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← BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL

Form 990 for tax year 2023

Filed by BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL.

Totals

Total revenue
$8,064,781
Total expenses
$4,774,286
Contributions and grants received
$2,255,962
Grants paid
$4,353
Program services expenses (Part IX)
$4,600,787
Management and general expenses
$173,499
Fundraising expenses
$0
Program service expenses (Part III)
$4,600,787

Program services were 96.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ADAM JACOBS

    CHAIR/PRESIDENT

    Total calculated
    $710,800
    From this org
    $0
    From related orgs
    $572,334
    Other
    $138,466
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $561,219 related
    Bonus
    $0 + $3,723 related
    Other
    $0 + $7,392 related
    Deferred
    $0 + $138,466 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $710,800 related

  • SCOTT MOORE

    TREASURER/CFO/DIRECTOR-AT-LARGE

    Total calculated
    $260,751
    From this org
    $0
    From related orgs
    $238,454
    Other
    $22,297
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,253 related
    Bonus
    $0 + $2,616 related
    Other
    $0 + $585 related
    Deferred
    $0 + $22,297 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $260,751 related

  • RACHEAL FULLER

    SECRETARY/DIRECTOR-AT-LARGE

    Total calculated
    $80,774
    From this org
    $0
    From related orgs
    $80,152
    Other
    $622
    Hours/week
    1

  • ALLIE EFFRON

    DIRECTOR-AT-LARGE

    Total calculated
    $0
    Hours/week
    1

  • ANDREW HERTZ

    DIRECTOR-AT-LARGE

    Total calculated
    $0
    Hours/week
    1

  • MARCY SCHWARTZ

    DIRECTOR-AT-LARGE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SANDRA WULIGER

    DIRECTOR-AT-LARGE

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • PAM BUDAK

    EXECUTIVE DIRECTOR

    Total calculated
    $185,414
    From this org
    $0
    From related orgs
    $147,609
    Other
    $37,805
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $139,003 related
    Bonus
    $0 + $8,174 related
    Other
    $0 + $432 related
    Deferred
    $0 + $6,968 related
    Nontaxable benefits
    $0 + $30,837 related
    Filer's total
    $0 + $185,414 related

  • JEFF LOX

    EXECUTIVE DIRECTOR - BELLEFAIRE

    Total calculated
    $437,651
    From this org
    $0
    From related orgs
    $233,816
    Other
    $203,835
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $228,907 related
    Bonus
    $0 + $2,872 related
    Other
    $0 + $2,037 related
    Deferred
    $0 + $193,032 related
    Nontaxable benefits
    $0 + $10,803 related
    Filer's total
    $0 + $437,651 related

  • LEIGH HALL

    DIRECTOR OF RISK MANAGEMENT

    Total calculated
    $352,814
    From this org
    $0
    From related orgs
    $212,997
    Other
    $139,817
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $209,648 related
    Bonus
    $0 + $2,452 related
    Other
    $0 + $897 related
    Deferred
    $0 + $108,980 related
    Nontaxable benefits
    $0 + $30,837 related
    Filer's total
    $0 + $352,814 related

  • PETER CORPUS

    PSYCHIATRIST

    Total calculated
    $316,564
    From this org
    $316,435
    From related orgs
    $0
    Other
    $129
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $315,890
    Bonus
    $0
    Other
    $545
    Deferred
    $0
    Nontaxable benefits
    $129
    Filer's total
    $316,564

  • BETH COHEN POLLACK

    DIRECTOR OF ORGANIZATIONAL ADVANCE

    Total calculated
    $296,888
    From this org
    $0
    From related orgs
    $202,087
    Other
    $94,801
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $197,302 related
    Bonus
    $0 + $2,211 related
    Other
    $0 + $2,574 related
    Deferred
    $0 + $71,466 related
    Nontaxable benefits
    $0 + $23,335 related
    Filer's total
    $0 + $296,888 related

  • CHRISTOPHER CLANCY

    CHIEF INFORMATION OFFICER

    Total calculated
    $290,795
    From this org
    $0
    From related orgs
    $234,142
    Other
    $56,653
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $230,518 related
    Bonus
    $0 + $2,672 related
    Other
    $0 + $952 related
    Deferred
    $0 + $24,244 related
    Nontaxable benefits
    $0 + $32,409 related
    Filer's total
    $0 + $290,795 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CHAIR/PRESIDENT AND TREASURER/CFO/DIRECTOR-AT-LARGE AND EXECUTIVE DIRECTOR OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL ARE PAID THROUGH WINGSPAN CARE GROUP, THE PARENT COMPANY. THE CHAIR'S COMPENSATION IS ESTABLISHED AND APPROVED BY THE BOARD OF WINGSPAN CARE GROUP AS PART OF THE OVERALL BUDGET APPROVAL PROCESS, WITH THE PROPORTIONAL SHARE CHARGED TO BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL.
PART I, LINE 4B
ADAM JACOBS ACCRUED DEFERRED COMPENSATION OF $50,162 FOR SUPPLEMENTAL NON-QUALIFIED 457 PLANS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
7 May 2025
IRS schema version
2023v6.0
Source object
202501289349302275

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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