Bluestone Child and Adolescent Psychiatric Hospital

Nonprofit profile at a glance

EIN
834569993
IRS 990 coverage
2020–2024
Forms available
Form 990 2024, Form 990-N 2019
Location
Shaker Heights, OH, USA
Phone
2169322800
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Psychiatric Hospitals

Official website

Reported finances

Revenue
$6,236,787
Expenses
$5,545,152
Assets
$2,876,222
Liabilities
$532,795

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

14 people listed

Executive titles in this filing

  • ADAM JACOBS (CHAIR/PRESIDENT (UNTIL 1/10/25))
  • JEFF LOX (CHAIR/PRESIDENT (AS OF 1/11/25))
  • PAM BUDAK (EXECUTIVE DIRECTOR)

Highest reported compensation

  • ADAM JACOBS (CHAIR/PRESIDENT (UNTIL 1/10/25)): $794,616 total reported compensation
  • JEFF LOX (CHAIR/PRESIDENT (AS OF 1/11/25)): $449,485 total reported compensation
  • LEIGH HALL (DIR. OF RISK MGMT & GEN. COUNSEL): $358,875 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

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.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 83% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 64
  • Accountability: 61
  • Sustainability: 42
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.5%; rating input score 87
  • Program expense ratio: 97.3%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 5th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 57.1%; rating input score 57; 9th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 11.1%; rating input score 64; 64th percentile among comparable filings
  • Total-asset coverage ratio: 0.52; rating input score 18; 18th percentile among comparable filings
  • Liabilities to assets ratio: 0.19; rating input score 46; 46th percentile among comparable filings
  • Officer compensation ratio: 21%; rating input score 11; 11th percentile among comparable filings

Growth

  • Program expense growth: 39.1% per year; rating input score 100; 95th percentile among comparable filings
  • Revenue growth: 47% per year; rating input score 100; 97th percentile among comparable filings
  • Asset growth: 43.7% per year; rating input score 100; 97th percentile among comparable filings

Details

  • Where the money goes: 86.5% of revenue deployed · 97.3% of spending went to programs
  • Governance: 4 of 7 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $5.4M in reported program spending
  • Leadership: top reported pay $795K · 14 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $122K reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 5 filing years from 2020 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 5 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 57/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 18/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 11/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 46/100.