ANNUAL REPORT 2017-2018

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A Word from the CEO...The opioid problem in our country has hit epidemic proportions. On average, 115 Americans die each day from an opioid overdose. That is over 41,975 people annually. In 2016, there were over 63,000 overdose deaths from all drugs. 66% of those deaths involved a prescription or illicit opioid. To give a sense of proportion, about 3,000 people died in the tragedy of 911, 36,914 people died in the Korean War and 58,220 American military died in the Vietnam War.

Pennsylvania had the highest age-adjusted overdose death rates in the country in 2016. New Jersey overdose deaths rose 21% from 2014 to 2015.

Our Help is Needed and So Important

Everywhere, we see the scourge of drug and alcohol addiction, taking lives, ruining families, destroying hopes and dreams. The Pyramid Healthcare family of companies are at the forefront of this “war on drugs”. We are using the most effective weapon available…high quality intervention and treatment to combat this rising tide of addiction. Never has our mission, and our efforts been more critical, more effective, more needed. Thanks to the dedicated staff working at the Pyramid Healthcare network of companies, and thanks to those families, professionals and others in the community who support our efforts every day.

— Jonathan Wolf, CEO

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OVERDOSE STATISTICSUnited StatesOn average, 115 Americans die every day from an opioid overdose (115 x 365 = 41,975 yearly)https://www.cdc.gov/drugoverdose/epidemic/index.html

In 2016, there were more than 63,600 drug overdose deaths in the United States. West Virginia (52.0 per 100,000), Ohio (39.1), New Hampshire (39.0), the District of Columbia (38.8), and Pennsylvania (37.9) had the highest observed age-adjusted drug overdose death rates in 2016.https://www.cdc.gov/nchs/products/databriefs/db294.htm

Drug overdoses killed 63,632 Americans in 2016. Nearly two-thirds of these deaths (66%) involved a prescription or illicit opioid. Overdose deaths increased in all categories of drugs examined for men and women, people ages 15 and older, all races and ethnicities, and across all levels of urbanization.https://www.cdc.gov/media/releases/2018/p0329-drug-overdose-deaths.html

PennsylvaniaAn average of 13 people died from drug overdose each day in Pennsylvania in 2016. (13 x 365 = 4,745)Source: Philly.com : https://www.moveforwardpt.com/resources/detail/opioid-abuse-statistics-of-50-states-2

New JerseyDrug overdose deaths increased 21% in New Jersey from 2014 to 2015.Source: New Jersey Medical Examiner’s Office : https://www.moveforwardpt.com/resources/detail/opioid-abuse-statistics-of-50-states-2

North CarolinaFrom 1999 to 2016, more than 12,000 North Carolinians died from opioid-related overdoses, the majority of which were unintentional overdoses.Source: North Carolina Department of Health and Human Services : https://www.moveforwardpt.com/resources/detail/opioid-abuse-statistics-of-50-states-2

STATISTICS TO COMPARE9/11 – Almost 3,000 people killedhttps://www.britannica.com/event/September-11-attacks

VIETNAM – Records state around 58,220 U.S. military fatal casualties of the Vietnam Warhttps://www.archives.gov/research/military/vietnam-war/casualty-statistics

KOREAN WAR - In the 1994 version of its annual publication, Service and Casualties in Major Wars and Conflicts, the Pentagon put Korean War battle deaths at 33,652 and “other deaths” meaning deaths in the war zone from illness, accidents and other non-battle causes at 3,262. That yields a total of 36,914.https://www.cbsnews.com/news/how-many-americans-died-in-korea/

ALTOONA, PA POPULATION = 44,098 (2017)https://www.census.gov/quickfacts/fact/table/altoonacitypennsylvania/PST045217

“We are using the most

effective weapon available…high quality

intervention and treatment to combat this rising tide of addiction.”

2017 GrowthPyramid Healthcare experienced yet another year of exciting growth in services and locations in 2017. In Pennsylvania we opened a new outpatient facility in Hawley and a new residential program in the Lehigh Valley, and moved the Pittsburgh and Altoona outpatient locations to new offices. Bed expansions at the Duncansville, Pittsburgh and Hillside locations were completed along with the conversion of Quakertown from an adolescent to an adult program. New Jersey saw the development of outpatient detoxification services in several locations, the expansion of co-occurring treatment for middle school students and the open-ing of our Waypointe residential young adult mental health program. In North Carolina Pyramid Healthcare completed the acquisition of Tapestry eating disorder treatment programs and expanded the operations into a new outpatient

Pyramid Healthcare’s Expansion Continues

location in Asheville and developed a new residential program in Fletcher.

2018 Continued ExpansionThis year looks to be of even more significant growth. We will open two residential drug/alcohol treatment pro-grams by the end of 2018, one in Dallas, PA and the other in Hammonton, NJ.

Coming in 2019A residential adult eating disorders program will open in PA (see below) by the start of 2019. New private schools for children with autisim will open in Altoona and Chambersburg, PA. Pyramid Healthcare will open its first outpatient mental health program in Atlanta, GA, with a second location to open soon after that.

The demand for the high quality services that Pyramid Healthcare and its affiliate companies provide is significant, and we look forward to expanding our network to help those in need.

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Seeds of Hope is a service line specializing in the treatment of eating disorders under the Onward Behavioral Health umbrella. Seeds of Hope offers a full continuum of outpatient services, including partial hospitalization, intensive outpatient, individual therapy, and weekly meal support groups. In 2016, Seeds of Hope expanded from one to four locations, now covering southeastern Pennsylvania with offices on the Main Line and in Phila-delphia, Lancaster, and the Lehigh Valley.

In Fall 2018, Seeds of Hope will open its first residential eating disorders program. Located in serene Lake Ariel, Pennsylvania, Seeds of Hope at Mountainside will offer 12 beds for adult women. The Seeds of Hope at Mountainside residential program will compliment the unique approach to treating eating disorders that we have embraced in the outpatient

system by treating the whole person and addressing the underlying anxiety disorder that precipitates disordered eating. This work will be accomplished using a multi-modal approach consisting of process group therapy, expressive art therapy, educational nutrition and cooking interventions, mindfulness, and various holistic treatment modalities. Clients will learn pragmatic solutions throughout the healing process as they prepare to return to everyday life.

Seeds of Hope at Mountainside is another step forward for Onward Behavioral Health in developing a comprehensive network of services within the behavioral health continuum. Seeds of Hope at Mountainside is also the first residential program to open within the Onward Behavioral Health matrix of care.

Seeds of Hope at Mountainside Residential Program

2017-18EXPANSION

New FacilityHawley OP

Lehigh Valley IPNew LocationsPittsburgh OP

Altoona OPBed Expansions

DuncansvillePittsburgh

HillsideConverted to Adult

Quakertown OP Detoxification

High Focus Centers New Program

WaypointePyramid Healthcare

AcquiredTapestry in NC

New OP ProgramAsheville, NC

New IP ProgramFletcher, NC

See map on pages 4-5

...a service line specializing in the

treatment of eating

disorders under the Onward

Behavioral Health umbrella.

Pyramid Healthcare’s Expansion Continues2017 -2019

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A Premier Program by Pyramid Healthcare

mental health treatment - adolescent

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middle school Program aT HigH focus cEnTErs

Partial care and intensive outpatient Programs (ioP) for ages 10 - 13The onset of psychiatric symptoms can often occur during a teenager’s middle school years. Depression, anxiety, and even self-harm are becoming more common in pre-adolescence, and can cause significant disruption in a teen’s life. if interventions are introduced early in these situations, these youth will have better success in navigating the ongoing challenges that they may face during adolescence and even long term.

The Middle school Psychiatric Program at High focus centers has been designed to address the unique needs of the preadolescent population. a multidisciplinary team works with each child and his or her family to address various psychosocial stressors and develop effective coping strategies. Therapy groups focus on teaching these coping skills as well as communication skills, self-esteem building, and mindfulness skills, all while keeping in mind the patient’s level of maturity and social develop-ment. Experiential therapy is a core component, with art therapy and pet therapy also incorpo-rated into the curriculum. Psychiatric evaluation is provided along with medication monitoring as needed.

To schedule an appointment at High focus centers, please call us at:

1-800-877-Focus

High Focus Centers16 Commerce DriveCranford, NJ 07016908-272-2474Fax: 908-272-8996

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2017 -2018 ExpansionPyramid Healthcare - Pittsburgh, PA Outpatient

Pyramid Healthcare - Pittsburgh, PA Inpatient

Pyramid Healthcare - Duncansville, PA

Pyramid Healthcare - Hawley, PA

Pyramid Healthcare - Hillside - East Stroudsburg, PA

Pyramid Healthcare - Lehigh Valley - Catasauqua, PA

Pyramid Healthcare - Quakertown, PA

Waypointe - Whitehouse Station, NJ

Tapestry - Asheville, NC Outpatient / Fletcher, NC Inpatient

2018 -2019 ExpansionSeeds of Hope - Lake Ariel, PA

Pyramid Healthcare - Dallas, PA

Pyramid Healthcare - Hammonton, NJ

Soaring Heights School - Altoona, PA and Chambersburg, PA

Pyramid Family Behavioral Healthcare - Atlanta, GA

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These ser-vices are combined with our traditional model of process therapy groups, individual and family meetings, psychiatric evaluations and ongoing medication monitoring as needed.

Since opening in 2015, the Middle School programs have thrived. Six of our seven sites now offer these services, with Cherry Hill scheduled to open in the fall. In addition to enhancing our services, the Middle School programs have contributed to significant growth in our overall program census. From 2015 to the end of 2017, excluding our two most recent start-up sites, the overall average daily census for our Adolescent Psychiatric Programs has increased from 90.9 to 117.56. This is an increase of 30% in less than two years. Including all seven sites, the overall average daily census of our adolescent programs has increased by 55% during that time.

Due to the success of the Middle School tracks, we are currently exploring the viability of further expansion of mental health services along the developmental range. Unfortunately, children are presenting with psychiatric difficulties earlier and earlier. Our goal is to build on the effectiveness of the High Focus Centers’ Middle School programs!

The Middle School Psychiatric Program at High Focus Centers

In October 2015, High Focus Centers’ Paramus location opened their first clinical program to serve a child population. The Middle School Psychiatric Program at High Focus Centers was designed to address the unique needs of the preadolescent child. Adolescent (ages 13-18) psychiatric programs have demonstrated success and growth at High Focus Centers since their inception in 2002. However, this expansion of services broadened the focus and required our clinical leadership to develop a curriculum that would effectively treat preadolescents.

The result is a model that is overseen by a multidisciplinary team that works with each child and his or her family to address various psychosocial stressors and develop effective coping strategies. Therapy groups focus on teaching these coping skills, as well as communication skills, self-esteem building, and mind-fulness skills, all while keeping in mind the patient’s level of maturity and social development.

The new curriculum emphasizes “exper-iential” therapy as a core component. It includes an increased number of therapy groups dedicated to art therapy, yoga, movement, and pet therapy.

Pyramid Healthcare has moved into the Metro Atlanta Behavioral Health market under the direction of Executive Director Thomas Connell. Pyramid Family Behavioral Healthcare was developed in March of 2018. After extensive market analysis and collaboration with providers in the metro Atlanta market, Pyramid Family Behavioral Healthcare will provide out of network psychiatric

Intensive Outpatient Programming (IOP). The clinical suite located in Johns Creek (North Atlanta region) is 3,964 square feet of renovated medical/office space. The address of the location is 11138 State Bridge Road, Suite 100A Johns Creek, Georgia 30022. The location will provide Intensive Outpatient Programming for adults and adolescents with primary mental health diagnoses. The program

Pyramid Family Behavioral Healthcare – Projected Opening October 1, 2018

Middle School Psychiatric Program

ADOLESCENT PSYCH CENSUS

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The new curriculum emphasizes

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PyramidFamily Behavioral

In 2017-2018, the Pyramid Healthcare system participated in six successful CARF accreditation visits. Each of the six visits resulted in a three-year accreditation. This is the third three-year accreditation for Onward Behavioral Health, and the second for October Road, and the Pyramid Healthcare programs.

This accreditation decision represents the highest level of accreditation that can be given to an organization and shows the organization’s substantial conformance to the CARF standards. An organization receiving a three year accreditation participates in a rigorous peer review process. It has demonstrated to a team of surveyors during an on-site visit its commitment to offering programs and services that are measurable, accountable, and of the highest quality.

As stated in the notification letter from CARF “This achievement is an indication of the organization’s dedication and

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CARF Awards Three-Year Accreditation Decisions

will draw from the large primary clinician (psychiatrists, clinicians, psychologists) market in Atlanta and capitalize on the absence of Psychiatric IOP in the Atlanta market. The clinical team will focus on the treatment of mood disorders (Depressive disorders, Bipolar Disorder and Anxiety disorders). The program will focus on treating escalating referrals, individuals with mental health needs that can not be met adequately by weekly psychotherapy or general psychiatry appointments. The anticipated growth of the program over the next 12 months includes serving roughly eight individuals per IOP group. The space will support Pyramid Family Behavioral Healthcare by providing four concurrent IOPs: Adult Day IOP, Adult Evening IOP, Adolescent Day IOP, Adolescent Evening IOP. The

location will also provide the behavioral health community with monthly training seminars, family therapy groups, family intensives and couples intensives.

In addition to the new site for clinical services, the Pyramid Healthcare Assessment Center will open in sister suite 100B. This location will serve as a corporate base for Georgia operations. This location will provide assessments Monday through Friday for behavioral health needs. The Assessment Center will serve as the access point for not only Pyramid Family Behavioral Healthcare but for the Silver Line in the Atlanta market. This southeast call center will absorb call center services for current operations and provide call center services for Pyramid Healthcare southeast operations moving forward.

commitment to improving the quality of the lives of the persons served. Services, personnel, and documentation clearly indicate an established pattern of conformance to standards…Your organization should take pride in achieving this high level of accreditation.”

CARF is an independent, nonprofit accrediting body whose mission is to promote the quality, value, and optimal outcomes of services through a consultative accreditation process and a focus on continuous improvement of services that center on enhancing the lives of the persons served. Founded in 1966, the Commission on Accreditation of Rehabilitation Facilities establishes consumer-focused standards to help organizations measure and improve the quality of their programs and services. For more information about the accreditation process, please visit the CARF website at www.carf.org.

The space will support

Pyramid Family Behavioral

Healthcare by providing four

concurrent IOPs: •

Adult Day IOP •

Adult Evening IOP•

Adolescent Day IOP

• Adolescent Evening IOP

August 14, 2017 October Road Inc.

Assertive Community TreatmentIntensive OutpatientOutpatient Services

October 4, 2017 Onward Behavioral Health

Partial HospitalizationIntensive OutpatientOutpatient Services

July 27, 2018 Pyramid Healthcare

DetoxificationResidential

Assessment and ReferralIntensive OutpatientOutpatient Services

July 28, 2018 Foundations, Dominis

and YorkOpioid Treatment Programs

Intensive OutpatientOutpatient Services

Pyramid Healthcare, Inc.DirectorsJonathan WolfJames AndersenCalvin NeiderMatthew BlevinsJames Donnelly

OfficersJonathan Wolf, President James Andersen, Vice PresidentJean Clifton, TreasurerMatthew Blevins, SecretaryErin Bard, Assistant Secretary

Corporate Offices270 Lakemont Park Blvd.Altoona, PA 16602

1605 N. Cedar Crest Blvd. Suite 602Allentown, PA 18104

20397 Route 19 Two Landmark North, Suite 128Cranberry Township, PA 16066

Adult/TeenDetoxification1894 Plank RoadDuncansville, PA 16635

Hillside420 Supreme Court Drive East Stroudsburg, PA 18302

306 Penn AvenuePittsburgh, PA 15221

Teen Inpatient and School ProgramRidgeview4447 Gibsonia RoadGibsonia, PA 15044

Adult Inpatient3893 West Main StreetBelleville, PA 17004

124 Bridge StreetCatasauqua, PA 18032

1894 Plank RoadDuncansville, PA 16635

Hillside 420 Supreme Court DriveEast Stroudsburg, PA 18302

1990 Woodbourne Road Langhorne, PA 19047

306 Penn AvenuePittsburgh, PA 15221

2705 N. Old Bethlehem PikeQuakertown, PA 18951

Halfway Houses Gratitude House for Men901 6th AvenueAltoona, PA 16602

Tradition House for Women830 6th Avenue Altoona, PA 16602

Pine Ridge Manor for Men 13505 S. Eagle Valley RoadTyrone, PA 16686

Housing ServicesGrey House for Men831 6th Avenue Altoona, PA 16602

Correctional ProgramsBlair CountyHollidaysburg, PA 16648

Medication Assisted Therapy (MAT)Dolminis2 Sellers DriveAltoona, PA 16601

104 Davies DriveYork, PA 17402

160 Hindman RoadButler, PA 16001

Outpatient Services1605 N. Cedar Crest Blvd.Suite 602Allentown, PA 18104

2 Sellers DriveAltoona, PA 16601

Fountain Court3180 Rt. 611, Suite 19Bartonsville, PA 18321

210-1/2 W. High Street Bellefonte, PA 16823

1230 Veteran’s Highway Suite F-1Bristol, PA 19007

124 Chambers Hill DriveChambersburg, PA 17201

2409 State Street1st Floor, Suite CErie, PA 16503

2515 Route 6, Suite BHawley, PA 18428

1990 Woodbourne Road Langhorne, PA 19047

9 West Pine StreetPhilipsburg, PA 16866

1401 Forbes AvenueSuite 200Pittsburgh, PA 15219

270 Walker Dr., Suite 108AState College, PA 16801

626 N. Grant StreetWaynesboro, PA 17268

18 S. George St., Suite 402York, PA 17401

School Programs

400 Lakemont Park Blvd.Suite 300Altoona, PA 16602

550 Leonard StreetClearfield, PA 16830

493 South Highland StreetDuBois, PA 15801

3583 Scotland RoadScotland CampusScotland, PA 17254

180 Regent Court, Suite 50State College, PA 16801

4880 North Sherman St. Ext.York, PA 17347

Corporate Office119 Tunnel RoadAsheville, NC 28805

47 Maple Street, Suite 401Summit, NJ 07901

130 Critchlow School RoadRenfrew, PA 16053

Corporate Office 680 American Ave., Suite 302King of Prussia, PA 19406

145 Powers RoadAsheville, NC 28804

3207 North Front StreetHarrisburg, PA 17110

479 Port View DriveSuite C30Harrisburg, PA 17111

183 Old Turnpike RoadMills River, NC 28759

143 Readington RoadWhitehouse Station, NJ 08889

11 North Country Club RoadBrevard, NC 28712

A Premier Program by Pyramid Healthcare

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