Table 1: Portfolio of Providers (Appendix A)PROVIDERPROGRAM NAME(PREVENTION PROGRAMS SHADED GRAY)PROGRAM LOCATION(S)AOD C&AAOD ADULTAOD FAMILYAOD CJMH SMDMH SEDMH GAMH ELDERSMH C&AMH CJTOTAL ANNUAL PROGRAM COST (ANY & ALL FUNDING SOURCES)ANNUAL ADAMH & MEDICAID FUNDING FOR PROGRAMDIRECT SERVICE FTES FUNDED BY ADAMH & MEDICAIDUNIVERSAL (U)SELECTED (S)INDICATED (I)UPIBUCKEYE RANCHMH OUTPATIENT COUNSELINGGROVE CITY (MAIN CAMPUS); SPRINGDALE, OHIO; HEBRON, OHIOxxxxx877,600501,7933.81I3153BUCKEYE RANCHPLANNED RESPITEGROVE CITY (MAIN CAMPUS)xxx10,00010,0000.10I3153BUCKEYE RANCHCRISIS RESIDENTIALGROVE CITY (MAIN CAMPUS)xxx293,552293,5523.51I3153BUCKEYE RANCHMH COMMUNITY PSYCHIATRIC SUPPORT TREATMENTGROVE CITY (MAIN CAMPUS); 697 EAST BROAD STREET; SPRINGDALE, OHIO; HEBRON, OHIOxxxx879,648509,7133.00I3153BUCKEYE RANCHDUAL DIAGNOSIS PROGRAMGROVE CITY (MAIN CAMPUS)xxxxxxx634,921297,3293.92I3153BUCKEYE RANCHCROSS CREEK PROGRAMWORTHINGTON, OHIOxxxx1,132,197200,9113.23I3153BUCKEYE RANCHALTERNATIVE SCHOOLS (ROCKBRIDGE ACADEMY)WORTHINGTON, OHIOxxxx57,30130,0000.50I3153BUCKEYE RANCHINTENSIVE CARE CENTERGROVE CITY (MAIN CAMPUS)xxxx3,520,1611,064,87120.09I3153BUCKEYE RANCHOPEN CAMPUSGROVE CITY (MAIN CAMPUS)xxxx3,912,2991,095,07220.78I3153BUCKEYE RANCHJUVENILE SEX OFFENDER PROGRAMGROVE CITY (MAIN CAMPUS)xxxx1,303,763304,5594.17I3153BUCKEYE RANCHYOUTH CRISIS697 EAST BROAD STREETxxxx192,326192,3262.72I3153BUCKEYE RANCHHEARING IMPAIRED PROGRAMGROVE CITY (MAIN CAMPUS); OSD; HEBRON, OHIOxxxx1,428,3121,111,43315.57I3153BUCKEYE RANCHOPEN CAMPUS CONDUCT BEHAVIORAL PROGRAMGROVE CITY (MAIN CAMPUS)xxxx529,101201,2982.04I3153CHILDREN'S HOSPITALOUTPATIENT PROGRAM899 E. BROAD ST., 6435 E. BROAD ST., 433 N. CLEVELAND AVE., 5675 VENTURE DR., 338 GRANVILLE ST., 3955 BROWN PARK DR., 75 S. TERRACE AVE,xxxx7,615,9173,527,08636.29I8258CHILDREN'S HOSPITALMULTISYSTEMIC THERAPY PROGRAM899 E. BROAD ST.638,349606,4326.70I8258CHILDREN'S HOSPITALCOMMUNITY SUPPORT PROGRAM899 E. BROAD ST.xx731,887720,9099.50I8258CHILDREN'S HOSPITALHOME-BASED PROGRAM899 E. BROAD STREETxx495,724488,2885.00I8258CHILDREN'S HOSPITALSCHOOL-BASED CLINICAL PROGRAM899 E. BROAD STREETxx781,863390,93210.00I8258CHILDREN'S HOSPITALFAMILY SUPPORT PROGRAM655 E. LIVINGSTON AVE.xx641,189512,9518.80I8258CHILDREN'S HOSPITALAUTISM TREATMENT SERVICES187 W. SCHROCK RD.xx4,560,638863,07255.60I8258CHILDREN'S HOSPITALYOUTH CRISIS TEAM899 E. BROAD ST.xx80,31876,3021.00I8258CHILDREN'S HOSPITALGROUP PREVENTION AND CONSULTATION SERVICES899 E. BROAD ST., 6435 E. BROAD ST., 433 N. CLEVELAND AVE., 5675 VENTURE DR., 338 GRANVILLE ST., 3955 BROWN PARK DR., 75 S. TERRACE AVE,xx431,822336,8216.19S8258CHILDREN'S HOSPITALPARTNERSHIP FOR YOUTH SUICIDE PREVENTION899 E. BROAD STREETxx334,074330,4673.00S8258CHN (COMMUNITY HOUSING NETWORK)BRIGGSDALE697,541213,0053.9I10996CHN (COMMUNITY HOUSING NETWORK)HOUSING AS HOUSING7,926,1311,186,34217I10996CHN (COMMUNITY HOUSING NETWORK)RENT SUBSIDY PILOT11,52510,3000I10996CHN (COMMUNITY HOUSING NETWORK)SAFE HAVENS373,824100,0002.25I10996CHN (COMMUNITY HOUSING NETWORK)BELL256,250253,3820I10996CHN (COMMUNITY HOUSING NETWORK)1271 SUMMIT185,05069,5200I10996CHN (COMMUNITY HOUSING NETWORK)HOUSING FACILITATOR74,31456,0791I10996CHN (COMMUNITY HOUSING NETWORK)COMMUNITY ACT349,65239,0001I10996CHOICESOTHER MENTAL HEALTH - CASE MANAGEMENTPO BOX 06157, COLUMBUS 43206xxx70,61724,9810.22I1850CHOICESSOS COUNSELING3535 OLENTANGY RIVER RD., COLUMBUS 43214 AND 475 E. MOUND ST, SUITE 210, COLUMBUS OH 43215xxx96,57086,4540.82I1850COAAAVOLUNTEER GUARDIAN PROGRAM174 EAST LONG STREETxxx151,13749,416SEVEN TENTHSI--COLUMBUS AREADCM/TRI-WEST1515 EAST BROAD STREET, 3035 WEST BROAD STREETxxxxxxx1,022,5831,022,58310.06I3188COLUMBUS AREAEXTENDED CARE COMMUNITY TREATMENT TEAM1515 EAST BROAD STREETxxxx582,525582,5255.95I3188COLUMBUS AREASMD INTAKE1515 EAST BROAD STREETxxxxxx318,535318,5352.25I3188COLUMBUS AREAOUTPATIENT MENTAL HEALTH1221 EAST BROAD STREETxxxx441,771441,7714.00I3188COLUMBUS AREAOUTPATIENT DRUG & ALCOHOL1221 EAST BROAD STREETxxx201,030201,0302.00I3188COLUMBUS AREAMEDICATION CLINIC1515 EAST BROAD STREETxxxx1,910,4831,910,4839.52I3188COLUMBUS AREAKENDALL MANOR RESIDENTIAL SERVICES1337 BRYDEN RD.xx488,107488,1076.75I3188COLUMBUS AREANEXT GENERATION - HOUSE 1 (NEXT GEN # FOR ALL 4 HOUSES COMBINED)1675 COURTRIGHT RDx1,056,2231,056,22316.75I3188COLUMBUS AREANEXT GENERATION - (HOUSE 2)94 E. 4TH ST.I3188COLUMBUS AREANEXT GENERATION - (HOUSE 4)39 N. 20TH ST.I3188COLUMBUS AREANEXT GENERATION - (HOUSE 5)664 KELLNER AVE.I3188COLUMBUS AREAPATHWAY PSYCHOSOCIAL CLUBHOUSE1203 EAST BROAD STREETxxx640,264640,2647.50I3188COLUMBUS AREACONSUMER OPERATED SERVICE CENTER755 E. MAIN STREETxxx550,000550,0001.00I3188COLUMBUS AREAWRAPAROUND SERVICES1515 EAST BROAD STREETx278,515278,5153.00I3188COLUMBUS AREAFLEX FUND10,00010,000NAI3188COLUMBUS AREAMECCA YOUTH AND PREVENTION SERVICES813 BRYDEN (CARRIAGE HOUSE REAR BLDG.)xxxx370,015370,0152.90S3188COLUMBUS AREASOMALI OUTREACH813 BRYDEN (CARRIAGE HOUSE REAR BLDG.)xxxx49,37149,3710.84S3188CONCORDCPST-SMD774 PARK MEADOW RD. WESTERVILLE, OHIOxx985,568985,56811.14I1161CONCORDGENERAL MENTAL HEALTH SERVICES774 PARK MEADOW RD. WESTERVILLE, OHIOxxxxx1,058,601754,47411.96I1161CONCORDADVANCE-AIMS774 PARK MEADOW RD. WESTERVILLE, OHIOxxx126,997126,9971.44I1161CONCORDTHE SPOT2300 FITZROY PLACE SOUTH COLUMBUS, OHIO 43224xI1161CONCORDSENIORLINK774 PARK MEADOW RD. WESTERVILLE, OHIOx150,000100,0001.69I1161CONCORDOA FLEX FUND774 PARK MEADOW RD. WESTERVILLE, OHIOx4,5834,398N/AI1161COVAREHABILITATION READINESSCOVA MAIN OFFICE:3770 NORTH HIGH ST., COLUMBUS, OH 43214xxxx136,501136,5011.00I10001COVARESOURCE CENTERCOVA MAIN OFFICE:3770 NORTH HIGH ST., COLUMBUS, OH 43214xxxx102,627102,6271.00U10001COVAFOLLOW ALONGCOMMUNITY JOB SITESxxxx69,79269,7920.91I10001COVASUPPORTED EMPLOYMENT (CLIENT HOURS)COMMUNITY WORK SITES; COVA MAIN OFFICExxxx805,110315,69114.84I10001COVASUPPORTED EMPLOYMENT (COUNSELING)COMMUNITY WORK SITES; COVA MAIN OFFICExxxx183,353183,3532.00I10001COVABENEFITS CONSULTATIONCOVA MAIN OFFICE AND COMMUNITY SITES AS NEEDEDxxxx38,87838,8780.50I10001CSNCOMMUNITY TREATMENT TEAM3595 SULLIVANT AVENUE, COLUMBUS, OH 43028xxx1,892,3531,892,35323.00I1169CSNHOME BASED RECOVERY SERVICES3595 SULLIVANT AVENUE, COLUMBUS, OH 43028xxx613,406613,40611.00I1169CSNJAIL SERVICESFRANKLIN COUNTY JAIL SITESx119,396-0.60I1169CSNFORENSIC MONITORS3595 SULLIVANT AVENUE, COLUMBUS, OH 43028xxx167,790167,7902.00I1169CSNFLEX FUND3595 SULLIVANT AVENUE, COLUMBUS, OH 43028xxx23,83023,830N/AI1169DFYFBEHAVIORAL HEALTH1515 INDIANOLA AVENUE, COLUMBUS, OHIO 43201xxxx951,550781,6848.49I1880DFYF1414 E BROAD STREET, COLUMBUS, OHIO 43205xxxxI1880DFYF3850 SULLIVANT AVENUE, COLUMBUS, OHIO 43228xxxxI1880DFYFOUTREACH COUNSELING PROGRAM1515 INDIANOLA AVENUE, COLUMBUS, OHIO 43201xx4,982,4702,492,46655.22I1880DFYF3850 SULLIVANT AVENUE, COLUMBUS, OHIO 43228xxI1880DFYF1414 E BROAD STREET, COLUMBUS, OHIO 43205xxI1880DFYFSCHOOL CONNECTIONS/ SW CITY SCHOOLS3850 SULLIVANT AVENUE, COLUMBUS, OHIO 43228xx285,000285,0004.19S1880DUBLIN COUNSELINGOUTPATIENT MH ALL AGES299 CRAMER CREEK COURTxxxxxx1,200,052726,9629.00I1167DUBLIN COUNSELINGADULT TRAUMA299 CRAMER CREEK COURTxx100,825100,0001.50I1167FIRSTLINKPATHLINKFIRSTLINK 195 N. GRANT AVE. COLUMBUS 43215xxxxxxx11,94311,9430.30U--FIRSTLINKINFORMATION AND REFERRALFIRSTLINK 195 N. GRANT AVE. COLUMBUS 43215xxxxxxxxxx35,93935,9391.00U--HUCK HOUSECRISIS PROGRAM1421 HAMLET STREET, COLUMBUS, OH 43201xx788,972293,69412.00I3164HUCK HOUSETRANSITIONAL LIVING PROGRAMSCATTERED SITE APARTMENTSxxx980,338369,3397.00I3164HUCK HOUSEFAMILY SUPPORT PROGRAM1421 HAMLET STREET, COLUMBUS, OH 43201xxx457,160447,2016.00I3164HUCK HOUSECOUNSELING PROGRAM1421 HAMLET STREET, COLUMBUS, OH 43201xxx107,77561,1282.00I3164HUCK HOUSEHUCK PROGRAM1421 HAMLET STREET, COLUMBUS, OH 43201xx119,281119,2812.00I3164MENTAL HEALTH AMERICAOMBUDSMAN PROGRAM538 EAST TOWN ST., SUITE D, COLUMBUS, OHIO 43215x