2024-12-20T07:49:25-06:00 2024-08-31 251622758 MAHER DUESSEL CPA'S 3003 NORTH FRONT STREET SUITE 1010 HARRISBURG PA 17110 990 2023-09-01 251381800 PRIMARY HEALTH NETWORK PRIM 7243423002 63 PITT STREET PO BOX 716 SHARON PA 16146 CARL A SIZER CHIEF FINANCIAL OFFICER 7243423002 2024-12-20 1 0 LISA RITTER P00168809 7172321230 2023 2024-10-15 13:58:12Z CARL A SIZER 63 PITT STREET PO BOX 716 SHARON PA 16146 114633086 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY FOSTERING TRUST, HONORING DIVERSITY, AND ENSURING INCLUSIVE AND EQUITABLE ACCESS TO HEALTHCARE THAT IS BOTH COMPASSIONATE AND EXCEPTIONAL. 14 14 770 14 0 0 16338478 15239484 83940203 93871268 2012154 2932800 2485524 2146971 104776359 114190523 0 0 0 0 53835199 57135000 0 0 0 39854607 40020631 93689806 97155631 11086553 17034892 125923446 139814791 30187675 26388645 95735771 113426146 X PRIMARY HEALTH NETWORK (PHN) IS A NOT-FOR-PROFIT CORPORATION THAT HAS WORKED WITH LOCAL COMMUNITIES WE SERVE TO DEVELOP AND IMPLEMENT A NEW MODEL OF HEALTH CARE: THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC), MORE COMMONLY KNOWN AS A COMMUNITY HEALTH CENTER. FOUNDED IN 1984, PHN HAS GROWN TO BECOME THE LARGEST FQHC IN PENNSYLVANIA AND ONE OF THE LARGEST IN THE NATION. PHN PROVIDES QUALITY 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. PHN PRIMARILY OPERATES IN WESTERN AND CENTRAL PENNSYLVANIA AND ONE LOCATION IN EASTERN OHIO. 0 0 48219074 56594881 MEDICAL AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDE, PRIMARY CARE, BEHAVIORAL HEALTH, CHIROPRACTIC, COLLABORATIVE CARE, FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, MOBILE HEALTH, PEDIATRICS, PODIATRY, PSYCHIATRY, AND WOMEN'S HEALTH. A SLIDING FEE DISCOUNT PROGRAM IS AVAILABLE TO DISCOUNT QUALIFYING PATIENTS SERVICES. 16491466 28731347 THE 340B DISCOUNT MEDICATION PROGRAM HELPS TO PROVIDE AFFORDABLE MEDICATIONS FOR QUALIFYING PATIENTS AND ENABLES PHN TO FULFILL ITS MISSION BY PROVIDING MORE COMPREHENSIVE SERVICES IN ITS SERVICE AREA, WHICH INCLUDES UNDERSERVED, RURAL, AND URBAN COMMUNITIES. 5461615 7522174 DENTISTRY SERVICES ARE PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SERVICES INCLUDE GENERAL DENTISTRY, PERIODONTAL THERAPY (HYGIENE), AND ORAL AND MAXILLOFACIAL SURGERY. A SLIDING FEE DISCOUNT PROGRAM IS AVAILABLE TO DISCOUNT QUALIFYING PATIENTS SERVICES. 70172155 1 1 0 0 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 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 11 0 770 1 1 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X FINANCE DEPARTMENT 7243420126 118 VINE AVENUE SHARON PA 16146 X ANTHONY KOS CHAIR 1.00 X X 0 0 0 REBEKAH FLANDERS TREASURER 1.00 X X 0 0 0 DAN BELL SECRETARY 1.00 X X 0 0 0 JENNIFER WINCHESTER VICE CHAIR 1.00 X X 0 0 0 DANIEL BLOUGH DIRECTOR 1.00 X 0 0 0 NANDA CHUWAN DIRECTOR 1.00 X 0 0 0 KAVON WRIGHT DIRECTOR 1.00 X 0 0 0 PATRICK JONES DIRECTOR 1.00 X 0 0 0 LIZETTE OLSON DIRECTOR 1.00 X 0 0 0 THOMAS SCOTT DIRECTOR 1.00 X 0 0 0 JEFF BAUGHMAN DIRECTOR 1.00 X 0 0 0 BETH ANN WHITE DIRECTOR 1.00 X 0 0 0 DANA REEHER DIRECTOR 1.00 X 0 0 0 JO ANNE CARRICK DIRECTOR 1.00 X 0 0 0 GEORGE GARROW MD CHIEF EXECUTIVE OFFICER 40.00 X 343200 0 51877 CARL SIZER CHIEF FINANCIAL OFFICER 40.00 X 165089 0 34593 JENNIE SLABE CHIEF INFORMATION OFFICER 40.00 X 207086 0 45613 JOSEPH MONTONE CHIEF OPERATIONS OFFICER 40.00 X 212869 0 40237 JENNIFER WISE VP OF CLINICAL SERVICES 40.00 X 165888 0 39449 ANGELA HOGUE MD CHIEF MEDICAL OFFICER 40.00 X 318403 0 31698 RAMSEY AHMED MD PSYCHIATRIST 40.00 X 437012 0 49720 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 655842 0 51827 SUJATHA PANDIAN MD PSYCHIATRIST 40.00 X 432587 0 27000 KEVIN DUMPE MD OBSTETRICIAN/GYNECOLOGIST 40.00 X 362947 0 56933 KANTHI MENON MD PSYCHIATRIST 40.00 X 369054 0 43310 3669977 0 472257 12 0 1 0 BRETTON WALBERG 30 CONNEAUT LAKE ROAD GREENVILLE PA 16125 PHARMACY 4357041 RDI 4350 GLENDALE-MILFORD ROAD SUITE 2 CINCINNATI OH 45242 IT SERVICES 986575 FOX ROTHSCHILD LLP 500 GRANT STREET SUITE 2500 PITTSBURGH PA 15219 LEGAL SERVICES 899747 VIRTUAL OFFICEWARE INC 2000 CLIFF MINE RD 510 CORAOPOLIS PA 15108 SOFTWARE SERVICES 835556 MEMAW INC 958 SHENANGO ROAD BEAVER FALLS PA 15010 PHARMACY 794195 5 15239484 15239484 NET PATIENT SERVICE RE 900099 93134778 93134778 CONTRACTED SERVICES 900099 736490 736490 93871268 3022361 3022361 2113782 298890 1814892 1814892 1814892 54112 0 143673 54112 -143673 -89561 -89561 MISCELLANEOUS 900099 232079 232079 INSURANCE RECOVERIES 900099 100000 100000 332079 114190523 93871268 0 5079771 508289 508289 44860045 31797168 13062877 1373866 935915 437951 7275694 4616160 2659534 3117106 2191740 925366 1039780 1039780 69386 69386 343702 36852 306850 378737 181342 197395 2775022 1636741 1138281 3623945 2019623 1604322 656986 144574 512412 189478 189478 331457 298890 32567 2734646 1636798 1097848 433811 5395 428416 PHARMACY 19328742 19328742 BAD DEBT 1913992 1913992 HOUSEKEEPING 1352710 1095864 256846 CONTRACTED SERVICES 1234976 754211 480765 3613261 1578148 2035113 97155631 70172155 26983476 0 2790286 2732134 51575929 60319140 7639463 7916781 892495 817075 780040 941651 45997491 22697420 23494484 23300071 14952701 16670247 23798048 27117692 125923446 139814791 6571453 7106280 2925000 0 2572860 3288404 18118362 15993961 30187675 26388645 X 95228370 113173497 507401 252649 95735771 113426146 125923446 139814791 X 17034892 559254 96229 X 0 1 X 1 1 1 X 13789263 20735058 17899972 16338478 15239484 84002255 13789263 20735058 17899972 16338478 15239484 84002255 84002255 163358 31488 238901 2049575 3022361 5505683 75262 591462 124053 272870 332079 1395726 90903664 404354161 0.92410 0.95030 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 75,262. 2020 AMOUNT: $ 591,462. 2021 AMOUNT: $ 124,053. 2022 AMOUNT: $ 272,870. 2023 AMOUNT: $ 332,079. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 459754 459754 22402521 9120247 13282274 6161144 3801651 2359493 9986756 8738822 1247934 6987316 1036700 5950616 23300071 AGENCY FUND INVESTMENTS 81272 INVESTMENTS IN AFFILIATES 16941235 RIGHT OF USE ASSETS 10095185 27117692 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5371106 INTEREST RATE SWAP LIABILITY 87391 OPERATING LEASE LIABILITY 10535464 15993961 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 655842 0 0 0 0 0 0 30000 0 21827 655842 51827 0 0 RAMSEY AHMED MD PSYCHIATRIST 437012 0 0 0 0 0 0 30000 0 19720 437012 49720 0 0 SUJATHA PANDIAN MD PSYCHIATRIST 432587 0 0 0 0 0 0 27000 0 0 432587 27000 0 0 KEVIN DUMPE MD OBSTETRICIAN/GYNECOLOGIST 362947 0 0 0 0 0 0 30000 0 26933 362947 56933 0 0 KANTHI MENON MD PSYCHIATRIST 369054 0 0 0 0 0 0 12000 0 31310 369054 43310 0 0 GEORGE GARROW MD CHIEF EXECUTIVE OFFICER 343200 0 0 0 0 0 0 30000 0 21877 343200 51877 0 0 ANGELA HOGUE MD CHIEF MEDICAL OFFICER 318403 0 0 0 0 0 0 22500 0 9198 318403 31698 0 0 JOSEPH MONTONE CHIEF OPERATIONS OFFICER 212869 0 0 0 0 0 0 30000 0 10237 212869 40237 0 0 JENNIE SLABE CHIEF INFORMATION OFFICER 207086 0 0 0 0 0 0 12209 0 33404 207086 45613 0 0 JENNIFER WISE VP OF CLINICAL SERVICES 165888 0 0 0 0 0 0 8139 0 31310 165888 39449 0 0 CARL SIZER CHIEF FINANCIAL OFFICER 165089 0 0 0 0 0 0 22500 0 12093 165089 34593 0 0 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 THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. THE FORM IS ALSO MADE AVAILABLE TO THE BOARD OF DIRECTORS AT ANY TIME UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY ALL EMPLOYEES AND DIRECTORS. DISCLOSURES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, AND OTHER KEY EMPLOYEES TO DETERMINE IF CONFLICTS EXIST. A PLAN TO MANAGE EACH IDENTIFIED REAL, POTENTIAL, OR PERCEIVED CONFLICT IS CREATED. A SUMMARY OF ALL IDENTIFIED REAL, POTENTIAL, OR PERCEIVED CONFLICT AND THEIR MANAGEMENT PLANS ARE PRESENTED TO THE AUDIT & RISK COMMITTEE, AND THE FULL BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. APPROPRIATE CHANGES ARE MADE, IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS DETERMINED BASED ON SURVEYS AND PUBLICATIONS FROM PRIMARY HEALTH NETWORK'S STATE AND NATIONAL ASSOCIATION, AND INDEPENDENT ASSOCIATIONS WITHIN THE HEALTH CARE INDUSTRY. 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 83,229. NET ASSET TRANSFER TO AFFILIATE 13,000. DERRY HEIGHTS PROPERTIES LLC 63 PITT ST SHARON PA 16146 934747344 HOUSE PROPERTIES RELATED TO THE PRIMARY HEALTH NETWORK'S OPERATIONS PA 2020111 2020111 THE PRIMARY HEALTH NETWORK PHN CHARITABLE FOUNDATION 55 PITT 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 63 PITT STREET SHARON PA 16146 460584749 INVESTMENT COMPANY PA -225721 4218807 0 0 0.50000 SHARON MSF 63 PITT STREET SHARON PA 16146 471604302 INVESTMENT COMPANY PA -43187 8949335 0 0 0.50000 PALU INVESTMENT GROUP LTD 63 PITT STREET SHARON PA 16146 271971298 INVESTMENT COMPANY PA THE PRIMARY HEALTH NETWORK C 519642 1006350 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 DERRY HEIGHTS PROPERTIES LLC R 5856348 FMV PHN CHARITABLE FOUNDATION K 375390 FMV PHN CHARITABLE FOUNDATION P 248757 FMV PHN CHARITABLE FOUNDATION P 4250 FMV PHN CHARITABLE FOUNDATION S 13000 FMV SHARON MSF LLC R 884000 FMV