TY 2017 Form 990EZ

Form990EZ

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-1150

2019

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
PENNSYLVANIA ASSOCIATION OF STATE MENTAL
HOSPITAL PHYSICIANS

Number and street (or P. O. box, if mail is not delivered to street address)230 S BROAD ST
Room/suite

City or town, state or province, country, and ZIP or foreign postal code PHILADELPHIA, PA19102

D Employer identification number

23-7148073

E Telephone number

(215) 732-0101

F Group Exemption
Number bullet

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? ACT AS LABOR ORGANIZATION.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 There are 105 members. They receive representation by negotiating collective bargaining agreement, as well as servicing grievances. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 There are regular distributions of newsletters, apprising members of activities and concerns. When collective bagaining is reached, contract is printed & distributed. (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 Disputes regarding jobs & working conditions are submittted for determination & adjudicated by independent arbitrators. Litigation is instituted when needed. (Grants $ ) If this amount includes foreign grants, check here ...		30a
Annual meeting is held, apprising members of year's events and concerns. Seminars are offered to comply with state requirements of coninuing education. Officers are elected every three years. (Grants $ ) If this amount includes foreign grants, check here ...
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
DR ROBERT G YAGER JR PRESIDENT	0	0
DR KURT MAAS 1ST V PRESIDENT	0	0
DR SCOTT T DITTUS 2ND V PRESIDENT	0	0
DR GERALD J KASPER TREASURER	0	0
DR JOSEPH KOCH SECRETARY	0	0
DR LOUKA T MAKKAR DIRECTOR	0	0
DR KATHE KOZAK DIRECTOR	0	0
DR ROBERT J BALOGH DIRECTOR	0	0
DR A C SHAH DIRECTOR	0	0

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Expenses.1	EXECUTIVE MANAGEMENT $30000
Other Expenses.2	ANNUAL SEMINAR $5971
Other Expenses.3	MEMBER REIMBURSEMENT $1230
Other Expenses.5	ACCOUNTING $750
Other Expenses.6	SUPPLIES $664
Other Expenses.7	TRAVEL $469

Return Reference

Explanation

Other Expenses.1

EXECUTIVE MANAGEMENT $30000

Other Expenses.2

ANNUAL SEMINAR $5971

Other Expenses.3

MEMBER REIMBURSEMENT $1230

Other Expenses.5

ACCOUNTING $750

Other Expenses.6

SUPPLIES $664

Other Expenses.7

TRAVEL $469

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	39,434
4	Investment income ....................................	4	66
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	39,500

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13	30,000
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15	1,187
16	Other expenses (describe in Schedule O) ...................	16	39,084
17	Total expenses. Add lines 10 through 16 .................	17	70,271

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-30,771
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	71,075
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	40,304

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