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        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>BLUESTONE.ORG/ADMISSIONS</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>BLUESTONE.ORG/ADMISSIONS</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>BLUESTONE.ORG/ADMISSIONS</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>0</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE RECEIVED RECOGNITION AS A REGISTERED HOSPITAL WITH THE OHIO DEPARTMENT OF HEALTH ON SEPTEMBER 8, 2022.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3J:</FormAndLineReferenceDesc>
        <ExplanationTxt>AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. EACH IDENTIFIED NEED WAS REVIEWED BY MEMBERS OF BLUESTONE'S LEADERSHIP TEAM AND STRATEGIES FOR ADDRESSING EACH NEED WERE IDENTIFIED THROUGH A SERIES OF MEETINGS AND DISCUSSIONS. EACH TEAM WILL CONTINUE TO MEET ON A ROUTINE BASIS TO DISCUSS AND REVIEW EACH NEED AND ALL RELATED STRATEGIES AS WELL AS THE PROGRESS TOWARDS EACH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>REPRESENTATIVES FROM EACH COUNTY IN THE SERVICE AREA WERE CONTACTED FOR INPUT. MOST REPRESENTATIVES WERE ABLE TO QUICKLY RESPOND AND ABLE TO PARTICIPATE IN A PHONE INTERVIEW. THOSE WHO DID NOT RESPOND IMMEDIATELY TO OUTREACH WERE CONTACTED A TOTAL OF 3 TIMES. SOME ULTIMATELY DID NOT RESPOND.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>WORK ON THE IMPLEMENTATION STRATEGIES IS ONGOING BY THE HOSPITAL. THE FIRST NEED ADDRESSED IS THE NEED FOR AN INTENSIVE OUTPATIENT PROGRAM AND A STEP TOWARDS THIS GOAL WAS THE COMPLETION OF CONSTRUCTION ON THE PHYSICAL SPACE FOR THE PROGRAM IN 2024. SIMULTANEOUSLY, A PLAN TO ADDRESS THE MEDICAL CLEARANCE IS BEING IMPLEMENTED AND THE ORGANIZATION HAS IMPROVED ACCESS TO MENTAL HEALTH SERVICES BY FINALIZING A MEMORANDUM OF UNDERSTANDING WITH A LOCAL HOSPITAL TO SERVE AS BLUESTONE'S MEDICAL CLEARANCE PROVIDER. WORK ON THE STRATEGY FOR DEALING WITH WORKFORCE SHORTAGES IS ALSO PROGRESSING. BLUESTONE HAS PARTNERED WITH VARIOUS UNIVERSITIES TO BE A CLINICAL SITE FOR THEIR STUDENTS WITH THE GOAL OF RECRUITING STUDENTS FOR FUTURE EMPLOYMENT. BLUESTONE IS ALSO PRESENT AT HIGH SCHOOL CAREER FAIRS AND HOPES TO ENCOURAGE YOUNG PEOPLE TO PURSUE CAREERS IN HEALTH CARE. ADDITIONALLY, BLUESTONE DEVELOPED THIRTY DAY SURVEYS AND EXIT SURVEYS FOR CURRENT EMPLOYEES TO GARNER FEEDBACK TO HELP IMPROVE RETENTION RATES. THE REMAINDER OF THE NEEDS WILL BE CONTINUALLY MONITORED AND PROGRESS TRACKED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENT 15 PROVIDES INSTRUCTIONS FOR RECORDKEEPING, VALUATION, AND DISCLOSURE FOR BAD DEBTS. THERE WAS NO BAD DEBT EXPENSE DURING THE CURRENT FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINES 2-3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO BAD DEBT EXPENSE DURING THE CURRENT FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO FOOTNOTE IN THE FINANCIAL STATEMENTS DESCRIBING BAD DEBT EXPENSE AS THERE WAS NONE DURING THE CURRENT FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO SHORTFALL AS THERE WAS NO BAD DEBT EXPENSE DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE CHILD &amp; ADOLESCENT PSYCHIATRIC HOSPITAL IS AN AFFILIATE PARTNER OF THE WINGSPAN CARE GROUP, AN ORGANIZATION COMPRISED OF AFFILIATED 501(C)(3) ORGANIZATIONS. WINGSPAN CARE GROUP IS A NONPROFIT ADMINISTRATIVE AND MANAGEMENT ORGANIZATION THAT PROVIDES A UNITED, COMMUNITY-BASED NETWORK OF SERVICES SO MEMBER AGENCIES CAN FOCUS ON MISSION-RELATED GOALS AND OPERATE IN A MORE COST-EFFECTIVE AND EFFICIENT MANNER.BLUESTONE PARTNERS WITH THE COUNTY AND OTHER GOVERNMENT AND NONPROFIT AGENCIES TO PROVIDE EMERGENCY AND OTHER ACUTE MENTAL HEALTH CARE TO CHILDREN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE INCLUDES THE FAP TO PATIENTS DURING THE INTAKE PROCESS AND WIDELY PUBLICIZES THE FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH IRC 501(R)(4). IN ADDITION, BLUESTONE HAS ESTABLISHED A RELATIONSHIP WITH THE COUNTY AND EMERGENCY ROOM WHICH PROVIDES THE MAJORITY OF BLUESTONE'S PATIENT REFERRALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE CHILD &amp; ADOLESCENT PSYCHIATRIC HOSPITAL, LOCATED IN UNIVERSITY HEIGHTS, OH, IS A 12-BED FACILITY WHICH PROVIDES ACUTE MENTAL HEALTH CARE TO CHILDREN, AGES 6-17, FROM THROUGHOUT NORTHEAST OHIO AND THE SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE CHILD &amp; ADOLESCENT PSYCHIATRIC HOSPITAL IS AN AFFILIATE PARTNER OF THE WINGSPAN CARE GROUP, AN ORGANIZATION COMPRISED OF A GROUP OF AFFILIATED 501(C)(3) ORGANIZATIONS. BLUESTONE OPERATES UNDER THE DIRECTION OF WCG AND AN INDEPENDENT BOARD REPRESENTATIVE OF THE COMMUNITY. ALL FUNDS ARE USED TO SUPPORT THE MISSION OF BLUESTONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM JACOBS</PersonNm>
        <TitleTxt>CHAIR/PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>561219</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3723</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7392</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>138466</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>710800</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFF LOX</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR - BELLEFAIRE</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>193032</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>437651</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEIGH HALL</PersonNm>
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        <BonusRelatedOrganizationsAmt>2452</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>897</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>108980</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30837</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>352814</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER CORPUS</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>315890</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>545</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>129</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316564</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETH COHEN POLLACK</PersonNm>
        <TitleTxt>DIRECTOR OF ORGANIZATIONAL ADVANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>197302</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2211</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2574</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>23335</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER CLANCY</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT MOORE</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAM BUDAK</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIR/PRESIDENT AND TREASURER/CFO/DIRECTOR-AT-LARGE AND EXECUTIVE DIRECTOR OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL ARE PAID THROUGH WINGSPAN CARE GROUP, THE PARENT COMPANY. THE CHAIR'S COMPENSATION IS ESTABLISHED AND APPROVED BY THE BOARD OF WINGSPAN CARE GROUP AS PART OF THE OVERALL BUDGET APPROVAL PROCESS, WITH THE PROPORTIONAL SHARE CHARGED TO BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ADAM JACOBS ACCRUED DEFERRED COMPENSATION OF $50,162 FOR SUPPLEMENTAL NON-QUALIFIED 457 PLANS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AS DEFINED BY IRS REGULATIONS, THE PRESIDENT HAS A BUSINESS RELATIONSHIP WITH THE CFO, EXECUTIVE DIRECTOR, AND SECRETARY BECAUSE THE PRESIDENT IS A DIRECTOR AT WINGSPAN CARE GROUP AND EMPLOYS THE CFO, EXECUTIVE DIRECTOR, AND SECRETARY OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL IS BELLEFAIRE JEWISH CHILDREN'S BUREAU.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL HAS THE POWER TO ELECT MEMBERS TO THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL HAS THE POWER TO APPROVE ALL DECISIONS MADE BY THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRELIMINARY FORM 990 IS PREPARED BY RSM US LLP AND REVIEWED BY THE CFO OF WINGSPAN CARE GROUP (A RELATED ORGANIZATION). IT IS THEN REVIEWED BY THE PRESIDENT AND THE FINANCE COMMITTEE OF ITS SOLE MEMBER PRIOR TO FILING WITH THE IRS. A COPY IS ALSO MADE AVAILABLE TO THE BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL BOARD PRIOR TO BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS SOLE MEMBER THAT ON AN ANNUAL BASIS REQUIRES EACH BOARD MEMBER COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS STATEMENT IS DISTRIBUTED AND COLLECTED BY THE CHAIR OF THE RISK MANAGEMENT COMMITTEE OF WINGSPAN CARE GROUP, A RELATED ORGANIZATION, AND IS MAINTAINED IN THAT OFFICE. EACH DISCLOSURE STATEMENT THAT CONTAINS A "YES" ANSWER TO ANY ONE OR MORE QUESTIONS IS GIVEN TO THE EXECUTIVE DIRECTOR OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL AND THE BOARD CHAIRMAN OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL WHO BRING THE MATTER, IF MATERIAL, TO THE BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL BOARD OF DIRECTORS. THE BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL BOARD OF DIRECTORS DETERMINES IF A CONFLICT EXISTS AND IF IT IS MATERIAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC AT THE OFFICE OF BLUESTONE CHILD AND ADOLESCENT PSYCHIATRIC HOSPITAL, 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118 DURING NORMAL BUSINESS HOURS. THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AS REQUESTED FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PUT IN PLACE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY ON APRIL 8, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,354,907. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,354,907.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>APPLEWOOD CENTERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22001 FAIRMOUNT BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44118</ZIPCd>
        </USAddress>
        <EIN>340714571</EIN>
        <PrimaryActivitiesTxt>SOCIAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WINGSPAN CARE GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WINGSPAN CARE GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22001 FAIRMOUNT BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44118</ZIPCd>
        </USAddress>
        <EIN>562327939</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A TYPE III FU</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONARCH LIFEWORKS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22001 FAIRMOUNT BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44118</ZIPCd>
        </USAddress>
        <EIN>461509517</EIN>
        <PrimaryActivitiesTxt>SOCIAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BELLEFAIRE JEWISH CHILDREN'S BUREAU</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BELLEFAIRE JEWISH CHILDREN'S BUREAU</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22001 FAIRMOUNT BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44118</ZIPCd>
        </USAddress>
        <EIN>340714630</EIN>
        <PrimaryActivitiesTxt>SOCIAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WINGSPAN CARE GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KIDS CONNECTIONS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>22001 FAIRMOUNT BLVD</AddressLine1Txt>
          <CityNm>SHAKER HEIGHTS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44118</ZIPCd>
        </USAddress>
        <EIN>320539782</EIN>
        <PrimaryActivitiesTxt>ADVOCACY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WINGSPAN CARE GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>