PHN CHARITABLE FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PHN CHARITABLE FOUNDATION (EIN 41-2188011)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-01-13
IRS object ID
201110139349301126
Schema version
2009v1.7
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)
Timestamp2011-01-13T14:37:17-08:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN412188011EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHN CHARITABLE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHNCNameControl
Phone7249812875Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1123 EAST STATE STREETAddressLine1
CitySHARONCity
StatePAState
ZIP Code16146ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDREW C PIERCEName
TitleCFOTitle
Date Signed2011-01-13DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1006498GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.PRIMARY-HEALTH.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTo 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year20400ContributionsGrantsCurrentYear
Program Service Revenue Prior Year408106ProgramServiceRevenuePriorYear
Program Service Revenue CY524340ProgramServiceRevenueCY
Investment Income Prior Year108InvestmentIncomePriorYear
Investment Income Current Year258InvestmentIncomeCurrentYear
Other Revenue Prior Year410436OtherRevenuePriorYear
Other Revenue Current Year417823OtherRevenueCurrentYear
Total Revenue Prior Year818650TotalRevenuePriorYear
Total Revenue Current Year962821TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year18029GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15029GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year362375SalariesEtcPriorYear
Salaries Etc Current Year504372SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year86098TotalFundrsngExpCurrentYear
Other Expense Prior Year354541OtherExpensePriorYear
Other Expenses Current Year394024OtherExpensesCurrentYear
Total Expenses Prior Year734945TotalExpensesPriorYear
Total Expenses Current Year913425TotalExpensesCurrentYear
Revenues Less Expenses Prior Year83705RevenuesLessExpensesPriorYear
Revenues Less Expenses CY49396RevenuesLessExpensesCY
Total Assets BOY3023051TotalAssetsBOY
Total Assets EOY2972845TotalAssetsEOY
Total Liabilities BOY1193747TotalLiabilitiesBOY
Total Liabilities EOY1094145TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1829304NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1878700NetAssetsOrFundBalancesEOY
Mission DescriptionTo 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense639898Expense
DescriptionTo provide transportation services to over 2000 patients of the Primary Health Network and also to provide scholarships to individuals who are pursuing further education in the healthcare field.Description
Total Program Service Expense639898TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees16NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonManagementNamePerson
Telephone Number7249812875TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1123 East State StreetAddressLine1
CitySharonCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
STEVE SANT
Treasurer0.X000
RUTHANNE BEIGHLEY
Director0.X000
PAM HUDSON
Director0.X000
Michael Yurisic
Director0.X000
Mark Tallarico
Executive Director0.2922500X
JOHN D LAENG
Director0.X000
DON PERRY
President0.X000
BONNIE DICKSON
Secretary0.X000
BILL HILLGROVE
Director0.X000
ANN SEDLEMEYER
Vice President0.000
FieldValueIRS element (for citing)
Total Reportable Comp From Org29225TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions20400AllOtherContributions
Total Contributions20400TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Transportation/Courier9010990109
Maintenance434231434231
FieldValueIRS element (for citing)
Total Program Service Revenue524340TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column258TotalRevenueColumn
Related Or Exempt Function Income258RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real374535Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real13625Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real360910Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column360910TotalRevenueColumn
Related Or Exempt Function Income360910RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events86965GrossIncomeFundraisingEvents
Fundraising Direct Expenses30052FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column56913TotalRevenueColumn
Related Or Exempt Function Income56913RelatedOrExemptFunctionIncome

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column962821TotalRevenueColumn
Related Or Exempt Function Income942421RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total15029Total
Program Services15029ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total29225Total
Management And General29225ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total387628Total
Program Services279292ProgramServices
Management And General49977ManagementAndGeneral
Fundraising58359Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2535Total
Management And General2535ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total55123Total
Program Services27562ProgramServices
Management And General18742ManagementAndGeneral
Fundraising8819Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total29861Total
Program Services14931ProgramServices
Management And General10153ManagementAndGeneral
Fundraising4777Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5806Total
Management And General5806ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total2212Total
Program Services1106ProgramServices
Fundraising1106Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18107Total
Program Services5070ProgramServices
Fundraising13037Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total38498Total
Program Services38498ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total450Total
Management And General450ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total71086Total
Program Services71086ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total168004Total
Program Services168004ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Utilities79337933
Telephone1145811458
Property and Casualty Insuranc1632016320
Maintenance and Repair1362213622
Administration Allocation1900019000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21528Total
Program Services5698ProgramServices
Management And General15830ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total913425Total
Program Services639898ProgramServices
Management And General187429ManagementAndGeneral
Fundraising86098Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13107BOY
EOY3752EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY116602BOY
EOY163547EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30784BOY
EOY51918EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4407486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1653858LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2862558BOY
EOY2753628EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3023051BOY
EOY2972845EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY128232BOY
EOY40826EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1065515BOY
EOY1053319EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1193747BOY
EOY1094145EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1829304BOY
EOY1878700EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1829304BOY
EOY1878700EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3023051BOY
EOY2972845EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year20400CurrentTaxYear
Total20400Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years227233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year491045CurrentTaxYearMinus1Year
Current Tax Year611305CurrentTaxYear
Total1329583Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years227233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year491045CurrentTaxYearMinus1Year
Current Tax Year631705CurrentTaxYear
Total1349983Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091349983PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Total0Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years234122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year353133CurrentTaxYearMinus1Year
Current Tax Year374792CurrentTaxYear
Total962047Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total2312030Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis46165InvestmentCostOrOtherBasis
Book Value46165BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3641952InvestmentCostOrOtherBasis
Depreciation1141590Depreciation
Book Value2500362BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis284345InvestmentCostOrOtherBasis
Depreciation224915Depreciation
Book Value59430BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis432935InvestmentCostOrOtherBasis
Depreciation286796Depreciation
Book Value146139BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2089InvestmentCostOrOtherBasis
Depreciation557Depreciation
Book Value1532BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2753628TotalOfBookValueLandBuildings
Total Revenue962821TotalRevenue
Total Expenses913425TotalExpenses
Excess Or Deficit For Year49396ExcessOrDeficitForYear
Excess Or Deficit Per FS49396ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt962821TotRevenueEtcAuditedFinclStmt
Revenue Subtotal962821RevenueSubtotal
Total Revenue Per Form990962821TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt913425TotExpensesEtcAuditedFinclStmt
Expenses Subtotal913425ExpensesSubtotal
Total Expenses Per Form990913425TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VariousNameOfEvent1
Gross Receipts Event186965GrossReceiptsEvent1
Gross Revenue Event186965GrossRevenueEvent1
Other Direct Expenses Event130052OtherDirectExpensesEvent1
Gross Receipts Total86965GrossReceiptsTotal
Gross Revenue Total Events86965GrossRevenueTotalEvents
Other Direct Expenses Total Events30052OtherDirectExpensesTotalEvents
Direct Expense Summary Events30052DirectExpenseSummaryEvents
Net Income Summary56913NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarships for students entering the health fieldTypeOfGrant
Number Of Recipients15NumberOfRecipients
Amount Of Cash Grant1000AmountOfCashGrant
Method Of ValuationCashMethodOfValuation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMark TallaricoNamePerson
Base Compensation Filing Org29225BaseCompensationFilingOrg
Total Compensation Filing Org29225TotalCompensationFilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsConflict of Interest statements are review annually and updated as necessary.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessNo review was or will be conducted.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1The Primary Health NetworkBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Shenango AvenueAddressLine1
CitySharonCity
StatePAState
ZIP Code16146ZIPCode
FieldValueIRS element (for citing)
EIN251381800EIN
Primary ActivitiesOperates federally qualified health centersPrimaryActivities
Legal Domicile StatePALegalDomicileState
Public Charity Status501(C)(3)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
The Primary Health Network
k491580
The Primary Health Network
a374535

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