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46341505 21136689 X false true X true false X 214743 233050 215275 179783 357654 1200505 524341891 602589875 690493539 712112498 744509510 3274047313 0 0 0 524556634 602822925 690708814 712292281 744867164 3275247818 0 0 0 3275247818 1229 781 12289 57181 171983 243463 0 1229 781 12289 57181 171983 243463 0 0 17586108 18031496 188668 925 35807197 524557863 620409814 708752599 712538130 745040072 3311298478 0.98911 0.98829 0.00007 0.00002 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15338 15338 false SCHEDULE C, part ii-b, line 1i: THE VENDOR ASSISTED PAGNY WITH: 1. GOVERNMENT AND COMMUNITY RELATIONS; 2. IDENTIFYING POTENTIAL SOURCES OF FUNDING; 3. OTHER TASKS RELATED TO PHILANTHROPIC FUNDING AS REQUESTED BY PAGNY; 4. REPRESENTATION BEFORE NYC COUNCIL MEMBERS. 745040072 745040072 745040072 723903383 723903383 723903383 true COMUNILIFE 462 7TH AVE 3RD FL NEW YORK NY 10018 133530299 501(c)(3) 10000 SEE PART IV Jacobi Medical Center AUXILIARY INC 1400 PELHAM PKWY S BLDG 4 BRONX NY 10461 131849594 501(c)(3) 10000 SEE PART IV PAGNY HEALTH AND RESEARCH FOUNDATION 55 W 125TH ST1001 NEW YORK NY 10027 811318522 501(c)(3) 425000 SEE PART IV 3 0 Part I, line 2: In fiscal year 2019, Physician Affiliate Group of New York, P.C. ("PAGNY")provided $425,000 in support to PAGNY Health and Research Foundation, Inc (the "foundation"). No further monitoring the gifted funds is required as PAGNY is the sole member of the foundation and there is no danger of those funds being misappropriated for a non-exempt use. In addition, for the grants to outside 501(c)(3) organizations, PAGNY maintains donor acknowledgements from each grant recipient to substantiate the amount of the grant and the tax-exempt status of the grant recipient under section 501(c)(3) of the Internal Revenue Code (i.e., a public charity). In order for a IRC 501(c)(3) organization to maintain its tax exemption it must be organized and operated exclusively for charitable purposes. Since PAGNY only gives grants to 501(c)(3) charitable organizations, no further monitoring is required. Part II, Column (h) purpose of grant or assistance COMUNILIFE: TO SUPPORT HEALTH AND WELLNESS ACTIVITIES Jacobi Medical Center AUXILIARY, INC: TO SUPPORT THE HUMANITARIAN WORK PAGNY HEALTH AND RESEARCH FOUNDATION: TO SUPPORT THE MISSION OF THE PAGNY HEALTH AND RESEARCH FOUNDATION X X X X false false false false false false false true false BIJAN SAFAI MD PRESIDENT 256910 0 53229 0 6203 0 25805 0 32498 0 374645 0 0 0 WILLIAM B CASPE MD VICE PRESIDENT 361130 0 7802 0 7862 0 28121 0 27035 0 431950 0 0 0 AKINOLA O FISHER MD TREASURER 303262 0 46318 0 2466 0 27456 0 33341 0 412843 0 0 0 RAJESH VERMA MD Former SECRETARY 167343 0 0 0 393 0 16662 0 0 0 184398 0 0 0 Lisa Ross MD SECRETARY 562058 0 41112 0 1290 0 29254 0 12436 0 646150 0 0 0 ASHOK KHANNA MD DIRECTOR, AS OF 1/1/19 319249 0 35100 0 3810 0 27646 0 25333 0 411138 0 0 0 CHINYERE ANYAOGU MD DIRECTOR 351664 0 8669 0 2096 0 27984 0 30853 0 421266 0 0 0 STEPHEN APFELROTH MD DIRECTOR 234666 0 8669 0 2640 0 23414 0 32336 0 301725 0 0 0 LEAQUE AHMED MD DIRECTOR 596531 0 433701 0 716 0 27441 0 32798 0 1091187 0 0 0 RIYAD BASIR MD DIRECTOR 465526 0 45940 0 3478 0 25946 0 32336 0 573226 0 0 0 STEPHEN BLUMBERG MD DIRECTOR 238541 0 28670 0 1717 0 23893 0 32336 0 325157 0 0 0 ROGER CHIRURGI MD DIRECTOR 344469 46400 2796 28031 0 421696 0 Daniel Contractor MD director, thru 5/20/19 468158 0 35100 0 3066 0 27795 0 12053 0 546172 0 0 0 GREGORY GIRSHIN MD DIRECTOR 468212 0 35100 0 1290 0 30918 0 33341 0 568861 0 0 0 JEREMY SPERLING MD DIRECTOR 466040 0 28670 0 450 0 30608 0 32518 0 558286 0 0 0 MICHAEL DEVITA MD DIRECTOR, THRU 11/12/18 315594 0 39232 0 1980 0 28664 0 0 0 385470 0 0 0 ROBERT FAILLACE MD FORMER DIRECTOR 541005 0 8669 0 5586 0 33038 0 27035 0 615333 0 0 0 JEFFREY GOLDBERG MD Former DIRECTOR 312527 0 35100 0 3756 0 27818 0 25803 0 405004 0 0 0 SARI KAMINSKY MD DIRECTOR 248964 0 54786 0 6086 0 25136 0 27035 0 362007 0 0 0 PETER KIM MD DIRECTOR 371828 0 8669 0 1902 0 27005 0 32336 0 441740 0 0 0 EDWARD CHEW MD DIRECTOR, AS OF 12/31/18 385674 0 39232 0 1987 0 