TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KATHRYN K ROONEY ESQ CHAIRPERSON	1.00	X	X	0	0
(2) ALLAN WEISSGLASS VICE CHAIRPERSON	1.00	X	X	0	0
(3) CATHERINE PAULO ESQ SECRETARY	1.00	X	X	0	0
(4) ROBERT MAZZUOCCOLA ASSISTANT SECRETARY	1.00	X	X	0	0
(5) GINA GUTZEIT TREASURER	1.00	X	X	0	0
(6) REV DR TONY BAKER SR TRUSTEE	1.00	X		0	0
(7) JOAN NERLINO CADDELL ESQ TRUSTEE	1.00	X		0	0
(8) KATHERINE CONNORS TRUSTEE	1.00	X		0	0
(9) MSGR JAMES DORNEY TRUSTEE	1.00	X		0	0
(10) SARA W GARDNER TRUSTEE	1.00	X		0	0
(11) JAMES P MOLINARO TRUSTEE	1.00	X		0	0
(12) JOSEPH MOTTA MD TRUSTEE/DIRECTOR OF UROLOGY	5.00	X		138,283	3,587
(13) BRIAN MCMAHON MD TRUSTEE	1.00	X		18,750	0
(14) DANIEL PAULO MD TRUSTEE	1.00	X		0	0
(15) VINCENT PITTA ESQ TRUSTEE	1.00	X		0	0
(16) RONALD A PURPORA TRUSTEE	1.00	X		0	0
(17) DENNIS QUIRK TRUSTEE	1.00	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK CORPORATION 1101 MARKET STREET PHILADELPHIA,PA19107	FOOD AND OTHER SUPPORT SERVICES	5,088,278
RICHMOND EMERGENCY MEDICAL ASSOCIATES 651 WEST MT PLEASANT AVE LIVINGSTON,NJ07039	EMERGENCY ROOM STAFFING	1,588,291
OCEANSIDE INSTITUTIONAL LAUNDRY 2525 LONG BEACH RD OCEANSIDE,NY11572	LAUNDRY SERVICES	1,396,491
DCI DIALYSIS CLINIC INC 800 CASTLETON AVE STATEN ISLAND,NY10310	DIALYSIS CLINIC TREATMENT	1,001,460
RICHMOND COUNTY AMBULANCE 1355 CASTLETON AVE STATEN ISLAND,NY10310	AMBULANCE SERVICE	268,259
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 21

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,697,900	2,158,320	539,580
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	184,943	147,954	36,989
7	Other salaries and wages	141,589,676	113,271,741	28,126,777	191,158
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	6,769,084	5,415,267	1,344,259	9,558
9	Other employee benefits .......	27,452,524	21,962,019	5,457,340	33,165
10	Payroll taxes ...........	10,127,324	8,101,859	2,010,841	14,624
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	786,016	628,813	157,203
c	Accounting ...........	213,777	171,022	42,755
d	Lobbying ...........	118,956	95,165	23,791
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	32,778,498	26,222,798	6,555,700
12	Advertising and promotion ....	195,725	156,580	39,145
13	Office expenses .......	34,904,254	27,923,403	6,977,367	3,484
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	7,801,819	6,047,167	1,754,652
17	Travel ............	83,694	66,955	15,974	765
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	65,878	52,702	13,176
20	Interest ...........	1,978,805	1,583,044	395,761
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	2,670,129	2,136,103	534,026
23	Insurance ..............	8,532,761	6,826,209	1,706,552
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT	15,975,943	15,975,943
b	REPAIRS & MAINTENANCE	1,182,775	946,220	236,555
c	DUES & LICENSES	457,351	365,881	91,470
d	TEMPORARY FUND EXPENSES	242,445	193,956	48,489
e	STORAGE	175,121	140,097	35,024
f	All other expenses	408,294	326,636	67,099	14,559
25	Total functional expenses. Add lines 1 through 24f	297,393,692	240,915,854	56,210,525	267,313
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	2,210,426	1	3,344,118
2	Savings and temporary cash investments .......	14,432,059	2	15,847,577
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	31,449,799	4	36,418,124
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	4,623,099	8	5,474,156
9	Prepaid expenses and deferred charges ............	342,847	9	519,745
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,498,331
b	Less: accumulated depreciation. .....	10b	6,040,874	15,477,854	10c	25,457,457
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........	494,127	14	366,607
15	Other assets. See Part IV, line 11 ...........	1,504,035	15	1,907,888
16	Total assets. Add lines 1 through 15 (must equal line 34)...	70,534,246	16	89,335,672
	17	Accounts payable and accrued expenses .	28,461,954	17	29,400,553
18	Grants payable ..........		18
19	Deferred revenue ..........		19	1,891,667
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	24,039,374	23	32,823,777
24	Unsecured notes and loans payable to unrelated third parties ....	2,500,000	24	2,349,186
25	Other liabilities. Complete Part X of Schedule D.....	20,789,492	25	21,099,069
26	Total liabilities. Add lines 17 through 25.....	75,790,820	26	87,564,252
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	-6,505,291	27	891,440
28	Temporarily restricted net assets .....	904,070	28	535,333
29	Permanently restricted net assets .....	344,647	29	344,647
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	-5,256,574	33	1,771,420
34	Total liabilities and net assets/fund balances .....	70,534,246	34	89,335,672

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization RICHMOND MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization RICHMOND MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

118,956

Total. lines 1c through 1i ...................................

118,956

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

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

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	344,647	344,647	344,647
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	344,647	344,647	344,647

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

0 %

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

0 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	3,516,364		3,516,364
b	Buildings ................	13,657,480	850,216	12,807,264
c	Leasehold improvements ............
d	Equipment ................	12,780,843	5,163,580	7,617,263
e	Other .................	1,543,644	27,078	1,516,566
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				25,457,457

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
DUE TO SAINT VINCENT CATHOLIC MEDICAL CENTER		3,987,840
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS		10,739,494
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY		6,371,735






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		21,099,069
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	304,760,990
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	297,393,692
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	7,367,298
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-339,304
9	Total adjustments (net). Add lines 4 - 8 .............................	9	-339,304
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	7,027,994

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	306,080,892
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	348,459
e	Add lines 2a through 2d .....................			2e	348,459
3	Subtract line 2e from line 1.....................			3	305,732,433
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	-971,443
c	Add lines 4a and 4b.......................			4c	-971,443
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	304,760,990

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	299,052,898
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	1,659,206
e	Add lines 2a through 2d......................			2e	1,659,206
3	Subtract line 2e from line 1.....................			3	297,393,692
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	297,393,692

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

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

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 GALA (event type)	(b) Event #2 GOLF & TENNIS OUTING (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	203,725	142,470	346,195
2	Less: Charitable contributions . . .	113,022	71,699	184,721
3	Gross income (line 1 minus line 2) . . .	90,703	70,771	161,474
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .	51,736	54,455	106,191
7	Food and beverages . .
8	Entertainment . . .
9	Other direct expenses .	38,967	16,316	55,283
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			161,474
11	Net income summary. Combine lines 3 and 10 in column (d)............			0

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

33,138

Cash prizes . . . .

3,287

Non-cash prizes . . .

8,593

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes 100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

11,880

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

21,258

Enter the state(s) in which the organization operates gaming activities: NY

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

ONLY SIMPLE RAFFLES AND SILENT AUCTIONS ARE HELD AT SEVERAL LOCAL FUNDRAISING EVENTS DURING THE YEAR.

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

0 %

An outside facility ........................

13b

100.000 %

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

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

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	6,072,685	2,266,584	3,806,101	1.350 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	86,111,403	78,214,509	7,896,894	2.810 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	92,184,088	80,481,093	11,702,995	4.160 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	9,458		9,458	0 %
f Health professions education (from Worksheet 5) ..	30,351,553	10,730,097	19,621,456	6.970 %
g Subsidized health services (from Worksheet 6) ..	21,102,888	8,993,717	12,109,171	4.300 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	19,590		19,590	0.010 %
jTotal Other Benefits ...	51,483,489	19,723,814	31,759,675	11.280 %
kTotal. Add lines 7d and 7j. ..	143,667,577	100,204,907	43,462,670	15.440 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	19,548	19,548	0.010 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	19,548	19,548	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

5,301,739

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

1,590,800

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

64,912,828

Enter Medicare allowable costs of care relating to payments on line 5.....

57,562,040

Subtract line 6 from line 5. This is the surplus or (shortfall)........

7,350,788

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	RICHMOND MEDICAL CENTER 355 BARD AVENUE STATEN ISLAND,NY10310	X	X	X	X
2	BAYLEY SETON HOSPITAL 75 VANDERBILT AVENUE STATEN ISLAND,NY10304	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8		No
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9		No
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11		No
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12		No
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14		No
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16		No
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18		No
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 7: THE COSTS ASSOCIATED WITH CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTS ASSOCIATED WITH "OTHER BENEFITS" WERE DETERMINED USING THE ACTUAL COSTS INCURRED BY THE PROGRAM USING AN INDIRECT OVERHEAD ALLOCATION, ADJUSTED FOR THE ACTUAL LOCATION OF THE PROGRAM.
		PART I, LINE 7G: THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE AMOUNT REPORTED FOR SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.
		PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15975943.
		PART II: RUMC'S PLAN FOR A COMMUNITY BENEFIT INFRASTRUCTURE TO FOSTER AND IMPROVE COMMUNITY HEALTH REQUIRES A BROAD AND COMPREHENSIVE APPROACH TO MEET DOCUMENTED HEALTHCARE NEEDS FOR STATEN ISLAND. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES, BASED ON COMMUNITY HEALTH NEEDS ASCERTAINED FROM STATISTICAL EVIDENCE THROUGH NEW YORK STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH INCLUDE DIABETES, SMOKING CESSATION, HEALTHY MOTHERS/HEALTHY BABIES, AND EMERGENCY PREPAREDNESS.PRIORITY I: DIABETES: RUMC RECEIVED A GRANT FROM THE EMPIRE CLINICAL RESEARCH INVESTIGATOR PROGRAM (ECRIP) TO RESEARCH METABOLIC SYNDROME, CONSIDERED TO BE A PRECURSOR TO DEVELOPING DIABETES, ITS PREVALENCE, AND PROGRESSION IN ADULTS. TWO HUNDRED FORTY-TWO ADULTS ARE PARTICIPATING IN THE METABOLIC SYNDROME PREVALENCE STUDY AND WILL BE FOLLOWED FOR TWO YEARS. THE MEDICAL CENTER ALSO OPERATES AN ADOLESCENT WEIGHT MANAGEMENT CLINIC, DESIGNED TO OFFER SUPPORT AND SOLUTIONS FOR OBESE ADOLESCENTS. RUMC PARTICIPATES IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE'S (HANYS) DIABETES CAMPAIGN COLLABORATIVE TO IMPROVE OUTCOMES AND PREVENT COMPLICATIONS FOR PATIENTS WITH DIABETES.PRIORITY II: SMOKING CESSATION: SINCE AUGUST OF 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. FUNDED BY THE NYS DEPARTMENT OF HEALTH TOBACCO CONTROL PROGRAM, THE CENTER WORKS WITH LOCAL HEALTH CARE PROVIDERS AND HEALTH CARE ORGANIZATIONS TO IMPLEMENT SYSTEMS FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE, PROVIDES ONGOING TRAINING AND TECHNICAL ASSISTANCE, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS, AND PROGRESS REPORTS.PRIORITY III: HEALTHY MOTHERS/HEALTHY BABIES: IN AN EFFORT TO INCREASE HEALTHY OUTCOMES FOR MOTHERS AND BABIES, RUMC HAS TAKEN ON THE CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE AND IS PROMOTING BREASTFEEDING TO NEW MOTHERS. PARTICIPANTS IN THE CENTERING PREGNANCY HAVE DEMONSTRATED IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, HIGHER BREASTFEEDING RATES, AND REDUCED EMERGENCY DEPARTMENT VISITS.PRIORITY IV: EMERGENCY PREPAREDNESS: RUMC PARTICIPATES IN THE RICHMOND COUNTY EMERGENCY PREPAREDNESS HEALTHCARE COALITION (RCEPHC), ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE HOSPITAL, ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, AND VOLUNTARY AMBULANCES MAKE UP THE COALITION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR, BOTH INTERNALLY AND THROUGH THE RCEPHC TO HELP DEFINE SHORTCOMINGS IN OUR INTERNAL AND EMERGENCY OPERATIONS PLAN (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY. IN ADDITION TO THE FOUR PRIORITY AREAS, RICHMOND UNIVERSITY MEDICAL CENTER EDUCATES, INFORMS, AND ENGAGES THE COMMUNITY WE SERVE BY PROVIDING A COMPREHENSIVE SERIES OF DIVERSE HEALTH PROGRAMS THROUGHOUT THE YEAR, INCLUDING LECTURES, WORKSHOPS, SCREENINGS. OUR SPEAKERS BUREAU BRINGS MEDICAL EXPERTISE AND EDUCATION PROGRAMS TO COMMUNITY GROUPS. SPEAKERS INCLUDE PHYSICIANS, NURSES, DIETICIANS, AND OTHER HEALTHCARE EXPERTS WHO PROVIDE INFORMATION ON A VARIETY OF HEALTH TOPICS. WE DISSEMINATE HEALTH INFORMATION AT LOCAL HEALTH FAIRS AND EXPOSITIONS THROUGHOUT THE ISLAND. WE WORK COLLABORATIVELY WITH PARISH NURSE PROGRAMS, SCHOOLS, AND SENIOR CENTERS TO ENCOURAGE HEALTHY LIVING AND PREVENT ILLNESS THROUGHOUT THE COMMUNITY OF STATEN ISLAND.
		PART III, LINE 4: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: "ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES."COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, LINES 2 AND 3: THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990). THE COSTING METHODOLOGY USED TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY WAS THE RATIO OF APPROVED CHARITY CARE APPLICATIONS TO TOTAL APPLICATIONS APPLIED TO SELF PAY BAD DEBTS ASSOCIATED WITH PATIENTS WHO DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBT RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION.HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE.
		PART III, LINE 8: COSTING METHODOLOGY/SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS: MEDICARE COSTS WERE DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO PATIENT CHARGES UTILIZING WORKSHEET 2 OF THE 2010 INSTRUCTIONS FOR SCHEDULE H (FORM 990).
		PART III, LINE 9B: ALL PATIENTS WITH SELF PAY BALANCES RELATED TO SERVICES RENDERED AT RICHMOND UNIVERSITY MEDICAL CENTER ARE GIVEN THE OPPORTUNITY TO ADDRESS THEIR RESPONSIBILITY THROUGH A PAYMENT ARRANGEMENT OR A REDUCED FEE, BASED ON THE CRITERIA OF OUR FINANCIAL ASSISTANCE PROGRAM. A SLIDING FEE SCALE IS UTILIZED AND IS BASED UPON FAMILY INCOME AND NUMBER OF FAMILY MEMBERS. ALL PATIENTS WILL RECEIVE STATEMENTS AND/OR LETTERS AND ARE GIVEN THE OPPORTUNITY TO SATISFY THEIR OBLIGATION TO THE FACILITY PRIOR TO TRANSFER TO A COLLECTION AGENCY AND WRITE-OFF TO A BAD DEBT. PATIENTS WHO CANNOT AFFORD TO PAY ARE OFFERED INSTALLMENT PAYMENTS OR A REDUCTION IN BALANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM (FAP).
		PART VI, LINE 2: RICHMOND UNIVERSITY MEDICAL CENTER'S (RUMC) BOARD, ADMINISTRATION AND STAFF FUNCTION FROM AN UNDERSTANDING THAT HEALTH IS THE CORNERSTONE OF A PRODUCTIVE AND POSITIVE QUALITY-OF-LIFE FOR EVERY STATEN ISLANDER. AS SUCH, OUR FOCUS IS NOT ONLY ON HEALING THE SICK, BUT ALSO UNDERSTANDING THE ROOT CAUSE OF CONDITIONS AFFECTING STATEN ISLANDERS AND WHAT WE CAN DO TO PREVENT THE DISEASE PROCESSES PREVALENT IN OUR COMMUNITY. RUMC UTILIZES A VARIETY OF SOURCES AND APPROACHES TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. COMMUNITY BENEFIT PLANNING IS FORMULATED AROUND INFORMATION GATHERED FROM CONSOLIDATING DATA FROM NY STATE AND NEW YORK CITY DEPARTMENTS OF HEALTH AND OBTAINING PERSPECTIVES FROM KEY COMMUNITY ORGANIZATIONS AND STAKEHOLDERS ON THE CRITICAL HEALTHCARE ISSUES FACING STATEN ISLAND. THE NY STATE DEPARTMENT OF HEALTH'S STATE PLANNING AND RESEARCH SYSTEM (SPARCS), AND THE COMMUNITY HEALTH ASSESSMENT CLEARINGHOUSE PROVIDE PREVENTION QUALITY INDICATORS WHICH RUMC USES TO DETERMINE THE MOST PRESSING HEALTHCARE NEEDS OF THE COMMUNITY. RUMC UTILIZES INFORMATION FROM THE COUNTY HEALTH ASSESSMENT INDICATORS AND COUNTY HEALTH INDICATOR PROFILES. PREVENTION QUALITY INDICATORS (PQIS) AT THE ZIP CODE LEVEL IN NEW YORK STATE ARE USED TO IDENTIFY RATES OF ADMISSION TO THE HOSPITAL FOR CONDITIONS FOR WHICH GOOD OUTPATIENT CARE CAN POTENTIALLY PREVENT THE NEED FOR HOSPITALIZATION, OR FOR WHICH EARLY INTERVENTION CAN PREVENT COMPLICATIONS OR MORE SEVERE DISEASE. PQI PROVIDES INDICATOR SETS THAT DRILL DOWN TO RICHMOND COUNTY FOR SPECIFIC DISEASE PROCESSES. OTHER DISEASE SPECIFIC TRACKING DATA SUCH AS THE NY STATE CANCER REGISTRY AND THE NY STATE HEART AND STROKE REGISTRY HELP RUMC IDENTIFY THE MOST SERIOUS HEALTH NEEDS OF OUR COMMUNITY. RUMC USES THE NY STATE IDENTIFIED PREVENTION AGENDA'S TEN PRIORITIES FOR IMPACTING THE HEALTH OF ALL NEW YORK WHEN DETERMINING COMMUNITY BENEFIT PROGRAM DEVELOPMENT.ADDITIONALLY, RUMC USES NEW YORK CITY DEPARTMENT OF HEALTH'S EPIQUERY, INTERACTIVE HEALTH INFORMATION SYSTEM, DATA FROM THE COMMUNITY HEALTH SURVEY REPORTS AND NEIGHBORHOOD STATISTICS. RUMC IS A PARTNER WITH NEW YORK CITY'S DEPARTMENT OF HEALTH IN THE PROGRAM "TAKE CARE NEW YORK." AS A TAKE CARE NY PARTNER RUMC HAS BEEN AN ACTIVE PARTICIPANT IN PROGRAMS TO INFORM THE PUBLIC ABOUT HEALTH, TO IMPROVE MEDICAL PROVIDERS' DELIVERY OF SERVICES, AND TO ENCOURAGE POLICY CHANGES THAT IMPROVE HEALTH. THROUGH DATA OBTAINED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK CITY DEPARTMENT OF HEALTH, AS WELL AS COLLABORATIONS WITH HEALTHCARE AND OTHER KEY COMMUNITY STAKEHOLDERS, RUMC COORDINATES A UNIFIED EFFORT TO PROVIDE PROGRAMS THAT IMPACT THE HEALTH AND WELL BEING OF OUR COMMUNITY. THROUGH MEETINGS WITH THE HOSPITAL'S COMMUNITY HEALTH ADVISORY BOARD, THE LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, STATEN ISLAND PARTNERSHIP FOR COMMUNITY WELLNESS AND COMMUNITY LEADERS, RUMC DEVELOPS AN OVERALL STRATEGY TO ADDRESS THE CRITICAL HEALTHCARE ISSUES FACING OUR COMMUNITY. RUMC'S SELECTED PREVENTION AGENDA PRIORITIES BASED ON COMMUNITY HEALTH NEEDS FOR 2010 INCLUDED CHRONIC DISEASE (DIABETES), SMOKING CESSATION AND HEALTHY MOTHERS/HEALTHY BABIES AND EMERGENCY PREPAREDNESS AS DISCUSSED IN THE COMMUNITY SERVICE PLAN SUBMITTED TO NY STATE DEPARTMENT OF HEALTH AND DISTRIBUTED TO THE COMMUNITY AT LARGE ON THE RUMC WEBSITE.PRIORITY 1: CHRONIC DISEASE: DIABETESACCORDING TO THE NEW YORK CITY DEPARTMENT OF HEALTH, STATEN ISLAND HAS SEEN AN ESTIMATED 73 PERCENT INCREASE IN THE INCIDENCE OF DIABETES SINCE 2002. IT IS ALSO ESTIMATED THAT 25 PERCENT OF CHILDREN ON STATEN ISLAND ARE OBESE OR OVERWEIGHT WHICH LEADS TO DEVELOPING DIABETES. THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE NORTH SHORE OF STATEN ISLAND, RICHMOND UNIVERSITY MEDICAL CENTER'S CATCHMENT AREA, HAS A 10 PERCENT HIGHER HOSPITALIZATION RATE RELATED TO DIABETES THAN THE REMAINDER OF METRO NEW YORK. PHYSICIANS AT RICHMOND UNIVERSITY MEDICAL CENTER TREAT PATIENTS WITH DIABETES IN BOTH OUR MEDICAL CLINICS AND AS INPATIENTS.RUMC RECEIVED A GRANT FROM THE EMPIRE CLINICAL RESEARCH INVESTIGATOR PROGRAM (ECRIP) TO RESEARCH METABOLIC SYNDROME, CONSIDERED TO BE A PRECURSOR TO DEVELOPING DIABETES, ITS PREVALENCE, AND PROGRESSION IN ADULTS. TWO HUNDRED FORTY-TWO ADULTS, 20 YEARS OF AGE AND OVER, ARE PARTICIPATING IN THE METABOLIC SYNDROME PREVALENCE STUDY AND WILL BE FOLLOWED FOR TWO YEARS. THE MEDICAL CENTER ALSO OPERATES AN ADOLESCENT WEIGHT MANAGEMENT CLINIC, DESIGNED TO OFFER SUPPORT AND SOLUTIONS FOR OBESE ADOLESCENTS, AGES 11 THROUGH 21.RUMC CURRENTLY PARTICIPATES IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE'S (HANYS) DIABETES CAMPAIGN COLLABORATIVE WHICH INCLUDES PROVISIONS DESIGNED TO HELP HOSPITAL-BASED CLINICS AND PRIMARY CARE CENTERS IMPROVE OUTCOMES AND PREVENT COMPLICATIONS FOR PATIENTS WITH DIABETES.PRIORITY 2: SMOKING CESSATIONRUMC HAS TAKEN THE ROLE OF THE LEAD AGENCY IN COMBATING TOBACCO USE AND DEPENDENCE IN RICHMOND COUNTY, WHICH HAS THE HIGHEST RATE OF SMOKING OF THE FIVE BOROUGHS. SINCE AUGUST OF 2009, RUMC HAS BEEN DESIGNATED THE RICHMOND COUNTY TOBACCO CESSATION CENTER. THE CESSATION CENTER, CALLED ASSIST (ANTI-SMOKING STATEN ISLAND SUPPORT TEAM) IS FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, TOBACCO CONTROL PROGRAM. THE GOAL OF THE PROGRAM IS TO WORK WITH LOCAL HEALTHCARE PROVIDERS TO IMPLEMENT A SYSTEM FOR IDENTIFYING AND TREATING TOBACCO DEPENDENCE. ASSIST HAS CREATED A "SUPPORT TEAM" OF EXPERTS IN THE FIELD OF TOBACCO DEPENDENCE, WHO WORK WITH PHYSICIANS ON ADDRESSING THE IMPORTANCE OF QUITTING SMOKING WITH PATIENTS. BECAUSE TOBACCO DEPENDENCE IS A CHRONIC, RELAPSING DISEASE, WE BELIEVE THAT HEALTHCARE PROVIDERS ARE IN THE BEST POSITION TO PROVIDE MESSAGES TO THEIR PATIENTS ABOUT THE IMPORTANCE OF QUITTING AND OFFER THE HELP THEY MAY NEED. THE CESSATION CENTER PROVIDES ON-GOING STAFF TRAINING FOR PHYSICIANS AND OTHER HEALTHCARE PROVIDERS ON TREATMENT INTERVENTIONS AND EFFECTIVE COUNSELING TECHNIQUES AND TECHNICAL ASSISTANCE INCLUDING CHART REVIEWS, QUALITY ASSURANCE EFFORTS, PERFORMANCE IMPROVEMENT PROJECTS AND PROGRESS REPORTS. ALL ASSIST STAFF ARE TRAINED CERTIFIED TOBACCO TREATMENT SPECIALISTS, WHICH ENABLES THE PROGRAM TO OFFER DIRECT PATIENT CESSATION SERVICES INCLUDING A QUIT SMOKING SUPPORT GROUP, PROVIDING NICOTINE REPLACEMENT THERAPY AND OTHER RESOURCES AND SUPPORT FOR QUITTING. THE MEDICAL CENTER CONTINUES TO HOST THE KIDS AGAINST TOBACCO (K.A.T.) PROGRAM, A COLLABORATIVE EFFORT AMONG TEENAGERS, INTERNISTS, PEDIATRICIANS, PHYSICIANS-IN-TRAINING, AND MEDICAL STUDENTS TO CREATE COMMUNITY OUTREACH PROGRAMS AND FILMS TO EDUCATE RESIDENTS ABOUT TOBACCO ABUSE.PRIORITY 3: HEALTHY MOTHERS/HEALTHY BABIESRUMC'S COMMITMENT TO THE NEEDS OF THE POOR PREGNANT, POSTPARTUM, BREASTFEEDING WOMEN, INFANTS AND CHILDREN CAN BE DEMONSTRATED ON MANY LEVELS. THE CENTER FOR WOMEN'S AND CHILDREN'S SERVICES AT RUMC DELIVERS MORE THAN 3,000 BABIES A YEAR AND OUR NURSES HAVE BEEN THE WINNERS OF THE JOHNSON & JOHNSON CHILDBIRTH NURSING TEAM AWARD, NOMINATED BY OUR PATIENTS, FOR SEVERAL YEARS. RUMC HAS EARNED 5 STARS, THE HIGHEST ACHIEVEMENT LEVEL FROM THE INDEPENDENT HEALTH GRADES, WHICH INDICATES THE LEVEL OF CARE IS EXCELLENT. RUMC'S NEONATAL INTENSIVE CARE UNIT (NICU) HAS ONE OF THE LOWEST MORTALITY RATES IN NEW YORK CITY. ALL NICU INFANTS WHO ARE DISCHARGED BECOME PART OF AN AUTOMATED FOLLOW-UP PROGRAM WITH THE INSTITUTE OF BASIC