2024-11-14T07:41:40-06:00 2023-12-31 341912961 COHEN & COMPANY LTD OFFICES LISTED AT WWWCOHENCPACOM OH 44115 990 2023-01-01 341751703 SIGNATURE HEALTH INC SIGN 4405788200 7232 JUSTIN WAY MENTOR OH 44060 JONATHAN LEE PRESIDENT & CEO 4409539999 2024-11-11 1 1 PARGAT SINGH P02184330 8002291099 2024-11-11 2023 2024-10-15 13:58:12Z X JONATHAN LEE 7232 JUSTIN WAY MENTOR OH 44060 132362432 0 X WWW.SIGNATUREHEALTHINC.ORG X 2016 OH PROVIDE CLIENTS INNOVATIVE AND COMPREHENSIVE RECOVERY SERVICES IN A SUPPORTIVE ENVIRONMENT. 14 14 1291 14 0 0 8533354 7931288 50725947 57838149 295928 628759 32786578 33685182 92341807 100083378 0 10000 0 0 63010207 76477684 0 0 0 17877963 20004057 80888170 96491741 11453637 3591637 62648887 72237416 22817589 28061292 39831298 44176124 SIGNATURE HEALTH, INC. IS A COMMUNITY-BASED AGENCY PROVIDING PRIMARY MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ADULTS, ADOLESCENTS, CHILDREN AND FAMILIES. WE UNDERSTAND THE MIND-BODY CONNECTION AND THE IMPORTANCE OF TREATING THEM BOTH. 0 0 73273569 10000 91708173 SIGNATURE HEALTH PROVIDED A FULL RANGE OF HEALTH SERVICES TO OVER 34,000 PATIENTS IN 2023. SIGNATURE IS THE LEADER IN NE OHIO IN PROVIDING MEDICATION ASSISTED TREATMENT IN RESPONSE TO THE OPIATE CRISIS IN THE STATE. IN ADDITION, OUR CONTINUUM OF CARE INCLUDES 5 PHARMACIES IN OUR MAJOR OFFICE LOCATIONS WHICH FILLED CRITICAL MEDICATIONS FOR OUR PATIENTS. RESIDENTIAL SERVICES WERE PROVIDED TO THOSE WITH SUBSTANCE USE DISORDERS, CHILDREN WITH BEHAVIORAL HEALTH NEEDS AND ADULT MALES WITH EITHER A MENTAL HEALTH DIAGNOSIS OR A DUAL DIAGNOSIS. 73273569 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 1 1 0 0 0 0 0 1 1 1 1 0 0 1 72 0 1291 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X JONATHAN LEE 4409539999 7232 JUSTIN WAY MENTOR OH 44060 PAULA ANZLOVAR CHAIRWOMAN 2.00 X X 0 0 0 PAUL BRICKMAN - DECEASED 52023 VICE CHAIRMAN 2.00 X X 17500 0 0 CHARLES STRAWBRIDGE TREASURER 2.00 X X 0 0 0 GIOVANNI DILALLA SECRETARY 1.00 X X 0 0 0 EARL TUCKER DIRECTOR 1.00 X 0 0 0 GEORGIA BRICKMAN DIRECTOR 1.00 X 0 0 0 GREGORY WALKER DIRECTOR 1.00 X 0 0 0 HEATHER BRISSETT DIRECTOR 1.00 X 0 0 0 JENNIFER SAMPLE DIRECTOR 1.00 X 0 0 0 JOSEPHINE JONES DIRECTOR 1.00 X 0 0 0 KELLY FARRELL DIRECTOR 1.00 X 0 0 0 MARK CASTELL DIRECTOR 1.00 X 0 0 0 MICHELLE ECHEVARRIA DIRECTOR 1.00 X 0 0 0 PAUL FULLER DIRECTOR 1.00 X 0 0 0 STEPHANIE MALBASA ESQ DIRECTOR 1.00 X 0 0 0 JONATHAN LEE PRESIDENT & CEO 40.00 X 462777 0 40011 LIBBIE STANSIFER CHIEF CLINICAL OFFICER 40.00 X 383271 0 25051 ANN MASON CHIEF INNOVATION OFFICER 40.00 X 238756 0 13438 SHANNON MAJORAS CHIEF ADMINISTRATIVE OFFIC 40.00 X 235674 0 26727 INDRANI EGLESTON CHIEF FINANCIAL OFFICER 40.00 X 255175 0 23959 TODD WAGNER MEDICAL DIRECTOR, PRIMARY 40.00 X 291394 0 31987 FARAH MUNIR MEDICAL DIRECTOR, PSYCHIATRY 40.00 X 315265 0 31810 MICHAEL MAGIERA PSYCHIATRIST 40.00 X 236127 0 26746 JANIA AMIN PSYCHIATRIST 40.00 X 236740 0 22500 CAROL CHAN PSYCHIATRIST 40.00 X 234692 0 22500 PHILIP AJLOUNY PHYSICIAN FAMILY MEDICINE 40.00 X 275131 0 23938 3182502 0 288667 102 0 1 0 MADHURI MEDARAMETLA MD 21100 SOUTHGATE PARK BLVD MAPLE HEIGHTS OH 44137 PSYCHIATRY 300465 PATRICIA KREWSON 31918 WALKER ROAD AVON LAKE OH 44012 LEGAL CONSULTANT 163000 MICHAEL PRIMC MD 4726 MAIN AVE ASHTABULA OH 44004 PSYCHIATRY 135732 3 54774 3949780 3926734 7931288 OUTPATIENT SERVICES 621400 55727838 55727838 LAB SERVICES 621500 1799000 1799000 RESIDENTIAL SERVICES 623990 311311 311311 57838149 462202 462202 348434 181877 166557 166557 166557 27224 54774 45509 -18285 -18285 63723763 32051668 31672095 31672095 MISCELLANEOUS 900099 2031372 2031372 2031372 100083378 91708173 0 443917 10000 10000 2028220 1469785 558435 59328312 42993288 16335024 1270525 920708 349817 9189419 6659272 2530147 4661208 3377825 1283383 20444 17551 2893 81575 70032 11543 25623 25623 1939647 1665174 274473 379934 366509 13425 2434836 2255121 179715 4708577 3545587 1162990 5320124 5226979 93145 915098 840933 74165 395253 363219 32034 317887 295069 22818 1828612 1575952 252660 255473 247306 8167 CLIENT EXPENSES 1302480 1301127 1353 DUES AND FEES 78494 72132 6362 96491741 73273569 23218172 0 7841125 10251978 836914 1003159 9848936 9973150 623641 356356 3770977 3770977 2941997 3695845 1066640 1990892 27902752 2733194 13272926 25169558 10811449 10198687 835395 835395 10798887 4991419 62648887 72237416 10258357 10782115 5636579 17279177 6922653 0 22817589 28061292 X 39831298 44176124 39831298 44176124 62648887 72237416 3591637 753189 0 X X 0 1 X 1 1 1 X 3605940 6740023 8840134 8533354 7931288 35650739 74777209 81815974 84347839 104294443 123759841 468995306 78383149 88555997 93187973 112827797 131691129 504646045 0 0 0 504646045 13215 24931 156244 295928 462202 952520 13215 24931 156244 295928 462202 952520 3078 3078 147398 1733714 668853 2549965 78543762 90314642 94013070 113126803 132153331 508151608 0.99310 0.99220 0.00190 0.00110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 147,398. 2020 AMOUNT: $ 600,551. 2021 AMOUNT: $ 668,853. BWC REFUNDS - 2020 AMOUNT: $ 1,133,163. 3058783 3058783 11535179 86693 11448486 2235503 1223771 1011732 2120511 1190920 929591 8952776 231810 8720966 25169558 SHORT TERM INVESTMENT 82534 C CHARLES SCHWAB INVESTMENTS 10116153 C 10198687 X PART X, LINE 2: THE ORGANIZATION RECOGNIZES AND DISCLOSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH GAAP. AS OF AND FOR THE PERIOD ENDED DECEMBER 31, 2023, THE ORGANIZATION DID NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. DANCING UNDER THE STARS 63643 36419 27224 306 500 22495 2950 19258 PAUL BRICKMAN MEMORIAL 18355 18355 81998 54774 27224 306 500 22495 2950 19258 45509 -18285 1 AMERICAN HEART ASSOCIATION PO BOX 4002902 DES MOINES IA 503402902 135613797 501(C)(3) 10000 0 CASH PLEDGE- GENERAL OPERATIONS 1 X X X X 0 0 0 0 0 0 0 0 0 JONATHAN LEE PRESIDENT & CEO 455577 0 0 0 7200 0 30000 0 10011 0 502788 0 0 0 LIBBIE STANSIFER CHIEF CLINICAL OFFICER 383271 0 0 0 0 0 22500 0 2551 0 408322 0 0 0 FARAH MUNIR MEDICAL DIRECTOR, PSYCHIATRY 315265 0 0 0 0 0 22500 0 9310 0 347075 0 0 0 TODD WAGNER MEDICAL DIRECTOR, PRIMARY 291394 0 0 0 0 0 22500 0 9487 0 323381 0 0 0 PHILIP AJLOUNY PHYSICIAN FAMILY MEDICINE 235131 0 0 0 40000 0 15055 0 8883 0 299069 0 0 0 INDRANI EGLESTON CHIEF FINANCIAL OFFICER 218000 0 0 0 37175 0 17161 0 6798 0 279134 0 0 0 MICHAEL MAGIERA PSYCHIATRIST 236127 0 0 0 0 0 22500 0 4246 0 262873 0 0 0 SHANNON MAJORAS CHIEF ADMINISTRATIVE OFFIC 235674 0 0 0 0 0 22500 0 4227 0 262401 0 0 0 JANIA AMIN PSYCHIATRIST 236740 0 0 0 0 0 22500 0 0 0 259240 0 0 0 CAROL CHAN PSYCHIATRIST 234692 0 0 0 0 0 22500 0 0 0 257192 0 0 0 ANN MASON CHIEF INNOVATION OFFICER 236936 0 0 0 1820 0 9550 0 3888 0 252194 0 0 0 SIGNATURE HEALTH RE HOLDINGS INC WHOLLY OWNED SUBSIDIARY INTERCOMPANY RECEIVABLE X 1184578 199088 0 0 0 SIGNATURE HEALTH ASHTABULA NMTC INC WHOLLY OWNED SUBSIDIARY INTERCOMPANY RECEIVABLE X 157268 157268 0 0 0 356356 PAUL BRICKMAN VICE CHAIRMAN OF THE ORGANIZATION 17500 MARKETING/INTEREST 0 JESSICA LEE CEO SPOUSE 129600 REVENUE AND BILLING COMPLIANCE 0 PATRICIA KREWSON FORMER CHIEF OF HR 184500 LEGAL CONSULTATION 0 FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS PAUL AND GEORGIA BRICKMAN HAD A FAMILY RELATIONSHIP. PAUL IS DECEASED AS OF MAY 2023. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE 990 ARE DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO THE DUE DATE OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MUST FILL OUT A DISCLOSURE FORM EVERY YEAR AND THE CHIEF COMPLIANCE OFFICER MONITORS PURCHASING TO ASSURE THAT ANY POTENTIAL CONFLICTS ARE BROUGHT BEFORE THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS SETS THE SALARY OF THE CEO AFTER REVIEWING DATA FROM SALARY SURVEYS AND THE 990 TAX RETURNS FROM OTHER SIMILARLY SIZED ORGANIZATIONS IN THE STATE/REGION. THE CEO'S COMPENSATION IS OUTLINED IN THE CEO'S EMPLOYMENT AGREEMENT WHICH WAS APPROVED BY THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS. OTHER EMPLOYEES HAVE THEIR SALARY SET, WITHIN THE BOARD APPROVED BUDGETS, BY THE CEO AFTER REVIEW OF SALARY SURVEYS AND 990 TAX RETURNS OF SIMILARLY SIZED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THIS INFORMATION IS CURRENTLY AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO PROCESS HAS CHANGED IN CURRENT YEAR. SIGNATURE HEALTH SECURITY LLC 7232 JUSTIN WAY MENTOR OH 44060 SECURITY OH FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO 54 S STATE ST STE 203 PLAINSVILLE OH 44077 237061724 FAMILY PLANNING SERVICES OH 501(C)(3) 0 NORTH EAST OHIO HEALTH SERVICES 7232 JUSTIN WAY MENTOR OH 44060 341140997 BEHAVIORAL HEALTH CARE OH 501(C)(3) 0 SIGNATURE HEALTH RE HOLDINGS INC 7232 JUSTIN WAY MENTOR OH 44060 851495841 TITLE HOLDING COMPANY OH 501(C)(2) SIGNATURE HEALTH INC 1 SIGNATURE HEALTH ASHTABULA NMTC INC 7232 JUSTIN WAY MENTOR OH 44060 932322799 TITLE HOLDING COMPANY OH 501(C)(2) SIGNATURE HEALTH INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 SIGNATURE HEALTH RE HOLDINGS INC K 117432 RENT AGREEMENT SIGNATURE HEALTH RE HOLDINGS INC O 0 SEE SUPPLEMENTAL INFORMATION SIGNATURE HEALTH ASHTABULA NMTC INC O 0 SEE SUPPLEMENTAL INFORMATION SCHEDULE R, PART V, LINE 2 SIGNATURE HEALTH AND SIGNATURE HEALTH RE HOLDINGS, INC SHARE THEIR PAID EMPLOYEES. EXPENSES ARE PAID AND REIMBURSED AMONG THE ENTITIES THROUGHOUT THE YEAR. SCHEDULE R, PART V, LINE 2 SIGNATURE HEALTH AND SIGNATURE HEALTH ASHTABULA NMTC, INC SHARE THEIR PAID EMPLOYEES. EXPENSES ARE PAID AND REIMBURSED AMONG THE ENTITIES THROUGHOUT THE YEAR.