FURP.ORG / PUBLIC DATA EXPLORER

PREMIER HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PREMIER HEALTHCARE INC (EIN 13-3916271)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349307046
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-15T13:55:30-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133916271EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PREMIER HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPREMNameControl
Phone2125637474Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1460 WEST 34TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN FREEMANName
TitleCEOTitle
Phone2125637474Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN CLEMENTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1460 WEST 34TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14326511GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSEE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees300TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year30682ContributionsGrantsPriorYear
Contributions Grants Current Year78207ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22835734ProgramServiceRevenuePriorYear
Program Service Revenue CY14245829ProgramServiceRevenueCY
Investment Income Prior Year3180InvestmentIncomePriorYear
Investment Income Current Year2475InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year22869596TotalRevenuePriorYear
Total Revenue Current Year14326511TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14204174SalariesEtcPriorYear
Salaries Etc Current Year13488748SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3457TotalFundrsngExpCurrentYear
Other Expense Prior Year8601092OtherExpensePriorYear
Other Expenses Current Year7361866OtherExpensesCurrentYear
Total Expenses Prior Year22805266TotalExpensesPriorYear
Total Expenses Current Year20850614TotalExpensesCurrentYear
Revenues Less Expenses Prior Year64330RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6524103RevenuesLessExpensesCY
Total Assets BOY9700655TotalAssetsBOY
Total Assets EOY9501151TotalAssetsEOY
Total Liabilities BOY7513043TotalLiabilitiesBOY
Total Liabilities EOY13837642TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2187612NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4336491NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17064198Expense
Revenue14245829Revenue
DescriptionPREMIER 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.Description
Total Program Service Expense17064198TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees300NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SANJAY DUTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2122736439TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1460 WEST 34TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN CLEMENTE
VICE CHAIRMAN/CHAIRMAN1.00XX000
ERIC CHAIKIN
SECRETARY/TREASURER1.00XX000
HERBERT DEVOS
SECRETARY/TREASURER1.00XX000
ROSE DOBROF DSW
TRUSTEE1.00X000
SEBASTIAN FONT
TRUSTEE1.00X000
RICHARD NARDI
TRUSTEE1.00X000
GARY C GRANOFF
TRUSTEE1.00X000
PETER DELLA BELLA
MEDICAL DIRECTOR40.00245443035887X
STEVEN D LOWE
M.D.40.00186204011005X
PHILIP E LEVINE
PSYCHIATRIST40.00180170029138X
ARLENE M GARCIA
M.D.40.00153318032569X
CHRYSTAL ORTHODOXOU
DENTIST40.00184807014609X
PAULA A SINCLAIR
SR. PHYSICIAN40.00152718015794X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1102660TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation139002TotalOtherCompensation
Number Individuals GT100 K26NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
YAI
460 WEST 34TH STREETNEW YORKNY10001SUPPORT SERVICES1513925
COMPHEALTH
PO BOX 972651DALLASTX753972651TEMPORARY PERSONNEL609017
QUALITY SYSTEMS INC
128 W 26TH ST NEW YORK NY 10001NEW YORKNY10001TEMPORARY PERSONNEL314389
WINSTON SUPPORT SERVICES LLC
122 EAST 42ND STREET SUITE 320NEW YORKNY10168TEMPORARY PERSONNEL296683
STAFF CARE INC
