2023-05-12T15:49:46-05:00 2022-06-30 363168081 SIKICH LLP 274 WHITE POND DRIVE AKRON OH 443201118 990 2021-07-01 341096055 PORTAGE PATH BEHAVIORAL HEALTH PORT 3302533100 340 S BROADWAY STREET AKRON OH 44308 TRACY D YAEGER PHD PRESIDENT 3302533100 2023-05-08 1 TRACY YAEGER PHD 999009999 BRIDGETTE MUGGE P00671418 3308646661 2023-05-06 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TRACY D YAEGER PHD 340 S BROADWAY STREET AKRON OH 44308 14616627 0 X WWW.PORTAGEPATH.ORG X 1968 OH THE AGENCY PROVIDES MENTAL HEALTH SERVICES FOR ADULTS IN SUMMIT COUNTY, OHIO. 13 13 204 15 0 0 2646847 2003735 11353469 12496421 459 927 155664 59225 14156439 14560308 56529 59489 0 0 9930450 9213182 0 0 0 2901983 4406337 12888962 13679008 1267477 881300 4494730 5312257 2567372 2503600 1927358 2808657 X THE AGENCY PROVIDES MENTAL HEALTH SERVICES FOR ADULTS IN SUMMIT COUNTY, OHIO. THE AGENCY HELPS ADULTS WORK THROUGH AND COPE WITH BEHAVIORAL AND EMOTIONAL PROBLEMS USING THERAPY, GROUP PROGRAMS, AND MEDICATION WHEN NECESSARY. 0 0 4498942 59489 12565240 PHARMACOLOGICAL MANAGEMENT - CLIENTS WITH NEED FOR PSYCHOTROPIC MEDICATIONS AND MONITORING OF ONGOING MEDICAL CARE TO MAINTAIN STABILITY AND SYMPTOM IMPROVEMENT. DUE TO COVID-19 TRANSITION TO TELEHEALTH REMAINED A CONSIDERABLY PORTION OF OUR SERVICE OFFERING 8,670 CLIENTS SERVED. 2727102 RESIDENTIAL TREATMENT - A SHORT-TERM RESIDENTIAL ENVIRONMENT WHERE CLIENTS ARE MONITORED AND TREATED FOR UP TO 14 DAYS TO MANAGE THE CRISIS IN THE MOST EFFECTIVE MANNER. 173 CLIENTS SERVED 1705547 INDIVIDUAL PSYCHOTHERAPY (COUNSELING) - CLIENT AND FAMILY THERAPY UTILIZING A VARIETY OF TREATMENT MODALITIES AND APPROACHES TO PROVIDE CLIENTS WITH MAXIMUM TREATMENT BENEFIT. THERAPY SESSIONS FOCUS ON URGENT CRISIS ORIENTED CLIENT PROBLEMS AND SITUATIONS. 4621 CLIENTS SERVED 1197422 CRISIS INTERVENTION, DIAGNOSTIC ASSESSMENTS, GROUP COUNSELING, A CALL-IN HOTLINE, PEER SUPPORT, CPST, PSYCH TESTING, AND OTHER ACNILLARY SERVICES 2412322 OTHER PROGRAMS INCLUDE CRISIS INTERVENTION, DIAGNOSTIC ASSESSMENTS, GROUP COUNSELING, A CALL-IN HOTLINE, AND OTHER ACNILLARY SERVICES. 3,925 CLIENTS SERVED. 3609744 12541335 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 4 0 204 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X TRACY YAEGER PRESIDENT 3302533100 340 S BROADWAY STAKRON OH 443081529 DIANE GILGER VICE CHAIRMAN 1.00 X X 0 0 0 JOHN ZOILO CHAIRMAN 1.00 X X 0 0 0 CARLA L CHAPMAN TREASURER 1.00 X X 0 0 0 LINDA SUBICH PHD SECRETARY 1.00 X X 0 0 0 RALPH WILLIAM MCCUE MD TRUSTEE 1.00 X 0 0 0 HEATHER BARNES TRUSTEE 1.00 X 0 0 0 ROBERT COOPER TRUSTEE 1.00 X 0 0 0 MICHAEL THOMAS TRUSTEE 1.00 X 0 0 0 SANDRA DICKSON TRUSTEE 1.00 X 0 0 0 CHRISTOPHER ECK TRUSTEE 1.00 X 0 0 0 ANNE MERCHANT TRUSTEE 1.00 X 0 0 0 KIM BUSH TRUSTEE 1.00 X 0 0 0 RHONDA MALLARD TRUSTEE 1.00 X 0 0 0 TRACY YAEGER PHD PRESIDENT 40.00 X 170458 0 15679 PHILLIP HEISLMAN SENIOR VP/CFO 40.00 X 130936 0 31385 SEAN BLAKE VP OF OUTPATIENT CLINICAL OPERATIONS 24.00 X 93687 0 12656 GABRIELA FEIER MD MD 24.00 X 345054 0 51057 MARILENA ACHIM MD MD 40.00 X 349686 0 41523 CAROL LEWIS MD MD 40.00 X 142315 0 18551 YUAN-HUA THAKORE MD MD 40.00 X 157937 0 13287 MICHAEL KESSELRING PMHNP-BC PMHNP-BC 37.00 3.00 X 118485 0 24079 1508558 0 208217 11 0 1 0 AMERICAN MEDICAL PERSONNEL 1428 EDISON ST NW HARTVILLE OH 44632 TEMP STAFFING 614376 ATNET PLUS 1000 CAMPUS DR 700 STOW OH 44224 IT 179350 JEFFREY MOORE MD 4826 RANCHWOOD RD AKRON OH 44333 MEDICAL DIRECTOR 110541 NETSMART TECHNOLOGIES PO BOX 713519 PHILADELPHIA PA 19171 IT 103054 4 118580 376171 510487 998497 59489 2003735 FEES FROM GOVERNMENTAL 621400 6679131 6679131 MEDICARE/MEDICAID PAYMENTS 621400 4562194 4562194 PATIENT FEES 621400 1255096 1255096 12496421 461 461 466 0 466 466 466 46725 376171 56319 -9594 -9594 MISCELLANEOUS INCOME 900099 68819 68819 68819 14560308 12565240 0 -8667 X 59489 59489 465239 418960 46279 6867145 6167983 699162 284103 260358 23745 1048804 961146 87658 547891 493982 53909 8408 7741 667 35000 32223 2777 2152859 2084540 68319 131143 120243 10900 444851 409559 35292 196589 178896 17693 102747 101261 1486 94242 92385 1857 224068 203902 20166 247938 228268 19670 MISCELLANEOUS 302236 281065 21171 REPAIRS/MAINTENANCE/FUR 230818 215414 15404 SUPPLIES 205800 195317 10483 MEDICINE AND PERSONAL H 16588 16588 13050 12015 1035 13679008 12541335 1137673 0 694 695 1018611 1298880 1067327 1682245 147549 145680 4637166 2466739 2246219 2170427 14330 14330 4494730 5312257 1044684 1098965 1522688 1404635 2567372 2503600 X 1771477 2488926 155881 319731 1927358 2808657 4494730 5312257 881300 0 X 0 1 X 1 0 X 246442 59237 353904 2646847 2003735 5310165 246442 59237 353904 2646847 2003735 5310165 584396 4725769 1 476 459 461 1397 3418 3418 125493 20164 109969 157246 68819 481691 5796671 51927740 0.81530 0.79710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 125,493. 2018 AMOUNT: $ 20,164. 2019 AMOUNT: $ 104,251. 2020 AMOUNT: $ 157,246. 2021 AMOUNT: $ 68,819. FUNDRAISING INCOME - 2019 AMOUNT: $ 5,718. SCHEDULE A, PART II, SHORT-YEAR RETURN THE ORGANIZATION FILED A SHORT-YEAR 2019 RETURN FOR THE TAX PERIOD 1/1/19-6/30/19. THE REVENUE FOR THE PUBLIC SUPPORT TEST IN PART II FROM THIS SHORT-YEAR RETURN IS BEING REPORTED IN THE "2018" COLUMN. THE REVENUE FROM THE THREE RETURNS PRIOR TO THIS SHORT-YEAR RETURN ARE REPORTED IN THE 2017-2016 COLUMNS FROM RIGHT TO LEFT IN DECENDING ORDER OF THE YEAR THEY WERE FILED (NEWEST TO OLDEST). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3091135 1193824 1897311 1546031 1272915 273116 2170427 X 14572697 12390 12390 14560307 0 14560307 13691398 12390 12390 13679008 0 13679008 PART X, LINE 2: THE AGENCY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE AGENCY HAS NOT RECORDED PROVISIONS FOR FEDERAL AND STATE INCOME TAXES. THE AGENCY IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. X X X X X X X 5K RACE 32851 26326 6525 5677 1830 1774 50TH GALA 390045 349845 40200 13159 2500 14946 2250 14183 422896 376171 46725 18836 4330 14946 2250 15957 56319 -9594 1 FINANCIAL ASSISTANCE FROM STATE CENTRAL PHARMACY 301 59489 FMV PRESCRIPTION MEDICATION PART I, LINE 2: MONITORING THROUGH PAYROLL FOR RECIPIENTS WHO ARE ON STAFF AND VIA ACCOUNTS PAYABLE FOR ALL OTHERS. X 0 0 0 0 0 0 0 0 0 GABRIELA FEIER MD MD 345054 0 0 0 0 0 29368 0 21689 0 396111 0 0 0 MARILENA ACHIM MD MD 349686 0 0 0 0 0 28869 0 12654 0 391209 0 0 0 TRACY YAEGER PHD PRESIDENT 167890 0 2568 0 0 0 12628 0 3051 0 186137 0 0 0 YUAN-HUA THAKORE MD MD 157937 0 0 0 0 0 10913 0 2374 0 171224 0 0 0 PHILLIP HEISLMAN SENIOR VP/CFO 123306 0 7630 0 0 0 8761 0 22624 0 162321 0 0 0 CAROL LEWIS MD MD 140651 0 1664 0 0 0 10545 0 8006 0 160866 0 0 0 PART I, LINE 3 COMPENSATION IS DETERMINED THROUGH APPROVAL BY THE BOARD OF TRUSTEES. X 301 59489 FMV 0 1 1 PART I, LINE 32B: CHARITABLE ADULTS RIDES AND SERVICES (CARS) - SELL VEHICLES DONATED TO PPBH ON OUR BEHALF. FORM 990, PART VI, SECTION B, LINE 11B THE SENIOR VICE PRESIDENT/CFO, FINANCE COMMITTEE, AND THE BOARD OF TRUSTEES REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS RECEIVE A COPY OF THE CONFLICT OF INTEREST FORM ANNUALLY TO UPDATE AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE PRESIDENT REQUIRES A REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G PSYCHIATRIC CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,966,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,966,208. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 23,932. MANAGEMENT AND GENERAL EXPENSES 2,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,994. SUBCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 66,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,257. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 94,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,400. NORTHEAST OHIO PSYCHIATRIC INSTITUTE 340 SOUTH BROADWAY STREET AKRON OH 44308 341501286 SUPPORTING ORGANIZATION TO PORTAGE PATH BEHAVIORAL HEALTH OH 501(C)(3) LINE 12A, I PORTAGE PATH BEHAVIORAL HEALTH 1 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 NORTHEAST OHIO PSYCHIATRIC INSTITUTE C 25000 FMV NORTHEAST OHIO PSYCHIATRIC INSTITUTE K 73600 FMV NORTHEAST OHIO PSYCHIATRIC INSTITUTE M 738085 FMV NORTHEAST OHIO PSYCHIATRIC INSTITUTE O 19521 FMV NORTHEAST OHIO PSYCHIATRIC INSTITUTE Q 51080 FMV