ST JOSEPHS MEDICAL PC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS MEDICAL PC (EIN 27-3899821)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201543209349305074
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T11:02:21-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273899821 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S MEDICAL PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 3157032106 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 PROSPECT AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA SULIK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3157032106 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SANDRA M SULIK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 PROSPECT AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,829,152 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SJPHYSICIANS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PRIMARY AND SPECIALTY PROFESSIONAL MEDICAL SERVICES TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 729 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $3,653 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,653 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,549,395 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,706,959 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $925,882 | CYInvestmentIncomeAmt |
| PY Other Revenue | $512,527 | PYOtherRevenueAmt |
| CY Other Revenue | $3,097,396 | CYOtherRevenueAmt |
| PY Total Revenue | $37,061,922 | PYTotalRevenueAmt |
| CY Total Revenue | $33,730,237 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,806,484 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,014,283 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,082,572 | PYOtherExpensesAmt |
| CY Other Expenses | $13,934,959 | CYOtherExpensesAmt |
| PY Total Expenses | $40,889,056 | PYTotalExpensesAmt |
| CY Total Expenses | $45,949,242 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,827,134 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,219,005 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,606,671 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,622,010 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,564,019 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,247,170 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,042,652 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,374,840 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE PRIMARY AND SPECIALTY PROFESSIONAL MEDICAL SERVICES TO THE COMMUNITY | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $45,824,949 | ExpenseAmt |
| Revenue | $32,800,702 | RevenueAmt |
| Desc | ST. JOSEPH'S MEDICAL, P.C. IS A NEW YORK STATE PROFESSIONAL SERVICES CORPORATION AFFILIATED WITH THE HOSPITAL WHOSE MISSION IS TO PROVIDE PRIMARY AND SPECIALTY PROFESSIONAL MEDICAL SERVICES TO THE COMMUNITY. ST. JOSEPH'S MEDICAL, P.C. CONSISTS OF SIX PRACTICE LOCATIONS (FAMILY MEDICINE, URGENT CARE, SURGICAL, ORTHOPEDIC,BEAST SURGERY) WHICH GENERATED NEARLY 274,962 PATIENT VISITS. | Desc |
| Total Program Service Expenses | $45,824,949 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 89 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 729 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEREDITH PRICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3154485888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 PROSPECT AVE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 132031899 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SANDRA SULIK | ||||||||
| PRESIDENT/ TREASURER | 5.00 | 35.00 | Yes (X) | Yes (X) | $0 | $363,318 | $9,533 | |
| KATHRYN RUSCITTO | ||||||||
| SECRETARY | 5.00 | 35.00 | Yes (X) | $0 | $886,535 | $30,866 | ||
| SISTER MARY OBRIST | ||||||||
| ASSISTANT TREASURY | 5.00 | 35.00 | Yes (X) | $0 | $0 | $0 | ||
| DERRICK MURRY | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $169,599 | $0 | $0 | |||
| FREDERICK LETOURNEAU | ||||||||
| ASSISTANT SECRETARY | 5.00 | 35.00 | Yes (X) | $0 | $385,261 | $23,923 | ||
| ATUL MAINI | ||||||||
| MD | 40.00 | $570,802 | $0 | $0 | Yes (X) | |||
| BALASUBRAMANIAN SIKAKUMAR | ||||||||
| MD | 40.00 | $519,287 | $0 | $0 | Yes (X) | |||
| THOMAS CERTO | ||||||||
| MD | 40.00 | $495,918 | $0 | $0 | Yes (X) | |||
| ANTHONY OLIVA | ||||||||
| MD | 40.00 | $360,164 | $0 | $0 | Yes (X) | |||
| JAMES TUCKER | ||||||||
| MD, BEGINNING 5/1/2014 | 40.00 | 40.00 | $257,852 | $145,099 | $8,797 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,373,622 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,780,213 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,119 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | HEALTHCARE INFORMATION TECHNOLOGY SOLUTI | $395,171 |
| VERSOGENICS (DBA COMFORCE) | |||||
| 3492 MOMENTUM DRIVE | CHICAGO | IL | 606895334 | HEALTHCARE BUSINESS SOLUTIONS | $219,862 |
| PROSPECT HILL RADIOLOGY | |||||
