2024-05-15T11:11:58-05:00 2023-06-30 221478099 COHNREZNICK LLP 7501 WISCONSIN AVENUE SUITE 400E BETHESDA MD 20814 990 2022-07-01 522224485 PREMIER HOMECARE INC PREM 3018162602 6123 MONTROSE ROAD ROCKVILLE MD 20852 CAROLINE APPLEBY CFO 3018162602 2024-05-15 1 CAROLINE APPLEBY 999009999 1 DANIEL O'SHEA P00957510 3016529100 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SCOTT GREEN 6123 MONTROSE ROAD ROCKVILLE MD 20852 2056189 0 X WWW.PREMIERHOMECARE.ORG X 2000 MD SEE SCHEDULE O 4 4 231 4 0 0 35344 38993 3595744 2017196 0 0 0 0 3631088 2056189 0 0 0 0 3284392 1773241 0 0 0 597553 399355 3881945 2172596 -250857 -116407 1064644 83613 864624 0 200020 83613 X SEE SCHEDULE O 0 1 2172596 2017196 PREMIER HOMECARE PROVIDED PRIVATE-DUTY SERVICES, IN THE FORM OF HOME CARE AIDES, NURSING ASSESSMENTS, COMPANIONSHIP, ESCORTED TRANSPORTATION, MEDICATION MANAGEMENT, MEAL PREPARATION, OTHER IN-HOME SUPPORT SERVICES, AND CARE MANAGEMENT SERVICES TO ELDERLY INDIVIDUALS WHO REQUIRE ASSISTANCE TO MAINTAIN THEIR INDEPENDENCE AND TO LIVE SAFELY WITHIN THEIR HOMES. 2172596 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 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 1 0 0 0 1 0 0 231 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X CAROLINE APPLEBY 3018162602 6123 MONTROSE ROAD ROCKVILLE MD 20852 ROBIN THOMASHAUER PRESIDENT 1.00 2.00 X X 0 0 0 GRANT B OTTENSTEIN SECRETARY 1.00 2.00 X X 0 0 0 MICHAEL MAEL TREASURER 1.00 2.00 X X 0 0 0 RUTH RUSKIN DIRECTOR 1.00 2.00 X 0 0 0 TODD SCHENK EXECUTIVE OFFICER 1.00 36.50 X 0 419537 6030 CAROLINE APPLEBY CFO OF JSSA 1.00 36.50 X 0 207364 23213 KYLIE MCCLEAF EXECUTIVE OFFICER 1.00 36.50 X 0 244335 23981 WILLIAM DOUGLAS HARVEY DIRECTOR OF HOMECARE SERVICES 37.50 0.00 X 153357 0 14522 KATHLEEN MOTTERN CLINICAL DIRECTOR 37.50 0.00 X 102819 0 9974 256176 871236 77720 2 0 1 0 0 18423 20570 38993 PRIVATE DUTY FEES 900099 2017196 2017196 2017196 2056189 2017196 0 0 1565908 1565908 13061 13061 57694 57694 136578 136578 20188 20188 57179 57179 67039 67039 78040 78040 12003 12003 19807 19807 5527 5527 2199 2199 10147 10147 33207 33207 MEDICAL AND CARE SUPPLI 5469 5469 LICENSES AND FEES 1881 1881 PROF STAFF DEVELOPMENT 295 295 REPAIRS AND MAINTENANCE 222 222 86152 86152 2172596 2172596 0 0 618576 17691 444368 1788 1700 0 52233 52233 0 0 0 64134 1064644 83613 144748 0 719876 0 864624 0 X 200020 83613 200020 83613 1064644 83613 -116407 0 X 0 1 X 1 0 X 85393 124313 723079 35344 38993 1007122 3070126 3937679 4042512 3595744 2017196 16663257 3155519 4061992 4765591 3631088 2056189 17670379 0 995840 1711868 1656894 1460582 1003456 6828640 995840 1711868 1656894 1460582 1003456 6828640 10841739 6 6 3155525 4061992 4765591 3631088 2056189 17670385 0.61360 0.63000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48867 48867 0 3366 3366 0 0 DUE FROM JSSA 64134 64134 X 41767609 39711420 39711420 2056189 0 2056189 41558535 39385939 39385939 2172596 0 2172596 