 5 EMERGENCY ROOM VISITS ARE FOR CONDITIONS THAT COULD HAVE BEEN PREVENTED WITH TREATMENT IN PRIMARY CARE SETTINGS. ZIP CODES 10302, 10301, 10304 AND 10305 HAVE AMBULATORY CARE SENSITIVE CONDITIONS (ACSC) ADMISSION RATES THAT ARE 100-150% HIGHER THAN THE CITYWIDE RATE. AMENABLE MORTALITY (AM) IS A BROAD INDICATOR THAT MEASURES THE EXTENT TO WHICH A HEALTH CARE SYSTEM CONTROLS PREMATURE MORTALITY AMENABLE TO HEALTH CARE INTERVENTIONS, FROM DISEASE PREVENTION SERVICES TO PRIMARY CARE, AS WELL AS TO SPECIALTY SERVICES. A NEIGHBORHOOD COMPARISON SHOWS PORT-RICHMOND (10302) WITH AN AGE-ADJUSTED AM THAT IS 27% HIGHER THAN NEW YORK CITY AND ADJUSTED RATES OF AVOIDABLE HOSPITAL CONDITION (AHC), FOR ST. GEORGE (10301) THAT IS 38% HIGHER THAN NEW YORK CITY. THE REPORT STATES: "THERE ARE SIGNIFICANT DISPARITIES IN ACCESS TO HEALTH CARE, WHICH AFFECT MORE THAN 178,000 STATEN ISLANDERS (40% OF THE POPULATION, MOSTLY ON THE NORTH SHORE IN ST. GEORGE AND PORT RICHMOND), THE HEALTH CARE SYSTEM FOR THIS POPULATION COULD BE IMPROVED BY TARGETING THESE AREAS FOR INCREASED AVAILABILITY OF HEALTH SERVICES RANGING FROM CLINICAL PREVENTION TO PRIMARY." THIS REPORT CONCLUDES THAT IT WILL BE IMPORTANT TO DEVELOP AN INTEGRATED RESPONSE TO THE AREAS OF HIGH RISK AND TO ASSEMBLE A MIX OF CLINICAL PREVENTION, PRIMARY CARE, AND SPECIALTY SERVICES THAT ARE TAILORED TO THE NEEDS OF STATEN ISLANDERS. THERE ARE STARTLING STATISTICS THAT CLEARLY INDICATE THE MOST SERIOUS LACK OF HEALTHCARE RESOURCES, COMBINED WITH POOR HEALTH STATUS AND POVERTY IS FOUND ON THE NORTH SHORE OF STATEN ISLAND. PORT RICHMOND, STAPLETON, ST. GEORGE AND MARINERS HARBOR RESIDENTS HAVE AN ANNUAL HEART DISEASE HOSPITALIZATION 20% HIGHER THAN NYC; 1 OUT OF 4 RESIDENTS ARE OBESE, 8-9% OF THESE COMMUNITY RESIDENTS HAVE DIABETES; 22% OF ADULTS SMOKE IN THE NORTH SHORE AND 33% IN WILLOWBROOK (10314). MARINER'S HARBOR (10303) AND WILLOWBROOK (10314) NORTHERN-MID-ISLAND HAVE A 60% HIGHER RATE OF HOSPITALIZATION FROM FALLS WITH FALL-RELATED HIP FRACTURE HOSPITALIZATION RATES THAT ARE 50% HIGHER THAN NYC OVERALL. STAPLETON, ST. GEORGE, AND PORT RICHMOND COMMUNITIES HAVE A CANCER RATE THAT IS 20% HIGHER THAN NEW YORK CITY OVERALL. THE AVERAGE BIRTHRATE OF TEENAGERS IN 2003-2004 IN PORT RICHMOND WAS 106/1,000; THE REMAINDER OF STATEN ISLAND HAS A RATE OF 55/1,000 AND NYC HAS AN OVERALL RATE OF 75/1,000. THE INCIDENCE 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 DIAGNOSES (.48 VS. 24 PER 1,000 FOR STATEN ISLAND) FOR RESIDENTS IN THE BAYLEY SETON AREA PER THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE. THE OVERALL DEATH RATE 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 PROJECTED TO INCREASE FROM 12.4% IN 2000 TO 19.6% BY 2030. THE NUMBER OF PERSONS AGED >65 YEARS IS EXPECTED TO INCREASE FROM APPROXIMATELY 35 MILLION IN 2000 TO AN ESTIMATED 71 MILLION BY 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 2000, SIMILAR TO THE US AS A WHOLE, 13.1% 