| 104 UNION AVENUE SUITE 905 | SYRACUSE | NY | 13203 | RADIOLOGY SERVICES | $154,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $29,706,959 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,706,959 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,706,959 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,628 | TotalRevenueColumnAmt |
| Exclusion | $2,628 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,568 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,915 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,653 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,653 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,653 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $923,254 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $923,254 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $923,254 | TotalRevenueColumnAmt |
| Exclusion | $923,254 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 999999 | $1,200,508 | $1,200,508 |
| INTERCOMPANY REIMBURSEMENTS | 999999 | $1,056,063 | $1,056,063 |
| EQUITY IN EARNINGS OF ST. JOSEPH' | 999999 | $837,172 | $837,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,093,743 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,730,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,800,702 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,653 | UnrelatedBusinessRevenueAmt |
| Exclusion | $925,882 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,599 | TotalAmt |
| Program Services | $169,599 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,308,834 | TotalAmt |
| Program Services | $26,308,834 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,149,635 | TotalAmt |
| Program Services | $4,149,635 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,386,215 | TotalAmt |
| Program Services | $1,386,215 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,293 | TotalAmt |
| Management And General | $124,293 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,174 | TotalAmt |
| Program Services | $83,174 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,744 | TotalAmt |
| Program Services | $49,744 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,963 | TotalAmt |
| Program Services | $52,963 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,734 | TotalAmt |
| Program Services | $364,734 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,046,122 | TotalAmt |
| Program Services | $3,046,122 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,847 | TotalAmt |
| Program Services | $41,847 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,902 | TotalAmt |
| Program Services | $848,902 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,163 | TotalAmt |
| Program Services | $520,163 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,227 | TotalAmt |
| Program Services | $1,081,227 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $2,939,551 | $2,939,551 |
| CONTRACTS AND AGREEMENT | $1,387,645 | $1,387,645 |
| COMMON AREA EXPENSE | $634,251 | $634,251 |
| MAINTENANCE & REPAIRS | $374,588 | $374,588 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,385,755 | TotalAmt |
| Program Services | $2,385,755 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,949,242 | TotalAmt |
| Program Services | $45,824,949 | ProgramServicesAmt |
| Management And General | $124,293 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,433,149 | BOYAmt |
| EOY | $1,164,949 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,887,893 | BOYAmt |
| EOY | $3,807,098 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,634 | BOYAmt |
| EOY | $617,073 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,381,789 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,564,588 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,438,194 | BOYAmt |
| EOY | $1,817,201 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,525,155 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,435,801 | BOYAmt |
| EOY | $26,361,134 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,000 | BOYAmt |
| EOY | $329,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,606,671 | BOYAmt |
| EOY | $36,622,010 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,090 | BOYAmt |
| EOY | $2,701,336 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,926,984 | BOYAmt |
| EOY | $23,711,819 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,794,945 | BOYAmt |
| EOY | $834,015 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,564,019 | BOYAmt |
| EOY | $27,247,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10 | BOYAmt |
| EOY | $10 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,042,642 | BOYAmt |
| EOY | $9,374,830 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,042,652 | BOYAmt |
| EOY | $9,374,840 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,606,671 | BOYAmt |
| EOY | $36,622,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,219,005 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $15,551,193 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S HOSPITAL HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532254 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,044 | DepreciationAmt |
| Book Value | $16,456 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,360,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,559,544 | DepreciationAmt |
| Book Value | $1,800,745 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,817,201 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN JV IMAGING | Desc |
| Book Value | $2,525,155 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,525,155 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO ST JOSEPH'S PROPERTIES | -$33,194 |
| DUE TO ST. JOSEPH'S IMAGING | -$299 |
| DUE TO ST. JOSEPH'S FOUNDATION | $224,208 |
| DEFERRED TAXES LIABILITY | $475,300 |
| DUE TO DR. CERTO | $84,000 |
| DUE TO DR. KUMAR | $84,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $834,015 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,743,820 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$85,332 | OtherRevenueAmt |
| Revenue Not Reported | -$85,332 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,829,152 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$98,915 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$98,915 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,730,237 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,962,825 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$85,332 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$85,332 | ExpensesNotReportedAmt |
| Expenses Subtotal | $46,048,157 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$98,915 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$98,915 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,949,242 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ST. JOSEPH'S MEDICAL P.C. IS A PROFESSIONAL SERVICE CORPORATION UNDER ARTICLE 15 OF THE BUSINESS CORPORATION LAW AND IS INTENDED TO OPERATE AT ALL TIMES IN COMPLIANCE WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3). DURING AUGUST 2014, THE COMPANY WAS GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FOR FEDERAL PURPOSES. FOR NEW YORK STATE, THE COMPANY IS TAXED ON INCOME GENERATED FROM PROFESSIONAL SERVICES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CREDIT CARD FEES -85,332. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -98,915. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CREDIT CARD FEES -85,332. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -98,915. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANDRA SULIK | ||||||||||||||
| PRESIDENT/ TREASURER | $0 | $302,765 | $0 | $43,646 | $0 | $16,907 | $0 | $9,533 | $0 | $0 | $0 | $372,851 | $0 | $0 |
| KATHRYN RUSCITTO | ||||||||||||||
| SECRETARY | $0 | $653,952 | $0 | $100,775 | $0 | $131,808 | $0 | $6,264 | $0 | $24,602 | $0 | $917,401 | $0 | $0 |
| DERRICK MURRY | ||||||||||||||
| CHIEF OPERATING OFFICER | $169,599 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $169,599 | $0 | $0 | $0 |
| FREDERICK LETOURNEAU | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $314,995 | $0 | $37,603 | $0 | $32,663 | $0 | $8,392 | $0 | $15,531 | $0 | $409,184 | $0 | $0 |
| ATUL MAINI | ||||||||||||||
| MD | $570,802 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $570,802 | $0 | $0 | $0 |
| BALASUBRAMANIAN SIKAKUMAR | ||||||||||||||
| MD | $519,287 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $519,287 | $0 | $0 | $0 |
| THOMAS CERTO | ||||||||||||||
| MD | $495,918 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $495,918 | $0 | $0 | $0 |
| ANTHONY OLIVA | ||||||||||||||
| MD | $360,164 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $360,164 | $0 | $0 | $0 |
| JAMES TUCKER | ||||||||||||||
| MD, BEGINNING 5/1/2014 | $257,852 | $145,099 | $0 | $0 | $0 | $0 | $8,441 | $0 | $233 | $123 | $266,526 | $145,222 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | AFTER-TAX 457(F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS KATHRYN RUSCITTO $130,805 FREDERICK LETOURNEAU $ 26,775 DR. SANDRA SULIK $ 14,217 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN SEPTEMBER 2014, THE MEDICAL PC MADE A STRATEGIC DECISION TO HIRE A BREAST SURGEON SPECIALIZING IN BREAST DISEASE AND TREATMENT TO FURTHER DEVELOP THEIR CURRENT BREAST CARE PROGRAM TO BETTER SERVE THESE PATIENTS. THE MISSION OF THE BREAST CARE PROGRAM IS TO PROVIDE AN ORGANIZED, COMPREHENSIVE, MULTIDISCIPLINARY TEAM APPROACH TO BREAST CARE TO IMPROVE CLINICAL AND PSYCHOLOGICAL OUTCOMES FOR ALL PATIENTS. THE PROGRAM INCLUDES A HIGHLY SKILLED TEAM OF PHYSICIANS LEAD BY DR. KORT AND NURSE NAVIGATORS TO GUIDE AND SUPPORT EACH PATIENT THROUGH THE TREATMENT AND SURVIVORSHIP PROCESS. THE MULTISPECIALTY ENSURES COORDINATION OF CARE BETWEEN SURGERY, RADIOLOGY, PATHOLOGY, MEDICAL AND RADIATION ONCOLOGY. |
| FORM 990, PART III, LINE 3 | IN PRIOR YEARS AND PRIOR TO MARCH OF 2014, THE MEDICAL PC HAD A GYN PRACTICE. THE PRACTICE WAS SET UP TO PROVIDE GYNECOLOGY SERVICES TO THE COMMUNITY. IN 2014, THE MEDICAL PC DETERMINED THAT THE DEMAND FOR THE SERVICES OF THE PROVIDERS IN THE PRACTICE WERE NOT ENOUGH TO SUPPORT THE COST OF THE PRACTICE. THE FOUR PROVIDERS EMPLOYED BY THE PRACTICE LEFT TO PURSUE WORK IN OTHER INDEPENDENT PRACTICES. |
| FORM 990, PART VI, SECTION A, LINE 1 | ST. JOSEPH'S MEDICAL, P.C. IS A NEW YORK STATE PROFESSIONAL SERVICES CORPORATION WHICH IS A TAX EXEMPT CAPTIVE P.C. THE SOLE SHAREHOLDER, SANDRA M. SULIK, M.D. IS THE VICE PRESIDENT FOR MEDICAL AFFAIRS OF ST. JOSEPH'S HOSPITAL HEALTH CENTER, A SECTION 501(C)(3), 431 BED ACUTE CARE HOSPITAL. PURSUANT TO ST. JOSEPH'S MEDICAL, P.C.'S BY-LAWS, THE BOARD OF TRUSTEES OF THE HOSPITAL IS REQUIRED TO APPOINT A PRIMARY CARE OVERSIGHT AND COMPENSATION ADVISORY COMMITTEE ("ADVISORY COMMITTEE") TO MAKE RECOMMENDATIONS TO THE CORPORATION'S BOARD OF DIRECTORS ON THE FOLLOWING ISSUES: (1) IMPLEMENTING AND EVALUATING COMPENSATION USING NATIONAL SURVEYS FOR ALL PHYSICIAN-EMPLOYEES; (2) IMPLEMENTING AND EVALUATING THE CORPORATION'S BUDGET; (3) PROVISION OF MANAGEMENT, ADMINISTRATIVE AND BILLING SERVICES; (4) ESTABLISHMENT OF ADDITIONAL PRACTICE LOCATIONS; (5) LEVEL AND QUALITY OF COMMUNITY SERVICES PROVIDED BY PHYSICIAN-EMPLOYEES; (6) DECISIONS INVOLVING COST EFFICIENT OPERATIONS; (7) LONG-RANGE PLANNING; AND (8) ACTIONS REQUIRED FOR THE CORPORATION TO OPERATE IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND TO OBTAIN AND MAINTAIN ITS TAX-EXEMPT STATUS PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3). THE CURRENT MEMBERS OF THE ADVISORY COMMITTEE OF ST. JOSEPH'S MEDICAL, P.C. ARE SISTER MARY OBRIST, OSF, JOHN MARSHALL, LOWELL SEIFTER, MEREDITH PRICE AND SANDRA SULIK, M.D., PRESIDENT. THE ADVISORY COMMITTEE MEMBERS WERE APPOINTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE PRESIDENT OF THE ORGANIZATION IS THE SOLE SHAREHOLDER AND DIRECTOR. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BY LAWS PROVIDE THAT DR. SULIK AS THE SOLE SHAREHOLDER HAS THE POWER TO APPOINT THE SOLE DIRECTOR OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE PC, ACCORDING TO ITS BYLAWS, HAS AN OVERSIGHT COMMITTEE THAT IS APPOINTED BY THE HOSPITAL'S BOARD OF TRUSTEES. THE MATTERS THAT THE COMMITTEE IS TO PROVIDE OVERSIGHT ON ARE SPECIFIED IN THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO ITS SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORMS ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FROM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S BY-LAWS ESTABLISHES A COMPENSATION ADVISORY COMMITTEE TO IMPLEMENT AND EVALUATE THE COMPENSATION. THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT THE EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE AND THAT ITS COMPENSATION AND BENEFITS ARE REASONABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ST. JOSEPH'S MEDICAL, P.C. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER 15,551,193. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 150532254 | TEACHING HOSPITAL | NY | 501 (C)(3) | 3 | ST JOSEPH'S HEALTH INC | 0 |
| ST JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 222149775 | FUNDRAISING FOR HOSPITAL | NY | 501 (C)(3) | 11A | ST JOSEPH'S HEALTH INC | 0 |
| ST JOSEPH'S HOSPITAL PROPERTIES | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 237219294 | PROPERTY MANAGEMENT COMPANY | NY | 501 (C)(3) | 11A | ST JOSEPH'S HEALTH INC | 0 |
| SJ MANAGEMENT COMPANY OF SYRACUSE INC | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 271763712 | SUPPORT ST. JOSEPH'S HOSPITAL HEALTH CENTER | NY | 501 (C)(3) | 11C | ST JOSEPH'S HOSPITAL HEALTH CENTER | 0 |
| ST JOSEPH'S PHYSICIAN HEALTH PC | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 161516863 | PHYSICIAN PROFESSIONAL SERVICES | NY | 501 (C)(3) | 11B | ST JOSEPH'S HOSPITAL HEALTH CENTER | 0 |
| ST JOSEPH COLLEGE OF NURSING AT SJHHC | ||||||||||
| 206 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 202497520 | NURSING EDUCATION | NY | 501 (C)(3) | 11A | ST JOSEPH'S HOSPITAL HEALTH CENTER | 0 |
| ST JOSEPH'S HEALTH INC | ||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 474754987 | PARENT COMPANY TO THE HOSPITAL, PROPERTIES AND FOUNDATION | NY | 501 (C)(3) | 11A | PARTNERS IN FRANCISCAN MINISTRIES INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FRANCISCAN ASSOCIATES INC | |||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 202991688 | HOLDING COMPANY | NY | ST JOSEPH'S HOSPITAL PROPERTIES | C | 0 |
| FRANCISCAN MANGEMENT SERVICES INC | |||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161351193 | MANAGEMENT SERVICES | NY | FRANCISCAN ASSOCIATES INC | C | 0 |
| FRANCISCAN HEALTH SUPPORT INC | |||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161236354 | DURABLE MEDICAL EQUIPMENT | NY | FRANCISCAN ASSOCIATES INC | C | 0 |
| HEALTH CARE MANAGEMENT ADMINISTRATORS INC | |||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161450960 | MANAGEMENT AND BILLING SERVICES | NY | FRANCISCAN ASSOCIATES INC | C | 0 |
| FHS SERVICES INC | |||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 272995699 | HEALTH SERVICE PROVIDER | NY | FRANCISCAN ASSOCIATES INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |