2018-11-01T12:00:18-07:00 2017-12-31 990 2017-01-01 311155352 Hopewell Health Centers Inc HOPE 7407731006 PO Box 188 Chillicothe OH 45601 James Morris Dir of Fiscal Services 7405945045 2018-10-25 8.21.121.2 2017 2018-06-14 16:35:46Z Mark Bridenbaugh PO Box 188 Chillicothe OH 45601 44664337 0 X X 1985 OH Provide access to affordable high quality healthcare without discrimination to the residents of southeast Ohio. 11 11 604 0 0 0 5823097 7485589 26747883 32279962 150317 0 3511489 4898786 36232786 44664337 0 0 0 0 26142341 30138179 0 0 0 9609665 12296426 35752006 42434605 480780 2229732 14678396 20364812 5474839 8931523 9203557 11433289 Provide access to high quality health, dental, mental health services without discrimination to the residents of southeastern Ohio. 0 0 17337388 0 27891208 Provide medical and dental services to rural southern Ohio. Serving Ross, Perry, Hocking, Vinton, Athens, and Meigs counties. 19296289 0 16282587 Provide mental health, counseling, and addiction treatment services to rural southern Ohio. Serving Athens, Hocking, Vinton, Washington, Meigs, and Jackson counties. 502044 0 490542 WIC - Women, Infants and Children nutritional program that helps women, new mothers, and young children eat healthy and stay healthy. 0 0 0 37135721 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 604 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X Brad Nelson 7407731006 PO Box 188 Chillicothe OH 45601 Kathy Cecil Board President 0 0 X 0 0 0 Ethyl Crane Board Member 0 0 X 0 0 0 Luke Feeney Board Member 0 0 X 0 0 0 Walter Goble Board Secretary 0 0 X 0 0 0 Diane Lewe Board Member 0 0 X 0 0 0 Tom McGuire Board Member 0 0 X 0 0 0 John Means Board Treasurer 0 0 X 0 0 0 Martha Murphy Board Member 0 0 X 0 0 0 Amy Jo Newlun Board Member 0 0 X 0 0 0 Don Poole Board Vice-President 0 0 X 0 0 0 Mark Smith Board Member 0 0 X 0 0 0 Mark Bridenbaugh Chief Executive Officer 40 0 X 137590 0 3757 Eduardo Robles Chief Medical Officer 40 0 X 215171 0 7934 Bradford Nelson Chief Financial Officer 40 0 X 102229 0 4015 Sherry Shamblin Chief Stategy Officer 40 0 X 111792 0 4424 David Schenkelberg Chief Clinical Officer 40 0 X 104343 0 4113 Damodar Poudel Regional Medical Director 40 0 X 268732 0 10722 Mary Hanessian Director of Psychiatry 40 0 X 259429 0 10343 Douglas Carr Regional Medical Director 40 0 X 215861 0 8514 Darcy Cook Director of Dentistry 40 0 X 145810 0 1538 Robert Yoho Director of Pharmacology 40 0 X 14424 0 0 Brittane Britton Dentist 40 0 X 380322 0 12070 Nicholas Gatzulis Dentist 40 0 X 343979 0 12119 Shivaprakash Kudlapur Physician 40 0 X 277119 0 8890 Benjamin Jordan Psychiatrist 40 0 X 253880 0 10119 Deborah James Dentist 40 0 X 218297 0 8657 3048978 0 107215 41 0 1 0 Eclinical Works LLC PO Box 847950 Boston MA 02284 Electronic Medical Records 523480 RxStrategies 1900 Glades Rd Suite 350 Boca Roton FL 33431 340B Pharmacy Processing 379629 Rigel LLC PO Box 608 Owingsville KY 40360 Computer Services 375733 Flecto LLC 3704 East Pike Zanesville OH 43701 Construction - New Lexington Location 198583 Trizetto Dept CH 16897 Palatine IL 60055 Claims Processing 190651 24 0 0 0 0 7485589 0 0 7485589 32279962 32279962 0 0 32279962 0 0 0 0 0 0 0 0 0 0 0 0 10800 0 0 0 10800 0 10800 10800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340B Program 900099 4862118 4862118 0 0 Medical Records 900099 22141 22141 0 0 3727 3727 0 0 4887986 44664337 37178748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23434703 21356326 2078377 0 572308 522461 49847 0 4346244 3730224 616020 0 1784924 1715669 69255 0 1533643 1012959 520684 0 8668 701 7967 0 17842 600 17242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 124048 92047 32001 0 5189457 4597520 591937 0 333248 35782 297466 0 0 0 0 0 1260554 1083642 176912 0 557423 508238 49185 0 0 0 0 0 157438 100968 56470 0 130929 123168 7761 0 93572 49072 44500 0 541775 319261 222514 0 89896 12265 77631 0 340B Program 2182469 1799354 383115 0 Vehicle Maintenance 33567 33567 0 0 41897 41897 0 0 42434605 37135721 5298884 0 3756 4546 1932654 3230470 0 0 4173359 5101741 0 0 0 0 0 0 17872 17872 10312 50087 16233325 4289705 8343890 11943620 0 0 0 0 0 0 0 0 196553 16476 14678396 20364812 2666219 4583082 0 0 0 0 0 0 0 0 0 0 2808620 4348441 0 0 0 5474839 8931523 X 9203557 11433289 0 0 0 0 9203557 11433289 14678396 20364812 2229732 0 0 0 0 0 X 0 1 X 1 1 1 X 16746 0 0 0 0 0 16746 16746 0 0 0 0 0 16746 16011 0 465 0 0 0 16476 14947 0 1064 0 0 0 16011 13127 0 1820 0 0 0 14947 1 0 0 1 0 0 1205678 1205678 0 11985299 2279305 9705994 0 751953 206866 545087 0 2290395 1803534 486861 0 0 0 0 11943620 44664337 0 0 0 0 0 44664337 0 0 0 44664337 42434605 0 0 0 0 0 42434605 0 0 0 42434605 Schedule D, Part V, Line 4 Endowment fund established to help defray costs associated with uninsured patients. X X 0 0 0 0 0 0 0 0 0 Eduardo Robles Chief Medical Officer 215171 0 0 0 0 0 7934 0 0 0 223105 0 0 0 Damodar Poudel Regional Medical Director 268732 0 0 0 0 0 10722 0 0 0 279454 0 0 0 Mary Hanessian Director of Psychiatry 259429 0 0 0 0 0 10343 0 0 0 269772 0 0 0 Douglas Carr Regional Medical Director 215861 0 0 0 0 0 8514 0 0 0 224375 0 0 0 Brittane Britton Dentist 380322 0 0 0 0 0 12070 0 0 0 392392 0 0 0 Nicholas Gatzulis Dentist 343979 0 0 0 0 0 12119 0 0 0 356098 0 0 0 Shivaprakash Kudlapur Physician 277119 0 0 0 0 0 8890 0 0 0 286009 0 0 0 Benjamin Jordan Psychiatrist 253880 0 0 0 0 0 10119 0 0 0 263999 0 0 0 Deborah James Dentist 218297 0 0 0 0 0 8657 0 0 0 226954 0 0 0 Form 990, Part VI, Section B, Line 11b The form 990 is presented to the board members for review and approval prior to submission. Form 990, Part VI, Section B, Line 12c Board members are required to complete a questionnaire. Form 990, Part VI, Section B, Line 15 The Board of Directors approves all pay scales and cost of living increases for the year. A review of comparable health centers and salaries in the community are reviewed when making any changes to pay scales Form 990, Part VI, Section C, Line 19 Information in the organization's governing documents, conflict of interest policy, and financial statements are made available upon request. Tri-County Mental Health & Counseling Services Inc 90 Hospital Drive Athens OH 45701 310860366 Behavioral Health Care OH 501(c)(3) 7 Hopewell Health Centers Inc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 Submitted Form 8868 for automatic 6-month extension. Extension accepted on 04/25/2018 extending due date to 11/15/2018.