2024-11-15T18:40:07-06:00 2023-12-31 873707167 CBIZ MARKS PANETH LLC 685 THIRD AVENUE NEW YORK NY 10017 990 2023-01-01 863204171 SAMARITAN DAYTOP HEALTH INC SAMA 2122225285 362 EAST 148TH STREET BRONX NY 10455 JOHN IAMMATTEO PRESIDENT/CEO 7182062000 2024-11-15 1 1 MAGDALENA CZERNIAWSKI P00535099 2125038800 2024-11-15 2023 2024-10-15 13:58:12Z JOHN IAMMATTEO 362 EAST 148TH STREET BRONX NY 10455 505270 0 X WWW.SAMARITANVILLAGE.ORG X 2021 NY SAMARITAN VILLAGE PROVIDES COMPREHENSIVE HEALTH AND HUMAN SERVICES TO MORE THAN 33,000 PEOPLE LOCATED THROUGHOUT NEW YORK CITY AND IN UPSTATE NEW YORK. 5 4 0 4 0 0 0 500000 0 5270 0 0 0 0 0 505270 0 0 0 0 0 102327 0 0 0 0 815469 0 917796 0 -412526 85447 267373 776901 1458843 -691454 -1191470 X SAMARITAN DAYTOP HEALTH, INC. (APPLICANT) IS A NEW YORK NOT-FOR-PROFIT CORPORATION FORMED WITH THE PURPOSE OF BECOMING A DIAGNOSTIC AND TREATMENT CENTER (D&TC) UNDER NEW YORK STATE PUBLIC HEALTH LAW ARTICLE 28 AND APPLYING FOR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATION. FQHCS SERVE MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND PROVIDE PRIMARY CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY OR HEALTH INSURANCE STATUS. 0 0 917796 5270 SAMARITAN DAYTOP HEALTH, INC. (APPLICANT) IS A NEW YORK NOT-FOR-PROFIT CORPORATION FORMED WITH THE PURPOSE OF BECOMING A DIAGNOSTIC AND TREATMENT CENTER (D&TC) UNDER NEW YORK STATE PUBLIC HEALTH LAW ARTICLE 28 AND APPLYING FOR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DESIGNATION. FQHCS SERVE MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND PROVIDE PRIMARY CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY OR HEALTH INSURANCE STATUS. 917796 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X JOHN IAMMATTEO CHIEF OPAND FIN 7182062000 138-02 QUEENS BOULEVARD BRIARWOOD NY 11435 ANNA FLATTAU SECRETARY 1.00 X X 0 0 0 CAROL MURPHY TREASURER 1.00 X X 0 0 0 ANGELA KEDZIOR CHAIR 1.00 X X 0 0 0 CHARLES MADRAY DIRECTOR 1.00 X 0 0 0 MITCHELL NETBURN PRESIDENT/CEO 1.00 34.00 X X 0 124000 0 ALICIA MCFARLANE CHIEF PROGRAM & LEGAL OFFICER 1.00 34.00 X 0 281476 37141 JOHN IAMMATTEO CHIEF OP. & FIN. 1.00 34.00 X 0 81750 41083 0 487226 78224 0 0 1 0 0 500000 500000 MEDICAID 900099 2730 2730 MANAGED CARE 900099 1305 1305 PRIVATE INSURANCE/MEDI 900099 1235 1235 5270 505270 5270 0 0 88002 88002 5343 5343 8982 8982 82053 82053 6383 6383 479525 479525 95445 95445 SUPPLIES 118293 118293 MISCELLANEOUS 11986 11986 SECURITY 11766 11766 RENTAL EQUIPMENT 5201 5201 4817 4817 917796 917796 0 0 0 260526 0 5977 85447 870 85447 267373 776901 1458843 776901 1458843 X -691454 -1191470 -691454 -1191470 85447 267373 -412526 -87490 0 X 0 0 0 X 500000 500000 5270 5270 505270 505270 0 0 0 505270 505270 505270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE FROM SDVI 190982 DUE FROM SDFI 249 ACCRUED EXPENSE 17612 LOAN PAYABLE 1250000 1458843 0 0 0 0 0 0 0 0 0 ALICIA MCFARLANE CHIEF PROGRAM & LEGAL OFFICER 0 281220 0 0 0 256 0 36590 0 551 0 318617 0 0 PART I, LINE 3 THE COMPENSATION IS ESTABLISHED BY THE RELATED ENTITY SAMARITAN DAYTOP FOUNDATION INC FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT, AND REVIEWED BY THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE STATEMENTS OF ANY CONFLICT OF INTEREST ARE REQUIRED AND SIGNED FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IV, LINE 12: THE 990 IS PREPARED WITH THE INFORMATION AVAILABLE AT THE TIME. IT WILL BE AMENDED IF MORE INFORMATION COMES AVAILABLE. SAMARITAN DAYTOP VILLAGE INC 138-02 QUEENS BOULEVARD BRIARWOOD NY 11435 112635374 RENTAL NY 501(C)(3) LINE 7 N/A 0 SAMARITAN VILLAGE INTERNATIONAL INC 104 WEST 40TH STREET NEW YORK NY 10018 521445470 RENTAL DE 501(C)(3) LINE 7 N/A 0 SAMARIAN DAYTOP VILLAGE FOUNDATION 138-02 QUEENS BOULEVARD NEW YORK NY 10018 112490500 RENTAL NY 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0