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PRIMARY CARE HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PRIMARY CARE HEALTH SERVICES (EIN 25-1300356)
Tax period
2010-11-01 to 2011-10-31
Filed
2012-09-13
IRS object ID
201232579349300313
Schema version
2010v3.4
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)
Timestamp2012-09-13T12:09:37-05:00Timestamp
Tax Period End Date2011-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREET SUITE 800AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251300356EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRIMARY CARE HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRIMNameControl
Phone4122444700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17227 HAMILTON AVENUEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15208ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILFRED PAYNEName
TitleFINANCE DIRECTORTitle
Phone4122444700Phone
Date Signed2012-09-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANDREW N WIMBISHName
Phone4126976400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHELSEY SIRMONS IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17227 HAMILTON AVENUEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15208ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14995223GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PCHSPITT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionFEDERALLY QUALIFIED HEALTH CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees50TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8063881ContributionsGrantsPriorYear
Contributions Grants Current Year8698054ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4970814ProgramServiceRevenuePriorYear
Program Service Revenue CY4843591ProgramServiceRevenueCY
Investment Income Prior Year440InvestmentIncomePriorYear
Investment Income Current Year580InvestmentIncomeCurrentYear
Other Revenue Prior Year439312OtherRevenuePriorYear
Other Revenue Current Year1387339OtherRevenueCurrentYear
Total Revenue Prior Year13474447TotalRevenuePriorYear
Total Revenue Current Year14929564TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year429427GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY907797GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8821539SalariesEtcPriorYear
Salaries Etc Current Year9170017SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4209582OtherExpensePriorYear
Other Expenses Current Year3983628OtherExpensesCurrentYear
Total Expenses Prior Year13460548TotalExpensesPriorYear
Total Expenses Current Year14061442TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13899RevenuesLessExpensesPriorYear
Revenues Less Expenses CY868122RevenuesLessExpensesCY
Total Assets BOY6373241TotalAssetsBOY
Total Assets EOY7669233TotalAssetsEOY
Total Liabilities BOY2647110TotalLiabilitiesBOY
Total Liabilities EOY3074980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3726131NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4594253NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDING PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED AND INDIGENT POPULATIONS IN ALLEGHENY COUNTY REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7701089Expense
Grants454268Grants
Revenue3452996Revenue
DescriptionTO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES FOR PEOPLE LIVING IN THE MEDICALLY UNDERSERVED COMMUNITIES AND INDIGENT POPULATIONS RESIDING IN ALLEGHENY COUNTY WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense819908Expense
Grants453529Grants
Revenue367629Revenue
DescriptionTO PROVIDE HEALTH CARE TO THE HOMELESS POPULATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense456945Expense
Grants0Grants
Revenue204884Revenue
DescriptionTO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES FOR POPULATIONS RESIDING IN PUBLIC HOUSING.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1824540Expense
Grants0Grants
Revenue799547Revenue
DescriptionTO ADDRESS THE PROBLEM OF INADEQUATE READINESS FOR SCHOOL FOR CHILDREN ENTERING PRIMARY-LEVEL SCHOOLING FOR 135 FAMILIES IN THE WILKINSBURG AREA AND TO PROVIDE TRANSITIONAL SUPPORTIVE HOUSING FOR AT-RISK INDIVIDUALS OTHER SOCIAL SERVICES PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1824540TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev799547TotalOfOtherProgramServiceRev
Total Program Service Expense10802482TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees50NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHELSEY SIRMONS IIIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4122444974TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17227 HAMILTON AVENUEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15208ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD ADAMS JR
PRESIDENT1.00XX000
SAMUEL THOMPSON
VICE PRESIDENT1.00XX000
CAROLYN CALLAHAN
TREASURER1.00XX000
DONALD NORRINGTON
SECRETARY1.00XX000
KIVA FISHER-GREEN
DIRECTOR1.00X000
LOTTIE REED
DIRECTOR1.00X000
TAWNYA FARRIS
DIRECTOR1.00X000
HERMAN JONES PHD
DIRECTOR1.00X000
CLARENCE MATTHEWS
DIRECTOR1.00X000
DEBORAH JM SPENCER
DIRECTOR1.00X000
RONALD THORNHILL
DIRECTOR1.00X000
JAMES WILLIAMS III
DIRECTOR1.00X000
WILFORD A PAYNE
EXECUTIVE DIRECTOR40.00X12921705778
ELIZABETH QUINN
DIRECTOR OF OPERATIONS40.00X8812005683
CHELSEY SIRMONS III
FINANCE DIRECTOR40.00X84421014358
STACEY LANE
PHYSICIAN40.00149999015717X
ROBIN SIMS
PHYSICIAN40.0012278508467X
DANIEL LAPP
PHYSICIAN40.00120168019329X
ANDREW HAWKINS
PHYSICIAN40.0011362703016X
FELICIA YOUNG
PHYSICIAN40.0011353008242X
FieldValueIRS element (for citing)
Total Reportable Comp From Org921867TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation80590TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LINCOLN NATIONAL LIFE INS CO
1300 SOUTH CLINTON STREETFORT WAYNEIN46802EMPLOYEE PENSION PLAN404509
WPIC OF UPMC PRESBYTERIAN
3811 OHARA STREETPITTSBURGHPA15213MEDICAL223779
HONEYWELL INTERNATIONAL INC
24004 NETWORK PLACECHICAGOIL60673HVAC173170
LAUREL DESIGN ASSOCIATES INC
133 LOG CABIN LANEGREENSBURGPA15601INTERIOR DESIGN133689
HENRY SCHEIN INC
135 DURYEA ROADMELVILLENY11747MEDICAL SUPPLIES117536
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants8515794GovernmentGrants
All Other Contributions182260AllOtherContributions
Noncash Contributions182260NoncashContributions
Total Contributions8698054TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU62140036090783609078
PREMIUM REVENUE62140012345131234513
FieldValueIRS element (for citing)
Total Program Service Revenue4843591TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column580TotalRevenueColumn
Exclusion$580ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real47124Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real65659Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-18535Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-18535TotalRevenueColumn
Related Or Exempt Function Income-18535RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column1405874TotalRevenueColumn
Exclusion$1,405,874ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1405874TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14929564TotalRevenueColumn
Related Or Exempt Function Income4825056RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,406,454ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total907797Total
Program Services907797ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total327577Total
Program Services257229ProgramServices
Management And General70348ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6719722Total
Program Services5276652ProgramServices
Management And General1443070ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total91109Total
Program Services71785ProgramServices
Management And General19324ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1513670Total
Program Services1178079ProgramServices
Management And General335591ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total517939Total
Program Services406709ProgramServices
Management And General111230ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total59438Total
Program Services12899ProgramServices
Management And General46539ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1495096Total
Program Services829940ProgramServices
Management And General665156ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total343908Total
Program Services110774ProgramServices
Management And General233134ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total487696Total
Program Services476024ProgramServices
Management And General11672ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total79230Total
Program Services16138ProgramServices
Management And General63092ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total43482Total
Management And General43482ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total128211Total
Program Services128211ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total236016Total
Program Services196665ProgramServices
Management And General39351ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT SUPPLIES342463266466759970
BAD DEBT29006429006400
EQUIPMENT & MAINTENANCE214202128413857890
DONATED SUPPLIES15304715304700
TRAINING & RECRUITMENT5003034845151850

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60745Total
Program Services60745ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14061442Total
Program Services10802482ProgramServices
Management And General3258960ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY264495BOY
EOY65914EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18101BOY
EOY416367EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1299204BOY
EOY1693456EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY852757BOY
EOY1047220EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY56960BOY
EOY68843EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10086807LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6167764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3348860BOY
EOY3919043EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY532864BOY
EOY458390EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6373241BOY
EOY7669233EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1042961BOY
EOY1525439EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1604149BOY
EOY1549541EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2647110BOY
EOY3074980EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3716574BOY
EOY4157050EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9557BOY
EOY437203EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3726131BOY
EOY4594253EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6373241BOY
EOY7669233EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses868122ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6820118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6985145CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7130179CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8063881CurrentTaxYearMinus1Year
Current Tax Year8698054CurrentTaxYear
Total37697377Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5781326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4750565CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5143079CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4970814CurrentTaxYearMinus1Year
Current Tax Year4843591CurrentTaxYear
Total25489375Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12601444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11735710CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12273258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13034695CurrentTaxYearMinus1Year
Current Tax Year13541645CurrentTaxYear
Total63186752Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50963186752PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6656CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55341CurrentTaxYearMinus1Year
Current Tax Year47704CurrentTaxYear
Total258002Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6656CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65341CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55341CurrentTaxYearMinus1Year
Current Tax Year47704CurrentTaxYear
Total258002Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years387080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215581CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years291118CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year450070CurrentTaxYearMinus1Year
Current Tax Year1405874CurrentTaxYear
Total2749723Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12995180CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12034251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12629717CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13540106CurrentTaxYearMinus1Year
Current Tax Year14995223CurrentTaxYear
Total66194477Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95460PublicSupportPercentage509
Investment Income Percentage0.00390InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis200800OtherCostOrOtherBasis
Book Value200800BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5342788OtherCostOrOtherBasis
Depreciation2853773Depreciation
Book Value2489015BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis318599OtherCostOrOtherBasis
Depreciation261404Depreciation
Book Value57195BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3110711OtherCostOrOtherBasis
Depreciation2855675Depreciation
Book Value255036BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1113909OtherCostOrOtherBasis
Depreciation196912Depreciation
Book Value916997BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3919043TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM OTHER FUNDSDescription
Book Value458390BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets458390TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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 IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 OR 2010. THE CORPORATION'S FEDERAL INCOME TAX RETURNS FOR ALL YEARS SUBSEQUENT TO THE YEAR ENDED OCTOBER 31, 2007 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MON VALLEY CONNECT INC
300 CHAMBER PLAZACHALEROIPA15022251762305501(C)(3)9792CHARITY CARE
FIRST STEP RECOVERY HOMES INC
336 PENNY STREETMCKEESPORTPA15132251718347501(C)(3)13200CHARITY CARE
EAST LIBERTY FAMILY HEALTH CARE CENTER
7171 CHURCHLAND STREETPITTSBURGHPA15206251417228501(C)(3)64669CHARITY CARE
COMMUNITY HUMAN SERVICES CORP
374 LAWN STREETPITTSBURGHPA15213501(C)(3)47907CHARITY CARE
PRIMARY HEALTH NETWORK
100 SHENANGO AVENUESHARONPA16146251381800501(C)(3)10500CHARITY CARE
MERCY LIFE CENTER
1200 REEDSDALE STREETPITTSBURGHPA15219501(C)(3)15906CHARITY CARE
MERCY HOSPITAL
1400 LOCUST STREETPITTSBURGHPA15219250965429501(C)(3)63569CHARITY CARE
WESTERN PSYCHIATRIC INSTITUTE OF UPMC
3811 OHARA STREETPITTSBURGHPA15213501(C)(3)121290CHARITY CARE
UNIVERSITY OF PITTSBURGH PHYSICIANS
3518 FIFTH AVENUEPITTSBURGHPA15261501(C)(3)38768CHARITY CARE
HOUSE OF THE CROSSROADS
2012 CENTRE AVENUEPITTSBURGHPA15219501(C)(3)15363CHARITY CARE
FAMILY LINKS
250 SHADY AVENUEPITTSBURGHPA15206251209266501(C)(3)43742CHARITY CARE
THE SALVATION ARMY
865 W NORTH AVENUEPITTSBURGHPA15233501(C)(3)11830CHARITY CARE
WPIC OF UPMC PRESBYTERIAN SHADYSIDE
3811 OHARA STREETPITTSBURGHPA15213250965480501(C)(3)109481CHARITY CARE
CHILDREN'S SICKLE CELL FOUNDATION
226 PAUL STREETPITTSBURGHPA15211020629650501(C)(3)39999CHARITY CARE
SICKLE CELL SOCIETY
7643 FRANKSTOWN AVENUEPITTSBURGHPA15208501(C)(3)47500CHARITY CARE
UNITED NEIGHBORHOOD FACILITIES
312 CHESTNUT STREETERIEPA16501501(C)(3)18395CHARITY CARE
UNIVERSITY OF PITTSBURGH
123 UNIVERSITY PLACEPITTSBURGHPA15213501(C)(3)235886CHARITY CARE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTACEY LANENamePerson
Base Compensation Filing Org149999BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org15717NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org165716TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990182260NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS EXAMINED SUBSEQUENT TO FILING BY THE DIRECTOR OF FINANCE WHO PRESENTS THE FILING TO THE BOARD OF DIRECTORS DURING THE MONTHLY MEETING.
THE 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 MEMBERS 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, SECTION B, LINE 12C
SALARIES AND WAGES OF DIRECTORS, DOCTORS AND OTHER TOP OFFICIALS ARE BASED ON MARKET. THAT IS 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, SECTION B, LINE 15
AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FROM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WEST END HEALTH CENTER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1441 S MAIN STREETAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15220ZIPCode
FieldValueIRS element (for citing)
EIN251263887EIN
Primary ActivitiesFEDERALLY QUALIFIED HEALTH CENTERPrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg