TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DR C EMMANUEL AHIA...................................................................... BOARD MEMBER	1.00 .................	X			0	0	0
(2) DENISE IANNI...................................................................... BOARD MEMBER	1.00 .................	X			0	0	0
(3) WALTER M GORDON...................................................................... PRESIDENT	2.00 .................	X	X		0	0	0
(4) DAVID A GRUBER...................................................................... TREASURER	2.00 .................	X	X		0	0	0
(5) WILLIAM F HARTIGAN JR...................................................................... VICE PRESIDENT	1.00 .................	X	X		0	0	0
(6) WILLIAM J MASSINGER...................................................................... SECRETARY	1.00 .................	X	X		0	0	0
(7) KIM GROSSMAN...................................................................... BOARD MEMBER	1.00 .................	X			0	0	0
(8) BILL BLACKER...................................................................... BOARD MEMBER	1.00 .................	X			0	0	0
(9) KAREN GRAFF...................................................................... CURRENT CEO / FORMER EXEC. DIR.	37.50 .................		X		120,814	0	19,385
(10) HEMA GANDHI...................................................................... CFO / FORMER DIRECTOR OF FINANCE	37.50 .................		X		35,753	0	3,595
(11) DR BARRY HOFFMAN...................................................................... PSYCHIATRIST/MEDICAL DIRECTOR	40.00 .................			X	122,238	0	16,488
(12) DR BONNIE WRIGHT...................................................................... PSYCHIATRIST	40.00 .................			X	220,275	0	9,330
(13) DR SHELLEY OXENHORN...................................................................... PSYCHIATRIST / MEDICAL DIRECTOR	40.00 .................			X	123,480	0	3,136
(14) DR YING WANG...................................................................... PSYCHIATRIST	40.00 .................			X	146,520	0	0
(15) MARGUERITA TORRES...................................................................... NURSE PRACTICTIONER	32.00 .................			X	132,138	0	9,979

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PENNDEL MENTAL HEALTH CENTER

Employer identification number

23-1913286

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	12,643	59,947	43,691	192,448	200,825	509,554
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	12,643	59,947	43,691	192,448	200,825	509,554
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.						509,554

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	12,643	59,947	43,691	192,448	200,825	509,554
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	44,207	36,122	34,311	31,742	28,775	175,157
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	33,959	71,678	48,058	204,704	288,388	646,787
11	Total support. Add lines 7 through 10						1,331,498

Gross receipts from related activities, etc. (see instructions) ..................

57,057,710

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

38.270 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

90.170 %

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

PENNDEL MENTAL HEALTH CENTER

Employer identification number

23-1913286

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization PENNDEL MENTAL HEALTH CENTER

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization PENNDEL MENTAL HEALTH CENTER		Employer identification number 23-1913286

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization PENNDEL MENTAL HEALTH CENTER			Employer identification number 23-1913286
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PENNDEL MENTAL HEALTH CENTER

Employer identification number

23-1913286

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	86,400		86,400
b	Buildings ....	1,842,907	1,004,348	838,559
c	Leasehold improvements	332,194	273,685	58,509
d	Equipment ....	635,386	620,975	14,411
e	Other .....	554,006	377,538	176,468
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,174,347

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) SECURITY DEPOSITS				43,412
(2) RESERVE FOR UNEMPLOYMENT CLAIMS				219,806
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				263,218

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	11,913,458
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	16,912
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	16,912
3	Subtract line 2e from line 1..................			3	11,896,546
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	11,896,546

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	12,074,262
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e	0
3	Subtract line 2e from line 1...................		3	12,074,262
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	12,074,262

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE CENTER IS A NONPROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. FOR THE YEAR ENDED JUNE 30, 2019, THE CENTER DID NOT IDENTIFY ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN WHICH WOULD REQUIRE ADJUSTMENTS TO OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS POTENTIALLY SUBJECT TO FEDERAL, STATE, AND LOCAL EXAMINATIONS FOR THE YEARS SUBSEQUENT TO JUNE 30, 2015.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

PENNDEL MENTAL HEALTH CENTER

Employer identification number

23-1913286

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DR BONNIE WRIGHT PSYCHIATRIST	(i) (ii)	220,275 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	9,330 ------------- 0	229,605 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PENNDEL MENTAL HEALTH CENTER

Employer identification number

23-1913286

Return Reference	Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	PENNDEL MENTAL HEALTH CENTER IS A PRIVATE NON-PROFIT BEHAVORIAL HEALTH CENTER IN LOWER BUCKS COUNTY.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	PENNDEL MENTAL HEALTH CENTER, INC, (PHMC) A PRIVATE, NON-PROFIT COMMUNITY MENTAL HEALTH CENTER, IS DEDICATED TO PROMOTING COMMUNITY WELL-BEING HROUGH THE PROVISION OF COMPREHENSIVE BEHAVIORAL HEALTH TREATMENT OPTIONS, EDUCATION AND SUPPORT TO INDIVIDUALS AND FAMILIES IN LOWER BUCKS COUNTY PMHC'S MISSION IS TO MAKE QUALITY MENTAL HEALTH, CO-OCCURRING AND INTELLECTUAL DISABILITIES SERVICES READILY AVAILABLE TO ALL RESIDENTS PMHC EMPLOYS A STAFF OF HIGHLY TRAINED, EXPERIENCED PROFESSIONALS INCLUDING PSYCHIATRISTS, PSYCHOLOGISTS, THERAPISTS, CASEWORKERS, SOCIAL WORKERS, REGISTERED NURSES AND ADMINISTRATIVE STAFF AGENCY POLICY IS DETERMINED BY A BOARD OF DIRECTORS CONSISTING OF UP TO 18 COMMUNITY LEADERS WHO WORK CLOSELY WITH THE EXECUTIVE DIRECTOR AND DMINISTRATION SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, GENDER, RELIGION, DISABILITY OR LIMITED ENGLISH PROFICIENCY.
FORM 990, PART VI, SECTION A, LINE 1	THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, CHAIRED BY THE PRESIDENT AND CONSISTING OF THE OFFICERS OF THE CORPORATION. AND SUCH OTHER DIRECTORS OF THE CORPORATION AS THE PRESIDENT, FROM TIME TO TIME, MAY APPOINT, TO HAVE SUCH AUTHORITY AS THE BOARD OF DIRECTORS MAY FROM TIME TO TIME DELEGATE BY RESOLUTION DULY ADOPTED.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 PREPARED BY AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. A DRAFT IS EMAILED TO EACH BOARD MEMBER. THE DRAFT IS REVIEWED IN A MEETING OR CONFERENCE CALL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS OF THE BOARD OF DIRECTORS AND STAFF ARE EXPECTED TO REVEAL ANY PERSONAL, FAMILY OR BUSINESS INTERESTS THAT THEY HAVE, THAT, BY CREATING A DIVIDED LOYALTY, COULD INFLUENCE THEIR JUDGMENT AND HENCE THE WISDOM OF DECISIONS. A CONFLICT OF INTEREST EXISTS WHEN AN INDIVIDUAL COULD BENEFIT, DISPROPORTIONATELY FROM OTHERS, DIRECTLY OR INDIRECTLY, FROM ACCESS TO INFORMATION FROM A DECISION OVER WHICH THEY MIGHT HAVE INFLUENCE, OR, WHERE SOMEONE MIGHT REASONABLY PERCEIVE THERE TO BE SUCH A BENEFIT AND INFLUENCE. EXAMPLES OF POSSIBLE CONFLICT OF INTEREST SITUATIONS WITH RESPECT TO PENNDEL MENTAL HEALTH CENTER (HEREIN "PMHC") MIGHT INCLUDE, BUT ARE NOT LIMITED TO: A BOARD MEMBER HAS A PERSONAL OR BUSINESS RELATIONSHIP WITH PMHC AS A SUPPLIER OF GOODS OR SERVICES OR AS A LANDLORD OR TENANT; A STAFF MEMBER HAS A PERSONAL OR FINANCIAL RELATIONSHIP WITH A CLIENT OF PMHC OUTSIDE THE WORKPLACE; *PMHC IS EMPLOYING SOMEONE WHO IS DIRECTLY RELATED TO A BOARD MEMBER OR STAFF MEMBER. CONFLICTS OF INTEREST (REAL OR PERCEIVED) ARE UNAVOIDABLE AND SHOULD NOT PREVENT AN INDIVIDUAL FROM SERVING, AS A DIRECTOR OR STAFF MEMBER, UNLESS THE EXTENT OF THE INTEREST IS SO SIGNIFICANT THAT THE POTENTIAL FOR DIVIDED LOYALTY IS PRESENT IN A LARGE NUMBER OF SITUATIONS. PROCEDURE FOR HANDLING CONFLICTS OF INTEREST: 1.) MEMBERS OF THE BOARD AND STAFF HAVE A DUTY TO DISCLOSE ANY PERSONAL, FAMILY OR BUSINESS INTERESTS THAT MAY, IN THE EYES OF ANOTHER PERSON, INFLUENCE THEIR JUDGMENT 2.) THE BOARD AS A WHOLE HAS A DUTY TO DISCLOSE SPECIFIC CONFLICTS OF INTERESTS TO PMHC MEMBERS, STAFF AND EXTERNAL STAKEHOLDERS WHERE THAT INTEREST MAY, IN THEIR JUDGMENT, AFFECT THE REPUTATION OR CREDIBILITY OF THE ORGANIZATION, AND TO DISCLOSE THE BOARD'S PROCEDURE FOR OPERATING IN THE PRESENCE OF SUCH CONFLICTS 3.) BOARD MEMBERS AND STAFF HAVE A DUTY TO EXEMPT THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION AND VOTING ON MATTERS WHERE THEY HAVE, OR MAY BE PERCEIVED AS HAVING A CONFLICT OF INTEREST. IN THE COURSE OF MEETINGS OR ACTIVITIES, THE OFFICER, EMPLOYEES, AGENTS, VENDORS OR VOLUNTEERS OF PMHC SHALL DISCLOSE ANY CONFLICTS OF INTEREST IN A TRANSACTION OR DECISION. AFTER DISCLOSURE, THE OFFICER, EMPLOYEE, AGENTS, VENDOR OR VOLUNTEER, MAY BE ASKED TO LEAVE THE ROOM FOR DISCUSSION AND WILL NOT BE PERMITTED TO VOTE ON THE QUESTION OR MOTION. THE MINUTES OF THE MEETING WILL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON, AND THE ABSTENTION FROM VOTING OF ANY INTERESTED PARTY. ANY BUSINESS RELATIONSHIP BETWEEN AN INDIVIDUAL (OR COMPANY WHERE THE INDIVIDUAL IS OWNER OR IN A POSITION OR AUTHORITY) AND PMHC, OUTSIDE OF THEIR RELATIONSHIP AS AN OFFICER, EMPLOYEE, AGENT, VENDOR, OR VOLUNTEER THAT COULD BE CONSIDERED A POTENTIAL CONFLICT OF INTEREST MUST BE BROUGHT TO THE ATTENTION OF AN IMMEDIATE SUPERVISOR (IN THE CASE OF AN AGENCY EMPLOYEE) OR TO THE ATTENTION OF THE BOARD PRESIDENT ( IN THE CASE OF A BOARD MEMBER). THE STANDARDS OF EXPECTED BEHAVIOR AT PENNDEL MENTAL HEALTH CENTER IS THAT ALL OFFICERS, EMPLOYEES, AGENTS, VENDORS OR VOLUNTEERS OR MEMBERS OF THEIR IMMEDIATE FAMILIES SCRUPULOUSLY AVOID CONFLICTS OF INTEREST BETWEEN THE INTEREST OF PENNDEL MENTAL HEALTH CENTER ON ONE HAND AND PERSONAL, PROFESSIONAL, AND BUSINESS INTERESTS ON THE OTHER. NO EMPLOYEE, OFFICER, OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT SUPPORTED BY FEDERAL FUNDS IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. SUCH A CONFLICT WOULD ARISE WHEN AN EMPLOYEE, OFFICER OR AGENT, ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY, HIS OR HER PARTNER, OR AN ORGANIZATION WHICH EMPLOYS OR IS ABOUT TO EMPLOY ANY OF THE PARTIES INDICATED HEREIN, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR AN AWARD. LOANS TO OFFICERS, EMPLOYEES, AGENTS OR VOLUNTEERS ARE EXPRESSLY PROHIBITED. OFFICERS, EMPLOYEES, AGENTS, VENDORS OR VOLUNTEERS OF PENNDEL MENTAL HEALTH CENTER ARE PROHIBITED FROM ACCEPTING GIFTS, GRATUITIES OR FAVORS OR ANYTHING OF MONETARY VALUE FROM CURRENT OR PROSPECTIVE SUPPLIERS, VENDORS AND CLIENTS. GIFTS OF NOMINAL VALUE, GIVEN TO A THERAPIST BY A CLIENT, MAY BE ACCEPTED IN ACCORDANCE WITH APA ETHICAL PRINCIPALS & CODE OF CONDUCT, STANDARDS 3.04 AND 3.06. ALL GIFTS SHOULD BE REPORTED TO THE EXECUTIVE DIRECTOR. STAFF MAY RETAIN SMALL ITEMS, INCLUDING GIVEAWAYS FROM CONVENTIONS. GIFTS OF FOOD ITEMS, SUCH AS CHRISTMAS BASKETS, ARE CONSIDERED TO BE GIFTS OF THE ENTIRE STAFF AND NOT JUST ONE PERSON. IF IT IS FOUND THAT THE POLICY HAS BEEN VIOLATED, AND A FORMALIZED DUE-PROCESS HAS OCCURRED AND A DETERMINATION HAS BEEN MADE AS TO THE EXTENT OF THE CONFLICT OF INTEREST, THE OFFICER, EMPLOYEE, AGENT, VENDOR