2024-11-15T12:24:39-06:00 2023-12-31 873707167 CBIZ MARKS PANETH LLC 685 THIRD AVENUE NEW YORK NY 10017 990 2023-01-01 133916271 PREMIER HEALTHCARE INC PREM 2122736100 220 EAST 42ND ST 8TH FLOOR NEW YORK NY 10017 KEVIN CAREY CEO 2122736100 2024-11-14 1 1 MAGDALENA CZERNIAWSKI P00535099 2125038800 2024-11-14 2023 2024-10-15 13:58:12Z KEVIN CAREY 220 EAST 42ND ST 8TH FLOOR NEW YORK NY 10017 17156648 0 X 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: AUDIOLOGY, PRIMARY HEALTH, PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION), NUTRITION, NEUROLOGY, PODIATRY, 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 2 205 3 0 0 2462 4280 15233276 16525020 -9438 0 0 183178 15226300 16712478 0 0 0 0 9862106 10853583 0 0 0 7428033 8069515 17290139 18923098 -2063839 -2210620 19202952 20422638 30253545 33683851 -11050593 -13261213 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, AUDIOLOGY, PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION),NUTRITION, NEUROLOGY, PODIATRY, 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 16718907 16708198 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 H EALTH, PEDIATRICS, INTERNAL MEDICINE, DENTISTRY (INCLUDING DESENSITIZATION), NUTRITION, GYNECOLOGY, NEUROLOGY, PODIATRY, PSYSIATRY, PSYCHIATRY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, OPTHALMOLOGY, SPEECH PATHOLOGY AND PSYCHOLOGY. 16718907 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 69 0 1 205 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X VANDA ANGELILLO ACTING CFO 2122736584 220 EAST 42ND ST 8TH FLOOR NEW YORK NY 10017 DAVID STAFFORD TRUSTEE 1.00 2.00 X 0 0 0 JEFFERY MORDOS CHAIRMAN 1.00 2.00 X X 0 0 0 JEFFREY LIEBERMAN ESQ TRUSTEE 1.00 2.00 X 0 0 0 KEVIN CAREY CEO 3.00 37.00 X 0 548184 141958 VANDA ANGELILLO ACTING CFO 40.00 X 0 245374 22039 ANNA VIRON CHIEF OF DENTISTRY 40.00 X 197202 0 15945 ELSTON L VOLKERTS NURSE PRACTITIONER 40.00 X 182189 0 35517 PETER BULOW PSYCHIATRIST 40.00 X 305526 0 3819 DOUGLAS REED NURSE PRACTITIONER PSYCH 40.00 X 237860 0 7136 JAVAID IFTIKAR NURSE PRACTITIONER PSYCH 40.00 X 193050 0 0 HOPE LEVY EXECUTIVE DIRECTOR (FORMER) 0.00 X 175000 184582 0 1290827 978140 226414 28 1 1 0 BOSTON CHILDREN'S HEALTH PHYSICIANS LLP 40 SUNSHINE COTTAGE ROAD SKYLINE SU VALHALLA NY 10595 PEDIATRIC NEUROLOGY 387007 FIRST HAND MANAGEMENT RESOURCES LLC 173 HUGUENOT STREET TRUMP PLAZA STE NEW ROCHELLE NY 10801 TEMPORARY SERVICES - PT 104423 2 4280 4280 PATIENT SERVICE REVENUES 621110 16080850 16080850 CONTRACT REVENUE 621110 444170 444170 16525020 444170 444170 0 INSURANCE PROCEEDS 900099 183178 183178 183178 16712478 16708198 0 0 114583 114583 9311201 9238434 72767 89904 89080 824 582401 577064 5337 755494 748571 6923 1272530 1272530 77570 77570 52402 52402 1459913 1256636 203277 323329 323329 744252 744252 1727654 1727654 58275 58275 231453 231453 130319 130319 649003 492376 156627 BAD DEBT 472181 472181 RECREATIONAL SUPPLIES 417935 417935 REPAIRS AND MAINTENANCE 400684 400684 STAFF DEVELOPMENT 42117 42117 9898 9898 18923098 16718907 2204191 0 41028 156316 452021 63495 1722340 3207944 147071 531247 7875213 7233890 771642 641323 16068850 15822313 19202952 20422638 1308650 2050932 2552235 7752235 26392660 23880684 30253545 33683851 X -11050593 -13261213 -11050593 -13261213 19202952 20422638 -2210620 0 X X 0 1 X 1 0 X 4048746 3568364 480382 1645360 1498729 146631 2181107 2166797 14310 641323 SECURITY DEPOSITS 16443 OTHER ASSETS 462243 RIGHT OF USE ASSETS 15343627 15822313 DUE TO MEDICAID 15957 DUE TO YAI 7545308 CAPITAL LEASE OBLIGATION 16319419 23880684 X 16712478 0 16712478 0 16712478 18923098 0 18923098 0 18923098 PART X, LINE 2: PREMIER HEALTHCARE, INC. BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023, 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. 1 1 0 0 0 0 0 0 0 KEVIN CAREY CEO 0 393424 0 66666 0 88094 0 101989 0 39969 0 690142 0 81978 HOPE LEVY EXECUTIVE DIRECTOR (FORMER) 0 0 0 0 175000 184582 0 0 0 0 175000 184582 0 0 PETER BULOW PSYCHIATRIST 305526 0 0 0 0 0 3819 0 0 0 309345 0 0 0 VANDA ANGELILLO ACTING CFO 0 194736 0 50000 0 638 0 6065 0 15974 0 267413 0 0 DOUGLAS REED NURSE PRACTITIONER PSYCH 237860 0 0 0 0 0 7136 0 0 0 244996 0 0 0 ELSTON L VOLKERTS NURSE PRACTITIONER 182189 0 0 0 0 0 0 0 35517 0 217706 0 0 0 ANNA VIRON CHIEF OF DENTISTRY 197202 0 0 0 0 0 5960 0 9985 0 213147 0 0 0 JAVAID IFTIKAR NURSE PRACTITIONER PSYCH 193050 0 0 0 0 0 0 0 0 0 193050 0 0 0 PART I, LINE 3 KEVIN CAREY IS THE CEO OF YAI, PREMIER HEALTHCARE'S SOLE MEMBER AND RELATED PARTY. SALARY AND BENEFITS LISTED ARE PAID AND SET BY YAI AND NOT PREMIER HEALTHCARE. THE SAME RELATES TO VANDA ANGELILLO, ACTING CFO. PART I, LINES 4A-B KEVIN CAREY RECEIVED A CONTRIBUTION OF 92,089 TO A NON-QUALIFIED PLAN AND IT IS REPORTED IN COLUMN (C). HE ALSO RECEIVED A DISTRIBUTION OF $81,978 AND IT IS REPORTED IN COLUMN B(III), AND (F). HOPE LEVY, FORMER OFFICER, RECEIVED SETTLEMENT PAYMENT AND IT IS REPORTED IN COLUMN B(III). THIS AMOUNT INCLUDES $116,665 THAT WAS PAID TO THE ATTORNEY. PART II, COLUMN B(III): THE AMOUNTS IN THIS COLUMN INCLUDES CONTRIBUTION TO NON-QUALIFIED RETIREMENT PLAN AND AUTO ALLOWANCE FOR KEVIN CAREY AND IS REPORTED IN COLUMN B(III). DAVID STAFFORD BOARD MEMBER 20318 DAVID STAFFORD'S DAUGHTER IS WORKING AND BEING COMPENSATED BY THE ORGANIZATION. 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT 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 WITH THE IRS. 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 C, LINE 19 INFORMATION IS AVAILABLE UPON REQUEST. PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. YOUNG ADULT INSTITUTE INC 220 EAST 42D ST 8TH FLOOR NEW YORK NY 10017 112030172 SUPPORT FOR PEOPLE WITH ITELLECTUAL AND DEVELOPMENTAL DISABILITIES NY 501(C)(3) LINE 10 N/A 0 INTERNATIONAL INSTITUTE FOR PEOPLE WITH DISABILITIES OF PUERTO RICO INC 220 EAST 42D ST 8TH FLOOR NEW YORK NY 10017 CREATES EMPLOYMENT OPPORTUNITIES FOR DISABLED PEOPLE NY 501(C)(3) LINE 10 YOUNG ADULT INSTITUTE INC 0 INTERNATIONAL CENTER OF HOPE LTD 220 EAST 42D ST 8TH FLOOR NEW YORK NY 10017 813372024 BRAIN INJURY SERVICES AND SUPPORT NY 501(C)(3) LINE 12B, II THE INTERNATIONAL ACADEMY OF HOPE 0 THE INTERNATIONAL ACADEMY OF HOPE 220 EAST 42D ST 8TH FLOOR NEW YORK NY 10017 463901238 EDUCATIONAL SERVICES FOR PEOPLE WITH BRAIN INJURYS NY 501(C)(2) LINE 2 YOUNG ADULT INSTITUTE INC 0 THE MANHATTAN STAR ACADEMY 220 EAST 42D ST 8TH FLOOR NEW YORK NY 10017 134069634 EDUCATIONAL SERVICES FOR CHILDREN WITH DIABILITIES NY 501(C)(3) LINE 2 YOUNG ADULT INSTITUTE INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0