PHN CHARITABLE FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PHN CHARITABLE FOUNDATION (EIN 41-2188011)
Tax period
2022-09-01 to 2023-08-31
Filed
2024-05-08
IRS object ID
202421299349300417
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-08T08:22:59-05:00ReturnTs
Tax Period End2023-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN251622758PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAHER DUESSEL CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11800 LINGLESTOWN ROAD SUITE 306AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412188011EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHN CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHNCBusinessNameControlTxt
Phone7249812875PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 PITT STREETAddressLine1Txt
CitySHARONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16146ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARL A SIZERPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7249812875PhoneNum
Signature2024-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCARLPersonFirstNm
Person LastSIZERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA RITTERPreparerPersonNm
PTINP00168809PTIN
Phone7172321230PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARL A SIZERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 PITT STREETAddressLine1Txt
CitySHARONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16146ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$796,562GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRIMARY-HEALTH.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO INCREASE ACCESS TO HEALTH CARE SERVICES AND IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES PRIMARY HEALTH NETWORK SERVES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,260PYContributionsGrantsAmt
CY Contributions Grants$65,871CYContributionsGrantsAmt
PY Program Service Revenue$170,114PYProgramServiceRevenueAmt
CY Program Service Revenue$189,885CYProgramServiceRevenueAmt
PY Investment Income$36,335PYInvestmentIncomeAmt
CY Investment Income$94,614CYInvestmentIncomeAmt
PY Other Revenue$371,512PYOtherRevenueAmt
CY Other Revenue$418,331CYOtherRevenueAmt
PY Total Revenue$601,221PYTotalRevenueAmt
CY Total Revenue$768,701CYTotalRevenueAmt
PY Grants And Similar Paid$38,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$34,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$239,199PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$198,622CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,535CYTotalFundraisingExpenseAmt
PY Other Expenses$346,636PYOtherExpensesAmt
CY Other Expenses$319,427CYOtherExpensesAmt
PY Total Expenses$623,835PYTotalExpensesAmt
CY Total Expenses$552,049CYTotalExpensesAmt
PY Revenues Less Expenses-$22,614PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$216,652CYRevenuesLessExpensesAmt
Total Assets BOY$12,947,759TotalAssetsBOYAmt
Total Assets EOY$12,801,514TotalAssetsEOYAmt
Total Liabilities BOY$46,851TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,446TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,900,908NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,763,068NetAssetsOrFundBalancesEOYAmt
MissionTO INCREASE ACCESS TO HEALTH CARE SERVICES AND IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES PRIMARY HEALTH NETWORK SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$407,621ExpenseAmt
Grant$34,000GrantAmt
Revenue$579,854RevenueAmt
DescTO INCREASE ACCESS TO HEALTH CARE SERVICES AND IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES PRIMARY HEALTH NETWORK SERVES.Desc
Total Program Service Expenses$407,621TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FINANCE DEPARTMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7243420126PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 VINE STREETAddressLine1Txt
CitySHARONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16146ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
DAN BELL
DIRECTOR1.00Yes (X)$0$0$0
JO ANNE CARRICK
SECRETARY1.00Yes (X)$0$0$0
BONNIE DICKSON
DIRECTOR1.00Yes (X)$0$0$0
BILL HILLGROVE
DIRECTOR1.00Yes (X)$0$0$0
TIMOTHY MCGONIGLE
DIRECTOR1.00Yes (X)$0$0$0
MARK LONGETTI
DIRECTOR1.00Yes (X)$0$0$0
STEVE KIGHTLINGER
DIRECTOR1.00Yes (X)$0$0$0
APRIL TORRENCE
DIRECTOR/VICE CHAIR1.00$0$0$0Yes (X)
ARTHUR BUDDY WHITE
DIRECTOR/BOARD CHAIR1.00$0$0$0Yes (X)
CHERYL GOLDSTONE
DIRECTOR OF PROGRAMS39.00$0$0$0Yes (X)
CARL SIZER
CFO1.00$0$155,407$28,392Yes (X)39.00
GEORGE GARROW MD
CEO1.00$0$306,314$46,160Yes (X)39.00
TINA ADAMSON
CHRO1.00$0$140,692$29,539Yes (X)39.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$602,413TotReportableCompRltdOrgAmt
Total Other Compensation$104,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$65,871AllOtherContributionsAmt
Total Contributions$65,871TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES900099$179,108$179,108
COURIER900099$10,777$10,777
FieldValueIRS element (for citing)
Total Program Service Revenue$189,885TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,764TotalRevenueColumnAmt
Exclusion$65,764ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$389,969RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$389,969RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$389,969TotalRevenueColumnAmt
Related Or Exempt Func Income$389,969RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,142SecuritiesAmt
Other$15,708OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,142SecuritiesAmt
Other$15,708OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,850TotalRevenueColumnAmt
Exclusion$28,850ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$56,028FundraisingGrossIncomeAmt
Fundraising Direct Expenses$27,861FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,167TotalRevenueColumnAmt
Exclusion$28,167ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$195TotalRevenueColumnAmt
Exclusion$195ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$195OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$768,701TotalRevenueColumnAmt
Related Or Exempt Func Income$579,854RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$122,976ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$34,000TotalAmt
Program Services$34,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$169,097TotalAmt
Program Services$50,984ProgramServicesAmt
Management And General$118,113ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$318TotalAmt
Management And General$318ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,972TotalAmt
Program Services$1,723ProgramServicesAmt
Management And General$13,249ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,235TotalAmt
Program Services$4,258ProgramServicesAmt
Management And General$9,977ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$236TotalAmt
Management And General$236ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,619TotalAmt
Program Services$11,619ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,071TotalAmt
Program Services$2,536ProgramServicesAmt
Fundraising$2,535FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,063TotalAmt
Program Services$15,063ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,865TotalAmt
Program Services$33,865ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,546TotalAmt
Program Services$2,546ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$133,317TotalAmt
Program Services$133,317ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,448TotalAmt
Program Services$1,448ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OTHER$72,557$72,557
REPAIRS AND MAINTENANCE$12,484$12,484
MEMBERSHIPS AND LICENSE$11,619$11,619
HOUSEKEEPING$9,974$9,974

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,628TotalAmt
Program Services$9,628ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$552,049TotalAmt
Program Services$407,621ProgramServicesAmt
Management And General$141,893ManagementAndGeneralAmt
Fundraising$2,535FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$374,497BOYAmt
EOY$67,745EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$397,245BOYAmt
EOY$972,686EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,579BOYAmt
EOY$77,601EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,004,721LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,307,350LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,901,962BOYAmt
EOY$1,697,371EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,904,807EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,213,476BOYAmt
EOY$8,081,304EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,947,759BOYAmt
EOY$12,801,514EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,500BOYAmt
EOY$32,465EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,351BOYAmt
EOY$5,981EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,851BOYAmt
EOY$38,446EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,877,263BOYAmt
EOY$12,739,423EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,645BOYAmt
EOY$23,645EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,900,908BOYAmt
EOY$12,763,068EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,947,759BOYAmt
EOY$12,801,514EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$216,652ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$354,492NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PRIMARY HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN251381800EIN
Organization Type7OrganizationTypeCd
Governing Document Listed0GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,500OtherCostOrOtherBasisAmt
Book Value$68,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,871,229OtherCostOrOtherBasisAmt
Depreciation$1,416,304DepreciationAmt
Book Value$1,454,925BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,952OtherCostOrOtherBasisAmt
Depreciation$65,924DepreciationAmt
Book Value$25,028BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,316OtherCostOrOtherBasisAmt
Depreciation$89,693DepreciationAmt
Book Value$15,623BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$868,724OtherCostOrOtherBasisAmt
Depreciation$735,429DepreciationAmt
Book Value$133,295BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,697,371TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN PUNXSUTAWNEY MSF, LLC$3,087,875
INVESTMENT IN SHARON MSF, LLC$4,993,429
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,081,304TotalBookValueOtherAssetsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
SCHOLARSHIPS FOR STUDENTS ENTERING THE HEALTH FIELD15$30,000
SCHOLARSHIPS FOR STUDENTS IN ELEMENTARY SCHOOL1$4,000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GEORGE GARROW MD
CEO$0$306,314$0$0$0$0$0$26,000$0$20,160$0$352,474$0$0
CARL SIZER
CFO$0$155,407$0$0$0$0$0$20,500$0$7,892$0$183,799$0$0
TINA ADAMSON
CHRO$0$140,692$0$0$0$0$0$20,191$0$9,348$0$170,231$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, 3FormAndLineReferenceDesc
ExplanationTHE CEO'S COMPENSATION IS PAID BY THE PRIMARY HEALTH NETWORK. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE PRIMARY HEALTH NETWORK'S BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PRIMARY HEALTH NETWORK IS THE SOLE MEMBER OF PHN CHARITABLE FOUNDATION. PRIMARY HEALTH NEWTORK HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF PHN CHARITABLE CHARITABLE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7APRIMARY HEALTH NETWORK HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF PHN CHARITABLE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7BPHN CHARITABLE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED, ALTERED, OR REPEALED BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BPHN CHARITABLE FOUNDATION 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 12CCONFLICTS OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY OR MORE FREQUENTLY, IF NECESSARY, BY THE CORPORATE COMPLIANCE OFFICER, THE CEO, AND THE AUDIT & RISK COMMITTEE OF THE BOARD. APPROPRIATE CHANGES ARE MADE, IF NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15BTHE CEO'S COMPENSATION IS PAID BY THE PRIMARY HEALTH NETWORK. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE PRIMARY HEALTH NETWORK'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18AT THIS TIME PHN CHARITABLE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19PHN CHARITABLE FOUNDATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.
PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PRIMARY HEALTH NETWORKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line163 PITT STREETAddressLine1Txt
CitySHARONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16146ZIPCd
FieldValueIRS element (for citing)
EIN251381800EIN
Primary ActivitiesOPERATES FEDERALLY QUALIFIED HEALTH CENTERSPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
PUNXSUTAWNEY MSF LLC
63 PITT STREETSHARONPA16146460584749INVESTMENT COMPNAYPA$311,752$4,640,248000.50000
SHARON MSF LLC
63 PITT STREETSHARONPA16146471604302INVESTMENT COMPNAYPA$62,551$9,345,631000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PHN PHYSICIAN SERVICES
63 PITT STREETSHARONPA16146204251617MEDICAL SERVICESPAC0
PALU INVESTMENT GROUP LTD
63 PITT STREETSHARONPA16146271971298INVESTMENT COMPANYPAC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE PRIMARY HEALTH NETWORK
K$357,299FMV
THE PRIMARY HEALTH NETWORK
Q$199,513FMV
THE PRIMARY HEALTH NETWORK
Q$3,375FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.