[8] Regarding the need for a replacement for the century-old hospital[6] The New York Times wrote in 1976 that a clash between "officials said they could not continue to operate in the old structure" and voters who "feared a new hospital would bring too many people and cars into their community" resulted in a takeover by another group.

[2][6] A proposed closing was avoided via a takeover by a related hospital group.

[9] In 1987 the 300-bed hospital installed a dairy kosher kitchen.

[10] Peninsula Hospital, which in 2006 a state agency wanted St. Johns to absorb,[11] closed in 2012.

This closing left St. John's, whose emergency room "was last renovated in the 1960s"[12] as the only hospital in Far Rockaway.