2024-11-14T16:41:58-06:00 2023-12-31 WithumSmithBrown PC 1411 BROADWAY 9TH FLOOR NEW YORK NY 10018 990 2023-01-01 263381883 AMBOY MEDICAL PRACTICE PC % DAVID MURRAY AMBO 7188182036 355 BARD AVENUE STATEN ISLAND NY 10310 DAVID MURRAY MBA FHFMA SVP & CFO 7188182036 2024-11-15 true true Scott J Mariani P00642486 9738989494 2023 2024-10-15 13:58:12Z RICHMOND HEALTH NETWORK DAVID MURRAY MBA FHFMA 355 BARD AVENUE STATEN ISLAND NY 10310 34447303 false X WWW.RUMCSI.ORG X 2008 NY THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. 1 0 243 0 0 0 500001 0 33854189 34439326 0 0 -240365 -277900 34113825 34161426 0 0 0 0 31834771 33942157 0 0 0 17986849 19710013 49821620 53652170 -15707795 -19490744 10416496 8639169 81423692 99137109 -71007196 -90497940 X AMBOY MEDICAL PRACTICE, P.C. IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) NOT-FOR-PROFIT CORPORATION THROUGH WHICH EMPLOYED PHYSICIANS PROVIDE PRIMARY CARE, SPECIALTY CARE, AND BEHAVIORAL HEALTH SERVICES IN A VARIETY OF SETTINGS INCLUDING CLINICS AND OFFICE BASED FACILITIES. THIS ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR ADDITIONAL INFORMATION, PLEASE REFER TO THE ORGANIZATION'S STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O. false false 46972381 0 34439326 EXPENSES INCURRED IN PROVIDING PRIMARY CARE, SPECIALTY CARE AND BEHAVIORAL HEALTH SERVICES IN FURTHERANCE OF THE SYSTEM'S CHARITABLE TAX-EXEMPT PURPOSES. FOR ADDITIONAL INFORMATION PLEASE REFER TO THE STATEMENT OF PROGRAM SERVICES INCLUDED WITHIN SCHEDULE O. 46972381 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 0 0 243 true false false false false false false false false false false false false X 1 0 false false false false true true true true true false false true true true true true true true true false NY X DAVID MURRAY 7188183295 355 BARD AVENUE STATEN ISLAND NY 10310 X INNA TUBMAN MD OBGYN 55.0 0.0 X 1606683 0 72554 DAVID MURRAY MBA FHFMA SVP, CFO 55.0 0.0 X 0 689994 151126 SIMON G KOKKINAKIS MD OBGYN 55.0 0.0 X 799328 0 25364 MICHAEL H CAMPANELLA MD OBGYN 55.0 0.0 X 747780 0 69807 CHRISTOPHER V LISI MD OTOLARYNGOLOGIST 55.0 0.0 X 729154 0 25950 RICHARD SALHANY MBA FACHE CHIEF ADMINISTRATION OFFICER 55.0 0.0 X 0 639975 77200 ALEXANDER BEYLINSON DO DIRECTOR - PRESIDENT 55.0 0.0 X X 0 618506 49365 MARK L BRANDON MD ORTHOPEDIC SURGEON 55.0 0.0 X 556483 0 23901 4439428 1948475 495267 49 false true false 0 0 NET PATIENT SERVICE REVENUE 621111 33078465 33078465 OTHER HEALTHCARE RELATED REVENUE 621111 1360861 1360861 34439326 0 0 0 7977 285877 -277900 0 -277900 -277900 0 0 0 0 0 0 0 0 0 0 0 34161426 34439326 0 -277900 X 0 0 0 0 0 0 27734552 24281552 3453000 0 4084608 3576067 508541 2122997 1858680 264317 0 0 0 0 0 0 5416138 4741820 674318 0 17282 15130 2152 492645 431310 61335 12255 10729 1526 0 2335380 2044621 290759 3497 3062 435 0 15636 13689 1947 0 0 714895 625889 89006 3567768 3123575 444193 MEDICAL SUPPLIES 1148752 1005730 143022 REPAIRS & MAINTENANCE 656017 574342 81675 DUES & SUBSCRIPTIONS 17831 15611 2220 OTHER EXPENSES 5311917 4650574 661343 53652170 46972381 6679789 0 3600 4200 3161343 1382753 0 0 2167010 1936589 0 0 0 0 0 0 0 0 20501 21230 11338441 7027386 3909165 4311055 0 0 0 0 0 0 1121862 950327 33015 33015 10416496 8639169 2581954 2506738 0 0 1353947 1353949 0 0 0 0 0 0 0 0 0 0 77487791 95276422 81423692 99137109 X -71007196 -90497940 0 0 -71007196 -90497940 10416496 8639169 -19490744 X X false true X true false X X 1 RICHMOND MEDICAL CENTER 743177454 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false 4722483 2048636 2673847 6033296 4978750 1054546 582662 582662 4311055 0 DUE TO AFFILIATES 95276422 95276422 X X X X false true false false false false false true false INNA TUBMAN MD OBGYN 962895 0 643338 0 450 0 23100 0 49454 0 1679237 0 0 0 DAVID MURRAY MBA FHFMA SVP, CFO 0 530663 0 158089 0 1242 0 104419 0 46707 0 841120 0 0 SIMON G KOKKINAKIS MD OBGYN 768638 0 30000 0 690 0 23100 0 2264 0 824692 0 0 0 MICHAEL H CAMPANELLA MD OBGYN 712090 0 35000 0 690 0 23100 0 46707 0 817587 0 0 0 CHRISTOPHER V LISI MD OTOLARYNGOLOGIST 728884 0 0 0 270 0 23100 0 2850 0 755104 0 0 0 RICHARD SALHANY MBA FACHE CHIEF ADMINISTRATION OFFICER 0 414269 0 132197 0 93509 0 36300 0 40900 0 717175 0 47594 ALEXANDER BEYLINSON DO DIRECTOR - PRESIDENT 0 190608 0 427208 0 690 0 13737 0 35628 0 667871 0 0 MARK L BRANDON MD ORTHOPEDIC SURGEON 499644 0 56389 0 450 0 23100 0 801 0 580384 0 0 0 SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDEs A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THIS AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN Was INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD SALHANY, MBA, FACHE, $52,510. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDEs UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THis INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN the INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $23,119. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH is SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH is SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE FROM 2022. ACCORDINGLY, the individual MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN Was NOT INCLUDED IN THE INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE DEFERRED COMPENSATION AMOUNT IN COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE FROM 2021. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID MURRAY, MBA, FHFMA, $15,000. THE ORGANIZATION DID NOT AMEND THE 2022 AND 2021 FORMS 990 TO REFLECT THE REPORTING OF THE UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. RATHER THE TAXPAYER HAS ELECTED TO INCLUDE THESE ACCRUED UNVESTED 2022 AND 2021 AMOUNTS IN THIS FORM 990, SCHEDULE J, PART II; COLUMN C TOGETHER WITH THE 2023 ACCRUED UNVESTED BENEFIT AMOUNT AS WELL. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE AMOUNTS REPORTED ON PRIOR YEARS' FORMS 990 IN SCHEDULE J, PART II, IN COLUMN (C) AS NON-TAXABLE UNVESTED DEFERRED COMPENSATION THAT IS NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. ACCORDINGLY, IN PRIOR YEARS THE INDIVIDUAL NEVER ACTUALLY RECEIVED ANY OF THESE UNVESTED BENEFIT AMOUNTS. PART I, LINES 3 & 4 AND PART VI, SECTION A, QUESTIONS 1A & 1B 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"). BRIDGE REGIONAL HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM WHICH INCLUDES RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF DIRECTOR MEMBERS UNDER THE INTERNAL REVENUE SERVICE DEFINITION, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CONTROLLED BY RICHMOND UNIVERSITY MEDICAL CENTER. RICHMOND UNIVERSITY MEDICAL CENTER IS GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS AND HAS THE OVERARCHING DUTY AND RESPONSIBILITY FOR GOVERNING ALL AFFILIATES WITHIN THE SYSTEM TO ENSURE THAT THEY ARE OPERATING IN ACCORDANCE WITH AND SUPPORTING THE SYSTEM'S CHARITABLE TAX-EXEMPT MISSION AND PURPOSES. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICES AMBOY MEDICAL PRACTICE, P.C. D/B/A RICHMOND HEALTH NETWORK ("RHN") IS COMMITTED TO EXPANDING ACCESS TO QUALITY MEDICAL SERVICES TO THE STATEN ISLAND COMMUNITY WITH AN EMPHASIS ON PREVENTATIVE SERVICES AND SPECIALTY CARE. FOCUSING ON VALUE-BASED CARE AND HEALTH TECHNOLOGY, RHN SUPPORTS PATIENT ENGAGEMENT IN WELLNESS AND HEALTH SELF-MANAGEMENT ACROSS THE CONTINUUM OF CARE. RHN'S TEAM OF PHYSICIANS AND HEALTHCARE PROFESSIONALS UTILIZE BEST PRACTICES TO ENSURE POSITIVE OUTCOMES FOR THEIR PATIENTS. THE RICHMOND HEALTH NETWORK BELIEVES THAT HEALTHY INDIVIDUALS CREATE HEALTHY COMMUNITIES. THE NETWORK'S TEAM OF PHYSICIANS SPECIALIZE IN: - BARIATRIC AND WEIGHT LOSS - CARDIOVASCULAR - ENDOCRINOLOGY - ENT (EAR, NOSE, AND THROAT) - GASTROENTEROLOGY - GENERAL SURGERY - NEPHROLOGY - NEUROSURGERY - OB/GYN - ORTHOPEDICS - PRIMARY CARE / FAMILY MEDICINE / WALK-INS - PULMONOLOGY - UROLOGY - RHEUMATOLOGY - HEMATOLOGY / ONCOLOGY WHILE THE MAJORITY OF SERVICES WILL BE ACCESSIBLE THROUGH PRIVATE OFFICES, RICHMOND HEALTH NETWORK ALSO INCLUDES THREE IMMEDIATE CARE/PRIMARY CARE/WALK IN CENTERS CONVENIENTLY LOCATED THROUGHOUT STATEN ISLAND THAT ARE LOCATED AT 1161 VICTORY BOULEVARD, 1058 FOREST AVENUE AND 4360 HYLAN BOULEVARD. PATIENTS BOTH CURRENT AND NEW CAN VISIT THESE SITES FOR WELL-VISITS, CHECK-UPS, FLU SHOTS, LAB WORK, VACCINATIONS AND GENERAL FAMILY CARE WITHOUT AN APPOINTMENT. THE RICHMOND HEALTH NETWORK OPERATES OVER TWENTY LOCATIONS CONVENIENTLY LOCATED THROUGHOUT STATEN ISLAND AND BROOKLYN. THE RICHMOND HEALTH NETWORK SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION ALSO PARTICIPATES IN OUTREACH, AWARENESS AND SCREENING PROGRAMS THROUGH COLLABORATION WITH ITS COMMUNITY PARTNERS. CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FORM 990 REFLECTS NO TOP FIVE INDEPENDENT CONTRACTORS FOR SERVICES AND REPORTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). RICHMOND UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, RICHMOND UNIVERSITY MEDICAL CENTER ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. RICHMOND UNIVERSITY MEDICAL CENTER ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V; QUESTION 15 INNA TUBMAN, M.D. IS INCLUDED WITHIN THE ORGANIZATION'S FORM 990, CORE FORM, PART VII AND SCHEDULE J. THE ORGANIZATION WAS NOT REQUIRED TO FILE A FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. TUBMAN BECAUSE SHE IS A LICENSED MEDICAL PROVIDER WHOSE COMPENSATION WAS FOR CLINICAL SERVICES AND THUS EXEMPT FROM EXCISE TAXES AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW YORK CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RICHMOND UNIVERSITY MEDICAL CENTER'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 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 DIRECTORS, PRIOR TO FILING WITH THE IRS. RICHMOND UNIVERSITY MEDICAL CENTER'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 SYSTEM'S INTERNAL WORKING GROUP FOR REVIEW. THE 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 INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES, BE CIRCULATED ANNUALLY TO ALL TRUSTEES/DIRECTORS, OFFICERS, KEY EMPLOYEES, MEDICAL STAFF AND PRACTITIONERS WITH CLINICAL PRIVILEGES. ANNUALLY THESE INDIVIDUALS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER IS RESPONSIBLE FOR (1) GATHERING THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS; (2) TRACKING THE SUCCESSFUL COMPLETION OF THE STATEMENTS; (3) TRANSMITTING THE STATEMENTS TO THE BOARD COMMITTEE; AND (4) ASSISTING THE BOARD COMMITTEE IN ORGANIZING THE STATEMENTS FOR THE COMMITTEE'S REVIEW. IN ADDITION, THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER IS RESPONSIBLE FOR REVIEWING AND REVISING THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS OR WHEN A CHANGE IS REQUIRED FOR COMPLIANCE WITH JOINT COMMISSION STANDARDS; ETHICAL DIRECTIVES; FEDERAL, STATE, AND CITY LAWS, RULES AND REGULATIONS; CHANGES IN PRACTICE OR REGULATORY MANDATE; NEW PROGRAMS OR PROCEDURES; NEW EQUIPMENT; OR PERFORMANCE IMPROVEMENT CHANGES. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S SENIOR VICE PRESIDENT, LEGAL AFFAIRS & RISK MANAGEMENT, GENERAL COUNSEL & CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, THE CONFLICT OF INTEREST DISCLOSURES ARE PROVIDED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. THE AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE CONFLICT OF INTEREST DISCLOSURE AND REVIEW PROCESS. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RICHMOND UNIVERSITY MEDICAL CENTER'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. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS, AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND KEY EMPLOYEES LISTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RICHMOND UNIVERSITY MEDICAL CENTER AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. RICHMOND UNVERSITY MEDICAL CENTER'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. FORM 990 PART IX LINE 11G DESCRIPTION:BILLING & COLLECTION SVCS TOTAL FEES:2348932 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:2056751 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1010455 RICHMOND MEDICAL CENTER 355 BARD AVENUE STATEN ISLAND NY 10310 743177454 HEALTH SVCS. NY 501(C)(3) 3 BRHS false RICHMOND MEDICAL CENTER FOUNDATION INC 355 BARD AVENUE STATEN ISLAND NY 10310 271059815 FUNDRAISING NY 501(C)(3) 12A RUMC false VISITING NURSE ASSOC HEALTH CARE SVCS 669 CASTLETON AVENUE STATEN ISLAND NY 10301 135562377 HEALTH SVCS. NY 501(C)(3) 10 RUMC false VISITING NURSE PLUS INC 669 CASTLETON AVENUE STATEN ISLAND NY 10301 133712494 INACTIVE NY 501(C)(3) 10 RUMC false BRIDGE REGIONAL HEALTH SYSTEM 355 BARD AVENUE STATEN ISLAND NY 10310 205171165 HOLDING COMPANY NY NA C CORP false false false false false true false false false false false false false false true true true false true true SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN RICHMOND MEDICAL CENTER D/B/A RICHMOND UNIVERSITY MEDICAL CENTER ("RICHMOND UNIVERSITY MEDICAL CENTER") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSE.