2017-05-10T09:58:11-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2015-07-01 201232580 SAYRE HEALTH CENTER SAYR 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 FREDERICK M CAREY EXECUTIVE DIRECTOR 2154744444 2017-05-10 1 SETH BRODY P01586423 2156433900 2015 2021-01-29 14:40:06Z FREDERICK M CAREY 5800 WALNUT STREET PHILADELPHIA PA 191393836 1927676 0 X WWW.SAYREHEALTH.ORG X 2004 PA THE SAYRE HEALTH CENTER IS A 501(C)3 CORPORATION THAT WILL PROVIDE CLINICAL SERVICES AND HEALTH AND EDUCATION FOR HIGH SCHOOL, UNDERGRADUATE, AND GRADUATE STUDENTS IN HEALTH CARE. SAYRE HEALTH CENTER HAS THE FOLLOWING OBJECTIVES: TO IMPROVE THE HEALTH OF SAYRE HIGH SCHOOL THROUGH THE PROVISION OF HEALTH SERVICES AND HEALTH EDUCATION; TO PREPARE SAYRE HIGH SCHOOL STUDENTS FOR CAREERS IN HEALTH; TO PREPARE SAYRE HIGH SCHOOL STUDENTS FOR SUCCESSFUL HIGHER EDUCATION OPPORTUNITIES; TO PROVIDE ACCESSIBLE AND CULTURALLY SENSITIVE HIGH-QUALITY COMMUNITY BASED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THE UNDERSERVED WEST PHILADELPHIA COMMUNITY SURROUNDING THE WILLIAM L. SAYRE HIGH SCHOOL; AND TO OFFER HEALTH SERVICES EDUCATION FOR HIGH SCHOOL STUDENTS AND UNDERGRADUATE, GRADUATE AND PROFESSIONAL STUDENTS FROM UNIVERSITIES AND COLLEGES IN THE PHILADELPHIA AREA. 14 14 38 14 0 0 838525 879311 1014309 1015089 646 453 19286 32823 1872766 1927676 0 0 0 0 1118715 1100531 0 0 0 690627 716724 1809342 1817255 63424 110421 843514 937617 93396 77078 750118 860539 X THE SAYRE HEALTH CENTER IS A 501(C)(3) CORPORATION THAT WILL PROVIDE CLINICAL SERVICES AND HEALTH AND EDUCATION FOR HIGH SCHOOL, UNDERGRADUATE, AND GRADUATE STUDENTS IN HEALTH CARE. THE CORPORATION WAS FOUNDED TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE SAYRE HIGH SCHOOL IN WEST PHILADELPHIA. IN ITS FOUNDING AND GOVERNANCE, THE SYARE HEALTH CENTER IS A COOPERATIVE EFFORT BETWEEN THE UNIVERSITY OF PENNSYLVANIA, THE SAYRE HIGH SCHOOL, AND THE WEST PHILADELPHIA COMMUNITY SURROUNDING THE SCHOOL (58TH AND WALNUT), INCLUDING STUDENTS, THEIR FAMILIES AND COMMUNITY MEMBERS OF ALL AGES. 0 0 1723871 1015089 SAYRE HEALTH CENTER HAS HAD CONTINUOUS PATIENT GROWTH AND IMPROVEMENT AND INCREASED PATIENT ACCESS TO THE WEST PHILADELPHIA COMMUNITY BY PROVIDING A SECOND CLINICAL TEAM MONDAY THROUGH FRIDAY AS WELL AS TUESDAY EVENING HOURS. 1723871 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 38 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 PA X SAYRE HEALTH CENTER 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 NANCY WINDER CHAIR 1.00 X X 0 0 0 TANYA THOMPSON VICE CHAIR 1.00 X X 0 0 0 TONYA MOODY TREASURER 1.00 X X 0 0 0 LISA LEWIS SECRETARY 1.00 X X 0 0 0 PATRICIA L BELL BOARD MEMBER 1.00 X 0 0 0 CORY BOWMAN BOARD MEMBER 1.00 X 0 0 0 JENNIFER BOYD - WALLER BOARD MEMBER 1.00 X 0 0 0 SHONTE D ELEY BOARD MEMBER 1.00 X 0 0 0 GRACE LINDSAY BOARD MEMBER 1.00 X 0 0 0 MARY MARTHA JOHNSON BOARD MEMBER 1.00 X 0 0 0 MARCELLA SLICK BOARD MEMBER 1.00 X 0 0 0 JACQUELINE LOWRY GOLDING ADVISORY BOARD MEMBER 1.00 X 0 0 0 KATHERINE MARGO ADVISORY BOARD MEMBER 1.00 X 0 0 0 MARY YEE ADVISORY BOARD MEMBER 1.00 X 0 0 0 FREDERICK CAREY EXECUTIVE DIRECTOR 40.00 X 95480 0 6047 NATHAN CLINTON STAFF PHYSICIAN 40.00 X 125986 0 15836 221466 0 21883 1 0 0 0 CPUP FAMILY MEDICINE 51 NORTH 39TH STREET FLOOR 7 OFFIC PHILADELPHIA PA 191044283 MEDICAL AND PHYSICIAN SERVICES 158436 1 82 845263 33966 879311 PATIENT SERVICE REVENU 621400 1015089 1015089 1015089 453 453 OTHER REVENUE 621400 32823 32823 32823 1927676 1015089 0 33276 X 99817 89835 9982 777879 754199 23680 35745 33120 2625 122348 116703 5645 64742 61717 3025 52413 52413 270134 266040 4094 5342 4807 535 14100 13708 392 21557 19863 1694 28878 28878 36462 33157 3305 SUPPLIES AND OTHER 106342 105671 671 REPAIRS AND MAINTENANCE 103840 96388 7452 EMPLOYEE EXPENSE 42955 41549 1406 MEDICAL EXPENSE 34701 34701 1817255 1723871 93384 0 187303 221760 357489 353649 222616 309592 40446 25743 1225752 1198879 35660 26873 843514 937617 93396 77078 93396 77078 X 732483 828460 17635 32079 750118 860539 843514 937617 110421 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1032659 1028228 4431 193093 170651 22442 26873 X 1927676 0 1927676 0 1927676 1817255 0 1817255 0 1817255 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, 2016 OR 2015 THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. 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, SOCIAL POLICY AND PRACTICE AND THE CENTER FOR COMMUNITY PARTNERSHIPS. FORM 990, PART VI, SECTION B, LINE 11 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 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 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. 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 107,604. MANAGEMENT AND GENERAL EXPENSES 4,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,698. PROFESSIONAL MEDICAL PERSONNEL: PROGRAM SERVICE EXPENSES 158,436. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,436. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR