PREMIER HEALTHCARE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PREMIER HEALTHCARE INC (EIN 13-3916271)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-15
- IRS object ID
- 201413209349300411
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-15T21:42:22-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 131517563 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOEB & TROPER LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 THIRD AVENUE 12TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133916271 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PREMIER HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PREM | BusinessNameControlTxt |
| Phone | 2125637474 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 WEST 34TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10001 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW STURIALE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2125637474 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ISRAEL TANNENBAUM | PreparerPersonNm |
| PTIN | P01589203 | PTIN |
| Phone | 2128674000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW STURIALE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 WEST 34TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,770,457 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OPREMIER 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 MENTAL RETARDATION 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 306 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $78,207 | PYContributionsGrantsAmt |
| CY Contributions Grants | $54,278 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,245,829 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,715,763 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,475 | PYInvestmentIncomeAmt |
| CY Investment Income | $416 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $14,326,511 | PYTotalRevenueAmt |
| CY Total Revenue | $17,770,457 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,488,748 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,616,411 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,050 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,361,866 | PYOtherExpensesAmt |
| CY Other Expenses | $7,264,972 | CYOtherExpensesAmt |
| PY Total Expenses | $20,850,614 | PYTotalExpensesAmt |
| CY Total Expenses | $19,881,383 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,524,103 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,110,926 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,501,151 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,176,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,837,642 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,623,651 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,336,491 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,447,417 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,997,925 | ExpenseAmt |
| Revenue | $17,715,763 | RevenueAmt |
| Desc | 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 MENTAL RETARDATION 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. | Desc |
| Total Program Service Expenses | $15,997,925 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 60 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 306 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANJAY DUTT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2122736439 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 WEST 34TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10001 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEPHEN CLEMENTE | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIC CHAIKIN | ||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HERBERT DEVOS | ||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROSE DOBROF DSW | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD NARDI | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY C GRANOFF | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL BARR | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER DELLA BELLA MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | $205,274 | $0 | $14,530 | Yes (X) | |||
| RAJANI LOWEMD | ||||||||
| PHYSICIAN | 40.00 | $147,943 | $0 | $449 | Yes (X) | |||
| PHILIP E LEVINEMD | ||||||||
| PSYCHIATRIST | 40.00 | $143,425 | $0 | $14,009 | Yes (X) | |||
| JUNG MI CHANG MD | ||||||||
| PHYSICIAN | 40.00 | $144,304 | $0 | $21 | Yes (X) | |||
| CHRYSTALLA ORTHODOXOU DDS | ||||||||
| DENTIST | 40.00 | $179,253 | $0 | $9,304 | Yes (X) | |||
| OLGA STEKLOVAMD | ||||||||
| SR. PHYSICIAN | 40.00 | $142,981 | $0 | $17,430 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $963,180 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $55,743 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| YAI | |||||
| 460 WEST 34TH STREET | NEW YORK | NY | 10001 | SUPPORT SERVICES | $1,682,629 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | TEMPORARY PERSONNEL | $825,628 |
| CURE STAFFING INC | |||||
| PO BOX 823461 | PHILADELPHIA | PA | 191823461 | TEMPORARY PERSONNEL | $161,824 |
| PROMED PERSONNEL SERVICES | |||||
| 18 EAST 41ST STREET14TH FL | NEW YORK | NY | 10017 | TEMPORARY PERSONNEL | $155,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $54,278 | AllOtherContributionsAmt |
| Total Contributions | $54,278 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $17,715,763 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,715,763 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,715,763 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $416 | TotalRevenueColumnAmt |
| Exclusion | $416 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,770,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,715,763 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $416 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,804 | TotalAmt |
| Management And General | $219,804 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,010,644 | TotalAmt |
| Program Services | $9,491,748 | ProgramServicesAmt |
| Management And General | $518,896 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,511,318 | TotalAmt |
| Program Services | $1,416,732 | ProgramServicesAmt |
| Management And General | $94,586 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $874,645 | TotalAmt |
| Program Services | $811,490 | ProgramServicesAmt |
| Management And General | $63,155 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,682,629 | TotalAmt |
| Management And General | $1,682,629 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,027 | TotalAmt |
| Program Services | $380 | ProgramServicesAmt |
| Management And General | $112,647 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,820 | TotalAmt |
| Management And General | $66,820 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,169,990 | TotalAmt |
| Program Services | $1,993,878 | ProgramServicesAmt |
| Management And General | $176,112 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,874 | TotalAmt |
| Program Services | $419,466 | ProgramServicesAmt |
| Management And General | $122,408 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,249 | TotalAmt |
| Program Services | $15,915 | ProgramServicesAmt |
| Management And General | $21,334 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,208 | TotalAmt |
| Program Services | $1,461,290 | ProgramServicesAmt |
| Management And General | $47,918 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,858 | TotalAmt |
| Program Services | $2,126 | ProgramServicesAmt |
| Management And General | $2,732 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,816 | TotalAmt |
| Program Services | $31,651 | ProgramServicesAmt |
| Management And General | $24,165 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,704 | TotalAmt |
| Program Services | $45,235 | ProgramServicesAmt |
| Management And General | $92,469 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,643 | TotalAmt |
| Program Services | $306,514 | ProgramServicesAmt |
| Management And General | $2,129 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,064 | TotalAmt |
| Management And General | $543,064 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECRUITING EXPENSE | Desc |
| Total | $92,040 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
| Management And General | $90,540 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,050 | TotalAmt |
| Fundraising | $2,050 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,881,383 | TotalAmt |
| Program Services | $15,997,925 | ProgramServicesAmt |
| Management And General | $3,881,408 | ManagementAndGeneralAmt |
| Fundraising | $2,050 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,561 | BOYAmt |
| EOY | $1,135,821 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,806 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,932,230 | BOYAmt |
| EOY | $2,975,027 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,432 | BOYAmt |
| EOY | $562,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,197,110 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,694,056 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,309,122 | BOYAmt |
| EOY | $4,503,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,501,151 | BOYAmt |
| EOY | $9,176,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,223,543 | BOYAmt |
| EOY | $1,275,276 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,336,935 | BOYAmt |
| EOY | $2,934,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,277,164 | BOYAmt |
| EOY | $11,413,416 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,837,642 | BOYAmt |
| EOY | $15,623,651 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,336,491 | BOYAmt |
| EOY | -$6,447,417 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,336,491 | BOYAmt |
| EOY | -$6,447,417 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,501,151 | BOYAmt |
| EOY | $9,176,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,110,926 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,395,390 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,360,856 | DepreciationAmt |
| Book Value | $1,034,534 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,192,099 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,119,197 | DepreciationAmt |
| Book Value | $72,902 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,609,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,003 | DepreciationAmt |
| Book Value | $3,395,618 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,503,054 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICAID | $4,726,157 |
| DUE TO YOUNG ADULT INSTITUTE, INC | $6,687,259 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,413,416 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,770,457 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,770,457 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,770,457 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,881,383 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,881,383 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,881,383 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PREMIER HEALTHCARE, INC. HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER DELLA BELLA MD | ||||||||||||||
| MEDICAL DIRECTOR | $205,274 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,530 | $0 | $219,804 | $0 | $0 | $0 |
| PHILIP E LEVINEMD | ||||||||||||||
| PSYCHIATRIST | $143,425 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,009 | $0 | $157,434 | $0 | $0 | $0 |
| CHRYSTALLA ORTHODOXOU DDS | ||||||||||||||
| DENTIST | $179,253 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,304 | $0 | $188,557 | $0 | $0 | $0 |
| OLGA STEKLOVAMD | ||||||||||||||
| SR. PHYSICIAN | $142,981 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,430 | $0 | $160,411 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | 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 2013. |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL AND THERAPEUTIC CONSULTING: PROGRAM SERVICE EXPENSES 1,707,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,707,685. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,151. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 286,193. MANAGEMENT AND GENERAL EXPENSES 156,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 443,154. |
| FORM 990, PART XI, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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