2013-01-28T11:04:49-06:00 2011-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2011-01-01 133916271 PREMIER HEALTHCARE INC PREM 2125637474 460 WEST 34TH STREET NEW YORK NY 10001 STEPHEN CLEMENTE 2125637474 2013-01-23 1 FREDERICK H ROTHMAN P01275277 2128674000 2011 2016-03-07 17:11:31Z STEPHEN CLEMENTE 460 WEST 34TH STREET NEW YORK NY 10001 22869596 0 X N/A X 1997 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 94% OF THE TOTAL REVENUE. 6 6 314 10 0 0 22562 30682 20511567 22835734 5290 3180 0 0 20539419 22869596 0 0 0 0 12811896 14204174 0 0 2450 7474187 8601092 20286083 22805266 253336 64330 7394062 9700655 5270780 7513043 2123282 2187612 SEE SCHEDULE O 0 0 17358504 22835734 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. 17358504 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 0 1 42 0 314 1 0 0 0 0 0 0 0 0 0 0 X 6 6 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 DR PAUL H LEVITZ 1.00 X X 0 0 0 STEPHEN CLEMENTE 1.00 X X 0 0 0 ERIC CHAIKIN 1.00 X X 0 0 0 HERBERT DEVOS 1.00 X X 0 0 0 STEVEN PASKAL 1.00 X 0 0 0 SEBASTIAN FONT 1.00 X 0 0 0 ROSE DOBROF DSW 1.00 X 0 0 0 RICHARD NARDI 1.00 X 0 0 0 DAVID SPANIER 1.00 X 0 0 0 GARY C GRANOFF 1.00 X 0 0 0 PETER DELLA BELLA 40.00 X 241108 0 40238 STEVEN D LOWE 40.00 X 189011 0 28056 PHILIP E LEVINE 40.00 X 173935 0 27362 ARLENE M GARCIA 40.00 X 155495 0 30739 CHRYSTAL ORTHODOXOU 40.00 X 167631 0 13496 PAULA A SINCLAIR 40.00 X 151784 0 14131 1078964 0 154022 27 0 1 0 YAI 460 WEST 34TH STREET NEW YORK NY 10001 SUPPORT SERVICES 1554023 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 TEMPORARY PERSONNEL 589357 WINSTON SUPPORT SERVICES LLC 122 EAST 42ND STREET SUITE 320 NEW YORK NY 10168 TEMPORARY PERSONNEL 363863 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 TEMPORARY PERSONNEL 272206 PROMED PERSONNEL SERVICES 18 EAST 41ST STREET 14TH FL NEW YORK NY 10017 TEMPORARY PERSONNEL 222559 6 30682 30682 PATIENT SERVICE REVENU 621110 22835734 22835734 22835734 3180 3180 22869596 22835734 0 3180 281346 281346 11434650 9152402 2282248 241028 241028 1324395 1324395 922755 915633 7122 1554023 1554023 50493 50493 69061 3500 65561 2972852 2436924 535928 789173 485323 301400 2450 65649 784 64865 1616343 1553283 63060 20824 7730 13094 56922 20907 36015 102652 102652 330972 330972 705448 469602 235846 RECRUITING EXPENSE 115874 11000 104874 VACCINATION 79748 79748 STAFF CONSUMER FOOD 27534 3050 24484 LAUNDRY 25618 22971 2647 17906 17906 22805266 17358504 5444312 2450 1993926 615918 260769 144985 2533350 5697096 534712 677493 5628183 3063020 2071305 2565163 7394062 9700655 1265131 3292208 4005649 4220835 5270780 7513043 X 2123282 2187612 2123282 2187612 7394062 9700655 64330 0 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3312695 1853409 1459286 2089866 1011067 1078799 225622 198544 27078 2565163 22869596 22805266 64330 64330 22869596 0 22869596 0 22869596 22805266 0 22805266 0 22805266 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X 0 0 0 0 0 0 0 0 0 PETER DELLA BELLA 240737 0 371 0 0 0 7736 0 32502 0 281346 0 0 0 STEVEN D LOWE 183799 0 5212 0 0 0 5863 0 22193 0 217067 0 0 0 PHILIP E LEVINE 173723 0 212 0 0 0 5404 0 21958 0 201297 0 0 0 ARLENE M GARCIA 155283 0 212 0 0 0 5079 0 25660 0 186234 0 0 0 CHRYSTAL ORTHODOXOU 167419 0 212 0 0 0 5029 0 8467 0 181127 0 0 0 PAULA A SINCLAIR 151625 0 159 0 0 0 4591 0 9540 0 165915 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 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 2011. 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. MISSION STATEMENT FORM 990, PART III, LINE 1 PREMIER 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.