2016-12-19T12:43:00-06:00 2016-08-31 550486667 ARNETT CARBIS TOOTHMAN LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2015-09-01 251381800 THE PRIMARY HEALTH NETWORK PRIM 7243423002 100 SHENANGO AVE PO BOX 176 SHARON PA 16146 AMY STEIN CLARK DIRECTOR OF FINANCE 7243423002 2016-12-16 1 JEFFREY J PETRELL CPA P00138808 4126356270 2016-12-16 2015 2017-02-10 21:41:12Z DREW PIERCE 100 SHENANGO AVE PO BOX 176 SHARON PA 16146 76054044 0 X WWW.PRIMARY-HEALTH.NET X 1984 PA OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 13 13 656 14 -31651 -14155 9766623 9815368 54072756 65304807 68691 13786 2078537 466655 65986607 75600616 0 0 0 0 35176191 38859270 0 0 0 27635004 29617197 62811195 68476467 3175412 7124149 36929634 42400043 11311467 10744068 25618167 31655975 X OPERATES FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED AREAS 0 0 33907545 27154247 PROVIDE MEDICAL SERVICES INCLUDING WELLNESS CHILDCARE, ADULT CARE, ACUTE CARE, AND OBSTETRICS. APPROXIMATELY 25,500 ENCOUNTERS PER MONTH. A SLIDING FEE IS UTILIZED. WE ACCEPT ALL INSURANCES, APPROXIMATELY 60% ON MEDICAL ASSISTANCE. 11838724 19419265 THE PHARMACY PROGRAM PROVIDES PRESCRIPTION MEDICINE TO LOW INCOME FAMILIES AND INDIVIDUALS FROM VARIOUS SITES THAT PHN MAINTAINS MEDICAL OFFICES. 4177050 3666917 PRIMARY DENTAL SERVICES INCLUDING ROUTINE EXAMINATIONS AND PROFILES, FILLING, ORAL SURGERY, AND DENTURES. SLIDING FEE IS UTILIZED. APPROXIMATELY 4,000 ENCOUNTERS PER MONTH. 3473139 15064378 OTHER PROGRAMS 3473139 15064378 53396458 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 65 0 656 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 DON PERRY PRESIDENT 1.00 X X 0 0 0 DEBBIE MCCANNA PRESIDENT ELECT 1.00 X X 0 0 0 DOUG NASCI SECRETARY 1.00 X X 0 0 0 TOM BURICH TREASURER 1.00 X X 0 0 0 DAN BLOUGH DIRECTOR 1.00 X 0 0 0 JOANN JOFERY DIRECTOR 1.00 X 0 0 0 TOM 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 SUMMER WISE DIRECTOR 1.00 X 0 0 0 DAN BELL DIRECTOR 1.00 X 0 0 0 JO ANNE CARRICK DIRECTOR 1.00 X 0 0 0 HELEN WHEELER DIRECTOR 1.00 X 0 0 0 JOHN LAENG FORMER CEO/CONSULTANT 39.00 1.00 X 140749 0 38980 DREW PIERCE CEO 39.00 1.00 X 290226 0 13177 AMY STEIN CLARK DIRECTOR OF FINANCE 39.00 1.00 X 80019 0 26450 GLENN CHARLTON MD CMO 40.00 X 204634 0 23624 HARSHARD PATEL MD PSYCHIATRIST 40.00 X 792813 0 32621 GEORGE HROMNAK MD PHYSICIAN 40.00 X 267788 0 0 JAMES LAUER MD PHYSICIAN 40.00 X 279949 0 29384 KEVIN DUMPE MD PHYSICIAN 40.00 X 287150 0 35922 LORRIE SPEIR-CHRASTINA SENIOR VP 40.00 X 139611 0 5937 2482939 0 206095 62 0 1 0 HUDSON CONSTRUCTION 1625 DUTCH LANE HERMITAGE PA 16148 CONSTRUCTION 11098704 BRETTON WALBERG PO BOX 395 JAMESTOWN PA 16134 PHARMACY 4295849 RDI 4350 GLENDALE-MILFORD RD STE 250 CINCINNATI OH 45242 IT SERVICES 1135181 VIRTUAL OFFICEWARE 2000 CLIFF MINE RD PARK WEST TWO PITTSBURGH PA 15275 IT SERVICES 882915 MEMAW 1314 7TH AVE BEAVER FALLS PA 15010 PHARMACY 570994 12 9815368 9815368 NET PATIENT REVENUE 900099 64618584 64618584 CONTRACTED SERVICES 900099 686223 686223 65304807 13786 13786 905432 453428 452004 452004 -31651 483655 OTHER REVENUE 900099 47323 47323 GAIN ON AFFILIATE