Nonprofit · EIN 83-4569993
BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL
Tax-exempt · UNIVERSITY HT, OH 44118
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $6,236,787 | $5,545,152 | $691,635 | $2,876,222 | $532,795 | $2,343,427 |
| June 30, 2024 | 990 | $8,064,781 | $4,774,286 | $3,290,495 | $3,484,471 | $1,832,679 | $1,651,792 |
| June 30, 2023 | 990 | $2,409,902 | $3,828,856 | -$1,418,954 | $551,752 | $2,190,455 | -$1,638,703 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $1,057,057
- of which government grants
- $1,000,000
- Program service revenue
- $5,179,730
- Investment income
- $0
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $3,877
- Other salaries and wages
- $2,731,032
- Salaries, compensation and benefits (total)
- $3,063,347
- Professional fundraising fees
- $0
- Legal fees
- $65,034
- Accounting fees
- $33,476
- Occupancy
- $274,201
- Travel
- $1,058
- Depreciation
- $56,448
- Program services (functional)
- $5,396,689
- Management and general (functional)
- $148,463
Balance sheet and other
- Total assets, start of year
- $3,484,471
- Total assets, end of year
- $2,876,222
- Total liabilities, end of year
- $532,795
- Net assets, end of year
- $2,343,427
- Net assets without donor restrictions
- $2,343,427
- Gross receipts
- $6,236,787
- Employees
- 66
- Volunteers
- 4
- Year formed
- 2019
- State of legal domicile
- OH
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ADAM JACOBS | CHAIR/PRESIDENT (UNTIL 1/10/25) Trustee or director, Officer | 1 | $0 | $582,058 | $212,558 |
| JEFF LOX | CHAIR/PRESIDENT (AS OF 1/11/25) Trustee or director, Officer | 1 | $0 | $265,188 | $184,297 |
| LEIGH HALL | DIR. OF RISK MGMT & GEN. COUNSEL Highest-paid employee | 1 | $0 | $220,615 | $138,260 |
| PETER CORPUS | PSYCHIATRIST Highest-paid employee | 40 | $339,803 | $0 | $130 |
| CHRISTOPHER CLANCY | CHIEF INFORMATION OFFICER Highest-paid employee | 1 | $0 | $245,771 | $88,657 |
| BETH COHEN POLLACK | CHIEF ADVANCEMENT OFFICER Highest-paid employee | 1 | $0 | $210,821 | $69,956 |
| SCOTT MOORE | TREASURER/CFO/DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $251,005 | $26,445 |
| DIANA HARRISON | CHIEF HUMAN RESOURCES OFFICER Highest-paid employee | 1 | $0 | $175,798 | $44,577 |
| PAM BUDAK | EXECUTIVE DIRECTOR Officer | 40 | $0 | $146,479 | $56,828 |
| RACHEAL FULLER | SECRETARY/DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $86,418 | $659 |
| ALLIE EFFRON | DIRECTOR-AT-LARGE Trustee or director | 1 | $0 | $0 | $0 |
| ANDREW HERTZ | DIRECTOR-AT-LARGE Trustee or director | 1 | $0 | $0 | $0 |
| MARCY SCHWARTZ | DIRECTOR-AT-LARGE Trustee or director | 1 | $0 | $0 | $0 |
| SANDRA WULIGER | DIRECTOR-AT-LARGE Trustee or director | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2024: 13 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ADAM JACOBS | CHAIR/PRESIDENT Trustee or director, Officer | 1 | $0 | $572,334 | $138,466 |
| JEFF LOX | EXECUTIVE DIRECTOR - BELLEFAIRE Highest-paid employee | 1 | $0 | $233,816 | $203,835 |
| LEIGH HALL | DIRECTOR OF RISK MANAGEMENT Highest-paid employee | 1 | $0 | $212,997 | $139,817 |
| PETER CORPUS | PSYCHIATRIST Highest-paid employee | 40 | $316,435 | $0 | $129 |
| BETH COHEN POLLACK | DIRECTOR OF ORGANIZATIONAL ADVANCE Highest-paid employee | 1 | $0 | $202,087 | $94,801 |
| CHRISTOPHER CLANCY | CHIEF INFORMATION OFFICER Highest-paid employee | 1 | $0 | $234,142 | $56,653 |
| SCOTT MOORE | TREASURER/CFO/DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $238,454 | $22,297 |
| PAM BUDAK | EXECUTIVE DIRECTOR Officer | 40 | $0 | $147,609 | $37,805 |
| RACHEAL FULLER | SECRETARY/DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $80,152 | $622 |
