Pyramid Healthcare, Inc. 1999, Pyramid Healthcare, Inc. has been developing a vertically integrated system of behavioral health care throughout Pennsylvania. Established and headquartered

Pyramid Healthcare, Inc.®

2014 at a Glance• October Road continues

to grow

• Pyramid’s approach: vertical integration

• Success of High Focus Centers

• Expansion and changes at Hillside

• Employees celebrate 5, 10, and 15 years with Pyramid

A Word from the CEO...In 2014, addiction is more prevalent than ever. It’s a constant theme on television and on the radio; in books and on the big screen. The average consumer is more and more aware of the destructive impact of substance abuse – and they’re also more aware of the options for treatment.

Since 1999, Pyramid Healthcare, Inc. has been developing a vertically integrated system of behavioral health care throughout Pennsylvania. Established and headquartered in Altoona, PA, we have grown over the past 15 years from one treatment program to a network of 62 behavioral health care facilities across Pennsylvania, New Jersey, and North Carolina, employing over 1,300 people. In 2012, we acquired October Road, Inc., a provider of outpatient MH/CD and ACTT services in North Carolina. In the same year, we purchased High Focus Centers, the largest private provider of behavioral health care services in New Jersey. In April 2014, we acquired Onward Behavioral Health (OBH) and its three subsidiaries: Rehab After Work, The Light Program and Life Counseling Services.

Our growth over the past 15 years now allows us to serve our clients with consistent and coordinated care at all levels of the continuum more easily than ever in more places, resulting in better outcomes for those who turn to Pyramid Healthcare for help in their search for stability and recovery.

Operating as a system of care has enabled us to bring together tremendous resources which ultimately benefit the client, the family, the payer, and the community. We look forward to continuing to build on this exceptional system of care for years to come.

— Jonathan Wolf, CEO

ANNUAL REPORT 2013-2014

An increase in the number of patient days demonstrates Pyramid’s consistent growth.

PATIENT DAYS

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Operating as a

system of care has

enabled us to bring

together tremendous

resources which

ultimately benefit

the client, the family,

the payer, and the

community.

— Jonathan Wolf, CEO

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Vertical integration helps Pyramid Healthcare keep revenues and expenses balanced despite large, up-front investments in recent acquisitions.

REVENUES AND EXPENSES

Vertical Integration’s Role inFifteen Years of SuccessAfter fifteen years in the behavioral health care industry, Pyramid Healthcare remains a leader in terms of both geographic reach and quality of care. The secret to over a decade of success? Vertical integration, which allows Pyramid to reduce costs and increase the variety of types of care it can offer to its clients.

From detoxification to sober living, Pyramid Healthcare has expanded its service line to provide cutting-edge treatment for clients in any and all stages of recovery. Vertical integration also has the tendency to increase success rates for Pyramid’s clients, who can move seamlessly from one facility to the next while receiving a consistent quality of care.

Pyramid’s recent acquisitions of Onward Behavioral Health, October Road, Inc., High Focus Centers and others further demonstrate Pyramid’s commitment to vertical integration as a business strategy, and also to the organizational vision to provide clients with a system of treatment in behavioral health care with ground-breaking results in the treatment of adults, children, and families.

The Rise of October Road, Inc.Pyramid Healthcare acquired Asheville, North Carolina-based October Road, Inc. in April 2012. At the time, October Road provided mental health and substance abuse treatment services. Recently, October Road added two new treatment options in an effort to better serve its clients: peer support services and ambulatory detoxification services.

Peer Support ServicesPeer support services give individuals the opportunity to learn to manage their recovery and advocacy process. Structured for adults 18 and older with a mental health disability, peer support services are individualized and recovery-focused, and enhance the development of coping and self-management skills.

Ambulatory DetoxificationOctober Road’s new ambulatory detoxification services don’t require extended on-site monitoring and are staffed by physicians, registered nurses, and appropriately licensed professionals who work together to monitor and encourage clients’ progress within the program.

These new services offer streams of revenue not previously available to October Road while simultaneously providing a wider range of clients with the types of treatment they need to achieve recovery.

High Focus Centers (HFC), a 2012 Pyramid Healthcare acquisition, is the largest and most trusted center for outpatient addiction treatment programs and mental health counseling for adults and adolescents in New Jersey, with locations across the northern and central parts of the state, including Branchburg, Cranford, Freehold, Paramus, and Parsippany.

Since November 2013, High Focus Centers experienced a large increase in the number of clients in its adult and adolescent programs. In particular, the number of clients admitted to the new High Focus Centers’ Branchburg location increased by nearly 200% between November 2013 and July 2014. These numbers are a testament to the high quality of care offered by High Focus Centers, and this positive trend looks poised to continue over the next fiscal year and beyond.

2014 Highlights• Pyramid Healthcare,

Inc. celebrated its 15th anniversary in July

• Current stats: 62 facilities with over 1,300 employees

• High Focus Centers’ Branchburg, NJ location experienced a 200% increase in its total average daily census between Nov. 2013 and July 2014

• Pyramid became one of the largest behavioral health care providers in the nation following the OBH acquisition

• 125 employees attended Pyramid’s Employee Anniversary Event in Altoona, PA on July 16

• October Road added peer support services and ambulatory detoxification

• Pyramid’s Hillside facility treated almost an additional four people every month over the past fiscal year

• Pyramid Pittsburgh’s outpatient program opened in January

Growth of High Focus Centers

Each of Branchburg’s programs (adult psychiatric, adolescent, and adult chemical dependency) have experienced an increase in the average daily census.

AVERAGE DAILY CENSUS BY PROGRAM

Although Branchburg’s individual programs exhibit fluctuations in average daily census, the facility’s total average daily census has followed a positive trend

over the past fiscal year.

TOTAL AVERAGE DAILY CENSUS BY PROGRAM

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Looking Ahead with OBHPyramid Healthcare recently expanded its already impressive service offerings in Pennsylvania and New Jersey with the acquisition of Onward Behavioral Health (OBH) in May 2014. OBH brings its exceptional reputation as a high-quality provider of behavioral health care to Pyramid, along with over 300 employees and 26 locations across southeastern Pennsylvania and New Jersey. OBH offers substance abuse and mental health treatment through its subsidiaries, which include:

Rehab After Work Outpatient and intensive outpatient services for chemically dependent clients

Life Counseling Services Outpatient mental health and co-occurring disorders services provided by individual therapists

The Light Program Outpatient mental health partial hospital/intensive outpatient services

EAP Life Management Services Employee assistance services

Following its acquisition of OBH, Pyramid Healthcare is now recognized as one of the largest behavioral health care providers in the nation.

Pyramid Expands in Eastern Pennsylvania

HILLSIDE AVERAGE DAILY CENSUS

Hillside’s average daily census increased consistently across the past fiscal year, including an average month-to-month increase of 14% in the number of

people admitted to Hillside.

Hillside Keeps ClimbingPyramid Healthcare’s Hillside facility, located in the Pocono Mountains in northeastern Pennsylvania, has seen significant growth since its opening in July 2013.

Hillside’s expansion is part of a larger trend towards increased demand for alcohol and substance abuse rehabilitation services, but Pyramid Healthcare’s commitment to providing the best care possible for its clients sets Hillside apart from the competition, as evidenced by a consistent increase in Hillside’s average daily census (ADC). Over the 2013 fiscal year, Hillside experienced, on average, a 14% month-to-month increase in its ADC. This means that, every month, almost an additional four people were in treatment at Hillside, compared to the previous month.

Pyramid elected to search internally for new leadership at its growing facility. Jennifer Lembach, former program director at Pyramid’s Quakertown adolescent facility, now holds the program director title at Hillside as it continues to make great strides towards becoming the premier treatment center in eastern Pennsylvania and New Jersey.

On July 16, Pyramid Healthcare honored employees with 5, 10, and 15 years of service at the Heritage Discovery Center in downtown Altoona with a catered dinner, refreshments, live entertainment and individual award presentations.

A total of 125 employees attended the event, including the thirty 5-year employees, who received engraved pens, and fifteen 10-year employees, who received engraved clocks. Attendees also had the chance to celebrate the successes of employees with 15 years of service. These four employees, who have been with Pyramid Healthcare since its founding in 1999, received engraved watches and warm recognition from their colleagues and CEO Jon Wolf, who acknowledged each individual’s accomplishments. All employees with five or more years of service were recognized with a messenger bag embroidered with the Pyramid Healthcare logo.

Wolf, who also served as the evening’s MC, summarized the year’s accomplishments and announced future growth plans for Pyramid Healthcare. Following the event, he stated, “Without the commitment and loyalty of our employees, many of whom have been with us since 1999, Pyramid Healthcare would not be the organization it is today. We were proud to celebrate the accomplishments and achievements of those absolutely indispensable employees who have been dedicated to our mission for 5,10, and 15 years, and look forward to welcoming additional employees into this very committed and valued group next year.”

From L to R: Transportation Department drivers Mike Fanelli (5+ years) and Dan Tomlinson (5 years)

From L to R: Admissions representatives Ebony Thompkins, Lisa Salaymal-Strohman (5+ years), Amy Walter, (5+ years) April Butterbaugh (5+ years) and Bobbi Denny (5+ years)

Jon Wolf, CEO, poses with Walter Fleming Jr., Behavioral Healthcare Technician at theDuncansville Inpatient program. Walter was recognized along with three other employees for 15 years of loyal service.

From L to R: Sandra Rankin (5 years) of Altoona Outpatient, Kathy Marsili (10+ years), Alix Armstrong of Southside Outpatient in Pittsburgh and Sue Himes (5 years) of Altoona Outpatient

Pyramid Celebrates 5, 10, & 15 Year Employees

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From L to R: Tom Scranton, Community Relations Representative; Jon Wolf, CEO; and Jim Vernarsky, VP of Western Region Operations, celebrate 15 years with Pyramid Healthcare.

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Pyramid Healthcare, Inc.®

DirectorsJonathan WolfJames AndersenCalvin NeiderMatthew BlevinsJames Donnelly

OfficersJonathan Wolf, President Mark Moore, TreasurerMatthew Blevins, SecretaryErin Bard, Assistant Secretary

Adolescent ServicesRidgeview Adolescent Behavioral Health Center4447 Gibsonia RoadGibsonia, PA 15044Quakertown Adolescent Behavioral Health Center2705 Old Bethlehem PikeQuakertown, PA 18951 School Programs

Soaring Heights School (Autism)550 Leonard StreetClearfield, PA 16830

Soaring Heights School (Autism)493 South Highland StreetDuBois, PA 15801

Soaring Heights School Leg Up Farm4880 North Sherman St. Ext.York, PA 17347

New Vista Learning Center493 South Highland StreetDuBois, PA 15801 School Programs at Inpatient FacilitiesRidgeview Quakertown

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

Tradition House – Women830 6th Avenue Altoona, PA 16602

Pine Ridge Manor—Men 13505 S. Eagle Valley RoadTyrone, PA 16686 Adult Residential InpatientAltoona 1894 Plank RoadDuncansville, PA 16635

Belleville3893 West Main StreetBelleville, PA 17004

Pyramid Pittsburgh 306 Penn AvenuePittsburgh, PA 15221

Adult/Adolescent DetoxificationAltoona1894 Plank RoadDuncansville, PA 16635

Pyramid Pittsburgh 306 Penn AvenuePittsburgh, PA 15221 Housing ServicesAllegheny County Housing Services for Men1907 Hanover St., Apt. 10Pittsburgh, PA 15218

Allegheny County Housing Services for Women1937 Delaware Ave., Apt. 103Pittsburgh, PA 15218

Grey House - Men831 6th Avenue Altoona, PA 16602

Prison ProgramsBlair CountyHollidaysburg, PA 16648

Administrative OfficesCentral PA Corporate Office270 Lakemont Park Bvld.Altoona, PA 16602

Eastern PA Corporate OfficeRoma Corporate Center1605 N. Cedar Crest Blvd. Suite 602Allentown, PA 18104

Western PA Administrative Office20397 Route 19 North Two Landmark Bldg., Ste.128Cranberry Township, PA 16066

Outpatient ServicesAllentown OutpatientRoma Corporate Center1605 N. Cedar Crest Blvd.Suite 602Allentown, PA 18104

Altoona Outpatient 2 Sellers DriveAltoona, PA 16601

Chambersburg Outpatient455 Phoenix DriveChambersburg, PA 17201

Erie Outpatient1224 French StreetErie, PA 16501

Pittsburgh (Southside) OutpatientBirmingham TowersSuite 3212100 Wharton StreetPittsburgh, PA 15203

Pyramid Pittsburgh306 Penn AvenuePittsburgh, PA 15221

York Outpatient104 Davies DriveYork, PA 17402

Methadone Maintenance

Foundations Medical ServicesBantam CommonsBuilding #2124 Hollywood DriveButler, PA 16001

Dolminis2 Sellers DriveAltoona, PA 16601

York Pharmacotherapy Services104 Davies DriveYork, PA 17402

Hillside Adolescent Detoxification Adult Detoxification Adult Residential Inpatient420 Supreme Court DriveEast Stroudsburg, PA 18302

October Road, Inc. Corporate Office119 Tunnel Road, Suite DAsheville, NC 28805

High Focus CentersCorporate Office47 Maple StreetSuite 401Summit, NJ 07901

Onward Behavioral Health Corporate Office 1440 Russell RoadPaoli, PA 19301