2014-05-08T13:35:32-05:00 2013-06-30 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKE STE400 PLYMOUTH MEETING PA 19462 990 2012-07-01 201232580 SAYRE HEALTH CENTER SAYR 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 FREDERICK M CAREY 2154744444 2014-05-02 1 JAMES D WATSON P01450300 2156433900 2012 2015-11-30 17:44:51Z FREDERICK M CAREY 5800 WALNUT STREET PHILADELPHIA PA 191393836 1392135 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. 18 18 17 30 0 0 549303 524407 736898 862642 297 965 1350 4121 1287848 1392135 0 0 0 0 679953 719932 0 0 0 702295 723224 1382248 1443156 -94400 -51021 884311 844855 63148 74713 821163 770142 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 1414128 0 863607 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. 1414128 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 12 0 17 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 PA X X SAYRE HEALTH CENTER 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 LYNETTE JOHNSON 1.00 X 0 0 0 GRACE LINDSAY 1.00 X 0 0 0 KATHERINE MARGO 1.00 X X 0 0 0 VELMA MERRITT 1.00 X 0 0 0 TONYA MOODY 1.00 X X 0 0 0 LISA LEWIS 1.00 X 0 0 0 NANCY WINDER 1.00 X X 0 0 0 CORY BOWMAN 1.00 X 0 0 0 MATTHEW WILLIAMS 1.00 X X 0 0 0 MARY MARTHA JOHNSON 1.00 X 0 0 0 MARY YEE 1.00 X 0 0 0 PATRICIA L BELL 1.00 X 0 0 0 TANYA THOMPSON 1.00 X 0 0 0 JACQUELINE LOWRY GOLDING 1.00 X 0 0 0 KRISTEN W SMALLEY 1.00 X 0 0 0 JENNIFER BOYD - WALLER 1.00 X 0 0 0 TYRIK T THORN 1.00 X 0 0 0 BEVERLY Y TEDESCO 1.00 X 0 0 0 KATHERINE MAHON 40.00 X 131771 0 10627 FREDERICK CAREY 40.00 X 98221 0 6068 229992 0 16695 1 0 0 0 CLINICAL PRACTICES OF UNIVERSITY OF PA F 34 SPRUCE STREET PHILADELPHIA PA 191044283 CLINICAL PRACTICE 295130 1 497944 26463 524407 PATIENT SERVICE REVENU 621400 862642 862642 862642 965 965 OTHER REVENUE 621400 4121 4121 4121 1392135 863607 0 4121 98221 98221 466039 466039 39583 39583 75119 75119 40970 40970 52936 52936 75555 75555 22 19 3 12301 12269 32 19650 19650 24400 24400 35548 35548 PROFESSIONAL MEDICAL PE 295130 295130 SUPPLIES 85047 85047 REPAIRS AND MAINTENANCE 59974 55458 4516 MEDICAL EXPENSE 32877 32877 29784 29707 77 1443156 1414128 29028 0 667499 590791 84729 111996 65956 49303 1200811 1108046 66127 92765 884311 844855 63148 74713 63148 74713 X 801129 762636 20034 7506 821163 770142 884311 844855 -51021 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1032659 1025518 7141 102049 32351 69698 66103 50177 15926 92765 X 1392135 0 1392135 0 1392135 1443156 0 1443156 0 1443156 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013 OR 2012. 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 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. 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 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND ON GUIDESTAR.COM.