2026-09-15T14:26:18-05:00 2025-10-31 410746749 CLIFTONLARSONALLEN LLP 1785 INDIAN WOOD CIRCLE MAUMEE OH 43537 990 2024-11-01 460530293 COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY COMM 9375991411 212 E COLUMBUS AVE 1 BELLEFONTAINE OH 43311 TARA BAIR PRESIDENT/CEO 9375991411 2026-09-14 1 1 DIANN STRETTEN P01983935 4197942000 2026-09-10 2024 TARA BAIR 212 E COLUMBUS AVE 1 BELLEFONTAINE OH 43311 21493590 0 X WWW.CHWPCARES.ORG X PARTNERSHIP 2012 OH COMMUNITY HEALTH AND WELLNESS PARTNERS' MISSION IS TO PROVIDE QUALITY, WHOLE-PERSON, PATIENT-CENTERED HEALTHCARE TO ANYONE AND EVERYONE IN OUR COMMUNITY. 13 13 152 14 0 0 1682676 2375106 12783450 19088331 46616 16755 28626 13398 14541368 21493590 0 0 0 0 9664408 10634574 0 0 0 6098932 9264945 15763340 19899519 -1221972 1594071 6511460 8007024 3549942 3451435 2961518 4555589 COMMUNITY HEALTH AND WELLNESS PARTNERS OF LOGAN COUNTY'S MISSION IS TO PROVIDE QUALITY, WHOLE-PERSON, PATIENT-CENTERED HEALTHCARE TO ANYONE AND EVERYONE IN OUR COMMUNITY. 0 0 15477480 19088331 THE ORGANIZATION PROVIDES MEDICAL, BEHAVIORAL HEALTH, AND ON-SITE PHARMACY SERVICES TO COMMUNITY RESIDENTS. IT OPERATES FOUR HEALTH CENTERS AND FIVE SCHOOL-BASED HEALTH CENTERS IN LOGAN AND CHAMPAIGN COUNTIES, OHIO. 15477480 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 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 0 0 0 0 1 33 0 1 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 X TYSON BOUYACK 9375991411 212 E COLUMBUS AVE STE 1 BELLEFONTAINE OH 43311 KYLE LENTZ CHARIMAN 1.00 X X 0 0 0 LE-ANNE FUSON BOARD MEMBER 1.00 X 0 0 0 ELIZABETH MCCLURE SECRETARY 1.00 X X 0 0 0 KYLE SPRINGS VICE CHARIMAN 1.00 X X 0 0 0 MARK GIBSON BOARD MEMBER 1.00 X 0 0 0 AMBER HANLEY BOARD MEMBER 1.00 X 0 0 0 MARCIA BAILEY TREASURER 1.00 X X 0 0 0 KELLI BADER BOARD MEMBER 1.00 X 0 0 0 LYDIA HESS BOARD MEMBER 1.00 X 0 0 0 NEILL RHODES BOARD MEMBER 1.00 X 0 0 0 SARAH WARREN BOARD MEMBER 1.00 X 0 0 0 BECKY MARTIN BOARD MEMBER 1.00 X 0 0 0 JACKIE PRATER BOARD MEMBER 1.00 X 0 0 0 JEFF FORMAN CHIEF FINANCIAL OFFICER 40.00 X 119931 0 34230 TARA BAIR CHIEF EXECUTIVE OFFICER 40.00 X 176016 0 15160 KATHY SMITH CHIEF OPERATING OFFICER 40.00 X 104485 0 29054 STEVEN TONEY CHIEF MEDICAL OFFICER 40.00 X 213382 0 24866 JUSTIN GILDOW ADVANCE PRACTICE NURSE 40.00 X 170783 0 29299 CHARLES KRATZ PHYSICIAN 40.00 X 233288 0 47978 JILLIAN SHELLABARGER CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 334388 0 21337 RACHEL CHURCH PHYSICIAN 40.00 X 206154 0 6338 1558427 0 208262 17 0 1 0 HAZELET HEALTHCARE CONSULTING LLC 257 N 6TH ST INDIANA PA 15701 CONTRACTED BILLING COMPANY 274815 1 2305836 69270 2375106 PHARMACY REVENUES 624100 10971359 10971359 PATIENT SERVICES 624100 7588589 7588589 QUALITY CARE REVENUE 624100 367984 367984 OTHER INCOME 624100 160399 160399 19088331 16755 16755 13398 0 13398 13398 13398 21493590 19088331 0 30153 490281 382419 107862 8397106 6533099 1864007 233629 163683 69946 861308 604286 257022 652250 502287 149963 106814 106814 572842 572842 1089 1089 336419 336419 61231 544 60687 10035 7740 2295 772839 569754 203085 109626 42804 66822 20326 20326 151790 12611 139179 28540 28540 340B PHARMACY 4137252 4137252 COST OF GOODS SOLD 1528272 1528272 OFFICE SUPPLIES AND EQU 833401 642818 190583 MEDICAL SUPPLIES AND EQ 242391 242391 352078 106431 245647 19899519 15477480 4422039 0 131492 384810 32190 1007660 129231 284968 1753168 1879061 44381 183683 186131 281450 2493301 512520 1866648 1980781 105757 115511 2262462 1889100 6511460 8007024 407181 580156 459884 401546 2682877 2469733 3549942 3451435 X 2926802 4270873 34716 284716 2961518 4555589 6511460 8007024 1594071 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 465248 465248 714576 115505 599071 585830 144367 441463 173291 88272 85019 554356 164376 389980 1980781 OPERATING RIGHT OF USE ASSETS 1889100 1889100 ACCRUED PAYROLL & OTHER LIABILITIES 670235 LEASE LIABILITY 1799498 2469733 X 21492501 0 21492501 1089 1089 21493590 19898430 0 19898430 1089 1089 19899519 PART X, LINE 2: MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION, SUCH AS TAX EXEMPTION DESIGNATION, IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT A SIGNIFICANT CHANGE IN A TAX POSITION WILL OCCUR IN THE NEXT TWELVE MONTHS. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE PRIOR THREE FISCAL YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 1,089. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 1,089. X X X 0 0 0 0 0 1 0 0 0 JILLIAN SHELLABARGER CHIEF BEHAVIORAL HEALTH OFFICER 334388 0 0 0 0 0 12971 0 8366 0 355725 0 0 0 CHARLES KRATZ PHYSICIAN 233288 0 0 0 0 0 9903 0 38075 0 281266 0 0 0 STEVEN TONEY CHIEF MEDICAL OFFICER 213382 0 0 0 0 0 6737 0 18129 0 238248 0 0 0 RACHEL CHURCH PHYSICIAN 206154 0 0 0 0 0 6338 0 0 0 212492 0 0 0 JUSTIN GILDOW ADVANCE PRACTICE NURSE 170783 0 0 0 0 0 7365 0 21934 0 200082 0 0 0 TARA BAIR CHIEF EXECUTIVE OFFICER 176016 0 0 0 0 0 7313 0 7847 0 191176 0 0 0 JEFF FORMAN CHIEF FINANCIAL OFFICER 119931 0 0 0 0 0 4999 0 29231 0 154161 0 0 0 PART I, LINE 3 CHWPLC'S EXECUTIVE COMMITTEE ENGAGED IN THE PROCESS OF COMPARATIVE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND SOUGHT SUPPORT FROM THE OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS' EXECUTIVE DIRECTOR (PRIMARY CARE ASSOCIATION) FOR EXECUTIVE PAY. KEY MEDICAL EMPLOYEES WHO ARE PATIENT SERVICE PROVIDERS ARE COMPARED TO STATE AND LOCAL AVERAGES FOR FQHC'S AND NON-FQHC'S AT LEAST EVERY TWO YEARS TO COMPARE WAGE DATA. THIS PROCESS WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION A, LINE 8B THERE IS AN EXECUTIVE COMMITTEE THAT MEETS MONTHLY, BUT ALL AUTHORITY IS HELD AT THE BOARD OF DIRECTORS LEVEL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED WITH BOTH THE FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS AT THE MEETING(S) FOLLOWING THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES COMPLETE A QUARTERLY REVIEW TO CONFIRM THAT ALL CONFLICTS OF INTEREST HAVE BEEN DISCLOSED. WHEN THERE IS A REASONABLE CAUSE, THE INTERESTED PERSON IS THEN GIVEN AN OPPORTUNITY TO MAKE A PRESENTATION WITHIN A LIMITED TIME PERIOD. IF THE BOARD OR COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THEY MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 CHWPLC'S EXECUTIVE COMMITTEE ENGAGED IN THE PROCESS OF COMPARATIVE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND SOUGHT SUPPORT FROM THE OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS' EXECUTIVE DIRECTOR (PRIMARY CARE ASSOCIATION) FOR EXECUTIVE PAY. KEY MEDICAL EMPLOYEES WHO ARE PATIENT SERVICE PROVIDERS ARE COMPARED TO STATE AND LOCAL AVERAGES FOR FQHC'S AND NON-FQHC'S AT LEAST EVERY TWO YEARS TO COMPARE WAGE DATA. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST