Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
RAMSBOTTOM CENTER INC |
251344649 | 10 | Yes | 1,189,390 | 0 | |
| (B)
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION |
251711330 | 10 | Yes | 3,490,112 | 0 | |
| (C)
STAIRWAYS BEHAVIORAL HEALTH INC |
251271559 | 10 | Yes | 1,865,283 | 0 | |
| (D)
FOREST WARREN MENTAL WELLNESS ASSOCIATION |
472473766 | 10 | Yes | 78,936 | 0 | |
| (E)
DICKINSON CENTER INC |
251090027 | 10 | Yes | 1,220,415 | 0 | |
|
Total 5
|
7,844,136 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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.).. | ||||||
| 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 0.015 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 0.035 | 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION D, LINE 3 | THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT ROLE IN THE INVESTMENT POLICIES AND USE OF INCOME AND ASSETS OF THE SUPPORTING ORGANIZATION (CHILDREN'S HOME OF BRADFORD PA) THROUGH (I) THE PARTICIPATION OF THE SUPPORTED ORGANIZATIONS' DESIGNEES ON THE CHILDREN'S HOME OF BRADFORD PA BOARD, (II) THROUGH INTERACTIONS WITH SHARED OFFICERS AND EXECUTIVES, AND (III) THROUGH THEIR PARTICIPATION IN ANNUAL BUDGETING AND FINANCIAL REVIEW PROCESSES. |
| PART IV, SECTION E, LINE 2A | THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT ROLE IN THE INVESTMENT POLICIES AND USE OF INCOME AND ASSETS OF THE SUPPORTING ORGANIZATION (CHILDREN'S HOME OF BRADFORD PA) THROUGH (I) THE PARTICIPATION OF THE SUPPORTED ORGANIZATIONS' DESIGNEES ON THE CHILDREN'S HOME OF BRADFORD PA BOARD, (II) THROUGH INTERACTIONS WITH SHARED OFFICERS AND EXECUTIVES, AND (III) THROUGH THEIR PARTICIPATION IN ANNUAL BUDGETING AND FINANCIAL REVIEW PROCESSES. |
| PART IV, SECTION E, LINE 2B | THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT ROLE IN THE INVESTMENT POLICIES AND USE OF INCOME AND ASSETS OF THE SUPPORTING ORGANIZATION (CHILDREN'S HOME OF BRADFORD PA) THROUGH (I) THE PARTICIPATION OFF THE SUPPORTED ORGANIZATIONS' DESIGNEES ON THE CHILDREN'S HOME OF BRADFORD PA BOARD, (II) THROUGH INTERACTIONS WITH SHARED OFFICERS AND EXECUTIVES, AND (III) THROUGH THEIR PARTICIPATION IN ANNUAL BUDGETING AND FINANCIAL REVIEW PROCESSES. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, ITEM B | RETURN IS BEING AMENDED TO REMOVE DEERFIELD BEHAVIORAL HEALTH OF WARREN LLC (DBHW) AS A DISREGARDED ENTITY. DBHW IS FILING A SEPARATE 990 AS A SEPARATE 501C3. AS A RESULT, THE FOLLOWING CHANGES WERE MADE TO THE AMENDED CHILDREN'S HOME OF BRADFORD, PA FORM 990: CORE FORM 990 LINE G GROSS RECEIPTS DECREASED FROM 14,233,894 TO 10,558,334 PART I LINE 9 PROGRAM REVENUE DECREASED FROM 13,165,216 TO 9,489,656 LINE 12 TOTAL REVENUE DECREASED FROM 14,233,894 TO 10,558,334 LINE 15 SALARIES, OTHER COMPENSATION, EMPLOYEE BENEFITS DECREASED FROM 8,757,662 TO 6,075,350 LINE 17 OTHER EXPENSES DECREASED FROM 3,982,680 TO 3,125,015 LINE 18 TOTAL EXPENSES DECREASED FROM 12,740,342 TO 9,200,365 PART III LINE 4A PROGRAM EXPENSES DECREASED FROM 12,162,524 TO 8,622,547 AND PROGRAM REVENUES DECREASED FROM 13,258,930 TO 9,279,712 LINE 4E PROGRAM EXPENSES DECREASED FROM 12,162,524 TO 8,622,547 PART VII LINE 2 PROGRAM REVENUE. DBHW REVENUE WAS REMOVED WHICH DECREASED TOTAL PROGRAM REVENUES ON LINE 2G FROM 13,165,216 TO 9,489,656 PART IX LINE 7 COL. A OTHER SALARIES DECREASED FROM 6,391,925 TO 4,140,749 COL. B DECREASED FROM 6,035,157 TO 3,783,981 LINE 9 COL. A OTHER EMPLOYEE BENEFITS DECREASED FROM 1,413,856 TO 982,720 COL B. DECREASED FROM 1,335,930 TO 904,794 LINE 11A COL. A AND COL. B MANAGEMENT DECREASED FROM 294,146 TO 50,740 LINE 11 G COL. A OTHER DECREASED FROM 694,719 TO 381,748 COL. B DECREASED FROM 687,380 TO 374,409 LINE 13 COL. A OFFICE EXPENSE DECREASED FROM 724,824 TO 693,256 COL. B DECREASED FROM 687,380 TO 641,955 LINE 16 COL. A OCCUPANCY DECREASED FROM 234,157 TO 144,783 AND COL. B DECREASED FROM 231,308 TO 141,934 LINE 17 COL. A TRAVEL