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← SAINT PETERS HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES

Form 990 for tax year 2022

Filed by SAINT PETERS HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES.

Totals

Total revenue
$9,840,206
Total expenses
$16,827,472
Contributions and grants received
$20,458
Grants paid
$0
Program service revenue
$9,830,393
Investment income
$340
Other revenue
-$10,985
Total assets, end of year
$7,101,460
Total liabilities, end of year
$95,499,865
Net assets or fund balances, end of year
-$88,398,405
Program services expenses (Part IX)
$13,564,990
Management and general expenses
$3,262,482
Fundraising expenses
$0
Program service expenses (Part III)
$13,564,990

Program services were 80.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $20,458

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $8,628,630 · related or exempt $8,628,630

  • 2b · Program service revenue: OTHER HEALTHCARE RELATED REVENUE

    total $1,201,763 · related or exempt $1,201,763

  • 3 · Investment income

    total $340 · excluded $340

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $34,014

  • 6b · Less rental expenses

    real property $44,999

  • 6c · Rental income or loss

    real property -$10,985 · personal property $0

  • 6d · Net rental income or loss

    total -$10,985 · excluded -$10,985

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $8,498,409 · program services $6,850,751 · management and general $1,647,658

  • 8 · Pension plan contributions

    total $315,546 · program services $254,368 · management and general $61,178

  • 9 · Other employee benefits

    total $856,408 · program services $690,369 · management and general $166,039

  • 10 · Payroll taxes

    total $480,494 · program services $387,337 · management and general $93,157

  • 11a · Fees: management

    total $425,451 · program services $342,965 · management and general $82,486

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $148,557 · program services $119,755 · management and general $28,802

  • 12 · Advertising and promotion

    total $180 · program services $145 · management and general $35

  • 13 · Office expenses

    total $199,832 · program services $161,089 · management and general $38,743

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $1,927,808 · program services $1,554,048 · management and general $373,760

  • 17 · Travel

    total $14,953 · program services $12,054 · management and general $2,899

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $287,313 · program services $231,609 · management and general $55,704

  • 23 · Insurance

    total $135,154 · program services $108,951 · management and general $26,203

  • 24a · Other expenses: ALLOCATION OF PERSONNEL

    total $2,630,825 · program services $2,120,765 · management and general $510,060 · fundraising $0

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $125,702 · program services $101,331 · management and general $24,371 · fundraising $0

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $43,203 · program services $34,827 · management and general $8,376 · fundraising $0

  • 24d · Other expenses: EDUCATION & TRAINING

    total $20,458 · program services $16,492 · management and general $3,966 · fundraising $0

  • 24e · All other expenses

    total $717,179 · program services $578,134 · management and general $139,045

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $308,570 · end of year $136,150

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $194,336 · end of year $149,059

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $108,009 · end of year $93,969

  • 10a · Land, buildings and equipment: cost or other basis

    $3,442,446

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,430,974

  • 10c · Land, buildings and equipment, net

    beginning of year $1,230,822 · end of year $1,011,472

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $6,595,222 · end of year $5,710,810

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,367,352 · end of year $1,675,192

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $88,486,166 · end of year $93,824,673

  • 27 · Net assets without donor restrictions

    beginning of year -$81,416,559 · end of year -$88,398,405

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL ("THE HOSPITAL"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR ANY CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS (HEREINAFTER REFERRED TO AS THE ("CODE"), INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE PURPOSES OF THE CORPORATION ARE: (A) TO SERVE AS A PHYSICIAN SERVICES COMPONENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, AND TO THEREBY PROMOTE, S

Activities or mission (Part I)

THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORG.

  • EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT PETER'S UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.

    Expenses $13,564,990 · Revenue $9,830,393

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ALMA S RATCLIFFE MD

    TRUSTEE

    Total calculated
    $748,068
    From this org
    $0
    From related orgs
    $660,521
    Other
    $87,547
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $493,502 related
    Bonus
    $0 + $128,414 related
    Other
    $0 + $38,605 related
    Deferred
    $0 + $67,229 related
    Nontaxable benefits
    $0 + $20,318 related
    Filer's total
    $0 + $748,068 related

  • AMAR BUKHARI MD

    PRESIDENT-TRUSTEE (EFF 08/22)

    Total calculated
    $573,091
    From this org
    $0
    From related orgs
    $520,560
    Other
    $52,531
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $424,589 related
    Bonus
    $0 + $92,299 related
    Other
    $0 + $3,672 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $37,281 related
    Filer's total
    $0 + $573,091 related

  • CHARLES D FRANCO MD

    PHYSICIAN

    Total calculated
    $435,363
    From this org
    $383,527
    From related orgs
    $0
    Other
    $51,836
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $302,725
    Bonus
    $72,633
    Other
    $8,169
    Deferred
    $15,250
    Nontaxable benefits
    $36,586
    Filer's total
    $435,363

  • MICHAEL L CARLUCCI MD

    PHYSICIAN

    Total calculated
    $426,516
    From this org
    $403,571
    From related orgs
    $0
    Other
    $22,945
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $328,145
    Bonus
    $73,740
    Other
    $1,686
    Deferred
    $15,250
    Nontaxable benefits
    $7,695
    Filer's total
    $426,516

  • ANDREW CAMEROTA MD

    PHYSICIAN

    Total calculated
    $416,887
    From this org
    $385,281
    From related orgs
    $0
    Other
    $31,606
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $289,984
    Bonus
    $91,012
    Other
    $4,285
    Deferred
    $13,544
    Nontaxable benefits
    $18,062
    Filer's total
    $416,887

  • MAHMOUD EL-BANNA MD

    PHYSICIAN

    Total calculated
    $408,922
    From this org
    $394,818
    From related orgs
    $0
    Other
    $14,104
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $196,529
    Bonus
    $173,912
    Other
    $24,377
    Deferred
    $13,132
    Nontaxable benefits
    $972
    Filer's total
    $408,922

  • AIJAZ HUSSAIN MD

    PHYSICIAN

    Total calculated
    $387,622
    From this org
    $338,680
    From related orgs
    $0
    Other
    $48,942
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $229,929
    Bonus
    $82,704
    Other
    $26,047
    Deferred
    $14,526
    Nontaxable benefits
    $34,416
    Filer's total
    $387,622

  • DAVID A LASKOW MD

    PRESIDENT-TRUSTEE (TERM 07/22)

    Total calculated
    $353,930
    From this org
    $0
    From related orgs
    $325,568
    Other
    $28,362
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $264,468 related
    Bonus
    $0
    Other
    $0 + $61,100 related
    Deferred
    $0 + $12,628 related
    Nontaxable benefits
    $0 + $15,734 related
    Filer's total
    $0 + $353,930 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4B
THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THIS INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2022 FORM W-2, AS TAXABLE MEDICARE WAGES: ALMA S. RATCLIFFE, M.D., $51,979.
SCHEDULE J, PART I; QUESTION 7
THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN COLUMN (II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202343179349303809

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