2020-05-31T23:17:37-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2018-07-01 201232580 SAYRE HEALTH CENTER SAYR 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 FREDERICK M CAREY EXECUTIVE DIRECTOR 2154744444 2020-05-21 1 SETH BRODY CPA P01586423 2156433900 67.137.57.251 2020-05-21 11:41:46 ED P 79785B13D078E4AA35DF2283D3B31463F826469C AB59F5C6B83F609E1D6F53B867FD21F5A01CCFB7 2018 2020-11-06 18:47:13Z FREDERICK M CAREY 5800 WALNUT STREET PHILADELPHIA PA 191393836 2485169 0 X WWW.SAYREHEALTH.ORG X 2004 PA PROVIDE HEALTHCARE SERVICES TO THE UNDERSERVED WEST PHLILADELPHIA COMMUNITY. 9 9 32 11 0 0 1488648 1334584 990580 1134518 936 919 25679 15148 2505843 2485169 0 0 0 0 1267053 1641527 0 0 13940 983114 1243987 2250167 2885514 255676 -400345 1308868 1026118 153831 271426 1155037 754692 X AS A FEDERALLY QUALIFIED HEALTH CENTER IN WEST PHILADELPHIA, OUR MISSION IS TO PROVIDE HIGH-QUALITY, CULTURALLY SENSITIVE, ACCESSIBLE SCHOOL-BASED PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES TO THE UNDERSERVED WEST PHILADELPHIA COMMUNITY SURROUNDING THE WILLIAM L. SAYRE HIGH SCHOOL; AND OFFER HEALTH SERVICES EDUCATION FOR HIGH SCHOOL STUDENTS, UNDERGRADUATE, GRADUATE AND PROFESSIONAL STUDENTS. 0 0 2477235 1134518 SAYRE HEALTH CENTER PROMOTES SOCIAL WELFARE AND DELIVERY OF HEALTH SERVICES TO LOW-INCOME INDIVIDUALS OF THE WEST PHILADELPHIA AREA OF PENNSYLVANIA. THE ORGANIZATION ALSO PROVIDES ACCESSIBLE AND CULTURALLY SENSITIVE HIGH-QUALITY COMMUNITY BASED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THE UNDERSERVED WEST PHILADELPHIA COMMUNITY, AND OFFERS HEALTH SERVICES EDUCATION FOR HIGH SCHOOL STUDENTS AND UNDERGRADUATE, GRADUATE, AND PROFESSIONAL STUDENTS FROM UNIVERSITIES AND COLLEGES IN THE PHILADELPHIA AREA. SAYRE HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. DURING FISCAL YEAR 2019, SAYRE RECEIVED $1,320,625 IN GRANTS FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND GENERATED NET PATIENT SERVICE REVENUE OF $1,134,518. IN FISCAL YEAR 2020, SAYRE PLANS TO EXTEND THEIR CURRENT LEASE SPACE BY 5,964 SQUARE FEET WHICH WILL ALLOW FOR ADDITIONAL PROVIDER CARE AND ADMINISTRATIVE CAPABILITIES. 2477235 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 32 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 PA X ALAN CHEUNG 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 TANYA THOMPSON CHAIR 1.00 X X 0 0 0 PATRICIA L BELL VICE CHAIR 1.00 X X 0 0 0 ANGIE LOFTON SECRETARY 1.00 X X 0 0 0 TONYA MOODY TREASURER 1.00 X X 0 0 0 CORY BOWMAN DIRECTOR 1.00 X 0 0 0 JENNIFER BOYD - WALLER DIRECTOR 1.00 X 0 0 0 MARY MARTHA JOHNSON DIRECTOR 1.00 X 0 0 0 NANCY WINDER DIRECTOR 1.00 X 0 0 0 SHONTE D ELEY DIRECTOR 1.00 X 0 0 0 GRACE LINDSAY ADVISORY BOARD MEMBER-THROUGH 10/18 1.00 X 0 0 0 JACQUELINE LOWRY GOLDING ADVISORY BOARD MEMBER-THROUGH 9/19 1.00 X 0 0 0 FREDERICK CAREY EXECUTIVE DIRECTOR 40.00 X 96256 0 7573 NATHAN CLINTON STAFF PHYSICIAN 40.00 X 163890 0 23070 260146 0 30643 1 0 1 0 CPUP FAMILY MEDICINE 51 NORTH 39TH STREET FLOOR 7 OFFIC PHILADELPHIA PA 191044283 PRIMARY CARE SERVICE 177649 1 7214 1320625 6745 1334584 PATIENT SERVICE REVENU 621400 1134518 1134518 1134518 919 919 OTHER REVENUE 621400 15148 15148 15148 2485169 1134518 0 16067 X 102756 100701 2055 1298161 1220903 77258 30983 28538 2445 107655 102671 4984 101972 96934 5038 54774 54774 90652 90652 323517 318464 5053 27690 24173 3517 15216 14768 448 54794 50487 4307 108361 108285 76 31651 31651 38708 34577 4131 SUPPLIES AND OTHER 182353 181351 1002 MEDICAL EXPENSE 91317 91317 STAFF TRAINING 67306 67098 208 157648 137669 8094 11885 2885514 2477235 394339 13940 243569 251793 497553 406095 429249 251301 42981 45088 1335664 1263823 95516 71841 1308868 1026118 153831 271426 153831 271426 X 1127798 736919 27239 17773 1155037 754692 1308868 1026118 -400345 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1050359 1032924 17435 285305 230899 54406 71841 X 2485169 0 2485169 0 2485169 2885514 0 2885514 0 2885514 PART X, LINE 2: THE HEALTH CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM STATE INCOME TAXES UNDER THE COMMONWEALTH OF PENNSYLVANIA STATUTES. THE HEALTH CENTER FOLLOWS THE PROVISIONS OF THE INCOME TAX ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. IT IS THE HEALTH CENTER'S POLICY TO ACCOUNT FOR ANY INTEREST OR PENALTIES ASSESSED RELATING TO UNCERTAIN TAX POSITIONS, IF ANY, AS GENERAL AND ADMINISTRATIVE EXPENSES. THE HEALTH CENTER DID NOT INCUR ANY INTEREST OR PENALTIES FOR THE YEARS ENDED JUNE 30, 2019 OR 2018. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 NATHAN CLINTON STAFF PHYSICIAN 160640 0 3250 0 0 0 3000 0 20070 0 186960 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE THE OFFICERS WHO ARE ELECTED BY THE BOARD AT THE ANNUAL MEETING. THIS SHALL INCLUDE THE PRESIDENT, WHO SHALL SERVE AS CHAIRMAN OF THE COMMITTEE, THE VICE-PRESIDENT, SECRETARY, TREASURER AND EXECUTIVE DIRECTOR. THE EXECUTIVE COMMITTEE SHALL HAVE POWER AND AUTHORITY TO TAKE ACTIONS ON BEHALF OF THE BOARD OF DIRECTORS FOR EMERGENCIES AND OTHER BUSINESS MATTERS THAT OCCUR BETWEEN REGULAR GENERAL BODY MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL NOT BE AUTHORIZED TO CONDUCT THE STANDARD AND USUAL BUSINESS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED AT THE NEXT MEETING OF THE BOARD AND SHALL BE BINDING ON THE BOARD ONLY WHEN APPROVED BY FORMAL VOTE OF THE ENTIRE BOARD OR WHEN SO AUTHORIZED PREVIOUSLY BY THE BOARD AND DELEGATED TO THE EXECUTIVE COMMITTEE. MEMBERS APPOINTED BY ANOTHER ENTITY(IES), INCLUDING SAYRE SCHOOL AND THE UNIVERSITY OF PENNSYLVANIA, MAY NOT MAKE UP A MAJORITY OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS THREE CATEGORIES OF DIRECTORS. ONE OF THOSE CATEGORIES OF DIRECTORS IS SELECTED AMONG THE UNIVERSITY OF PENNSYLVANIA SCHOOLS OF MEDICINE, NURSING AND DENTISTRY, SAYRE SCHOOL DIRECTORS, SOCIAL POLICY AND PRACTICE AND THE CENTER FOR COMMUNITY PARTNERSHIPS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS WHEN ANY OF THE FOLLOWING EXISTS: A COVERED INDIVIDUAL OR A FAMILY MEMBER OF A COVERED INDIVIDUAL OR AN ORGANIZATION IN WHICH A COVERED INDIVIDUAL OR FAMILY MEMBER HAS OWNERSHIP OR INVESTMENT INTEREST OR COMPENSATION RELATIONSHIP OR SERVES AS A DIRECTOR OR OFFICER. OR A COVERED INDIVIDUAL OR FAMILY MEMBER SERVES AS AN OFFICER OR DIRECTOR OR KEY EMPLOYEE OF, OR HAS OWNERSHIP INTEREST IN OR IS COMPENSATED BY AN ORGANIZATION THAT COMPETES WITH THE CORPORATION. COVERED INDIVIDUALS SHALL ACT IN A MANNER INTENDED TO FURTHER THE BEST INTEREST OF THE CORPORATION. IF AT ANY TIME A COVERED INDIVIDUAL IS AWARE THAT HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST OR IS OR MAY BE UNABLE TO ACT IN THE BEST INTEREST OF THE CORPORATION ON ANY ISSUE BECAUSE OF A PERSONAL SITUATION OR OTHER REASON, THE COVERED INDIVIDUAL SHALL DISCLOSE THE CONFLICT OR POTENTIAL CONFLICT, RECUSE HIMSELF OR HERSELF FROM VOTING ON THE SUBJECT, AND SHALL LEAVE THE ROOM WHILE THE MATTER IS DISCUSSED. PRIOR TO LEAVING THE ROOM, THE AFFECTED COVERED INDIVIDUAL SHALL ANSWER ANY QUESTIONS ASKED BY DISINTERESTED DIRECTORS. RECUSING HIMSELF OR HERSELF SHALL NOT PREVENT A COVERED INDIVIDUAL FROM PARTICIPATING IN OTHER ACTIVITIES OR DISCUSSIONS WHERE NO CONFLICT OF INTEREST EXISTS. ANNUALLY, EACH COVERED INDIVIDUAL MUST COMPLETE A DISCLOSURE STATEMENT REFLECTING HIS OR HER INTEREST. THE CHAIRMAN OF THE BOARD IS RESPONSIBLE FOR REVIEWING THE DISCLOSURE STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15A THE SAYRE HEALTH CENTER BOARD APPOINTS A COMMITTEE TO RESEARCH AND REVIEW COMPENSATION AND BENEFITS OF OTHER FQHC/EXECUTIVE DIRECTOR'S SALARIES IN THE LOCAL PHILADELPHIA REGION. THE BOARD COMMITTEE IDENTIFIED THEIR FINDINGS TO THE FULL BOARD OF DIRECTORS. THE FULL BOARD CONSIDERED THE COMMITTEE'S RECOMMENDATIONS AND VOTED ON THE FINAL DECISION FOR THE LEVEL OF COMPENSATION. THIS PROCESS WAS LAST REVIEWED IN OCTOBER 2017. FORM 990, PART VI, SECTION C, LINE 19 SAYRE HEALTH CENTER MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AS WELL AS THEIR FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY. FORM 990, PART IX, LINE 11G OTHER CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 140,815. MANAGEMENT AND GENERAL EXPENSES 5,053. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,868. PROFESSIONAL MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 177,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,649.