2020-05-05T10:47:46-07:00 2019-06-30 990 2018-07-01 223433831 DAMIAN FAMILY CARE CENTERS INC DAMI 7186571100 89-56 162ND STREET 3RD FLOOR JAMAICA NY 11432 Peter Grisafi President and CEO 7186971100 2020-05-05 216.194.17.8 2018 2020-09-23 17:36:50Z X Peter Grisafi 89-56 162nd Street 3rd Floor Jamaica NY 11432 32237737 0 X www.damian.org X 1996 NY IMPROVE THE HEALTH STATUS OF OUR PATIENTS, PROVIDE STAFF WHO ARE CULTURALLY SENSITIVE AND APPROPRIATELY CREDENTIALLED TO DIAGNOSE AND TREAT OUR PATIENTS, PROVIDE CARE TO UNDERSERVED POPULATIONS, PROVIDE SAFE QUALITY, PRIMARY AND SPECIALTY CARE SERVICES REGARDLESS OF ABILITY TO PAY. THE CENTER SERVES APPROXIMATELY 12,248 PATIENTS WITH 108,164 VISITS. 11 11 238 0 0 0 2846627 2513390 19341144 19185248 132 2770 12364575 10536329 34552478 32237737 0 0 0 0 18246177 16884409 0 0 0 16164496 15332641 34410673 32217050 141805 20687 14363738 14806433 9373842 9795850 4989896 5010583 IMPROVE THE HEALTH STATUS OF OUR PATIENTS, PROVIDE STAFF WHO ARE CULTURALLY SENSITIVE AND APPROPRIATELY CREDENTIALLED TO DIAGNOSE AND TREAT OUR PATIENTS, PROVIDE CARE TO UNDERSERVED POPULATIONS, PROVIDE SAFE QUALITY, PRIMARY AND SPECIALTY CARE SERVICES REGARDLESS OF ABILITY TO PAY. 0 0 27662061 0 29930147 DAMIAN FAMILY CARE CENTERS, INC OPERATES 15 HEALTH CENTERS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH SERVICES IN MANHATTAN, THE BRONX, QUEENS,ULSTER COUNTY, DUTCHESS COUNTY AND RHINEBECK COUNTY IN UPSTATE NEW YORK, THE CENTER SERVES APPROXIMATELY 12,248 PATIENTS. 0 0 0 27662061 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 238 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Michael Brandsdorfer CFO 7186571100 86-59 162nd Street 3rd Floor Jamiaca NY 11432 JUNNIE CAMPBELL CHAIR PERSON 1 0 X X 0 0 0 JANE VELEZ VICE CHAIR 1 0 X X 0 0 0 EVA PITTAS TREASURER 1 0 X X 0 0 0 CHINYERE EZE-NLIAM SECRETARY 1 0 X X 0 0 0 MARSHALL GOLDBERG BOARD MEMBER 1 0 X 0 0 0 MICHAEL DEGRAFFENREID BOARD MEMBER 1 0 X 0 0 0 BRENDA JENNINGS BOARD MEMBER 1 0 X 0 0 0 CYNTHIA CORTES BOARD MEMBER 1 0 X 0 0 0 JOHN TAVOLACCI BOARD MEMBER 1 0 X 0 0 0 IDANIA LOPEZ MERCADO BOARD MEMBER 1 0 X 0 0 0 ARISMENDI JIMENEZ MD BOARD MEMBER 1 0 X 0 0 0 PETER GRISAFI PRESIDENT AND CHIEF EXECUTIVE OFFICER 38 0 X 283250 0 42460 NEKEISHA AFFUL CHIEF OPERATING OFFICER AND SENIOR VICE PRESIDENT 38 0 X 196154 0 26263 SONIA LOPEZ MD CHIEF MEDICAL OFFICER THROUGH 03032019 38 0 X 231750 0 22361 GILBERT ROSS MD CHIEF MEDICAL OFFICER EFFECTIVE 03042019 38.00 0 X 160600 0 0 DANIEL ELLIOT KOBLENTZ PHYSICIAN 38 0 X 304857 0 23377 NAIRA AMBARIAN PHYSICIAN 38 0 X 287056 0 43363 LYNDA SMITH-HARRIS PHYSICIAN 38 0 X 271148 0 30933 GHAZANFAR ABDULLAH PHYSICIAN 38 0 X 268491 0 35812 STEPHANIE POWERS PHYSICIAN 38 0 X 200000 0 16113 IRENE MARIANOS CHIEF FINANCIAL OFFICER 38 0 X 96250 0 11879 2299556 0 252561 51 1 1 0 EDWARD FRUITMAN MDPC 1451 BROADWAY HEWLETT NY 11557 MEDICAL CONSULTANT 1364650 ECLINICAL WORKS PO BOX847950 BOSTON MA 02284 BILLING CONSULTANT 276943 PHYCARE HOLDINGS GROUP INC 45 RESEARCH WAY EAST SETAUKET NY 11733 BILLING CONSULTANT 192496 JAN-PRO OF GREATER NEW YORK 51 CHARLES STREET SUITE 201 MINEOLA NY 11501 CLEANING SERVICES 182406 CLASS ONE CONSTRUCTION LTD 102-19 ROOSEVELT 2ND FLOOR CORONA NY 11368 CONSTRUCTION SERVICES 129669 3 0 0 0 0 2513390 0 0 2513390 MEDICAID 621990 10974087 10974087 0 0 NY STATE UNCOMPENSATED 621990 1247775 1247775 0 0 MEDICAID MANAGED CARE WRAPAROUND 621990 3529425 3529425 0 0 MEDICAID MANAGED CARE 621990 2501345 2501345 0 0 SELF PAY 621990 21565 21565 0 0 911051 911051 0 0 19185248 2770 2770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MANAGEMENT CONTRACTS 900099 1801401 1801401 0 0 340B PHARMACY 900099 8570495 8570495 0 0 OTHER 900099 164433 164433 0 0 0 0 0 0 10536329 32237737 29724347 0 0 X 0 0 0 0 0 0 0 0 787464 670124 117340 0 0 0 0 0 12754551 10853990 1900561 0 485720 413343 72377 0 1910050 1625431 284619 0 946624 805567 141057 0 66596 0 66596 0 35328 0 35328 0 70000 0 70000 0 0 0 0 0 0 0 0 0 0 0 4535182 3761469 773713 0 0 0 0 0 504340 366896 137444 0 239908 239908 0 0 0 0 0 0 2184518 1816153 368365 0 78811 17522 61289 0 0 0 0 0 74728 0 74728 0 329374 238119 91255 0 0 0 0 0 526473 485061 41412 0 139944 56602 83342 0 CONSUMABLE SUPPLIES 5935815 5801823 133992 0 PERSONNEL RECRUITMENT 21212 21212 0 0 LABORATORY 172031 172031 0 0 ALL OTHER EXPENSES 418381 316810 101571 0 32217050 27662061 4554989 0 314812 283334 659490 4225 0 0 4673641 5797876 0 0 0 0 0 0 0 0 290201 525760 8936991 5851249 3151774 3085742 0 0 0 0 0 0 4854812 4854812 419008 254684 14363738 14806433 3403367 4103379 0 0 0 0 0 0 0 0 0 0 4264779 3391872 0 0 1705696 2300599 9373842 9795850 X 4989896 5010583 0 0 0 0 4989896 5010583 14363738 14806433 20687 0 0 0 0 0 X 0 1 X 1 1 1 X 1251300 1726030 1808423 2646626 2307590 9739969 0 0 0 0 0 0 0 0 0 0 0 0 1251300 1726030 1808423 2646626 2307590 9739969 9739969 249 97 151 132 2770 3399 0 0 0 0 0 0 0 0 0 0 0 0 9743368 74898182 0.99965 0.9999 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 2552758 0 1512704 1040054 2994303 0 1927438 1066865 3010698 0 2411107 599591 379232 0 0 379232 3085742 0 DUE TO MEDICAID 413035 LINE OF CREDIT 1644954 DEFERRED RENT 242610 2300599 X 32237737 0 0 0 0 0 32237737 0 0 0 32237737 32217050 0 0 0 0 0 32217050 0 0 0 32217050 Schedule D, Part X, Line 2 THE CENTER WAS INCORPORATED AS A NON-FOR PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(c) (3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION OF INCOME TAXES. THE CENTER HAS EVALUATED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITION AS REQUIRED BY THE ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, WITH NO CUMULATIVE ADJUSTMENTS REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. ACCORDINGLY, THE CENTER HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2019. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. X X X X 0 1 0 0 0 0 0 0 0 PETER GRISAFI PRESIDENT AND CHIEF EXECUTIVE OFFICER 283250 0 0 0 0 0 13750 0 28710 0 325710 0 0 NEKEISHA AFFUL CHIEF OPERATING OFFICER AND SENIOR VICE PRESIDENT 196154 0 0 0 0 0 0 0 26263 0 222417 0 IRENE MARIANOS CHIEF FINANCIAL OFFICER 96250 0 0 0 0 0 0 0 11879 0 108129 0 0 SONIA LOPEZ MD CHIEF MEDICAL OFFICER THROUGH 03032019 231750 0 0 0 0 0 11588 0 10774 0 254112 0 0 0 DANIEL ELLIOT KOBLENTZ PHYSICIAN 304857 0 0 0 0 0 9167 0 14211 0 328235 0 NAIRA AMBARIAN PHYSICIAN 287056 0 0 0 0 0 13750 0 29613 0 330419 0 0 LYNDA SMITH-HARRIS PHYSICIAN 271148 0 0 0 0 0 13557 0 17436 0 302141 0 0 GHAZANFAR ABDULLAH PHYSICIAN 268491 0 0 0 0 0 13425 0 22387 0 304303 0 0 STEPHANIE POWERS PHYSICIAN 200000 0 0 0 0 0 5000 0 11113 0 216113 0 0 GILBERT ROSS MD CHIEF MEDICAL OFFICER EFFECTIVE 03042019 160600 0 0 0 0 0 0 0 788 0 161388 0 0 0 Schedule J, Part I, Line 4 THE PRESIDENT AND CEO PETER GRISAFI PARTICIPATES IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, THE CENTER'S CONTRIBUTION TO THE NON-GOVERNMENTAL 457(b) DEFERRED COMPENSATION PLAN FOR THE CALENDAR YEAR WAS $0. Schedule J, Part II SONIA LOPEZ MD WAS CHIEF MEDICAL OFFICER THROUGH MARCH 03, 2019 AND GILBERT ROSS MD WAS CHIEF MEDICAL OFFICER EFFECTIVE MARCH 04, 2019. Form 990, Part VI, Section B, Line 11b PROCESS OF FORM 990 REVIEW. FORM 990 IS PREPARED BY DAMIAN FAMILY CARE CENTERS, INC. AND REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 12c CONFLICT OF INTEREST POLICY COMPLIANCE. THE ORGANIZATION RECEIVES A LIST OF POTENTIAL CONFLICT OF INTEREST FROM OFFICERS, DIRECTORS, AND REVIEWS THE LIST ANNUALLY TO ENSURE THAT THEY ARE IN COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY. Form 990, Part VI, Section B, Line 15 CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT COMPENSATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND EVALUATES THE CEO AND DECIDES ON COMPENSATION FROM OUTSIDE CONSULTANTS AND COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS. THE COMMITTEE ALSO USES FORM 990 OF OTHER ORGANIZATIONS IN THE PROCESS. THE AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS FOR THE ORGANIZATIONS TOP MANAGEMENT OFFICIAL'S COMPENSATION IS DETERMINED BY THE PRESIDENT/CEO BASED ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, ETS. AVAILABLE TO THE PUBLIC. THE DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g CONTRACTED SERVICES IS $4,570,163; REPAIRS, MAINTENANCE AND EQUIPMENT RENTAL IS $204,927