PHN CHARITABLE FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PHN CHARITABLE FOUNDATION (EIN 41-2188011)
Tax period
2019-09-01 to 2020-08-31
Filed
2021-03-17
IRS object ID
202100769349300405
Schema version
2019v5.2
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)
Return2021-03-17T07:55:20-05:00ReturnTs
Tax Period End2020-08-31TaxPeriodEndDt

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 Line13003 NORTH FRONT STREET SUITE 101AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-09-01TaxPeriodBeginDt

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
Signature2021-03-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA RITTERPreparerPersonNm
PTINP00168809PTIN
Phone7172321230PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$1,227,913GrossReceiptsAmt
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 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.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee40TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$178,353PYContributionsGrantsAmt
CY Contributions Grants$116,620CYContributionsGrantsAmt
PY Program Service Revenue$1,112,096PYProgramServiceRevenueAmt
CY Program Service Revenue$694,949CYProgramServiceRevenueAmt
PY Investment Income$95,085PYInvestmentIncomeAmt
CY Investment Income$130,948CYInvestmentIncomeAmt
PY Other Revenue$358,133PYOtherRevenueAmt
CY Other Revenue$265,662CYOtherRevenueAmt
PY Total Revenue$1,743,667PYTotalRevenueAmt
CY Total Revenue$1,208,179CYTotalRevenueAmt
PY Grants And Similar Paid$58,967PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$69,333CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$752,226PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$442,835CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$862PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,066CYTotalFundraisingExpenseAmt
PY Other Expenses$976,748PYOtherExpensesAmt
CY Other Expenses$874,315CYOtherExpensesAmt
PY Total Expenses$1,788,803PYTotalExpensesAmt
CY Total Expenses$1,386,483CYTotalExpensesAmt
PY Revenues Less Expenses-$45,136PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$178,304CYRevenuesLessExpensesAmt
Total Assets BOY$9,664,280TotalAssetsBOYAmt
Total Assets EOY$10,731,333TotalAssetsEOYAmt
Total Liabilities BOY$104,236TotalLiabilitiesBOYAmt
Total Liabilities EOY$79,864TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,560,044NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,651,469NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,202,161ExpenseAmt
Grant$69,333GrantAmt
Revenue$920,808RevenueAmt
DescTO 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.Desc
Total Program Service Expenses$1,202,161TotalProgramServiceExpensesAmt
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit TransYes (1)EngagedInExcessBenefitTransInd
PY Excess Benefit TransYes (1)PYExcessBenefitTransInd
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
Employee40EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Other0CompensationProcessOtherInd
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 OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
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
JOHN LAENG
VICE PRESIDENT1.00Yes (X)$0$0$0
DEBORAH MCCANNA
DIRECTOR1.00Yes (X)$0$0$0
STEVE SANT
DIRECTOR1.00Yes (X)$0$0$0
DONALD PERRY
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DREW PIERCE
CEO (THROUGH APRIL 2020)1.00$0$301,700$14,208Yes (X)39.00
CHERYL GOLDSTONE
DIRECTOR OF PROGRAMS39.00$0$0$0Yes (X)
CARL SIZER
ACTING DIRECTOR OF FINANCE (BEGINNING APRIL 2020)1.00$0$0$0Yes (X)39.00
THOMAS BURICH
ACTING CEO (BEGINNING APRIL 2020)1.00$0$0$0Yes (X)39.00
AMY STEIN CLARK
DIRECTOR OF FINANCE (THROUGH APRIL 2020)1.00$0$175,521$31,69239.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$477,221TotReportableCompRltdOrgAmt
Total Other Compensation$45,900TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$116,620AllOtherContributionsAmt
Total Contributions$116,620TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES900099$480,782$480,782
TRANSPORTATION/COURIER900099$214,167$214,167
FieldValueIRS element (for citing)
Total Program Service Revenue$694,949TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,960TotalRevenueColumnAmt
Exclusion$69,960ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$225,859RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$225,859RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$225,859TotalRevenueColumnAmt
Related Or Exempt Func Income$225,859RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,064SecuritiesAmt
Other$50,924OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,064SecuritiesAmt
Other$50,924OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,988TotalRevenueColumnAmt
Exclusion$60,988ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$55,945FundraisingGrossIncomeAmt
Fundraising Direct Expenses$19,734FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,211TotalRevenueColumnAmt
Exclusion$36,211ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$3,592TotalRevenueColumnAmt
Exclusion$3,592ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,592OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,208,179TotalRevenueColumnAmt
Related Or Exempt Func Income$920,808RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$170,751ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$69,333TotalAmt
Program Services$69,333ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$360,298TotalAmt
Program Services$229,226ProgramServicesAmt
Management And General$131,072ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,834TotalAmt
Program Services$2,602ProgramServicesAmt
Management And General$2,232ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$41,457TotalAmt
Program Services$19,900ProgramServicesAmt
Management And General$21,557ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,246TotalAmt
Program Services$23,894ProgramServicesAmt
Management And General$12,352ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,278TotalAmt
Management And General$11,278ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,765TotalAmt
Management And General$2,765ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,959TotalAmt
Program Services$43,959ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,133TotalAmt
Program Services$3,067ProgramServicesAmt
Fundraising$3,066FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$75,145TotalAmt
Program Services$75,145ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$46,208TotalAmt
Program Services$46,208ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,156TotalAmt
Program Services$13,156ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$273,252TotalAmt
Program Services$273,252ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,749TotalAmt
Program Services$20,749ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
TRANSPORTATION$175,122$175,122
OTHER$136,398$136,398
HOUSEKEEPING$33,762$33,762
REPAIRS AND MAINTENANCE$30,973$30,973

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,415TotalAmt
Program Services$5,415ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,386,483TotalAmt
Program Services$1,202,161ProgramServicesAmt
Management And General$181,256ManagementAndGeneralAmt
Fundraising$3,066FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$119,519BOYAmt
EOY$199,067EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$465,936BOYAmt
EOY$837,817EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$137,329BOYAmt
EOY$33,721EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,899BOYAmt
EOY$1,650EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,096,416LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,417,401LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,201,277BOYAmt
EOY$2,679,015EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,732,320BOYAmt
EOY$6,980,063EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,664,280BOYAmt
EOY$10,731,333EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$104,236BOYAmt
EOY$50,084EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$29,780EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,236BOYAmt
EOY$79,864EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,489,644BOYAmt
EOY$10,596,069EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,400BOYAmt
EOY$55,400EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,560,044BOYAmt
EOY$10,651,469EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,664,280BOYAmt
EOY$10,731,333EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$178,304ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,211,014NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$58,715OtherChangesInNetAssetsAmt
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$42,165OtherCostOrOtherBasisAmt
Book Value$42,165BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,531,408OtherCostOrOtherBasisAmt
Depreciation$1,389,728DepreciationAmt
Book Value$2,141,680BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,744OtherCostOrOtherBasisAmt
Depreciation$85,372DepreciationAmt
Book Value$36,372BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,382OtherCostOrOtherBasisAmt
Depreciation$73,301DepreciationAmt
Book Value$43,081BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,284,717OtherCostOrOtherBasisAmt
Depreciation$869,000DepreciationAmt
Book Value$415,717BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,679,015TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN PUNXSUTAWNEY MSF, LLC$2,807,110
INVESTMENT IN SHARON MSF, LLC$3,056,974
INVESTMENT IN FIDELITY PORTFOLIO$1,115,979
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,980,063TotalBookValueOtherAssetsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12019 GOLF OUTINGEvent1Nm
Gross Receipts Event1$28,725GrossReceiptsEvent1Amt
Gross Revenue Event1$28,725GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$3,140NonCashPrizesEvent1Amt
Rent Facility Costs Event1$7,269RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,554FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,150OtherDirectExpensesEvent1Amt
Event2SHAMROCK N RUNEvent2Nm
Gross Receipts Event2$10,193GrossReceiptsEvent2Amt
Gross Revenue Event2$10,193GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,711NonCashPrizesEvent2Amt
Food And Beverage Event2$385FoodAndBeverageEvent2Amt
Entertainment Event2$850EntertainmentEvent2Amt
Other Direct Expenses Event2$675OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$16,577GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$0CharitableContriOtherEventsAmt
Gross Revenue Other Events$16,577GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$0OthDirectExpnssOtherEventsAmt
Gross Receipts Total$55,495GrossReceiptsTotalAmt
Gross Revenue Total Events$55,495GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,851NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$7,269RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,939FoodAndBeverageTotalEventsAmt
Entertainment Total Events$850EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,825OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$19,734DirectExpenseSummaryEventsAmt
Net Income Summary$35,761NetIncomeSummaryAmt

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 FIELD29$39,333
EITC SCHOLARSHIPS12$30,000

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 (2 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
DREW PIERCE
CEO (THROUGH APRIL 2020)$0$301,700$0$0$0$0$0$0$0$14,208$0$315,908$0$0
AMY STEIN CLARK
DIRECTOR OF FINANCE (THROUGH APRIL 2$0$175,521$0$0$0$0$0$25,004$0$6,688$0$207,213$0$0

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (2 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxtTransactionTransactionDescTransaction CorrectedTransactionCorrectedInd
DREW PIERCE
CEO THROUGH APRIL 2020PERSONAL EXPENSES ON CORPORATE CREDIT CARD0
JOHN D LAENG
FORMER KEY EMPLOYEE, CEO THROUGH DECEMBER 2014SALARY/BENEFITS PAID FOR EMPLOYEE USED AT CRAVINGS0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 MADE AVAILABLE TO THE BOARD OF DIRECTORS UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY AND CHANGES ARE MADE IF NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15THE 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 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.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS 58,715.
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 Line1100 SHENANGO AVENUEAddressLine1Txt
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
100 SHENANGO AVENUESHARONPA16146460584749INVESTMENT COMPNAYPA$1,401,018$5,247,229000.50000
SHARON MSF LLC
100 SHENANGO AVENUESHARONPA16146471604302INVESTMENT COMPNAYPA-$109,160$10,109,705000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PHN PHYSICIAN SERVICES
100 SHENANGO AVENUESHARONPA16146204251617MEDICAL SERVICESPAC0
PAUL INVESTMENT GROUP LTD
81 VINE AVENUESHARONPA16146271971298INVESTMENT 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 OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE PRIMARY HEALTH NETWORK
J$176,706FMV
THE PRIMARY HEALTH NETWORK
P$157,379FMV
THE PRIMARY HEALTH NETWORK
Q$483,103FMV
THE PRIMARY HEALTH NETWORK
C$58,715FMV

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