DECREASED FROM 64,457 TO 56,267 AND COL. B DECREASED FROM 62,810 TO 54,620 LINE 20 COL. A INTEREST DECREASED FROM 68.387 TP 67,182 AND COL. B DECREASED FROM 68,030 TO 66,825 LINE 22 COL. A DEPRECIATION DECREASED FROM 1,032,438 TO 1,019,062 AND COL. B DECREASED FROM 1,014,023 TO 1,000,647 LINE 23 COL. A INSURANCE DECREASED FROM 265,300 TO 187,947 AND COL. B DECREASED FROM 254,259 TO 176,906 LINE 24E COL. A ALL OTHER EXPENSES DECREASED FROM 262,037 TO 181,815 AND COL. B DECREASED FROM 255,683 TO 175,461 LINE 25 COL. A TOTAL FUNCTIONAL EXPENSES DECREASED FROM 12,740,342 TO 9,200,365 AND COL. B DECREASED FROM 12,162,524 TO 8,622,547 PART X COL. B END OF YEAR LINE 2 SAVINGS AND TEMPORARY CASH INVESTMENTS DECREASED FROM 3,050,591 TO 2,419,396 LINE 4 ACCOUNTS RECEIVABLE, NET DECREASED FROM 720,665 TO 423,521 LINE 9 PREPAID EXPENSES AND DEFERRED CHARGES DECREASED FROM 685,524 TP 623,143 LINE 15 OTHER ASSETS DECREASED FROM 2,924,907 TO 2,830,520 LINE 16 TOTAL ASSETS DECREASED FROM 26,433,837 TO 25,328,334 LINE 17 ACCOUNTS PAYABLE AND ACCRUED EXPENSES DECREASED FROM 2,949,733 TO 2,486,489 LINE 19 DEFERRED REVENUE DECREASED FROM 194,793 TO 168,978 LINE 23 SECURED MORTGAGES AND NOTES PAYABLE DECREASED FROM 3,314,257 TO 3,093,675 LINE 25 OTHER LIABILITIES DECREASED FROM 2,103,482 TO 2,053,147 LINE 26 TOTAL LIABILITIES DECREASED FROM 8,562,265 TO 7,802,289 LINE 27 NET ASSETS WITHOUT DONOR RESTRICTIONS AND LINE 32 TOTAL NET ASSETS WITHOUT DONOR RESTRICTIONS DECREASED FROM 17,871,572 TO 17,526,045 LINE 33 TOTAL LIABILITIES AND NET ASSETS DECREASED FROM 26,433,837 TO 25,328,334 PART XII LINE 1 TOTAL REVENUE DECREASED FROM 14,233,894 TO 10,558,334 LINE 2 TOTAL EXPENSES DECREASED FROM 12,740,342 TO 9,200,365 LINE 3 REVENUE LESS EXPENSES DECREASED FROM 1,493,552 TO 1,357,969 LINE 9 OTHER CHANGES CHANGED TO -209,944 LINE 10 NET ASSETS END OF YEAR DECREASED FROM 17,871,572 TO 17,526,045 SCHEDULE D, PART IX LINE 4 DBHW 0 DUE FROM AFFILIATES OF 94,387 WAS REMOVED LINE 5 DBHW - DUE TO AFFILIATES OF 50,335 WAS REMOVED SCHEDULE R PART I DEERFIELD BEHAVIORAL HEALTH OF WARREN WAS REMOVED AS A DISREGARDED ENTITY PART II DEERFIELD BEHAVIORAL HEALTH OF WARREN WAS ADDED AS A RELATED TAX-EXEMPT ORGANIZATION |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE COMPLETED FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE FOR DETAILED REVIEW AND APPROVAL USING A SECURED COMPANY WEBSITE WHICH IS PASSWORD PROTECTED. AFTER APPROVAL BY THE BOARD FINANCE COMMITTEE, THE FULL BOARD OF DIRECTORS IS PROVIDED A COPY OF THE RETURN IN A SIMILAR MANNER FOR THEIR REVIEW INDICATING THAT THE FINANCE COMMITTEE HAS REVIEWED AND APPROVED THE RETURN. HARD COPIES OF THE RETURN ARE MADE AVAILABLE AT THE REQUEST OF THE BOARD MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH YEAR AT THE ANNNUAL BOARD MEETING, THE BOARD MEMBERS ARE GIVEN A CONFLICT OF INTEREST STATEMENT. THEY ARE REQUIRED TO SIGN IT EACH YEAR, MAKING SURE THAT IF ANYTHING CHANGES, IT IS NOTED AT LEAST ANNUALLY. IN THE INTERIM, IF THERE ARE ANY CHANGES, THEY ARE ASKED TO REPORT THEM TO THE ASSISTANT TO THE CEO, WHO WILL THEN GIVE THEM A NEW STATEMENT TO SIGN. IF MEMBERS ARE NOT IN ATTENDANNCE AT THE ANNUAL BOARD MEETING, THE CONFLICT OF INTEREST STATEMENT IS MAILED TO THEM, AND FOLLOWED UP UPON BY THE ASSISTANT TO THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION OF THE CEO AND ALL OTHER KEY EMPLOYEES IS DETERMINED BASED ON AN INDEPENDENT STUDY DONE BY AN OUTSIDE CONSULTING FIRM. THIS STUDY AND RECOMMENDATIONS ARE THEN REVIEWED BY THE BOARD OF DIRECTORS AND SALARY ADJUSTMENTS, IF APPROPRIATE, ARE THEN APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION OF THE CEO AND ALL OTHER KEY EMPLOYEES IS DETERMINED BASED ON AN INDEPENDENT STUDY DONE BY AN OUTSIDE CONSULTING FIRM. THIS STUDY AND RECOMMENDATIONS ARE THEN REVIEWED BY THE BOARD OF DIRECTORS AND SALARY ADJUSTMENTS, IF APPROPRIATE, ARE THEN APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |