2014-04-02T14:55:54-05:00 2013-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 E MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2013-01-01 270851935 OHIO HEALTH INFORMATION PARTNERSHIP INC OHIO 6146642616 3455 MILL RUN DRIVE NO 315 HILLIARD OH 43026 FRANK SCHOSSLER CEO 6146642616 2014-03-31 1 KENT PUMMEL P00740697 9373992000 2014-03-31 2013 2015-11-30 17:44:51Z DAN PAOLETTI 3455 MILL RUN DRIVE NO 315 HILLIARD OH 43026 13297511 0 X WWW.CLINISYNC.ORG X 2009 OH OHIP'S MISSION IS TO LESSEN THE BURDENS OF GOVERNMENT AND IMPROVE THE QUALITY AND AFFORDABILITY OF HEALTH CARE FOR ALL OHIOANS BY PROMOTING THE USE OF ELECTRONIC AND PERSONAL HEALTH RECORDS AND THE EXCHANGE OF HEALTH INFORMATION AMONG HEALTHCARE STAKEHOLDERS IN A PRIVATE AND SECURE MANNER. 17 17 23 17 0 0 11110093 11560111 92596 1707917 8221 9314 43049 20169 11253959 13297511 0 0 0 0 1951645 2043402 0 0 0 9234921 6761765 11186566 8805167 67393 4492344 6013452 5772380 5903356 1169940 110096 4602440 X OHIP'S MISSION IS TO LESSEN THE BURDENS OF GOVERNMENT AND IMPROVE THE QUALITY AND AFFORDABILITY OF HEALTH CARE FOR ALL OHIOANS BY PROMOTING THE USE OF ELECTRONIC AND PERSONAL HEALTH RECORDS AND THE EXCHANGE OF HEALTH INFORMATION AMONG HEALTHCARE STAKEHOLDERS IN A PRIVATE AND SECURE MANNER. 0 0 8483910 1707917 THE ORGANIZATION WAS NAMED THE STATE DESIGNATED ENTITY FOR HEALTH INFORMATION EXCHANGE (HIE) DEVELOPMENT AND WAS AWARDED GRANT FUNDING UNDER THE HITECH PROVISIONS OF THE AMERICAN RECOVERY AND REINVESTMENT ACT. INITIALLY, THE ORGANIZATION RECEIVED FUNDING FROM 2 FEDERAL GRANTS, ONE TO CREATE THE STATEWIDE HIE AND THE OTHER FOR REGIONAL EXTENSION CENTER DEVELOPMENT. ADDITIONALLY, THE ORGANIZATION RECEIVED A SUPPLEMENTAL FEDERAL GRANT AWARD TO ASSIST CRITICAL ACCESS HOSPITALS AND RURAL HOSPITALS. STATE GRANTS WERE ALSO AWARDED IN CONJUNCTION WITH THE FEDERAL GRANTS AND COVERING MANY OF THE SAME ACTIVITIES AS FUNDED THROUGH THE FEDERAL GRANTS. 8483910 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 0 0 1 2 0 1 23 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X DAN PAOLETTI 6146642616 3455 MILL RUN DR SUITE 315 HILLIARD OH 43026 AMY ANDRES VICE CHAIR 4.00 X X 0 0 0 BRIAN BACHELDER DIRECTOR 2.00 X 0 0 0 RICHARD GAJDOWSKI DIRECTOR 2.00 X 0 0 0 JOANNE LIMBACH DIRECTOR 2.00 X 0 0 0 JEFF LOWRANCE DIRECTOR 2.00 X 0 0 0 AMANDA LUCAS DIRECTOR 2.00 X 0 0 0 BRENT MULGREW CHAIR 4.00 X X 0 0 0 JON WILLS SECRETARY 4.00 X X 0 0 0 GREGG ALEXANDER DIRECTOR 2.00 X 0 0 0 C MARTIN HARRIS DIRECTOR 2.00 X 0 0 0 DON PIRC DIRECTOR 2.00 X 0 0 0 REBECCA SYKES DIRECTOR 2.00 X 0 0 0 PETER KLEINHENZ DIRECTOR 2.00 X 0 0 0 GREG BOGGS DIRECTOR 2.00 X 0 0 0 MIKKI CLANCY DIRECTOR 2.00 X 0 0 0 MICHAEL KROUSE DIRECTOR 2.00 X 0 0 0 WILLIAM WULF DIRECTOR 2.00 X 0 0 0 DAN PAOLETTI CEO 40.00 X 0 0 0 FRED RICHARDS CIO, COO 40.00 X 191590 0 26616 FRANK SCHOSSLER CFO 40.00 X 160910 0 24474 MARGARET EICHNER PROJECT MANAGER 36.00 X 108137 0 6692 ANDREA PERRY PROJECT MANAGER 40.00 X 112915 0 14059 573552 0 71841 4 0 1 0 MEDICITY 56 E BROADWAY SUITE 600 SALT LAKE CITY UT 84111 CLINICAL DATA EXCHANGE TECHNOLOGY 3371545 BRICKER & ECKLER LLP 100 SOUTH THIRD STREET COLUMBUS OH 43215 LEGAL SERVICES 304942 OHIO HOSPITAL ASSOCIATION 155 E BROAD STREET 15TH FLOOR COLUMBUS OH 43215 MANAGEMENT SERVICES 258375 3 11560111 11560111 HOSPITAL FEES 541900 1707917 1707917 1707917 9314 9314 OTHER INCOME 541900 20169 20169 20169 13297511 1707917 0 29483 X 645393 645393 1053592 1053592 100297 100297 120082 120082 124038 124038 288150 288150 16200 16200 3104173 2795424 308749 8557 7571 986 74728 72093 2635 88718 83839 4879 54246 54246 256 256 40141 40141 61044 61044 SUBSIDY 3018500 3018500 EDUCATION AND TRAINING 4838 830 4008 MISCELLANEOUS 2214 2214 8805167 8483910 321257 0 513512 421017 3580750 4490073 1834078 829036 29247 9287 180011 157481 55428 22530 437 437 6013452 5772380 1757476 941076 4140915 222883 4965 5981 5903356 1169940 X 110096 4602440 110096 4602440 6013452 5772380 4492344 0 X X 0 1 X 1 1 1 X 3175999 21892278 11110093 11560111 47738481 3175999 21892278 11110093 11560111 47738481 47738481 24745 15427 8221 9314 57707 20169 20169 47816357 1877177 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18337 13377 4960 161674 144104 17570 22530 X 13838596 541085 541085 13297511 0 13297511 9346252 541085 541085 8805167 0 8805167 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE 2010 - 2012. IN EVALUATING THE ORGANIZATION'S TAX PROVISIONS AND ACCRUALS, FUTURE TAXABLE INCOME, AND THE REVERSAL OF TEMPORARY DIFFERENCES, INTERPRETATIONS AND TAX PLANNING STRATEGIES ARE CONSIDERED. THE ORGANIZATION BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. X 0 0 0 0 0 0 0 0 0 FRED RICHARDS CIO, COO 191590 0 0 0 0 0 11928 0 14688 0 218206 0 0 0 FRANK SCHOSSLER CFO 160910 0 0 0 0 0 9975 0 14499 0 185384 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE FIVE INITIAL FOUNDING ORGANIZATIONS CAN EACH APPOINT ONE REPRESENTATIVE TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM. IT IS REVIEWED BY LEGAL COUNSEL, THE CFO, CEO AND THEN SIGNED BY THE CEO. THE BOARD IS GIVEN A COPY BEFORE THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS THE CONFLICT OF INTEREST POLICY AND EACH DIRECTOR FILLS OUT AN ANNUAL STATEMENT OF UNDERSTANDING. EMPLOYEES ARE BRIEFED ON THIS POLICY ANNUALLY AND ARE EXPECTED TO COMPLY. FORM 990, PART VI, SECTION B, LINE 15 BOARD OF DIRECTORS MEET TO DISCUSS COMPENSATION AND THEY CONSULT WITH OUTSIDE ADVISORS ON THE APPROPRIATE COMPENSATION BASED ON THE POSITION. FORM 990, PART VI, SECTION C, LINE 19 THE INFORMATION IS PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SOFTWARE SUPPORT: PROGRAM SERVICE EXPENSES 2,795,424. MANAGEMENT AND GENERAL EXPENSES 308,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,104,173. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. HIE DISTRIBUTION SERVICES LLC 3455 MILL RUN DRIVE SUITE 315 HILLIARD OH 43026 HEALTH INFORMATION EXCHANGE AND ELECTRONIC MEDICAL INFORMATION OH 0 0 OHIO HEALTH INFORMATION PARTNERSHIP INC