PHN CHARITABLE FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PHN CHARITABLE FOUNDATION (EIN 41-2188011)
Tax period
2017-09-01 to 2018-08-31
Filed
2018-12-21
IRS object ID
201843559349300609
Schema version
2017v2.3
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)
Return2018-12-21T08:47:46-06:00ReturnTs
Tax Period End2018-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARNETT CARBIS TOOTHMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DRIVE STE 650AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-09-01TaxPeriodBeginDt

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)
PersonAMY STEIN CLARKPersonNm
Person TitleDIRECTOR OF FINANCEPersonTitleTxt
Phone7243423002PhoneNum
Signature2018-12-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY A BROCIOUS CPAPreparerPersonNm
PTINP01254262PTIN
Phone4126356270PhoneNum
Preparation2018-12-20PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-12-20IPDt
IP Tm13:23:01IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2412E957DE2F75515A89B43FEA55C557ADEF0DF9AtSubmissionCreationDeviceId
At Submission Filing Device Id3359037EC17F52B680576CAD088B94A1FE832068AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDREW PIERCEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 PITT STREETAddressLine1Txt
CitySHARONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16146ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,675,679GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$201,515PYContributionsGrantsAmt
CY Contributions Grants$94,249CYContributionsGrantsAmt
PY Program Service Revenue$1,001,181PYProgramServiceRevenueAmt
CY Program Service Revenue$1,052,460CYProgramServiceRevenueAmt
PY Investment Income$66,331PYInvestmentIncomeAmt
CY Investment Income-$27,649CYInvestmentIncomeAmt
PY Other Revenue$426,646PYOtherRevenueAmt
CY Other Revenue$404,713CYOtherRevenueAmt
PY Total Revenue$1,695,673PYTotalRevenueAmt
CY Total Revenue$1,523,773CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$80,600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$779,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$711,387CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$3,755PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$4,446CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$163,099CYTotalFundraisingExpenseAmt
PY Other Expenses$857,089PYOtherExpensesAmt
CY Other Expenses$828,510CYOtherExpensesAmt
PY Total Expenses$1,690,495PYTotalExpensesAmt
CY Total Expenses$1,624,943CYTotalExpensesAmt
PY Revenues Less Expenses$5,178PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$101,170CYRevenuesLessExpensesAmt
Total Assets BOY$10,361,123TotalAssetsBOYAmt
Total Assets EOY$10,119,074TotalAssetsEOYAmt
Total Liabilities BOY$1,092,089TotalLiabilitiesBOYAmt
Total Liabilities EOY$334,875TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,269,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,784,199NetAssetsOrFundBalancesEOYAmt
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$1,231,332ExpenseAmt
Grant$80,600GrantAmt
Revenue$1,052,460RevenueAmt
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$1,231,332TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee32EmployeeCnt
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
Form8899 Filedind0Form8899Filedind
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
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 Body0Form990ProvidedToGvrnBodyInd
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)
Phone7249812875PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
DONALD PERRY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JOHN LAENG
DIRECTOR, FORMER CEO1.00Yes (X)$3,200$0$0
BONNIE DICKSON
DIRECTOR1.00Yes (X)$0$0$0
PAMELA HUDSON
DIRECTOR1.00Yes (X)$0$0$0
STEVE SANT
DIRECTOR1.00Yes (X)$0$0$0
BILL HILLGROVE
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH MCCANNA
DIRECTOR1.00Yes (X)$0$0$0
JO ANNE CARRICK
DIRECTOR1.00Yes (X)$0$0$0
DAN BELL
DIRECTOR1.00Yes (X)$0$0$0
DREW PIERCE
CEO1.00Yes (X)$0$290,200$13,75039.00
AMY STEIN CLARK
DIRECTOR OF FINANCE1.00Yes (X)$0$118,457$22,60139.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,200TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$408,657TotReportableCompRltdOrgAmt
Total Other Compensation$36,351TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$60,001FundraisingAmt
All Other Contributions$34,248AllOtherContributionsAmt
Total Contributions$94,249TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES900099$817,798$817,798
TRANSPORTATION/COURIER900099$234,662$234,662
FieldValueIRS element (for citing)
Total Program Service Revenue$1,052,460TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,057TotalRevenueColumnAmt
Exclusion$63,057ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$373,935RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$373,935RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$373,935TotalRevenueColumnAmt
Exclusion$373,935ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$90,706OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$90,706OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$90,706TotalRevenueColumnAmt
Exclusion-$90,706ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$84,605FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$60,001ContriRptFundraisingEventAmt
Fundraising Direct Expenses$61,200FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,405TotalRevenueColumnAmt
Exclusion$23,405ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$7,373TotalRevenueColumnAmt
Exclusion$7,373ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,373OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,523,773TotalRevenueColumnAmt
Related Or Exempt Func Income$1,052,460RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$377,064ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$80,600TotalAmt
Program Services$80,600ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$551,181TotalAmt
Program Services$303,148ProgramServicesAmt
Management And General$137,796ManagementAndGeneralAmt
Fundraising$110,237FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,320TotalAmt
Management And General$5,320ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$99,673TotalAmt
Program Services$54,818ProgramServicesAmt
Management And General$24,919ManagementAndGeneralAmt
Fundraising$19,936FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$55,213TotalAmt
Program Services$30,367ProgramServicesAmt
Management And General$13,803ManagementAndGeneralAmt
Fundraising$11,043FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,397TotalAmt
Management And General$1,397ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$4,446TotalAmt
Fundraising$4,446FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$81,667TotalAmt
Program Services$81,667ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,797TotalAmt
Program Services$2,898ProgramServicesAmt
Fundraising$2,899FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$72,687TotalAmt
Program Services$39,977ProgramServicesAmt
Management And General$18,172ManagementAndGeneralAmt
Fundraising$14,538FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,789TotalAmt
Program Services$34,789ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,510TotalAmt
Program Services$23,510ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,173TotalAmt
Program Services$38,173ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$303,737TotalAmt
Program Services$303,737ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,782TotalAmt
Program Services$22,782ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
HOUSEKEEPING SERVICES$51,761$51,761
TRANSPORTATION$43,508$43,508
REPAIRS & MAINTENANCE$31,342$31,342
MEMBERSHIPS & LICENSES$6,288$6,288

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$111,072TotalAmt
Program Services$81,967ProgramServicesAmt
Management And General$29,105ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,624,943TotalAmt
Program Services$1,231,332ProgramServicesAmt
Management And General$230,512ManagementAndGeneralAmt
Fundraising$163,099FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$181,485BOYAmt
EOY$164,797EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,112,623BOYAmt
EOY$1,365,236EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,088BOYAmt
EOY$72,634EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,650BOYAmt
EOY$1,650EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,711,355LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,436,546LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,439,339BOYAmt
EOY$3,274,809EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,547,938BOYAmt
EOY$5,239,948EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,361,123BOYAmt
EOY$10,119,074EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,512BOYAmt
EOY$63,726EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,028,532BOYAmt
EOY$271,199EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45BOYAmt
EOY-$50EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,092,089BOYAmt
EOY$334,875EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,248,634BOYAmt
EOY$9,763,799EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,400BOYAmt
EOY$20,400EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,269,034BOYAmt
EOY$9,784,199EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,361,123BOYAmt
EOY$10,119,074EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$101,170ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$305,511NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$921,846OtherChangesInNetAssetsAmt
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 Line1THE PRIMARY 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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,165OtherCostOrOtherBasisAmt
Book Value$47,165BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,024,938OtherCostOrOtherBasisAmt
Depreciation$1,416,412DepreciationAmt
Book Value$2,608,526BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,844OtherCostOrOtherBasisAmt
Depreciation$78,568DepreciationAmt
Book Value$13,276BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,555OtherCostOrOtherBasisAmt
Depreciation$56,192DepreciationAmt
Book Value$64,363BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,426,853OtherCostOrOtherBasisAmt
Depreciation$885,374DepreciationAmt
Book Value$541,479BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,274,809TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN PUNXSUTAWNEY MSF, LLC$1,695,772
INVESTMENT IN SHARON MSF, LLC$3,544,176
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,239,948TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTEREST RATE SWAP LIABILITYDesc
Amt-$50Amt
FieldValueIRS element (for citing)
Total Liability-$50TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST, PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE FOUNDATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A RESULT OF THIS ADOPTION. GENERALLY, TAX RETURNS FOR THE YEARS ENDED AUGUST 31, 2015, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$25,200GrossReceiptsEvent1Amt
Charitable Contri Event1$14,268CharitableContriEvent1Amt
Gross Revenue Event1$10,932GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,390NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,750RentFacilityCostsEvent1Amt
Food And Beverage Event1$4,182FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,964OtherDirectExpensesEvent1Amt
Event2SNOWBALL CRAWLEvent2Nm
Gross Receipts Event2$42,832GrossReceiptsEvent2Amt
Charitable Contri Event2$32,932CharitableContriEvent2Amt
Gross Revenue Event2$9,900GrossRevenueEvent2Amt
Non Cash Prizes Event2$502NonCashPrizesEvent2Amt
Rent Facility Costs Event2$8,475RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,424FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$11,046OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$25,329GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$12,801CharitableContriOtherEventsAmt
Gross Revenue Other Events$12,528GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$2,388NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$4,268FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,325EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$2,980OthDirectExpnssOtherEventsAmt
Gross Receipts Total$93,361GrossReceiptsTotalAmt
Charitable Contributions Tot$60,001CharitableContributionsTotAmt
Gross Revenue Total Events$33,360GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$4,280NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$15,225RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,874FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,325EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,990OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$47,694DirectExpenseSummaryEventsAmt
Net Income Summary-$14,334NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
SCHOLARSHIPS FOR STUDENTS ENTERING THE HEALTH FIELD12$29,000$0COST
EITC SCHOLARSHIPS12$21,600$0COST
PENN STATE SHENANGO SCHOLARSHIP1$30,000COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION MONITORS AND REQUIRES THE INDIVIDUAL TO PAY THE SCHOLARSHIP FUNDS DIRECTLY TO THE SCHOOL.ExplanationTxt

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

FieldValueIRS element (for citing)
PersonDREW PIERCEPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$275,000CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$5,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$10,200OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$13,750DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$303,950TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CEO'S COMPENSATION IS PAID BY THE PRIMARY HEALTH NETWORK. THE PRIMARY HEALTH NETWORK USES THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE CEO: -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEEExplanationTxt

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 NETWORK HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF PHN 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 BY THE PRIMARY HEALTH NETWORK'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18PHN CHARITABLE FOUNDATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19AT 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 XI, LINE 9:ASSET TRANSFER FROM AFFILIATE 921,846.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE PRIMARY HEALTH NETWORKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 SHENANGO AVEAddressLine1Txt
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 AVESHARONPA16146460584749INVESTMENT COMPANYPA-$122,644$5,836,932000.50000
SHARON MSF LLC
100 SHENANGO AVESHARONPA16146471604302INVESTMENT COMPANYPA-$274,306$10,337,089000.50000

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 AVESHARONPA16146204251617MEDICAL SERVICESPAC0
PALU INVESTMENT GROUP LTD
81 VINE AVESHARONPA16146271971298INVESTMENT COMPANYPAC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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