2012-05-11T08:35:08-05:00 2011-06-30 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKESTE 400 PLYMOUTH MTG PA 19462 990 2010-07-01 201232580 SAYRE HEALTH CENTER SAYR 2154744444 5800 WALNUT STREET PHILADELPHIA PA 191393836 FREDERICK M CAREY 2154744444 2012-05-02 1 JAMES D WATSON 2156433900 2010 2016-02-24 21:20:13Z FREDERICK M CAREY 5800 WALNUT STREET PHILADELPHIA PA 191393836 1530492 0 X WWW.SAYREHEALTH.ORG X 2004 PA THE SAYRE HEALTH CENTER IS A 501(C)3 CORPORATION THAT WIL 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 AAND 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 OPPORTUNITIES FOR SERVICE-BASED LEARNING THROUGH ACADEMICALLY BASED COMMUNITY SERVICE COURSES AT SAYRE AND AT THE UNIVERSITY OF PENNSYLVANIA, IN ORDER TO HELP IMPROVE CORE ACADEMIC INSTRUCTION AND CAREER, COLLEGE AND PROFESSIONAL READINESS. 18 18 10 0 0 0 809119 666446 619217 859090 57 217 509 4739 1428902 1530492 0 0 0 0 438612 511128 0 0 0 889814 930553 1328426 1441681 100476 88811 1036775 1045388 210023 129825 826752 915563 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 1179567 859307 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. 1179567 1 1 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 5 0 1 10 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 LINDSEY 1.00 X 0 0 0 KATHERINE MARGO MD 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 R WILLIAMS 1.00 X 0 0 0 CAROLYN HARRIS 1.00 X 0 0 0 MARY YEE 1.00 X 0 0 0 CAROLYN FOX RADFORD 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 90000 0 0 KATHERINE MAHON 40.00 X 103546 0 0 193546 0 0 1 0 0 0 CLINICAL PRACTICES OF UNIVERSITY OF PA 34 SPRUCE STREET PHILADELPHIA PA 191044283 CLINICAL PRACTICE 302484 1 630813 35633 666446 PATIENT SERVICE REVENU 621400 859090 859090 859090 217 217 OTHER REVENUE 621400 4739 4739 4739 1530492 859307 0 4739 193546 193546 241000 241000 45159 45159 31423 31423 50320 50320 349807 349807 28230 26248 1982 37327 37327 43361 43361 6194 6194 257615 257615 31778 31778 SUPPLIES 57243 57243 MEDICAL EXPENSE 25036 25036 REPAIRS AND MAINTENANCE 22962 20646 2316 EMPLOYEE EXPENSE 20680 20479 201 1441681 1179567 262114 0 40517 480381 4584 0 613294 301158 14414 89454 1175273 1000878 363966 174395 1036775 1045388 210023 129825 210023 129825 X 818163 885794 8589 29769 826752 915563 1036775 1045388 88811 0 X 0 1 0 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1032659 963497 69162 81225 10656 70569 61389 26725 34664 174395 1530492 1441681 88811 0 88811 1530492 0 1530492 0 1530492 1441681 0 1441681 0 1441681 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, 2011 OR 2010. 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 2008 TO 2010 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 MEETTING. 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. 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: THE CORPORATION DOES OR PROPOSES TO DO BUSINESS WITH 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 HE 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.