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. THE RELEASE OF POPULATION ESTIMATES BY THE CENSUS BUREAU FOR JULY 2009 HAS STATEN ISLAND OUTPACING THE FOUR OTHER BOROUGHS OF THE CITY, WITH A GROWTH RATE OF 10.8%, PLACING IT AMONG THE FASTEST GROWING COUNTIES IN NEW YORK STATE. CURRENTLY 12.5% OF THE STATEN ISLAND POPULATION IS 65 YEARS OF AGE AND OVER (61,466). WITH THIS STEADY INCREASE IN POPULATION AND RISING TREND IN THE AGING OF THE STATEN ISLAND POPULATION, THE COMMUNITY IS EXPERIENCING A RISE IN HEALTHCARE NEEDS AND HEALTHCARE COSTS. AS MORE BABY BOOMERS DEVELOP CHRONIC ILLNESSES THE DEMAND ON THE HEALTHCARE SYSTEMS WILL RISE. WITH THIS IN MIND RICHMOND UNIVERSITY MEDICAL CENTER RECOGNIZES THAT OUR FOCUS MUST SHIFT TO PREVENTION ISSUES AND KEEPING PEOPLE HEALTHY.
PART VI, LINE 6: RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 510-BED HOSPITAL, ONE OF TWO PRIVATE HOSPITALS SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND. LOCATED ON THE NORTH SHORE OF STATEN ISLAND WHERE THERE 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 32,000 PEOPLE IN 2010. RUMC IS A MAJOR PARTICIPANT IN SEVERAL MAJOR ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND. A REPRESENTATIVE FROM RUMC SITS ON THE COMMITTEE FOR THE ANNUAL STATEN ISLAND HEALTH AND WELLNESS CONFERENCE WHICH OFFERS A FORUM FOR THOUSANDS OF RESIDENTS TO INCREASE AWARENESS AND TAKE ACTION STEPS TO REDUCE THE INCIDENCE OF SMOKING AND OBESITY ON STATEN ISLAND. DURING THIS ANNUAL EVENT RESIDENTS ARE ABLE TO RECEIVE FREE MAMMOGRAPHY SCREENING, HEARING EXAMS, GLAUCOMA SCREENING, PERIPHERAL ARTERY DISEASE SCREENING, METABOLIC SYNDROME SCREENING AND BLOOD PRESSURE SCREENING. THE HEALTH CONFERENCE INCLUDES HEALTHY MEALS DEMONSTRATIONS, FITNESS DEMONSTRATIONS AND MANY HEALTH RELATED SEMINARS.THROUGH THE RUMC SPEAKERS BUREAU, PHYSICIANS PRESENT HEALTH TALKS THROUGHOUT THE COMMUNITY ON AN ONGOING BASIS, TO EDUCATE THE PUBLIC ON WAYS TO STAY HEALTHY. RUMC PARTICIPATES IN THE ANNUAL "BOARDWALK BASH" PROGRAM FOR SENIORS AND THE "BACK TO THE BEACH" FAIR SPONSORED BY THE OFFICE OF THE BOROUGH PRESIDENT. RICHMOND UNIVERSITY MEDICAL CENTER HAS A LONG-STANDING AND STRONG COLLABORATIVE RELATIONSHIP WITH THE AMERICAN CANCER SOCIETY, EASTERN DIVISION IN PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF STATEN ISLAND. 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 AND PROJECT HOSPITALITY. RUMC HAS A FORMAL RELATIONSHIP WITH THE STATEN ISLAND HEALTHY LIVING PARTNERSHIP, FUNDED BY THE CDC AND NYSDOH. FOR THIRTY YEARS RICHMOND UNIVERSITY MEDICAL CENTER (RUMC) WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING, AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES HAS BEEN SUPPORTED BY AND CONSISTENT WITH THE OVERALL MISSION OF RUMC. RUMC WIC PROGRAM HAS HELPED THOUSANDS OF FAMILIES BY PROVIDING NUTRITIOUS FOOD, NUTRITION AND HEALTH EDUCATION, AND ASSISTANCE FOR ADDITIONAL HEALTH AND HUMAN SERVICES WHEN NEEDED. THE INTERPLAY