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← BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL

Form 990 for tax year 2024

Filed by BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL.

Totals

Total revenue
$6,236,787
Total expenses
$5,545,152
Contributions and grants received
$1,057,057
Grants paid
$3,877
Program service revenue
$5,179,730
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,876,222
Total liabilities, end of year
$532,795
Net assets or fund balances, end of year
$2,343,427
Program services expenses (Part IX)
$5,396,689
Management and general expenses
$148,463
Fundraising expenses
$0
Program service expenses (Part III)
$5,396,689

Program services were 97.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $57,057

  • 1e · Government grants (contributions)

    $1,000,000

  • 2a · Program service revenue: THERAPEUTIC SERVICES

    total $5,179,730 · related or exempt $5,179,730

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $3,877 · program services $3,877

  • 7 · Other salaries and wages

    total $2,731,032 · program services $2,731,032

  • 9 · Other employee benefits

    total $122,161 · program services $122,161

  • 10 · Payroll taxes

    total $210,154 · program services $210,154

  • 11b · Fees: legal

    total $65,034 · management and general $65,034

  • 11c · Fees: accounting

    total $33,476 · management and general $33,476

  • 11g · Fees: other

    total $1,674,671 · program services $1,674,671

  • 12 · Advertising and promotion

    total $2,850 · program services $2,850

  • 13 · Office expenses

    total $17,372 · program services $17,372

  • 14 · Information technology

    total $25,601 · program services $25,601

  • 16 · Occupancy

    total $274,201 · program services $274,201

  • 17 · Travel

    total $1,058 · program services $1,058

  • 19 · Conferences, conventions and meetings

    total $50 · program services $50

  • 22 · Depreciation, depletion and amortization

    total $56,448 · program services $56,448

  • 23 · Insurance

    total $49,953 · management and general $49,953

  • 24a · Other expenses: LICENSE AND FEES

    total $133,021 · program services $133,021 · management and general $0 · fundraising $0

  • 24b · Other expenses: EQUIP/FURNITURE PURCHAS

    total $68,106 · program services $68,106 · management and general $0 · fundraising $0

  • 24c · Other expenses: FOOD AND SUPPLIES

    total $53,998 · program services $53,998 · management and general $0 · fundraising $0

  • 24d · Other expenses: STAFF DEVELOPMENT FEES

    total $22,089 · program services $22,089 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $194,499 · end of year $969,526

  • 4 · Accounts receivable

    beginning of year $3,015,883 · end of year $1,652,720

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,296 · end of year $43,395

  • 15 · Other assets

    beginning of year $264,793 · end of year $210,581

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,614,210 · end of year $295,397

  • 25 · Other liabilities

    beginning of year $218,469 · end of year $237,398

  • 27 · Net assets without donor restrictions

    beginning of year $1,651,792 · end of year $2,343,427

Mission and programs · 2024

Mission

THE SOLE MISSION OF BLUESTONE IS TO PROVIDE CRITICAL MENTAL HEALTH SERVICES TO YOUTH IN CRISIS. ALL STAFF AND PROGRAMS ARE DESIGNED TO SUPPORT THAT MISSION. SERVICES WILL BE REIMBURSED, PRIMARILY, THROUGH BILLING PRIVATE INSURANCE AND MEDICAID, BUT BLUESTONE IS COMMITTED TO PROVIDING SERVICES TO PERSONS REGARDLESS OF THEIR ABILITY TO PAY OR TO SATISFY RELATED FINANCIAL OBLIGATIONS. CHARITY CARE WILL BE AVAILABLE, PER BLUESTONE'S FINANCIAL ASSISTANCE POLICY, FOR THOSE WHO ARE AT OR NEAR THE FEDERAL POVERTY LEVEL.

  • BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL, SHAKER HEIGHTS, OHIO, IS A 12-BED PSYCHIATRIC HOSPITAL DESIGNED TO CREATE CUTTING-EDGE CLINICAL CARE AND POSITIVE PATIENT EXPERIENCES FOR YOUTH IN CRISIS. BLUESTONE WAS DEVELOPED TO FILL A WIDENING GAP IN SERVICES FOR CHILDREN'S ACUTE MENTAL HEALTH NEEDS. THE 12-BED FACILITY, BUILT WITH A WIDE RANGE OF SAFETY FEATURES, IS SUPPORTED BY AN EQUALLY IMPRESSIVE TEAM OF PROFESSIONALS WHO UNDERSTAND THAT LONG-TERM SUCCESS OF THE YOUTH SERVED IS THE NUMBER ONE PRIORITY. THE MULTIDISCIPLINARY STAFF INCLUDES BOARD CERTIFIED CHILD AND ADOLESCENT PSYCHIATRISTS, PEDIATRICIANS, NURSES, SOCIAL WORKERS, RECREATIONAL THERAPISTS AND BEHAVIORAL HEALTH TECHNICIANS.AS A PEDIATRIC PSYCHIATRIC HOSPITAL, BLUESTONE HAS THE EXPERTISE TO SERVE CHILDREN AND YOUTH, AGES 6-17, WITH SOME OF THE MOST COMPLEX CHALLENGES SUCH AS TRAUMA AND SIGNIFICANT MENTAL HEALTH, EMOTIONAL AND BEHAVIORAL DISORDERS, INCLUDING CLIENTS WHO ARE DUALLY DIAGNOSED WITH AUTISM SPECTRUM DISORDER OR A SUBSTANCE USE DISORDER. ADMISSION IS AVAILABLE 24 HOURS A DAY, SEVEN (7) DAYS A WEEK, 365 DAYS PER YEAR DEPENDING ON BED AVAILABILITY AND A PSYCHIATRIST'S ORDER TO ADMISSION.

