Richmond Medical Center

PROVISION OF HEALTH CARE SERVICES TO THE PUBLIC.

RICHMOND UNIVERSITY MEDICAL CENTER (RUMC OR THE MEDICAL CENTER) 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.RUMC 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. CONTINUED ON SCHEDULE O.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. BASED ON COST, IN 2019, APPROXIMATELY $6,081,000 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. THE MEDICAL CENTER ALSO PROVIDED COMMUNITY BENEFITS BY PROVIDING SERVICES TO MEDICAID PATIENTS AT RATES THAT WERE BELOW THE COSTS FOR PROVIDING SUCH SERVICES. IN 2019, INPATIENT VOLUME EXCEEDED 14,000 INPATIENT DISCHARGES ACCOUNTING FOR OVER 75,000 PATIENT DAYS. OUTPATIENT VOLUME EXCEEDED 55,000 EMERGENCY ROOM VISITS AND OVER 203,000 OTHER OUTPATIENT VISITS. THE LARGEST PROGRAM SERVICES BY EXPENSES ARE: MEDICAL / SURGICAL, BEHAVIORAL HEALTH AND OBSTETRICS / GYNECOLOGY.1) MEDICAL / SURGICAL:THE MEDICAL CENTER PROVIDED COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL/SURGICAL SERVICES TO THOUSANDS OF PATIENTS IN 2019. DURING THE YEAR, THE MEDICAL CENTER PERFORMED OVER 1,500 INPATIENT AND 5,500 OUTPATIENT SURGERIES. MEDICAL/SURGICAL SERVICES INCLUDE ENDOSCOPY, PAIN MANAGEMENT, VASCULAR SURGERY, UROLOGIC SURGERY, SPORTS MEDICINE, JOINT REPLACEMENT, AND ARTHROSCOPIC SURGERY. 2) BEHAVIORAL HEALTH:BEHAVIORAL HEALTH SERVICES AT THE MEDICAL CENTER TREATED THOUSANDS OF ADULTS AND CHILDREN IN 2019. DURING THE YEAR, BEHAVIORAL HEALTH INPATIENT DISCHARGES TOTALED OVER 1,200 AND ACCOUNTED FOR MORE THAN 14,000 PATIENT DAYS. INPATIENT SERVICES INCLUDED A PSYCHIATRIC UNIT, A CHILD AND ADOLESCENT PROGRAM 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.ACQUISITION OF STATEN ISLAND MENTAL HEALTH SOCIETY, INC.:THE MEDICAL CENTER MERGED IN STATEN ISLAND MENTAL HEALTH SOCIETY, INC., EFFECTIVE JANUARY 1, 2019, AND RECORDED AN INHERENT CONTRIBUTION TOTALING $1,284,862 DURING 2019, WHICH REPRESENTS THE EXCESS OF THE NET ACQUISITION DATE FAIR VALUE OF ASSETS ACQUIRED AND LIABILITIES ASSUMED. THE BUSINESS COMBINATION WAS DONE TO ADVANCE THE RESPECTIVE CORPORATE AND CHARITABLE PURPOSES AND MISSIONS. NO CONSIDERATION WAS TRANSFERRED IN THIS TRANSACTION, AND THE ACQUIRED ENTITY WAS DISSOLVED. THIS INHERENT CONTRIBUTION WAS RECORDED AS A COMPONENT OF OTHER INCOME (LOSS), AND INCREASED THE PERFORMANCE INDICATOR BY $1,284,862 DURING 2019. ANY NET PROCEEDS FROM ANY FUTURE SALE OF REAL PROPERTY ACQUIRED IN THIS TRANSACTION MUST BE USED FOR BEHAVIORAL AND MENTAL HEALTH SERVICES.ACQUISITION COSTS INCURRED AND EXPENSED IN CONNECTION WITH THIS TRANSACTION WERE NOT MATERIAL. NO GOODWILL OR OTHER INTANGIBLE ASSETS WERE ACQUIRED IN THIS TRANSACTION. THE CONTRACTUAL AMOUNTS OF ACCOUNTS RECEIVABLE APPROXIMATE FAIR VALUE DUE TO THEIR SHORT-TERM NATURE.