Richmond Medical Center

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). This organization pays outstanding accounts payable invoices on behalf of certain other affiliates within the system. In conjunction with this service, this organization also prepares and issues forms 1099 to the vendors receiving payments where applicable and files forms 1099 with the internal revenue service. This organization allocates these payments to the appropriate affiliate within the system via an intercompany account.”

“Bridge regional health system is the sole member of this organization. Bridge regional health system has the right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). This organization's board of trustees has an audit and compliance compensation committee ("committee"). This organization's federal form 990 was provided to each member of the organization's audit and compliance committee for review and thereafter approval by the members at the committee meeting. Subsequently, the organization's 990 was provided to each voting member of the organization's board of trustees, prior to filing with the irs. The organization's audit and compliance committee has assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process for this organization. As part of the organization's federal form 990 tax return preparation process the system hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel and system individuals including senior vice president/chief financial officer, senior vice president, legal affairs & risk management, general counsel & chief compliance officer, vice president, fiscal affairs & accounting, and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's internal working group for review. The organization's internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the organization's internal working group for final review and approval. Following this review, the form 990 was then presented to the organization's audit and compliance committee and provided to the organization's governing body prior to filing with the irs.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The system has a written conflict of interest policy with which all affiliates regularly monitor and enforce compliance. The conflict of interest policy requires that a conflict of interest disclosure statement, consistent with best governance practices and internal revenue service guidelines, be circulated annually to all trustees/directors, officers, key employees, medical staff and practitioners with clinical privileges. Annually these individuals are required to review the existing conflict of interest policy and complete a questionnaire. The system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer is responsible for (1) gathering the conflict of interest disclosure statements; (2) tracking the successful completion of the statements; (3) transmitting the statements to the board committee; and (4) assisting the board committee in organizing the statements for the committee's review. In addition, the system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer is responsible for reviewing and revising the conflict of interest policy on an annual basis or when a change is required for compliance with joint commission standards; ethical directives; federal, state, and city laws, rules and regulations; changes in practice or regulatory mandate; new programs or procedures; new equipment; or performance improvement changes. The completed questionnaires are returned to the system's senior vice president, legal affairs & risk management, general counsel & chief compliance officer for review. Thereafter, the conflict of interest disclosures are provided to the organization's audit and compliance committee for its review and discussion. The audit and compliance committee has assumed responsibility for the oversight of the conflict of interest disclosure and review process.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The organization's governing body, its board of trustees, has a compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of all employees specified as having a substantial influence over the organization ("executive leadership"). The committee reviews the "total compensation" of these individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of executive leadership personnel is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the executive leadership team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the organization's board of trustees each of whom are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically, the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to certain senior management personnel. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from the system's human resources department. In conjunction with the individual's job performance during the year, compensation is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by richmond university medical center. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations, and performance feedback meetings.”

“The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new york. In addition, the organization's governing documents, conflict of interest policy and financial statements are available upon request.”

“Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization. Please note this remuneration was for services rendered as full-time employees of the organization and not for services rendered as a voting member or officer of this organization's board of trustees.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). Certain board of trustee members and officers listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected in core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers or key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Background ========== richmond medical center d/b/a richmond university medical center ("rumc"medical center") is recognized by the internal revenue service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, rumc provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, rumc operates consistently within the following criteria outlined in irs revenue ruling 69-545: 1. Provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Operates an active emergency department for all persons that is open 24 hours a day, seven days a week, 365 days per year; 3. Maintains an open medical staff with privileges available to all qualified physicians; 4. Control rests with its board of trustees, which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of rumc, as shown through the factors outlined above and other information contained herein, clearly demonstrate that rumc provides substantial community benefit, that the use and control of rumc is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual, nor is any private interest being served other than incidentally. Rumc is a 448 licensed bed, acute care hospital serving nearly 500,000 residents of staten island, new york. The main campus is located in the west brighton section of staten island. The organization provides various inpatient and outpatient services, including: medical/surgical, pediatrics, obstetrics/gynecology, nicu, a designated stroke center, a level 1 trauma center, behavioral health services, emergency services and clinic services. The medical center also provides an array of community outreach services including health education, free and low-cost screenings and immunizations, a wic program, and various other outpatient services. The medical center provides care to patients who meet certain criteria defined by the new york department of health and senior services (dhss) without charge or at amounts less than established rates. The current dhss charity care guidelines require participation and cooperation of the patient in order to be identified as a charity care account. The medical center maintains records to identify and monitor the level of charity care it provides. The costs associated with the charity care services provided are estimated by applying a cost-to-charge ratio to the amount of gross uncompensated charges for the patients receiving charity care. The medical center also provides community services, including free and low-cost screenings, such as blood pressure, cholesterol and immunization. Free immunization is offered to senior citizens. The medical center holds various educational programs concerning such topics as nutrition and childbirth. In addition, the medical center provides free space to various community organizations for their meetings. Our mission ----------- the medical center is a not-for-profit health care provider serving the ethnically diverse community of staten island and its neighbors. We provide premier quality patient care through a full spectrum of emergent, acute, primary, behavioral health and educational services. We do this in an environment that promotes the highest satisfaction among patients, families, physicians and staff. Values ------ the values of the medical center are summarized in the acronym "we care" (welcoming energized compassion advocacy respect excellence): - we are welcoming and gracious toward each other, and toward all who come to receive our services. - personn”

