2013-04-11T13:26:22-05:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 610 WEST GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2011-07-01 201232580 SAYRE HEALTH CENTER SAYR 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 FREDERICK M CAREY 2154744444 2013-04-10 1 JAMES D WATSON P01450300 2156433900 2011 2016-03-07 17:11:31Z FREDERICK M CAREY 5800 WALNUT STREET PHILADELPHIA PA 191393836 1287848 0 X WWW.SAYREHEALTH.ORG X 2004 PA 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. 17 17 12 0 0 0 666446 549303 859090 736898 217 297 4739 1350 1530492 1287848 0 0 0 0 511128 679953 0 0 0 930553 702295 1441681 1382248 88811 -94400 1045388 884311 129825 63148 915563 821163 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 1293750 0 737195 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. 1293750 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 0 1 7 0 1 12 1 0 0 0 0 0 0 0 0 0 0 X 17 17 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 VIRGINIA BOYKIN 1.00 X 0 0 0 TANYA THOMPSON 1.00 X 0 0 0 JACQUELINE LOWRY GOLDING 1.00 X 0 0 0 REV CARLTON RODGERS 1.00 X 0 0 0 KRISTEN W SMALLEY 1.00 X 0 0 0 JENNIFER BOYD - WALLER 1.00 X 0 0 0 FREDERICK CAREY 40.00 X 93461 0 3378 KATHERINE MAHON 40.00 X 127206 0 8281 220667 0 11659 1 0 0 0 CLINICAL PRACTICES OF UNIVERSITY OF PA F 34 SPRUCE STREET PHILADELPHIA PA 191044283 CLINICAL PRACTICE 302604 1 497854 51449 549303 PATIENT SERVICE REVENU 621400 736898 736898 736898 297 297 OTHER REVENUE 621400 1350 1350 1350 1287848 737195 0 1350 90346 90346 459957 459957 14346 14346 76321 76321 38983 38983 880 880 51663 51663 84054 84054 2817 2423 394 11020 10991 29 14738 14738 82768 82768 43370 43370 PROFESSIONAL MEDICAL PE 197196 197196 SUPPLIES 82932 82932 REPAIRS AND MAINTENANCE 64089 58797 5292 MEDICAL EXPENSE 37490 37490 29278 29263 15 1382248 1293750 88498 0 480381 667499 301158 84729 89454 65956 1149773 1083646 174395 66127 1045388 884311 129825 63148 129825 63148 X 885794 801129 29769 20034 915563 821163 1045388 884311 -94400 0 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1032659 1024614 8045 55725 20745 34980 61389 38287 23102 66127 1287848 1382248 -94400 -94400 1287848 0 1287848 0 1287848 1382248 0 1382248 0 1382248 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 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.