RESEARCH FOR EARLY DETECTION OF ANY PROBLEMS.IN ACCORDANCE WITH BEST-PRACTICE POLICIES THAT IMPROVE OUTCOMES IN INFANTS, RUMC COLLABORATES WITH THE NYC DEPARTMENT OF HEALTH AND THE UNITED HOSPITAL FUND TO DEVELOP AND IMPLEMENT POLICIES THAT SUPPORT SKIN-TO-SKIN CONTACT AT BIRTH AND THAT ENCOURAGE THE INITIATION OF BREASTFEEDING WITHIN THE FIRST HOUR OF BIRTH. PHYSICIANS ARE EDUCATED ON BREASTFEEDING, STAFF IS TRAINED AS CERTIFIED LACTATION CONSULTANTS, AND A MULTIDISCIPLINARY TEAM MEETS MONTHLY TO ENSURE THAT BREASTFEEDING PROTOCOLS AND PROCEDURES ARE FOLLOWED. THE MEDICAL CENTER FOLLOWS THE MARCH OF DIMES CENTERING PREGNANCY (CP) MODEL OF PRENATAL CARE TO PROVIDE WOMEN WITH A HOLISTIC AND COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, SUPPORT, AND ACTIVE PARTICIPATION. THE CP PROGRAM ADDRESSES AT RISK BEHAVIORS, PROVIDES GROUP SUPPORT, AND ENCOURAGES SELF-MONITORING SKILLS WHICH FOSTER PATIENT KNOWLEDGE AND INVOLVEMENT. PROGRAM PARTICIPANTS DEMONSTRATE IMPROVED KNOWLEDGE OF PREGNANCY, HIGHER BIRTH WEIGHT, ESPECIALLY FOR INFANTS DELIVERED PRETERM, HIGHER BREASTFEEDING RATES AND FEWER ER VISITS.SEE CONTINUATION
		PART VI, LINE 3: IN KEEPING WITH ITS CHARITABLE PURPOSES, RUMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY WAY, REGARDLESS OF RACE, COLOR, CREED OR ETHNICITY. RUMC CONTINUES TO PROVIDE REDUCED-FEE OR FREE CARE IN ACCORDANCE TO PUBLIC LAW 2807(K)(9-A). ALTHOUGH NOT REQUIRED BY THIS LAW, WE DO EXTEND THIS POLICY TO INDIVIDUALS WHO MAY NOT BE QUALIFIED BASED ON THE GUIDELINES OF OUR FINANCIAL ASSISTANCE POLICY, BUT DO DEMONSTRATE AN INABILITY TO PAY ALL OF THEIR MEDICAL EXPENSES. AS PART OF BEST-PRACTICE CARE, RUMC IS IN COMMUNICATION WITH LOCAL COMMUNITY-BASED CONSUMER ADVOCATE ORGANIZATIONS TO BE CERTAIN THAT THEY ARE AWARE OF THE PROVISIONS OF OUR FINANCIAL AID POLICY. THE PATIENT ACCESS DEPARTMENT HAS RECEIVED SUMMARY DATA OF THE LAW AND OUR REQUIREMENTS. ASSISTANCE CONTINUES TO BE OFFERED BY OUR FINANCIAL SCREENING STAFF AND MEDICAL APPLICATION OFFICE TO THOSE INDIVIDUALS NOT ELIGIBLE FOR MEDICAID, AS WELL AS FINANCIAL SCREENING STAFF LOCATED IN OUR EMERGENCY DEPARTMENT. RUMC POSTS THE HOSPITAL'S CHARITY CARE POLICY SUMMARY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN MANY DIFFERENT LANGUAGES (AS DETERMINED BY RUMC'S ANNUAL LANGUAGE NEEDS ASSESSMENT) IN LOCATIONS SUCH AS THE EMERGENCY DEPARTMENT, INTAKE, REGISTRATION AND ADMISSION AREAS. PATIENTS ARE PROVIDED A SUMMARY OF THE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION AS PART OF THE INTAKE PROCESS AND FINANCIAL SCREENING PROCESS. PATIENT BILLS INCLUDE A STATEMENT ON FINANCIAL ASSISTANCE. EVERY PATIENT SEEN IN THE FINANCIAL OFFICE HAS A DISCUSSION ON THE AVAILABILITY OF GOVERNMENT BENEFITS SUCH AS MEDICAID AND AT THE SAME TIME QUALIFICATIONS ON THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. RUMC HAS AN INTERDISCIPLINARY TEAM THAT INTERACTS WITH FINANCIAL ASSISTANCE COUNSELORS SUCH AS SOCIAL WORKERS AND CASE MANAGERS TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. STAFF TRAINING ON FINANCIAL ASSISTANCE IS DONE ANNUALLY THROUGH AN IN-SERVICE PROGRAM THAT INCLUDES A REVIEW OF HOW TO QUALIFY PATIENTS FOR MEDICAID AND OTHER GOVERNMENT PROGRAMS. ALL THIRD PARTIES THAT WORK FOR RUMC IN THE COLLECTION OF FEES ARE REQUIRED TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. RUMC'S FINANCIAL ASSISTANCE POLICY CLEARLY STATES THAT MEDICAL CARE IS PROVIDED TO INDIVIDUALS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY AND MAKES CERTAIN THAT ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED AND PROCESSED FAIRLY AND CONSISTENTLY WITH DIGNITY, COMPASSION AND IN A RESPECTFUL MANNER, CONSISTENT WITH RUMC MISSION AND VALUES.
		PART VI, LINE 4: RUMC'S MISSION IS TO PROVIDE PREMIER QUALITY PATIENT CARE FOR THE ETHNICALLY DIVERSE COMMUNITY OF STATEN ISLAND AND ITS NEIGHBORS. OUR POPULATION IS A CROSS MIX OF THE OVERALL POPULATION ON STATEN ISLAND; HOWEVER, SINCE WE ARE LOCATED ON THE NORTH SHORE, RUMC TREATS A SIGNIFICANTLY HIGHER NUMBER OF THE UNDERSERVED AND UNDER INSURED THAN HEALTHCARE PROVIDERS LOCATED IN OTHER AREAS OF STATEN ISLAND. THE PRIMARY SERVICE AREA OF RESIDENTS ON THE NORTH SHORE INCLUDES: WEST BRIGHTON (10310), MARINER'S HARBOR (10303), PORT RICHMOND (10302), ST. GEORGE (10301), STAPLETON (10304). OUR SECONDARY SERVICE AREA IS FROM ZIP CODES MARINERS HARBOR/WILLOWBROOK (10314) AND ROSEBANK (10305). THE OFFICE OF THE STATE DEPUTY INDICATES THAT STAPLETON HAS A 21% POVERTY RATE, WHILE PORT RICHMOND HAS A 17.5%, MARINER'S HARBOR AT 17.4%, AND WEST BRIGHTON WITH 15.4%; THESE ARE THE NEIGHBORHOODS WITH THE HIGHEST RATE OF POVERTY IN STATEN ISLAND AND ALL ARE LOCATED IN THE RUMC CATCHMENT AREA. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED THE FOLLOWING PRIMARY SERVICE AREAS, SERVED BY RUMC, AS PRIMARY HEALTH PROFESSIONAL SHORTAGE AREAS: ST. GEORGE (10301) AND STAPLETON (10304) PRIMARY CARE HPSA ID # 13699936E8; AND PORT RICHMOND (10302) AND MARINER'S HARBOR (10303) PRIMARY CARE HPSA ID # 136999365F. NORTH SHORE RESIDENTS (10302, 10304, 10303, 10310) ARE EXPERIENCING A SERIOUS SHORTAGE AND (10314) A STRESSED SHORTAGE OF PRIMARY CARE PROVIDERS SERVING MEDICAID ENROLLEES. ADDITIONALLY, ADMISSION RATES FOR AMBULATORY CARE SENSITIVE CASES PROVIDE AN IMPORTANT MEASURE OF AVAILABLE OUTPATIENT PRIMARY CARE SERVICES BECAUSE 2 OUT OF 5 EMERGENCY ROOM VISITS ARE FOR CONDITIONS THAT COULD HAVE BEEN PREVENTED WITH TREATMENT IN PRIMARY CARE SETTINGS. ZIP CODES 10302, 10301, 10304 AND 10305 HAVE AMBULATORY CARE SENSITIVE CONDITIONS (ACSC) ADMISSION RATES THAT ARE 100-150% HIGHER THAN THE CITYWIDE RATE. AMENABLE MORTALITY (AM) IS A BROAD INDICATOR THAT MEASURES THE EXTENT TO WHICH A HEALTH CARE SYSTEM CONTROLS PREMATURE MORTALITY AMENABLE TO HEALTH CARE INTERVENTIONS, FROM DISEASE PREVENTION SERVICES TO PRIMARY CARE, AS WELL AS TO SPECIALTY SERVICES. A NEIGHBORHOOD COMPARISON SHOWS PORT-RICHMOND (10302) WITH AN AGE-ADJUSTED AM THAT IS 27% HIGHER THAN NEW YORK CITY AND ADJUSTED RATES OF AVOIDABLE HOSPITAL CONDITION (AHC), FOR ST. GEORGE (10301) THAT IS 38% HIGHER THAN NEW YORK CITY. THE REPORT STATES: "THERE ARE SIGNIFICANT DISPARITIES IN ACCESS TO HEALTH CARE, WHICH AFFECT MORE THAN 178,000 STATEN ISLANDERS (40% OF THE POPULATION, MOSTLY ON THE NORTH SHORE IN ST. GEORGE AND PORT RICHMOND), THE HEALTH CARE SYSTEM FOR THIS POPULATION COULD BE IMPROVED BY TARGETING THESE AREAS FOR INCREASED AVAILABILITY OF HEALTH SERVICES RANGING FROM CLINICAL PREVENTION TO PRIMARY." THIS REPORT CONCLUDES THAT IT WILL BE IMPORTANT TO DEVELOP AN INTEGRATED RESPONSE TO THE AREAS OF HIGH RISK AND TO ASSEMBLE A MIX OF CLINICAL PREVENTION, PRIMARY CARE, AND SPECIALTY SERVICES THAT ARE TAILORED TO THE NEEDS OF STATEN ISLANDERS. THERE ARE STARTLING STATISTICS THAT CLEARLY INDICATE THE MOST SERIOUS LACK OF HEALTHCARE RESOURCES, COMBINED WITH POOR HEALTH STATUS AND POVERTY IS FOUND ON THE NORTH SHORE OF STATEN ISLAND. PORT RICHMOND, STAPLETON, ST. GEORGE AND MARINERS HARBOR RESIDENTS HAVE AN ANNUAL HEART DISEASE HOSPITALIZATION 20% HIGHER THAN NYC; 1 OUT OF 4 RESIDENTS ARE OBESE, 8-9% OF THESE COMMUNITY RESIDENTS HAVE DIABETES; 22% OF ADULTS SMOKE IN THE NORTH SHORE AND 33% IN WILLOWBROOK (10314). MARINER'S HARBOR (10303) AND WILLOWBROOK (10314) NORTHERN-MID-ISLAND HAVE A 60% HIGHER RATE OF HOSPITALIZATION FROM FALLS WITH FALL-RELATED HIP FRACTURE HOSPITALIZATION RATES THAT ARE 50% HIGHER THAN NYC OVERALL. STAPLETON, ST. GEORGE, AND PORT RICHMOND COMMUNITIES HAVE A CANCER RATE THAT IS 20% HIGHER THAN NEW YORK CITY OVERALL. THE AVERAGE BIRTHRATE OF TEENAGERS IN 2003-2004 IN PORT RICHMOND WAS 106/1,000; THE REMAINDER OF STATEN ISLAND HAS A RATE OF 55/1,000 AND NYC HAS AN OVERALL RATE OF 75/1,000. THE INCIDENCE OF INFANT MORTALITY FOR STAPLETON/ST. GEORGE IS 6/1,000 AND PORT RICHMOND IS 5.8/1,000, WHICH IS SIGNIFICANTLY HIGHER THAN THE 4.2/1,000 SOUTH SHORE AND 4/1,000 MID-ISLAND INFANT MORTALITY RATES. THERE ARE TWICE AS MANY NEW HIV DIAGNOSES (.48 VS. 24 PER 1,000 FOR STATEN ISLAND) FOR RESIDENTS IN THE BAYLEY SETON AREA PER THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE. THE OVERALL DEATH RATE FOR STATEN ISLAND WAS 828/100,000, 15.3% HIGHER THAN THE RATE FOR THE CITY. IN THE UNITED STATES, THE PROPORTION OF THE POPULATION AGED >65 YEARS IS PROJECTED TO INCREASE FROM 12.4% IN 2000 TO 19.6% BY 2030. THE NUMBER OF PERSONS AGED >65 YEARS IS EXPECTED TO INCREASE FROM APPROXIMATELY 35 MILLION IN 2000 TO AN ESTIMATED 71 MILLION BY 2030, AND THE NUMBER OF PERSONS AGED >80 YEARS IS EXPECTED TO INCREASE FROM 9.3 MILLION IN 2000 TO 19.5 MILLION BY 2030. IN 1995, THE MOST POPULOUS STATES HAD THE LARGEST NUMBER OF OLDER PERSONS; NINE STATES (CALIFORNIA, FLORIDA, ILLINOIS, MICHIGAN, NEW JERSEY, NEW YORK, OHIO, PENNSYLVANIA, AND TEXAS) EACH HAD MORE THAN ONE MILLION PERSONS AGED >65 YEARS. IN 2000, SIMILAR TO THE US AS A WHOLE, 13.1% OF NEW YORK STATE'S POPULATION WAS AGE 65 OR OLDER. THE PROPORTION OF ELDERLY IS PROJECTED TO CLIMB TO 20% OR MORE BY 2030, INCREASING FROM 3.2 MILLION TO OVER 5.3 MILLION AND THE STATE'S POPULATION AGE 85 AND OLDER IS PROJECTED TO INCREASE BY 76%, FROM 315,000 TO 556,000. THE RELEASE OF POPULATION ESTIMATES BY THE CENSUS BUREAU FOR JULY 2009 HAS STATEN ISLAND OUTPACING THE FOUR OTHER BOROUGHS OF THE CITY, WITH A GROWTH RATE OF 10.8%, PLACING IT AMONG THE FASTEST GROWING COUNTIES IN NEW YORK STATE. CURRENTLY 12.5% OF THE STATEN ISLAND POPULATION IS 65 YEARS OF AGE AND OVER (61,466). WITH THIS STEADY INCREASE IN POPULATION AND RISING TREND IN THE AGING OF THE STATEN ISLAND POPULATION, THE COMMUNITY IS EXPERIENCING A RISE IN HEALTHCARE NEEDS AND HEALTHCARE COSTS. AS MORE BABY BOOMERS DEVELOP CHRONIC ILLNESSES THE DEMAND ON THE HEALTHCARE SYSTEMS WILL RISE. WITH THIS IN MIND RICHMOND UNIVERSITY MEDICAL CENTER RECOGNIZES THAT OUR FOCUS MUST SHIFT TO PREVENTION ISSUES AND KEEPING PEOPLE HEALTHY.
		PART VI, LINE 6: RICHMOND UNIVERSITY MEDICAL CENTER IS A LICENSED 510-BED HOSPITAL, ONE OF TWO PRIVATE HOSPITALS SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND. LOCATED ON THE NORTH SHORE OF STATEN ISLAND WHERE THERE IS THE HIGHEST POVERTY RATES, THE MEDICAL CENTER HAS FILLED THE ROLE OF A TRADITIONAL PUBLIC HOSPITAL BY CARING FOR THE IMPOVERISHED AND UNDERSERVED OF THE COMMUNITY. OUR COMMUNITY OUTREACH INITIATIVES, INCLUDING EDUCATION AND SCREENINGS, REACHED OVER 32,000 PEOPLE IN 2010. RUMC IS A MAJOR PARTICIPANT IN SEVERAL MAJOR ANNUAL HEALTH RELATED EVENTS ON STATEN ISLAND. A REPRESENTATIVE FROM RUMC SITS ON THE COMMITTEE FOR THE ANNUAL STATEN ISLAND HEALTH AND WELLNESS CONFERENCE WHICH OFFERS A FORUM FOR THOUSANDS OF RESIDENTS TO INCREASE AWARENESS AND TAKE ACTION STEPS TO REDUCE THE INCIDENCE OF SMOKING AND OBESITY ON STATEN ISLAND. DURING THIS ANNUAL EVENT RESIDENTS ARE ABLE TO RECEIVE FREE MAMMOGRAPHY SCREENING, HEARING EXAMS, GLAUCOMA SCREENING, PERIPHERAL ARTERY DISEASE SCREENING, METABOLIC SYNDROME SCREENING AND BLOOD PRESSURE SCREENING. THE HEALTH CONFERENCE INCLUDES HEALTHY MEALS DEMONSTRATIONS, FITNESS DEMONSTRATIONS AND MANY HEALTH RELATED SEMINARS.THROUGH THE RUMC SPEAKERS BUREAU, PHYSICIANS PRESENT HEALTH TALKS THROUGHOUT THE COMMUNITY ON AN ONGOING BASIS, TO EDUCATE THE PUBLIC ON WAYS TO STAY HEALTHY. RUMC PARTICIPATES IN THE ANNUAL "BOARDWALK BASH" PROGRAM FOR SENIORS AND THE "BACK TO THE BEACH" FAIR SPONSORED BY THE OFFICE OF THE BOROUGH PRESIDENT. RICHMOND UNIVERSITY MEDICAL CENTER HAS A LONG-STANDING AND STRONG COLLABORATIVE RELATIONSHIP WITH THE AMERICAN CANCER SOCIETY, EASTERN DIVISION IN PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF STATEN ISLAND. RUMC MAINTAINS INFORMAL RELATIONSHIPS WITH COMMUNITY AND VOLUNTEER AGENCIES SUCH AS THE PORT RICHMOND COMMUNITY HEALTH CENTER, THE COMMUNITY HEALTH ACTION CENTER, THE WOMEN'S HEALTH OUTREACH NETWORK AND PROJECT HOSPITALITY. RUMC HAS A FORMAL RELATIONSHIP WITH THE STATEN ISLAND HEALTHY LIVING PARTNERSHIP, FUNDED BY THE CDC AND NYSDOH. FOR THIRTY YEARS RICHMOND UNIVERSITY MEDICAL CENTER (RUMC) WIC PROGRAM HAS SUCCESSFULLY SERVED THE POOR WOMEN, INFANTS AND CHILDREN OF STATEN ISLAND. THE MISSION TO IMPROVE THE NUTRITION AND HEALTH STATUS OF ELIGIBLE WOMEN, INFANTS AND CHILDREN THROUGH THE PROVISION OF NUTRITIOUS FOODS, NUTRITION EDUCATION, COUNSELING, AND LINKING PARTICIPANTS TO HEALTH AND HUMAN SERVICES HAS BEEN SUPPORTED BY AND CONSISTENT WITH THE OVERALL MISSION OF RUMC. RUMC WIC PROGRAM HAS HELPED THOUSANDS OF FAMILIES BY PROVIDING NUTRITIOUS FOOD, NUTRITION AND HEALTH EDUCATION, AND ASSISTANCE FOR ADDITIONAL HEALTH AND HUMAN SERVICES WHEN NEEDED. THE INTERPLAY BETWEEN THE RUMC PCAP PROGRAM, NURSE-FAMILY PARTNERSHIP, HEALTHY FAMILIES, HEAD START, AND RUMC WIC CREATES A DYNAMIC RELATIONSHIP THAT FOSTERS IMPROVED HEALTH FOR PREGNANT WOMEN, NEW MOTHERS AND THEIR INFANTS. RUMC WIC HAS ASSISTED THE MEDICAL CENTER IN EFFORTS FOR LONGER GESTATION PERIODS, HIGHER BIRTH WEIGHTS AND LOWER INFANT MORTALITY.RUMC WIC SERVICES PROVIDE FOR THE NEEDS OF WOMEN AND CHILDREN WHO HAVE A LOW INCOME, ARE UNDOCUMENTED CITIZENS, THE UNINSURED, THE UNDER-INSURED, RECENT IMMIGRANTS FROM VARIOUS COUNTRIES, TEENAGERS, UNWED MOTHERS, VICTIMS OF DOMESTIC VIOLENCE AND FOSTER CHILDREN. THE POPULATION THAT ACCESSES SERVICES AT THE RUMC WIC SITE ARE 50.7% HISPANIC AND 49.3% NON HISPANIC WITH 57.8% OF THE NON-HISPANIC POPULATION BEING BLACK OR AFRICAN-AMERICAN.ACCORDING TO THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S COMMUNITY HEALTH PROFILES FOR ZIP CODES 10303, 10302, 10310 (PORT RICHMOND) WHICH IS SERVED BY THE RUMC WIC SITE, THE THREE IMPORTANT MEASURES OF MATERNAL AND INFANT HEALTH INDICATE THAT THIS PLANNING AREA IS NEAR OR HIGHER THAN THE CITYWIDE AVERAGE FOR THE FOLLOWING: WOMEN RECEIVING LATE OR NO PRENATAL CARE FOR NYC IS 30% OF LIVE BIRTHS AND FOR PORT RICHMOND IS 28% WITH THE NATIONAL GOAL OF LESS THAN 10%. BABIES BORN WITH LOW BIRTHWEIGHT (<2,500 GRAMS/5.5 LBS.) FOR NYC IS 8% OF LIVE BIRTHS AND PORT RICHMOND IS 10% WITH A NATIONAL GOAL OF 5%. INFANT MORTALITY RATES PER 1,000 LIVE BIRTHS ARE 6.2 FOR NYC AND 7.6 FOR PORT RICHMOND WITH A NATIONAL GOAL OF LESS THAN 4.5. IN THE STAPLETON/ST. GEORGE ZIP CODE AREAS (10301, 10304) SERVED BY RUMC, IT IS IMPORTANT TO NOTE THAT THE INFANT MORTALITY RATE COMPARED TO NYC IS SIGNIFICANTLY HIGHER AT 9.7 DEATHS PER 1,000 FOR PORT RICHMOND AND 6.2 FOR NYC WITH A NATIONAL GOAL OF 4.5. BECAUSE THERE IS SUCH A LARGE UNDOCUMENTED HISPANIC POPULATION IN STATEN ISLAND'S NORTH SHORE AND 50% OF THE RUMC WIC SITE POPULATION IS HISPANIC, OUR WORKING RELATIONSHIP WITH PROJECT HOSPITALITY, EL CENTRO, AND STATEN ISLAND FAMILY HEALTHCARE COALITION IS ESSENTIAL. PROJECT HOSPITALITY ASSISTS WOMEN WITH LITERACY, DOMESTIC VIOLENCE, LEGAL SERVICES, IMMIGRATION SERVICES AND NETWORKS CLOSELY WITH RUMC WIC STAFF ON A DAILY BASIS IN ORDER TO BEST MEET THE NEEDS OF THIS POPULATION. WIC COLLABORATES IN PROGRAMS SUCH AS THE SAFE NY, HELD IN CONJUNCTION WITH THE NYC DEPARTMENT OF TRANSPORTATION, WHICH GIVES YOUNG MOTHERS AN OPPORTUNITY TO RECEIVE CAR SEAT GIVE-A WAYS AND ESSENTIAL INFORMATION ON NUTRITION THROUGH WIC AND WAYS TO PROTECT THEIR CHILDREN AND KEEP THEM SAFE. BABY SHOWERS ARE GIVEN AT THE WIC OFFICE FOR ALL PRENATALS AND PROMOTING BREAST-FEEDING IS AN ESSENTIAL COMPONENT OF THESE CELEBRATIONS. RICHMOND UNIVERSITY MEDICAL CENTER IS COMMITTED TO PROVIDING SENSITIVE, TIMELY, COMPREHENSIVE, AND HIGH QUALITY CARE TO SURVIVORS OF RAPE AND SEXUAL ASSAULT. RUMC IS PART OF THE STATEN ISLAND SEXUAL ASSAULT TASK FORCE AND WORKS WITH THE OFFICE OF THE DISTRICT ATTORNEY FOR RICHMOND COUNTY, NYPD, RAPE VICTIMS' ADVOCACY GROUPS, AND OTHER LOCAL ORGANIZATIONS TO ASSURE COORDINATION OF SERVICES FOR THE RAPE SURVIVOR. RUMC WORKED SUCCESSFULLY WITH THE NEW YORK CITY ALLIANCE AGAINST SEXUAL ASSAULT TO BECOME THE ONLY SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) CENTER OF EXCELLENCE IN STATEN ISLAND. OUR CULTURALLY SENSITIVE, HOSPITAL-BASED PROGRAM TREATS ALL VICTIMS OF SEXUAL ASSAULT THROUGHOUT STATEN ISLAND, WITH SUPPORT FROM THE DEPARTMENT OF MEDICINE, OB/GYN, NURSING AND ADMINISTRATION.RUMC SERVES A FINANCIALLY DISADVANTAGED POPULATION THAT IS AT GREATER RISK THAN THE AVERAGE STATEN ISLAND RESIDENT. PROVIDING IN-PATIENT AND OUT-PATIENT BEHAVIORAL HEALTH SERVICES FOR STATEN ISLANDERS, AND, IN PARTICULAR, FOR THOSE WHO ARE MARGINALIZED AND DISENFRANCHISED, IS A HIGH PRIORITY FOR RUMC. RUMC HAS A WELL ESTABLISHED HISTORY WITH OTHER COMMUNITY MENTAL HEALTH ORGANIZATIONS AND PROVIDERS. RUMC HAS A COLLABORATIVE RELATIONSHIP WHICH INCLUDES STATEN ISLAND MENTAL HEALTH SOCIETY, JEWISH BOARD FAMILY AND CHILDREN SERVICES, AND SOUTH BEACH PSYCHIATRIC CENTER'S CHILD-ADOLESCENT TRANSITION UNIT. RUMC HAS OUTREACH PROGRAMS TO EDUCATE RESIDENTS ON THE IMPORTANCE OF IDENTIFYING AND TREATING MENTAL HEALTH PROBLEMS.ACCORDING TO THE BERGER COMMISSION, RUMC IS "AN ESSENTIAL HOSPITAL," AS LARGE AREAS OF STATEN ISLAND ARE CURRENTLY CONSIDERED SERIOUS SHORTAGE AREAS (MAINLY LOCATED IN THE RUMC CATCHMENT AREA), ESPECIALLY FOR MEDICAID AND OTHER VULNERABLE POPULATIONS. RUMC'S BOARD OF TRUSTEES CONSISTS OF STATEN ISLAND LEADERS WITH A COMMITMENT TO SERVICE. THE RUMC COMMUNITY ADVISORY COUNCIL CONSISTS OF REPRESENTATIVES FROM VARIOUS LOCAL ORGANIZATIONS. ANNUALLY, ADMINISTRATION ATTENDS ADVOCACY DAY IN ALBANY TO SPEAK TO STATE OFFICIALS ON HEALTH-RELATED ISSUES IMPORTANT FOR THE STATEN ISLAND COMMUNITY AND PROMOTE COMMUNITY-WIDE EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION. RUMC BOARD MEMBERS AND ADMINISTRATORS MEET WITH LOCAL GOVERNMENT REPRESENTATIVES REGULARLY TO WORK ON INITIATIVES THAT PROMOTE HEALTH FOR OUR COMMUNITY.
REPORTS FILED WITH STATES	PART VI, LINE 7	NY
	PART VI, LINE 2-CONTINUATION	PRIORITY 4: EMERGENCY PREPAREDNESSTHE LAST SEVERAL YEARS HAVE SHOWN THE COUNTRY JUST HOW IMPORTANT IT IS TO BE PREPARED FOR NATURAL DISASTERS, TERRORIST ATTACKS AND MAJOR ACCIDENTS. AT RICHMOND UNIVERSITY MEDICAL CENTER, WE TAKE EMERGENCY PREPAREDNESS VERY SERIOUSLY AND ARE WORKING WITH COMMUNITY AGENCIES TO ENSURE THE BEST POSSIBLE OUTCOMES FOR ALL STATEN ISLANDERS. STATEN ISLAND HAS UNIQUE GEOGRAPHIC PROPERTIES THAT PRESENT MANY CHALLENGES FOR EMERGENCY PREPAREDNESS. BEING AN ISLAND WITH ONE COMMUTER FERRY AND FOUR BRIDGES, STATEN ISLAND, ALTHOUGH PART OF NEW YORK CITY, IS HEAVILY ISOLATED. IN THE INTEREST OF HAVING THE ISLAND BE ABLE TO MANAGE ITSELF FOR THE FIRST 96 HOURS OF A WIDE SCALE OR LOCAL DISASTER, THE NEW YORK STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE SUPPORTED AN IDEA TO CREATE AN INITIATIVE FOR STATEN ISLAND IN THE EVENT OF A DISASTER. BECAUSE OF THIS, RUMC - IN ADDITION TO ITS OWN INTERNAL INITIATIVES - HAS JOINED THE RICHMOND COUNTY EMERGENCY PREPAREDNESS HEALTHCARE COALITION (RCEPHC), WHICH WAS ESTABLISHED BY THE RICHMOND COUNTY MEDICAL SOCIETY. THE HOSPITAL, ALONG WITH OTHER HEALTH CARE FACILITIES, HOSPICES, AND VOLUNTARY AMBULANCES, AS WELL AS OTHER ORGANIZATIONS, MAKE UP THE COALITION. AS PART OF THE INITIATIVE, THE STATEN ISLAND MEDICAL COMMUNICATIONS AND OPERATIONS NODE (SIMCON) WAS CREATED. THIS SYSTEM IS TESTED ON A REGULAR BASIS WITH THE MEDICAL CENTER'S PARTICIPATION. THE HOSPITAL PARTICIPATES IN SEVERAL DRILLS THROUGHOUT THE YEAR - BOTH INTERNALLY AND THROUGH THE RCEPHC. THESE DRILLS HELP TO DEFINE SHORTCOMINGS IN BOTH OUR INTERNAL AND EMERGENCY OPERATIONS PLANS (EOP). ONCE IDENTIFIED, THE POLICIES ARE RE-WRITTEN AND DRILLED AGAIN TO ENSURE ACCURACY.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) RICHARD MURPHY	(i) (ii)	684,366 0	198,000 0	13,245 0	138,150 0	16,929 0	1,050,690 0	0 0
(2) PIETRO CARPENITO MD	(i) (ii)	139,805 0	0 0	1,901 0	15,862 0	16,643 0	174,211 0	0 0
(3) GARY TERRINONI	(i) (ii)	440,000 0	110,000 0	12,322 0	92,550 0	936 0	655,808 0	0 0
(4) ROSEMARIE STAZZONE	(i) (ii)	275,001 0	0 0	2,322 0	26,950 0	936 0	305,209 0	0 0
(5) MICHAEL L MORETTI MD	(i) (ii)	695,114 0	0 0	1,290 0	22,050 0	16,623 0	735,077 0	0 0
(6) ANTHONY BARONE MD	(i) (ii)	430,883 0	0 0	432 0	17,150 0	16,607 0	465,072 0	0 0
(7) EDWARD ARSURA MD	(i) (ii)	367,245 0	0 0	5,850 0	26,950 0	16,191 0	416,236 0	0 0
(8) LOREN HARRIS MD	(i) (ii)	537,946 0	0 0	450 0	17,150 0	562 0	556,108 0	0 0
(9) PANJAK R PATEL MD	(i) (ii)	315,566 0	32,445 0	1,980 0	22,050 0	16,191 0	388,232 0	0 0
(10) RICHARD SALHANY MBA	(i) (ii)	306,173 0	0 0	1,242 0	26,950 0	16,998 0	351,363 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

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

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KATHRYN K ROONEY ESQ	BOARD CHAIRPERSON	154,343	KATHRYN ROONEY IS A SHAREHOLDER IN HER FAMILY'S BUSINESS, SAFE HARBOR HEALTHCARE SERVICES. SAFE HARBOR HAS A LONGSTANDING (42 YEARS) RELATIONSHIP WITH THE MEDICAL CENTER AND PROVIDES, ON AN AS NEEDED, NON-EXCLUSIVE AND MARKET PRICE BASIS, SITTERS AND AIDES TO THE NURSING FLOORS. THE MEDICAL CENTER'S BOARD MAINTAINS A CONFLICT OF INTEREST POLICY, AND ALL TRANSACTIONS CONDUCTED WITH BOARD MEMBERS ARE AT ARM'S LENGTH. MS. ROONEY IS NOT A MEMBER OF THE EXECUTIVE COMPENSATION COMMITTEE AND DOES NOT VOTE ON EXECUTIVE COMPENSATION MATTERS. THIS AMOUNT REPRESENTS GROSS PAYMENTS MADE TO SAFE HARBOR HEALTHCARE SERVICES AND IS NOT NET OF EXPENSES INCURRED TO PROVIDE THESE SERVICES.		No
(2) DR MARINO POLISANO	BOARD MEMBER RONALD PURPORA'S SON-IN-LAW	30,600	DR. MARINO POLISANO WAS PAID BY THE HOSPITAL AS AN INDEPENDENT CONTRACTOR DURING 2010. THE MEDICAL CENTER'S BOARD MAINTAINS A CONFLICT OF INTEREST POLICY, AND ALL TRANSACTIONS CONDUCTED WITH INTERESTED PERSONS ARE AT ARM'S LENGTH.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2		BOARD TRUSTEES JOSEPH MOTTA, M.D. AND PIETRO CARPENITO, M.D. - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11		A COPY OF FORM 990 IS SENT TO MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW BEFORE FILING WITH THE IRS. THE ENTIRE BOARD RECEIVES A COPY OF FORM 990 AFTER IT HAS BEEN FILED WITH THE IRS.
	FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY FORMS ARE DISTRIBUTED TO ALL TRUSTEES AND TO EMPLOYEES DOWN TO THE DEPARTMENT DIRECTORS LEVEL THROUGH THE PRESIDENT'S OFFICE AND COLLECTED THERE AS WELL. ALL FORMS ARE REVIEWED BY THE COMPLIANCE OFFICE. IF POTENTIAL CONFLICTS ARE IDENTIFIED, THE INDIVIDUAL IS CONTACTED FOR ADDITIONAL INFORMATION. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEES' AUDIT AND COMPLIANCE COMMITTEE FOR ACTION WHERE APPLICABLE. A BOARD MEMBER WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER AND WILL BE EXCUSED FROM THE PORTION OF THE MEETING WHERE THE MATTER IS DISCUSSED.
	FORM 990, PART VI, SECTION B, LINE 15	IN 2009, THE ORGANIZATION'S BOARD ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS AND TO EMPLOYEES DOWN TO DEPARTMENT DIRECTORS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE RENUMERATION FROM THE ORGANIZATION, INCLUDING, AMONG OTHERS, THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE IS ADVISED BY OUTSIDE COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT, EACH OF WHOM OPINE TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. THIS CONSULTANT WAS ENGAGED IN BOTH 2009 AND 2010 TO PERFORM THESE SERVICES. THE COMPENSATION COMMITTEE OF THE BOARD IS COMPRISED OF INDEPENDENT PERSONS. THIS COMMITTEE REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND RECORDS THEIR REVIEW IN THE MEETING MINUTES.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	AMBOY MEDICAL PRACTICE NET LOSS INCLUDED IN CONSOLIDATED FINANCIALS -339,304. TOTAL TO FORM 990, PART XI, LINE 5: -339,304.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

RICHMOND MEDICAL CENTER

Employer identification number

74-3177454

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(h) Percentage ownership
(1) BRIDGE REGIONAL HEALTH SYSTEM 355 BARD AVENUE STATEN ISLAND,NY10310 20-5171165	INACTIVE HOLDING COMPANY	NY	N/A	C
(2) AMBOY MEDICAL PRACTICE PC C/O 355 BARD AVENUE STATEN ISLAND,NY10310 26-3381883	PHYSICIAN MEDICAL PRACTICE	NY	RICHMOND MEDICAL CENTER	C	-339,304	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) AMBOY MEDICAL PRACTICE PC	Q	339,304	COST
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

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

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,798
6	Total number of volunteers (estimate if necessary) ....	6	120
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,216,631	5,744,310
9	Program service revenue (Part VIII, line 2g) .........	288,126,460	297,952,498
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	61,516	67,726
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,622,436	996,456
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	305,027,043	304,760,990
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	181,989,149	188,821,451
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 267,313
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	114,609,281	108,572,241
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	296,598,430	297,393,692
19	Revenue less expenses. Subtract line 18 from line 12......	8,428,613	7,367,298
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	70,534,246	89,335,672
21	Total liabilities (Part X, line 26)............	75,790,820	87,564,252
22	Net assets or fund balances. Subtract line 21 from line 20 .....	-5,256,574	1,771,420

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 240,915,854 including grants of $ ) (Revenue $ 298,033,460 )
	RICHMOND UNIVERSITY MEDICAL CENTER IS A 510 LICENSED BED, ACUTE CARE HOSPITAL SERVING NEARLY 500,000 RESIDENTS OF STATEN ISLAND, NEW YORK. THE MAIN CAMPUS LOCATED IN THE WEST BRIGHTON SECTION OF STATEN ISLAND IS LICENSED FOR 448 BEDS AND THE SECONDARY CAMPUS LOCATED IN THE CLIFTON SECTION OF STATEN ISLAND IS LICENSED FOR 62 BEDS.SERVICES PROVIDED AT THE WEST BRIGHTON CAMPUS, A DESIGNATED STROKE CENTER AND LEVEL 1 TRAUMA CENTER, ENCOMPASS NUMEROUS INPATIENT AND OUTPATIENT SERVICES INCLUDING MEDICAL/SURGICAL, PEDIATRICS, OBSTETRICS/GYNECOLOGY, NICU, AND CLINIC SERVICES. SERVICES PROVIDED AT THE CLIFTON CAMPUS CONSIST PRIMARILY OF INPATIENT ALCOHOL AND DRUG DETOXIFICATION AND PSYCHIATRY SERVICES.THE MEDICAL CENTER ALSO PROVIDES AN ARRAY OF COMMUNITY OUTREACH SERVICES INCLUDING HEALTH EDUCATION, FREE AND LOW COST SCREENINGS AND IMMUNIZATIONS, A WIC PROGRAM, AND VARIOUS OTHER OUTPATIENT SERVICES.THE MEDICAL CENTER PROVIDES FOR THE HEALTHCARE NEEDS OF STATEN ISLAND'S MOST INDIGENT AND MARGINALIZED RESIDENTS. IN 2010, $18,299,000 IN CHARITY CARE WAS PROVIDED TO PATIENTS WHO MEET CERTAIN NYS DEPARTMENT OF HEALTH AND SENIOR SERVICES CRITERIA. THESE PATIENTS RECEIVED SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IN 2010, INPATIENT VOLUME EXCEEDED 22,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 116,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 53,000 EMERGENCY ROOM VISITS AND OVER 167,000 CLINIC AND BEHAVIOR HEALTH VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL / SURGICAL, BEHAVIORAL HEALTH AND OBSTETRICS / GYNECOLOGY.MEDICAL / SURGICALTHE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2010. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 2,000 INPATIENT AND 8,000 OUTPATIENT SURGERIES. INPATIENT MEDICAL/SURGICAL DISCHARGES TOTALED OVER 10,000 AND ACCOUNTED FOR MORE THAN 58,000 PATIENT DAYS. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. CARDIAC SURGERY IS PERFORMED AT THE STATEN ISLAND HEART INSTITUTE, WHICH IS A JOINT VENTURE OF RICHMOND UNIVERSITY MEDICAL CENTER AND STATEN ISLAND UNIVERSITY HOSPITAL.BEHAVIORAL HEALTHBEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2010. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 3,800 AND ACCOUNTED FOR MORE THAN 30,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM AND ALCOHOL AND CHEMICAL DETOXIFICATION SERVICES. BEHAVIOR HEALTH OUTPATIENT CARE IS AVAILABLE THROUGH THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), WHICH PROVIDES IMMEDIATE ACUTE PSYCHIATRIC CARE WITH AN EXTENDED OBSERVATION BED UNIT AND A MOBILE OUTREACH TEAM. OTHER OUTPATIENT SERVICES INCLUDE A CONTINUING DAY TREATMENT PROGRAM, SUBSTANCE ABUSE OUTPATIENT CLINICS, A SUBSTANCE ABUSE CRISIS CENTER, A GAMBLERS TREATMENT CENTER AND AN ONGOING EVALUATION AND REFERRAL SERVICE.OBSTETRICS / GYNECOLOGYDURING 2010, THERE WERE OVER 3,700 OB/GYN DISCHARGES. THE MEDICAL CENTER DELIVERED MORE BABIES THAN ANY OTHER FACILITY ON STATEN ISLAND. SERVICES INCLUDE PERINATAL SERVICES AND A NEONATAL INTENSIVE CARE UNIT, WHICH HAS ONE OF THE LOWEST MORTALITY RATES IN THE NY METROPOLITAN AREA. IN ADDITION, ALL TYPES OF MAJOR GYNECOLOGICAL SURGERIES ARE PERFORMED AT THE MEDICAL CENTER.OB/GYN OUTPATIENT CARE WAS DELIVERED TO APPROXIMATELY 3,000 EXPECTANT MOTHERS THROUGH THE AMBULATORY HOSPITAL OUTPATIENT CLINIC AND FREESTANDING PRENATAL CLINICS ON THE NORTH SHORE OF STATEN ISLAND.PLEASE SEE SCHEDULE H FOR ADDITIONAL CHARITY CARE AND COMMUNITY BENEFIT DETAILS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 240,915,854

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) RICHARD MURPHY PRESIDENT & CEO	60.00	X	X				895,611	0	155,079
(19) PIETRO CARPENITO MD TRUSTEE/EXEC VP MEDICINE	20.00	X					141,706	0	32,505
(20) GARY TERRINONI EXEC VP ADMIN & CFO	60.00		X				562,322	0	93,486
(21) ROSEMARIE STAZZONE SENIOR VP NURSING & CNO	37.50			X			277,323	0	27,886
(22) MICHAEL L MORETTI MD CHAIRMAN OF OB/GYN	60.00				X		696,404	0	38,673
(23) ANTHONY BARONE MD ASSOCIATE NEONATOLOGIST	60.00				X		431,315	0	33,757
(24) EDWARD ARSURA MD CHAIRMAN OF MEDICINE	60.00				X		373,095	0	43,141
(25) LOREN HARRIS MD CHAIRMAN OF SURGERY	60.00				X		538,396	0	17,712
(26) PANJAK R PATEL MD CHAIRMAN OF PSYCHIATRY	60.00				X		349,991	0	38,241
(27) RICHARD SALHANY MBA FORMER COO/CURRENT SVP PROFESSIONAL SVCS	37.50					X	307,415	0	43,948

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,730,611	0	528,015

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		184,721
d	Related organizations...1d
e	Government grants (contributions)1e		4,165,756

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,393,833
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			5,744,310
			Business Code
2a	NET PATIENT SERVICE RE		621,990	275,225,943	275,225,943
b	NYS DOH PUBLIC POOL RE		621,990	7,373,080	7,373,080
c	OPEN HEART SURGERY PRO		621,990	6,700,778	6,700,778
d	PHYSICIAN PRACTICE INC		621,990	6,322,035	6,322,035
e	TEACHING REVENUE		621,990	1,466,444	1,466,444
f	All other program service revenue .			864,218	864,218
g	Total. Add lines 2a–2f........			297,952,498
3	Investment income (including dividends, interest
	and other similar amounts).....			67,726			67,726
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	572,652
b	Less: rental expenses	971,443
c	Rental income or (loss)	-398,791
d	Net rental income or (loss).......			-398,791			-398,791
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ 184,721 of contributions reported on line 1c). See Part IV, line 18 ...
	a		161,474
b	Less: direct expenses ...b		161,474
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		33,138
b	Less: direct expenses ...b		11,880
c	Net income or (loss) from gaming activities...			21,258			21,258
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	MEDICAL RESIDENT SALAR		900,099	695,154			695,154
b	VENDOR REBATES AND REF		900,099	237,052			237,052
c	OTHER INCOME		900,099	134,864	69,297		65,567
d	All other revenue ....			306,919	11,665		295,254
e	Total. Add lines 11a–11d ......			1,373,989
12	Total revenue. See Instructions....			304,760,990	298,033,460	0	983,220


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			2,210,426	1	3,344,118
2	Savings and temporary cash investments .......			14,432,059	2	15,847,577
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			31,449,799	4	36,418,124
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			4,623,099	8	5,474,156
9	Prepaid expenses and deferred charges ............			342,847	9	519,745
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,498,331
b	Less: accumulated depreciation. .....	10b	6,040,874	15,477,854	10c	25,457,457
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			494,127	14	366,607
15	Other assets. See Part IV, line 11 ...........			1,504,035	15	1,907,888
16	Total assets. Add lines 1 through 15 (must equal line 34)...			70,534,246	16	89,335,672
17	Accounts payable and accrued expenses .			28,461,954	17	29,400,553
18	Grants payable ..........				18
19	Deferred revenue ..........				19	1,891,667
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			24,039,374	23	32,823,777
24	Unsecured notes and loans payable to unrelated third parties ....			2,500,000	24	2,349,186
25	Other liabilities. Complete Part X of Schedule D.....			20,789,492	25	21,099,069
26	Total liabilities. Add lines 17 through 25.....			75,790,820	26	87,564,252
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			-6,505,291	27	891,440
28	Temporarily restricted net assets .....			904,070	28	535,333
29	Permanently restricted net assets .....			344,647	29	344,647
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			-5,256,574	33	1,771,420
34	Total liabilities and net assets/fund balances .....			70,534,246	34	89,335,672