2017-12-21T15:50:35-06:00 2017-08-31 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2016-09-01 251381800 THE PRIMARY HEALTH NETWORK PRIM 7243423002 100 SHENANGO AVE PO BOX 176 SHARON PA 16146 AMY STEIN CLARK DIRECTOR OF FINANCE 7243423002 2017-12-21 1 KELLY A BROCIOUS CPA P01254262 4126356270 2017-12-21 216.12.119.47 2017-12-21 15:39:37 ES P 6FD56722D21CD48C7530433B46AFBF77EC9EE4DC CFFD0C438BE05440CE319FAAD99148454A22E961 2016 2018-03-14 21:41:22Z DREW PIERCE 100 SHENANGO AVE PO BOX 176 SHARON PA 16146 81641714 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 13 13 682 13 -76724 -53326 9815368 10590821 65304807 69675083 13786 -67351 466655 824901 75600616 81023454 0 0 0 0 38859270 42510124 0 0 0 29617197 32586412 68476467 75096536 7124149 5926918 42400043 46966103 10744068 11096275 31655975 35869828 X OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 0 0 35820478 45251272 PROVIDE MEDICAL SERVICES INCLUDING WELLNESS CHILDCARE, ADULT CARE, ACUTE CARE, AND OBSTETRICS. A SLIDING FEE IS UTILIZED. WE ACCEPT ALL INSURANCES. 12347396 18069186 THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. 5428469 5177839 PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. 4010263 1176786 OTHER PROGRAMS 4010263 1176786 57606606 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 62 0 682 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 PA X FINANCE DEPARTMENT 7243420126 81 VINE STREET SHARON PA 16146 DEBORAH MCCANNA PRESIDENT 1.00 X X 0 0 0 DOUGLAS NASCI TREASURER 1.00 X X 0 0 0 JO ANNE CARRICK SECRETARY 1.00 X X 0 0 0 HELEN WHEELER DIRECTOR 1.00 X 0 0 0 JOANN JOFERY DIRECTOR 1.00 X 0 0 0 THOMAS SCOTT DIRECTOR 1.00 X 0 0 0 ANTHONY KOS DIRECTOR 1.00 X 0 0 0 JEFF BAUGHMAN DIRECTOR 1.00 X 0 0 0 THOMAS BURICH DIRECTOR 1.00 X 0 0 0 DAN BELL DIRECTOR 1.00 X 0 0 0 NANDA CHUWAN DIRECTOR 1.00 X 0 0 0 DANIEL BLOUGH DIRECTOR 1.00 X 0 0 0 DONALD PERRY DIRECTOR 1.00 X 0 0 0 DREW PIERCE CEO 39.00 1.00 X 290200 0 13750 AMY STEIN CLARK DIRECTOR OF FINANCE 39.00 1.00 X 88548 0 22873 JAMES LAUER MD PHYSICIAN 40.00 X 298263 0 26405 KEVIN DUMPE MD PHYSICIAN 40.00 X 295532 0 30566 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 802957 0 30052 JAY ELDER MD PHYSICIAN 40.00 X 248959 0 18701 GEORGE GARROW MD CHIEF MEDICAL OFFICER 40.00 X 190610 0 10562 2215069 0 152909 65 0 1 0 HUDSON CONSTRUCTION INC 1625 DUTCH LANE HERMITAGE PA 16148 CONSTRUCTION 9696184 BRETTON WALBERG PO BOX 395 JAMESTOWN PA 16134 PHARMACY 4587000 RDI 4350 GLENDALE-MILFORD RD STE 250 CINCINNATI OH 45242 IT SERVICES 1166094 MEMAW 1314 7TH AVE BEAVER FALLS PA 15010 PHARMACY 767254 VIRTUAL OFFICEWARE 2000 CLIFF MINE RD PARK WEST TWO PITTSBURGH PA 15275 IT SERVICES 752494 44 10485775 105046 10590821 NET PATIENT REVENUE 900099 69046100 69046100 CONTRACTED SERVICES 900099 628983 628983 69675083 27095 27095 1273628 523814 749814 749814 -76724 826538 94446 -94446 -94446 -94446 OTHER REVENUE 900099 75087 75087 75087 81023454 69675083 -76724 834274 415371 415371 34725423 27046393 7679030 784247 620216 164031 4022030 2998840 1023190 2563053 1942423 620630 130124 130124 50314 50314 334351 280474 53877 1363985 877853 