SAYRE HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SAYRE HEALTH CENTER (EIN 20-1232580)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-21
IRS object ID
201140529349300754
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-02-21T15:52:34-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118 SENTRY PARK WEST SUITE 300AddressLine1
CityBLUE BELLCity
StatePAState
ZIP Code194222240ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201232580EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAYRE HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAYRNameControl
Phone2154744444Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code191393836ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFrederick M CareyName
TitleExecutive DirectorTitle
Phone2154744444Phone
Date Signed2011-02-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2156433900Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFrederick M CareyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code191393836ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1428902GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.sayrehealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe 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 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 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year509735ContributionsGrantsPriorYear
Contributions Grants Current Year809119ContributionsGrantsCurrentYear
Program Service Revenue Prior Year347066ProgramServiceRevenuePriorYear
Program Service Revenue CY619217ProgramServiceRevenueCY
Investment Income Prior Year73InvestmentIncomePriorYear
Investment Income Current Year57InvestmentIncomeCurrentYear
Other Revenue Prior Year600OtherRevenuePriorYear
Other Revenue Current Year509OtherRevenueCurrentYear
Total Revenue Prior Year857474TotalRevenuePriorYear
Total Revenue Current Year1428902TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year198999SalariesEtcPriorYear
Salaries Etc Current Year438612SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year610593OtherExpensePriorYear
Other Expenses Current Year889814OtherExpensesCurrentYear
Total Expenses Prior Year809592TotalExpensesPriorYear
Total Expenses Current Year1328426TotalExpensesCurrentYear
Revenues Less Expenses Prior Year47882RevenuesLessExpensesPriorYear
Revenues Less Expenses CY100476RevenuesLessExpensesCY
Total Assets BOY898910TotalAssetsBOY
Total Assets EOY1036775TotalAssetsEOY
Total Liabilities BOY172634TotalLiabilitiesBOY
Total Liabilities EOY210023TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY726276NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY826752NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide high quality, culturally-sensitive accessible school-based primary and preventive health care services to the under-served community surrounding the William L. Sayre School of the School District of Philadelphia; and provide health services education for both Sayre students and University of Pennsylvania students, through participation in the provision of health care services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1070329Expense
Revenue619217Revenue
DescriptionSayre 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.Description
Total Program Service Expense1070329TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees8NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sayre Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2154744444TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15800 WALNUT STREETAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code191393836ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
lynette johnson
Board member1.00X000
grace lindsey
board member1.00X000
Katherine Margo MD Secretary
Secretary1.00X000X
velma merritt
board member1.00X000
tonya moody
Chair1.00X000X
eileen sullivan-marx
board member1.00X000
Nancy Winder
Vice Chair1.00X000X
cory bowman
board member1.00X000
B Lyn Kuebler
Treasurer1.00X000X
carolyn harris
board member1.00X000
mary yee
Alternative1.00X000X
Carolyn Fox Radford
Board member1.00X000
Melinda Salmon
Board member1.00X000
Tanya Thompson
Board member1.00X000
Jacqueline Lowry Golding
Board member1.00X000
Rev Carlton Rodgers
Board member1.00X000
Kristen W Smalley
Board member1.00X000
Jennifer Boyd - Waller
Board member1.00X000
Frederick Carey
executive director40.008375100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org83751TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CLINICAL PRACTICES OF UNIVERSITY OF PABusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line134TH AND SPRUCE STREETAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19104ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPHYSICIAN SERVICESDescriptionOfServices
Compensation286032Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants762184GovernmentGrants
All Other Contributions46935AllOtherContributions
Total Contributions809119TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Descriptionpatient service revenuDescription
Business Code621400BusinessCode
Total Revenue Column619217TotalRevenueColumn
Related Or Exempt Function Income619217RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue619217TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column57TotalRevenueColumn
Exclusion$57ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
Descriptionother revenueDescription
Business Code621400BusinessCode
Total Revenue Column509TotalRevenueColumn
Exclusion$509ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue509TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1428902TotalRevenueColumn
Related Or Exempt Function Income619217RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$566ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total88178Total
Program Services88178ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total313786Total
Program Services313786ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13076Total
Program Services13076ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23572Total
Program Services23572ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1490Total
Program Services1490ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68410Total
Program Services68410ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50860Total
Program Services50860ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1055Total
Program Services907ProgramServices
Management And General148ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12842Total
Program Services12808ProgramServices
Management And General34ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total39390Total
Program Services39390ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total254164Total
Management And General254164ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23535Total
Program Services23535ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
professional medical pe286032286032
Medical Expense5614956149
Supplies4727347273
Repairs and Maintenance36819350221797
Employee Exp1179598411954

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1328426Total
Program Services1070329ProgramServices
Management And General258097ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY90197BOY
EOY40517EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY35494BOY
EOY4584EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY210497BOY
EOY613294EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3996BOY
EOY14414EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1107229LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec743263LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY558726BOY
EOY363966EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY898910BOY
EOY1036775EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY81830BOY
EOY210023EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY90804BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY172634BOY
EOY210023EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY669649BOY
EOY818163EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY56627BOY
EOY8589EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY726276BOY
EOY826752EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY898910BOY
EOY1036775EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1023624OtherCostOrOtherBasis
Depreciation722558Depreciation
Book Value301066BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23553OtherCostOrOtherBasis
Depreciation6393Depreciation
Book Value17160BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60052OtherCostOrOtherBasis
Depreciation14312Depreciation
Book Value45740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings363966TotalOfBookValueLandBuildings
Total Revenue1428902TotalRevenue
Total Expenses1328426TotalExpenses
Excess Or Deficit For Year100476ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS100476ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1428902TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1428902RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901428902TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1328426TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1328426ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901328426TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationSayre Health Center is recognized as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1986. Effective July 1, 2009, Sayre Health Center adopted the income tax standard for uncertain tax positions. The implementation of this standard had no impact on the Health Center's financial statements. Sayre Health Center's informational tax returns are subject to review and examination by federal, state, and local authorities. Sayre Health Center is not aware of any activities that would jeopardize its tax-exempt status. Should that status be challenged in the future, the entity's June 30, 2007, 2008, and 2009 tax years are open for examination by the IRS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11A 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 C, line 19Sayre Health Center makes its 990 available for public inspection upon request and on Guidestar.com.

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