Civic Intelligence

St John'S Emergency Medical Services PC

990 • Fiscal year 2016 • EIN 26-2884115

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

700 Hicksville Rd Suite 210Bethpage, NY 11714

(516) 349-4643

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

92nd percentile

1.00x

Higher debt load relative to assets than 92% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

50th percentile

0.11x

Higher debt load relative to revenue than 50% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

42nd percentile

0.0%

Higher net margin than 42% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$515,558

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 11.3% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

83rd percentile

22%

Faster asset growth than 83% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2016

Revenue Growth

74th percentile

17%

Faster revenue growth than 74% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2016

Assets

$479,722

No earlier filing loaded for comparison.

Net Assets

-$270

No earlier filing loaded for comparison.

Liabilities

$479,992

No earlier filing loaded for comparison.

Revenue

$4,570,401

No earlier filing loaded for comparison.

Expenses

$4,570,401

No earlier filing loaded for comparison.

Net Income

$0

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0-$200KAssets 2016: $479,722Liabilities 2016: $479,992Net Assets 2016: -$2702016Assets 2017: $240,290Liabilities 2017: $240,560Net Assets 2017: -$2702017Assets 2018: $315,562Liabilities 2018: $315,832Net Assets 2018: -$2702018Assets 2019: $365,797Liabilities 2019: $366,067Net Assets 2019: -$2702019Assets 2020: $70,557Liabilities 2020: $70,827Net Assets 2020: -$2702020Assets 2021: $82,245Liabilities 2021: $82,515Net Assets 2021: -$2702021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2016

Assets$479,722
Liabilities$479,992
Net Assets-$270

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0Revenue 2016: $4,570,401Expenses 2016: $4,570,401Net Income 2016: $02016Revenue 2017: $5,476,549Expenses 2017: $5,476,549Net Income 2017: $02017Revenue 2018: $5,713,960Expenses 2018: $5,713,960Net Income 2018: $02018Revenue 2019: $116,375Expenses 2019: $116,375Net Income 2019: $02019Revenue 2020: $8,935Expenses 2020: $8,935Net Income 2020: $02020Revenue 2021: $11,688Expenses 2021: $11,688Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022

Highlighted filing

2016

Revenue$4,570,401
Expenses$4,570,401
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.1
Gross Receipts
$4,570,401
Mission and Program Overview

Mission

The mission of st. John's medical p.c., a member of episcopal health services inc. Of the diocese of long island, is to provide quality health care with an emphasis on patient safety through its hospital, ambulatory care facilities and continuing medical education, recognizing the emerging life-care needs of the communities served. The company terminated all employees in 2018 and is currently inactive. Emergency department contracts are negotiated directly with episcopal health services, inc., a related organization.

To provide quality healthcare through its hospital, ambulatory care facilities, nursing homes and education, recognizing the emerging life-care needs of the communities served.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$400,204$479,722▲ $79,518
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$400,204$479,722▲ $79,518
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$204,807$715,291▲ $510,484
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Other Liabilities$195,667$-235,299▼ $430,966
Total Liabilities$400,474$479,992▲ $79,518
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-270$-270→ $0
Total Net Assets Fund Balance$-270$-270→ $0
Total Liabilities and Net Assets / Fund Balance$400,204$479,722▲ $79,518
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Saif Khan MDPhysicianFT$218,464$198,096$416,560
Terrence A Chan MDPhysicianFT$221,220$122,799$344,019
Jeanne Franks MDPhysicianFT$245,622$44,962$290,584

Board Members and Trustees

NameTitle
Raymond J Pastore MDPresident
Steven GuidoCFO - Ehs

Highest Paid Contractors

ContractorServicesLocationCompensation
Progressive Emergency PhysiciansPhysician Fees1236 RXR PLAZA, Uniondale, NY 11556$1,555,924
Cbiz Medical ManagementBilling ServicePO BOX 2288, Indianapolis, IN 46206$379,160
Prime Medical ServicesPhysician Fees1711 RALPH AVE, Brooklyn, NY 11236$318,150
Ismaila Adiatu Md PCPhysician Fees1774 JASEN AVE, Valley Stream, NY 11580$147,985
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,062,313
Investment Income
$0
Other Revenue
$508,088
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,225,977
Salaries, Compensation, and Employee Benefits$1,344,424
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$3,196,205--$3,196,205
Other Salaries and Wages$1,179,717$43,333-$1,223,050
Payroll Taxes$54,686$2,009-$56,695
Other Employee Benefits$39,040$1,434-$40,474
Pension Plan Contributions$23,347$858-$24,205
Other Expenses-$22,954-$22,954
Conferences and Meetings$3,796--$3,796
Fees for Services Legal-$3,022-$3,022
Total Functional Expenses$4,496,791$73,610$0$4,570,401
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Episcopal Health Services$-235,299
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6

Dr. Raymond pastore, president (sole nominee shareholder).

Form 990, Part VI, Line 8A

As a supporting organization to st. John's episcopal hospital (the "hospital"), meetings and decisions of the shareholder and governing body are carried out in applicable meetings of the hospital. Documentation of any meetings or decisions are in the hospital's documents.

Form 990, Part VI, Line 8B

There are no separate committees with authority to act on behalf of the governing body.

Form 990, Part VI, Line 11B

THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN initial DRAFT. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE EPISCOPAL HEALTH SERVICES AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES(THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE Committee'S REVIEW IS COMPLETE THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD.

Form 990, Part VI, Line 12C

The Corporate Compliance and Privacy Office distributes, gathers and reviews all annual conflict of interest questionnaires. Where positive responses are indicated additional information is gathered to determine if a conflict actually exists. If a conflict exists, appropriate action is taken to eliminate the conflict, including such steps as notifying the board, reassignment of responsibilities or establishment of protective agreements. If a matter involves a board member or officer, appropriate action, including recusal and additional disclosures, will be determined by the board. FORM 990, PART VI, LINE 15 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICER RECEIVED THEIR COMPENSATION FROM A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL AND OTHER OFFICER'S COMPENSATION.

Form 990, Part VI, Line 19

Upon request, the organization will make available those documents required to be disclosed under the public inspection laws.

Form 990 Part VII

Raymond pastore, md is the chief medical officer of episcopal health services, inc., a related organization.

Filing and Contact Details

Filer

Filer Name
St John's Medical PC
EIN
26-2884115
In Care Of
% EPISCOPAL HEALTH SERVICES IN
Phone
5163494643
Address
700 Hicksville Rd Suite 210, Bethpage, NY 11714

Signing Officer

Name
Raymond J Pastore Md
Title
President
Phone
5163494643
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Raymond J Pastore Md
Formed
2008
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
13
Volunteers
0

Preparer

Firm
Bdo USA Llp
Address
401 BROADHOLLOW ROAD STE 201, MELVILLE, NY 11747
Preparer
Angelo Pirozzi CPA
Phone
6315019600
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 11G

Description:physician professional service total fees:2841159

Form 990 Part IX Line 11G

Description:billing & collection service total fees:355046

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0ST. JOHN'S MEDICAL P.C. IS A NOT-FOR-PROFIT VOLUNTARY PROFESSIONAL CORPORATION ORGANIZED TO PROVIDE HEALTHCARE SERVICES AND TO FURTHER THE CHARITABLE PURPOSES OF ST. JOHN'S EPISCOPAL HOSPITAL THROUGH THE PROVISION OF EMERGENCY MEDICAL SERVICES. FOR 2016, ST. JOHN'S MEDICAL P.C. PROVIDED PHYSICIAN COVERAGE FOR 53,112 EMERGENCY VISITS.
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