2018-12-21T08:47:26-06:00 2018-08-31 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2017-09-01 251381800 THE PRIMARY HEALTH NETWORK PRIM 7243423002 100 SHENANGO AVE PO BOX 716 SHARON PA 16146 AMY STEIN CLARK DIRECTOR OF FINANCE 7243423002 2018-12-20 1 KELLY A BROCIOUS CPA P01254262 4126356270 2018-12-20 216.12.119.47 2018-12-20 12:31:39 ES P 2412E957DE2F75515A89B43FEA55C557ADEF0DF9 3359037EC17F52B680576CAD088B94A1FE832068 2017 2019-02-21 02:37:17Z X DREW PIERCE 100 SHENANGO AVE PO BOX 716 SHARON PA 16146 86896441 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 13 13 745 13 -74597 -75839 10590821 10845642 69675083 73996631 -67351 -59695 824901 1503216 81023454 86285794 0 0 0 0 42510124 45516651 0 0 0 32586412 35831907 75096536 81348558 5926918 4937236 46966103 50089444 11096275 10502169 35869828 39587275 X OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 0 0 36767490 42675949 PROVIDE MEDICAL SERVICES INCLUDING WELLNESS CHILDCARE, ADULT CARE, ACUTE CARE, AND OBSTETRICS. A SLIDING FEE IS UTILIZED. WE ACCEPT ALL INSURANCES. 12347396 24766536 THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. 5428469 6554146 PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. 5826978 550585 OTHER PROGRAMS 5826978 550585 60370333 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 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 1 0 0 0 1 64 0 745 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 PA X FINANCE DEPARTMENT 7243420126 81 VINE STREET SHARON PA 16146 THOMAS BURICH PRESIDENT 1.00 X X 0 0 0 JO ANNE CARRICK PRESIDENT ELECT 1.00 X X 0 0 0 DOUGLAS NASCI TREASURER 1.00 X X 0 0 0 DAN BELL SECRETARY 1.00 X X 0 0 0 DEBORAH MCCANNA DIRECTOR 1.00 X 0 0 0 HELEN WHEELER DIRECTOR 1.00 X 0 0 0 JOANN JOFERY DIRECTOR 1.00 X 0 0 0 THOMAS SCOTT DIRECTOR 1.00 X 0 0 0 ANTHONY KOS DIRECTOR 1.00 X 0 0 0 TAWONA JONES DIRECTOR 1.00 X 0 0 0 NANDA CHUWAN DIRECTOR 1.00 X 0 0 0 DANIEL BLOUGH DIRECTOR 1.00 X 0 0 0 DONALD PERRY DIRECTOR 1.00 X 0 0 0 DREW PIERCE CEO 39.00 1.00 X 290200 0 13750 AMY STEIN CLARK DIRECTOR OF FINANCE 39.00 1.00 X 118457 0 22601 JAMES LAUER MD PHYSICIAN 40.00 X 306460 0 26843 KEVIN DUMPE MD PHYSICIAN 40.00 X 304693 0 31305 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 817105 0 31041 GEORGE HROMNAK MD PSYCHIATRIST 40.00 X 250039 0 14892 HISHAM SHAWISH MD PHYSICIAN 40.00 X 353643 0 16772 2440597 0 157204 76 0 1 0 BRETTON WALBERG PO BOX 395 JAMESTOWN PA 16134 PHARMACY 4870954 COMDOC INCORPORATED PO BOX 932159 CLEVELAND OH 44193 COPIER SERVICES 1494004 HUDSON CONSTRUCTION INC 1625 DUTCH LANE HERMITAGE PA 16148 CONSTRUCTION 1398534 AMERICLEAN & SUPPLY LLC PO BOX 1172 HERMITAGE PA 16148 CLEANING SERVICES 1237195 RDI 4350 GLENDALE-MILFORD RD STE 250 CINCINNATI OH 45242 IT SERVICES 1104418 22 10845642 10845642 NET PATIENT REVENUE 900099 72538666 72538666 CONTRACTED SERVICES 900099 1457965 1457965 73996631 58319 58319 1445264 492633 952631 952631 -74597 1027228 118014 -118014 -118014 -118014 OTHER REVENUE 900099 550585 550585 550585 86285794 74547216 -74597 967533 445008 445008 37268577 29084303 8184274 898126 707821 190305 4184474 3065101 1119373 2720466 2085648 634818 115517 115517 60000 60000 72598 72598 329688 259511 70177 1398325 744911 653414 3881143 1386544 2494599 552206 187204 365002 185115 185115 2098486 2098486 644273 644273 PHARMACY 14084499 14084499 CONTRACTED SERVICES 5089032 2503788 2585244 BAD DEBT 1909818 1909818 HOUSEKEEPING SERVICES/S 1133142 969324 163818 4278065 3321861 956204 81348558 60370333 20978225 0 3805128 3995215 9018970 9656524 5790490 7226720 520877 499381 699674 647597 33899241 12086596 21579644 21812645 5551320 6251362 46966103 50089444 5334959 4936515 458334 3904258 3809686 1857058 1297634 11096275 10502169 X 35869828 39587275 35869828 39587275 46966103 50089444 X 4937236 -304672 -915117 X X 0 1 X 1 1 1 X 8093125 9766623 9815368 10590821 10845642 49111579 8093125 9766623 9815368 10590821 10845642 49111579 49111579 9615 45237 13786 27095 58319 154052 -37618 -31651 -76724 -74597 -220590 82834 140659 47323 75087 550585 896488 49941529 263049277 0.98340 0.98640 X 0 0 0 0 0 0 1 60000 0 0 60000 0 437120 437120 18174645 5152413 13022232 3936162 1823517 2112645 8912321 3314173 5598148 2438993 1796493 642500 21812645 AGENCY FUND INVESTMENTS 51959 INVESTMENT IN AFFILIATES 5408935 PUNXSUTAWNEY SINKING FUND 538468 SHARON SINKING FUND 252000 6251362 INTEREST RATE SWAP LIABILITY 7166 PUNXSUTAWNEY SINKING FUND 538468 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 500000 SHARON SINKING FUND 252000 1297634 X PART X, LINE 2: THE FOUNDATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST, PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE FOUNDATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS ADOPTION. GENERALLY, TAX RETURNS FOR THE YEARS ENDED AUGUST 31, 2015, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. X 1 1 X 0 0 0 0 0 0 0 0 0 DREW PIERCE CEO 275000 0 5000 0 10200 0 13750 0 0 0 303950 0 0 0 JAMES LAUER MD PHYSICIAN 306210 0 250 0 0 0 15941 0 10902 0 333303 0 0 0 KEVIN DUMPE MD PHYSICIAN 304443 0 250 0 0 0 15941 0 15364 0 335998 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 363030 0 454075 0 0 0 18425 0 12616 0 848146 0 0 0 GEORGE HROMNAK MD PSYCHIATRIST 178247 0 71792 0 0 0 9040 0 5852 0 264931 0 0 0 HISHAM SHAWISH MD PHYSICIAN 251653 0 101990 0 0 0 0 0 16772 0 370415 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THIS CORPORATION IS OPEN TO ANYONE 18 YEARS OR OLDER, REGARDLESS OF RACE, COLOR, CREED, SEX, INCOME OR COUNTRY OF ORIGIN. NO MEMBER OF THIS CORPORATION NOR MEMBER OF THEIR IMMEDIATE FAMILY TO INCLUDE BUT NOT LIMITED TO SPOUSE AND CHILDREN SHALL BENEFIT FINANCIALLY, DIRECTLY OR INDIRECTLY BY REASON OF BEING A MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE PRIMARY HEALTH NETWORK HAS A CPA FIRM PREPARE ITS FORM 990. THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE BOARD OF DIRECTORS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY AND CHANGES ARE MADE IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 PRIMARY HEALTH NETWORK MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME PRIMARY HEALTH NETWORK DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER FROM AFFILATE -921,846. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP LIABILITY 6,729. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEAR AND HAS NOT CHANGED. PHN CHARITABLE FOUNDATION 123 EAST STATE STREET SHARON PA 16146 412188011 SUPPORT PROGRAMS THAT INCREASE ACCESS TO HEALTHCARE SERVICES PA 501(C)(3) LINE 3 THE PRIMARY HEALTH NETWORK 1 PUNXSUTAWNEY MSF LLC 100 SHENANGO AVE SHARON PA 16146 460584749 INVESTMENT COMPANY PA -122644 5836932 0 0 0.50000 SHARON MSF LLC 100 SHENANGO AVE SHARON PA 16146 471604302 INVESTMENT COMPANY PA -274306 10337089 0 0 0.50000 PHN PHYSICIAN SERVICES 100 SHENANGO AVE SHARON PA 16146 204251617 MEDICAL SERVICES PA THE PRIMARY HEALTH NETWORK C 1.00000 1 PALU INVESTMENT GROUP LTD 81 VINE AVE SHARON PA 16146 271971298 INVESTMENT COMPANY PA THE PRIMARY HEALTH NETWORK C -200 1223042 1.00000 1 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 PHN CHARITABLE FOUNDATION K 364935 FMV PHN CHARITABLE FOUNDATION R 930575 FMV