OR VOLUNTEER WILL BE REQUESTED TO ATTEND A MEETING WITH THE EXECUTIVE DIRECTOR AND/OR THE EXECUTIVE COMMITTEE OF THE BOARD TO DISCUSS THE MATTER, AND DISCIPLINARY ACTION WILL BE ADMINISTERED AS APPROPRIATE. IF IT IS DETERMINED AND PROVEN THAT AN OFFICER, EMPLOYEE, AGENT, VENDOR OR VOLUNTEER RECEIVED FINANCIAL GAINS DUE TO A CONFLICT OF INTEREST, THAT INDIVIDUAL WILL BE REMOVED FROM ANY POSITION AT PENNDEL MENTAL HEALTH CENTER, OR BARRED FROM DOING FURTHER BUSINESS WITH PENNDEL MENTAL HEALTH CENTER. ALL INTERESTED PARTIES UNDERSTAND THAT THE PURPOSE OF THIS POLICY IS TO PROTECT THE INTEGRITY OF PMHC'S DECISION MAKING PROCESS, TO ENABLE OUR CONSTITUENTS TO HAVE CONFIDENCE IN OUR INTEGRITY, AND TO PROTECT THE INTEGRITY AND REPUTATION OF OFFICERS, EMPLOYEES, AGENTS, VENDORS, OR VOLUNTEERS. ALL PARTIES WILL SIGN THE CONFLICT OF INTEREST STATEMENT, AND THE SIGNED STATEMENT WILL BE KEPT ON FILE, AND WILL BE UPDATED AS REQUIRED ANNUAL DISCLOSURE IS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE DIRECTOR REVIEWS AGENCY SALARY RANGES WITH THE FINANCE DIRECTOR AND THE HUMAN RESOURCE COORDINATOR ON AN ANNUAL BASIS. COMPARABLE DATA IS OBTAINED FROM STATE-WIDE SALARY AND COMPENSATION REPORTS PROVIDED BY THE VARIOUS SOURCES, INCLUDING BUT NOT LIMITED TO, THE REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION (RCPA), ALONG WITH COMPARISONS OBTAINED FROM DISCUSSIONS WITH HUMAN RESOURCE DIRECTORS AT SEVERAL SIMILAR AGENCIES/ORGANIZATIONS IN BUCKS COUNTY AND SURROUNDING AREAS. THE EXECUTIVE DIRECTOR REVIEWS AND MAKES DECISIONS ON COMPENSATION OF OFFICERS, KEY EMPLOYEES AND STAFF SALARY RANGES AND PRESENTS SAME TO THE BOARD OF DIRECTORS WHEN AMENDMENTS OR UPGRADES ARE NEEDED, OR AT A MINIMUM, ON AN ANNUAL BASIS. THE COMPENSATION AMOUNTS ARE COMPARED TO THE STATE-WIDE SALARY AND COMPENSATION REPORTS PROVIDED BY THE VARIOUS SOURCES, INCLUDING BUT NOT LIMITED TO, THE REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION (RCPA). THE HUMAN RESOURCES COORDINATOR CONDUCTS REGULAR COMPARISONS WITH OTHER LIKE AGENCIES/ORGANIZATIONS IN BUCKS COUNTY AND SURROUNDING AREAS.
FORM 990, PART VI, SECTION C, LINE 19	THE CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	253
6	Total number of volunteers (estimate if necessary) .............	6	8
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	192,448	200,825
9	Program service revenue (Part VIII, line 2g) .........	11,252,695	11,341,155
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	178,341	66,178
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	210,976	288,388
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	11,834,460	11,896,546
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	8,854,985	9,178,908
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 14,906
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,951,451	2,895,354
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	11,806,436	12,074,262
19	Revenue less expenses. Subtract line 18 from line 12.......	28,024	-177,716
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,684,330	4,351,636
21	Total liabilities (Part X, line 26).............	2,646,313	2,474,423
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,038,017	1,877,213

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 6,996,915 including grants of $ ) (Revenue $ 7,957,087 )
	OUTPATIENT TREATMENT AND SUPPORT SERVICES: A VARIETY OF AMBULATORY TREATMENT AND SUPPORT SERVICES ARE OFFERED TO ADULTS, ADOLESCENTS, CHILDREN AND OLDER ADULTS IN ON-SITE, TRADITIONAL CLINIC SETTING AND THROUGH OUTREACH SERVICES PROVIDED IN HOMES, SCHOOLS AND COMMUNITY SETTINGS. CUSTOMARY OUTPATIENT CLINIC SERVICES ARE TAILORED TO THE NEEDS OF OUR CLIENTS, FROM MINIMAL LEVEL CARE TO INTENSIVE CARE IN A REHABILITATION SETTING. SERVICES INCLUDE INDIVIDUAL, GROUP, COUPLES, FAMILY AND MEDICATION THERAPY, AS WELL AS PSYCHOLOGICAL TESTING. ADDITIONALLY, PMHC PROVIDED SPECIALIZED INTERVENTION WHICH INTEGRATES MENTAL HEALTH AND ADDICTION RECOVERY SUPPORTS OFFERED TO INDIVIDUALS WITH CO-OCCURRING DISORDERS. ACUTE PARTIAL HOSPITAL SERVICES ARE DESIGNED FOR INDIVIDUALS WHO ARE EXPERIENCING ACUTE DISTRESS FROM PSYCHIATRIC ILLNESS, BUT WHO DO NOT REQUIRE INPATIENT HOSPITALIZATION IS ALSO OFFERED IN OUR CLINIC SETTING. THE PROGRAM MAY SERVE INDIVIDUALS WHO HAVE BEEN DISCHARGED FROM AN INPATIENT STAY BUT STILL REQUIRE CONTINUED INTENSIVE TREATMENT ON AN OUTPATIENT BASIS.THERE IS A WIDE VARIETY OF TREATMENT, SERVICES AND SUPPORTS OFFERED IN THE COMMUNITY. THE ASSERTIVE COMMUNITY TREATMENT TEAM PROVIDES COMPREHENSIVE AND INTENSIVE OUTPATIENT MENTAL HEALTH TREATMENT, REHABILITATION AND SUPPORT SERVICES INDIVIDUALS WHO HAVE NOT ACHIEVED AND MAINTAINED HEALTH AND STABILITY IN THE COMMUNITY, WHO CONTINUE TO EXPERIENCE HOSPITALIZATION, PSYCHIATRIC EMERGENCIES, INCARCERATION, SUBSTANCE USE/ABUSE, AND/OR HOMELESSNESS. THE FORENSIC SERVICES COMMUNITY TREATMENT TEAM IS DESIGNED FOR INDIVIDUALS WITH SEVERE AND PERSISTENT MENTAL ILLNESS WHO ARE INVOLVED IN THE CRIMINAL JUSTICE SYSTEM AND WHO HAVE DIFFICULTY ENGAGING IN TRADITIONAL TREATMENT PROGRAMS. BOTH TREATMENT TEAMS OFFER INDIVIDUALIZED FIELD COUNSELING AND THERAPY, CASE MANAGEMENT SERVICES, PSYCHIATRIC MEDICATIONS, AND HOUSING SUPPORTS. CHILD AND FAMILY PRIORITY SERVICES PROVIDE COMMUNITY-BASED HOLISTIC, CHILD-CENTERED AND FAMILY FOCUSED SERVICES TO CHILDREN AND ADOLESCENTS. FAMILY BASED MENTAL HEALTH SERVICES PROGRAM IS AN UP-TO 32-WEEK SERVICE WHICH IS COMPREHENSIVE IN SCOPE, INCORPORATING NEEDS-BASED INDIVIDUAL THERAPY, FAMILY THERAPY, CASEWORK SERVICES, FAMILY SUPPORT SERVICES, AND CRISIS STABILIZATION TO FAMILIES IN THEIR HOMES, SCHOOLS, AND OTHER COMMUNITY SETTINGS. BLENDED AND ADMINISTRATIVE CASE MANAGERS PROVIDE SERVICES TO ADULTS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS WHO MAY REQUIRE LONG-TERM, INTENSIVE INTERVENTION AS WELL AS ADULTS WHO NEED LESS FREQUENT CONTACTS BUT NEED ASSISTANCE WITH ACCESSING, COORDINATING AND MONITORING RESOURCES AND SERVICES, WITH THE GOAL IS TO ACHIEVE SAFETY, STABILITY AND HEALTHY LIVING. THE PATH (PROJECTS FOR ASSISTANCE IN THE TRANSITION FROM HOMELESSNESS) PROGRAM PROVIDES OUTREACH TO INDIVIDUALS WITH A SERIOUS AND PERSISTENT MENTAL ILLNESS WHO ARE HOMELESS OR WHO ARE AT-RISK OF BEING HOMELESS, HELPING INDIVIDUALS TO OBTAIN ASSISTANCE WITH AREAS SUCH AS MONEY MANAGEMENT, MEDICAL SERVICES, TRANSPORTATION, REHABILITATION, INCOME SUPPORT, FOOD STAMPS, SOCIAL SECURITY BENEFITS, AND EDUCATION SERVICES.

4b	(Code: ) (Expenses $ 1,155,587 including grants of $ ) (Revenue $ 1,217,981 )
	COMMUNITY RESIDENTIAL REHABILITATION (CRR) SERVICES AND SUPPORTED LIVING (SL): THE CRR AND THE SL PROGRAMS ARE DESIGNED AS TRANSITIONAL LIVING SERVICES WITH EMPHASIS UPON REHABILITATION OF PERSONS RECOVERING FROM EPISODES OF MAJOR MENTAL ILLNESS AND/OR PRESENTING SIGNIFICANT PROBLEMS IN SOCIAL, VOCATIONAL OR INTERPERSONAL FUNCTIONING RESULTING FROM SERIOUS MENTAL ILLNESS. SERVICES WITHIN THESE PROGRAMS ARE SPECIFICALLY DESIGNED TO ASSIST PERSONS WITH CHRONIC PSYCHIATRIC DISABILITIES TO LIVE AS INDEPENDENTLY AS POSSIBLE THROUGH THE PROVISION OF TRAINING ASSISTANCE IN THE SKILLS OF COMMUNITY LIVING AND BY SERVING AS AN INTEGRATING FOCUS FOR THE PERSON'S REHABILITATION.

4c	(Code: ) (Expenses $ 1,624,699 including grants of $ ) (Revenue $ 1,918,661 )
	INTELLECTUAL DISABILITIES DIVISION (IDD): THE IDD SUPPORTS COORDINATION SERVICES PROVIDE RESOURCE AND REFERRAL SERVICES, ADVOCACY AND SERVICE MONITORING TO INDIVIDUALS AGED 3 AND UP WHO HAVE BEEN DETERMINED AS ELIGIBLE BY HAVING AN IQ OF 70 OR BELOW (VIA STANDARDIZED TESTING). AFTER A COMPREHENSIVE INTAKE ASSESSMENT, THE CASE IS ASSIGNED TO A SUPPORTS COORDINATOR WHO DEVELOPS A LIFE MANAGEMENT PLAN FOR THE INDIVIDUAL, WHICH IS RENEWED YEARLY.

