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PRIMARY CARE HEALTH SERVICES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PRIMARY CARE HEALTH SERVICES (EIN 25-1300356)
Tax period
2021-11-01 to 2022-10-31
Filed
2023-09-14
IRS object ID
202342579349301454
Schema version
2021v4.1
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)
Return2023-09-14T09:26:40-07:00ReturnTs
Tax Period End2022-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN510660257PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TERRY & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3896AddressLine1Txt
CityGreenwood VillageCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80155ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251300356EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Primary Care Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
Phone4122444700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17227 Hamilton AvenueAddressLine1Txt
CityPittsburghCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15208ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJerome GlosterPersonNm
Person TitleCEOPersonTitleTxt
Signature2023-09-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJeromePersonFirstNm
Person LastGlosterPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonE Alan Terry CPAPreparerPersonNm
PTINP00115110PTIN
Phone3038841826PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line17227 Hamilton AvenueAddressLine1Txt
CityPittsburghCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15208ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,800,277GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresspchspitt.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionProviding primary and preventative health care services to medically underserved and indigent populations in Allegheny County regardless of ability to pay.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee150TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,381,561PYContributionsGrantsAmt
CY Contributions Grants$15,919,023CYContributionsGrantsAmt
PY Program Service Revenue$4,132,002PYProgramServiceRevenueAmt
CY Program Service Revenue$3,498,392CYProgramServiceRevenueAmt
PY Investment Income$330PYInvestmentIncomeAmt
CY Investment Income$45,050CYInvestmentIncomeAmt
PY Other Revenue$1,709,324PYOtherRevenueAmt
CY Other Revenue$337,812CYOtherRevenueAmt
PY Total Revenue$14,223,217PYTotalRevenueAmt
CY Total Revenue$19,800,277CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,492,436PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,866,047CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,184,553PYOtherExpensesAmt
CY Other Expenses$4,989,869CYOtherExpensesAmt
PY Total Expenses$12,676,989PYTotalExpensesAmt
CY Total Expenses$12,855,916CYTotalExpensesAmt
PY Revenues Less Expenses$1,546,228PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,944,361CYRevenuesLessExpensesAmt
Total Assets BOY$5,712,042TotalAssetsBOYAmt
Total Assets EOY$12,625,329TotalAssetsEOYAmt
Total Liabilities BOY$1,768,501TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,725,068TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,943,541NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,900,261NetAssetsOrFundBalancesEOYAmt
MissionProviding primary and preventative health care services to medically underserved and indigent populations in Allegheny County regardless of ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,435,339ExpenseAmt
DescTo provide primary and preventative health care services for people living in the medically under served communities and indigent populations residing in Allegheny County without regard to an individual's ability to pay.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$837,348ExpenseAmt
DescTo provide primary and preventative health care services for populations residing in public housing.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$339,270ExpenseAmt
DescTo provide health care to the homeless populationDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,611,957TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee150EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn HollinsPersonNm
Phone4122444700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17227Hamilton AvenueAddressLine1Txt
CityPittsburghCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15208ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Jerome Gloster MD
Chief Executive Officer40.000.00$220,000$0$0
Swaroopa Anugula
Physician40.000.00$180,960$0$0
Felicia Beseka
Physician40.000.00$176,800$0$0
Robin Sims MD
Medical Director35.000.00$160,160$0$0
Daniel Lapp
Physician32.000.00$151,424$0$0
John Hollins
Associate Finance Director40.000.00$150,010$0$0
Dana Bilohlavek
Director of Dental Services40.000.00$145,600$0$0
Eugene J Hester
Physician40.000.00$133,120$0$0
Denise Baker
Quality Director, CRNP40.000.00$130,000$0$0
Lizzi Patton RPH MHA
Pharmacy Director40.000.00$116,480$0$0
Richard Adams Jr
President1.001.00$0$0$0Yes (X)Yes (X)
Lea Blumenfeld
Director1.001.00$0$0$0Yes (X)
Carolyn Callahan
Treasurer1.001.00$0$0$0Yes (X)Yes (X)
Donald Norrington
Secretary1.001.00$0$0$0Yes (X)Yes (X)
Tawnya Farris-Redwood
Director1.001.00$0$0$0Yes (X)
Dr James Johnson
Director1.001.00$0$0$0Yes (X)
Lottie Reed
Director1.001.00$0$0$0Yes (X)
Ronald Thornhill
Director1.000.00$0$0$0Yes (X)
Eric Younkins
Director1.001.00$0$0$0Yes (X)
Billy Jackson
Director40.001.00$0$0$0Yes (X)
Judith K Ginyard
Director40.001.00$0$0$0Yes (X)
Lisa Palucci
Director40.001.00$0$0$0Yes (X)
Pamelyn Francis
Physican40.000.00$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,564,554TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VVC Holding LLC
PO Box 840952DallasTX75284Healthcare Connections$132,452
Renna A Udoh
3900 Sweetbriar Drive Apt D110IrwinPA15642Janitorial$68,262
Daikin Applied
24827 Network PlaceChicagoIL60673Commercial HVAC$97,767
Alberta & DeNita Services
433 Greenwood StreetMcKeesportPA15210Janitorial$52,000
Aaron Tyler
6935 Kelly StreetPittsburghPA15208Repair & Maintenance$43,935
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$9,453,616GovernmentGrantsAmt
All Other Contributions$6,465,407AllOtherContributionsAmt
Total Contributions$15,919,023TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Drug Pricing Program621400$1,179,715$1,179,715
Patient Service Revenue621400$2,318,677$2,318,677
FieldValueIRS element (for citing)
Total Program Service Revenue$3,498,392TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,050TotalRevenueColumnAmt
Exclusion$45,050ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneous IncomeDesc
Business900099BusinessCd
Total Revenue Column$337,812TotalRevenueColumnAmt
Exclusion$337,812ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$337,812OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,800,277TotalRevenueColumnAmt
Related Or Exempt Func Income$3,498,392RelatedOrExemptFuncIncomeAmt
Exclusion$382,862ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$922,250TotalAmt
Management And General$922,250ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,673,625TotalAmt
Program Services$4,617,113ProgramServicesAmt
Management And General$1,056,512ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$788,990TotalAmt
Program Services$552,293ProgramServicesAmt
Management And General$236,697ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$481,182TotalAmt
Program Services$336,827ProgramServicesAmt
Management And General$144,355ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$141,526TotalAmt
Program Services$8,500ProgramServicesAmt
Management And General$133,026ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,026,213TotalAmt
Program Services$944,215ProgramServicesAmt
Management And General$1,081,998ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$474,634TotalAmt
Program Services$221,180ProgramServicesAmt
Management And General$253,454ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$465,248TotalAmt
Program Services$465,248ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,183TotalAmt
Program Services$12,110ProgramServicesAmt
Management And General$8,073ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,729TotalAmt
Management And General$25,729ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$307,958TotalAmt
Program Services$129,342ProgramServicesAmt
Management And General$178,616ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,400TotalAmt
Program Services$115,368ProgramServicesAmt
Management And General$10,032ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supples & Drugs$1,123,999$1,011,599$112,400
Telephone$176,400$142,884$33,516
Training$66,124$39,675$26,449
Bank Charges$27,829$16,697$11,132

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,626TotalAmt
Program Services-$1,094ProgramServicesAmt
Management And General$9,720ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,855,916TotalAmt
Program Services$8,611,957ProgramServicesAmt
Management And General$4,243,959ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,351,867BOYAmt
EOY$6,104,492EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$310,380BOYAmt
EOY$2,117,782EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$934,476BOYAmt
EOY$829,427EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$84,086BOYAmt
EOY$93,908EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$397,685BOYAmt
EOY$76,675EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,807,671LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,320,118LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,921,398BOYAmt
EOY$2,487,553EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$45,050EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$712,150BOYAmt
EOY$870,442EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,712,042BOYAmt
EOY$12,625,329EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$982,937BOYAmt
EOY$993,844EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$783,863BOYAmt
EOY$731,224EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,701BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,768,501BOYAmt
EOY$1,725,068EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,943,541BOYAmt
EOY$4,724,912EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$6,175,349EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,943,541BOYAmt
EOY$10,900,261EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,712,042BOYAmt
EOY$12,625,329EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,944,361ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$12,359OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,429,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,226,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,510,339CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,381,561CurrentTaxYearMinus1YearAmt
Current Tax Year$15,919,023CurrentTaxYearAmt
Total$46,466,893TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,241,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,996,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,208,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,132,002CurrentTaxYearMinus1YearAmt
Current Tax Year$3,498,352CurrentTaxYearAmt
Total$17,076,475TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,671,302CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,222,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,718,448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,513,563CurrentTaxYearMinus1YearAmt
Current Tax Year$19,417,375CurrentTaxYearAmt
Total$63,543,368TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$63,543,368PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,418CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,418CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$330CurrentTaxYearMinus1YearAmt
Current Tax Year$45,050CurrentTaxYearAmt
Total$52,425TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,418CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,418CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$330CurrentTaxYearMinus1YearAmt
Current Tax Year$45,050CurrentTaxYearAmt
Total$52,425TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$379,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$195,184CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$816,907CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,450CurrentTaxYearMinus1YearAmt
Current Tax Year$46,000CurrentTaxYearAmt
Total$1,463,456TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,053,426CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,420,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,537,773CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,539,343CurrentTaxYearMinus1YearAmt
Current Tax Year$19,508,425CurrentTaxYearAmt
Total$65,059,249TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97670PublicSupportCY509Pct
Public Support PY5090.96730PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,800OtherCostOrOtherBasisAmt
Book Value$200,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,841,020OtherCostOrOtherBasisAmt
Depreciation$2,978,273DepreciationAmt
Book Value$862,747BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,373OtherCostOrOtherBasisAmt
Depreciation$239,368DepreciationAmt
Book Value-$10,995BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$480,748OtherCostOrOtherBasisAmt
Depreciation$362,433DepreciationAmt
Book Value$118,315BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,056,730OtherCostOrOtherBasisAmt
Depreciation$3,740,044DepreciationAmt
Book Value$1,316,686BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,487,553TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue To/FromDesc
Book Value$870,442BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$870,442TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Corporation is classified as a tax-exempt, not-for-profit corporation under 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal or state income taxes is required. Further, the Corporation annually files form 990.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Daniel Lapp
Physician$151,424$151,424
Felicia Beseka
Physician$176,800$176,800
Jerome Gloster MD
Chief Executive Officer$220,000$220,000
John Hollins
Associate Finance Director$150,010$150,010
Robin Sims MD
Medical Director$160,160$160,160
Swaroopa Anugula
Physician$180,960$180,960

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is examined by the Director of Finance prior to filing. He presents it to board during the next monthly board meeting.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board of Directors personnel committee scrutinizes all new hires and reviews on annual basis all areas that could generate a conflict of interest. A board member's signature is required on all checks written by Primary Care Health Services, Inc. which provides an avenue for monitoring conflicts of interest on a weekly basis.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementSalaries and wages of Directors, Doctors and other top officials are based on market reviews. The personnel manager researches salaries and wages paid by other institutions of a like or similar nature and makes recommendations accordingly.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThrough filing annual financial statements with the federal and Allegheny County are available upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesOther = $12359
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessThe process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1West End Health Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 S Main StreetAddressLine1Txt
CityPittsburghCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15220ZIPCd
FieldValueIRS element (for citing)
EIN251263887EIN
Primary ActivitiesFederally Qualified Health CenterPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd