2015-08-14T12:00:55-05:00 2014-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2014-01-01 133916271 PREMIER HEALTHCARE INC PREM 2125637474 460 WEST 34TH STREET NEW YORK NY 10001 MATTHEW STURIALE CEO 2125637474 2015-08-10 1 AARON SHAPIRO P01333816 2128674000 2014 2016-04-25 22:37:26Z MATTHEW STURIALE 460 WEST 34TH STREET NEW YORK NY 10001 17287060 0 X N/A X 1996 NY 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. 5 5 314 5 0 0 54278 13167 17715763 17273629 416 264 0 0 17770457 17287060 0 0 0 0 12616411 12054946 0 0 5153 7264972 6312240 19881383 18367186 -2110926 -1080126 9176234 9142367 15623651 16669910 -6447417 -7527543 X 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. 0 0 15286682 17273629 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. 15286682 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 84 0 314 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SANJAY DUTT 2122736439 460 WEST 34TH STREET NEW YORK NY 10001 STEPHEN CLEMENTE CHAIRMAN 1.00 X X 0 0 0 ERIC CHAIKIN SECRETARY/TREASURER 1.00 X X 0 0 0 HERBERT DEVOS SECRETARY/TREASURER 1.00 X X 0 0 0 RICHARD NARDI TRUSTEE 1.00 X 0 0 0 MICHAEL BARR TRUSTEE 1.00 X 0 0 0 NAVNEET KATHURIA FORMER EXECUTIVE DIRECTOR AND CHIEF MEDICAL OFFIC 40.00 X 271082 0 18071 ASIYAA KABIR PSYCHIATRIST 40.00 X 155421 0 0 JUNG MI CHANG PHYSICIAN 40.00 X 149216 0 25 OLGA STEKLOVA PHYSICIAN 40.00 X 145551 0 17805 RAJANI LOWE PHYSICIAN 40.00 X 144232 0 9498 LELA MAYERS FORMER MEDICAL DIRECTOR 40.00 X 140330 0 5248 1005832 0 50647 6 0 1 0 YAI 460 WEST 34TH STREET NEW YORK NY 10001 SUPPORT SERVICES 1397398 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 TEMPORARY PERSONNEL 516714 CURE STAFFING INC PO BOX 823461 PHILADELPHIA PA 191823461 TEMPORARY PERSONNEL 361493 WINSTON SUPPORT SERVICES 122 EAST 42ND STREET NEW YORK NY 10168 TEMPORARY PERSONNEL 101112 4 13167 13167 PATIENT SERVICE REVENUES 621110 17273629 17273629 17273629 264 264 17287060 17273629 0 264 289153 289153 9422072 9299360 122712 1472445 1414884 57561 871276 826645 44631 1397398 1397398 78938 6750 72188 74475 74475 1570963 1491941 79022 500088 388584 106424 5080 38768 9495 29273 1558721 1497217 61504 18975 2852 16123 30916 17097 13819 106648 35697 70951 297225 296160 1065 574411 574411 RECRUITING EXPENSE 64641 64641 PROGRAM RECREATION 73 73 18367186 15286682 3075351 5153 1135821 2430310 2975027 1686910 562332 527983 8488443 3991279 4503054 4497164 9176234 9142367 1275276 1111057 2934959 2432483 11413416 13126370 15623651 16669910 X -6447417 -7527543 -6447417 -7527543 9176234 9142367 -1080126 0 X X 0 1 X 1 0 X 3395390 2608943 786447 1197309 1161361 35948 3895744 220975 3674769 4497164 DUE TO MEDICAID 5135260 DUE TO YOUNG ADULT INSTITUTE, INC 7991110 13126370 X 17287060 0 17287060 0 17287060 18367186 0 18367186 0 18367186 PART X, LINE 2: 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, 2011 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X X 0 0 0 0 0 0 0 1 0 NAVNEET KATHURIA FORMER EXECUTIVE DIRECTOR AND CHIEF 270877 0 205 0 0 0 0 0 18071 0 289153 0 0 0 ASIYAA KABIR PSYCHIATRIST 155320 0 101 0 0 0 0 0 0 0 155421 0 0 0 OLGA STEKLOVA PHYSICIAN 145348 0 203 0 0 0 0 0 17805 0 163356 0 0 0 RAJANI LOWE PHYSICIAN 144080 0 152 0 0 0 0 0 9498 0 153730 0 0 0 PART I, LINE 7 ANNUAL HOLIDAY APPRECIATION BONUS 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 XI, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.