2023-11-13T10:27:18-06:00 2022-12-31 WithumSmithBrown PC 1411 BROADWAY 9TH FLOOR NEW YORK NY 10018 990 2022-01-01 743177454 RICHMOND MEDICAL CENTER % DAVID MURRAY RICH 7188182036 355 BARD AVENUE STATEN ISLAND NY 10310 DAVID MURRAY MBA FHFMA SVP & CFO 7188182036 2023-11-07 true DAVID MURRAY MBA FHFMA 999009999 HAYLEY L STOUT CPA P01293083 9738989494 2023-11-07 3 2022 2023-04-26 12:10:37Z RICHMOND UNIVERSITY MEDICAL CENTER DANIEL J MESSINA PHD MPA 355 BARD AVENUE STATEN ISLAND NY 10310 421238411 false X WWW.RUMCSI.ORG X 2007 NY TO PROVIDE PREMIER QUALITY PATIENT CARE THROUGH A FULL SPECTRUM OF EMERGENT, ACUTE, PRIMARY, BEHAVIORAL HEALTH AND EDUCATIONAL SERVICES. 22 16 2963 16 0 0 48512025 18761335 327236920 399949710 440038 408193 475784 257045 376664767 419376283 0 0 0 0 256556603 275086630 0 0 0 124695077 123325999 381251680 398412629 -4586913 20963654 435447032 620758922 350232996 450162529 85214036 170596393 X 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. FOR ADDITIONAL INFORMATION PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED WITHIN SCHEDULE O. false false 348106709 0 399944826 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 348106709 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true X 422 0 true 2963 true false false false false false false false false false false true false X 22 16 false false false false true true true true true false false true true true true true true true true false NY X DAVID MURRAY 7188183295 355 BARD AVENUE STATEN ISLAND NY 10310 X DANIEL J MESSINA PHD MPA TRUSTEE - PRESIDENT & CEO 55.0 0.0 X X 1125470 0 221121 MICHAEL F CABBAD MD OBGYN 55.0 0.0 X 855995 0 65744 LANCE U JUNG MD SURGEON 55.0 0.0 X 759400 0 59644 LOREN HARRIS MD CHAIRMAN DEPT OF SURGERY 55.0 0.0 X 751910 0 27450 FRANCESCO ROTATORI MD CARDIOLOGIST 55.0 0.0 X 697299 0 51144 ALEXANDER BARKAN MD BARIATRIC SURGEON 55.0 0.0 X 613986 0 65744 ALEXANDER BEYLINSON DO TRUSTEE - PRES MED STAFF 55.0 0.0 X 632508 0 40938 VAITHILINGHAM ARULTHASANMD INTERNIST 55.0 0.0 X 650218 0 21350 PIETRO CARPENITO MD TRUSTEE (TERM 6/30) - EVP, CMO 55.0 0.0 X X 562312 0 97824 ROSEMARIE STAZZONE RN MSN NE-BC COO & CNO 55.0 0.0 X 594015 0 60780 RICHARD SALHANY MBA FACHE CHIEF ADMINISTRATION OFFICER 55.0 0.0 X 513122 0 95542 DAVID MURRAY MBA FHFMA SVP, CFO 55.0 0.0 X 498897 0 92831 BRIAN S MOODY ESQ SVP, LEGAL/GEN COUNSEL & CCO 55.0 0.0 X 402967 0 76587 GAITRE A LORICK VP, CHRO (EFF 03/28/2022) 55.0 0.0 X 243009 0 29193 SAMALA SWAMY MD TRUSTEE 1.0 0.0 X 5192 0 0 RONALD A PURPORA CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 TIMOTHY C HARRISON VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 KATHERINE CONNORS PT MPH SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 GINA GUTZEIT TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 ALAN S BERNIKOW CPA TRUSTEE 1.0 0.0 X 0 0 0 THOMAS DELMASTRO TRUSTEE 1.0 0.0 X 0 0 0 SARA WARREN GARDNER MPH TRUSTEE 1.0 0.0 X 0 0 0 STEVEN M KLEIN TRUSTEE 1.0 0.0 X 0 0 0 ANITA LAREMONT ESQ TRUSTEE 1.0 0.0 X 0 0 0 ROSEMARIE MALDONADO ESQ TRUSTEE 1.0 0.0 X 0 0 0 DAVID MCGOY TRUSTEE 1.0 0.0 X 0 0 0 COURTNEY MOORE TRUSTEE 1.0 0.0 X 0 0 0 JILL O'DONNELL-TORMEY PHD TRUSTEE 1.0 0.0 X 0 0 0 PANKAJ R PATEL MD TRUSTEE 1.0 0.0 X 0 0 0 KATHRYN K ROONEY ESQ TRUSTEE 1.0 0.0 X 0 0 0 JOHN C SANTORA TRUSTEE 1.0 0.0 X 0 0 0 JOHN VINCENT SCALIA SR TRUSTEE 1.0 0.0 X 0 0 0 MARCELLO SCIARRINO TRUSTEE 1.0 0.0 X 0 0 0 JOHN TAPINIS TRUSTEE 1.0 0.0 X 0 0 0 REV DR TONY BAKER SR TRUSTEE (Termed 06/30/2022) 1.0 0.0 X 0 0 0 JAMES P MOLINARO TRUSTEE (Termed 06/30/2022) 1.0 0.0 X 0 0 0 CATHERINE PAULO ESQ TRUSTEE (Termed 06/30/2022) 1.0 0.0 X 0 0 0 DENNIS QUIRK TRUSTEE (Termed 06/30/2022) 1.0 0.0 X 0 0 0 8906300 0 1005892 640 false true false SAVISTA PO Box 676188 DALLAS TX 752676188 Patient Billing Svcs 4311823 ARAMARK CORP 25271 Network Place CHICAGO IL 606731252 Food Services 3171773 CADUCEUS HEALTH 30 Montgomery Street Suite 720 JERSEY CITY NJ 073023841 Patient Billing Svcs 2014424 CANNON DESIGN Department Chicago PALATINE IL 600559824 Architectural dgn. 1690236 NKN CONSTRUCTION 5723 2nd Avenue BROOKLYN NY 11220 Construction 1557830 135 1251308 15540322 1969705 18761335 NET PATIENT SERVICE REVENUE 622110 386364339 386364339 OTHER HEALTHCARE RELATED REVENUE 622110 13585371 13585371 399949710 96474 96474 224837 224837 0 2013701 1842510 171191 0 171191 171191 106500 19618 -19618 106500 86882 86882 0 0 0 0 0 0 0 0 0 PARKING REVENUE 812930 85854 85854 85854 419376283 399949710 665238 X 0 0 0 0 6066476 5292428 774048 0 199107982 174068371 25039611 19562380 17066332 2496048 36484646 31829413 4655233 13865146 12096032 1769114 0 545153 476319 68834 260072 227234 32838 384284 335762 48522 0 0 41428614 36197594 5231020 0 687489 600683 86806 1509047 1318506 190541 195992 171245 24747 0 2335902 2040957 294945 157450 137569 19881 0 233501 204018 29483 1680469 1468283 212186 0 8854603 7736569 1118034 8191678 7157349 1034329 MEDICAL SUPPLIES 46094183 40274061 5820122 REPAIRS & MAINTENANCE 6787557 5930520 857037 LAUNDRY 862994 754027 108967 DUES & SUBSCRIPTIONS 922417 805947 116470 2194594 1917490 277104 398412629 348106709 50305920 0 14246542 36051442 5480755 15657394 0 0 44619441 107630328 0 0 0 0 0 0 6657095 7924735 1323155 970837 384179568 91919627 214999457 292259941 0 0 0 0 58727972 25933166 0 0 89392615 134331079 435447032 620758922 99469994 124291604 0 0 3525566 7539538 125254571 150401303 0 0 0 0 2519274 6381970 0 0 119463591 161548114 350232996 450162529 X 41693387 88842114 43520649 81754279 85214036 170596393 435447032 620758922 X 20963654 -88590 64507293 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 287831 false true 96453 384284 false SCHEDULE C, PART II-B; LINES 1G & 1I THE ORGANIZATION ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2022, THE ORGANIZATION PAID OUTSIDE FIRMS $287,831 FOR LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ("HANYS") AND THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA") WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $46,304 DURING 2022. THIS ORGANIZATION ALSO IS INVOLVED IN THE HEALTHCARE EDUCATION INTIATIVE OF 1199/GNYHA TO WHICH IT PAID DUES IN THE AMOUNT OF $50,149 IN 2022. ONE OF THE FUNCTIONS OF THE HEALTHCARE EDUCATION PROJECT IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS. 344647 344647 344647 344647 344647 344647 344647 344647 344647 344647 0.00000 1.00000 0.00000 false false 4471164 4471164 57844431 21779351 36065080 9456104 3469935 5986169 94064213 66222457 27841756 218343656 447884 217895772 292259941 DUE FROM AFFILIATES 82217375 INSURANCE RECOVERIES REC 36045487 RIGHT OF USE ASSETS 13837741 EST 3RD PARTY PAYOR SETTLEMENT 1550727 OTHER ASSETS 679749 134331079 0 EST INSURANCE CLAIMS LIABILITY 53547721 ADVANCES FROM NY STATE 51065160 EST THIRD PARTY SETTLEMENTS 21681151 ACCRUED PENSION COSTS 17308847 OPERATING LEASE PAYABLE 14512851 OTHER LIABILITIES 3432384 161548114 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. true true X true X true X true true false true true 18106972 3267255 14839717 0.03720 126107791 129706981 0 0.00000 144214763 132974236 14839717 0.03720 2884 0 2884 38641240 14923801 23717439 0.05950 38923480 24681073 14242407 0.03580 77567604 39604874 37962730 0.09530 221782367 172579110 52802447 0.13250 true 4823489 1447047 66423111 60220593 6202518 X true true 1 1 RICHMOND MEDICAL CENTER 355 BARD AVENUE STATEN ISLAND NY 10310 WWW.RUMCSI.ORG 7004010H X X X X RICHMOND MEDICAL CENTER 1 false false true X X X X X X X X X 22 true false false true X WWW.RUMCSI.ORG X true 22 true WWW.RUMCSI.ORG false false true X 100 400. X X X X X true true X X X X true X WWW.RUMCSI.ORG X WWW.RUMCSI.ORG X WWW.RUMCSI.ORG X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 Community engagement was an integral part of the 2022 CHNA. In assessing community health needs, input was solicited and received from persons who represent the broad interests of the community, as well as underserved, low-income, and minority populations. These individuals provided wide perspectives on health trends, expertise about existing community resources available to meet those needs, and insights into service delivery gaps that contribute to health disparities and inequities. RUMC is an active community partner and participating member of cross-agency coalitions serving Staten Island residents, including the following: - Staten Island Behavioral Health Infrastructure Project (BHIP), with the goal to help strengthen mental health and substance use disorder infrastructure across Staten Island systems, reduce unnecessary. hospitalizations, and increase access to quality behavioral health services. - Staten Island Performing Provider System (SI PPS), an integrated network of medical, behavioral, and social service agencies with the goal of improving quality of care, reducing costs, and improving health outcomes for Staten Island's Medicaid and uninsured populations. - Tackling Youth Substance Abuse (TYSA), an initiative aimed at decreasing the use of alcohol and prescription drugs and promoting overall healthy choices among youth. As a partner in BHIP, RUMC has most recently been active in the Staten Island Veteran Suicide Prevention Collaborative (SIVSPC), a community-based collaborative of veteran and civilian organizations. The SIVSPC provides quarterly webinars on topics relating to veteran suicide prevention and partners with the Staten Island Retired Volunteer Program to hold community-based Veterans Taskforce meetings. The collaborative also provides ongoing outreach to Staten Island veterans to assess and respond to their social determinants of health needs. RUMC was a founding member in helping construct and form the SI PPS. RUMC exited the PPS after the initial 5-year project, but remains an active participant, particularly around behavioral health initiatives. Since its formation in 2014, SI PPS has become a national model for how to use data driven strategic business intelligence to create multi-agency collaboration, improve care quality, reduce costs, and achieve population-level outcomes for people with behavioral health conditions. As part of the SI PPS, RUMC has implemented within its system the emergency department (ED) Peer Counselor Warm Handoff Program and E-Recovery Addiction Treatment Platform, among other initiatives. Both programs assist patients with substance use disorder access recovery services and supports in real time and have proven outcomes in reducing relapse and increasing treatment adherence. The RUMC Center for Young Adults is a member of the TYSA coalition to advocate for and respond to youth substance use concerns. In addition to its work with TYSA, the Center for Young Adults has been actively engaged in the community, providing education and facilitating service linkages with other youth-focused organizations. The program supervisor has targeted education to local schools and facilitated service delivery linkages with the Department of Education and a large charter school organization on Staten Island. In addition to partnering with community coalitions, RUMC fostered and deepened relationships with school districts across the borough to provide tobacco prevention education. This service was initiated in response to the 2019 CHNA identified issue of e-cigarette use among youth. In 2019 alone, RUMC provided more than 30 tobacco prevention sessions, reaching over 5,000 students across Staten Island. Other community health promotion partners have included the Jewish Community Center, Staten Island Economic Development Corporation, and Community Health Action of Staten Island. The collective initiatives of community coalitions and partners have and will continue to be integral to the CHNA and CSP. The individuals who comprise these partnerships, as well as other diverse stakeholders across the community, were invited to provide feedback as part of the 2022 CHNA to inform both priority needs and ongoing health improvement efforts. KEY INFORMANT INTERVIEWS ------------------------ A KEY INFORMANT SURVEY WAS CONDUCTED WITH COMMUNITY REPRESENTATIVES WITHIN STATEN ISLAND TO SOLICIT INFORMATION ABOUT HEALTH NEEDS AMONG RESIDENTS. A TOTAL OF 35 INDIVIDUALS RESPONDED TO THE SURVEY, INCLUDING HEALTH AND SOCIAL SERVICE PROVIDERS; COMMUNITY AND PUBLIC HEALTH EXPERTS; CIVIC, RELIGIOUS, AND SOCIAL LEADERS; POLICY MAKERS AND ELECTED OFFICIALS; AND OTHERS REPRESENTING DIVERSE POPULATIONS INCLUDING MINORITY, LOW-INCOME, AND OTHER UNDERSERVED OR VULNERABLE POPULATIONS. A LIST OF THE REPRESENTED COMMUNITY ORGANIZATIONS INCLUDED THE FOLLOWING: - Assemblyman Michael Cusick, 63rd Assembly District, District Office Manager - Brighton Heights Reformed Church, Senior Minister - Cancer Tamer Foundation, CEO - Carmel Richmond Healthcare and Rehabilitation Center, Executive Director - Church of the Ascension, Parish Administrator - Community Agency for Senior Citizens, Inc. (CASC), President and CEO - Community Board 1, Chair of Health Hospitals and Human Service - Community Health Action of Staten Island, Executive Director - Eger Health Care and Rehabilitation Center, President and CEO - JCC of Staten Island, CEO - JCC of Staten Island, Director of Marketing & Communications - Kids Against Cancer, Chairman - Meals on Wheels of Staten Island, President and CEO - Mt. Sinai United Christian Church, Inc., Senior Pastor - Northfield Bank Foundation, Executive Director - NY Senate, Deputy Chief of Staff - Office of Staten Island Borough President, Director, Health and Wellness - Real Estate, Realtor - Richmond Center, Administrator - Richmond County Savings Foundation, Program Officer - Robin Hood, Director of Governance and Board Placement - South Beach Civic Association, President - St Paul's Episcopal Church, Priest - St Teresa Church, Pastor - St. Mary's Episcopal Church, Parish Administrator - Staten Island CB #2, Board Member - Staten Island Chamber of Commerce, President and CEO - Staten Island Economic Development Corporation, Sr. VP - Staten Island Economic Development Corporation, VP of Development - Staten Island Partnership for Community Wellness, Executive Director - Staten Island Performing Provider System, Executive Director - The Staten Island Foundation, Executive Director - United States House of Representatives - NY11, Representative Nicole Malliotakis - Veterans, Advocate - VNA Staten Island, President SCHEDULE H, PART V, SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.RUMCSI.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, QUESTION 10A THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM").DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS INCLUDED WITHIN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.RUMCSI. ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 11 To work towards health equity, it is imperative to prioritize resources toward the most pressing and cross-cutting health needs within the community. Priorities were determined by the RUMC CHNA Planning Committee, taking into consideration research findings and community stakeholder feedback. Based on CHNA findings and taking into account the health system's expertise and resources, RUMC will focus efforts on the following New York State Prevention Agenda priorities as part of its 2022-2024 CSP: 1) Prevent Chronic Diseases 2) Promote Well-Being and Prevent Mental and Substance Use Disorders Strategies to address the Prevention Agenda priorities will target communities on the North Shore, where residents continue to experience disparate health outcomes largely due to socioeconomic differences and racial inequities. While Staten Island is one of the wealthiest boroughs in NYC, boasting a higher median household income and the lowest poverty rate, wealth is not equally distributed across communities. North Shore residents are two to three times as likely to live in poverty as other borough residents, a disparity that disproportionately affects Black/African Americans who comprise 25% or more of North Shore residents. Across Staten Island, the median household income for Black/African Americans is nearly half the median household income for Whites, and more than 1 in 4 Black/African Americans live in poverty, a higher proportion than Black/African Americans living citywide or nationally. The RUMC 2022-2024 CSP prioritizes evidence-based strategies to address disparities and promote optimal health improvement outcomes. The following is a list of select strategies implemented by RUMC to address the identified priorities areas, and metrics for tracking progress and improvement. Breast Health Patient Navigation Initiative to address social determinants of health barriers to breast health screening, diagnosis, and treatment - Metrics: Patients who receive appropriate follow-up care regardless of identified care access barriers (e.g., transportation, cost, childcare) Community Tobacco Cessation Program, led by a Certified Tobacco Treatment Specialist - Metrics: Program enrollment, completion, and cessation outcomes Diabetes Self-Management Education and Support, led by an American Diabetes Association Certified Diabetes Care Education Specialist - Metrics: Program enrollment, completion, and health outcomes (e.g., participant glucose levels, medication adherence, decreased healthcare costs) National Diabetes Prevention Program, a CDC recognized program for adults with pre-diabetes - Metrics: Program enrollment, completion, and health outcomes (e.g., participant weight loss, glucose levels) Project LAUNCH (Linking Actions for Unmet Needs in Children's Health), a federal initiative funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) to prepare children for success in school - Metrics: Child development outcomes and academic readiness Opioid Overdose Prevention Program to provide clinical and community based Narcan training and free Narcan and fentanyl test kits - Metrics: Number of people trained in Narcan administration, distribution of Narcan and fentanyl test kits, and incidence of opioid overdose and related death Peer Counselor Warm Handoff Program, connecting patients with substance use disorder seen in the ED with timely and appropriate withdrawal management and other treatment services - Improvement metrics: Number of ED interventions, provision of follow-up services, and incidence of opioid overdose Relay, a NYC Department of Health and Mental Hygiene-led nonfatal overdose response system - Improvement metrics: Number of ED interventions, provision of follow-up services, and incidence of opioid overdose Columbia-Suicide Severity Rating Scale (C-SSRS) depression screening among patients with gambling addiction - Improvement metrics: Identification of coexisting mental health conditions and provision of follow-up services In addition to deploying evidence-based strategies to address disparities and identified priority areas, the 2022-2024 CSP reflects RUMC's ongoing commitment to provide free or low-cost health promotion services. These services include community-based education on diverse health topics and screening and referral services, targeting at-risk or underserved communities. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.RUMCSI.ORG/PATIENTS -VISITORS/BILLING-AND INSURANCE/ FINANCIAL-ASSISTANCE-SUMMARY/ 24 RUMC CARDIOPULMONARY REHAB 288 KISSEL AVENUE STATEN ISLAND NY 10310 OUTPATIENT SERVICES - CARDIOVASCULAR RUMC CENTER FOR CANCER CARE 1000 SOUTH AVENUE STATEN ISLAND NY 10314 OUTPATIENT SERVICES - ONCOLOGY RUMC COMPREHENSIVE OP REHAB CENTER 288 KISSEL AVENUE STATEN ISLAND NY 10310 OUTPATIENT SERVICES - REHABILITATION RUMC FAMILY HEALTH CENTER 800 CASTLETON AVENUE STATEN ISLAND NY 10310 OUTPATIENT SERVICES - FAMILY MEDICINE SIMHS KINGSLEY 10 KINGSELY PLACE STATEN ISLAND NY 10301 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & SIMHS PS 78 100 TOMPKINS AVENUE STATEN ISLAND NY 10304 OUTPATIENT SERVICES - BEHAVIORAL HEALTH DEVELOPMENTAL SIMHS IS 49 101 WARREN STREET STATEN ISLAND NY 10304 OUTPATIENT SERVICES - BEHAVIORAL HEALTH SIMHS IS 27 11 COVE LAKE PLACE STATEN ISLAND NY 10310 OUTPATIENT SERVICES - BEHAVIORAL HEALTH ANNA ERIKA CLINIC 110 HENDERSON AVENUE STATEN ISLAND NY 10304 OUTPATIENT SERVICES - BEHAVIORAL HEALTH CTR FOR INTEGRATIVE BEHAVIORAL MEDICINE 1130 SOUTH AVENUE STATEN ISLAND NY 10314 INPATIENT/OUTPATIENT SVCS - BEHAVIORAL HEALTH SIMHS DDSO BLD 24 1150 FOREST HILL ROAD STATEN ISLAND NY 10314 OUTPATIENT SERVICES - PT/OT/SP SIMHS PS 57 140 PALMA DRIVE STATEN ISLAND NY 10304 OUTPATIENT SERVICES - BEHAVIORAL HEALTH SIMHS OSGOOD 16 OSGOOD AVENUE STATEN ISLAND NY 10304 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & SIMHS PORT RICHMOND 166 LOCKMAN AVENUE STATEN ISLAND NY 10303 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & DEVELOPMENTAL SIMHS IS 2 333 MIDLAND AVENUE STATEN ISLAND NY 10306 OUTPATIENT SERVICES - BEHAVIORAL HEALTH DEVELOPMENTAL SIMHS DONGAN HILL 44 DONGAN HILLS AVENUE STATEN ISLAND NY 10306 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & SIMHS POPLER 444 ST MARKS PLACE STATEN ISLAND NY 10301 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & DEVELOPMENTAL SIMHS POUCH 657 CASTLETON AVENUE STATEN ISLAND NY 10301 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & SUBSTANCE ABUSE SIMHS DAY TREATMENT SOUTH 6581 HIGHLAND BLVD STATEN ISLAND NY 10309 OUTPATIENT SERVICES - BEHAVIORAL HEALTH DEVELOPMENTAL SIMHS CHAIT 669 CASTLETON AVENUE STATEN ISLAND NY 10301 OUTPATIENT SERVICES - BEHAVIORAL HEALTH & SIMHS WEST BRIGHTON 690 CASTLETON AVENUE STATEN ISLAND NY 10314 OUTPATIENT SERVICES - MENTAL HEALTH SUBSTANCE ABUSE SIMHS PS 44 80 MAPLE PARKWAY STATEN ISLAND NY 10303 OUTPATIENT SERVICES - BEHAVIORAL HEALTH SIMHS DDSO BLD 14E 940 WILLOWBROOK ROAD STATEN ISLAND NY 10314 OUTPATIENT SERVICES - PT/OT/SP SUSAN WAGNER HIGH SCHOOL 1200 MANOR ROAD STATEN ISLAND NY 10314 OUTPATIENT SERVICES - GENERAL MEDICAL SCHEDULE H, PART I; LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. SCHEDULE H, PART I; QUESTION 6A THE ORGANIZATION ANNUALLY PUBLISHES A REPORT WHICH HIGHLIGHTS ITS ACHIEVEMENTS AS WELL AS ITS PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED. THIS REPORT IS MADE WIDELY AVAILABLE AND CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. SCHEDULE H, PART I; QUESTION 7 THE ORGANIZATION'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. THE HOSPITAL UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. SCHEDULE H, PART I, QUESTION 7B EFFECTIVE DECEMBER 1, 2021, NYS IMPLEMENTED ENHANCED PAYMENTS FOR SELECTED SERVICES PROVIDED BY FINANCIALLY DISTRESSED HOSPITALS TO MEDICAID ENROLLEES THROUGH A DIRECT PAYMENT TEMPLATE APPLICATION (DPT). THE ENHANCED PAYMENTS (MEDICAID MANAGED CARE RATE ADD-ON PAYMENTS) FOR SELECT SERVICES ARE CONSTRUCTED TO ALLOW QUALIFYING FINANCIALLY DISTRESSED HOSPITALS TO RECEIVE SUFFICIENT REIMBURSEMENT TO ENABLE THEIR CONTINUED ABILITY TO SERVE MEDICAID AND LOW-INCOME PATIENT POPULATIONS AND TO CONTINUE THEIR PROCESS OF TRANSFORMATION TO MEET MEDICAID MANAGED CARE NEEDS. THE MEDICAL CENTER QUALIFIES FOR THESE PAYMENTS. IN 2022, NYS BEGAN ADVANCING FUNDS TO HOSPITALS IN THE DPT PROGRAM WHILE QUALIFYING CLAIMS WERE REPROCESSED. AS OF DECEMBER 31, 2022, THE MEDICAL CENTER RECEIVED APPROXIMATELY $51.1 MILLION IN ADVANCES. ADVANCES ARE TO BE REPAID AS REPROCESSED CLAIMS ARE PAID TO THE HOSPITALS. THE MEDICAL CENTER REPAID APPROXIMATELY $11.5 MILLION IN ADVANCES THROUGH MARCH 2023. FOR THE YEAR ENDED DECEMBER 31, 2022, DPT-RELATED REVENUE OF APPROXIMATELY $59.3 MILLION, HAS BEEN RECOGNIZED AND INCLUDED IN NET PATIENT SERVICE REVENUE IN THE ORGANIZATION'S CONSOLIDATED STATEMENTS OF OPERATIONS. THE ADDITIONAL FUNDS RECEIVED FROM THE PROGRAM ARE INCLUDED IN SCHEDULE H, PART I, LINE 7B; DIRECT OFFSETTING REVENUE. IF RICHMOND UNIVERSITY MEDICAL CENTER DID NOT RECEIVE THESE ADDITIONAL FUNDS, THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON SCHEDULE H, PART I; LINE 7K WOULD BE $108,503,257 AND THE NET COMMUNITY BENEFIT PERCENTAGE REPORTED ON SCHEDULE H, PART I; LINE K WOULD BE 27.23%. SCHEDULE H, PART II NOT APPLICABLE. SCHEDULE H, PART III; QUESTIONS 2 & 3 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENT, WHICH IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. THE COSTING METHODOLOGY USED TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBT RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE FINANCIAL ASSISTANCE GUIDELINES BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE SHOULD BE CONSIDERED COMMUNITY BENEFIT AS WE ARE STILL PROVIDING SERVICES TO THESE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART III; QUESTION 4 RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT BELOW WAS OBTAINED FROM THE RICHMOND UNIVERSITY MEDICAL CENTER AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTES: PATIENT ACCOUNTS RECEIVABLE --------------------------- PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE AT THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES, AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS, AND DO NOT BEAR INTEREST. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT REVENUE IN THE PERIOD OF THE CHANGE. ACCOUNTS ARE WRITTEN OFF THROUGH THE PROVISION FOR BAD DEBTS WHEN THE MEDICAL CENTER HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN PATIENT CREDIT WORTHINESS. NET PATIENT SERVICE REVENUES ---------------------------- NET PATIENT SERVICE REVENUES ARE RECOGNIZED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE MEDICAL CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD PARTY PAYORS (INCLUDING COMMERCIAL AND GOVERNMENTAL PROGRAMS) AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS AND INVESTIGATIONS. GENERALLY, THE MEDICAL CENTER BILLS THE PATIENTS AND THIRD PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUES ARE RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE MEDICAL CENTER. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME ARE RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) CHARGES. THE MEDICAL CENTER BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES. THE MEDICAL CENTER MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL, OR THE COMMENCEMENT OF AN OUTPATIENT SERVICE, TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE OR COMPLETION OF THE OUTPATIENT SERVICES. REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT-IN-TIME ARE GENERALLY RECOGNIZED WHEN GOODS OR SERVICES ARE PROVIDED, AND THE MEDICAL CENTER DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT. ALL OF THE MEDICAL CENTER'S PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THEREFORE THE MEDICAL CENTER HAS ELECTED TO APPLY THE OPTIONAL EXEMPTIONS PROVIDED IN FASB ASC 606-10-50-14(A) AND AS A RESULT IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. THE MEDICAL CENTER DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES AND/OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS. THE MEDICAL CENTER DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. THE MEDICAL CENTER DETERMINES ITS ESTIMATES OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH A RESPECTIVE CLASS OF PATIENT. THE MEDICAL CENTER HAS ELECTED THE PRACTICAL EXPEDIENT ALLOWED UNDER FASB ASC 606-10-32-18 AND DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD PARTY PAYORS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE MEDICAL CENTER'S EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD PARTY PAYOR PAYS FOR THAT SERVICE WILL BE ONE YEAR OR LESS. THE MEDICAL CENTER DOES, IN CERTAIN INSTANCES, ENTER INTO PAYMENT AGREEMENTS WITH PATIENTS THAT ALLOW PAYMENTS IN EXCESS OF ONE YEAR, HOWEVER, IN THESE CASES THE FINANCING COMPONENT IS NOT DEEMED TO BE SIGNIFICANT TO THE CONTRACT. CHARITY CARE ------------ THE MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MEDICAL CENTER PROVIDES FREE CARE OR SLIDING FEE SCALES BASED ON FEDERAL POVERTY INCOME GUIDELINES OR WHEN IT IS DETERMINED THAT THE PATIENTS ARE UNABLE TO FULFILL THEIR OBLIGATIONS TO THE MEDICAL CENTER. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2022 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS R SCHEDULE H, PART III, SECTION B; QUESTION 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. SCHEDULE H, PART VI; QUESTION 2 RICHMOND UNIVERSITY MEDICAL CENTER'S (RUMC) BOARD, ADMINISTRATION AND STAFF FUNCTION FROM AN UNDERSTANDING THAT HEALTH IS THE CORNERSTONE OF A PRODUCTIVE AND POSITIVE QUALITY-OF-LIFE FOR EVERY STATEN ISLANDER. AS SUCH, OUR FOCUS IS NOT ONLY ON HEALING THE SICK, BUT ALSO UNDERSTANDING THE ROOT CAUSE OF CONDITIONS AFFECTING STATEN ISLANDERS AND WHAT WE CAN DO TO PREVENT THE DISEASE PROCESSES PREVALENT IN OUR COMMUNITY. RUMC UTILIZES A VARIETY OF SOURCES AND APPROACHES TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. COMMUNITY BENEFIT PLANNING IS FORMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NEW YORK STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. TO ENSURE OUR SERVICES ARE ALIGNED WITH THE HEALTHCARE NEEDS OF OUR COMMUNITY, WE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THIS STUDY HELPS US TO DETERMINE AND PORTRAY HEALTH STATUS, GATHER STAKEHOLDER PERSPECTIVES, DEFINE EXISTING COMMUNITY ASSETS, AND ULTIMATELY BETTER SERVE OUR COMMUNITY. RUMC REPRESENTATIVES LEAD THE CHNA AND OVERSAW RESEARCH AND STAKEHOLDER ENGAGEMENT. STEERING COMMITTEE MEMBERS ARE LISTED BELOW, ALONG WITH THE CONSULTANT TEAM MEMBERS. COMMUNITY HEALTH CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, AND REPORT WRITING. THE CHNA INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES WITHIN STATEN ISLAND. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. SPECIFIC CHNA STUDY METHODS INCLUDED: - AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH, DEMOGRAPHIC, AND SOCIAL MEASURES; AND - A KEY INFORMANT SURVEY WITH 22 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES. SCHEDULE H, PART VI; QUESTION 3 IN FURTHERANCE OF 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 WITH 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 FINANCIAL ASSISTANCE 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 ITS MISSION AND VALUES. SCHEDULE H, PART VI; QUESTION 4 RUMC SERVES RESIDENTS OF STATEN ISLAND, ONE OF THE FIVE BOROUGHS COMPRISING NYC. STATEN ISLAND IS DIVIDED GEOGRAPHICALLY INTO THREE AREAS: NORTH SHORE, MID-ISLAND, AND SOUTH SHORE. RUMC IS LOCATED WITHIN THE NORTH SHORE AND PRIMARILY SERVES RESIDENTS OF THIS AREA. THE POPULATION OF THE NORTH SHORE IS UNIQUELY DIVERSE. A RECENT REPORT BY THE CITIZEN'S COMMITTEE FOR CHILDREN OF NEW YORK STATED, "THE NORTH SHORE IS ONE OF ONLY 10 COMMUNITY DISTRICTS IN THE CITY WHERE NO RACIAL/ETHNIC GROUP REPRESENTS MORE THAN 40% OF THE POPULATION. HOWEVER, ACROSS THE SEVEN NEIGHBORHOODS THAT MAKE UP THE NORTH SHORE, THE DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION AND OUTCOMES VARY GREATLY. FOR EXAMPLE, CAUCASIAN RESIDENTS MAKE UP MORE THAN 70% OF THE POPULATION IN WESTERLEIGH, WHILE AFRICAN AMERICAN AND LATINO RESIDENTS MAKE UP MORE THAN 70% OF THE POPULATION IN GRYMES HILL-PARK HILL." ECONOMIC INDICATORS FOR THE NORTH SHORE ARE ALSO UNIQUE WITH NOTABLE DIFFERENCES IN INCOME ACROSS NEIGHBORHOODS, AND A HIGH PROPORTION OF RESIDENTS BOTH LIVING IN POVERTY AND AFFLUENCE. THE POPULATION OF STATEN ISLAND IS MORE SIMILAR TO THE NATION THAN THE OTHER NYC BOROUGHS IN TERMS OF RACIAL COMPOSITION, WITH CAUCASIANS REPRESENTING THE MAJORITY, BUT CURRENT POPULATION PROJECTIONS ANTICIPATE INCREASING DIVERSITY IN YEARS TO COME. LATINX RESIDENTS ARE AMONG THE FASTEST GROWING DEMOGRAPHIC IN STATEN ISLAND. RELATED TO AGE, STATEN ISLAND RESIDENTS ARE SLIGHTLY OLDER THAN OTHER NEW YORKERS, AS EVIDENCED BY A MEDIAN AGE OF 39.5 VERSUS 36.8. STRONG FINANCIAL INDICATORS ARE ASSOCIATED WITH A HIGH QUALITY OF LIFE AND SUPPORT POSITIVE HEALTH OUTCOMES. STATEN ISLANDERS ARE GENERALLY MORE FINANCIALLY COMFORTABLE THAN MOST OTHER NEW YORKERS. THIS FINDING IS EVIDENCED BY A HIGH MEDIAN INCOME ($82,540), LOW POVERTY (13%), LOW UNEMPLOYMENT (3.6%), AND HIGH PERCENTAGE OF HOMEOWNERS (64.9%). HOWEVER, WHEN STRATIFIED BY RACE, AFRICAN AMERICANS AND LATINXS ARE MORE LIKELY TO LIVE IN POVERTY THAN OTHER DEMOGRAPHIC GROUPS IN STATEN ISLAND. WHEN REVIEWED AT THE ZIP CODE LEVEL, STATEN ISLAND ZIP CODES THAT ARE MORE RACIALLY DIVERSE AND HAVE A YOUNGER POPULATION TEND TO EXPERIENCE GREATER SOCIOECONOMIC NEED. EDUCATION IS A STRONG INDICATOR OF COMMUNITY ECONOMIC STABILITY, QUALITY OF LIFE, AND HEALTH OUTCOMES. STATEN ISLANDERS ARE MORE LIKELY TO COMPLETE HIGH SCHOOL THAN THEIR PEERS ACROSS NYC AND THE NATION, AND ROUGHLY 1 IN 3 ADULTS HAVE COMPLETED A BACHELOR'S DEGREE OR HIGHER. WHEN STRATIFIED BY RACE, AFRICAN AMERICANS AND LATINXS IN STATEN ISLAND ARE MORE LIKELY TO HAVE COMPLETED A BACHELOR'S DEGREE OR HIGHER THAN THEIR PEERS IN NYC, BUT LESS LIKELY WHEN COMPARED TO OTHER DEMOGRAPHIC GROUPS WITHIN STATEN ISLAND. THE 2018 POPULATION OF STATEN ISLAND IS 485,143; APPROXIMATELY 42% OF RESIDENTS LIVE IN THE NORTH SHORE. THE NORTH SHORE EXPERIENCED THE GREATEST POPULATION GROWTH OF THE THREE STATEN ISLAND REGIONS FROM 2010 TO 2018 (2.7%) AND IS PROJECTED TO EXPERIENCE THE GREATEST GROWTH THROUGH 2023 (2.7%). STATEN ISLAND OVERALL IS PROJECTED TO EXPERIENCE 2.4% POPULATION GROWTH BY 2023 COMPARED TO 3.3% ACROSS NYC. ALTHOUGH STATEN ISLAND IS ONE OF NYC'S FIVE BOROUGHS, ITS RACIAL COMPOSITION MORE CLOSELY MIRRORS THE US. IN STATEN ISLAND, THE MAJORITY OF RESIDENTS ARE CAUCASIAN (70.1%), WITH ROUGHLY 1 IN 5 RESIDENTS LATINX OF ANY RACE. POPULATION PROJECTIONS PREDICT THAT BY 2023, STATEN ISLAND WILL BE MORE DIVERSE THAN TODAY, CONSISTENT WITH TRENDS ANTICIPATED IN THE NATION IN GENERAL. THE POPULATION IN STATEN ISLAND IS SLIGHTLY OLDER THAN NYC AND THE NATION IN GENERAL. NEARLY 1 IN 3 HOUSEHOLDS IN STATEN ISLAND REPORT SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME, MORE THAN THE NATION, BUT LOWER THAN NYC OVERALL. AMONG INDIVIDUALS SPEAKING A LANGUAGE OTHER THAN ENGLISH, 40.5% SPEAK AN INDO-EUROPEAN LANGUAGE (E.G. ITALIAN, GERMAN) AND 34.5% SPEAK SPANISH. THIS FINDING IS CONSISTENT WITH THE ETHNIC AND ANCESTRAL MAKEUP OF STATEN ISLAND. RESIDENTS OF STATEN ISLAND HAVE HIGHER INCOMES AND ARE LESS LIKELY TO LIVE IN POVERTY THAN OTHER RESIDENTS OF NYC. WHILE THE MEDIAN INCOME IN STATEN ISLAND IS NOTICEABLY GREATER THAN THE NATION IN GENERAL, THE PROPORTION OF ADULTS AND CHILDREN EXPERIENCING POVERTY IS SIMILAR, SUGGESTING INCOME DISPARITY WITHIN STATEN ISLAND. WHEN STRATIFIED BY RACE, THE PERCENT OF AFRICAN AMERICAN AND LATINX PEOPLE LIVING IN POVERTY IN STATEN ISLAND IS SIMILAR TO NYC OR THE NATION IN GENERAL. CAUCASIAN PEOPLE AND ASIAN PEOPLE IN STATE ISLAND ARE LESS LIKELY TO EXPERIENCE POVERTY THAN THEIR PEERS IN NYC. THIS FINDING SUGGESTS THAT RACE AND ETHNICITY HAS AN EFFECT ON THE ECONOMIC DISPARITY SEEN IN STATEN ISLAND. UNEMPLOYMENT IN STATEN ISLAND IS LOW. RESIDENTS OF ALL RACES AND ETHNICITIES ARE LESS LIKELY TO BE UNEMPLOYED THAN THEIR PEERS IN NYC AND THROUGHOUT THE NATION. WORKERS LIVING IN STATEN ISLAND ARE MORE LIKELY TO HAVE WHITE COLLAR JOBS THAN BLUE COLLAR JOBS, BUT IN PROPORTIONS CONSISTENT WITH NYC AND THE NATION AS A WHOLE. RESIDENTS OF STATEN ISLAND ARE MORE THAN TWICE AS LIKELY AS OTHER NEW YORKERS TO OWN THEIR HOMES. WHILE THE MEDIAN HOME VALUE IN STATEN ISLAND IS NEARLY $100,000 LESS THAN NYC IN GENERAL, IT IS STILL MORE THAN TWO TIMES GREATER THAN THE NATIONAL MEDIAN. THE PROPORTION OF RENTERS AND HOMEOWNERS IN STATEN ISLAND IS SIMILAR TO THE NATION, BUT HOMEOWNERS IN STATEN ISLAND ARE MORE LIKELY TO BE COST BURDENED BY THEIR HOME THAN HOMEOWNERS ACROSS THE NATION. EDUCATION IS A STRONG INDICATOR OF COMMUNITY ECONOMIC STABILITY. STATEN ISLAND RESIDENTS HAVE MORE YEARS OF EDUCATION THAN OTHER NEW YORKERS AND MOST AMERICANS. WHEN VIEWED AS A WHOLE, 1 IN 3 STATEN ISLAND RESIDENTS HAS COMPLETED A BACHELOR'S DEGREE OR HIGHER, WHILE ROUGHLY 1 IN 10 DID NOT COMPLETE HIGH SCHOOL. BOTH OF THESE INDICATORS REPRESENT BETTER OUTCOMES THAN NYC OR THE NATION. SCHEDULE H, PART VI; QUESTION 5 RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 400-PLUS BED HOSPITAL, ONE OF ONLY TWO PRIVATE HOSPITALS SERVING THE ENTIRE POPULATION OF THE BOROUGH. PURSUANT TO ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE OPERATIONS OF THE HOSPITAL AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. IN ADDITION, RUMC COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENING, REACH THOUSANDS EACH YEAR. THE HOSPITAL IS THE MAIN SPONSOR AND/OR ACTIVE PARTICIPANT IN SEVERAL ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND, INCLUDING THE STATEN ISLAND ECONOMIC DEVELOPMENT CORPORATION'S HEALTH AND WELLNESS CONFERENCE HELD EACH FALL. THE CONFERENCE OFFERS THOUSANDS OF RESIDENTS A FORUM TO HAVE ACCESS TO EDUCATIONAL MATERIALS, SPEAK WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS, AND HAVE HEALTH SCREENINGS CONDUCTED ON THE PREMISES. OUR COMMUNITY OUTREACH TEAM, KNOWN AS TRAUMA, ATTENDS OVER 100 COMMUNITY EVENTS EACH YEAR, PROVIDING BROCHURES, EDUCATIONAL MATERIALS, AND HANDS ON TRAINING TO THOUSANDS OF ADULTS AND CHILDREN ANNUALLY. PROGRAMS THEY PROVIDE INCLUDE "STOP THE BLEED", WHICH DISCUSSES HOW TO HANDLE BLEEDING EMERGENCIES, AND HANDS ON CPR WHICH SHOWS PEOPLE THE BASICS OF CARDIOPULMONARY RESUSCITATION. FOR MORE THAN 30 YEARS RUMC'S WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION IS TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES. WIC SERVICES ASSIST WOMEN AND CHILDREN WHO HAVE LOW INCOME, ARE UNDOCUMENTED CITIZENS, ARE UNINSURED, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE, AND FOSTER CHILDREN. OVER 50% OF THE PEOPLE ACCESSING SERVICES AT THE WIC SITE ARE HISPANIC. RUMC HAS A WELL-ESTABLISHED HISTORY OF WORKING WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS TO WORK COLLABORATIVELY TO ASSIST THOSE IN THE BOROUGH WITH MENTAL HEALTH ISSUES. AMONG ITS PARTNERS ARE THE STATEN ISLAND MENTAL HEALTH SOCIETY, AND JEWISH BOARD OF FAMILY AND CHILDREN SERVICES. RUMC ALSO MAINTAINS RELATIONSHIPS WITH THE LOCAL COMMUNITY ORGANIZATIONS IN ITS VICINITY AND WITH STATEN ISLAND COMMUNITY BOARD. THE COMMUNITY HEALTH ACTION CENTER, STATEN ISLAND CHAMBER OF COMMERCE, PROJECT HOSPITALITY, AND THE PORT RICHMOND COMMUNITY HEALTH CENTER ARE JUST A FEW OF THE LOCAL ORGANIZATIONS RUMC MAINTAINS PARTNERSHIPS WITH. HOSPITAL ADMINISTRATION AND MEMBERS OF THE BOARD OF TRUSTEES VISIT ALBANY ANNUALLY TO LOBBY FOR HEALTHCARE ISSUES AND TO SPEAK WITH STATE HEALTH OFFICIALS. IN ADDITION TO THE COMMUNITY, RUMC MAINTAINS REGULAR COMMUNICATIONS WITH ALL OF STATEN ISLAND'S ELECTED OFFICIALS INCLUDING THE BOROUGH PRESIDENT. THESE PARTNERS ARE MET WITH ON A REGULAR BASIS ALLOWING ADMINISTRATION TO PROVIDE UPDATES ON SERVICE AND SEEK SUPPORT FROM THEM FOR ISSUES IMPORTANT TO THE HOSPITAL. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISES RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND ITS AFFILIATES: BRIDGE REGIONAL HEALTH SYSTEM ----------------------------- BRIDGE REGIONAL HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OF EACH AFFILIATE IS EITHER BRIDGE REGIONAL HEALTH SYSTEM OR RICHMOND UNIVERSITY MEDICAL CENTER. RICHMOND UNIVERSITY MEDICAL CENTER ---------------------------------- RICHMOND UNIVERSITY MEDICAL CENTER ("RUMC") WAS FOUNDED IN 2007 AND IS CURRENTLY A 448-LICENSED BED, MAJOR TEACHING, ACUTE CARE HOSPITAL LOCATED IN STATEN ISLAND, NEW YORK. RUMC IS I 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. ON JANUARY 1, 2019, THE RICHMOND ACQUIRED CERTAIN ASSETS AND ASSUMED CERTAIN LIABILITIES OF STATEN ISLAND MENTAL HEALTH SOCIETY, INC., A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES COMPREHENSIVE MENTAL HEALTH, EARLY CHILDHOOD AND RELATED SERVICES TO STATEN ISLAND CHILDREN AND THEIR FAMILIES. EFFECTIVE JANUARY 1, 2022, RICHMOND ACQUIRED CERTAIN ASSETS AND ASSUMED CERTAIN LIABILITIES OF VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC. AND SUBSIDIARIES (VNA), A NOT-FOR-PROFIT ORGANIZATION THAT IS A CERTIFIED HOME HEALTH AGENCY. RUMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AMBOY MEDICAL PRACTICE, P.C. ---------------------------- AMBOY MEDICAL PRACTICE, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2008. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE CORPORATE PRACTICE OF MEDICINE ACT. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES TO FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF THE SYSTEM. THE ORGANIZATION'S BOARD-CERTIFIED TEAM OF EXPERIENCED PHYSICIANS AND MEDICAL PROVIDERS ARE COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS SUFFERING FROM ILLNESS, ACUTE OR CHRONIC CONDITIONS, OR IN NEED OF ADDITIONAL MEDICAL ASSISTANCE. RICHMOND MEDICAL CENTER FOUNDATION, INC. ---------------------------------------- RICHMOND MEDICAL CENTER FOUNDATION, INC. IS NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2009. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING AND DEVELOPMENT ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. RICHMOND QUALITY, LLC --------------------- RICHMOND QUALITY, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW YORK WHOSE SOLE MEMBER IS RICHMOND UNIVERSITY MEDICAL CENTER. THE MISSION OF THIS ORGANIZATION IS TO ESTABLISH A GROUP OF COORDINATED HEALTHCARE PROVIDERS WHICH AGREE TO BE ACCOUNTABLE FOR THE QUALITY, COST AND OVERALL CARE FOR AN ASSIGNED GROUP OF MEDICARE BENEFICIARIES. VISITING NURSE ASSOCIATION HEALTH CARE SERVICES, INC. ----------------------------------------------------- VISITING NURSE ASSOCIATION HEALTH CARE SERVICES, INC. ("VNA") IS NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1928. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS A CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME CARE VISITS TO PATIENTS OVER THE COURSE OF THE YEAR. SERVICES PROVIDED INCLUDE SKILLED NURSING, PHYSICAL, OCCUPATIONAL AND OTHER THERAPIES, HOME HEALTH AIDES AND PERSONAL CARE WORKERS. THE AGENCY IS REIMBURSED FOR THESE SERVICES PRINCIPALLY BY MEDICARE, MEDICAID AND INSURANCE COMPANIES AND/OR INDIVIDUALS. EFFECTIVE JANUARY 1, 2022, RICHMOND UNIVERSITY MEDICAL CENTER BECAME THE SOLE MEMBER OF VNA. VISITING NURSE PLUS, INC. ------------------------- VISITING NURSE PLUS, INC. IS NOT-FOR-PROFIT ORGANIZATION. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION IS CURRENTLY INACTIVE. HEALTH WATCH-LIFELINE, INC. --------------------------- HEALTH WATCH-LIFELINE, INC. IS AN ENTITY WHOSE SOLE SHAREHOLDER IS RICHMOND MEDICAL CENTER. THE ORGANIZATION WAS DISSOLVED IN 2022. SCHEDULE H, PART VI; QUESTION 7 THIS ORGANIZATION IS LOCATED IN THE STATE OF NEW YORK. NEW YORK REQUIRES HOSPITALS TO REPORT THEIR COSTS OF PROVIDING UNREIMBURSED CARE AND REQUIRES NONPROFIT HOSPITALS TO DEMONSTRATE THEIR COMMITMENT TO MEETING COMMUNITY HEALTH NEEDS. NEW YORK LAW REQUIRES THAT NONPROFIT AND FOR-PROFIT HOSPITALS FILE FINANCIAL REPORTS DETAILING, AMONG OTHER THINGS, THEIR COSTS OF PROVIDING FREE OR REDUCED COST SERVICES. N.Y. PUB. HEALTH LAW 2805-A(2)(A); 2803-L(2)(IV). IN ADDITION, AT LEAST EVERY THREE YEARS THE GOVERNING BODY OF A NONPROFIT HOSPITAL MUST DEMONSTRATE THE HOSPITAL'S COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, PROVIDING CHARITY CARE, AND IMPROVING UNDERSERVED INDIVIDUALS' ACCESS TO HEALTH CARE SERVICES. THE GOVERNING BODY MUST ALSO MAKE AVAILABLE TO THE PUBLIC A SUMMARY STATEMENT OF THE HOSPITAL'S FINANCIAL RESOURCES AND ALLOCATION TO HOSPITAL PURPOSES, INCLUDING ITS PROVISION OF FREE AND DISCOUNTED CARE. AT LEAST ANNUALLY, THE GOVERNING BODY MUST MAKE AVAILABLE TO THE PUBLIC AN IMPLEMENTATION REPORT AS TO THE HOSPITAL'S EFFORTS TO MEET COMMUNITY HEALTH CARE NEEDS, PROVIDE CHARITY CARE, AND IMPROVE ACCESS TO CARE. AT LEAST EVERY THREE YEARS, A NONPROFIT HOSPITAL MUST FILE WITH THE COMMISSIONER OF HEALTH A REPORT DETAILING CHANGES TO ITS MISSION STATEMENT AND ITS OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, TO ITS PROVISION OF CHARITY CARE, AND TO IMPROVING UNDERSERVED INDIVIDUALS' ACCESS TO CARE. N.Y. PUB. HEALTH LAW 2803-L. X X X X false true false false false false false true false DANIEL J MESSINA PHD MPA TRUSTEE - PRESIDENT & CEO 950093 0 0 0 175377 0 191328 0 29793 0 1346591 0 153183 0 MICHAEL F CABBAD MD OBGYN 738331 0 114000 0 3664 0 27450 0 38294 0 921739 0 0 0 LANCE U JUNG MD SURGEON 421498 0 315498 0 22404 0 21350 0 38294 0 819044 0 0 0 LOREN HARRIS MD CHAIRMAN DEPT OF SURGERY 750006 0 0 0 1904 0 27450 0 0 0 779360 0 0 0 FRANCESCO ROTATORI MD CARDIOLOGIST 599163 0 97703 0 433 0 21350 0 29794 0 748443 0 0 0 ALEXANDER BARKAN MD BARIATRIC SURGEON 613322 0 0 0 664 0 27450 0 38294 0 679730 0 0 0 ALEXANDER BEYLINSON DO TRUSTEE - PRES MED STAFF 190877 0 441199 0 432 0 13737 0 27201 0 673446 0 0 0 VAITHILINGHAM ARULTHASANMD INTERNIST 649554 0 0 0 664 0 21350 0 0 0 671568 0 0 0 PIETRO CARPENITO MD TRUSTEE (TERM 6/30) - EVP, CMO 529503 0 0 0 32809 0 59530 0 38294 0 660136 0 22280 0 ROSEMARIE STAZZONE RN MSN NE-B COO & CNO 552548 0 0 0 41467 0 60780 0 0 0 654795 0 26318 0 RICHARD SALHANY MBA FACHE CHIEF ADMINISTRATION OFFICER 506012 0 0 0 7110 0 57248 0 38294 0 608664 0 3683 0 DAVID MURRAY MBA FHFMA SVP, CFO 497703 0 0 0 1194 0 55744 0 37087 0 591728 0 0 0 BRIAN S MOODY ESQ SVP, LEGAL/GEN COUNSEL & CCO 402303 0 0 0 664 0 45594 0 30993 0 479554 0 0 0 GAITRE A LORICK VP, CHRO (EFF 03/28/2022) 242340 0 0 0 669 0 22047 0 7146 0 272202 0 0 0 SCHEDULE J, PART I; QUESTION 4B THE AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL J. MESSINA, PH.D., MPA, FACHE, $153,183; ROSEMARIE STAZZONE, RN, MSN, $34,873; PIETRO CARPENITO, M.D., $22,280 AND RICHARD SALHANY, MBA, FACHE, $3,683. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DANIEL J. MESSINA, PH.D., MPA, FACHE, $157,778; ROSEMARIE STAZZONE, RN, MSN, $27,230; PIETRO CARPENITO, M.D., $25,980; RICHARD SALHANY, MBA, FACHE, $23,698; DAVID MURRAY, MBA, FHFMA, $22,194 AND BRIAN S. MOODY, ESQ., $12,044. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A BUILD NYC RESOURCE CORPORATION 2018-12-20 132065000 SEE PART VI false false false B BUILD NYC RESOURCE CORPORATION 2022-06-29 27020000 SEE PART VI false false false A 0 0 127937562 9891055 15764404 0 3191623 0 0 110434038 13739204 0 2020 true false false true B 0 0 26209400 0 287260 0 1337102 0 0 23182075 0 3027325 2022 false false false false A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SCHEDULE K, PART I, BOX F THE PROCEEDS OF THE 2018 BONDS WILL BE USED TO (I) REFINANCE THE MEDICAL CENTER'S EXISTING REVOLVING LOAN PAYABLE, TERM LOAN PAYABLE, AND FIRST MORTGAGE LOAN PAYABLE, (II) FINANCE THE COST OF VARIOUS CAPITAL IMPROVEMENTS TO THE MEDICAL CENTER'S CAMPUS, (III) FUND A DEBT SERVICE RESERVE FUND AND A CAPITALIZED INTEREST FUND, AND (IV) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE 2018 BONDS. THE PROCEEDS OF THE 2022 BONDS WILL BE USED TO (I) FINANCE THE COST OF VARIOUS CAPITAL IMPROVEMENTS TO THE MEDICAL CENTER'S CAMPUS, (II) FUND A DEBT SERVICE RESERVE FUND AND (III) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE 2022 BOND. MARINO POLISENO MD FAMILY MEMBER OF TRUSTEE 581990 EMPLOYEE false ERIC GUTZEIT FAMILY MEMBER OF TRUSTEE 42555 EMPLOYEE false CHRISTAL BAKER FAMILY MEMBER OF TRUSTEE 21027 EMPLOYEE false PETER CARPENITO FAMILY MEMBER OF TRUSTEE 11872 EMPLOYEE false BRITTANY DELMASTRO FAMILY MEMBER OF TRUSTEE 61977 EMPLOYEE false RICHARD SALHANY JR FAMILY MEMBER OF KEY EE 112523 EMPLOYEE false VICTORIA R STAZZONE FAMILY MEMBER OF OFFICER 87005 EMPLOYEE false CORE FORM, PART III, STATEMENT OF PROGRAM SERVICES BACKGROUND ========== RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RUMC"MEDICAL CENTER") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, RUMC OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS THAT IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF RUMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT RUMC PROVIDES SUBSTANTIAL COMMUNITY BENEFIT, THAT THE USE AND CONTROL OF RUMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. RUMC IS A 448 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS IS LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND. THE ORGANIZATION PROVIDES VARIOUS INPATIENT AND OUTPATIENT SERVICES, INCLUDING: MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, A DESIGNATED STROKE CENTER, A LEVEL 1 TRAUMA CENTER, BEHAVIORAL HEALTH SERVICES, EMERGENCY SERVICES AND CLINIC SERVICES. THE MEDICAL CENTER ALSO PROVIDES AN ARRAY OF COMMUNITY OUTREACH SERVICES INCLUDING HEALTH EDUCATION, FREE AND LOW-COST SCREENINGS AND IMMUNIZATIONS, A WIC PROGRAM, AND VARIOUS OTHER OUTPATIENT SERVICES. THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW YORK DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE CURRENT DHSS CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND COOPERATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. THE MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE COSTS ASSOCIATED WITH THE CHARITY CARE SERVICES PROVIDED ARE ESTIMATED BY APPLYING A COST-TO-CHARGE RATIO TO THE AMOUNT OF GROSS UNCOMPENSATED CHARGES FOR THE PATIENTS RECEIVING CHARITY CARE. THE MEDICAL CENTER ALSO PROVIDES COMMUNITY SERVICES, INCLUDING FREE AND LOW-COST SCREENINGS, SUCH AS BLOOD PRESSURE, CHOLESTEROL AND IMMUNIZATION. FREE IMMUNIZATION IS OFFERED TO SENIOR CITIZENS. THE MEDICAL CENTER HOLDS VARIOUS EDUCATIONAL PROGRAMS CONCERNING SUCH TOPICS AS NUTRITION AND CHILDBIRTH. IN ADDITION, THE MEDICAL CENTER PROVIDES FREE SPACE TO VARIOUS COMMUNITY ORGANIZATIONS FOR THEIR MEETINGS. OUR MISSION ----------- THE MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTH CARE PROVIDER SERVING THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. WE PROVIDE PREMIER QUALITY PATIENT CARE THROUGH A FULL SPECTRUM OF EMERGENT, ACUTE, PRIMARY, BEHAVIORAL HEALTH AND EDUCATIONAL SERVICES. WE DO THIS IN AN ENVIRONMENT THAT PROMOTES THE HIGHEST SATISFACTION AMONG PATIENTS, FAMILIES, PHYSICIANS AND STAFF. VALUES ------ THE VALUES OF THE MEDICAL CENTER ARE SUMMARIZED IN THE ACRONYM "WE CARE" (WELCOMING ENERGIZED COMPASSION ADVOCACY RESPECT EXCELLENCE): - WE ARE WELCOMING AND GRACIOUS TOWARD EACH OTHER, AND TOWARD ALL WHO COME TO RECEIVE OUR SERVICES. - PERSONNEL ARE ENERGIZED FOR QUALITY, CREATIVITY, COMMITMENT AND TEAMWORK. - COMPASSION IS THE WAY WE SHARE DEEP CONCERN AND CARE TOWARD EACH PERSON. - ADVOCACY IS OUR ACTIVITY THAT PROMOTES THE RIGHTS AND RESPONSIBILITIES OF PATIENTS, FAMILIES AND STAFF, IN THE HOSPITAL SETTING AND IN THE COMMUNITY. - WE SHOW RESPECT BY RECOGNIZING THE BASIC DIGNITY OF EVERY PERSON IN ALL OUR INTERACTIONS AND IN THE FORMULATION OF POLICIES AND PROCEDURES. - EXCELLENCE IS OUR WAY OF DEMONSTRATING THAT WE CAN ALWAYS BE MORE AND ALWAYS BE BETTER. VISION ------ - TO ESTABLISH A REGIONAL IDENTITY AS RICHMOND UNIVERSITY MEDICAL CENTER AND A REGIONWIDE REPUTATION FOR EXCELLENCE IN PROVIDING THE HIGHEST STANDARDS OF MEDICAL CARE TO THE COMMUNITY; - TO DEVELOP A CULTURE OF PRIDE IN THE HISTORY OF THE INSTITUTION, THE CURRENT ACTIVITIES AND ITS INITIATIVES FOR FUTURE GROWTH AND EXPANSION; AND - TO BE RECOGNIZED AS THE PROVIDER OF CHOICE. RUMC'S COMMITMENT ----------------- - WE'RE PART OF THE FABRIC OF STATEN ISLAND - PAST, PRESENT AND FUTURE; - WE TREAT PATIENTS AND LOVED ONES LIKE FAMILY - BECAUSE THEY ARE; - WE CARE ABOUT THE HEALTH AND WELLNESS OF STATEN ISLANDERS - BECAUSE OUR LOVED ONES MATTER TO US; - WE'RE INVESTING AND PLANNING AHEAD - TO ANSWER THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY; AND - WE'RE ACCOUNTABLE TO EVERYONE WE SERVE - STATEN ISLAND PATIENTS, LOVED ONES, PHYSICIANS, NURSES AND STAFF. CLINICAL SERVICES ================= RUMC IS LICENSED FOR 448 BEDS THAT INCLUDE MEDICINE, SURGERY, PEDIATRICS AND NEO-NATAL CARE, GYNECOLOGY, OBSTETRICS AND MATERNITY CARE, INTENSIVE CARE UNITS, PSYCHIATRY, BEHAVIORAL AND SUBSTANCE ABUSE DISORDERS. RUMC PROVIDES CRITICAL ACCESS TO THE COMMUNITY THROUGH ITS EMERGENCY DEPARTMENT, SURGERY, INPATIENT ACUTE CARE, AND MANY OTHER PROGRAMS THAT SUPPORT BOTH HEALTH AND BEHAVIORAL HEALTH CARE ACCESS AND PROMOTE QUALITY OF LIFE. A FULL LIST OF SERVICES OFFERED BY RUMC CAN BE GROUPED INTO THE FOLLOWING: - ANESTHESIA - BARIATRIC/WEIGHT LOSS SURGERY - BEHAVIORAL HEALTH - BREAST AND WOMEN'S HEALTH - CARDIOVASCULAR - CLINICAL RESEARCH - DIABETES - EAR, NOSE AND THROAT - EMERGENCY SERVICES - ENDOCRINOLOGY - GASTROENTEROLOGY/ENDOSCOPY - OBSTETRICS AND GYNECOLOGY - ONCOLOGY (CANCER) - OPHTHALMOLOGY - ORTHOPEDICS - PALLIATIVE CARE - PATHOLOGY LAB SERVICES - PEDIATRICS - POST COVID-19 CARE - RADIOLOGY - REHABILITATION - SLEEP DISORDER - STROKE CARE - SURGERY - TELEHEALTH - UROLOGY - WOMEN, INFANTS, AND CHILDREN (WIC) - WOUND CARE TRAUMA CARE =========== RUMC IS A LEVEL I ADULT AND LEVEL II PEDIATRIC TRAUMA CENTER AND A DESIGNATED STROKE CENTER, RECEIVING TOP NATIONAL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB HAS PCI CAPABILITIES FOR ELECTIVE AND EMERGENT PROCEDURES IN ANGIOPLASTY. RUMC MAINTAINS A WOUND CARE/HYPERBARIC CENTER AND A SLEEP DISORDER CENTER ON-SITE AT ITS MAIN CAMPUS. THE HOSPITAL ALSO OFFERS BEHAVIORAL HEALTH SERVICES, ENCOMPASSING BOTH INPATIENT AND OUTPATIENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS, INCLUDING EMERGENT INPATIENT AND MOBILE OUTREACH UNITS. RUMC IS THE ONLY BOROUGH FACILITY THAT OFFERS INPATIENT PSYCHIATRIC SERVICES FOR ADOLESCENTS. LEVEL I ADULT TRAUMA CARE ------------------------- THE TRAUMA CENTER WAS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) AND ADHERES TO RIGOROUS STANDARDS IN ORDER TO PROVIDE THE HIGHEST QUALITY OF CARE. SEVERAL DEFINING ELEMENTS OF THE TRAUMA CENTER INCLUDE: - EQUIPPED FOR ALL STAGES OF CARE, FROM PREVENTION TO EMERGENCY SURGERY TO REHABILITATION - TRAUMA TEAM MEMBERS CONTINUOUSLY RECEIVE EDUCATION ABOUT BEST PRACTICES AND LATEST TECHNOLOGY - QUALITY ASSESSMENT PROGRAM HELPS ENSURE SMOOTH, EFFECTIVE OPERATION - PREPARED TO TREAT A HIGH VOLUME OF TRAUMA PATIENTS 24/7 - REFERS PATIENTS TO OTHER RESOURCES IN THE COMMUNITY FOR FURTHER TREATMENT IN ADDITION, RICHMOND UNIVERSITY MEDICAL CENTER'S TRAUMA CENTER SERVES AS THE ONLY IN-PATIENT PSYCHIATRIC RESOURCE IN THE REGION FOR ADOLESCENTS, PROVIDING SERVICES FOR SUBSTANCE ABUSE, PSYCHOTHERAPY AND PSYCHIATRIC CARE. BEHAVIORAL HEALTH ================= RICHMOND UNIVERSITY MEDICAL CENTER IS STATEN ISLAND'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES FOR CHILDREN, ADOLESCENTS, AND ADULTS. OFFERING BOTH INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, A TEAM OF BOARD-CERTIFIED PHYSICIANS, THERAPISTS, AND HEALTH CARE PROFESSIONALS IS AVAILABLE TO PROVIDE COMPREHENSIVE EVALUATION AND REFERRAL SERVICES, SUBSTANCE TREATMENT, AND OTHER SPECIALIZED PROGRAMS. OUR DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH PROVIDES ASSISTANCE THROUGH: - ADULT OUTPATIENT MENTAL HEALTH SERVICES - NEUROMODULATION TREATMENT - ADDICTION TREATMENT PROGRAMS - EMERGENCY SERVICES - INPATIENT PSYCHIATRIC PROGRAMS CORE FORM, PART III, STATEMENT OF PROGRAM SERVICES STATEN ISLAND MENTAL HEALTH SOCIETY'S SERVICES AND PROGRAMS ARE FULLY INTEGRATED AS A DIVISION OF RICHMOND UNIVERSITY MEDICAL CENTER. ITS ROBUST PROGRAMS FOR CHILDREN AND FAMILIES ARE NOW PART OF A LARGER BEHAVIORAL HEALTH NETWORK OF ADVANCED, EFFECTIVE SERVICES FOR CHILDREN, ADOLESCENTS, AND ADULTS. THE SOCIETY'S DEDICATED, LICENSED PHYSICIANS, THERAPISTS, COUNSELORS, AND BOARD-CERTIFIED PSYCHIATRISTS ARE NOW PART OF THE MOST EXPERIENCED BEHAVIORAL HEALTH TEAM ON STATEN ISLAND. STATEN ISLAND MENTAL HEALTH SOCIETY PROVIDES ASSISTANCE THROUGH: - OUTPATIENT SERVICES FOR CHILDREN, ADOLESCENTS, AND FAMILIES - DEVELOPMENTAL DISABILITY AND EARLY CHILDHOOD SERVICES - FAMILY SUPPORT AND COMMUNITY SERVICES - PRE-SCHOOL EDUCATION SERVICES, INCLUDING THE COUNTRY'S FIRST HOSPITAL-BASED HEAD START PROGRAM PROJECT LAUNCH -------------- A FULLY INTEGRATED DIVISION OF RICHMOND UNIVERSITY MEDICAL CENTER, STATEN ISLAND MENTAL HEALTH SOCIETY SUPPORTS THE BEHAVIORAL HEALTH NEEDS OF CHILDREN AND FAMILIES THROUGH ROBUST SERVICES, PROGRAMS, AND INITIATIVES, INCLUDING PROJECT LAUNCH (LINKING ACTIONS FOR UNMET NEEDS IN CHILDREN'S HEALTH). LEARN MORE ABOUT HOW OUR COMPASSIONATE TEAM IS SUPPORTING PROJECT LAUNCH AND WHAT THIS INITIATIVE MEANS FOR CHILDREN AND FAMILIES IN NEED. A FEDERAL INITIATIVE CREATED BY THE NATIONAL CENTER FOR HEALTHY SAFE CHILDREN AND FUNDED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), PROJECT LAUNCH HAS A MISSION "TO PROMOTE THE WELLNESS OF YOUNG CHILDREN AGES BIRTH TO 8 BY ADDRESSING THE PHYSICAL, SOCIAL, EMOTIONAL, COGNITIVE, AND BEHAVIORAL ASPECTS OF THEIR DEVELOPMENT." WITH A GOAL TO PREPARE CHILDREN FOR SUCCESS IN SCHOOL, PROJECT LAUNCH SPECIFICALLY AIMS TO: - ENSURE CHILDREN ARE READY TO LEARN WHEN ENTERING SCHOOL - IMPROVE COORDINATION AND COLLABORATION AMONGST SYSTEMS SERVING CHILDREN - BUILD INFRASTRUCTURE BY INCREASING THE AVAILABILITY OF QUALITY, EVIDENCE-BASED PROGRAMMING - INCREASE CHILDREN'S AND THEIR FAMILIES' ACCESS TO TOP-NOTCH PREVENTION, WELLNESS, AND PHYSICAL AND BEHAVIORAL HEALTH SERVICES RICHMOND UNIVERSITY MEDICAL CENTER IS AMONGST A HANDFUL OF GRANT RECIPIENTS FOR PROJECT LAUNCH, A HIGHLY COMPETITIVE PROGRAM WITH ONLY 12 OTHER GRANTEES AT ANY GIVEN TIME. WHAT WE LEARN THROUGHOUT THE FIVE-YEAR TERM OF THE GRANT WILL HELP COMMUNITIES INFLUENCE STATE, TERRITORIAL, AND TRIBAL-LEVEL SYSTEMS CHANGES AND POLICY IMPROVEMENTS. PROJECT LAUNCH'S SERVICES ARE OPEN TO CHILDREN AGES EIGHT AND YOUNGER, THEIR CAREGIVERS, AND EXPECTING CAREGIVERS LIVING IN THE NORTH SHORE AREA OF STATEN ISLAND. AS A FIVE-YEAR GRANT RECIPIENT OF PROJECT LAUNCH, RICHMOND UNIVERSITY MEDICAL CENTER BEGAN WORK ON THIS IMPORTANT, FEDERALLY FUNDED INITIATIVE IN 2019. WE HAVE ASSIGNED A DEDICATED TEAM TO FULFILL OUR COMMITMENTS AND THE PROJECT'S MISSION. OUR HEADQUARTERS FOR THIS INITIATIVE ARE LOCATED AT 669 CASTLETON AVE, AND WE ARE ANTICIPATING THE ARRIVAL OF A MOBILE UNIT, WHICH WILL ENABLE US TO PROVIDE THE FOLLOWING SERVICES IN THE COMMUNITY AND YOUR HOME: - BEHAVIORAL HEALTH - LIGHT-TOUCH MEDICAL ASSESSMENTS AND EDUCATION - CARE COORDINATION CANCER CARE AT RUMC =================== COLORECTAL CANCER ----------------- ACCORDING TO THE AMERICAN CANCER SOCIETY, EXCEPT FOR SKIN CANCERS, COLORECTAL CANCER IS THE THIRD MOST COMMON CANCER DIAGNOSED IN BOTH MEN AND WOMEN IN THE UNITED STATES. THE AMERICAN CANCER SOCIETY ESTIMATES THE NUMBER OF COLORECTAL CANCER CASES IN THE UNITED STATES FOR 2023 WAS OVER 106,900 NEW CASES OF COLON CANCER AND MORE THAN 46,000 NEW CASES OF RECTAL CANCER. IN THE UNITED STATES, COLORECTAL CANCER IS THE THIRD LEADING CAUSE OF CANCER-RELATED DEATHS IN MEN AND IN WOMEN, AND THE SECOND MOST COMMON CAUSE OF CANCER DEATHS WHEN MEN AND WOMEN ARE COMBINED. IT WAS EXPECTED TO CAUSE ABOUT 52,500 DEATHS DURING 2023. Based on the findings of Richmond University Medical Center's 2022 Community Health Needs Assessment (CHNA), increasing access to high quality chronic disease preventive care and management in both clinical and community settings was identified as a priority. This was determined through research to develop the CHNA, including public health and socioeconomic measures, input received from key informants, and a thorough assessment of existing services, resources, and the hospital's areas of expertise. Increasing screening rates for several chronic diseases, including colorectal cancer, was an agreed to measure to help address this identified priority. The CHNA also revealed that the colorectal cancer death rate for Staten Island is similar to the death rates for New York City and the nation. One of the most common barriers to engaging patients to have colonoscopies conducted is the unpleasantness and misconceptions about the colonoscopy prep procedure. There are currently several screening modalities available for community members to choose from beyond the traditional colonoscopy that may help get patients "through the door." The most common are take home stool tests, such as the Fecal Immunochemical Test (FIT kit). In March, in recognition of National Colon Cancer Awareness month, Richmond University Medical Center distributed free at-home FIT Kits to staff and the public. Over 20 individuals requested one of the free kits. The hospital's oncology department provided free assessments and follow-up to individuals who provided completed kits. In addition to the kits distributed in March, FIT kits were also distributed at no charge during the following events that were open to the public. In total over 80 kits were distributed throughout the year, at: - The New York City Parks and Recreation Department's health fair; - The Staten Island Economic Development Corporation's annual health and wellness fair; and - RUMC's Community Day to celebrate the opening of the hospital's new Emergency Department BREAST CANCER ------------- Breast cancer is the second leading cause of cancer death in women behind lung cancer. According to the American Cancer Society, about one in eight women in the United States will develop invasive breast cancer over the course of her lifetime. In recent years, incidence rates have increased slightly, about 0.5 percent per year. In 2022, an estimated 287,850 new cases of invasive breast cancer were expected to be diagnosed in women in the United States, along with 51,400 new cases of non-invasive (in situ) breast cancer. About 43,250 women were expected to die in 2022 from breast cancer. Based on the findings of Richmond University Medical Center's 2022 Community Health Needs Assessment (CHNA), increasing access to high quality chronic disease preventive care and management in both clinical and community settings was identified as a priority. This was determined through research to develop the CHNA, including public health and socioeconomic measures, input received from key informants, and a thorough assessment of existing services, resources, and the hospital's areas of expertise. Increasing screening rates for several chronic diseases, including breast cancer, was an agreed-to measure to help address this identified priority. The CHNA also showed that among an analysis of the most common cancers (female breast, colorectal, lung and prostate), Staten Island has higher female breast incidence rates than the rest of New York City and the nation, but lower death rates. Throughout 2022, RUMC maintained a steady ad campaign in print, digital, and social media platforms promoting the services available at the hospital's outpatient Breast and Women's Center. Several articles were also written in the Staten Island Advance, the only daily newspaper on Staten Island, focusing on the importance of mammograms, symptoms, and risk factors for breast cancer, and additional related topics. Throughout the year, breast cancer information was made available at several community events. PROSTATE CANCER --------------- According to the American Cancer Society, other than skin cancer, prostate cancer is the most common cancer in American men. The Society estimates that in 2022 nearly 268,500 new cases of prostate cancer will be diagnosed and about 34,500 deaths will occur due to the disease. About one man in eight will be diagnosed with prostate cancer during his lifetime, with prostate cancer being more likely to develop in older men and in African-American men. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICES Based on the findings of Richmond University Medical Center's 2022 Community Health Needs Assessment (CHNA), increasing access to high quality chronic disease preventive care and management in both clinical and community settings was identified as a priority. This was determined through research to develop the CHNA, including public health and socioeconomic measures, input received from key informants, and a thorough assessment of existing services and the hospital's areas of expertise. Increasing screening rates for several chronic diseases, including prostate cancer, was an agreed-to measure to help address this identified priority because Staten Island has a higher overall cancer incidence rate compared to the rest of New York City. As our society emerges from the COVID-19 pandemic, physicians and medical professionals are finding that many individuals have not kept up with regular health checkups and/or have not followed up for conditions or symptoms that may indicate prostate cancer. According to the CHNA, Staten Island has a higher cancer incidence rate than the nation, but a slightly lower cancer death rate. Staten Island also has higher prostate cancer incidence rates than the other boroughs of New York City and the nation, but lower death rates. To promote the importance of prostate cancer health and the need for early screening, RUMC provided free prostate cancer screenings at several community events over the course of 2022. Test results were reviewed by RUMC's lab and results provided at no cost. Referrals to RUMC's Urology Services Center were made for any abnormal findings. Free prostate cancer screenings were provided at the following public events: - Through a partnership with the Jewish Community Center of Staten Island - At the New York City Parks and Recreation Department's health fair - At the Staten Island Economic Development Corporation's annual health and wellness fair - At the Police Organization Providing Peer Assistance (POPPA) health and wellness fair - At RUMC's Community Day to celebrate the opening of the hospital's new Emergency Department CAPITAL PROJECTS ================ NOW MORE THAN EVER, WE ARE MAKING CRITICAL INVESTMENTS AND CAPITAL IMPROVEMENTS SO THAT RICHMOND UNIVERSITY MEDICAL CENTER CAN CONTINUE TO ANSWER THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY. WITH A TOTAL INVESTMENT OF NEARLY $200 MILLION, AND OVER $108 MILLION IN FINANCIAL SUPPORT FROM THE CITY, STATE, AND PRIVATE PHILANTHROPY, RUMC WILL BE REVOLUTIONIZING HEALTHCARE FOR EVERYONE. EMERGENCY DEPARTMENT -------------------- Richmond University Medical Center's new Emergency Department (ED), a multi-story state-of-the-art addition with more than twice the space of its predecessor and a host of patient amenities, is a testament to the hospital's commitment to the community. The ED occupies the ground level of a new pavilion, offering private trauma bays and treatment rooms and comprehensive specialty areas for pediatrics and urgent care. Each exam room and treatment bay has double headwalls, enabling RUMC to double the ED's capacity in the event of a patient surge. It replaces an aging and undersized Emergency Department built in 1978, when Staten Island's population was 25 percent smaller. RUMC is an American College of Surgeons (ACS) and New York State Department of Health designated Level I Adult Trauma and Level II Pediatric Trauma Center. This designation means RUMC has trained medical staff, nurses, equipment, and protocols in place to treat all adult and pediatric patients in need of emergency care. RUMC is also a nationally recognized stoke center, Staten Island's only provider of inpatient behavioral health services for adolescents, and the borough's only New York State Department of Health certified Sexual Assault Forensic Examiner (SAFE) Center of Excellence. RUMC's Emergency Department had been at the epicenter of the COVID-19 pandemic, caring for more than 11,000 COVID-positive patients since the pandemic began in 2020. The patient-friendly ED experience for walk-ins begins on arrival at the main entrance, now easily accessible from Castleton Avenue with an adjacent parking lot nearby. Patients take a seat in the spacious waiting area before moving into triage and to one of three private trauma bays, fully equipped and ready for rapid assessment and treatment. The former ED had only one trauma bay. New ultrasound and airway equipment in the ED facilitates surgical intervention and other lifesaving measures. Along the way, family members remain close to their patient in designated zones with comfortable seating, where they can monitor the situation and stay informed. With the Surgical Department located directly above the ED, critically ill patients will be whisked by elevator to the second-floor surgical suites. The proximity of 10 new operating rooms on the second level will cut down on travel time from the ED in life threatening situations. WINDOW UPGRADE PROJECT ---------------------- STEADFAST IN A STORM - THE FEDERAL EMERGENCY MANAGEMENT AGENCY PROVIDED RUMC WITH FINANCIAL SUPPORT TO UPGRADE OVER 700 WINDOWS THROUGHOUT THE HOSPITAL TO PROTECT THE MEDICAL FACILITY FROM STORMS AND WEATHER-RELATED EMERGENCIES. RUMC IS THE ONLY HOSPITAL ON STATEN ISLAND NOT LOCATED IN A FLOOD ZONE. THE NEW WINDOWS WILL BE HURRICANE-FORCE RESISTANT AND PROTECT AGAINST WATER AND WIND DAMAGE. EXPECTED COMPLETION: MID-2022 NEW MEDICAL INTENSIVE CARE UNIT ------------------------------- ADVANCING CARE FOR OUR MOST CRITICAL PATIENTS - MEDICAL INTENSIVE CARE UNIT (MICU) CAPACITY WILL BE INCREASED FROM TEN TO FOURTEEN PRIVATE PATIENT ROOMS. ADDITIONALLY, FOUR ISOLATION/NEGATIVE PRESSURE ROOMS WILL BE INCLUDED. THERE ALSO WILL BE LARGER FAMILY AREAS IN EACH PATIENT ROOM. TO OPTIMIZE INFECTION CONTROL, ELECTROMAGNETIC GLAZING (SMART GLASS) WILL REPLACE CUBICLE CURTAINS. EXPECTED COMPLETION: SPRING 2022 CO-GEN POWER PLANT ------------------ LEADING THE WAY IN ENERGY EFFICIENCY - THE NEW CO-GENERATION PLANT (CO-GEN) IS BEING CONSTRUCTED IN AN EXISTING BUILDING AT THE REAR OF THE CAMPUS. WHEN COMPLETED, IT WILL MAKE THE HOSPITAL SELF-SUFFICIENT AND ABLE TO CONTINUE OPERATING IN THE EVENT OF AN AREA POWER FAILURE. EXCESS HEAT GENERATED FROM THE ENGINES WILL BE UTILIZED TO CREATE IMPROVED AIR CONDITIONING CAPACITY FOR THE HOSPITAL. EXPECTED COMPLETION: SUMMER 2022 FULLY RENOVATED MOTHER/BABY UNIT -------------------------------- DELIVERING LUXURY, COMFORT, AND PRIVACY LOCATED ON THE FIRST AND SECOND FLOORS OF THE HOSPITAL, THE NEWLY RENOVATED RICHMOND COUNTY SAVINGS FOUNDATION MOTHER/BABY UNIT WILL FEATURE SINGLE-BED PRIVATE ROOMS AS WELL AS REMODELED BATHROOMS, FLOORING, WINDOWS AND LIGHTING. EXPECTED COMPLETION: EARLY 2023 NEW OPERATING ROOMS ------------------- TRANSFORMING FOR THE FUTURE - THE NEW OPERATING ROOMS WILL FEATURE 10 ADVANCED AND FULLY EQUIPPED SURGICAL SUITES. PATIENTS WILL ALSO BE ABLE TO UTILIZE INCREASED PREOPERATIVE AND RECOVERY SPACE. EXPECTED COMPLETION: EARLY 2023 RUMC'S AWARD-WINNING QUALITY CARE ================================= Accreditations -------------- - American Association of Blood Banks (AABB) - American College of Radiology: Breast Ultrasound; Mammography; Positron Emission Tomography (PET); Stereotactic Breast Biopsy; AND Ultrasound Guided Biopsy - American College of Radiation Oncology - American College of Surgeons' Commission on Cancer - College of American Pathologists (CAP) - Intersocietal Accreditation Commission (IAC) - Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program - New York State Dept of Health (NYSDOH) - The Joint Commission (TJC) - ACR Accreditation in every modality - CT, MR, Nuclear Medicine, Ultrasound - National Diabetes Prevention Program Accreditation, NYS PCMH Recognition Certifications -------------- - The Joint Commission - Gold Seal - The Joint Commission Disease-Specific Certification: Advanced Primary Stroke Verifications ------------- - American College of Surgeons: Trauma Services - Level I Adult Trauma/Level II Pediatric Trauma - Trauma Awards ------ - American Heart Mission Lifeline - 2022 Stroke Gold Plus with Target stroke, Honor Roll Elite and Target: Type 2 Diabetes Honor Roll Designations ------------ - NYS Department of Health: Level I Adult Trauma/Level II Pediatric Trauma; Primary Stroke; AND Trauma - WHO & UNICEF Designated "Baby-Friendly Hospital" Recognition ----------- - American Diabetes Association - CDC Recognized National Diabetes Prevention Program - International Board Certified Lactation Consultant - Sexual Assault Forensic Examiner CORE FORM, PART III, STATEMENT OF PROGRAM SERVICES Resident Education ------------------ - Accreditation of Advanced GI Minimally Invasive Fellowship - ACGME Accredited Fellowship in Hematology /Oncology - Continued Accreditation in Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Radiology programs by the ACGME - Fully Accredited Council on Podiatric Medical Education (CPME) Podiatry Program CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII, SECTION B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF CERTAIN OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATE WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V; QUESTION 15 DANIEL J. MESSINA, PH.D., MPA, FACHE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. DR. MESSINA IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER (EIN: 74-3177454). RICHMOND UNIVERSITY MEDICAL CENTER FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. MESSINA'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 BRIDGE REGIONAL HEALTH SYSTEM IS THE SOLE MEMBER OF THIS ORGANIZATION. BRIDGE REGIONAL HEALTH SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S BOARD OF TRUSTEES HAS AN AUDIT AND COMPLIANCE COMPENSATION COMMITTEE ("COMMITTEE"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND THEREAFTER APPROVAL BY THE MEMBERS AT THE COMMITTEE MEETING. SUBSEQUENTLY, THE ORGANIZATION'S 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, PRIOR TO FILING WITH THE IRS. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR THIS ORGANIZATION. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER, VICE PRESIDENT, FISCAL AFFAIRS & ACCOUNTING, AND VARIOUS OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES, BE CIRCULATED ANNUALLY TO ALL TRUSTEES/DIRECTORS, OFFICERS, KEY EMPLOYEES, MEDICAL STAFF AND PRACTITIONERS WITH CLINICAL PRIVILEGES. ANNUALLY THESE INDIVIDUALS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER IS RESPONSIBLE FOR (1) GATHERING THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS; (2) TRACKING THE SUCCESSFUL COMPLETION OF THE STATEMENTS; (3) TRANSMITTING THE STATEMENTS TO THE BOARD COMMITTEE; AND (4) ASSISTING THE BOARD COMMITTEE IN ORGANIZING THE STATEMENTS FOR THE COMMITTEE'S REVIEW. IN ADDITION, THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER IS RESPONSIBLE FOR REVIEWING AND REVISING THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS OR WHEN A CHANGE IS REQUIRED FOR COMPLIANCE WITH JOINT COMMISSION STANDARDS; ETHICAL DIRECTIVES; FEDERAL, STATE, AND CITY LAWS, RULES AND REGULATIONS; CHANGES IN PRACTICE OR REGULATORY MANDATE; NEW PROGRAMS OR PROCEDURES; NEW EQUIPMENT; OR PERFORMANCE IMPROVEMENT CHANGES. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, THE CONFLICT OF INTEREST DISCLOSURES ARE PROVIDED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. THE AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE CONFLICT OF INTEREST DISCLOSURE AND REVIEW PROCESS. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, HAS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION ("EXECUTIVE LEADERSHIP"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EXECUTIVE LEADERSHIP PERSONNEL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT. IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, COMPENSATION IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY RICHMOND UNIVERSITY MEDICAL CENTER. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS, AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. IN ADDITION, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET PERIODIC PENSION COSTS - ($412,576); - RESTRICTED GRANTS & CONTRIBUTIONS - $35,728,549; - PENSION LIABILITY ADJUSTMENT - $23,940,655; - NET ASSETS RELEASED FROM RESTRICTIONS - $26,560; - CHANGE IN BENEFICIAL INTEREST IN RICHMOND MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,606,712; - NET ASSETS RELEASED FROM DONOR RESTRICTIONS - ($51,560). - INHERENT CONTRIBUTION IN ACQUISITION OF VISITING NURSE ASSOCIATE HEALTH CARE SERVICES, INC. - $3,027,936; AND - CUMULATIVE EFFECT OF ACCOUNTING CHANGE - ($358,983). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RICHMOND UNIVERSITY MEDICAL CENTER AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT. SCHEDULE R EFFECTIVE JANUARY 1, 2022, PURSUANT TO THE TERMS OF MERGER AGREEMENT, THIS ORGANIZATION BECAME THE SOLE MEMBER OF VISITING NURSE ASSOCIATION HEALTH CARE SERVICES, INC ("VNAHCS"). VNAHCS'S BYLAWS WERE AMENDED EFFECTIVE JANUARY 1, 2022 TO REFLECT THE CHANGE OF THE ORGANIZATION'S SOLE MEMBER. ACCORDINGLY, VNAHCS AND ALL VNA AFFILIATES HAVE BEEN ADDED TO SCHEDULE R OF THIS ORGANIZATION'S FORM 990. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:17168559 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING & COLLECTION TOTAL FEES:6119929 FORM 990 PART IX LINE 11G DESCRIPTION:FOOD SERVICE FEES TOTAL FEES:3361358 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:14778768 AMBOY MEDICAL PRACTICE PC 355 BARD AVENUE STATEN ISLAND NY 10310 263381883 HEALTH SVCS. NY 501(C)(3) 509(A)(3) RUMC true RICHMOND MEDICAL CENTER FOUNDATION INC 355 BARD AVENUE STATEN ISLAND NY 10310 271059815 FUNDRAISING NY 501(C)(3) 509(A)(3) RUMC true VISITING NURSE ASSOC HEALTH CARE SVCS 669 CASTLETON AVENUE STATEN ISLAND NY 10301 135562377 HEALTH SVCS. NY 501(C)(3) 509(A)(2) RUMC true VISITING NURSE PLUS INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133712494 INACTIVE NY 501(C)(3) 509(A)(2) RUMC true BRIDGE REGIONAL HEALTH SYSTEM 355 BARD AVENUE STATEN ISLAND NY 10310 205171165 HOLDING CO. NY NA C CORP. false HEALTH WATCH-LIFELINE INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133484488 INACTIVE NY RUMC C CORP. 0 0 1.00000 true false false true true true false false false false false false false false true true false true true true AMBOY MEDICAL PRACTICE PC D 15911218 COST RICHMOND MEDICAL CENTER FOUNDATION INC C 1251308 COST RICHMOND MEDICAL CENTER FOUNDATION INC E 384098 COST RICHMOND MEDICAL CENTER FOUNDATION INC O 275297 COST VISITING NURSE ASSOC HEALTH CARE SVCS D 1350000 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.