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Damien Lamendola

Damien Lamendola

Chief Executive Officer at Marpai
CEO
Executive
Board

About Damien Lamendola

Damien Lamendola (age 69) is Chief Executive Officer (since Nov 2023) and a director of Marpai, Inc. (joined the Board Apr 1, 2021), and is slated to become Chairman following the Aug 27, 2025 annual meeting . He holds a B.S. from McNeese State University and an MBA from Washington University . Under his tenure, 2024 revenue declined 24% to $28.2M while net loss improved 23% to $22.1M; Adjusted EBITDA improved 55% to a $9.1M loss, reflecting significant cost reductions . Pay-versus-performance disclosure shows CEO “compensation actually paid” increased to $712k in 2024 as RSU fair values accreted; the Company’s TSR metric fell YoY and net loss narrowed (see table) .

Past Roles

OrganizationRoleYearsStrategic impact
Continental Benefits, LLCFounder and CEO2013–2019Built TPA platform later acquired by Marpai (Continental Benefits referenced as acquired Apr 2021) .
Marpai, Inc.Director2021–presentBoard member since Apr 1, 2021; provides healthcare operating expertise .
Marpai, Inc.Chief Executive OfficerNov 2023–presentDriving turnaround, cost rationalization, PBM initiatives .
HillCour Holding CorporationPresident2002–presentOversees strategic operations across healthcare companies .

External Roles

OrganizationRoleYearsNotes
HillCour Holding CorporationBoard Member2017–presentGovernance/oversight for healthcare holdings .
WellDyneRx, LLCBoard Member2017–presentPharmacy benefits company board role .
HillCour Investment Fund, LLCManager2017–presentInvestment vehicle managed by Lamendola .

Board Governance (service history, committees, dual-role implications)

  • Board service: Director since Apr 1, 2021; expected to become Chairman after Aug 27, 2025 annual meeting .
  • Independence and committees: Lamendola is not independent. Audit Committee (Shiv—Chair, DiClaudio, Calabrese) and Compensation Committee (DiClaudio—Chair, Pons) are composed of independent directors; Lamendola does not serve on these committees .
  • Attendance: He attended the last annual stockholders’ meeting .
  • Dual-role implications: Post-meeting he will serve as CEO and Chairman, concentrating authority; mitigants include fully independent Audit and Compensation Committees per charter disclosures .

Fixed Compensation

Item20232024Notes
Base salary$1Per CEO employment agreement effective Jan 2, 2024 .
Target bonus %Not disclosedNot disclosedEligibility for bonuses at Board/Comp Committee discretion .
Actual cash bonusNo cash bonus disclosed for 2024 .
Total reported comp ($000s)3622024 stock awards; table presented in $000s .

Performance Compensation

MetricWeightingTargetActual/StatusPayout mechanicsVesting
Unadjusted EBITDA thresholdNot disclosed$5M within a fiscal yearNot disclosed as achievedRecommendation to grant 100,000 RSUs upon achievementImmediate upon grant .
  • Pay vs Performance overview (Company-wide disclosure): | Metric | 2023 | 2024 | |---|---|---| | CEO Compensation Actually Paid ($000s) | 288 | 712 . | | Other NEO Compensation Actually Paid ($000s) | 2,468 | 840 . | | TSR – value of initial $100 investment | $52.58 | $24.64 . | | Net Income (Loss) ($000s) | (28,752) | (22,088) . |

Equity Ownership & Alignment

  • Beneficial ownership (as of July 1, 2025): 5,998,120 shares (36.1% of outstanding 16,534,186) .
    • Breakdown: 4,607,657 (HillCour Investment Fund, LLC); 931,674 (WellEnterprises USA, LLC); 400,000 direct; options for 62,500 shares at $4.44 (58,789 vested) .
  • Prior snapshot (as of Mar 7, 2024): 4,300,230 shares (37.3% of 10,268,409 outstanding) including warrants/options and RSUs vesting; see proxy detail .
  • 13D/A confirms 600,000 RSUs granted Jan 28, 2025 and updated beneficial ownership; aggregate ~37.15% on 15,709,186 shares outstanding at that time .
  • Insider buying: Multiple related-party private placements (HillCour and insiders) provided capital, including 12/14/2023; 1/16/2024; 3/7/2024; 8/28/2024; and $200k additional investment by HillCour on 10/6/2025 (147,058 shares at $1.36) .
  • Hedging/margin/pledging: Insider trading policy prohibits short sales, margin purchases and hedging without pre-clearance; no share pledging disclosures identified .
  • Ownership guidelines: Not disclosed.

Equity Awards and Vesting Schedules

GrantGrant dateTypeSharesFair value at grantVesting schedule
CEO RSUMay 24, 2024RSU (2024 Plan)600,000$2.01/share30% vested immediately; 35% vests Jan 2, 2025; 35% vests Jan 2, 2026 (vesting tied to employment start) .
CEO RSUJan 28, 2025RSU600,000Not disclosed200,000 vested immediately; 200,000 vests Jan 28, 2026; 200,000 vests Jan 28, 2027 .
CEO RSU (Director service)May 24, 2024RSU (2021 Plan)5,000$1.94/shareDirector RSU; vest per plan schedule .
Stock optionsJun 14, 2022Options62,500$4.44 strike; vesting over 3–4 years; 58,789 vested as of July 1, 2025 .

Implication for supply/overhang: Significant CEO RSU tranches vested/vesting on Jan 2, 2025 (≈210k) and Jan 28, 2025 (200k immediate), with further 200k tranches in 2026 and 2027, potentially creating periodic selling pressure absent lock-ups .

Employment Terms

  • Employment start: CEO effective Nov 2023; employment agreement effective Jan 2, 2024 .
  • Salary: $1 per year; eligible for discretionary bonus and equity grants .
  • Performance kicker: Board to recommend 100,000 RSUs upon achieving $5M unadjusted EBITDA within a fiscal year (immediate vest) .
  • Severance, change-in-control, non-compete/non-solicit: Not disclosed for the CEO in proxy/10-K; severance and equity terms disclosed for other former executives, but not for Lamendola .
  • Clawback policy: Company-wide Dodd-Frank/Nasdaq-compliant clawback policy effective Oct 2, 2023; applies to executive officers’ incentive-based compensation upon accounting restatements .
  • Insider trading policy: Updated Mar 25, 2025; prohibits trading on MNPI, requires pre-clearance, and restricts hedging/derivatives/margin; blackout schedules apply .

Performance & Track Record

Metric20232024
Revenue ($ millions)37.15528.173 .
Operating loss ($ millions)(27.977)(22.087) .
Net loss ($ millions)(28.752)(22.088) .
Adjusted EBITDA ($ millions)(20.181)(9.057) .
  • Strategic execution: Management cites streamlining vendors and services, focusing on profitable clients, PBM initiatives (Marpai Rx), and aiming for profitability; CEO personally led PBM program and investor outreach .
  • Liquidity/capital actions: Insider-led equity raises in 2023–2025 supported operations and growth initiatives .
  • Legal/controversies: Company states no material legal proceedings involving directors/officers over the past 10 years relevant to integrity; governance disclosures emphasize independent committees and code of ethics .

Related Party Transactions (select items)

  • HillCour financings: Multiple private placements by entities controlled by Lamendola provided capital (e.g., 12/14/2023 at $1.97; 1/16/2024 at $0.9201; 3/7/2024 at $1.65; 8/28/2024 at $0.481), plus Oct 6, 2025 $200k investment at $1.36 .
  • Governance controls: Audit Committee reviews related-party transactions per charter and code; independence determinations disclosed .

Director Compensation (as it relates to Lamendola’s dual role)

  • Employee directors receive no additional remuneration for board service absent Compensation Committee approval; independent directors shifted from cash retainers to RSUs as of Dec 7, 2023 .

Investment Implications

  • Alignment and support: Lamendola is the largest shareholder (36.1%) and has repeatedly invested via HillCour—positive alignment and reduced near-term selling propensity, but RSU vesting waves through 2027 create episodic supply risk .
  • Pay-for-performance: CEO cash pay is de minimis ($1 salary); equity-heavy comp with a performance kicker at $5M unadjusted EBITDA tightly links upside to operating milestones—constructive if profitability materializes; absence of disclosed severance/CoC terms limits shareholder liability in downside scenarios .
  • Governance: Post-AGM CEO+Chairman structure concentrates power; however, fully independent Audit and Compensation Committees partially mitigate. No lead independent director disclosure—investors should monitor board oversight, related-party dealings, and capital allocation .
  • Execution risk vs momentum: 2024 showed substantial improvement in Adjusted EBITDA (–$9.1M vs –$20.2M) and narrowed net loss despite revenue pressure; successful PBM rollout and profitable client mix shift are key to achieving the EBITDA trigger and sustaining alignment-driven value creation .