2024-05-14T16:32:12-07:00 2023-06-30 990 2022-07-01 223433831 DAMIAN FAMILY CARE CENTERS INC DAMI 7186571100 89-56 162ND STREET 3RD FLOOR JAMAICA NY 11432 Philip Gunraj Chief Financial Officer 7186571100 2024-05-14 Philip Gunraj 999009999 1 1 11 0 AAL2 2022 2023-04-26 12:10:37Z Peter Grisafi 89-56 162nd Street 3rd Floor Jamaica NY 11432 34931121 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. 9 9 205 0 0 0 4788227 5139815 17687822 18090155 0 266828 13755085 11434323 36231134 34931121 0 0 0 0 16305675 16632289 0 0 0 19820093 17930402 36125768 34562691 105366 368430 15700193 37435372 11755417 32912203 3944776 4523169 DAMIAN IS A SYSTEM OF 14 FEDERALLY QUALIFIED HEALTH CENTERS WITH A MISSION TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO MEDICALLY UNDERSERVED INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. OUR CORE SERVICES ARE DESIGNED TO IMPROVE THE HEALTH STATUS OF OUR PATIENTS, PROVIDE STAFF WHO ARE CULTURALLY SENSITIVE AND APPROPRIATELY CREDENTIALED TO DIAGNOSE AND TREAT OUR PATIENTS, PROVIDE CARE TO UNDERSERVED POPULATIONS, PROVIDE SAFE, QUALITY, PRIMARY AND SPECIALTY CARE SERVICES REGARDLESS OF ABILITY TO PAY. WE PRIDE OURSELVES ON OUR ABILITY TO REACH AND SERVE DIFFICULT TO SERVE POPULATIONS; APPROXIMATELY HALF OF OUR PATIENTS ARE EXPERIENCING HOMELESSNESS. 0 0 29176112 4975339 34931121 DAMIAN FAMILY CARE CENTERS, INC OPERATES 14 HEALTH CENTERS TO PROVIDE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES IN MANHATTAN, THE BRONX, KINGS, QUEENS, ULSTER, DUTCHESS AND SUFFOLK COUNTIES IN NEW YORK, THE CENTER SERVES APPROXIMATELY 10,913 PATIENTS. 0 0 0 N/A 0 0 0 N/A 0 0 0 29176112 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 1 205 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Philip Gunraj 7186571100 89-56 162ND STREET 3RD FLOOR JAMAICA NY 11432 PETER GRISAFI PRESIDENT AND CHIEF EXECUTIVE OFFICER 37.50 0 X 350000 0 14250 Sonia Lopez Director of Addiction Medicine 37.50 0 X 347084 0 12354 DANIEL ELLIOT KOBLENTZ MD PHYSICIAN 37.50 0 X 324782 0 14250 LINDA SMITH HARRIS MD PHYSICIAN 37.50 0 X 295252 0 14250 NAIRA AMBARIAN MD PHYSICIAN 37.50 0 X 265242 0 13262 GILBERT ROSS MD CHIEF MEDICAL OFFICER 37.50 0 X 249812 0 12491 Ghazanfar Abdullah Physician 37.50 0 X 244920 0 12246 James Paine COO 37.50 0 X X 243269 0 12163 Gordon Siess CFO 37.50 0 X X 121305 0 6065 MICHAEL DEGRAFFENREID SECRETARY 1 0 X 0 0 0 CYNTHIA CORTES BOARD MEMBER 1 0 X 0 0 0 JOHN TAVOLACCI BOARD MEMBERS 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 Rogelio Thomas MD Board Member 1 0 X 0 0 0 Junnie Campbell Board Chair 1 0 X 0 0 0 CHINYERE EZE NLIAM VICE CHAIR 1.00 0 X 0 0 0 ALAN WOGHIN CPA TREASURER 1 0 X 0 0 0 2441666 0 111331 42 1 1 0 Edward Fruitman mdpc 1451 Broadway Hewlett NY 11557 Medical Consultant 1388052 TemPositions Health Care Inc 622 Third Avenue 39th Floor New York NY 10017 Temp Staffing 468574 Consilium Staffing 6225 State Hwy 161 Suite 400 Irving TX 75038 Staffing Services 419901 ServiceMaster Commercial Cleaning by Henry 2291 Linden Blvd PO Box 110232 Cambria Hts NY 12801 Commercials Cleaning 262114 Hudson Headwaters PO Box 896 Glenns Falls NY 12801 340B 3rd Party Administrator 240247 11 0 0 0 0 5139815 0 164476 5139815 Medicaid 621990 8756769 8756769 0 0 Medicaid Managed Care WRAP 621990 5835873 5835873 0 0 NYS UNCOMPENSATED CARE 621990 2018949 2018949 0 0 OTHER THIRD PARTY PAYERS 621990 183143 183143 0 0 MEDICARE 621990 1295421 1295421 0 0 0 0 0 0 18090155 266828 266828 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340B PHARMACY PROGRAM 900099 8498586 8498586 0 0 NYRX 900099 752983 752983 0 0 MISC Revenue - Inclusive of Rent and ERC 900099 2182754 2182754 0 0 0 0 0 0 11434323 34931121 29791306 0 0 X 0 0 0 0 0 0 3999623 3453140 546483 0 0 0 0 0 8890881 6855278 2035603 0 644525 515421 129104 0 2142963 1681268 461695 0 954297 820695 133602 464029 464029 0 137635 0 137635 0 211110 0 211110 0 6639932 6349098 290834 0 27019 10437 16582 0 427728 22000 405728 0 348469 292439 56030 0 2269946 1909116 360830 0 167604 101451 66153 0 0 0 0 0 221817 105756 116061 0 0 0 0 0 368125 321910 46215 0 185995 0 185995 0 Consumable Suplies 6042911 5900506 142405 0 Repairs and Maintenance 199782 155268 44514 0 Other 218300 218300 0 0 34562691 29176112 5386579 0 764519 1892078 7477019 11543080 389750 397959 27568333 9078246 2093205 18490087 4854812 4979443 120888 132725 15700193 37435372 5707655 9748433 3392102 3858484 2655660 19305286 11755417 32912203 X 3944776 4523169 0 0 3944776 4523169 15700193 37435372 368430 0 0 0 209963 0 X 0 1 X 1 1 1 X 2307590 2687124 4746381 4788227 4975339 19504661 19185248 17424547 18721628 17687822 16071207 89090452 0 0 0 0 0 0 0 0 0 0 0 0 21492838 20111671 23468009 22476049 21046546 108595113 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108595113 2770 20 170 2960 0 0 0 0 2770 20 170 0 0 2960 0 0 0 0 0 0 0 0 21495608 20111691 23468179 22476049 21046546 108598073 0.99997 1 0.00003 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 2472242 1704342 767900 0 3185326 2608754 576572 0 3479433 3248294 231139 0 18431332 1516856 16914476 18490087 0 Leased Liability 19135997 Deferred Compensation 132723 Debt Issuance Costs 36566 19305286 34931121 0 0 0 0 0 34931121 0 0 0 34931121 34562691 0 0 0 0 0 34562691 0 0 0 34562691 X X X X 0 1 0 0 0 0 0 0 0 PETER GRISAFI PRESIDENT AND CHIEF EXECUTIVE OFFICER 350000 0 0 0 0 0 14250 0 31667 0 395917 0 0 0 DANIEL ELLIOT KOBLENTZ MD PHYSICIAN 324782 0 0 0 0 0 14250 0 32090 0 371122 0 0 0 LINDA SMITH HARRIS MD PHYSICIAN 295252 0 0 0 0 0 14250 0 14433 0 323935 0 0 0 NAIRA AMBARIAN MD PHYSICIAN 265242 0 0 0 0 0 13262 0 28498 0 307002 0 0 0 GILBERT ROSS MD CHIEF MEDICAL OFFICER 249812 0 0 0 0 0 12491 0 15964 0 278267 0 0 0 Schedule J, Part I, Line 4 THE PRESIDENT AND CEO, PETER GRISAFI, PARTICIPATES IN THE SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN. THE CENTER'S CONTRIBUTION TO THE NON-GOVERNMENTAL 457(b) DEFERRED COMEPENSATION PLAN FOR THE CALENDAR YEAR WAS $19,500. X 1180 164476 Federally Funded 0 0 0 Form 990, Part VI, Section B, Line 11b Process of the form 990 review. The form is prepared by Damian Family Care Centers, Inc. and reviewed by management. A copy of the form is provided to the board of directors for their review before it is filed. Form 990, Part VI, Section B, Line 12c - CONFLICT OF INTEREST POLICY COMPLIANCE. THE ORGANIZATION RECEIVES A LIST OF POTENTIAL CONFLICTS OF INTEREST FROM OFFICERS, DIRECTORS, AND REVIEWS THE LIST ANNUALLY TO ENSURE THATTHEY ARE IN COMPLIANCE WITH ITS 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 OFFICIALS' COMPENSATION IS DETERMINED BY THE PRESIDENT/CEO BASED ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, ECT. AVAILABLE TO THE PUBLIC. THE DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g FEES FOR SERVICE - OTHER CONSISTED OF $4,254,707, MEDICIAL CONSULTANTS, $1,712,790 340B DISPENSING FEES AND $672,435 OPERATIONAL SERVICES. The primary reason for the delay in submitting our Form 990 stems from a significant turnover in our fiscal staffing. Over the past fiscal year, our organization has experienced a series of unexpected departures and transitions within our financial department. These departures resulted in a temporary shortage of personnel with the necessary expertise to accurately compile and prepare the required financial documents, including the Form 990. Due to the sudden nature of these staffing changes, our organization faced challenges in maintaining continuity in our financial reporting processes. Despite our best efforts to swiftly address the situation and train new staff members, the transition period inevitably caused delays in several aspects of our financial operations, including the completion of Form 990. We sincerely apologize for any inconvenience caused by our late filing and assure you that we are taking proactive measures to prevent similar delays in the future. We have implemented additional training programs for our financial staff, enhanced our documentation processes, and established clearer communication channels to ensure better coordination within our organization. Enclosed with this letter, please find our completed Form 990 along with any additional documentation or explanations that may be required. We appreciate your understanding and cooperation in this matter.