SAYRE HEALTH CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAYRE HEALTH CENTER (EIN 20-1232580)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-04-11
- IRS object ID
- 201321019349300462
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-04-11T13:26:22-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 610 WEST GERMANTOWN PIKE SUITE 400 | AddressLine1 |
| City | PLYMOUTH MEETING | City |
| State | PA | State |
| ZIP Code | 19462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201232580 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAYRE HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAYR | NameControl |
| Phone | 2154744444 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FREDERICK M CAREY | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2154744444 | Phone |
| Date Signed | 2013-04-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES D WATSON | Name |
| PTIN | P01450300 | PTIN |
| Phone | 2156433900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | FREDERICK M CAREY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 1287848 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAYREHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF THE SAYRE HEALTH CENTER IS 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 SCHOOL; AND OFFER HEALTH SERVICES EDUCATION FOR HIGH SCHOOL STUDENTS AND UNDERGRADUATE, GRADUATE AND PROFESSIONAL STUDENTS FROM UNIVERSITIES AND COLLEGES IN THE PHILADELPHIA AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 666446 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 549303 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 859090 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 736898 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 217 | InvestmentIncomePriorYear |
| Investment Income Current Year | 297 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4739 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1350 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1530492 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1287848 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 511128 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 679953 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 930553 | OtherExpensePriorYear |
| Other Expenses Current Year | 702295 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1441681 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1382248 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 88811 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -94400 | RevenuesLessExpensesCY |
| Total Assets BOY | 1045388 | TotalAssetsBOY |
| Total Assets EOY | 884311 | TotalAssetsEOY |
| Total Liabilities BOY | 129825 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 63148 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 915563 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 821163 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1293750 | Expense |
| Grants | 0 | Grants |
| Revenue | 737195 | Revenue |
| Description | 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 AND THURSDAY EVENING HOURS. | Description |
| Total Program Service Expense | 1293750 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 12 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAYRE HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2154744444 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LYNETTE JOHNSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GRACE LINDSAY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KATHERINE MARGO | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| VELMA MERRITT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TONYA MOODY | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| LISA LEWIS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NANCY WINDER | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| CORY BOWMAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MATTHEW WILLIAMS | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| MARY MARTHA JOHNSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARY YEE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| VIRGINIA BOYKIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TANYA THOMPSON | |||||||
| ALTERNATIVE-BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JACQUELINE LOWRY GOLDING | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| REV CARLTON RODGERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KRISTEN W SMALLEY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER BOYD - WALLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FREDERICK CAREY | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 93461 | 0 | 3378 | X | ||
| KATHERINE MAHON | |||||||
| STAFF PHYSICIAN | 40.00 | 127206 | 0 | 8281 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 220667 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 11659 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICAL PRACTICES OF UNIVERSITY OF PA F | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| 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) |
|---|---|---|
| Description Of Services | CLINICAL PRACTICE | DescriptionOfServices |
| Compensation | 302604 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 497854 | GovernmentGrants |
| All Other Contributions | 51449 | AllOtherContributions |
| Total Contributions | 549303 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 736898 | TotalRevenueColumn |
| Related Or Exempt Function Income | 736898 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 736898 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 297 | TotalRevenueColumn |
| Related Or Exempt Function Income | 297 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 1350 | TotalRevenueColumn |
| Exclusion | $1,350 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1350 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1287848 | TotalRevenueColumn |
| Related Or Exempt Function Income | 737195 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,350 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90346 | Total |
| Program Services | 90346 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 459957 | Total |
| Program Services | 459957 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14346 | Total |
| Program Services | 14346 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76321 | Total |
| Program Services | 76321 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38983 | Total |
| Program Services | 38983 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880 | Total |
| Program Services | 880 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51663 | Total |
| Program Services | 51663 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84054 | Total |
| Program Services | 84054 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2817 | Total |
| Program Services | 2423 | ProgramServices |
| Management And General | 394 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11020 | Total |
| Program Services | 10991 | ProgramServices |
| Management And General | 29 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14738 | Total |
| Program Services | 14738 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82768 | Total |
| Management And General | 82768 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43370 | Total |
| Program Services | 43370 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROFESSIONAL MEDICAL PE | 197196 | 197196 | |
| SUPPLIES | 82932 | 82932 | |
| REPAIRS AND MAINTENANCE | 64089 | 58797 | 5292 |
| MEDICAL EXPENSE | 37490 | 37490 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29278 | Total |
| Program Services | 29263 | ProgramServices |
| Management And General | 15 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1382248 | Total |
| Program Services | 1293750 | ProgramServices |
| Management And General | 88498 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 480381 | BOY |
| EOY | 667499 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301158 | BOY |
| EOY | 84729 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89454 | BOY |
| EOY | 65956 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1149773 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1083646 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174395 | BOY |
| EOY | 66127 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1045388 | BOY |
| EOY | 884311 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129825 | BOY |
| EOY | 63148 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129825 | BOY |
| EOY | 63148 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885794 | BOY |
| EOY | 801129 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29769 | BOY |
| EOY | 20034 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915563 | BOY |
| EOY | 821163 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1045388 | BOY |
| EOY | 884311 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -94400 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1032659 | OtherCostOrOtherBasis |
| Depreciation | 1024614 | Depreciation |
| Book Value | 8045 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55725 | OtherCostOrOtherBasis |
| Depreciation | 20745 | Depreciation |
| Book Value | 34980 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61389 | OtherCostOrOtherBasis |
| Depreciation | 38287 | Depreciation |
| Book Value | 23102 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 66127 | TotalOfBookValueLandBuildings |
| Total Revenue | 1287848 | TotalRevenue |
| Total Expenses | 1382248 | TotalExpenses |
| Excess Or Deficit For Year | -94400 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -94400 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1287848 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1287848 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1287848 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1382248 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1382248 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1382248 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| 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, 2012 OR 2011. 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 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. THE EXECUTIVE COMMITTTEE SHALL NOT BE AUTHORIZED TO CONDUCT THE STANDARD AND USUAL BUSINESS OF THE BOARD. ALL ACTIONS TAKEN BY THE EXECTUIVE 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. |
| 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 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 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. THE POLICY WAS REVIEWED AND OTHER F.Q.H.C'S BEST POLICIES AND PROCEDURES WERE SURVEYED MOST RECENTLY AT THE NOVEMBER 2012 BOARD MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | SAYRE HEALTH CENTER MAKES ITS 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND ON GUIDESTAR.COM. |
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