    Expenses $5,396,689 · Grants $3,877 · Revenue $5,179,730

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Adam Jacobs

    CHAIR/PRESIDENT (UNTIL 1/10/25)

    Total calculated
    $794,616
    From this org
    $0
    From related orgs
    $582,058
    Other
    $212,558
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,323 related
    Bonus
    $0
    Other
    $0 + $6,735 related
    Deferred
    $0 + $212,558 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $794,616 related

  • Jeff Lox

    CHAIR/PRESIDENT (AS OF 1/11/25)

    Total calculated
    $449,485
    From this org
    $0
    From related orgs
    $265,188
    Other
    $184,297
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $263,151 related
    Bonus
    $0
    Other
    $0 + $2,037 related
    Deferred
    $0 + $165,583 related
    Nontaxable benefits
    $0 + $18,714 related
    Filer's total
    $0 + $449,485 related

  • Racheal Fuller

    SECRETARY/DIRECTOR-AT-LARGE

    Total calculated
    $87,077
    From this org
    $0
    From related orgs
    $86,418
    Other
    $659
    Hours/week
    1 + 39 related

  • Scott Moore

    TREASURER/CFO/DIRECTOR-AT-LARGE

    Total calculated
    $277,450
    From this org
    $0
    From related orgs
    $251,005
    Other
    $26,445
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $250,420 related
    Bonus
    $0
    Other
    $0 + $585 related
    Deferred
    $0 + $26,445 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $277,450 related

  • 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
    $203,307
    From this org
    $0
    From related orgs
    $146,479
    Other
    $56,828
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $145,817 related
    Bonus
    $0
    Other
    $0 + $662 related
    Deferred
    $0 + $21,877 related
    Nontaxable benefits
    $0 + $34,951 related
    Filer's total
    $0 + $203,307 related

  • Leigh Hall

    DIR. OF RISK MGMT & GEN. COUNSEL

    Total calculated
    $358,875
    From this org
    $0
    From related orgs
    $220,615
    Other
    $138,260
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,718 related
    Bonus
    $0
    Other
    $0 + $897 related
    Deferred
    $0 + $103,309 related
    Nontaxable benefits
    $0 + $34,951 related
    Filer's total
    $0 + $358,875 related

  • Peter Corpus

    PSYCHIATRIST

    Total calculated
    $339,933
    From this org
    $339,803
    From related orgs
    $0
    Other
    $130
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $339,209
    Bonus
    $0
    Other
    $594
    Deferred
    $0
    Nontaxable benefits
    $130
    Filer's total
    $339,933

  • Diana Harrison

    CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $220,375
    From this org
    $0
    From related orgs
    $175,798
    Other
    $44,577
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,652 related
    Bonus
    $0
    Other
    $0 + $146 related
    Deferred
    $0 + $9,626 related
    Nontaxable benefits
    $0 + $34,951 related
    Filer's total
    $0 + $220,375 related

  • Beth Cohen Pollack

    CHIEF ADVANCEMENT OFFICER

    Total calculated
    $280,777
    From this org
    $0
    From related orgs
    $210,821
    Other
    $69,956
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,247 related
    Bonus
    $0
    Other
    $0 + $2,574 related
    Deferred
    $0 + $44,791 related
    Nontaxable benefits
    $0 + $25,165 related
    Filer's total
    $0 + $280,777 related

  • Christopher Clancy

    CHIEF INFORMATION OFFICER

    Total calculated
    $334,428
    From this org
    $0
    From related orgs
    $245,771
    Other
    $88,657
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,197 related
    Bonus
    $0
    Other
    $0 + $2,574 related
    Deferred
    $0 + $53,706 related
    Nontaxable benefits
    $0 + $34,951 related
    Filer's total
    $0 + $334,428 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, and on a Form 990-PF Part VIII's — 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 $50,600 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
2024
Filed
11 May 2026
IRS schema version
2024v5.5
Source object
202601329349300530

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

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