PART X, LINE 2: PREMIER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND, AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. PREMIER RECOGNIZES PENALTIES AND INTEREST RELATED TO INCOME TAXES ON UNCERTAIN TAX POSITIONS IN ACCOUNTS PAYABLE, ACCRUED EXPENSES AND OTHER LIABILITIES ON THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION AND MANAGEMENT AND ADMINISTRATIVE EXPENSES ON THE CONSOLIDATED STATEMENTS OF ACTIVITIES AND CHANGE IN NET ASSETS. PREMIER DID NOT HAVE ANY UNRELATED BUSINESS INCOME FOR THE YEAR ENDED JUNE 30, 2023. TAX YEARS PRIOR TO 2020 FOR PREMIER ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE TAX JURISDICTIONS OF MARYLAND, VIRGINIA AND THE DISTRICT OF COLUMBIA. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET REVENUE OF AFFILIATE INCLUDED IN CONSOLIDATED FINANCIAL 39,729,843. REVENUE RECEIVED FROM AFFILIATE - ELIMINATED ON CONSOLIDATED FINANCIAL STMTS -18,423. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF AFFILIATE INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 39,385,939. 0 1 0 0 0 0 0 0 0 TODD SCHENK EXECUTIVE OFFICER 0 391401 0 3980 0 24156 0 4918 0 1112 0 425567 0 0 KYLIE MCCLEAF EXECUTIVE OFFICER 0 231736 0 5400 0 7199 0 4943 0 19038 0 268316 0 0 CAROLINE APPLEBY CFO OF JSSA 0 194946 0 4030 0 8388 0 4180 0 19033 0 230577 0 0 WILLIAM DOUGLAS HARVEY DIRECTOR OF HOMECARE SERVICES 149016 0 1550 0 2791 0 3215 0 11307 0 167879 0 0 0 PART I, LINE 4B JSSA, A RELATED ORGANIZATION, MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NO AMOUNTS WERE CONTRIBUTED OR DISTRIBUTED IN 2022. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO OWN AND OPERATE A PRIVATE DUTY AGENCY AND TO PROVIDE FINANCIAL SUPPORT TO THE JEWISH SOCIAL SERVICE AGENCY. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO OWN AND OPERATE A PRIVATE DUTY AGENCY (INCLUDING, WITHOUT LIMITATION, PERSONAL CARE AND RELATED SERVICES) AND TO PROVIDE FINANCIAL SUPPORT THROUGH THE MAKING OF GRANTS, GIFTS, ENDOWMENTS, AND/OR LOANS TO THE CHARITABLE PURPOSES OF JEWISH SOCIAL SERVICE AGENCY ("JSSA"), A DISTRICT OF COLUMBIA NON-PROFIT CORPORATION, AND OTHER ORGANIZATIONS ORGANIZED AND OPERATED FOR EXEMPT PURPOSES. FORM 990, PART III, LINE 3 EFFECTIVE JANUARY 1, 2023, PREMIER TRANSFERRED ITS HOMECARE LICENSE TO JEWISH SOCIAL SERVICE AGENCY (JSSA, A RELATED ENTITY) AND THOSE SERVICES ARE NOW PERFORMED BY JSSA. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE 990 PRIOR TO FILING IT WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST STATEMENT AT THEIR ORIENTATION AND EACH YEAR THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS GATHERS COMPARATIVE DATA TO HELP DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF PREMIER HOMECARE, INC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. JEWISH SOCIAL SERVICE AGENCY 200 WOOD HILL ROAD ROCKVILLE MD 20850 530196598 SOCIAL SERV. DC 501(C)3 LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1