BETA

SAYRE HEALTH CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SAYRE HEALTH CENTER (EIN 20-1232580)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-13
IRS object ID
201941339349305799
Schema version
2017v2.3
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)
Return2019-05-13T15:40:16-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1610 W GERMANTOWN PIKE STE 400AddressLine1Txt
CityPLYMOUTH MEETINGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19462ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201232580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAYRE HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAYRBusinessNameControlTxt
Phone2154744444PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191393836ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFREDERICK M CAREYPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2154744444PhoneNum
Signature2019-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSETH BRODY CPAPreparerPersonNm
PTINP01586423PTIN
Phone2156433900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-13IPDt
IP Tm15:48:00IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3F92979DAE40F12078D85DA51A75D99227C616B2AtSubmissionCreationDeviceId
At Submission Filing Device Id28698AAE8AAF239F46C0E0B7A1BBA5F21C2E160AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFREDERICK M CAREYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191393836ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,505,843GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAYREHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICES TO THE UNDERSERVED WEST PHLILADELPHIA COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee41TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,064,838PYContributionsGrantsAmt
CY Contributions Grants$1,488,648CYContributionsGrantsAmt
PY Program Service Revenue$978,995PYProgramServiceRevenueAmt
CY Program Service Revenue$990,580CYProgramServiceRevenueAmt
PY Investment Income$482PYInvestmentIncomeAmt
CY Investment Income$936CYInvestmentIncomeAmt
PY Other Revenue$36,894PYOtherRevenueAmt
CY Other Revenue$25,679CYOtherRevenueAmt
PY Total Revenue$2,081,209PYTotalRevenueAmt
CY Total Revenue$2,505,843CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,215,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,267,053CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$826,409PYOtherExpensesAmt
CY Other Expenses$983,114CYOtherExpensesAmt
PY Total Expenses$2,042,387PYTotalExpensesAmt
CY Total Expenses$2,250,167CYTotalExpensesAmt
PY Revenues Less Expenses$38,822PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$255,676CYRevenuesLessExpensesAmt
Total Assets BOY$1,026,171TotalAssetsBOYAmt
Total Assets EOY$1,308,868TotalAssetsEOYAmt
Total Liabilities BOY$126,810TotalLiabilitiesBOYAmt
Total Liabilities EOY$153,831TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$899,361NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,155,037NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 STUDENTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,088,371ExpenseAmt
Revenue$990,580RevenueAmt
DescSAYRE 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 2018, SAYRE RECIEVED $1,471,855 IN GRANTS FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND GENERATED NET PATIENT SERVICE REVENUE OF $1,041,564. IN FISCAL YEAR 2018, SAYRE PLANS TO EXPAND THEIR CURRENT LEASE SPACE BY 5,964 SQAURE FEET WHICH WILL ALLOW FOR ADDITIONAL PROVIDER CARE AND ADMINISTRATIVE CAPABILITIES.Desc
Total Program Service Expenses$2,088,371TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld Compliance0BackupWthldComplianceInd
Employee41EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALAN CHEUNGPersonNm
Phone2154744444PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191393836ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NANCY WINDER
CHAIR1.00Yes (X)Yes (X)$0$0$0
TANYA THOMPSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ANGIE LOFTON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
TONYA MOODY
TREASURER1.00Yes (X)Yes (X)$0$0$0
PATRICIA L BELL
DIRECTOR1.00Yes (X)$0$0$0
CORY BOWMAN
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER BOYD - WALLER
DIRECTOR1.00Yes (X)$0$0$0
SHONTE D ELEY
DIRECTOR1.00Yes (X)$0$0$0
MARY MARTHA JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
GRACE LINDSAY
ADVISORY BOARD MEMBER1.00Yes (X)$0$0$0
JACQUELINE LOWRY GOLDING
ADVISORY BOARD MEMBER1.00Yes (X)$0$0$0
KATHERINE MARGO
ADVISORY BOARD MEMBER1.00Yes (X)$0$0$0
MARY YEE
ADVISORY BOARD MEMBER1.00Yes (X)$0$0$0
FREDERICK CAREY
EXECUTIVE DIRECTOR40.00Yes (X)$101,396$0$6,178
NATHAN CLINTON
STAFF PHYSICIAN40.00$134,059$0$20,211Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$235,455TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$26,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CPUP FAMILY MEDICINEBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line151 NORTH 39TH STREET FLOOR 7 OFFICAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191044283ZIPCd
FieldValueIRS element (for citing)
ServicesPRIMARY CARE SERVICEServicesDesc
Compensation$162,096CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$8,207FederatedCampaignsAmt
Government Grants$1,471,855GovernmentGrantsAmt
All Other Contributions$8,586AllOtherContributionsAmt
Total Contributions$1,488,648TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUDesc
Business621400BusinessCd
Total Revenue Column$990,580TotalRevenueColumnAmt
Related Or Exempt Func Income$990,580RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$990,580TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$936TotalRevenueColumnAmt
Exclusion$936ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621400BusinessCd
Total Revenue Column$25,679TotalRevenueColumnAmt
Exclusion$25,679ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$25,679OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,505,843TotalRevenueColumnAmt
Related Or Exempt Func Income$990,580RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,615ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$120,881TotalAmt
Program Services$110,855ProgramServicesAmt
Management And General$10,026ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$958,385TotalAmt
Program Services$931,778ProgramServicesAmt
Management And General$26,607ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,302TotalAmt
Program Services$27,251ProgramServicesAmt
Management And General$2,051ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$83,425TotalAmt
Program Services$78,796ProgramServicesAmt
Management And General$4,629ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$75,060TotalAmt
Program Services$71,329ProgramServicesAmt
Management And General$3,731ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$66,878TotalAmt
Management And General$66,878ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$314,465TotalAmt
Program Services$308,847ProgramServicesAmt
Management And General$5,618ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,770TotalAmt
Program Services$7,624ProgramServicesAmt
Management And General$1,146ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,239TotalAmt
Program Services$13,819ProgramServicesAmt
Management And General$420ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$51,638TotalAmt
Program Services$47,579ProgramServicesAmt
Management And General$4,059ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$59,077TotalAmt
Program Services$58,960ProgramServicesAmt
Management And General$117ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,648TotalAmt
Management And General$18,648ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,405TotalAmt
Program Services$53,386ProgramServicesAmt
Management And General$4,019ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES AND OTHER$118,176$117,210$966
STAFF TRAINING$95,514$94,140$1,374
MEDICAL EXPENSE$56,315$56,315

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$121,989TotalAmt
Program Services$110,482ProgramServicesAmt
Management And General$11,507ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,250,167TotalAmt
Program Services$2,088,371ProgramServicesAmt
Management And General$161,796ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$230,126BOYAmt
EOY$243,569EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$684,755BOYAmt
EOY$497,553EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,358BOYAmt
EOY$429,249EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,748BOYAmt
EOY$42,981EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,327,688LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,232,172LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,184BOYAmt
EOY$95,516EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,026,171BOYAmt
EOY$1,308,868EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$126,810BOYAmt
EOY$153,831EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,810BOYAmt
EOY$153,831EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$868,377BOYAmt
EOY$1,127,798EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,984BOYAmt
EOY$27,239EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$899,361BOYAmt
EOY$1,155,037EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,026,171BOYAmt
EOY$1,308,868EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$255,676ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,047,059OtherCostOrOtherBasisAmt
Depreciation$1,030,267DepreciationAmt
Book Value$16,792BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,629OtherCostOrOtherBasisAmt
Depreciation$201,905DepreciationAmt
Book Value$78,724BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$95,516TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,505,843TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,505,843RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,505,843TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,250,167TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,250,167ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,250,167TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2018 OR 2017. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNATHAN CLINTONPersonNm
TitleSTAFF PHYSICIANTitleTxt
Base Compensation Filing Org$132,276BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$1,783BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,000DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$17,211NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$154,270TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 7ATHE 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 11BA 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 12CAN 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 INTERESET 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 HER 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 15ATHE 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 19SAYRE 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 11GOTHER CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 146,751. MANAGEMENT AND GENERAL EXPENSES 5,618. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,369. PROFESSIONAL MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 162,096. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,096.

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