SAYRE HEALTH CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SAYRE HEALTH CENTER (EIN 20-1232580)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-07
- IRS object ID
- 201521279349301077
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-07T12:47:14-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 W GERMANTOWN PIKE STE 400 | AddressLine1 |
| City | PLYMOUTH MEETING | City |
| State | PA | State |
| ZIP Code | 19462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201232580 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAYRE HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAYR | BusinessNameControlTxt |
| Phone | 2154744444 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5800 WALNUT STREET | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191393836 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FREDERICK M CAREY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2154744444 | PhoneNum |
| Signature | 2015-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES D WATSON | PreparerPersonNm |
| PTIN | P01450300 | PTIN |
| Phone | 2156433900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FREDERICK M CAREY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5800 WALNUT STREET | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191393836 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,297,771 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAYREHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 20 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $524,407 | PYContributionsGrantsAmt |
| CY Contributions Grants | $613,010 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $862,642 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $682,793 | CYProgramServiceRevenueAmt |
| PY Investment Income | $965 | PYInvestmentIncomeAmt |
| CY Investment Income | $768 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,121 | PYOtherRevenueAmt |
| CY Other Revenue | $1,200 | CYOtherRevenueAmt |
| PY Total Revenue | $1,392,135 | PYTotalRevenueAmt |
| CY Total Revenue | $1,297,771 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $719,932 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $764,471 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $723,224 | PYOtherExpensesAmt |
| CY Other Expenses | $616,748 | CYOtherExpensesAmt |
| PY Total Expenses | $1,443,156 | PYTotalExpensesAmt |
| CY Total Expenses | $1,381,219 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$51,021 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$83,448 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $844,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $751,153 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $74,713 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,459 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $770,142 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $686,694 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,330,463 | ExpenseAmt |
| Revenue | $682,793 | RevenueAmt |
| Desc | SAYRE HEALTH CENTER HAS HAD CONITNUOUS 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. | Desc |
| Total Program Service Expenses | $1,330,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 20 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FREDERICK M CAREY | PersonNm |
| Phone | 2154744444 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5800 WALNUT STREET | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191393836 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GRACE LINDSAY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHERINE MARGO | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| VELMA MERRITT | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA LEWIS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY WINDER | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CORY BOWMAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY MARTHA JOHNSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY YEE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TANYA THOMPSON | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JACQUELINE LOWRY GOLDING | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA L BELL | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER BOYD - WALLER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNETTE JOHNSON | ||||||||
| BOARD MEMBER THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TONYA MOODY | ||||||||
| TREASURER THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW WILLIAMS | ||||||||
| VICE CHAIR THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KRISTEN W SMALLEY | ||||||||
| BOARD MEMBER THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TYRIK T THORN | ||||||||
| BOARD MEMBER THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY Y TEDESCO | ||||||||
| BOARD MEMBER THROUGH 2/20/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FREDERICK CAREY | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | $95,848 | $0 | $6,077 | Yes (X) | ||
| KATHERINE MAHON | ||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $148,192 | $0 | $11,069 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $244,040 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,146 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICAL PRACTICES OF UNIVERSITY OF PA F | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 SPRUCE STREET | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191044283 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDICAL AND PHYSICIAN SERVICES | ServicesDesc |
| Compensation | $159,603 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $582,904 | GovernmentGrantsAmt |
| All Other Contributions | $30,106 | AllOtherContributionsAmt |
| Total Contributions | $613,010 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $682,793 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $682,793 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $682,793 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $768 | TotalRevenueColumnAmt |
| Exclusion | $768 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Exclusion | $1,200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,200 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,297,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $682,793 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,968 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,925 | TotalAmt |
| Program Services | $101,925 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $506,574 | TotalAmt |
| Program Services | $506,574 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,378 | TotalAmt |
| Program Services | $41,378 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,765 | TotalAmt |
| Program Services | $71,765 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,829 | TotalAmt |
| Program Services | $42,829 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,450 | TotalAmt |
| Program Services | $50,450 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,529 | TotalAmt |
| Program Services | $76,529 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923 | TotalAmt |
| Program Services | $794 | ProgramServicesAmt |
| Management And General | $129 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,700 | TotalAmt |
| Program Services | $14,652 | ProgramServicesAmt |
| Management And General | $48 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,650 | TotalAmt |
| Program Services | $19,650 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,357 | TotalAmt |
| Management And General | $38,357 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,036 | TotalAmt |
| Program Services | $39,036 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROFESSIONAL MEDICAL PE | $159,604 | $159,604 | |
| SUPPLIES AND OTHER | $77,572 | $77,572 | |
| REPAIRS AND MAINTENANCE | $77,350 | $68,122 | $9,228 |
| EMPLOYEE EXPENSE | $34,509 | $33,810 | $699 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,068 | TotalAmt |
| Program Services | $25,773 | ProgramServicesAmt |
| Management And General | $2,295 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,381,219 | TotalAmt |
| Program Services | $1,330,463 | ProgramServicesAmt |
| Management And General | $50,756 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,791 | BOYAmt |
| EOY | $163,914 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $401,612 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,996 | BOYAmt |
| EOY | $66,449 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,303 | BOYAmt |
| EOY | $58,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,201,923 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,141,699 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,765 | BOYAmt |
| EOY | $60,224 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,855 | BOYAmt |
| EOY | $751,153 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,713 | BOYAmt |
| EOY | $64,459 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,713 | BOYAmt |
| EOY | $64,459 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,636 | BOYAmt |
| EOY | $674,786 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,506 | BOYAmt |
| EOY | $11,908 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $770,142 | BOYAmt |
| EOY | $686,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,855 | BOYAmt |
| EOY | $751,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$83,448 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,032,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,026,421 | DepreciationAmt |
| Book Value | $6,238 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,049 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,798 | DepreciationAmt |
| Book Value | $44,251 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,215 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,480 | DepreciationAmt |
| Book Value | $9,735 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $60,224 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,297,771 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,297,771 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,297,771 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,381,219 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,381,219 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,381,219 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2014 OR 2013 THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. THE HEALTH CENTER'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHERINE MAHON | PersonNm |
| Title | STAFF PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $148,192 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,000 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $7,069 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $159,261 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 ROM 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. |
| PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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