32931 0 33341 0 493165 0 0 0 NEIL REZNICK MD DIRECTOR, 11/13/18-2/15/19 435199 0 36332 0 288 0 28002 0 11760 0 511581 0 0 0 NGOZI NWANKPA MD DIRECTOR, AS OF 4/22/19 245120 0 37332 0 1701 0 21691 0 32336 0 338180 0 0 0 PAUL MOH MD FORMER DIRECTOR 397528 0 45940 0 1980 0 27459 0 12436 0 485343 0 0 0 PARDHA VALLURU MD FORMER DIRECTOR 237477 0 35100 0 5189 0 23916 0 25802 0 327484 0 0 0 VIHREN DIMITROV DIRECTOR 323595 0 45940 0 2730 0 28865 0 27035 0 428165 0 0 0 LUIS R MARCOS MD CHIEF EXECUTIVE OFFICER 489875 0 0 0 6086 0 38637 0 20885 0 555483 0 0 0 MICHAEL CHAMBERS THRU 42919 CHIEF OPERTING OFFICER 267037 0 0 0 3810 0 27209 0 0 0 298056 0 0 0 ANTHONY MIRDITA CHIEF FINANCIAL OFFICER 318255 0 0 0 1290 0 28576 0 33341 0 381462 0 0 0 REGINALD D ODOM CHIEF HUMAN RESOURCES OFFICER 313162 0 0 0 690 0 29417 0 32036 0 375305 0 0 0 DIANA GOELL VOIGT GENERAL COUNSEL 296748 0 10000 0 2258 0 27959 0 32176 0 369141 0 0 0 MILAN SEN ATTENDING PHYSCIAN 899200 0 8669 0 450 0 42858 0 32336 0 983513 0 0 0 OLGA BAUMAN-FISHKIN MD attending physician 678936 0 45940 0 2466 0 28087 0 31493 0 786922 0 0 0 MARK HAHAM attending physician 683562 0 38332 0 270 0 28377 0 12254 0 762795 0 0 0 MARK KINDSCHUH ATTENDING PHYSCIAN 668026 0 35100 0 1290 0 28292 0 33341 0 766049 0 0 0 SHERRY MELTON ATTENDING PHYSCIAN 631756 0 45940 0 1290 0 29333 0 12321 0 720640 0 0 0 JOHN CLARK MD former director 336750 0 39232 0 5454 0 27321 0 12254 0 421011 0 0 0 Michelle Stern MD FORMER DIRECTOR 261163 0 8669 0 2200 0 26179 0 12053 0 310264 0 0 0 DOUGLAS SIMON MD former director 158994 0 4556 0 3227 0 12955 0 26564 0 206296 0 0 0 SCOTT ROGGE MD former director 191644 0 28669 0 7938 0 19315 0 26564 0 274130 0 0 0 PART I, LINE 7: INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) FOR CERTAIN INDIVIDUALS ARE AMOUNTS REPRESENTING A BONUS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S 2018 W-2 AND APPROVED BY THE BOARD. FORM 990, PART 1, LINE 7B AND PART V, LINE 3A: FORM 990-T WAS FILED EXCLUSIVELY TO OBTAIN A REFUND FOR TAXES PAID FOR THE FISCAL YEAR ENDED JUNE 30, 2019 RELATED TO QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 12 (A)(7) WHICH WAS REPEALED IN DECEMBER 2019 RETROACTIVELY TO JANUARY 1, 2018. FORM 990, PART VI, SECTION A, LINE 6: THE ORGANIZATION HAS SHAREHOLDERS, WHO MUST MEET THE FOLLOWING QUALIFICATIONS TO BE A SHAREHOLDER, INDIVIDUALLY DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF NEW YORK, BE A FULL TIME MEMBER OF A MEDICAL STAFF. FORM 990, PART VI, SECTION A, LINE 7A: Shareholders ARE GIVEN ONE VOTE AT THE ANNUAL MEETING TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11: 990 review process FORM 990 IS PREPARED BY A CPA FIRM FROM FINANCIAL STATEMENTS AS WELL AS INFORMATION FroM THE ORGANIZATION. THE CPA FIRM FURNISHES A DRAFT FORM 990 WHICH IS REVIEWED BY MANAGEMENT. AFTER APPROVAL, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW AND COORDINATE ANY APPROPRIATE CHANGES TO FORM 990 BEFORE IT IS FINALIZED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: PAGNY has a Conflict of Interest Policy which requires all Employees to disclosure actual or potential conflicts of interest. The policy is available to all employees in the employee handbook and affirmatively provided annually to employees. In addition, key persons in the organization are required to submit an annual disclosure statements which are reviewed to determine any conflicts of interest. Form 990, Part VI, Section B, line 15: The Board of Directors of PAGNY do not receive compensation as Officers of the organization; they receive compensation as employees pursuant to an affiliation agreement between PAGNY and NYC Health + Hospitals, which is a public benefit corporation. The organization conducts surveys of executive compensation to compare market data of similar organizations to recommend salaries for the CEO and other top management officials. The CEO's salary is determined by the PAGNY Board of Directors. FORM 990, PART VI, SECTION C, LINE 19: The organization will make available only those documents required to be disclosed under the public inspection laws. 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