2021-03-17T07:57:07-05:00 2020-08-31 251622758 MAHER DUESSEL CPA'S 3003 NORTH FRONT STREET SUITE 1010 HARRISBURG PA 17110 990 2019-09-01 251381800 THE PRIMARY HEALTH NETWORK PRIM 7243423002 100 SHENANGO AVENUE PO BOX 716 SHARON PA 16146 CARL A SIZER CHIEF FINANCIAL OFFICER 7243423002 2021-03-17 1 LISA RITTER P00168809 7172321230 2019 2022-09-23 18:48:47Z CARL A SIZER 100 SHENANGO AVENUE PO BOX 716 SHARON PA 16146 87818125 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS. 10 10 684 0 16841 0 10946067 13789263 72650192 71216742 182996 -161904 2037722 2355979 85816977 87200080 0 0 0 0 44463439 44656430 0 0 0 37773830 36786385 82237269 81442815 3579708 5757265 53950060 64443221 16527690 20077431 37422370 44365790 X PRIMARY HEALTH NETWORK, A FEDERALLY QUALIFIED HEALTH CENTER, PROVIDES PRIMARY CARE SERVICES AND ACCESS TO SPECIALTY CARE COMMENSURATE WITH THE NEEDS OF THE PEOPLE IN THE COMMUNITIES WE SERVE. SERVICES ARE OFFERED REGARDLESS OF AGE, RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. 0 0 38593353 40272469 PROVIDE MEDICAL AND BEHAVIORAL HEALTH SERVICES REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE PRIMARY CARE, CHIROPRACTIC, PEDIATRICS, OBSTETRICS/GYNECOLOGY, PODIATRY, PSYCHIATRY, AMONG OTHERS. A SLIDING FEE IS UTILIZED AND ALL INSURANCES ARE ACCEPTED. 13843513 26186391 THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. 4942987 3525171 PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. 1232711 OTHER PROGRAMS. 1232711 57379853 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 0 0 0 0 0 1 1 0 0 0 1 41 0 684 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 1 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X FINANCE DEPARTMENT 7243420126 118 VINE STREET SHARON PA 16146 DANIEL BLOUGH DIRECTOR 1.00 X 0 0 0 NANDA CHUWAN DIRECTOR 1.00 X 0 0 0 TAWONA JONES DIRECTOR 1.00 X 0 0 0 ANTHONY KOS DIRECTOR 1.00 X 0 0 0 DEBORAH MCCANNA DIRECTOR 1.00 X 0 0 0 DONALD PERRY DIRECTOR 1.00 X 0 0 0 THOMAS SCOTT DIRECTOR 1.00 X 0 0 0 JO ANNE CARRICK PRESIDENT (BEGINNING APRIL 2020) 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 DREW PIERCE CEO (THROUGH APRIL 2020) 39.00 1.00 X 301700 0 14208 THOMAS BURICH PRESIDENT THROUGH MARCH 2020 THEN ACTING CEO 40.00 X 0 0 0 CARL SIZER ACTING DIRECTOR OF FINANCE (BEGINNING APRIL 2020) 40.00 X 0 0 0 GEORGE GARROW CHIEF MEDICAL OFFICER 40.00 X 299942 0 42412 JENNIE SLABE CHIEF INFORMATION OFFICER 40.00 X 187775 0 9550 LORRIE SPEIR-CHRASTINA VP OF CORPORATE COMPLIANCE 40.00 X 159859 0 50004 JOSEPH MONTONE CHIEF OPERATIONS OFFICER 40.00 X 177788 0 37385 RAMSEY AHMED MD PSYCHIATRIST 40.00 X 391989 0 15726 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 808239 0 42362 NASIM SHAJIHAN PSYCHIATRIST 40.00 X 363960 0 43304 SUJATHA PANDIAN MD PSYCHIATRIST 40.00 X 375796 0 25000 KEVIN DUMPE PHYSICIAN 40.00 X 326642 0 48033 AMY STEIN CLARK DIRECTOR OF FINANCE (THROUGH APRIL 2020) 39.00 1.00 X 172521 0 31692 3566211 0 359676 13 1 1 0 BRETTON WALBERG PO BOX 395 JAMESTOWN PA 16134 PHARMACY 4743064 EXCEL CONSTRUCTION SERVICES LLC 7226 WARREN SHARON ROAD SUITE B BROOKFIELD OH 44403 CONSTRUCTION SERVICES 3036703 RDI 4350 GLENDALE-MILFORD ROAD SUITE 2 CINCINNATI OH 45242 IT SERVICES 1334144 AMERICLEAN & SUPPLY LLC PO BOX 1172 HERMITAGE PA 16148 CLEANING SERVICES 1066479 MEHAW INC 176 VIRGINIA AVENUE 3RD FLOOR ROCHESTER PA 15074 PHARMACY 969286 24 13789263 13789263 NET PATIENT SERVICE RE 900099 70278963 70278963 CONTRACTED SERVICES 900099 937779 937779 71216742 163358 163358 2562454 281737 2280717 2280717 16841 2263876 11046 0 336308 11046 -336308 -325262 -325262 MISCELLANEOUS 900099 75262 75262 75262 87200080 71216742 16841 2177234 474221 474221 36841300 27702556 9138744 924900 669517 255383 3839033 2644077 1194956 2576976 1886947 690029 1192519 1192519 61730 61730 55065 55065 284196 84734 199462 294353 130752 163601 5373364 1949813 3423551 352878 99608 253270 298444 298444 2359462 2359462 126521 3593 122928 PHARMACY 15738045 15738045 CONTRACTED SERVICES 4620751 2338285 2282466 BAD DEBT 2111322 2111322 HOUSEKEEPING 1163107 859516 303591 2754628 1106023 1648605 81442815 57379853 24062962 0 3193263 8433334 9961817 13255596 8713403 8081313 496609 464438 510014 403092 38146929 14663446 24686987 23483483 2654681 6387967 7667284 53950060 64443221 6130374 6361224 319172 4140667 3484359 3103041 6593785 6472499 16527690 20077431 X 37422370 44365790 37422370 44365790 53950060 64443221 X 5757265 1281584 -95429 X X 0 1 X 1 1 1 X 9815368 10590821 10845642 10946067 13789263 55987161 9815368 10590821 10845642 10946067 13789263 55987161 55987161 13786 27095 58319 195922 163358 458480 -31651 -76724 -74597 -29635 -212607 47323 75087 550585 451520 75262 1199777 57432811 352843455 0.97480 0.97460 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 47,323. 2016 AMOUNT: $ 75,087. 2017 AMOUNT: $ 550,585. 2018 AMOUNT: $ 451,520. 2019 AMOUNT: $ 75,262. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 55065 0 0 55065 0 PART II-B, LINE 1: MONITORED GOVERNOR'S FY 2020-21 BUDGET ADDRESS, REVIEWED HEALTH CARE RELATED PORTIONS OF BUDGET PROPOSAL AND PROVIDED UPDATE TO CLIENT ON ISSUES RELEVANT TO PHN GOALS AND OBJECTIVES ATTENDED AND PROVIDED RECAPS OF BUDGET HEARINGS BY THE HOUSE AND SENATE APPROPRIATIONS COMMITTEES WITH KEY AGENCIES OF INTEREST TO PHN PARTICIPATED IN REGULAR CALLS WITH CLIENT TO DISCUSS FQHC PROJECT PRIORITIES, ASSISTED IN THE DRAFTING OF ADVOCACY POLICY PAPER FOR NEXT IDENTIFIED PROJECT, AND CONDUCTED RESEARCH RELATED TO POTENTIAL FUNDING OPPORTUNITIES CRAFTED ADVOCACY STRATEGY FOR ERIE FQHC INCLUDING THE DRAFTING OF PROJECT RELATED BUDGETARY FUNDING LANGUAGE FOR INCLUSION IN FISCAL CODE AND SECURING SUPPORT FROM ERIE AREA LEGISLATORS VIA DISCUSSIONS WITH SEN. MICHELE BROOKS, SEN. DAN LAUGHLIN, AND REP. PAT HARKINS GENERAL MONITORING AND REPORTING OF LEGISLATIVE BILL INTRODUCTIONS, AGENCY ACTIONS, COMMITTEE HEARINGS, AND HOUSE/SENATE VOTES ON ISSUES OF INTEREST TO PHN 447120 447120 19231148 6514582 12716566 6000440 2190762 3809678 10239945 5365736 4874209 2228276 592366 1635910 23483483 AGENCY FUND INVESTMENTS 52852 INVESTMENTS IN AFFILIATES 6550432 SHARON SINKING FUND 1064000 7667284 INTEREST RATE SWAP LIABILITY 113152 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5295347 SHARON SINKING FUND 1064000 6472499 X X 1 1 X 1 0 0 0 0 0 0 0 0 DREW PIERCE CEO (THROUGH APRIL 2020) 301700 0 0 0 0 0 14208 0 0 0 315908 0 0 0 GEORGE GARROW CHIEF MEDICAL OFFICER 299942 0 0 0 0 0 25000 0 17412 0 342354 0 0 0 JENNIE SLABE CHIEF INFORMATION OFFICER 187775 0 0 0 0 0 9550 0 0 0 197325 0 0 0 LORRIE SPEIR-CHRASTINA VP OF CORPORATE COMPLIANCE 159859 0 0 0 0 0 25000 0 25004 0 209863 0 0 0 JOSEPH MONTONE CHIEF OPERATIONS OFFICER 177788 0 0 0 0 0 29250 0 8135 0 215173 0 0 0 RAMSEY AHMED MD PSYCHIATRIST 391989 0 0 0 0 0 0 0 15726 0 407715 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 808239 0 0 0 0 0 24800 0 17562 0 850601 0 0 0 NASIM SHAJIHAN PSYCHIATRIST 363960 0 0 0 0 0 18300 0 25004 0 407264 0 0 0 SUJATHA PANDIAN MD PSYCHIATRIST 375796 0 0 0 0 0 25000 0 0 0 400796 0 0 0 KEVIN DUMPE PHYSICIAN 326642 0 0 0 0 0 33000 0 15033 0 374675 0 0 0 AMY STEIN CLARK DIRECTOR OF FINANCE (THROUGH APRIL 2 172521 0 0 0 0 0 6688 0 25004 0 204213 0 0 0 DREW PIERCE CEO THROUGH APRIL 2020 PERSONAL EXPENSES ON BUSINESS CARD AND SALARY/BENEFITS OF EMPLOYEE USED AT CRAVINGS 0 JOHN D LAENG FORMER KEY EMPLOYEE; CEO THROUGH DECEMBER 2014 SALARY/BENEFITS OF EMPLOYEE USED AT CRAVINGS 0 DREW PIERCE CEO THROUGH APRIL 2020 24000 USE OF FACILITY'S JOHN D LAENG FORMER KEY EMPLOYEE; CEO THROUGH DECEMBER 2014 9600 USE OF FACILITY'S AMERICLEAN & SUPPLY LLC OPERATED BY A FORMER KEY EMPLOYEE'S FAMILY MEMBER 1066479 HOUSEKEEPING/CLEANING SERVICES 0 PART 1, LINE 1 THE ORGANIZATION DOES NOT BELIEVE EXCISE TAX APPLIES BECAUSE THE BOARD OF DIRECTORS WAS NOT AWARE OF, NOR DID THEY APPROVE OF ANY OF THE EXCESS BENEFIT TRANSACTIONS, AND THE INDIVIDUALS INVOLVED IN THE TRANSACTIONS CONCEALED THEM FROM THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION UPDATED ITS BYLAWS IN SEPTEMBER 2020 FOR THE FOLLOWING CHANGES: NEW TERMINOLOGY FOR OFFICERS OF THE BOARD OF DIRECTORS, ESTABLISH TERMS AND TERM LIMITS FOR DIRECTORS, ESTABLISH BOARD COMMITTEES, AND SEVERAL CHANGES TO SUBSTANTIALLY ENHANCES THE BOARD'S OVERSIGHT. FORM 990, PART VI, SECTION A, LINE 5 DURING THE FISCAL YEAR 2020, THE BOARD OF DIRECTORS BECAME AWARE OF A SIGNIFICANT DIVERSION OF ASSETS AS A RESULT OF TRANSACTIONS BY FORMER KEY EMPLOYEES. THE SIGNIFICANT DIVERSION WAS DISCOVERED THROUGH AN INTERNAL INVESTIGATION CONDUCTED BY LEGAL COUNSEL ENGAGED BY THE ORGANIZATION. AT THE TIME THAT THESE DIVERSIONS OCCURRED AND PRIOR TO THEIR DISCOVERY AS A RESULT OF THE INTERNAL INVESTIGATION, THE INDIVIDUALS RESPONSIBLE FOR THE DIVERSIONS CONCEALED THEM FROM THE ORGANIZATION'S BOARD OF DIRECTORS. DURING THE INTERNAL INVESTIGATION, WHEN LEGAL COUNSEL FIRST BECAME SUSPICIOUS THAT THESE INDIVIDUALS WERE INVOLVED IN THE DIVERSIONS, THESE INDIVIDUALS WERE PLACED ON ADMINISTRATIVE LEAVE. ONCE THE INTERNAL INVESTIGATION WAS COMPLETED, THESE INDIVIDUALS WERE TERMINATED. THE BOARD OF DIRECTORS WAS NOT AWARE OF, NOR DID THEY APPROVE OF, ANY OF THE TRANSACTIONS RELATED TO THE DIVERSION OF ASSETS AT THE TIME THAT THOSE TRANSACTIONS OCCURRED, BUT THE BOARD HAS TAKEN SIGNIFICANT CORRECTIVE ACTION SINCE LEARNING OF THESE TRANSACTIONS. IN RESPONSE TO THE FINDINGS OF THE INTERNAL INVESTIGATION, THE ORGANIZATION'S BY-LAWS WERE REVISED, A NEW CORPORATE COMPLIANCE PROGRAM WAS PUT IN PLACE, AND SEVERAL OTHER POLICIES AND PROCEDURES RELATING TO FINANCIAL CONTROLS AND CONFLICTS OF INTEREST WERE ENACTED OR REVISED. THE REVISIONS TO THE ORGANIZATION'S BY-LAWS SUBSTANTIALLY ENHANCED THE BOARD'S OVERSIGHT OF THE ORGANIZATION. ADDITIONALLY, DEMAND LETTERS HAVE BEEN SENT BY LEGAL COUNSEL TO INDIVIDUALS INVOLVED IN THE DIVERSION OF ASSETS TO ATTEMPT TO RECOVER FUNDS, AND THE ORGANIZATION'S INSURANCE CARRIER HAS BEEN PUT ON NOTICE. FINALLY, AS A RESULT OF THE INTERNAL INVESTIGATION, PRIMARY HEALTH NETWORK IS IN THE PROCESS OF AMENDING PRIOR FILED FORM 990'S TO ENSURE THE FORM PROPERLY REFLECTS THE NEWLY-DISCOVERED DIVERSION OF ASSETS OCCURRING IN PRIOR YEARS. 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 ORGIN. 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 BY 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 15 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: CHANGE IN FV OF SWAP -36,714. NET ASSET TRANSFER TO AFFILIATE -58,715. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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