2022-07-01T14:04:51-05:00 2021-08-31 251622758 MAHER DUESSEL CPA'S 3003 NORTH FRONT STREET SUITE 101 HARRISBURG PA 17110 990 2020-09-01 412188011 PHN CHARITABLE FOUNDATION PHNC 7249812875 55 PITT STREET SHARON PA 16146 CARL A SIZER CHIEF FINANCIAL OFFICER 7249812875 2022-07-01 1 CARL SIZER XXX-XX-XXXX LISA RITTER P00168809 7172321230 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CARL A SIZER 55 PITT STREET SHARON PA 16146 1016107 0 X WWW.PRIMARY-HEALTH.NET X 2006 PA TO PROVIDE TRANSPORTATION SERVICES TO PATIENTS OF THE PRIMARY HEALTH NETWORK AND ALSO PROVIDE SCHOLARSHIPS TO STUDENTS WHO ARE FURTHERING THEIR EDUCATION IN THE HEALTH FIELD. 8 8 25 25 0 0 116620 197453 694949 515532 130948 66654 265662 230962 1208179 1010601 69333 71500 0 0 442835 390345 0 0 1614 874315 569280 1386483 1031125 -178304 -20524 10731333 10616960 79864 72451 10651469 10544509 TO PROVIDE TRANSPORTATION SERVICES TO PATIENTS OF THE PRIMARY HEALTH NETWORK AND ALSO PROVIDE SCHOLARSHIPS TO STUDENTS WHO ARE FURTHERING THEIR EDUCATION IN THE HEALTH FIELD. 0 0 824483 71500 741495 TO PROVIDE TRANSPORTATION SERVICES TO PATIENTS OF THE PRIMARY HEALTH NETWORK AND ALSO PROVIDE SCHOLARSHIPS TO STUDENTS WHO ARE FURTHERING THEIR EDUCATION IN THE HEALTH FIELD. 824483 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 25 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X FINANCE DEPARTMENT 7243420126 118 VINE STREET SHARON PA 16146 DAN BELL DIRECTOR 1.00 X 0 0 0 JO ANNE CARRICK SECRETARY 1.00 X 0 0 0 BONNIE DICKSON DIRECTOR 1.00 X 0 0 0 BILL HILLGROVE DIRECTOR 1.00 X 0 0 0 TIMOTHY MCGONIGLE DIRECTOR 1.00 X 0 0 0 MICHELLE SWOGGER BOARD CHAIR 1.00 X X 0 0 0 APRIL TORRENCE DIRECTOR 1.00 X 0 0 0 ARTHUR BUDDY WHITE DIRECTOR 1.00 X 0 0 0 CHERYL GOLDSTONE DIRECTOR OF PROGRAMS 39.00 X 0 0 0 CARL SIZER CFO 1.00 39.00 X 0 108741 17754 THOMAS BURICH ACTING CEO 1.00 39.00 X 0 192844 0 0 301585 17754 0 0 1 0 0 197453 197453 CONTRACTED SERVICES 900099 387893 387893 TRANSPORTATION/COURIER 900099 127639 127639 515532 49804 49804 225963 0 225963 225963 225963 16850 0 16850 16850 16850 9153 5506 3647 3647 MISCELLANEOUS 900099 1352 1352 1352 1010601 741495 0 71653 71500 71500 325352 187029 138323 3576 786 2790 30283 7350 22933 31134 19178 11956 29026 29026 17417 17417 3228 1614 1614 21030 21030 45429 45429 2130 2130 213219 213219 17542 17542 OTHER 118717 118717 TRANSPORTATION 60651 60651 REPAIRS AND MAINTENANCE 34156 34156 HOUSEKEEPING 5040 5040 1695 1695 1031125 824483 205028 1614 199067 277116 837817 846119 33721 66212 1650 4903011 2472689 2679015 2430322 6980063 6997191 10731333 10616960 50084 72451 29780 79864 72451 X 10596069 10387084 55400 157425 10651469 10544509 10731333 10616960 X -20524 -9495 -76941 X X 0 1 X 1 0 X X X 1 PRIMARY HEALTH NETWORK 251381800 7 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 78165 78165 3535408 1490182 2045226 121744 89459 32285 116382 83775 32607 1051312 809273 242039 2430322 INVESTMENT IN PUNXSUTAWNEY MSF, LLC 2899311 INVESTMENT IN SHARON MSF, LLC 2813609 INVESTMENT IN FIDELITY PORTFOLIO 1284271 6997191 0 SCHOLARSHIPS FOR STUDENTS ENTERING THE HEALTH FIELD EITC SCHOLARSHIPS 0 0 0 0 0 0 0 0 0 THOMAS BURICH ACTING CEO 0 192844 0 0 0 0 0 0 0 0 0 192844 0 0 LEGACY GIVING LLC ENTITY OWNED BY DISQUALIFED PERSON FUNDRAISING 0 CRAVINGS LLC ENTITY OWNED BY DISQUALIFED PERSON FOOD AND SUPPLIES 0 SCH L, PART 1, LINE 1 1. LEGACY GIVING LLC (FIRST CONTRACT) THE ORGANIZATION HIRED LEGACY GIVING LLC ("LEGACY") TO PROVIDE CERTAIN FUNDRAISING CONSULTING SERVICES TO THE ORGANIZATION. IN JANUARY 2014, THE ORGANIZATION ENTERED INTO AN AGREEMENT WITH LEGACY WHEREBY LEGACY WOULD RECEIVE $100.00 PER HOUR PLUS 10% OF ALL FUNDS RAISED AS A RESULT OF LEGACY'S EFFORTS. LEGACY IS OWNED BY DONALD F. PERRY'S SONS, MATTHEW PERRY AND TYLER PERRY. DONALD F. PERRY SERVED AS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AT THE TIME THE AGREEMENT WAS EXECUTED. UPON INFORMATION AND BELIEF, THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE AGREEMENT. THE ORGANIZATION HAS BEEN UNABLE TO DETERMINE WHAT SERVICES WERE ACTUALLY PROVIDED IN EXCHANGE FOR THE AMOUNTS PAID TO LEGACY PURSUANT TO THE AGREEMENT. THE ORGANIZATION PAID $86,421.89 TO LEGACY IN 2014, AND THIS ENTIRE AMOUNT IS BELIEVED TO BE AN EXCESS BENEFIT TO LEGACY. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.2. LEGACY GIVING LLC (SECOND CONTRACT) ON DECEMBER 1, 2014, THE ORGANIZATION ENTERED INTO A NEW AGREEMENT WITH LEGACY WHEREBY LEGACY WOULD RECEIVE A 10% COMMISSION OF ALL FUNDS RAISED BY LEGACY THROUGH PENNSYLVANIA EARNED INCOME TAX CREDIT GIFTS, AND A 35% COMMISSION ON ALL OTHER FUNDS RAISED AS RESULT OF LEGACY'S EFFORTS. AT THE TIME THE AGREEMENT WAS EXECUTED, DONALD F. PERRY CONTINUED TO SERVE AS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND HIS SONS CONTINUED TO OWN LEGACY. UPON INFORMATION AND BELIEF, THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE NEW AGREEMENT. THE ORGANIZATION HAS BEEN UNABLE TO DETERMINE WHAT SERVICES WERE ACTUALLY PROVIDED IN EXCHANGE FOR THE AMOUNTS PAID TO LEGACY PURSUANT TO THE AGREEMENT. THE ORGANIZATION PAID THE FOLLOW AMOUNTS TO LEGACY: $6,265.00 IN 2015; $3,754.50 IN 2017; AND $4,446.16 IN 2018. ALL SUCH AMOUNTS ARE BELIEVED TO CONSTITUTE AN EXCESS BENEFIT TO LEGACY. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.3. LEGACY GIVING (PRIOR TO ANY KNOWN CONTRACTS)- IN 2011 AND 2012, THE ORGANIZATION PAID LEGACY $8,491.34. AT THAT TIME, DONALD F. PERRY WAS SERVING AS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND HIS SONS OWNED LEGACY. UPON INFORMATION AND BELIEF, THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THIS RELATIONSHIP. THE ORGANIZATION HAS BEEN UNABLE TO DETERMINE WHAT SERVICES WERE ACTUALLY PROVIDED IN EXCHANGE FOR THE AMOUNTS PAID TO LEGACY PURSUANT TO THE AGREEMENT. ALL AMOUNTS PAID ARE BELIEVED TO CONSTITUTE AN EXCESS BENEFIT TO LEGACY. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS. SCH L, PART 1, LINE 2 4. CRAVINGS, LLC CRAVINGS, LLC ("CRAVINGS") OPERATED A CAFE ON THE ORGANIZATION'S GROUNDS. THE ORGANIZATION PAID FOR $80,289 WORTH OF FOOD AND SUPPLIES TO SUPPORT CRAVINGS' OPERATIONS, BUT WAS NEVER REIMBURSED FOR THESE EXPENDITURES. CRAVINGS IS AND WAS, AT THE TIME, OWNED BY THREEDSJ, LLC, WHICH IS AND WAS, AT THE TIME, OWNED 33% BY DREW PIERCE AND 33% BY JOHN D. LAENG. AT THE TIME OF THE TRANSACTION, DREW PIERCE WAS THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, AND JOHN D. LAENG WAS THE ORGANIZATION'S PRIOR CHIEF EXECUTIVE OFFICER (THROUGH DECEMBER 1, 2014), WHO THEN TRANSITIONED TO A CONSULTING ROLE WHEREBY HE CONTINUED TO EXERCISE SUBSTANTIAL CONTROL OVER THE ORGANIZATION THROUGH AT LEAST DECEMBER 31, 2016, WHEN THE CONSULTING SERVICES CEASED. JOHN D. LAENG ALSO SERVED ON THE ORGANIZATION'S BOARD OF DIRECTORS AT THE TIME. GIVEN THE AFOREMENTIONED OWNERSHIP INTERESTS AND BOTH INDIVIDUALS' SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION, CRAVINGS IS A DISQUALIFIED PERSON THAT HAS RECEIVED AN EXCESS BENEFIT IN THE AMOUNT OF $80,289. THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE TRANSACTIONS BETWEEN THE ORGANIZATION AND CRAVINGS AND ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 PRIMARY 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 7A PRIMARY HEALTH NETWORK HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF PHN CHARITABLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B PHN CHARITABLE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED, ALTERED, OR REPEALED BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B PHN CHARITABLE FOUNDATION 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 THE CEO'S COMPENSATION IS PAID BY THE PRIMARY HEALTH NETWORK. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BE THE PRIMARY HEALTH NETWORK'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 AT 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 19 PHN CHARITABLE FOUNDATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS -76,941. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR PRIMARY HEALTH NETWORK 100 SHENANGO AVENUE SHARON PA 16146 251381800 OPERATES FEDERALLY QUALIFIED HEALTH CENTERS PA 501(C)(3) LINE 3 0 PUNXSUTAWNEY MSF LLC 100 SHENANGO AVENUE SHARON PA 16146 460584749 INVESTMENT COMPNAY PA 92201 5067649 0 0 0.50000 SHARON MSF LLC 100 SHENANGO AVENUE SHARON PA 16146 471604302 INVESTMENT COMPNAY PA -63365 10049859 0 0 0.50000 PHN PHYSICIAN SERVICES 100 SHENANGO AVENUE SHARON PA 16146 204251617 MEDICAL SERVICES PA C 0 PAUL INVESTMENT GROUP LTD 81 VINE AVENUE SHARON PA 16146 271971298 INVESTMENT COMPANY PA C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 THE PRIMARY HEALTH NETWORK K 202518 FMV THE PRIMARY HEALTH NETWORK Q 480547 FMV THE PRIMARY HEALTH NETWORK Q 2040 FMV