PRIMARY HEALTH NETWORK: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PRIMARY HEALTH NETWORK (EIN 25-1381800)
- Tax period
- 2019-09-01 to 2020-08-31
- Filed
- 2021-03-17
- IRS object ID
- 202110769349300306
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-03-17T07:57:07-05:00 | ReturnTs |
| Tax Period End | 2020-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251622758 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAHER DUESSEL CPA'S | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3003 NORTH FRONT STREET SUITE 1010 | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251381800 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PRIMARY HEALTH NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIM | BusinessNameControlTxt |
| Phone | 7243423002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 SHENANGO AVENUE PO BOX 716 | AddressLine1Txt |
| City | SHARON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16146 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARL A SIZER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7243423002 | PhoneNum |
| Signature | 2021-03-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA RITTER | PreparerPersonNm |
| PTIN | P00168809 | PTIN |
| Phone | 7172321230 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARL A SIZER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 SHENANGO AVENUE PO BOX 716 | AddressLine1Txt |
| City | SHARON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $87,818,125 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRIMARY-HEALTH.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 684 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $16,841 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,946,067 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,789,263 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,650,192 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,216,742 | CYProgramServiceRevenueAmt |
| PY Investment Income | $182,996 | PYInvestmentIncomeAmt |
| CY Investment Income | -$161,904 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,037,722 | PYOtherRevenueAmt |
| CY Other Revenue | $2,355,979 | CYOtherRevenueAmt |
| PY Total Revenue | $85,816,977 | PYTotalRevenueAmt |
| CY Total Revenue | $87,200,080 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,463,439 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,656,430 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,773,830 | PYOtherExpensesAmt |
| CY Other Expenses | $36,786,385 | CYOtherExpensesAmt |
| PY Total Expenses | $82,237,269 | PYTotalExpensesAmt |
| CY Total Expenses | $81,442,815 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,579,708 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,757,265 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,950,060 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,443,221 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,527,690 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,077,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,422,370 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,365,790 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,593,353 | ExpenseAmt |
| Revenue | $40,272,469 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,843,513 | ExpenseAmt |
| Revenue | $26,186,391 | RevenueAmt |
| Desc | THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,942,987 | ExpenseAmt |
| Revenue | $3,525,171 | RevenueAmt |
| Desc | PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,232,711 | RevenueAmt |
| Desc | OTHER PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,232,711 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $57,379,853 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | Yes (1) | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | Yes (1) | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | Yes (1) | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 684 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | Yes (1) | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FINANCE DEPARTMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7243420126 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 VINE STREET | AddressLine1Txt |
| City | SHARON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16146 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL BLOUGH | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| NANDA CHUWAN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| TAWONA JONES | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| ANTHONY KOS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DEBORAH MCCANNA | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DONALD PERRY | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| THOMAS SCOTT | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JO ANNE CARRICK | ||||||||||
| PRESIDENT (BEGINNING APRIL 2020) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| DOUGLAS NASCI | ||||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| DAN BELL | ||||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| DREW PIERCE | ||||||||||
| CEO (THROUGH APRIL 2020) | 39.00 | $301,700 | $0 | $14,208 | Yes (X) | 1.00 | ||||
| THOMAS BURICH | ||||||||||
