Civic Intelligence

Staten Island Performing Provider System LLC

990 • Fiscal year 2022 • EIN 47-2544659

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 02, 2023

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

97th percentile

6.87x

Higher debt load relative to assets than 97% of similar nonprofits.

2022 filings • NTEE E • $1M-$5M nonprofits • Source year 2022

Liabilities / Revenue

96th percentile

5.74x

Higher debt load relative to revenue than 96% of similar nonprofits.

2022 filings • NTEE E • $1M-$5M nonprofits • Source year 2022

Net Margin

6th percentile

-82%

Higher net margin than 6% of similar nonprofits.

2022 filings • NTEE E • $1M-$5M nonprofits • Source year 2022

Top Officer Pay

94th percentile

$1,297,948

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 40.9% of source-year revenue.

2022 filings • NTEE E • $1M-$5M nonprofits • Source year 2022

Asset Growth

2nd percentile

-53%

Faster asset growth than 2% of similar nonprofits.

2022 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2021 to 2022

Revenue Growth

95th percentile

260%

Faster revenue growth than 95% of similar nonprofits.

2022 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2021 to 2022

Assets

Down

$2,652,964

Down $3,020,387 (-53%) from 2021

Net Assets

Down

-$15,571,655

Down $2,888,709 (-23%) from 2021

Liabilities

Down

$18,224,619

Down $131,678 (-0.7%) from 2021

Revenue

Up

$3,172,947

Up $2,291,970 (+260%) from 2021

Expenses

Down

$5,780,905

Down $14,131,858 (-71%) from 2021

Net Income

Up

-$2,607,958

Up $16,423,828 (+86%) from 2021

Historical Trend

Balance Sheet Trend

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

$60M$40M$20M$0-$20MAssets 2015: $14,494,874Liabilities 2015: $6,464,502Net Assets 2015: $8,030,3722015Assets 2016: $21,813,593Liabilities 2016: $11,679,445Net Assets 2016: $10,134,1482016Assets 2017: $36,528,907Liabilities 2017: $17,326,043Net Assets 2017: $19,202,8642017Assets 2018: $43,040,885Liabilities 2018: $17,573,789Net Assets 2018: $25,467,0962018Assets 2019: $28,625,779Liabilities 2019: $16,150,380Net Assets 2019: $12,475,3992019Assets 2020: $57,602,464Liabilities 2020: $4,388,624Net Assets 2020: $53,213,8402020Assets 2021: $5,673,351Liabilities 2021: $18,356,297Net Assets 2021: -$12,682,9462021Assets 2022: $2,652,964Liabilities 2022: $18,224,619Net Assets 2022: -$15,571,6552022Assets 2023: $1,301,868Liabilities 2023: $17,260,123Net Assets 2023: -$15,958,2552023Assets 2024: $3,180,129Liabilities 2024: $16,936,571Net Assets 2024: -$13,756,4422024

Highlighted filing

2022

Assets$2,652,964
Liabilities$18,224,619
Net Assets-$15,571,655

Operations Trend

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

$100M$50M$0-$50MRevenue 2015: $27,398,143Expenses 2015: $19,367,771Net Income 2015: $8,030,3722015Revenue 2016: $25,557,521Expenses 2016: $23,453,745Net Income 2016: $2,103,7762016Revenue 2017: $44,940,330Expenses 2017: $35,871,614Net Income 2017: $9,068,7162017Revenue 2018: $42,772,639Expenses 2018: $36,508,407Net Income 2018: $6,264,2322018Revenue 2019: $24,067,710Expenses 2019: $37,059,407Net Income 2019: -$12,991,6972019Revenue 2020: $65,547,607Expenses 2020: $24,809,166Net Income 2020: $40,738,4412020Revenue 2021: $880,977Expenses 2021: $19,912,763Net Income 2021: -$19,031,7862021Revenue 2022: $3,172,947Expenses 2022: $5,780,905Net Income 2022: -$2,607,9582022Revenue 2023: $2,346,649Expenses 2023: $4,967,133Net Income 2023: -$2,620,4842023Revenue 2024: $4,406,700Expenses 2024: $5,532,387Net Income 2024: -$1,125,6872024

Highlighted filing

2022

Revenue$3,172,947
Expenses$5,780,905
Net Income-$2,607,958
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 2, 2023
Return Version
2022v5.0
Gross Receipts
$3,172,947
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$4,640,577$1,211,735▼ $3,428,842
Pledges and Grants Receivable$36,555$566,360▲ $529,805
Prepaid Expenses and Deferred Charges$298,012$232,684▼ $65,328
Accounts Receivable$0$117,466▲ $117,466
Land, Buildings, and Equipment, Net$52,291$46,610▼ $5,681
Savings and Temporary Cash Investments$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$5,673,351$2,652,964▼ $3,020,387
Other Assets Total$645,916$478,109▼ $167,807
Liabilities
Other Liabilities$18,337,831$12,616,403▼ $5,721,428
Accounts Payable and Accrued Expenses$18,466$5,608,216▲ $5,589,750
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$18,356,297$18,224,619▼ $131,678
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-12,682,946$-15,571,655▼ $2,888,709
Total Net Assets Fund Balance$-12,682,946$-15,571,655▼ $2,888,709
Total Liabilities and Net Assets / Fund Balance$5,673,351$2,652,964▼ $3,020,387

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$46,610$142,751$189,361
Other Assets Org$478,109--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jospeh ConteExecutive DirectorFT$481,616$112,800$594,416
Anyi ChenChief Information OfficerFT$240,658-$240,658
Salvatore VolpeChief Medical OfficerFT$235,055-$235,055
Ashley RestainoManaging Director, Strategic IFT$215,101-$215,101
Mary HanDirector of WorkforceFT$127,357-$127,357
Valbona LajqiOperations ManagerFT$119,851-$119,851
Nadeen MakhloufDirector, Clinical EngagementFT$118,425-$118,425
Brittany LanganDirector of Ambulatory CareFT$112,043-$112,043
Mark SlavutskyBusiness Analyst, ITFT$103,892-$103,892

Board Members and Trustees

NameTitle
Laurence KraemerSecretary/Trustee
Brahim ArdolicTrustee/Exec Director Northwell
Joseph SchulmanTrustee/SVP Northwell
Non Compensated TrusteesSee Schedule O

Highest Paid Contractors

ContractorServicesLocationCompensation
Staten Island University HospitalHealth Plan Services475 SEAVIEW AVENUE, Staten Island, NY 10305$2,182,492
Community Health Action of Staten IHealth Plan Services56 Bay Street, Staten Island, NY 10301$485,583
Richmond University Medical CenterHealth Plan Services355 BARD AVE, Staten Island, NY 10310$367,867
Community Health Center Of RichmondHealth Plan Services439 PORT RICHMOND AVE, Staten Island, NY 10302$322,646
Empire BluecrossHealth Plan ServicesPO BOX 11792, Newark, NJ 07101-4792$293,916
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,054,933
Investment Income
$548
Other Revenue
$117,466
Change in Net Assets
$-2,607,958

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,172,947
Total Revenue per Audited Statements
$3,172,947
Total Revenue per Form 990
$3,172,947
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,182,613
Other Expenses$2,598,292
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$1,285,230-$0$1,285,230
Other Salaries and Wages$1,168,884--$1,168,884
Other Employee Benefits$728,499--$728,499
Fees for Services Other$264,261--$264,261
Occupancy$227,739--$227,739
Other Expenses$104,635--$104,635
Fees for Services Management-$71,600-$71,600
Insurance$47,790--$47,790
Depreciation Depletion$10,958--$10,958
Office Expenses$3,480--$3,480
Fees for Services Legal-$3,193-$3,193
Total Functional Expenses$5,706,112$74,793$0$5,780,905

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$5,780,905
Total Expenses per Audited Statements$5,780,905
Total Expenses per Form 990$5,780,905
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
Other Liabilities$11,044,231
Due to Affiliate$1,094,063
Operating Lease Liability$478,109
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
No
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 6

Staten island university hospital is the sole member.

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

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
2023-11-02

Organization Details

Principal Officer
Joseph Conte
Formed
2014
Legal Domicile
Ny
Voting Board Members
10
Independent Board Members
6
Employees
36
Volunteers
0
Supplemental Narrative

Additional Explanations

PART IX, LINE 24B - OTHER EXPENSES

"Distributions to Participants" represent commitments to pay distributions to third party partner organizations over the next several years.

Part XI, Line 9 - Reconciliation of Net Assets, Line 9

Prior Period Adjustment (754) Transfer to Affiliate (279,997) Total (280,751)

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. GAAP requires 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, 2022 and 2021, Northwell has net deferred tax assets of approximately $158,000,000 and $145,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. 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 $534,000,000 at December 31, 2022. 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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