“STATEN ISLAND MENTAL HEALTH SOCIETY'S SERVICES AND PROGRAMS ARE FULLY INTEGRATED AS A DIVISION OF RICHMOND UNIVERSITY MEDICAL CENTER. ITS ROBUST PROGRAMS FOR CHILDREN AND FAMILIES ARE NOW PART OF A LARGER BEHAVIORAL HEALTH NETWORK OF ADVANCED, EFFECTIVE SERVICES FOR CHILDREN, ADOLESCENTS, AND ADULTS. THE SOCIETY'S DEDICATED, LICENSED PHYSICIANS, THERAPISTS, COUNSELORS, AND BOARD-CERTIFIED PSYCHIATRISTS ARE NOW PART OF THE MOST EXPERIENCED BEHAVIORAL HEALTH TEAM ON STATEN ISLAND. STATEN ISLAND MENTAL HEALTH SOCIETY PROVIDES ASSISTANCE THROUGH: - OUTPATIENT SERVICES FOR CHILDREN, ADOLESCENTS, AND FAMILIES - DEVELOPMENTAL DISABILITY AND EARLY CHILDHOOD SERVICES - FAMILY SUPPORT AND COMMUNITY SERVICES - PRE-SCHOOL EDUCATION SERVICES, INCLUDING THE COUNTRY'S FIRST HOSPITAL-BASED HEAD START PROGRAM PROJECT LAUNCH -------------- A FULLY INTEGRATED DIVISION OF RICHMOND UNIVERSITY MEDICAL CENTER, STATEN ISLAND MENTAL HEALTH SOCIETY SUPPORTS THE BEHAVIORAL HEALTH NEEDS OF CHILDREN AND FAMILIES THROUGH ROBUST SERVICES, PROGRAMS, AND INITIATIVES, INCLUDING PROJECT LAUNCH (LINKING ACTIONS FOR UNMET NEEDS IN CHILDREN'S HEALTH). LEARN MORE ABOUT HOW OUR COMPASSIONATE TEAM IS SUPPORTING PROJECT LAUNCH AND WHAT THIS INITIATIVE MEANS FOR CHILDREN AND FAMILIES IN NEED. A FEDERAL INITIATIVE CREATED BY THE NATIONAL CENTER FOR HEALTHY SAFE CHILDREN AND FUNDED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), PROJECT LAUNCH HAS A MISSION "TO PROMOTE THE WELLNESS OF YOUNG CHILDREN AGES BIRTH TO 8 BY ADDRESSING THE PHYSICAL, SOCIAL, EMOTIONAL, COGNITIVE, AND BEHAVIORAL ASPECTS OF THEIR DEVELOPMENT." WITH A GOAL TO PREPARE CHILDREN FOR SUCCESS IN SCHOOL, PROJECT LAUNCH SPECIFICALLY AIMS TO: - ENSURE CHILDREN ARE READY TO LEARN WHEN ENTERING SCHOOL - IMPROVE COORDINATION AND COLLABORATION AMONGST SYSTEMS SERVING CHILDREN - BUILD INFRASTRUCTURE BY INCREASING THE AVAILABILITY OF QUALITY, EVIDENCE-BASED PROGRAMMING - INCREASE CHILDREN'S AND THEIR FAMILIES' ACCESS TO TOP-NOTCH PREVENTION, WELLNESS, AND PHYSICAL AND BEHAVIORAL HEALTH SERVICES RICHMOND UNIVERSITY MEDICAL CENTER IS AMONGST A HANDFUL OF GRANT RECIPIENTS FOR PROJECT LAUNCH, A HIGHLY COMPETITIVE PROGRAM WITH ONLY 12 OTHER GRANTEES AT ANY GIVEN TIME. WHAT WE LEARN THROUGHOUT THE FIVE-YEAR TERM OF THE GRANT WILL HELP COMMUNITIES INFLUENCE STATE, TERRITORIAL, AND TRIBAL-LEVEL SYSTEMS CHANGES AND POLICY IMPROVEMENTS. PROJECT LAUNCH'S SERVICES ARE OPEN TO CHILDREN AGES EIGHT AND YOUNGER, THEIR CAREGIVERS, AND EXPECTING CAREGIVERS LIVING IN THE NORTH SHORE AREA OF STATEN ISLAND. AS A FIVE-YEAR GRANT RECIPIENT OF PROJECT LAUNCH, RICHMOND UNIVERSITY MEDICAL CENTER BEGAN WORK ON THIS IMPORTANT, FEDERALLY FUNDED INITIATIVE IN 2019. WE HAVE ASSIGNED A DEDICATED TEAM TO FULFILL OUR COMMITMENTS AND THE PROJECT'S MISSION. OUR HEADQUARTERS FOR THIS INITIATIVE ARE LOCATED AT 669 CASTLETON AVE, AND WE ARE ANTICIPATING THE ARRIVAL OF A MOBILE UNIT, WHICH WILL ENABLE US TO PROVIDE THE FOLLOWING SERVICES IN THE COMMUNITY AND YOUR HOME: - BEHAVIORAL HEALTH - LIGHT-TOUCH MEDICAL ASSESSMENTS AND EDUCATION - CARE COORDINATION CANCER CARE AT RUMC =================== COLORECTAL CANCER ----------------- ACCORDING TO THE AMERICAN CANCER SOCIETY, EXCEPT FOR SKIN CANCERS, COLORECTAL CANCER IS THE THIRD MOST COMMON CANCER DIAGNOSED IN BOTH MEN AND WOMEN IN THE UNITED STATES. THE AMERICAN CANCER SOCIETY ESTIMATES THE NUMBER OF COLORECTAL CANCER CASES IN THE UNITED STATES FOR 2023 WAS OVER 106,900 NEW CASES OF COLON CANCER AND MORE THAN 46,000 NEW CASES OF RECTAL CANCER. IN THE UNITED STATES, COLORECTAL CANCER IS THE THIRD LEADING CAUSE OF CANCER-RELATED DEATHS IN MEN AND IN WOMEN, AND THE SECOND MOST COMMON CAUSE OF CANCER DEATHS WHEN MEN AND WOMEN ARE COMBINED. IT WAS EXPECTED TO CAUSE ABOUT 52,500 DEATHS DURING 2023. Based on the findings of Richmond University Medical Center's 2022 Community Health Needs Assessment (CHNA), increasing access to high quality chronic disease preventive care and manageme”

“Based on the findings of Richmond University Medical Center's 2022 Community Health Needs Assessment (CHNA), increasing access to high quality chronic disease preventive care and management in both clinical and community settings was identified as a priority. This was determined through research to develop the CHNA, including public health and socioeconomic measures, input received from key informants, and a thorough assessment of existing services and the hospital's areas of expertise. Increasing screening rates for several chronic diseases, including prostate cancer, was an agreed-to measure to help address this identified priority because Staten Island has a higher overall cancer incidence rate compared to the rest of New York City. As our society emerges from the COVID-19 pandemic, physicians and medical professionals are finding that many individuals have not kept up with regular health checkups and/or have not followed up for conditions or symptoms that may indicate prostate cancer. According to the CHNA, Staten Island has a higher cancer incidence rate than the nation, but a slightly lower cancer death rate. Staten Island also has higher prostate cancer incidence rates than the other boroughs of New York City and the nation, but lower death rates. To promote the importance of prostate cancer health and the need for early screening, RUMC provided free prostate cancer screenings at several community events over the course of 2022. Test results were reviewed by RUMC's lab and results provided at no cost. Referrals to RUMC's Urology Services Center were made for any abnormal findings. Free prostate cancer screenings were provided at the following public events: - Through a partnership with the Jewish Community Center of Staten Island - At the New York City Parks and Recreation Department's health fair - At the Staten Island Economic Development Corporation's annual health and wellness fair - At the Police Organization Providing Peer Assistance (POPPA) health and wellness fair - At RUMC's Community Day to celebrate the opening of the hospital's new Emergency Department CAPITAL PROJECTS ================ NOW MORE THAN EVER, WE ARE MAKING CRITICAL INVESTMENTS AND CAPITAL IMPROVEMENTS SO THAT RICHMOND UNIVERSITY MEDICAL CENTER CAN CONTINUE TO ANSWER THE FUTURE HEALTH CARE NEEDS OF THE COMMUNITY. WITH A TOTAL INVESTMENT OF NEARLY $200 MILLION, AND OVER $108 MILLION IN FINANCIAL SUPPORT FROM THE CITY, STATE, AND PRIVATE PHILANTHROPY, RUMC WILL BE REVOLUTIONIZING HEALTHCARE FOR EVERYONE. EMERGENCY DEPARTMENT -------------------- Richmond University Medical Center's new Emergency Department (ED), a multi-story state-of-the-art addition with more than twice the space of its predecessor and a host of patient amenities, is a testament to the hospital's commitment to the community. The ED occupies the ground level of a new pavilion, offering private trauma bays and treatment rooms and comprehensive specialty areas for pediatrics and urgent care. Each exam room and treatment bay has double headwalls, enabling RUMC to double the ED's capacity in the event of a patient surge. It replaces an aging and undersized Emergency Department built in 1978, when Staten Island's population was 25 percent smaller. RUMC is an American College of Surgeons (ACS) and New York State Department of Health designated Level I Adult Trauma and Level II Pediatric Trauma Center. This designation means RUMC has trained medical staff, nurses, equipment, and protocols in place to treat all adult and pediatric patients in need of emergency care. RUMC is also a nationally recognized stoke center, Staten Island's only provider of inpatient behavioral health services for adolescents, and the borough's only New York State Department of Health certified Sexual Assault Forensic Examiner (SAFE) Center of Excellence. RUMC's Emergency Department had been at the epicenter of the COVID-19 pandemic, caring for more than 11,000 COVID-positive patients since the pandemic began in 2”

“Resident Education ------------------ - Accreditation of Advanced GI Minimally Invasive Fellowship - ACGME Accredited Fellowship in Hematology /Oncology - Continued Accreditation in Internal Medicine, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Radiology programs by the ACGME - Fully Accredited Council on Podiatric Medical Education (CPME) Podiatry Program”

“Daniel j. Messina, ph.d., mpa, fache is involved in the leadership and management of this organization on a full-time basis. Dr. Messina is employed by and receives a federal form w-2 from this organization. Accordingly, his common law employer/employee relationship is with richmond medical center d/b/a richmond university medical center (ein: 74-3177454). Richmond university medical center filed a 2022 form 4720 which included a remittance of excise tax related to dr. Messina's compensation in excess of $1m.”

“Other changes in net assets or fund balance include: - net periodic pension costs - ($412,576); - restricted grants & contributions - $35,728,549; - pension liability adjustment - $23,940,655; - net assets released from restrictions - $26,560; - change in beneficial interest in richmond medical center foundation, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - $2,606,712; - net assets released from donor restrictions - ($51,560). - inherent contribution in acquisition of visiting nurse associate health care services, inc. - $3,027,936; and - cumulative effect of accounting change - ($358,983).”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of richmond university medical center and affiliates for the years ended december 31, 2022 and december 31, 2021; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements each year. The organization's audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes the selection of an independent auditor.”

“The organization is an affiliate within richmond medical center d/b/a richmond university medical center ("richmond university medical center") and affiliates; a tax-exempt integrated healthcare delivery system ("system"). The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit as set forth in the uniform guidance, 2 c.f.r., part 200, subpart f. The system engaged an independent accounting firm to prepare and issue the uniform guidance audit.”

“Effective january 1, 2022, pursuant to the terms of merger agreement, this organization became the sole member of visiting nurse association health care services, inc ("vnahcs"). Vnahcs's bylaws were amended effective january 1, 2022 to reflect the change of the organization's sole member. Accordingly, vnahcs and all vna affiliates have been added to schedule r of this organization's form 990.”

“Description:contracted services total fees:17168559”

“Description:billing & collection total fees:6119929”

“Description:food service fees total fees:3361358”

“Description:purchased services total fees:14778768”