| ALLIE EFFRON | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| ANDREW HERTZ | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MARCY SCHWARTZ | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| SANDRA WULIGER | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 12 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ADAM JACOBS | CHAIR/PRESIDENT Trustee or director, Officer | 1 | $0 | $779,282 | $179,990 |
| JEFF LOX | COO - BELLEFAIRE Highest-paid employee | 1 | $0 | $218,835 | $107,668 |
| LEIGH HALL | DIRECTOR OF RISK MANAGEMENT Highest-paid employee | 1 | $0 | $203,739 | $114,591 |
| PETER CORPUS | PSYCHIATRIST Highest-paid employee | 40 | $286,762 | $0 | $60 |
| CHRISTOPHER CLANCY | CIO Highest-paid employee | 1 | $0 | $226,885 | $53,984 |
| BETH COHEN POLLACK | DIRECTOR ORGANIZATIONAL ADVANCEMENT Highest-paid employee | 1 | $0 | $190,648 | $69,260 |
| SCOTT MOORE | TREASURER/CFO/DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $227,205 | $21,107 |
| KELLI MICHAUD | EXECUTIVE DIRECTOR UNTIL 7/22/22 Officer | 40 | $0 | $149,079 | $31,112 |
| SHANNON SEIFREIT | SECRETARY/DIR.-AT-LARGE UNTIL 2/2023 Trustee or director, Officer | 1 | $0 | $84,650 | $0 |
| ANDREW HERTZ | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MARCY SCHWARTZ | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| SANDRA WULIGER | DIRECTOR-AT-LARGE Trustee or director, Officer | 1 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 2575 S BELVOIR BLVD, UNIVERSITY HT, OH 44118-4621
- Mailing address (990-N for 2019)
- 22001 FAIRMOUNT BLVD, SHAKER HTS OH 44118
- Principal officer (990 for 2024)
- JEFFREY LOX, 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118
- Principal officer (990-N for 2019)
- ADAM JACOBS, 22001 FAIRMOUNT BLVD, SHAKER HTS OH 44118
- Signed the 990
- JEFFREY LOX, PRESIDENT
- Phone
- (216) 932-2800
- Website
- WWW.BLUESTONE.ORG
- Return prepared by
- RSM US LLP
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.
Program accomplishments
- 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
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 83-4569993
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2022
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Mental health and crisis intervention (F31)
- Assets (IRS master file)
- $2,876,222
- Income (IRS master file)
- $6,236,787
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $6,236,787 | $5,545,152 | $2,876,222 | IRS |
| 990 | June 2024 | $8,064,781 | $4,774,286 | $3,484,471 | IRS |
| 990 | June 2023 | $2,409,902 | $3,828,856 | $551,752 | XML |
| 990 | June 2022 | $1,726,696 | $1,976,971 | $640,632 | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990-N for 2019 Officer: ADAM JACOBS | June 30, 2020 | ≤ $50,000 receipts | – | – | e-Postcard |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 83-4569993).
Questions about BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL
- What is the EIN of BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL?
- The employer identification number (EIN) of BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL is 83-4569993.
- Is BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2022.
- Are donations to BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL?
- The 990 for the year ended June 30, 2025 names JEFFREY LOX.
- Who are the officers and directors of BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL?
- The 990 for the year ended June 30, 2025 lists 14 people; 1 received compensation from the organization.
- How much revenue does BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $6,236,787, expenses of $5,545,152 and total assets of $2,876,222 at year end.
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All nonprofits in UNIVERSITY HT · Ohio · Mental health and crisis intervention