486132 3139954 2502828 637126 618299 210271 408028 190959 190959 2100185 2100185 121395 121395 PHARMACY 12802471 12802471 CONTRACTED SERVICES 4674403 2348969 2325434 BAD DEBT 1869382 1869382 HOUSEKEEPING SERVICES/S 1019609 895714 123895 4170981 3210772 960209 75096536 57606606 17489930 0 3009778 3805128 6774037 9018970 5511106 5790490 621879 520877 432451 699674 35608826 14029182 21210740 21579644 4840052 5551320 42400043 46966103 4750728 5334959 4207950 3904258 1785390 1857058 10744068 11096275 X 31655975 35869828 31655975 35869828 42400043 46966103 X 5926918 -154836 -1558229 X X 0 1 X 1 1 1 X 5504390 8093125 9766623 9815368 10590821 43770327 5504390 8093125 9766623 9815368 10590821 43770327 43770327 12869 9615 45237 13786 27095 108602 -37618 -31651 -76724 -145993 294736 82834 140659 47323 75087 640639 44373575 189052646 0.98640 0.94880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 437120 437120 18276468 4497493 13778975 3383761 1575287 1808474 11874592 6398954 5475638 1636885 1557448 79437 21579644 AGENCY FUND INVESTMENTS 48826 INVESTMENT IN AFFILIATES 5070318 PUNXSUTAWNEY SINKING FUND 432176 5551320 INTEREST RATE SWAP LIABILITY 13895 PUNXSUTAWNEY SINKING FUND 432163 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1411000 1857058 X PART X, LINE 2: THE 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, 2014, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. X 1 1 X 0 0 0 0 0 0 0 0 0 DREW PIERCE CEO 275000 0 6200 0 9000 0 13750 0 0 0 303950 0 0 0 JAMES LAUER MD PHYSICIAN 298013 0 250 0 0 0 15477 0 10928 0 324668 0 0 0 KEVIN DUMPE MD PHYSICIAN 295282 0 250 0 0 0 15477 0 15089 0 326098 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 352482 0 450475 0 0 0 17161 0 12891 0 833009 0 0 0 JAY ELDER MD PHYSICIAN 224091 0 24868 0 0 0 8211 0 10490 0 267660 0 0 0 GEORGE GARROW MD CHIEF MEDICAL OFFICER 185610 0 5000 0 0 0 0 0 10562 0 201172 0 0 0 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 ORIGIN. 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 OF 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 15A 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: NET ASSET TRANSFER FROM AFFILATE -1,592,780. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP LIABILITY 34,551. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEAR AND HAS NOT CHANGED. PHN CHARITABLE FOUNDATION 123 EAST STATE STREET SHARON PA 16146 412188011 SUPPORT PROGRAMS THAT INCREASE ACCESS TO HEALTHCARE SERVICES PA 501(C)(3) LINE 3 THE PRIMARY HEALTH NETWORK 1 PUNXSUTAWNEY MSF LLC 100 SHENANGO AVE SHARON PA 16146 460584749 INVESTMENT COMPANY PA -129828 5901569 0 0 0.50000 SHARON MSF LLC 100 SHENANGO AVE SHARON PA 16146 471604302 INVESTMENT COMPANY PA -151308 10559699 0 0 0.50000 PHN PHYSICIAN SERVICES 100 SHENANGO AVE SHARON PA 16146 204251617 MEDICAL SERVICES PA THE PRIMARY HEALTH NETWORK C 3132 1.00000 1 PALU INVESTMENT GROUP LTD 81 VINE AVE SHARON PA 16146 271971298 INVESTMENT COMPANY PA THE PRIMARY HEALTH NETWORK C -7309 622631 1.00000 1 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 PHN CHARITABLE FOUNDATION K 423768 FMV PHN CHARITABLE FOUNDATION R 877860 FMV