Civic Intelligence

Staten Island Performing Provider System LLC

990 • Fiscal year 2020 • EIN 47-2544659

Jan 01, 2020 to Dec 31, 2020 • Filed on Jul 20, 2021

1 EDGEWATER PLAZA Suite STE 700Staten Island, NY 10305

(917) 830-1148

Siviq Scores

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

Liabilities / Assets

12th percentile

0.08x

Higher debt load relative to assets than 12% of similar nonprofits.

2020 filings • NTEE E • $50M-$100M nonprofits • Source year 2020

Liabilities / Revenue

4th percentile

0.07x

Higher debt load relative to revenue than 4% of similar nonprofits.

2020 filings • NTEE E • $50M-$100M nonprofits • Source year 2020

Net Margin

98th percentile

62%

Higher net margin than 98% of similar nonprofits.

2020 filings • NTEE E • $50M-$100M nonprofits • Source year 2020

Top Officer Pay

67th percentile

$1,207,989

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 1.8% of source-year revenue.

2020 filings • NTEE E • $50M-$100M nonprofits • Source year 2020

Asset Growth

94th percentile

101%

Faster asset growth than 94% of similar nonprofits.

2020 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2019 to 2020

Revenue Growth

98th percentile

172%

Faster revenue growth than 98% of similar nonprofits.

2020 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2019 to 2020

Assets

$57,602,464

No earlier filing loaded for comparison.

Net Assets

$53,213,840

No earlier filing loaded for comparison.

Liabilities

$4,388,624

No earlier filing loaded for comparison.

Revenue

$65,547,607

No earlier filing loaded for comparison.

Expenses

$24,809,166

No earlier filing loaded for comparison.

Net Income

$40,738,441

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.

$60M$40M$20M$0Assets 2020: $57,602,464Liabilities 2020: $4,388,624Net Assets 2020: $53,213,8402020

Highlighted filing

2020

Assets$57,602,464
Liabilities$4,388,624
Net Assets$53,213,840

Operations Trend

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

$80M$60M$40M$20M$0Revenue 2020: $65,547,607Expenses 2020: $24,809,166Net Income 2020: $40,738,4412020

Highlighted filing

2020

Revenue$65,547,607
Expenses$24,809,166
Net Income$40,738,441
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Jul 20, 2021
Return Version
2020v4.1
Gross Receipts
$65,547,607
Mission and Program Overview

Mission

Staten island performing provider system, llc's mission is to lessen the burden of government and promote health through the establishment of a performing provider system ("pps") under new york state department of health's delivery system reform incentive payment ("dsrip") program, by providing support and other assistance to physicians, hospitals, outpatient clinics, and other healthcare service providers to encourge, facilitate, and enhance their ability to collaborate in furtherance of successfully implementing innovative and effective programs, projects, and services aimed at achieving healthcare delivery system transformation, improvements in clinical outcomes, patient satisfaction, and population health management and care coordination for the benefit of medicaid beneficiaries and patient populations.

Staten island performing provider system is a performing provider system under the nys medicaid dsrip program promoting health & lessening the burden of government.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$20,445,135$57,449,418▲ $37,004,283
Pledges and Grants Receivable$7,750,310$0▼ $7,750,310
Prepaid Expenses and Deferred Charges$348,036$92,751▼ $255,285
Land, Buildings, and Equipment, Net$82,298$60,295▼ $22,003
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$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
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$28,625,779$57,602,464▲ $28,976,685
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$15,958,440$4,361,201▼ $11,597,239
Accounts Payable and Accrued Expenses$191,940$27,423▼ $164,517
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
Total Liabilities$16,150,380$4,388,624▼ $11,761,756
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,475,399$53,213,840▲ $40,738,441
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$12,475,399$53,213,840▲ $40,738,441
Total Liabilities and Net Assets / Fund Balance$28,625,779$57,602,464▲ $28,976,685

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$60,295$118,398$178,693
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jospeh ConteExecutive DirectorFT$453,511$132,913$586,424
Salvatore VolpeChief Medical OfficerFT$314,326$15,000$329,326
Anyi ChenChief Information OfficerFT$266,986$15,000$281,986
William MyhreSr Director of WorkforceFT$236,168$15,000$251,168
Ashley RestainoManaging Director, Strategic IFT$186,630$17,500$204,130
Mary HanDirector, Quality MgmtFT$141,579-$141,579
Nadeen MakhloufDirector, Clinical EngagementFT$119,059-$119,059
Valbona LajqiOperations ManagerFT$114,815-$114,815
Mark SlavutskyBusiness Analyst, ITFT$112,882-$112,882

Board Members and Trustees

NameTitle
Laurence KraemerSecretary/Trustee
Brahim ArdolicTrustee/Exec Director Northwell
Frank MorisanoTrustee/Sr Director Northwell
Joseph SchulmanTrustee/SVP Northwell
Kevin BeinerTrustee/SVP Northwell
Non Compensated TrusteesSee Schedule O

Highest Paid Contractors

ContractorServicesLocationCompensation
Staten Island University HospitalHealth Plan Services475 SEAVIEW AVENUE, Staten Island, NY 10305$11,165,262
Richmond University Medical CenterHealth Plan Services355 BARD AVE, Staten Island, NY 10310$11,122,384
Coordinated Behavioral CareHealth Plan Services123 WILLIAM ST 19TH FL, New York, NY 10038$1,945,200
Community Health Action of Staten IHealth Plan Services56 Bay Street, Staten Island, NY 10301$791,805
Community Health Center of RichmondHealth Plan Services439 Port Richmond Ave, Staten Island, NY 10302$576,765
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$64,822,868
Investment Income
$57,851
Other Revenue
$666,888
Change in Net Assets
$40,738,441

Audited Revenue Reconciliation

Revenue per Audited Statements
$65,547,607
Total Revenue per Audited Statements
$65,547,607
Total Revenue per Form 990
$65,547,607
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$21,628,240
Salaries, Compensation, and Employee Benefits$3,180,926
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$1,448,904--$1,448,904
Other Salaries and Wages$1,189,852-$0$1,189,852
Other Employee Benefits$542,170--$542,170
Fees for Services Other$273,044--$273,044
Fees for Services Management-$177,325-$177,325
Occupancy$174,125--$174,125
Insurance$93,700--$93,700
Other Expenses$71,738--$71,738
Office Expenses$35,130--$35,130
Depreciation Depletion$22,003--$22,003
Advertising$21,000--$21,000
Fees for Services Legal-$11,351-$11,351
Travel$920--$920
Total Functional Expenses$24,620,490$188,676$0$24,809,166

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$24,809,166
Total Expenses per Audited Statements$24,809,166
Total Expenses per Form 990$24,809,166
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
Distributions Payable to Parti$4,325,000
Other Liabilities$36,201
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 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI, Section A - Governing Body, Line 4

Staten island university hospital purchased richmond university medical center's 50% interest and became the sole owner effective august 26, 2020.

Part VI, Section A - Governing Body, Line 6

The members for staten island performing provider system, llc were: staten island university hospital richmond university medical center until august 26, 2020. After that date, staten island university hospital was the sole member.

Part VI, Section A - Governing Body, Line 7A & 7B

From 1/1/2020 through 8/26/2020 staten island university hospital could appoint up to 4 board members and richmond university medical center could appoint up to 4 board members. After 8/26/2020, staten island university hospital ("siuh") is the sole corporate member of the organization. Siuh has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and siuh are part of northwell health, inc., an integrated health care delivery system.

Part VI, Section B - Policies, Line 11

The annual return of organization exempt from income tax (form 990) for northwell health, inc. And affiliated entities are prepared with input from various departments including corporate compliance, finance, human resources, and legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the executive committee are then informed the returns are ready for review. The executive committee, which is a committee made up of members from the board of trustees, may exercise all of the authority of the board of trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these by-laws or is limited by any resolution to such effect adopted by the board of trustees.

Part VI, Section B - Policies, Line 12C

Northwell health, inc. ("northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's code of ethical conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our code of ethical conduct requires individuals to conduct northwell business in a manner that places the interests of northwell ahead of their personal interests. In addition, northwell has a conflicts of interest policy statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The corporate compliance office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to northwell's audit and corporate compliance committee and other applicable committees. In addition, northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the code of ethical conduct or any related policy such as the conflicts of interest policy statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.

Part VI, Section B - Policies, Line 15

The by-laws of northwell health, inc. ("northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in november/december to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons other than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.

Part VI, Section C - Disclosures, Line 19

Currently the organization provides governance documents, conflicts of interest policy and financial statements to the public upon request.

Part VII, Section A - Line 1A, Column (B)

This organization is affiliated with northwell health, inc. ("northwell"). The officers, directors and trustees listed on schedule j hold similar positions with both this organization and other affiliates of northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to northwell and its affiliates, including this organization. For directors and trustees, the hours shown reflect the estimated average weekly time. For officers, key employees and highest compensated employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to northwell and its affiliates.

Filing and Contact Details

Filer

Filer Name
Staten Island Performing Provider System LLC
EIN
47-2544659
In Care Of
% STATEN ISLAND PERFORMING
Phone
9178301148
Address
1 EDGEWATER PLAZA Suite STE 700, STATEN ISLAND, NY 10305

Signing Officer

Name
Joseph Conte
Title
Executive Director
Phone
9178301148
Signed
2021-07-20

Organization Details

Principal Officer
Joseph Conte
Formed
2014
Legal Domicile
Ny
Voting Board Members
12
Independent Board Members
7
Employees
13
Volunteers
0
Supplemental Narrative

Financial Statement Notes

Part X, Line 2 - Fin 48

Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. At December 31, 2020, Northwell has a deferred tax asset of approximately $175,000,000, which has been partially offset by a related valuation allowance of approximately $141,000,000 and is recorded within other current assets in the accompanying consolidated statement of financial position at December 31, 2020. At December 31, 2019, Northwell had a deferred tax asset of approximately $112,000,000, which was fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $514,000,000 at December 31, 2020. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations.

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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$57.6$4.39$53.2$65.5$24.8$40.7