2025-11-17T18:31:53-06:00 2024-12-31 873707167 CBIZ ADVISORS LLC 685 THIRD AVENUE NEW YORK NY 10017 990 2024-01-01 863204171 SAMARITAN DAYTOP HEALTH INC SAMA 2122225285 362 EAST 148TH STREET BRONX NY 10455 JOHN IAMMATTEO CONTRACTED CFO 7182062000 2025-11-17 1 1 MAGDALENA CZERNIAWSKI P00535099 2125038800 2025-11-17 2024 2025-03-06 01:10:19Z JOHN IAMMATTEO 362 EAST 148TH STREET BRONX NY 10455 755252 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. 9 7 0 4 0 0 500000 750000 5271 5252 0 0 0 0 505271 755252 0 0 0 0 102327 647625 0 0 0 811362 1373610 913689 2021235 -408418 -1265983 1807085 115901 3000248 2531692 -1193163 -2415791 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 1869392 5252 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. 1869392 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 NY X JOHN IAMMATTEO CONTRACTED CFO 7182062000 138-02 QUEENS BOULEVARD BRIARWOOD NY 11435 ALICIA MCFARLANE DIRECTOR 1.00 1.00 X 0 0 0 ANGELA KEDZIOR CHAIR 1.00 0.00 X X 0 0 0 ANNA FLATTAU SECRETARY 1.00 0.00 X X 0 0 0 CAROL MURPHY TREASURER 1.00 0.00 X X 0 0 0 CHARLES MADRAY DIRECTOR 1.00 0.00 X 0 0 0 JODY SILVA FALK DIRECTOR 1.00 0.00 X 0 0 0 NIKKI AFFUL CEO 40.00 X X 50540 0 0 SCOTT AUWARTER DIRECTOR 1.00 0.00 X 0 0 0 THEODORE HERNITCHE DIRECTOR 1.00 0.00 X 0 0 0 THOMAS LABARCA VICE-CHAIR 1.00 0.00 X X 0 0 0 JOHN IAMMATTEO CONTRACTED CFO 1.00 34.00 X 0 102212 44466 50540 102212 44466 0 0 0 0 0 750000 750000 MANAGED CARE 900099 3847 3847 MEDICAID 900099 1405 1405 5252 755252 5252 0 0 50540 50540 530585 493320 37265 18027 10702 7325 48473 45749 2724 215881 215881 71036 71036 86074 66400 19674 12672 12672 6350 6350 113926 113926 331546 331546 2660 2660 2833 2833 20900 14993 5907 123187 123187 SECURITY 264335 264335 REPAIRS & MAINTENANCE 34084 34084 EQUIPMENT 33590 6164 27426 SUPPLIES & MATERIALS 22749 21767 982 31787 31787 2021235 1869392 151843 0 260526 93771 5271 624 153 81986 61224 41662 20762 1499626 591 1807085 115901 16906 35043 1250000 1250000 1733342 1246649 3000248 2531692 X -1193163 -2415791 -1193163 -2415791 1807085 115901 -1265983 43355 0 X 0 0 0 X 500000 750000 1250000 5271 5252 10523 505271 755252 1260523 500000 750000 1250000 0 500000 750000 1250000 10523 505271 755252 1260523 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11378 9610 1768 70608 51614 18994 20762 DUE TO SDFI 8176 DUE TO SDVI 1238473 1246649 0 0 0 0 0 0 0 0 0 PART I, LINE 3 THE COMPENSATION IS ESTABLISHED BY THE RELATED ENTITY SAMARITAN DAYTOP FOUNDATION INC. 990, PART IV, LINE 12A THIS RETURN IS PREPARED BASED ON AVAILABLE INFORMATION AT THE TIME OF FILING. ONCE BETTER INFORMATION IS AVAILABLE, IT WILL BE AMENDED. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO SAMARITAN DAYTOP VILLAGE AND COMPENSATED $215,881 DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURN IS NOT BEING PROVIDED TO THE BOARD PRIOR TO FILING. 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. 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 SDF HB PSH HOUSING DEVELOPMENT FUND 138-02 QUEENS BOULEVARD NEW YORK NY 10018 992157663 RENTAL NY 501(C)(4) N/A 0 SDF HB TRANSITIONAL HOUSING DEVELOPMENT FUND CORPORATION 138-02 QUEENS BOULEVARD NEW YORK NY 10018 992179475 RENTAL NY 501(C)(3) LINE 10 N/A 0 SDF EAST 243RD STREET HOUSING DEVELOPMENT FUND CORPORATION 138-02 QUEENS BOULEVARD NEW YORK NY 10018 881291629 RENTAL NY 501(C)(4) N/A 0 SAMARITAN HIGHBRIDGE II LP 138-02 QUEENS BOULEVARD BRIARWOOD NY 11435 992225022 RENTAL NY N/A 0 0 SAMARITAN HIGHBRIDGE II GP INC 138-02 QUEENS BOULEVARD BRIARWOOD NY 11435 992204650 RENTAL NY N/A C 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1