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Nonprofiteer
← PREMIUM HEALTH INC

Form 990 for tax year 2022

Filed by PREMIUM HEALTH INC.

Totals

Total revenue
$24,622,765
Total expenses
$24,402,535
Contributions and grants received
$3,991,901
Grants paid
$600,000
Program service revenue
$20,615,191
Investment income
$0
Other revenue
$15,673
Total assets, end of year
$40,838,960
Total liabilities, end of year
$36,904,444
Net assets or fund balances, end of year
$3,934,516
Program services expenses (Part IX)
$19,824,647
Management and general expenses
$4,577,888
Fundraising expenses
$0
Program service expenses (Part III)
$19,824,647

Program services were 81.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $3,985,759

  • 1f · All other contributions, gifts and grants

    $6,142

  • 1g · Noncash contributions included above

    $152,792

  • 2a · Program service revenue: PATIENT SERVICE

    total $19,233,412 · related or exempt $19,233,412

  • 2b · Program service revenue: 340B REVENUE

    total $1,381,779 · related or exempt $1,381,779

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: OTHER

    total $15,673 · related or exempt $15,673

  • 11e · Other revenue, total

    $15,673

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $600,000 · program services $600,000

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $3,033,077 · program services $1,218,276 · management and general $1,814,801

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $8,649,536 · program services $7,913,444 · management and general $736,092

  • 8 · Pension plan contributions

    total $118,201 · program services $116,405 · management and general $1,796

  • 9 · Other employee benefits

    total $692,088 · program services $653,571 · management and general $38,517

  • 10 · Payroll taxes

    total $681,303 · program services $539,991 · management and general $141,312

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $128,131 · management and general $128,131

  • 11c · Fees: accounting

    total $439,000 · management and general $439,000

  • 11d · Fees: lobbying

    total $60,050 · management and general $60,050

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $1,414,130 · program services $802,983 · management and general $611,147

  • 12 · Advertising and promotion

    total $14,622 · management and general $14,622

  • 13 · Office expenses

    total $828,431 · program services $730,252 · management and general $98,179

  • 14 · Information technology

    total $13,868 · management and general $13,868

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $3,474,619 · program services $3,223,573 · management and general $251,046

  • 17 · Travel

    total $109,049 · program services $96,684 · management and general $12,365

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $345,011 · program services $320,504 · management and general $24,507

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $897,870 · program services $834,091 · management and general $63,779

  • 23 · Insurance

    total $94,991 · program services $81,056 · management and general $13,935

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $983,061 · program services $983,061

  • 24b · Other expenses: DATA PROCESSING

    total $1,019,282 · program services $939,022 · management and general $80,260

  • 24c · Other expenses: REPAIRS

    total $521,559 · program services $492,372 · management and general $29,187

  • 24d · Other expenses: OTHER

    total $284,656 · program services $279,362 · management and general $5,294

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $853,084 · end of year $7,607,034

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $1,476,519 · end of year $992,455

  • 4 · Accounts receivable

    beginning of year $2,611,100 · end of year $3,006,506

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $282,706 · end of year $359,999

  • 10a · Land, buildings and equipment: cost or other basis

    $7,885,292

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,863,808

  • 10c · Land, buildings and equipment, net

    beginning of year $4,826,044 · end of year $5,021,484

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $5,269,693 · end of year $23,851,482

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,887,961 · end of year $1,618,818

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $6,522,023 · end of year $7,145,715

  • 25 · Other liabilities

    beginning of year $3,194,876 · end of year $28,139,911

  • 27 · Net assets without donor restrictions

    beginning of year $3,714,286 · end of year $3,934,516

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

PREMIUM HEALTH INC. (CENTER) IS COMMITTED TO PROVIDING COMPASSIONATE, CULTURALLY COMPETENT AND COMPREHENSIVE HEALTH CARE AND BEHAVIORAL HEALTH SERVICES TO ALL IN THE COMMUNITY IN NEED, REGARDLESS OF ABILITY TO PAY.

Activities or mission (Part I)

TO OPERATE A DIAGNOSTIC AND TREATMENT CENTER, IN ORDER TO IMPROVE THE HEALTH OF THE MEDICALLY UNDERSERVED INDIVIDUALS IN THE COMMUNITY.

  • THE CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES TREATMENT TO PATIENTS. IN 2022, THERE WERE APPROXIMATELY 53,225 PATIENT VISITS.

    Expenses $19,824,647 · Grants $600,000 · Revenue $20,630,864

As filed on the 2022 return.

Listed in Part VII

  • Meir Brody

    EXECUTIVE DIRECTOR

    Total calculated
    $693,105
    From this org
    $643,493
    From related orgs
    $0
    Other
    $49,612
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $513,493
    Bonus
    $130,000
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $40,462
    Filer's total
    $693,105
  • Daniel Howard Saltzman

    MEDICAL DIRECTOR WOMENS HEALTH

    Total calculated
    $561,728
    From this org
    $537,466
    From related orgs
    $0
    Other
    $24,262
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $535,466
    Bonus
    $2,000
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $15,112
    Filer's total
    $561,728
  • Adela Wichs

    PHYSICIAN

    Total calculated
    $504,938
    From this org
    $494,948
    From related orgs
    $0
    Other
    $9,990
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $490,948
    Bonus
    $4,000
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $840
    Filer's total
    $504,938
  • Raymond Sultan

    PHYSICIAN ASSISTANT

    Total calculated
    $459,843
    From this org
    $407,916
    From related orgs
    $0
    Other
    $51,927
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $286,167
    Bonus
    $121,749
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $42,777
    Filer's total
    $459,843
  • Jacqueline Guterman

    OBSTETRICIAN-GYNECOLOGIST

    Total calculated
    $447,205
    From this org
    $401,553
    From related orgs
    $0
    Other
    $45,652
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $384,053
    Bonus
    $17,500
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $36,502
    Filer's total
    $447,205
  • Sara Tarsis

    PHYSICIAN

    Total calculated
    $398,898
    From this org
    $346,971
    From related orgs
    $0
    Other
    $51,927
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $342,971
    Bonus
    $4,000
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $42,777
    Filer's total
    $398,898
  • Fred Friedman

    PHYSICIAN

    Total calculated
    $377,828
    From this org
    $326,301
    From related orgs
    $0
    Other
    $51,527
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,126
    Bonus
    $23,175
    Other
    not reported
    Deferred
    $6,000
    Nontaxable benefits
    $45,527
    Filer's total
    $377,828
  • Judy Zelcer

    FISCAL DIRECTOR

    Total calculated
    $375,649
    From this org
    $354,467
    From related orgs
    $0
    Other
    $21,182
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,467
    Bonus
    $129,000
    Other
    not reported
    Deferred
    $8,644
    Nontaxable benefits
    $12,538
    Filer's total
    $375,649
  • Eli Inzlicht-Sprei

    MEDICAL DIRECTOR

    Total calculated
    $354,908
    From this org
    $316,127
    From related orgs
    $0
    Other
    $38,781
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $311,127
    Bonus
    $5,000
    Other
    not reported
    Deferred
    $9,150
    Nontaxable benefits
    $29,631
    Filer's total
    $354,908
  • Tzvi Fishman

    CHIEF OPERATING OFFICER

    Total calculated
    $342,359
    From this org
    $292,804
    From related orgs
    $0
    Other
    $49,555
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $248,054
    Bonus
    $44,750
    Other
    not reported
    Deferred
    $9,070
    Nontaxable benefits
    $40,485
    Filer's total
    $342,359
  • Joshua Klein

    DIRECTOR OF REPRODUCTIVE MEDIC

    Total calculated
    $301,640
    From this org
    $301,640
    From related orgs
    $0
    Other
    $0
    Hours/week
    18

    Schedule J breakdown matched by us

    Base
    $299,840
    Bonus
    $1,800
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $301,640
  • Michael Brandsdorfer

    Chief Strategy officer

    Total calculated
    $263,856
    From this org
    $211,488
    From related orgs
    $0
    Other
    $52,368
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,488
    Bonus
    $25,000
    Other
    not reported
    Deferred
    $6,591
    Nontaxable benefits
    $45,777
    Filer's total
    $263,856
  • Marc Kronenberg

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $139,832
    From this org
    $134,866
    From related orgs
    $0
    Other
    $4,966
    Hours/week
    40
  • Alexander Ornstein

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Chaim Steinmetz

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Elky Miller

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Avi Stern

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Shmeal Wieder

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Esther Bernstein

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Chaim Pinter

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Mark S Weinstock

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Joseph Krausz

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 7
VARIOUS EMPLOYEES WERE AWARDED BONUSES FOR ACHIEVEMENTS OF GOALS SET FORTH AT THE BEGINNING OF THE YEAR BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • TO HELP WITH COST OF NEW HEALTH CARE ORGANIZATION WHICH PREMIUM IS THE SOLE MEMBER.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • HEALTH CUBED INC

    501(C)3 · Development · NY · controlled entity

    Directly controlled by PREMIUM HEAL

  • KOCHAVIM BEHAVIORAL HEALTH INC

    501(C)3 · mental health · NY · controlled entity

    Directly controlled by Premium Heal

  • FERTILITY RESOURCES INC

    501(C)3 · Assistance · NY · controlled entity

    Directly controlled by Premium Heal

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202313199349307121

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