	(Code: ) (Expenses $ 123,239 including grants of $ ) (Revenue $ 140,158 )
	FAMILY SUPPORT SERVICES - MENTAL HEALTH AND INTELLECTUAL DISABILITIES: GROUP AND INDIVIDUAL ASSISTANCE IS PROVIDED TO SOME CONSUMERS OF MENTAL HEALTH AND INTELLECTUAL DISABILITIES SERVICES THROUGH SUPPORT, INFORMATION AND REFERRAL AND LINKAGES. THE FOCUS IS TO HELP INDIVIDUALS AND/OR FAMILIES TO BE ABLE TO LIVE SUCCESSFULLY IN THE COMMUNITY. MENTAL HEALTH FAMILY SUPPORT SERVICES FUNDING ALSO FUNDS THE COMMUNITY SUPPORT PROGRAM COORDINATOR, A POSITION THAT OVERSEES AND FACILITATES THE BUCKS COUNTY COMMUNITY SUPPORT PROGRAM (CSP). THE BUCKS COUNTY CSP IS A COALITION OF INDIVIDUALS WHO RECEIVE MENTAL HEALTH SERVICES, THEIR FAMILY MEMBERS, MENTAL HEALTH PROVIDERS AND INTERESTED COMMUNITY MEMBERS ALONG WITH THE BUCKS COUNTY DEPARTMENT OF MENTAL HEALTH/DEVELOPMENTAL PROGRAMS AND OTHER COUNTY BEHAVIORAL HEALTH PARTNERS IN AN EQUAL PARTNERSHIP TO PROMOTE RECOVERY AND EXCELLENCE IN THE DELIVERY OF COMMUNITY BASED MENTAL HEALTH SERVICES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 123,239 including grants of $ ) (Revenue $ 140,158 )
4e	Total program service expenses9,900,440

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	901,218	0	61,913

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	162,511

f	All other contributions, gifts, grants, and similar amounts not included above		1f	38,314

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		200,825

		Business Code
2a	CLIENT SERVICES	624100	11,341,155	11,341,155
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		11,341,155

3 Investment income (including dividends, interest, and othersimilar amounts) ......			28,775			28,775
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		264,125
b	Less: cost or other basis and sales expenses		226,722
c	Gain or (loss)		37,403
d	Net gain or (loss).....			37,403			37,403
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	INSURANCE CLAIMS REIMBURSEMENT		900099	168,562			168,562
b	OTHER REVENUE		900099	119,826			119,826
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			288,388
12	Total revenue. See Instructions......			11,896,546	11,341,155	0	354,566

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	179,549	160,036	19,513
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	7,422,382	6,618,606	803,776
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	1,025,196	910,066	115,130
10	Payroll taxes ...........	551,781	489,816	61,965
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,233		1,233
c	Accounting ...........	49,650		49,650
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	326,808	171,082	155,726
12	Advertising and promotion ....
13	Office expenses .......	266,521	229,282	31,934	5,305
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	698,080	565,689	132,391
17	Travel ............	208,599	205,667	2,932
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	100,991	1,009	96,031	3,951
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	125,681	122,398	3,283
23	Insurance ...	207,982	135,955	72,027
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT	315,302		315,302
b	COMMUNICATIONS	167,047	94,881	72,040	126
c	MAINTENANCE AND REPAIRS	153,949	16,124	137,825
d	HOUSEKEEPING	102,832	96,984	5,848
e	All other expenses	170,679	82,845	82,310	5,524
25	Total functional expenses. Add lines 1 through 24e	12,074,262	9,900,440	2,158,916	14,906
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			30,982	2	135,867
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			1,727,673	4	1,392,108
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			71,413	9	81,816
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,450,893
b	Less: accumulated depreciation	10b	2,276,546	1,170,851	10c	1,174,347
11	Investments—publicly traded securities .			1,431,379	11	1,294,280
12	Investments—other securities. See Part IV, line 11 .....			10,000	12	10,000
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			242,032	15	263,218
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,684,330	16	4,351,636

17	Accounts payable and accrued expenses .....	701,496	17	768,542
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	1,944,817	23	1,705,881
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	2,646,313	26	2,474,423

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,038,017	27	1,877,213
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,038,017	33	1,877,213
34	Total liabilities and net assets/fund balances ........	4,684,330	34	4,351,636