BETWEEN THE RUMC PCAP PROGRAM, NURSE-FAMILY PARTNERSHIP, HEALTHY FAMILIES, HEAD START, AND RUMC WIC CREATES A DYNAMIC RELATIONSHIP THAT FOSTERS IMPROVED HEALTH FOR PREGNANT WOMEN, NEW MOTHERS AND THEIR INFANTS. RUMC WIC HAS ASSISTED THE MEDICAL CENTER IN EFFORTS FOR LONGER GESTATION PERIODS, HIGHER BIRTH WEIGHTS AND LOWER INFANT MORTALITY.RUMC WIC SERVICES PROVIDE FOR THE NEEDS OF WOMEN AND CHILDREN WHO HAVE A LOW INCOME, ARE UNDOCUMENTED CITIZENS, THE UNINSURED, THE UNDER-INSURED, RECENT IMMIGRANTS FROM VARIOUS COUNTRIES, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE AND FOSTER CHILDREN. THE POPULATION THAT ACCESSES SERVICES AT THE RUMC WIC SITE ARE 50.7% HISPANIC AND 49.3% NON HISPANIC WITH 57.8% OF THE NON-HISPANIC POPULATION BEING BLACK OR AFRICAN-AMERICAN.ACCORDING TO THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S COMMUNITY HEALTH PROFILES FOR ZIP CODES 10303, 10302, 10310 (PORT RICHMOND) WHICH IS SERVED BY THE RUMC WIC SITE, THE THREE IMPORTANT MEASURES OF MATERNAL AND INFANT HEALTH INDICATE THAT THIS PLANNING AREA IS NEAR OR HIGHER THAN THE CITYWIDE AVERAGE FOR THE FOLLOWING: WOMEN RECEIVING LATE OR NO PRENATAL CARE FOR NYC IS 30% OF LIVE BIRTHS AND FOR PORT RICHMOND IS 28% WITH THE NATIONAL GOAL OF LESS THAN 10%. BABIES BORN WITH LOW BIRTHWEIGHT (<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. RICHMOND UNIVERSITY MEDICAL CENTER IS COMMITTED TO PROVIDING SENSITIVE, TIMELY, COMPREHENSIVE, AND HIGH QUALITY CARE TO SURVIVORS OF RAPE AND SEXUAL ASSAULT. RUMC IS PART OF THE STATEN ISLAND SEXUAL ASSAULT TASK FORCE AND WORKS WITH THE OFFICE OF THE DISTRICT ATTORNEY FOR RICHMOND COUNTY, NYPD, RAPE VICTIMS' ADVOCACY GROUPS, AND OTHER LOCAL ORGANIZATIONS TO ASSURE COORDINATION OF SERVICES FOR THE RAPE SURVIVOR. RUMC WORKED SUCCESSFULLY WITH THE NEW YORK CITY ALLIANCE AGAINST SEXUAL ASSAULT TO BECOME THE ONLY SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) CENTER OF EXCELLENCE IN STATEN ISLAND. OUR CULTURALLY SENSITIVE, HOSPITAL-BASED PROGRAM TREATS ALL VICTIMS OF SEXUAL ASSAULT THROUGHOUT STATEN ISLAND, WITH SUPPORT FROM THE DEPARTMENT OF MEDICINE, OB/GYN, NURSING AND ADMINISTRATION.RUMC SERVES A FINANCIALLY DISADVANTAGED POPULATION THAT IS AT GREATER RISK THAN THE AVERAGE STATEN ISLAND RESIDENT. PROVIDING IN-PATIENT AND OUT-PATIENT BEHAVIORAL HEALTH SERVICES FOR STATEN ISLANDERS, AND, IN PARTICULAR, FOR THOSE WHO ARE MARGINALIZED AND DISENFRANCHISED, IS A HIGH PRIORITY FOR RUMC. RUMC HAS A WELL ESTABLISHED HISTORY WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS AND PROVIDERS. RUMC HAS A COLLABORATIVE RELATIONSHIP WHICH INCLUDES STATEN ISLAND MENTAL HEALTH SOCIETY, JEWISH BOARD FAMILY AND CHILDREN SERVICES, AND SOUTH BEACH PSYCHIATRIC CENTER'S CHILD-ADOLESCENT TRANSITION UNIT. RUMC HAS OUTREACH PROGRAMS TO EDUCATE RESIDENTS ON THE IMPORTANCE OF IDENTIFYING AND TREATING MENTAL HEALTH PROBLEMS.ACCORDING TO THE BERGER COMMISSION, RUMC IS "AN ESSENTIAL HOSPITAL," AS LARGE AREAS OF STATEN ISLAND ARE CURRENTLY CONSIDERED SERIOUS SHORTAGE AREAS (MAINLY LOCATED IN THE RUMC CATCHMENT AREA), ESPECIALLY FOR MEDICAID AND OTHER VULNERABLE POPULATIONS. RUMC'S BOARD OF TRUSTEES CONSISTS OF STATEN ISLAND LEADERS WITH A COMMITMENT TO SERVICE. THE RUMC COMMUNITY ADVISORY COUNCIL CONSISTS OF REPRESENTATIVES FROM VARIOUS LOCAL ORGANIZATIONS. ANNUALLY, ADMINISTRATION ATTENDS ADVOCACY DAY IN ALBANY TO SPEAK TO STATE OFFICIALS ON HEALTH-RELATED ISSUES IMPORTANT FOR THE STATEN ISLAND COMMUNITY AND PROMOTE COMMUNITY-WIDE EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION. RUMC BOARD MEMBERS AND ADMINISTRATORS MEET WITH LOCAL GOVERNMENT REPRESENTATIVES REGULARLY TO WORK ON INITIATIVES THAT PROMOTE HEALTH FOR OUR COMMUNITY.
NY	REPORTS FILED WITH STATES	PART VI, LINE 7
PRIORITY 4: EMERGENCY PREPAREDNESSTHE LAST SEVERAL YEARS HAVE SHOWN THE COUNTRY JUST HOW IMPORTANT IT IS TO BE PREPARED FOR NATURAL DISASTERS, TERRORIST ATTACKS AND MAJOR ACCIDENTS. AT RICHMOND UNIVERSITY MEDICAL CENTER, WE TAKE EMERGENCY PREPAREDNESS VERY SERIOUSLY AND ARE WORKING WITH COMMUNITY AGENCIES TO ENSURE THE BEST POSSIBLE OUTCOMES FOR ALL STATEN ISLANDERS. STATEN ISLAND HAS UNIQUE GEOGRAPHIC PROPERTIES THAT PRESENT MANY CHALLENGES FOR EMERGENCY PREPAREDNESS. BEING AN ISLAND WITH ONE COMMUTER FERRY AND FOUR BRIDGES, STATEN ISLAND, ALTHOUGH PART OF NEW YORK CITY, IS HEAVILY ISOLATED. IN THE INTEREST OF HAVING THE ISLAND BE ABLE TO MANAGE ITSELF FOR THE FIRST 96 HOURS OF A WIDE SCALE OR LOCAL DISASTER, THE NEW YORK STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE SUPPORTED AN IDEA TO CREATE AN INITIATIVE FOR STATEN ISLAND IN THE EVENT OF A DISASTER. BECAUSE OF THIS, RUMC - IN ADDITION TO ITS OWN INTERNAL INITIATIVES - HAS JOINED THE RICHMOND COUNTY EMERGENCY PREPAREDNESS HEALTHCARE COALITION (RCEPHC), WHICH WAS ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE HOSPITAL, ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, AND VOLUNTARY AMBULANCES, AS WELL AS OTHER ORGANIZATIONS, MAKE UP THE COALITION. 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 RCEPHC. THESE DRILLS HELP TO DEFINE SHORTCOMINGS IN BOTH OUR INTERNAL AND EMERGENCY OPERATIONS PLANS (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY.		PART VI, LINE 2-CONTINUATION

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD MURPHY
684366	0	198000	0	13245	0	138150	0	16929	0	1050690	0	0	0
PIETRO CARPENITO MD
139805	0	0	0	1901	0	15862	0	16643	0	174211	0	0	0
GARY TERRINONI
440000	0	110000	0	12322	0	92550	0	936	0	655808	0	0	0
ROSEMARIE STAZZONE
275001	0	0	0	2322	0	26950	0	936	0	305209	0	0	0
MICHAEL L MORETTI MD
695114	0	0	0	1290	0	22050	0	16623	0	735077	0	0	0
ANTHONY BARONE MD
430883	0	0	0	432	0	17150	0	16607	0	465072	0	0	0
EDWARD ARSURA MD
367245	0	0	0	5850	0	26950	0	16191	0	416236	0	0	0
LOREN HARRIS MD
537946	0	0	0	450	0	17150	0	562	0	556108	0	0	0
PANJAK R PATEL MD
315566	0	32445	0	1980	0	22050	0	16191	0	388232	0	0	0
RICHARD SALHANY MBA
306173	0	0	0	1242	0	26950	0	16998	0	351363	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDING DECEMBER 31, 2010: RICHARD MURPHY, PRESIDENT & CEO - $111,200 GARY TERRINONI, EXECUTIVE VP ADMINISTRATION & CFO - $65,600 THESE AMOUNTS HAVE BEEN FUNDED BUT NOT PAID IN 2010.
PART I, LINE 7	THE ORGANIZATION PAID TO ITS CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND CHAIRMAN OF PSYCHIATRY VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION OF VARIOUS GOALS.
PART I, LINE 8	DURING 2008, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER COMMENCED EMPLOYMENT AND WAS COMPENSATED PURSUANT TO AN EMPLOYMENT AGREEMENT SATISFYING THE INITIAL CONTRACT EXCEPTION DESCRIBED IN TREAS. REGS. SECTION 53.4958-4(A)(3).

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
KATHRYN K ROONEY ESQ
BOARD CHAIRPERSON	154343	KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (42 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.	0
DR MARINO POLISANO
BOARD MEMBER RONALD PURPORA'S SON-IN-LAW	30600	DR. MARINO POLISANO WAS PAID BY THE HOSPITAL AS AN INDEPENDENT CONTRACTOR DURING 2010. THE MEDICAL CENTER'S BOARD MAINTAINS A CONFLICT OF INTEREST POLICY, AND ALL TRANSACTIONS CONDUCTED WITH INTERESTED PERSONS ARE AT ARM'S LENGTH.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 AFTER IT HAS BEEN FILED WITH THE IRS.
	CONFLICT OF INTEREST POLICY FORMS ARE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTORS LEVEL THROUGH THE PRESIDENT'S OFFICE AND COLLECTED THERE AS WELL. ALL FORMS ARE REVIEWED BY THE COMPLIANCE OFFICE. 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 12C
	IN 2009, THE ORGANIZATION'S BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND TO EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE RENUMERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE IS ADVISED BY OUTSIDE COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT, EACH OF WHOM OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. THIS CONSULTANT WAS ENGAGED IN BOTH 2009 AND 2010 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 B, LINE 15
	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	AMBOY MEDICAL PRACTICE NET LOSS INCLUDED IN CONSOLIDATED FINANCIALS -339,304. TOTAL TO FORM 990, PART XI, LINE 5: -339,304.	FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Percentage OwnershipPercentageOwnership
BRIDGE REGIONAL HEALTH SYSTEM
355 BARD AVENUE	STATEN ISLAND	NY	10310	205171165	INACTIVE HOLDING COMPANY	NY	N/A	C
AMBOY MEDICAL PRACTICE PC
C/O 355 BARD AVENUE	STATEN ISLAND	NY	10310	263381883	PHYSICIAN MEDICAL PRACTICE	NY		C	RICHMOND MEDICAL CENTER	-339304	1.00000

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

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

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	339304	AmountInvolved
Method Of Amt Determination	COST	MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

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