PO BOX 281923ATLANTAGA303841923TEMPORARY PERSONNEL282253
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
All Other Contributions78207AllOtherContributions
Total Contributions78207TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUESDescription
Business Code621110BusinessCode
Total Revenue Column14245829TotalRevenueColumn
Related Or Exempt Function Income14245829RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14245829TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2475TotalRevenueColumn
Exclusion$2,475ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14326511TotalRevenueColumn
Related Or Exempt Function Income14245829RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,475ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total281330Total
Management And General281330ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10481724Total
Program Services9949531ProgramServices
Management And General532193ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total251747Total
Program Services227647ProgramServices
Management And General24100ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1699791Total
Program Services1650953ProgramServices
Management And General48838ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total774156Total
Program Services714076ProgramServices
Management And General60080ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1513925Total
Management And General1513925ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58205Total
Management And General58205ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65500Total
Management And General65500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2430747Total
Program Services2258102ProgramServices
Management And General172645ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total366383Total
Program Services247679ProgramServices
Management And General118704ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31841Total
Program Services22132ProgramServices
Management And General9709ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1405806Total
Program Services1394245ProgramServices
Management And General11561ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total34251Total
Program Services18998ProgramServices
Management And General15253ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total81728Total
Program Services50176ProgramServices
Management And General31552ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total162001Total
Program Services54349ProgramServices
Management And General107652ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total322393Total
Program Services313193ProgramServices
Management And General9200ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total669064Total
Management And General669064ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT895987928310315
HOUSEHOLD SUPPLIES/LAUN5557255572
RECRUITING EXPENSE36937105035887
STAFF CONSUMER/FOOD34458272127246

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3457Total
Fundraising3457Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20850614Total
Program Services17064198ProgramServices
Management And General3782959ManagementAndGeneral
Fundraising3457Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY615918BOY
EOY497561EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY144985BOY
EOY215806EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5697096BOY
EOY3932230EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY677493BOY
EOY546432EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7694535LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3385413LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2565163BOY
EOY4309122EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9700655BOY
EOY9501151EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3292208BOY
EOY5223543EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4220835BOY
EOY3336935EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY5277164EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7513043BOY
EOY13837642EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2187612BOY
EOY-4336491EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2187612BOY
EOY-4336491EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9700655BOY
EOY9501151EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-6524103ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3395390OtherCostOrOtherBasis
Depreciation2108621Depreciation
Book Value1286769BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4073523OtherCostOrOtherBasis
Depreciation1070134Depreciation
Book Value3003389BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis225622OtherCostOrOtherBasis
Depreciation206658Depreciation
Book Value18964BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4309122TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO MEDICAIDDescription
Amount$5,277,164Amount
FieldValueIRS element (for citing)
Total Of Amounts5277164TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14326511TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14326511RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014326511TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20850614TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal20850614ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020850614TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationPREMIER 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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER DELLA BELLA
MEDICAL DIRECTOR2454430000077410281460281330000
STEVEN D LOWE
M.D.186204000005768052370197209000
PHILIP E LEVINE
PSYCHIATRIST1801700000056060235320209308000
ARLENE M GARCIA
M.D.1533180000050850274840185887000
CHRYSTAL ORTHODOXOU
DENTIST184807000005544090650199416000
PAULA A SINCLAIR
SR. PHYSICIAN1527180000046490111450168512000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3PREMIER HEALTHCARE, INC HAS A MANAGEMENT AGREEMENT WITH YOUNG ADULT INSTITUTE, INC TO PROVIDE MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CON 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 15THE 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 2012.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART III, LINE 1PREMIER HEALTHCARE, INC.(PHC) WAS INCORPORATED IN 1995 UNDER THE NOT-FOR-PROFIT CORPORATION LAW OF NEW YORK STATE AND COMMENCED OPERATIONS ON APRIL 1, 1997. PREMIER HEALTHCARE, INC. IS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PHC'S CLINICAL AND HEALTH CARE NETWORK HAS SIGNIFICANTLY EXPANDED SINCE ITS INCEPTION IN 1997. PHC IS ONE OF THE LARGEST AND MOST FULLY-DEVELOPED HEALTH CARE SERVICE SYSTEMS IN THE NATION FOR PEOPLE WITH DISABILITIES. RECOGNIZED BY THE U.S. SURGEON GENERAL AND THE NATIONAL COUNCIL ON DISABILITIES AS A NATIONAL MODEL FOR THE PROVISION OF HEALTH CARE FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, PREMIER HEALTHCARE HAS RAISED THE STANDARD OF HEALTH CARE SERVICES FOR THIS PATIENT POPULATION. PHC PROVIDES HIGH QUALITY, WELL-COORDINATED MEDICAL, DENTAL, MENTAL HEALTH, REHABILITATION AND MEDICAL SPECIALTY CARE. THESE CORE FEATURES OF OUR MULTIPLE PRACTICE SITES HAVE EARNED PHC NATIONAL DESIGNATION AS A PATIENT-CENTERED MEDICAL HOME BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE. PHC PROVIDES AN ESSENTIAL FOUNDATION OF QUALITY HEALTH CARE AND EXPERTISE TO OVER 8,700 PATIENTS WITH INTELLECTUAL, DEVELOPMENTAL, LEARNING AND PHYSICAL DISABILITIES, SUCH AS AUTISM, DOWN SYNDROME, CEREBRAL PALSY, EPILEPSY AND NEUROLOGICAL IMPAIRMENTS. SERVICES ARE OFFERED IN 5 FULL-SERVICE LOCATIONS THROUGHOUT NEW YORK CITY. THE CONSISTENTLY HIGH DEMAND FOR PHC SERVICES HAS INCREASED THE NUMBER OF ANNUAL PATIENT VISITS TO OVER 114,000. PHC'S OVER 200 STAFF SUPPORT AND EMPOWER OUR PATIENTS AND FAMILIES IN THEIR EFFORTS TO ACHIEVE AND MAINTAIN OPTIMAL HEALTH. OUR HEALTH CARE SERVICES ARE FUNDAMENTAL SUPPORTS TO THOUSANDS OF INDIVIDUALS IN EARLY CHILDHOOD, GROUP HOME, DAY SERVICES AND FAMILY SUPPORT PROGRAMS IN AND AROUND NEW YORK CITY. THE CLOSE COLLABORATIVE WORKING RELATIONSHIPS AMONG PHC'S PHYSICIANS, PSYCHIATRISTS, DENTISTS, AND MENTAL HEALTH AND REHABILITATION PROFESSIONALS PROVIDE A STRONG FOUNDATION FOR COORDINATED, EXCELLENT AND EFFICIENTLY DELIVERED HEALTH SERVICES. DEVOTED TO A STRONG BIO-PSYCHO-SOCIAL MODEL OF CARE, PHC HAS SPECIALTY PROGRAMS IN AUTISM, WEIGHT AND HEALTH MANAGEMENT AND PHYSICAL DISABILITIES AND PROVIDES EXPERT CONSULTATION AND TREATMENT SERVICES TO THOSE WHO REQUIRE INTENSIVE SERVICE MODELS TO ATTAIN AND MAINTAIN THE HIGHEST POSSIBLE PHYSICAL AND MENTAL HEALTH. READY ACCESS TO CRITICAL FAMILY SUPPORTS HELPS TO ENSURE THAT FAMILIES ARE ABLE TO TRULY BE A PARTNER IN THE HEALTH CARE OF THEIR LOVED ONE AND TO ENHANCE ADHERENCE TO TREATMENTS AND INTERVENTIONS RECOMMENDED BY THE MEDICAL STAFF. PREMIER HEALTHCARE IS A CLINICAL AFFILIATE OF THE MOUNT SINAI HOSPITAL AND SEAVER AUTISM CENTER FOR RESEARCH AND TREATMENT AT THE MOUNT SINAI SCHOOL OF MEDICINE. IN ADDITION TO PHC'S COMMITMENT TO EXCELLENCE IN PATIENT CARE, THE ORGANIZATION OFFERS AND SPONSORS NUMEROUS PROFESSIONAL, FAMILY AND PATIENT TRAINING PROGRAMS INCLUDING: THE PREMIER HEALTHCARE TRAINING INSTITUTE THE MISSION OF THE INSTITUTE IS TO PROVIDE TRAINING TO PROFESSIONALS IN THE MEDICAL, DENTAL, MENTAL HEALTH, AND REHABILITATION FIELDS AND TO SPECIFICALLY FOCUS ON THE NEEDS OF PATIENTS WITH DEVELOPMENTAL DISABILITIES AS WELL AS PERTINENT POLICY ISSUES. THE FACULTY OF THE PREMIER HEALTHCARE TRAINING INSTITUTE INCLUDES NATIONALLY-RENOWNED PROVIDERS AND RESEARCHERS IN DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND MANY OF OUR OWN OUTSTANDING PHYSICIANS AND THERAPISTS AS WELL. GRAND ROUNDS PROGRAM THIS PROGRAM ENSURES THAT OUR 130 PROVIDER STAFF HAS REGULAR OPPORTUNITIES TO LEARN FROM EXPERTS IN A VARIETY OF MEDICAL DISCIPLINES. UTILIZING IN-HOUSE EXPERTS, ALONG WITH INVITED GUEST LECTURERS FROM PRESTIGIOUS ACADEMIC MEDICAL CENTERS, THE PROGRAM HAS BEEN IN PLACE SINCE PHC'S INCEPTION. HEALTH EDUCATION WORKSHOPS PHC'S HEALTH EDUCATION WORKSHOP SERIES PROVIDES CRITICAL HEALTH INFORMATION TO SEVERAL HUNDRED HUMAN SERVICES PROFESSIONALS EVERY YEAR. SPONSORED BY AND OFFERED AT ALL OF OUR 5 FULL-TIME HEALTH CENTERS, THE SERIES IS COMMITTED TO GRASS ROOTS, FUNDAMENTAL AWARENESS OF THE HEALTH NEEDS OF OUR PATIENT POPULATION. NINE WORKSHOPS ARE HELD TWICE A YEAR, OVER A 2-WEEK PERIOD. PHC'S MEDICAL, NURSING AND THERAPY STAFF PROVIDE INFORMATIVE, INTERACTIVE SESSIONS ACROSS OF VARIETY OF TOPICS SOME OF WHICH HAVE RECENTLY INCLUDED DEALING WITH CHALLENGING BEHAVIORS, UNDERSTANDING THE USE OF MEDICATIONS, AND HOW TO BEST ENSURE EFFECTIVE, RESPONSIVE TREATMENT IN THE EMERGENCY ROOM. LATINO HEALTHCARE CONFERENCE HUNDREDS OF INDIVIDUALS ATTEND OUR ANNUAL LATINO HEALTHCARE CONFERENCE, PRESENTED ENTIRELY IN SPANISH, FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THIS FREE ONE-DAY CONFERENCE, ATTENDED BY PEOPLE WITH DISABILITIES, THEIR FAMILIES AS WELL AS PROFESSIONALS IN THE FIELD, AFFIRMS PREMIER HEALTHCARE'S DEDICATION TO PROVIDING QUALITY SERVICES TO PEOPLE OF ALL CULTURAL BACKGROUNDS AND EMPOWERING THEM TO MAKE GOOD HEALTH CARE DECISIONS. IN ADDITION TO THESE TRAINING PROGRAMS, MEDICAL, DENTAL, MENTAL HEALTH AND REHABILITATION RESIDENTS AND INTERNS ROUTINELY WORK WITH OUR SENIOR PROVIDER STAFF TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF OUR POPULATION. PHC TYPICALLY HAS ONE MORE FELLOWSHIP PLACEMENTS DURING THE ACADEMIC YEAR. OUR MOST RECENT FELLOWS HAVE COME FROM THE MOUNT SINAI SCHOOL OF MEDICINE AND THE NY PRESBYTERIAN SCHOOL OF MEDICINE AT COLUMBIA UNIVERSITY.MISSION STATEMENT