2018-11-12T11:51:22-06:00 2017-12-31 113518842 MARKS PANETH LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2017-01-01 133916271 PREMIER HEALTHCARE INC PREM 2125637474 460 WEST 34TH STREET NEW YORK NY 10001 HOPE LEVY INTERIM EXECUTIVE DIRECTOR 2125637474 2018-11-12 1 ROBERT LYONS P00227472 2125038800 69.74.165.34 2018-11-12 12:37:39 ES P 6620D6671E6C9837E85A0B6C928227B75C619C90 79DA3F7F838F945FD86622B3E897B41B13144F08 2017 2019-02-21 02:37:17Z HOPE LEVY 460 WEST 34TH STREET NEW YORK NY 10001 19302658 0 X HTTPS://WWW.YAI.ORG/AGENCIES/PREMIER-HEALTHCARE X 1996 NY PREMIER HEALTHCARE, INC. IS A NATIONAL COMMISSION ON QUALITY ASSURANCE RECOGNIZED PATIENT - CENTERED MEDICAL HOME OFFERING HEALTH CARE SERVICES TO THE GENERAL PUBLIC WITH A SPECIALTY IN MEDICAL SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES IN MANY SITES THROUGHOUT THE NEW YORK AREA. PREMIER HEALTHCARE, INC., AN OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER,PROVIDES OUTPATIENT CLINIC SERVICES WHICH INCLUDE: PRIMARY HEALTH,PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION),NUTRITION, GYNECOLOGY, NEUROLOGY, PODIATRY, PHYSIATRY, PSYCHIATRY,PHYSICAL THERAPY, OCCUPATIONAL THERAPY, OPHTHALMOLOGY, SPEECH PATHOLOGY AND PSYCHOLOGY. PREMIER HEALTHCARE, INC.'S PRIMARY SOURCE OF REVENUE IS PATIENT SERVICE FEES RECEIVED FROM MEDICAID, MEDICARE AND OTHER THIRD-PARTY PAYERS. MEDICAID REPRESENTS OVER 90% OF THE TOTAL REVENUE 3 3 243 6 0 0 18000 4701 16246647 19267035 1208 0 0 30922 16265855 19302658 0 0 0 0 11179528 10935335 0 0 0 6290492 5971637 17470020 16906972 -1204165 2395686 6664469 4737645 15801545 11479035 -9137076 -6741390 X PREMIER HEALTHCARE, INC. IS A NATIONAL COMMISSION ON QUALITY ASSURANCE RECOGNIZED PATIENT - CENTERED MEDICAL HOME OFFERING HEALTH CARE SERVICES TO THE GENERAL PUBLIC WITH A SPECIALTY IN MEDICAL SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES IN MANY SITES THROUGHOUT THE NEW YORK AREA. PREMIER HEALTHCARE, INC., AN OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER, PROVIDES OUTPATIENT CLINIC SERVICES WHICH INCLUDE: PRIMARY HEALTH,PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION),NUTRITION, GYNECOLOGY, NEUROLOGY, PODIATRY, PHYSIATRY, PSYCHIATRY,PHYSICAL THERAPY, OCCUPATIONAL THERAPY, OPHTHALMOLOGY, SPEECH PATHOLOGY AND PSYCHOLOGY. PREMIER HEALTHCARE, INC.'S PRIMARY SOURCE OF REVENUE IS PATIENT SERVICE FEES RECEIVED FROM MEDICAID, MEDICARE AND OTHER THIRD-PARTY PAYERS. MEDICAID REPRESENTS OVER 90% OF THE TOTAL REVENUE. 0 0 14318258 19297957 PREMIER HEALTHCARE, INC. IS A QUALITY HEALTH CARE PRACTICE OFFERING HEALTH CARE SERVICES TO THE GENERAL PUBLIC WITH A SPECIALTY IN MEDICAL SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES IN MANY SITES THROUGHOUT THE NEW YORK AREA. PREMIER HEALTHCARE, INC., AN OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER, PROVIDES OUTPATIENT CLINIC SERVICES WHICH INCLUDE: PRIMARY HEALTH, PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION), NUTRITION, GYNECOLOGY, NEUROLOGY, PODIATRY, PHYSIATRY, PSYCHIATRY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, OPHTHALMOLOGY, SPEECH PATHOLOGY AND PSYCHOLOGY. 14318258 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 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 90 0 243 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KEVIN CAREY 2122736432 460 WEST 34TH STREET NEW YORK NY 10001 DAVID STAFFORD TRUSTEE 1.00 X X 0 0 0 JEFFERY MORDOS TRUSTEE 1.00 X X 0 0 0 JEFFERY LIEBERMAN ESQ TRUSTEE 1.00 X X 0 0 0 THOMAS RENART INTERIM EXECUTIVE DIRECTOR (FORMER) 0.00 40.00 X 0 244861 5497 KEVIN CAREY CFO 10.00 30.00 X 0 232798 22152 GEORGE CONTOS CEO 10.00 30.00 X 0 537034 69060 VLADISLAV KUZNETSOV EXECUTIVE DIRECTOR 40.00 X 185463 0 1391 THADEO L SALIDO MEDICAL DOCTOR 40.00 X 164253 0 6211 JUNG MI CHANG SENIOR PHYSICIAN 40.00 X 151709 0 2276 NANCY ABDEL-WAHAB CHIEF OF PSYCHIATRY 40.00 X 207992 0 12082 SALLIE J HADLEY PSYCHIATRIST 40.00 X 170540 0 2558 HILARY LORA WOLK SENIOR PSYCHIATRIST 40.00 X 163546 0 11325 1043503 1014693 132552 21 0 1 0 YOUNG ADULT INSTITUTE INC 460 W 34TH ST NEW YORK NY 10001 MANAGEMENT SERVICES 1449688 QUALITY SYSTEMS INC 18111 VON KARMAN AVE STE 600 IRVINE CA 92612 COMPUTER SERVICES 462542 HENRY SCHEIN INC PO BOX 371952 PITTSBURGH PA 15250 MEDICAL SUPPLIES 245434 CURE STAFFING PO BOX 823461 PHILADELPHIA PA 19182 TEMPORARY PERSONNEL 132549 JON MICHNOVICZ 90 WINDSOR AVENUE ROCKVILLE CENTRE NY 11570 MEDICAL SERVICES 116740 5 4701 4701 PATIENT SERVICE REVENUES 621110 18959904 18959904 GRANT AND OTHER REVENUE 621110 307131 307131 19267035 OTHER REVENUE 900099 30922 30922 30922 19302658 19297957 0 0 185463 185463 8918407 8532390 386017 16370 15395 975 1018344 959197 59147 796751 747008 49743 1449688 1449688 58578 58578 725887 639626 86261 191468 156935 34533 205274 200704 4570 1220156 1220156 121897 121118 779 57223 725 56498 679500 679113 387 283362 160177 123185 PROGRAM RECREATIONAL AN 367473 367473 REPAIRS AND MAINTENANCE 271095 242557 28538 TELEPHONE 103236 98740 4496 UTILITIES 79660 79660 157140 97284 59856 16906972 14318258 2588714 0 2630364 1085363 1935172 2199330 381755 327873 6846068 5720989 1717178 1125079 6664469 4737645 2142229 2018263 257368 132831 1410211 1282330 11991737 8045611 15801545 11479035 X -9137076 -6741390 -9137076 -6741390 6664469 4737645 2395686 0 X X 0 1 X 1 0 X 3416634 3274618 142016 3234480 2251417 983063 194954 194954 0 1125079 DUE TO MEDICAID 2202186 DUE TO YOUNG ADULT INSTITUTE, INC. 5843425 8045611 X 19302658 0 19302658 0 19302658 16906972 0 16906972 0 16906972 PART X, LINE 2: PREMIER HEALTHCARE, INC. BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2017 AND 2016, IN ACCORDANCE WITH ACCOUNTING STANDARD CODIFICATION ("ASC") TOPIC 740, "INCOME TAXES," WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. X X X X X X 0 0 0 0 0 0 0 0 0 THOMAS RENART INTERIM EXECUTIVE DIRECTOR (FORMER) 0 244861 0 0 0 0 0 4509 0 988 0 250358 0 0 KEVIN CAREY CFO 0 232798 0 0 0 0 0 17385 0 4767 0 254950 0 0 GEORGE CONTOS CEO 0 437034 0 100000 0 0 0 47479 0 21581 0 606094 0 0 VLADISLAV KUZNETSOV EXECUTIVE DIRECTOR 185463 0 0 0 0 0 1391 0 0 0 186854 0 0 0 THADEO L SALIDO MEDICAL DOCTOR 164253 0 0 0 0 0 0 0 6211 0 170464 0 0 0 JUNG MI CHANG SENIOR PHYSICIAN 151709 0 0 0 0 0 2276 0 0 0 153985 0 0 0 NANCY ABDEL-WAHAB CHIEF OF PSYCHIATRY 207992 0 0 0 0 0 3127 0 8955 0 220074 0 0 0 SALLIE J HADLEY PSYCHIATRIST 170540 0 0 0 0 0 2558 0 0 0 173098 0 0 0 HILARY LORA WOLK SENIOR PSYCHIATRIST 163546 0 0 0 0 0 2455 0 8870 0 174871 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 PREMIER HEALTHCARE, INC HAS A MANAGEMENT AGREEMENT WITH YOUNG ADULT INSTITUTE, INC TO PROVIDE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE AGENCY'S EXTERNAL AUDIT FIRM AND REVIEWED BY MANAGEMENT. A COPY OF THE 990 IS THEN SENT TO ALL BOARD MEMBERS FOR THEIR REVIEW. BOARD MEMBERS, AUDIT PARTNER AND MANAGEMENT ARE ASKED TO ATTEND A SCHEDULED MEETING EITHER IN PERSON OR VIA PHONE CONFERENCING AT WHICH TIME ALL QUESTIONS ARE ADDRESSED AND RESOLVED PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. AN AMENDED FORM MUST BE FILED IN THE EVENT OF A MATERIAL CHANGE OF CIRCUMSTANCES. THE COMPLETED FORM SHALL BE REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE CHIEF COMPLIANCE OFFICER AND ANY OTHER STAFF AS NECESSARY TO DISCERN IF THERE MAY BE A CONFLICT OF INTEREST IN THE CONDUCT OF AGENCY BUSINESS OR THAT MAY CREATE AN APPEARANCE OF INVOLVING A CONFLICT OF INTEREST. THE CHIEF FINANCIAL OFFICER SHALL REPORT TO THE BOARD AT LEAST ANNUALLY ON ANY DISCLOSED CONFLICT OF INTEREST. THIS IS PERFORMED BY YAI PURSUANT TO THE MANAGEMENT AGREEMENT BETWEEN THE CORPORATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING COMPENSATION POLICY HAS BEEN ADOPTED BY THE BOARD OF DIRECTORS ON SEPTEMBER 15, 2009. SEVERAL CRITERIA ARE CONSIDERED IN DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES INCLUDING COMPARABLE DATA, EXPERIENCE AND CREDENTIALS. THE PROCESS FOR DETERMINING COMPENSATION TAKES INTO ACCOUNT THE FOLLOWING: - ADVANCED QUALIFICATIONS OF A SPECIALTY - EXPERIENCE - A LETTER OF UNDERSTANDING DELINEATING RESPONSIBILITIES - A WRITTEN EVALUATION - ANNUAL APPROVAL BY THE BOARD OF DIRECTORS ADDITIONALLY FOR KEY EMPLOYEES: A REVIEW OF COMPARABLE DATA FOR SIMILAR POSITIONS THROUGH SALARY SURVEYS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT ADDITIONALLY FOR OFFICERS COMPENSATION COMPARISION FOR A PHYSICIAN PROVIDING SIMILAR SERVICES AT THREE LOCAL HOSPITAL OUTPATIENT DEPARTMENTS OF SIMILAR SIZE AND SCOPE OF PRACTICE. THIS PROCESS WAS LAST COMPLETED IN MAY 2015. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART VII GEORGE CONTOS IS THE CEO OF YOUNG ADULT INSTITUTE ("YAI"), PREMIER HEALTHCARE'S SOLE MEMBER AND RELATED PARTY. SALARY AND BENEFITS LISTED ARE PAID BY YAI AND NOT PREMIER HEALTHCARE. THE SAME RELATES TO KEVIN CAREY, CFO, AND THOMAS RENART, FORMER INTERIM EXECUTIVE DIRECTOR, WHO ARE PAID BY YAI. YOUNG ADULT INSTITUTE INC 460 WEST 34TH STREET NEW YORK NY 10001 112030172 SUPPORT FOR PEOPLE WITH ITELLECTUAL AND DEVELOPMENTAL DISABILITIES NY 501(C)(3) 509(A)(2) YAI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 YOUNG ADULT INSTITUTE INC P 2536747 COST