2019-12-20T08:22:57-06:00 2019-08-31 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2018-09-01 251381800 THE PRIMARY HEALTH NETWORK PRIM 7243423002 100 SHENANGO AVE PO BOX 716 SHARON PA 16146 AMY STEIN CLARK DIRECTOR OF FINANCE 7243423002 2019-12-18 1 KELLY A BROCIOUS CPA P01254262 4126356270 2019-12-18 216.12.119.47 2019-12-18 11:23:04 ES P DE6C6D5B69F0F37BEABFD1F245B9169CE5AC8F09 A8D786766417D2CC838CA384203DC1E642F001B1 2018 2020-03-31 21:24:44Z DREW PIERCE 100 SHENANGO AVE PO BOX 716 SHARON PA 16146 86281833 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 13 13 701 13 -29635 -53438 10845642 10946067 73996631 72650192 -59695 182996 1503216 2037722 86285794 85816977 0 0 0 0 45516651 44463439 0 0 0 35831907 37773830 81348558 82237269 4937236 3579708 50089444 53950060 10502169 16527690 39587275 37422370 X OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 0 0 38752970 41528113 PROVIDE MEDICAL SERVICES INCLUDING WELLNESS CHILDCARE, ADULT CARE, ACUTE CARE, AND OBSTETRICS. A SLIDING FEE IS UTILIZED. WE ACCEPT ALL INSURANCES. 13524726 24980182 THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. 6235287 6054233 PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. 2131004 525533 OTHER PROGRAMS 2131004 525533 60643987 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 55 0 701 1 1 1 0 0 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 295200 0 13750 AMY STEIN CLARK DIRECTOR OF FINANCE 39.00 1.00 X 135882 0 23549 JAMES LAUER MD PHYSICIAN 40.00 X 316127 0 30550 KEVIN DUMPE MD PHYSICIAN 40.00 X 314512 0 34448 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 870101 0 35038 KANTHI MENON MD PHYSICIAN 40.00 X 314076 0 33100 SUJATHA PANDIAN MD PHYSICIAN 40.00 X 316192 0 12324 2562090 0 182759 80 0 1 0 BRETTON WALBERG PO BOX 395 JAMESTOWN PA 16134 PHARMACY 5052535 EXCEL CONSTRUCTION SERVICES LLC 7226 WARREN SHARON ROAD SUITE B BROOKFIELD OH 44403 CONSTRUCTION SERVICES 1154553 RDI 4350 GLENDALE-MILFORD RD STE 250 CINCINNATI OH 45242 IT SERVICES 1114416 MEMAW INC 176 VIRGINIA AVE 3RD FLOOR ROCHESTER PA 15074 PHARMACY 989993 AMERICLEAN & SUPPLY LLC PO BOX 1172 HERMITAGE PA 16148 CLEANING SERVICES 981086 21 10946067 10946067 NET PATIENT REVENUE 900099 71585240 71585240 CONTRACTED SERVICES 900099 1064952 1064952 72650192 195922 195922 2038132 451930 1586202 1586202 -29635 1615837 12926 -12926 -12926 -12926 OTHER REVENUE 900099 451520 451520 451520 85816977 73101712 -29635 1798833 468381 468381 36271575 28221537 8050038 928243 705820 222423 4118465 2873945 1244520 2676775 2006865 669910 140283 140283 60065 60065 47180 47180 280565 230280 50285 1432417 685547 746870 4374567 1655869 2718698 539289 170097 369192 293415 293415 2156228 2156228 573130 573130 PHARMACY 14103109 14103109 CONTRACTED SERVICES 5343337 2671038 2672299 BAD DEBT 2318707 2318707 HOUSEKEEPING SERVICES/S 1258030 1074745 183285 4853508 3866363 987145 82237269 60643987 21593282 0 3995215 3193263 9656524 9961817 7226720 8713403 499381 496609 647597 510014 37995567 13308580 21812645 24686987 6251362 6387967 50089444 53950060 4936515 6130374 458334 319172 3809686 3484359 1297634 6593785 10502169 16527690 X 39587275 37422370 39587275 37422370 50089444 53950060 X 3579708 -531589 -4795347 -417677 X X 0 1 X 1 1 1 X 9766623 9815368 10590821 10845642 10946067 51964521 9766623 9815368 10590821 10845642 10946067 51964521 51964521 45237 13786 27095 58319 195922 340359 -37618 -31651 -76724 -74597 -29635 -250225 140659 47323 75087 550585 451520 1265174 53319829 335699469 0.97460 0.98340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 60065 0 0 60065 0 447120 447120 19596590 5861747 13734843 6236424 2217802 4018622 9698042 3329409 6368633 2017391 1899622 117769 24686987 AGENCY FUND INVESTMENTS 47744 INVESTMENT IN AFFILIATES 5118223 PUNXSUTAWNEY SINKING FUND 585000 SHARON SINKING FUND 637000 6387967 INTEREST RATE SWAP LIABILITY 76438 PUNXSUTAWNEY SINKING FUND 585000 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5295347 SHARON SINKING FUND 637000 6593785 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, 2016, 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 10000 0 10200 0 13750 0 0 0 308950 0 0 0 AMY STEIN CLARK DIRECTOR OF FINANCE 111882 0 10000 0 14000 0 6000 0 17549 0 159431 0 0 0 JAMES LAUER MD PHYSICIAN 315827 0 300 0 0 0 16412 0 14138 0 346677 0 0 0 KEVIN DUMPE MD PHYSICIAN 314212 0 300 0 0 0 16412 0 18036 0 348960 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 379161 0 464540 0 26400 0 19219 0 15819 0 905139 0 0 0 KANTHI MENON MD PHYSICIAN 228740 0 84856 0 480 0 11813 0 21287 0 347176 0 0 0 SUJATHA PANDIAN MD PHYSICIAN 236250 0 79262 0 680 0 11813 0 511 0 328516 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 TO AFFILATE -348,405. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP LIABILITY -69,272. 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 -283931 5767342 0 0 0.50000 SHARON MSF LLC 100 SHENANGO AVE SHARON PA 16146 471604302 INVESTMENT COMPANY PA -250018 10215346 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 -7689 1170918 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 244751 FMV PHN CHARITABLE FOUNDATION R 1100763 FMV