| PRESIDENT THROUGH MARCH 2020 THEN ACTING CEO | 40.00 | $0 | $0 | $0 | Yes (X) | |||||
| CARL SIZER | ||||||||||
| ACTING DIRECTOR OF FINANCE (BEGINNING APRIL 2020) | 40.00 | $0 | $0 | $0 | Yes (X) | |||||
| GEORGE GARROW | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $299,942 | $0 | $42,412 | Yes (X) | |||||
| JENNIE SLABE | ||||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $187,775 | $0 | $9,550 | Yes (X) | |||||
| LORRIE SPEIR-CHRASTINA | ||||||||||
| VP OF CORPORATE COMPLIANCE | 40.00 | $159,859 | $0 | $50,004 | Yes (X) | |||||
| JOSEPH MONTONE | ||||||||||
| CHIEF OPERATIONS OFFICER | 40.00 | $177,788 | $0 | $37,385 | Yes (X) | |||||
| RAMSEY AHMED MD | ||||||||||
| PSYCHIATRIST | 40.00 | $391,989 | $0 | $15,726 | Yes (X) | |||||
| HARSHARD PATEL MD | ||||||||||
| PSYCHIATRIST | 40.00 | $808,239 | $0 | $42,362 | Yes (X) | |||||
| NASIM SHAJIHAN | ||||||||||
| PSYCHIATRIST | 40.00 | $363,960 | $0 | $43,304 | Yes (X) | |||||
| SUJATHA PANDIAN MD | ||||||||||
| PSYCHIATRIST | 40.00 | $375,796 | $0 | $25,000 | Yes (X) | |||||
| KEVIN DUMPE | ||||||||||
| PHYSICIAN | 40.00 | $326,642 | $0 | $48,033 | Yes (X) | |||||
| AMY STEIN CLARK | ||||||||||
| DIRECTOR OF FINANCE (THROUGH APRIL 2020) | 39.00 | $172,521 | $0 | $31,692 | 1.00 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,566,211 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $359,676 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BRETTON WALBERG | |||||
| PO BOX 395 | JAMESTOWN | PA | 16134 | PHARMACY | $4,743,064 |
| EXCEL CONSTRUCTION SERVICES LLC | |||||
| 7226 WARREN SHARON ROAD SUITE B | BROOKFIELD | OH | 44403 | CONSTRUCTION SERVICES | $3,036,703 |
| RDI | |||||
| 4350 GLENDALE-MILFORD ROAD SUITE 2 | CINCINNATI | OH | 45242 | IT SERVICES | $1,334,144 |
| AMERICLEAN & SUPPLY LLC | |||||
| PO BOX 1172 | HERMITAGE | PA | 16148 | CLEANING SERVICES | $1,066,479 |
| MEHAW INC | |||||
| 176 VIRGINIA AVENUE 3RD FLOOR | ROCHESTER | PA | 15074 | PHARMACY | $969,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,789,263 | GovernmentGrantsAmt |
| Total Contributions | $13,789,263 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | $70,278,963 | $70,278,963 |
| CONTRACTED SERVICES | 900099 | $937,779 | $937,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,216,742 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,358 | TotalRevenueColumnAmt |
| Exclusion | $163,358 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,562,454 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $281,737 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,280,717 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,280,717 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $16,841 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,263,876 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,046 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $336,308 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,046 | SecuritiesAmt |
| Other | -$336,308 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$325,262 | TotalRevenueColumnAmt |
| Exclusion | -$325,262 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $75,262 | TotalRevenueColumnAmt |
| Exclusion | $75,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $75,262 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,200,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,216,742 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,841 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,177,234 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,221 | TotalAmt |
| Management And General | $474,221 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,841,300 | TotalAmt |
| Program Services | $27,702,556 | ProgramServicesAmt |
| Management And General | $9,138,744 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $924,900 | TotalAmt |
| Program Services | $669,517 | ProgramServicesAmt |
| Management And General | $255,383 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,839,033 | TotalAmt |
| Program Services | $2,644,077 | ProgramServicesAmt |
| Management And General | $1,194,956 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,576,976 | TotalAmt |
| Program Services | $1,886,947 | ProgramServicesAmt |
| Management And General | $690,029 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,192,519 | TotalAmt |
| Management And General | $1,192,519 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,730 | TotalAmt |
| Management And General | $61,730 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,065 | TotalAmt |
| Program Services | $55,065 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,196 | TotalAmt |
| Program Services | $84,734 | ProgramServicesAmt |
| Management And General | $199,462 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,353 | TotalAmt |
| Program Services | $130,752 | ProgramServicesAmt |
| Management And General | $163,601 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,373,364 | TotalAmt |
| Program Services | $1,949,813 | ProgramServicesAmt |
| Management And General | $3,423,551 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,878 | TotalAmt |
| Program Services | $99,608 | ProgramServicesAmt |
| Management And General | $253,270 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,444 | TotalAmt |
| Management And General | $298,444 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,359,462 | TotalAmt |
| Management And General | $2,359,462 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,521 | TotalAmt |
| Program Services | $3,593 | ProgramServicesAmt |
| Management And General | $122,928 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $15,738,045 | $15,738,045 | |
| CONTRACTED SERVICES | $4,620,751 | $2,338,285 | $2,282,466 |
| BAD DEBT | $2,111,322 | $2,111,322 | |
| HOUSEKEEPING | $1,163,107 | $859,516 | $303,591 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,754,628 | TotalAmt |
| Program Services | $1,106,023 | ProgramServicesAmt |
| Management And General | $1,648,605 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,442,815 | TotalAmt |
| Program Services | $57,379,853 | ProgramServicesAmt |
| Management And General | $24,062,962 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,193,263 | BOYAmt |
| EOY | $8,433,334 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,961,817 | BOYAmt |
| EOY | $13,255,596 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,713,403 | BOYAmt |
| EOY | $8,081,313 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,609 | BOYAmt |
| EOY | $464,438 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,014 | BOYAmt |
| EOY | $403,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,146,929 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,663,446 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,686,987 | BOYAmt |
| EOY | $23,483,483 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,654,681 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,387,967 | BOYAmt |
| EOY | $7,667,284 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,950,060 | BOYAmt |
| EOY | $64,443,221 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,130,374 | BOYAmt |
| EOY | $6,361,224 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,172 | BOYAmt |
| EOY | $4,140,667 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,484,359 | BOYAmt |
| EOY | $3,103,041 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,593,785 | BOYAmt |
| EOY | $6,472,499 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,527,690 | BOYAmt |
| EOY | $20,077,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,422,370 | BOYAmt |
| EOY | $44,365,790 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,422,370 | BOYAmt |
| EOY | $44,365,790 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,950,060 | BOYAmt |
| EOY | $64,443,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,757,265 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,281,584 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$95,429 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,815,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,590,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,845,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,946,067 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,789,263 | CurrentTaxYearAmt |
| Total | $55,987,161 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,815,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,590,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,845,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,946,067 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,789,263 | CurrentTaxYearAmt |
| Total | $55,987,161 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $55,987,161 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,786 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $195,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163,358 | CurrentTaxYearAmt |
| Total | $458,480 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$31,651 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$76,724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$74,597 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$29,635 | CurrentTaxYearMinus1YearAmt |
| Total | -$212,607 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,323 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $451,520 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,262 | CurrentTaxYearAmt |
| Total | $1,199,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $57,432,811 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $352,843,455 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97480 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97460 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2015 AMOUNT: $ 47,323. 2016 AMOUNT: $ 75,087. 2017 AMOUNT: $ 550,585. 2018 AMOUNT: $ 451,520. 2019 AMOUNT: $ 75,262. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $55,065 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $55,065 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $447,120 | OtherCostOrOtherBasisAmt |
| Book Value | $447,120 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,231,148 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,514,582 | DepreciationAmt |
| Book Value | $12,716,566 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,000,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,190,762 | DepreciationAmt |
| Book Value | $3,809,678 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,239,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,365,736 | DepreciationAmt |
| Book Value | $4,874,209 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,228,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $592,366 | DepreciationAmt |
| Book Value | $1,635,910 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,483,483 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| AGENCY FUND INVESTMENTS | $52,852 |
| INVESTMENTS IN AFFILIATES | $6,550,432 |
| SHARON SINKING FUND | $1,064,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,667,284 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP LIABILITY | $113,152 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $5,295,347 |
| SHARON SINKING FUND | $1,064,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,472,499 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DREW PIERCE | ||||||||||||||
| CEO (THROUGH APRIL 2020) | $301,700 | $0 | $0 | $0 | $0 | $0 | $14,208 | $0 | $0 | $0 | $315,908 | $0 | $0 | $0 |
| GEORGE GARROW | ||||||||||||||
| CHIEF MEDICAL OFFICER | $299,942 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $17,412 | $0 | $342,354 | $0 | $0 | $0 |
| JENNIE SLABE | ||||||||||||||
| CHIEF INFORMATION OFFICER | $187,775 | $0 | $0 | $0 | $0 | $0 | $9,550 | $0 | $0 | $0 | $197,325 | $0 | $0 | $0 |
| LORRIE SPEIR-CHRASTINA | ||||||||||||||
| VP OF CORPORATE COMPLIANCE | $159,859 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $25,004 | $0 | $209,863 | $0 | $0 | $0 |
| JOSEPH MONTONE | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $177,788 | $0 | $0 | $0 | $0 | $0 | $29,250 | $0 | $8,135 | $0 | $215,173 | $0 | $0 | $0 |
| RAMSEY AHMED MD | ||||||||||||||
| PSYCHIATRIST | $391,989 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,726 | $0 | $407,715 | $0 | $0 | $0 |
| HARSHARD PATEL MD | ||||||||||||||
| PSYCHIATRIST | $808,239 | $0 | $0 | $0 | $0 | $0 | $24,800 | $0 | $17,562 | $0 | $850,601 | $0 | $0 | $0 |
| NASIM SHAJIHAN | ||||||||||||||
| PSYCHIATRIST | $363,960 | $0 | $0 | $0 | $0 | $0 | $18,300 | $0 | $25,004 | $0 | $407,264 | $0 | $0 | $0 |
| SUJATHA PANDIAN MD | ||||||||||||||
| PSYCHIATRIST | $375,796 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $400,796 | $0 | $0 | $0 |
| KEVIN DUMPE | ||||||||||||||
| PHYSICIAN | $326,642 | $0 | $0 | $0 | $0 | $0 | $33,000 | $0 | $15,033 | $0 | $374,675 | $0 | $0 | $0 |
| AMY STEIN CLARK | ||||||||||||||
| DIRECTOR OF FINANCE (THROUGH APRIL 2 | $172,521 | $0 | $0 | $0 | $0 | $0 | $6,688 | $0 | $25,004 | $0 | $204,213 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (2 entries)
| Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxt | TransactionTransactionDesc | Transaction CorrectedTransactionCorrectedInd |
|---|---|---|
| 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 |
Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Cash GrantCashGrantAmt | Type Of AssistanceTypeOfAssistanceTxt |
|---|---|---|
| DREW PIERCE | ||
| CEO THROUGH APRIL 2020 | $24,000 | USE OF FACILITY'S |
| JOHN D LAENG | ||
| FORMER KEY EMPLOYEE; CEO THROUGH DECEMBER 2014 | $9,600 | USE OF FACILITY'S |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICLEAN & SUPPLY LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OPERATED BY A FORMER KEY EMPLOYEE'S FAMILY MEMBER | RelationshipDescriptionTxt |
| Transaction | $1,066,479 | TransactionAmt |
| Transaction | HOUSEKEEPING/CLEANING SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1, LINE 1 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHN CHARITABLE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 EAST STATE STREET | AddressLine1Txt |
| City | SHARON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 412188011 | EIN |
| Primary Activities | SUPPORT PROGRAMS THAT INCREASE ACCESS TO HEALTHCARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PRIMARY HEALTH NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PUNXSUTAWNEY MSF LLC | |||||||||||
| 100 SHENANGO AVE | SHARON | PA | 16146 | 460584749 | INVESTMENT COMPANY | PA | $1,401,019 | $5,247,230 | 0 | 0 | 0.50000 |
| SHARON MSF | |||||||||||
| 100 SHENANGO AVE | SHARON | PA | 16146 | 471604302 | INVESTMENT COMPANY | PA | -$109,160 | $10,109,705 | 0 | 0 | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHN PHYSICIAN SERVICES | ||||||||||||
| 100 SHENANGO AVE | SHARON | PA | 16146 | 204251617 | MEDICAL SERVICES | PA | THE PRIMARY HEALTH NETWORK | C | 1.00000 | Yes (1) | ||
| PALU INVESTMENT GROUP LTD | ||||||||||||
| 81 VINE AVE | SHARON | PA | 16146 | 271971298 | INVESTMENT COMPANY | PA | THE PRIMARY HEALTH NETWORK | C | 1.00000 | Yes (1) | -$122,424 | $306,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PUNXSUTAWNEY MSF LLC | ||
| K | $531,300 | FMV |
| SHARON MSF LLC | ||
| K | $879,800 | FMV |
| PHN CHARITABLE FOUNDATION | ||
| K | $176,706 | FMV |
| PHN CHARITABLE FOUNDATION | ||
| P | $483,103 | FMV |
| PHN CHARITABLE FOUNDATION | ||
| Q | $157,379 | FMV |
| PUNXSUTAWNEY MSF LLC | ||
| B | $11,500 | FMV |
| SHARON MSF LLC | ||
| B | $269,200 | FMV |
| PHN CHARITABLE FOUNDATION | ||
| B | $58,715 | FMV |
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