Civic Intelligence

Signature Health Inc

EIN 34-1751703 • 501(c)3 • Kirtland, OH

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Profile

Signature health, inc. Is a community-based agency providing primary medical care, mental health and substance abuse services to adults, adolescents, children and families. We understand the mind-body connection and the importance of treating them both.

4242 State Route 306Kirtland, OH 44094

www.signaturehealthinc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

63rd percentile

0.41x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

39th percentile

0.29x

Higher debt load relative to revenue than 39% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

35th percentile

0.3%

Higher net margin than 35% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

51st percentile

$493,207

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

50th percentile

5.8%

Faster asset growth than 50% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

53rd percentile

8.9%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Up

$76,438,605

Up $4,201,189 (+5.8%) from 2023

Liabilities

Up

$31,217,304

Up $3,156,012 (+11%) from 2023

Net Assets

Up

$45,221,301

Up $1,045,177 (+2.4%) from 2023

Operations
Liabilities / Revenue39th percentileNet Margin35th percentile

Revenue

Up

$109,011,573

Up $8,928,195 (+8.9%) from 2023

Expenses

Up

$108,711,196

Up $12,219,455 (+13%) from 2023

Net Income

Down

$300,377

Down $3,291,260 (-92%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth50th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2017: $15,056,642Liabilities 2017: $10,463,835Net Assets 2017: $4,592,8072017Assets 2021: $49,347,610Liabilities 2021: $19,685,786Net Assets 2021: $29,661,8242021Assets 2022: $62,648,887Liabilities 2022: $22,817,589Net Assets 2022: $39,831,2982022Assets 2023: $72,237,416Liabilities 2023: $28,061,292Net Assets 2023: $44,176,1242023Assets 2024: $76,438,605Liabilities 2024: $31,217,304Net Assets 2024: $45,221,3012024

Highlighted filing

2024

Assets$76,438,605
Liabilities$31,217,304
Net Assets$45,221,301
Open 2024 Filing

Operations Trend

Revenue Growth53rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0Revenue 2017: $35,428,298Expenses 2017: $31,120,823Net Income 2017: $4,307,4752017Revenue 2021: $75,014,827Expenses 2021: $69,685,094Net Income 2021: $5,329,7332021Revenue 2022: $92,341,807Expenses 2022: $80,888,170Net Income 2022: $11,453,6372022Revenue 2023: $100,083,378Expenses 2023: $96,491,741Net Income 2023: $3,591,6372023Revenue 2024: $109,011,573Expenses 2024: $108,711,196Net Income 2024: $300,3772024

Highlighted filing

2024

Revenue$109,011,573
Expenses$108,711,196
Net Income$300,377
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$76,438,605
Liabilities
$31,217,304
Net assets
$45,221,301
Revenue
$109,011,573
Expenses
$108,711,196
Net income
$300,377
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$76.4$31.2$45.2$109$109$0.30
2023Detailed filing. Detailed filing data is available for this year.$72.2$28.1$44.2$100$96.5$3.59
2022Detailed filing. Detailed filing data is available for this year.$62.6$22.8$39.8$92.3$80.9$11.5
2021Detailed filing. Detailed filing data is available for this year.$49.3$19.7$29.7$75.0$69.7$5.33
2017Detailed filing. Detailed filing data is available for this year.$15.1$10.5$4.59$35.4$31.1$4.31
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$144,416,366
Mission and Program Overview

Mission

Signature health, inc. Is a community-based agency providing primary medical care, mental health and substance abuse services to adults, adolescents, children and families. We understand the mind-body connection and the importance of treating them both.

Provide clients innovative and comprehensive recovery services in a supportive environment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$25,169,558$24,629,018▼ $540,540
Accounts Receivable$9,973,150$11,425,911▲ $1,452,761
Other Notes and Loans Receivable, Net$3,770,977$10,767,977▲ $6,997,000
Cash and Non-Interest-Bearing Accounts$10,251,978$8,901,905▼ $1,350,073
Investments Other Securities$10,198,687$8,205,805▼ $1,992,882
Inventories for Sale or Use$3,695,845$4,234,797▲ $538,952
Intangible Assets$4,991,419$3,700,634▼ $1,290,785
Prepaid Expenses and Deferred Charges$1,990,892$1,647,977▼ $342,915
Investments Program Related$835,395$1,464,344▲ $628,949
Pledges and Grants Receivable$1,003,159$1,035,764▲ $32,605
Receivables From Officers Etc$356,356$424,473▲ $68,117
Total Assets$72,237,416$76,438,605▲ $4,201,189
Liabilities
Mortgage Notes Payable Secured by Investment Property$17,279,177$19,551,168▲ $2,271,991
Accounts Payable and Accrued Expenses$10,782,115$11,666,136▲ $884,021
Total Liabilities$28,061,292$31,217,304▲ $3,156,012
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$44,176,124$45,221,301▲ $1,045,177
Total Net Assets Fund Balance$44,176,124$45,221,301▲ $1,045,177
Total Liabilities and Net Assets / Fund Balance$72,237,416$76,438,605▲ $4,201,189

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,152,730$382,529$11,535,259
Other Land Buildings$8,322,714$395,530$8,718,244
Land$3,058,783-$3,058,783
Equipment$1,052,795$1,470,239$2,523,034
Leasehold Improvements$1,041,996$1,391,338$2,433,334
Other Securities$8,108,646--
Compensation and Service Providers
Top Officer Pay51st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jonathan LeePresident & CEOFT$454,407$38,800$493,207
Libbie StansiferChief Clinical OfficerFT$400,630$23,000$423,630
Farah MunirMedical Director, PsychiatristFT$317,159$30,489$347,648
Todd WagnerMedical Director, PrimaryFT$269,171$29,578$298,749
Philip AjlounyPhysician Family MedicineFT$250,400$23,000$273,400
Sharon ChaffeePhysician Family MedicineFT$254,935$15,296$270,231
Tran KhoaMedical Director,primary CareFT$269,171-$269,171
Shannon MajorasChief Administrative OfficerFT$233,412$27,150$260,562
Ann MasonChief Innovation OfficerFT$242,054$9,838$251,892
Christine BouldenChief Nursing OfficerFT$206,925$18,050$224,975
Kelley Sullivan DragarChief Pharmacy OfficerFT$173,966$22,914$196,880
Eric LewisChief Human Resource OfficerFT$179,383$6,649$186,032

Board Members and Trustees

NameTitle
Paula AnzlovarChairwoman
Christopher TazziDirector
David KantorDirector
Earl TuckerDirector
Georgia BrickmanDirector
Gregory WalkerDirector
Heather BrissettDirector
Jennifer SampleDirector
Josephine JonesDirector
Kelly FarrellDirector
Lakecia WildDirector
Lillian IrizarDirector
Michelle EchevarriaDirector
Paul FullerDirector
Giovanni DilallaSecretary
Charles StrawbridgeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Madhuri Medarametla MdPsychiatry21100 SOUTHGATE PARK BLVD, Maple Heights, OH 44137$302,775
Michael Primc MdPsychiatry38876 MENTOR AVE, Willoughby, OH 44094$144,389
Revenue and Support

Revenue Composition

Contributions and Grants
$9,189,405
Program Service Revenue
$67,826,018
Investment Income
$414,437
Other Revenue
$31,581,713
All Other Contributions
$3,408,269
Change in Net Assets
$300,377
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$87,506,428
Other Expenses$21,204,768
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$50,654,460$17,683,949-$68,338,409
Other Employee Benefits$7,532,254$2,629,581-$10,161,835
Occupancy$5,162,995$243,165-$5,406,160
Payroll Taxes$3,970,723$1,386,217-$5,356,940
Information Technology$3,933,118$1,165,881-$5,098,999
Office Expenses$2,559,387$54,197-$2,613,584
Depreciation Depletion$2,122,466$156,961-$2,279,427
Current Officers, Directors, Trustees, and Key Employees$1,510,017$527,161-$2,037,178
Fees for Services Other$1,477,283$222,387-$1,699,670
Pension Plan Contributions$1,194,911$417,155-$1,612,066
Travel$948,395$9,458-$957,853
Interest$665,907$54,279-$720,186
Insurance$356,821$13,453-$370,274
Conferences and Meetings$322,761$3,219-$325,980
Advertising$105,040$178,596-$283,636
Other Expenses$121,860$1,215-$123,075
Fees for Services Accounting$84,830$12,770-$97,600
Fees for Services Legal$22,962$3,457-$26,419
Fees for Service Investment Mgmnt Fees-$25,091-$25,091
Total Functional Expenses$83,922,214$24,788,982$0$108,711,196
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$58,365
Fundraising Gross Income$31,085
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Dancing Under the Stars$85,645$31,085$30,040$1,045
Total Events$85,645$31,085$58,365$-27,280
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jessica LeeCEO SpouseRevenue and Billing ComplianceNo$129,600
Patricia KrewsonFormer Chief of HrLegal ConsultationNo$63,300

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$356,356$424,473▲ $68,117
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“Directors paul and georgia brickman had a family relationship. Paul is deceased as of may 2023.”

Form 990, Part VI, Section B, Line 11B

“Copies of the 990 are distributed to the board of directors prior to the due date of the return.”

Form 990, Part VI, Section B, Line 12C

“The board must fill out a disclosure form every year and the chief compliance officer monitors purchasing to assure that any potential conflicts are brought before the board.”

Form 990, Part VI, Section B, Line 15

“The executive committee of board of directors sets the salary of the ceo after reviewing data from salary surveys and the 990 tax returns from other similarly sized organizations in the state/region. The ceo's compensation is outlined in the ceo's employment agreement which was approved by the executive committee and board of directors. Other employees have their salary set, within the board approved budgets, by the ceo after review of salary surveys and 990 tax returns of similarly sized organizations.”

Form 990, Part VI, Section C, Line 19

“This information is currently available upon request.”

Filing and Contact Details

Filer

Filer Name
Signature Health Inc
EIN
34-1751703
Phone
4405788200
Address
4242 STATE ROUTE 306, KIRTLAND, OH 44094

Signing Officer

Name
Jonathan Lee
Title
President & CEO
Phone
4409539999
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jonathan Lee
Formed
2016
Legal Domicile
Oh
Voting Board Members
16
Independent Board Members
16
Employees
1,248
Volunteers
16

Preparer

Firm
Cohen & Co Advisory LLC
Address
OFFICES LISTED AT, WWWCOHENCOCOM, OH 44115
Preparer
Pargat Singh
Phone
8002291099
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

“No process has changed in current year.”

Financial Statement Notes

PART X, LINE 2:

“The organization recognizes and discloses uncertain tax positions in accordance with gaap. As of and for the period ended december 31, 2024, the organization did not have a liability for unrecognized tax benefits.”

Raw XML AppendixShowing 400 of 980 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0PROVIDE CLIENTS INNOVATIVE AND COMPREHENSIVE RECOVERY SERVICES IN A SUPPORTIVE ENVIRONMENT.
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IRS990/Desc0SIGNATURE HEALTH PROVIDED A FULL RANGE OF HEALTH SERVICES TO OVER 34,000 PATIENTS IN 2024. SIGNATURE IS THE LEADER IN NE OHIO IN PROVIDING MEDICATION ASSISTED TREATMENT IN RESPONSE TO THE OPIATE CRISIS IN THE STATE. IN ADDITION, OUR CONTINUUM OF CARE INCLUDES 6 PHARMACIES IN OUR MAJOR OFFICE LOCATIONS WHICH FILLED CRITICAL MEDICATIONS FOR OUR PATIENTS. RESIDENTIAL SERVICES WERE PROVIDED TO ADULTS WITH SUBSTANCE USE DISORDERS AND THOSE WITH EITHER A MENTAL HEALTH DIAGNOSIS OR A DUAL DIAGNOSIS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRWOMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF CLINICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF INNOVATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19CHIEF ADMINISTRATIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt20CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF HUMAN RESOURCE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt22CHIEF PHARMACY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt23MEDICAL DIRECTOR, PRIMARY
IRS990/Form990PartVIISectionAGrp/TitleTxt24MEDICAL DIRECTOR, PSYCHIATRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt25MEDICAL DIRECTOR,PRIMARY CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt26PHYSICIAN FAMILY MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt27PHYSICIAN FAMILY MEDICINE
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IRS990/MissionDesc0SIGNATURE HEALTH, INC. IS A COMMUNITY-BASED AGENCY PROVIDING PRIMARY MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ADULTS, ADOLESCENTS, CHILDREN AND FAMILIES. WE UNDERSTAND THE MIND-BODY CONNECTION AND THE IMPORTANCE OF TREATING THEM BOTH.
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