INVESTMENT 900099 -32672 -32672 14651 75600616 65304807 -31651 512092 817859 817859 31255082 24713561 6541521 692087 577805 114282 3736412 2860473 875939 2357830 1769459 588371 92635 92635 67645 67645 365453 303307 62146 1466660 1005387 461273 2253169 1845421 407748 399941 152517 247424 263197 263197 1982297 1982297 117216 117216 PHARMACY 11895896 11895896 CONTRACTED SERVICES 3827409 2054707 1772702 BAD DEBT 2372416 2372416 HOUSEKEEPING SERVICES/S 937235 820754 116481 3576028 3024755 551273 68476467 53396458 15080009 0 831122 3009778 2539628 6774037 7180795 5511106 663930 621879 282692 432451 33503083 12292343 21281025 21210740 4150442 4840052 36929634 42400043 5078907 4750728 5939932 4207950 292628 1785390 11311467 10744068 X 25618167 31655975 25618167 31655975 36929634 42400043 X 7124149 23208 -1109549 X X 0 1 X 1 1 1 X 6587551 5504390 8093125 9766623 9815368 39767057 6587551 5504390 8093125 9766623 9815368 39767057 39767057 22678 12869 9615 45237 13786 104185 -37618 -31651 -69269 1547587 294736 82834 140659 47323 2113139 41915112 119377563 0.94880 0.90470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 442120 442120 18465307 3881222 14584085 3172455 1326776 1845679 9441293 5744925 3696368 1981908 1339420 642488 21210740 PATIENT RECORDS - MERCER 364 AGENCY FUND INVESTMENTS 43690 INVESTMENT IN AFFILIATES 4470054 PUNXSUTAWNEY SINKING FUND 325944 4840052 INTEREST RATE SWAP LIABILITY 48446 PUNXSUTAWNEY SINKING FUND 325944 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1411000 1785390 X 73706040 24412 453428 477840 73228200 2372416 2372416 75600616 66557479 453428 453428 66104051 2372416 2372416 68476467 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, 2013, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 453,428. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,372,416. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 453,428. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,372,416. X 1 1 X 0 0 0 0 0 0 0 0 0 JOHN LAENG FORMER CEO/CONSULTANT 140749 0 0 0 0 0 9872 0 29108 0 179729 0 0 0 DREW PIERCE CEO 285226 0 5000 0 0 0 13177 0 0 0 303403 0 0 0 GLENN CHARLTON MD CMO 204634 0 0 0 0 0 7906 0 15718 0 228258 0 0 0 HARSHARD PATEL MD PSYCHIATRIST 364600 0 428213 0 0 0 16963 0 15658 0 825434 0 0 0 GEORGE HROMNAK MD PHYSICIAN 267788 0 0 0 0 0 0 0 0 0 267788 0 0 0 JAMES LAUER MD PHYSICIAN 279949 0 0 0 0 0 12993 0 16391 0 309333 0 0 0 KEVIN DUMPE MD PHYSICIAN 287150 0 0 0 0 0 14404 0 21518 0 323072 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 11 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 -1,109,549. 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 -100739 5968818 0 0 0.50000 SHARON MSF LLC 100 SHENANGO AVE SHARON PA 16146 471604302 INVESTMENT COMPANY PA 10979862 0 0 0.50000 PHN PHYSICIAN SERVICES 100 SHENANGO AVE SHARON PA 16146 204251617 MEDICAL SERVICES PA THE PRIMARY HEALTH NETWORK C -94 1.00000 1 PALU INVESTMENT GROUP LTD 81 VINE AVE SHARON PA 16146 271971298 INVESTMENT COMPANY PA THE PRIMARY HEALTH NETWORK C 12779 229940 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 458616 FMV PHN CHARITABLE FOUNDATION R 946506 FMV