Open Path Psychotherapy Collective

Nonprofit profile at a glance

EIN
471657042
IRS 990 coverage
2016–2025
Forms available
Form 990 2025, Form 990-EZ 2015
Location
Asheville, NC, USA
Phone
8002682833
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Reported finances

Revenue
$1,896,110
Expenses
$1,717,932
Assets
$2,882,538
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

5 people listed

Executive titles in this filing

  • Paul Fugelsang (Executive Director)
  • Patricia Ortiz (President)
  • Amy Durso (Vice President)

Highest reported compensation

  • Paul Fugelsang (Executive Director): $285,369 total reported compensation
  • Lisa Isenhart (Deputy Director): $210,061 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Open Path provides people in need with access to transformative and affordable mental and holistic health care. We envision a just, compassionate world where all people can easily access the care they need to thrive. In partnership with licensed mental health clinicians in private practice throughout the fifty states and Canada, Open Path provides middle and lower-income level clients with access to affordable mental health care.

What it reported doing in 2025

In 2025 Open Path expanded its affordable psychotherapy initiative, its affordable mental health education program, and Being Seen, an initiative designed to help insurance-based and full-fee clients access to reputable therapists in their communities. . Open Path student intern program remaine successful. This program enables graduate student interns to work with clients in need of reduced-rate, $30 sessions. Throughout 2025, over 1,300 student interns joined as therapists and over 2,400 clients signed up to work with a student intern. . By the end of 2025, Open Path had increased its therapist numbers to over 38,000 in all 50 states and Canada and was connecting an average of 1,800 new clients a month. Open Path connected over 21,000 total clients with affordable therapy in 2025.

Operating model

Revenue model
Earned-program. 95% 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 fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 65
  • Accountability: 84
  • Sustainability: 55
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69.9%; rating input score 70
  • Program expense ratio: 80.6%; rating input score 81
  • Fundraising efficiency: $0.82 raised per $1 spent on fundraising; rating input score 3; 3rd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd 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: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 5 of 8 controls in place; rating input score 62
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 9.4%; rating input score 55; 55th percentile among comparable filings
  • Total-asset coverage ratio: 1.68; rating input score 59; 59th percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 88; 88th percentile among comparable filings
  • Officer compensation ratio: 28.8%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 20.4% per year; rating input score 100; 80th percentile among comparable filings
  • Revenue growth: 17.7% per year; rating input score 100; 79th percentile among comparable filings
  • Asset growth: 23.3% per year; rating input score 100; 83rd percentile among comparable filings

Details

  • Where the money goes: 69.9% of revenue deployed · 80.6% of spending went to programs
  • Governance: 3 of 3 board members independent · 5 of 8 filing controls reported
  • Programs: 2 filed program accomplishments · $1.4M in reported program spending
  • Leadership: top reported pay $285K · 5 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $131K reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 10 filing years from 2016 to 2025
  • Contacts: How to reach this organization
  • Money network: 3 filed money-flow records
  • 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.
  • High — Financial Efficiency: Fundraising efficiency scored 3/100.
  • Review — Accountability: Governance controls: 2 of 7 not reported.
  • Review — Sustainability: Operating margin scored 55/100.
  • Review — Sustainability: Total-asset coverage ratio scored 59/100.
  • High — Sustainability: Officer compensation ratio scored 8/100.