The steel’s up as a state-of-the-art Richmond University Medical Center Emergency Room takes shape Updated 10:05 AM; Today 7:43 AM A bird's-eye view of the new Richmond University Medical Center Emergency Room construction site in West Brighton. (Courtesy/Daniel Messina) Staten Island Advance Facebook Share STATEN ISLAND, N.Y. — Richmond University Medical Center is taking a huge step in bettering health care services for Staten Island, particularly the entire North Shore, through extensive upgrades to its physical plant that includes the addition of a new, state-of-the art Emergency Department at a cost of more than $95 million. The new addition is located adjacent to where the current ED sits and when completed, will contain private treatment rooms, trauma bays, comprehensive specialty areas for pediatrics and urgent care — a total of 47 treatment positions and all types of special sections designed by clinicians as well as management, to include optimum patient flow and design.