OHIO HEALTH INFORMATION PARTNERSHIP LLC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OHIO HEALTH INFORMATION PARTNERSHIP LLC (EIN 27-0851935)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-15
- IRS object ID
- 201301359349301675
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T09:28:37-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310800053 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 N LIMESTONE STREET | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OH | State |
| ZIP Code | 45503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270851935 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO HEALTH INFORMATION PARTNERSHIP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OHIO | NameControl |
| Phone | 6146642616 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3455 MILL RUN DRIVE NO 315 | AddressLine1 |
| City | HILLIARD | City |
| State | OH | State |
| ZIP Code | 43026 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FRANK SCHOSSLER | Name |
| Title | CEO | Title |
| Phone | 6146642616 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENT PUMMEL | Name |
| PTIN | P00740697 | PTIN |
| Phone | 9373992000 | Phone |
| Date Prepared | 2013-05-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAN PAOLETTI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3455 MILL RUN DRIVE NO 315 | AddressLine1 |
| City | HILLIARD | City |
| State | OH | State |
| ZIP Code | 43026 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11253959 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OHIPONLINE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 22 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 21892278 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11110093 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 92596 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15427 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8221 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13529 | OtherRevenuePriorYear |
| Other Revenue Current Year | 43049 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21921234 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11253959 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1455570 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1951645 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20451880 | OtherExpensePriorYear |
| Other Expenses Current Year | 9234921 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21907450 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11186566 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13784 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 67393 | RevenuesLessExpensesCY |
| Total Assets BOY | 5647960 | TotalAssetsBOY |
| Total Assets EOY | 6013452 | TotalAssetsEOY |
| Total Liabilities BOY | 5605257 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5903356 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 42703 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 110096 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11110339 | Expense |
| Revenue | 135645 | Revenue |
| Description | 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 ORGANZATION 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. | Description |
| Total Program Service Expense | 11110339 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 22 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAN PAOLETTI | NamePerson |
| Telephone Number | 6146642616 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3455 MILL RUN DR SUITE 315 | AddressLine1 |
| City | HILLIARD | City |
| State | OH | State |
| ZIP Code | 43026 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| AMY ANDRES | |||||||
| DIRECTOR | 4.00 | 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 | |||||||
| DIRECTOR | 4.00 | X | 0 | 0 | 0 | ||
| JON WILLS | |||||||
| VICE CHAIR | 4.00 | X | 0 | 0 | 0 | X | |
| ANTHONY DENNIS | |||||||
| CHAIRMAN, SECRETARY, TREAS | 4.00 | X | 0 | 0 | 0 | X | |
| 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 | ||
| ROBERT CAMPBELL | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JOE PARENT | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| DAN PAOLETTI | |||||||
| CEO | 40.00 | 0 | 0 | 0 | X | ||
| FRED RICHARDS | |||||||
| CIO, COO | 40.00 | 180187 | 0 | 28360 | X | ||
| FRANK SCHOSSLER | |||||||
| CFO | 40.00 | 148503 | 0 | 22432 | X | ||
| MARGARET EICHNER | |||||||
| PROJECT MANAGER | 40.00 | 103819 | 0 | 6777 | X | ||
| ANDREA PERRY | |||||||
| PROJECT MANAGER | 40.00 | 102277 | 0 | 6769 | X | ||
| ERIC JAMES | |||||||
| SENIOR VP - HIE | 40.00 | 120396 | 0 | 12553 | X | ||
| DOUGLAS GREEN | |||||||
| OUTREACH COORDINATOR | 40.00 | 118291 | 0 | 17528 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 773473 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 94419 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MEDICITY | |||||
| 56 E BROADWAY SUITE 600 | SALT LAKE CITY | UT | 84111 | CLINICAL DATA EXCHANGE TECHNOLOGY | 2593871 |
| BRICKER & ECKLER | |||||
| 100 SOUTH THIRD STREET | COLUMBUS | OH | 43215 | LEGAL SERVICES | 288575 |
| OHIO HOSPITAL ASSOCIATION | |||||
| 155 E BROAD STREET 15TH FLOOR | COLUMBUS | OH | 43215 | MANAGEMENT SERVICES | 247000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 11110093 | GovernmentGrants |
| Total Contributions | 11110093 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HOSPITAL FEES | Description |
| Business Code | 541900 | BusinessCode |
| Total Revenue Column | 92596 | TotalRevenueColumn |
| Related Or Exempt Function Income | 92596 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 92596 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8221 | TotalRevenueColumn |
| Exclusion | $8,221 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 541900 | BusinessCode |
| Total Revenue Column | 43049 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43049 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 43049 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11253959 | TotalRevenueColumn |
| Related Or Exempt Function Income | 135645 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $8,221 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379482 | Total |
| Program Services | 379482 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1228486 | Total |
| Program Services | 1228486 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93113 | Total |
| Program Services | 93113 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128675 | Total |
| Program Services | 128675 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121889 | Total |
| Program Services | 121889 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 423750 | Total |
| Program Services | 423750 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318281 | Total |
| Program Services | 288575 | ProgramServices |
| Management And General | 29706 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15100 | Total |
| Program Services | 15100 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2609939 | Total |
| Program Services | 2609939 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14619 | Total |
| Program Services | 14619 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77606 | Total |
| Program Services | 77606 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64470 | Total |
| Program Services | 64470 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68135 | Total |
| Program Services | 65449 | ProgramServices |
| Management And General | 2686 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 559 | Total |
| Program Services | 559 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55177 | Total |
| Program Services | 55177 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44112 | Total |
| Program Services | 44112 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUBSIDY | 5495489 | 5495489 | |
| EDUCATION AND TRAINING | 44913 | 1078 | 43835 |
| MISCELLANEOUS | 2771 | 2771 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11186566 | Total |
| Program Services | 11110339 | ProgramServices |
| Management And General | 76227 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84589 | BOY |
| EOY | 513512 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4198315 | BOY |
| EOY | 3580750 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1242861 | BOY |
| EOY | 1834078 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31033 | BOY |
| EOY | 29247 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 174716 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 119288 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87025 | BOY |
| EOY | 55428 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4137 | BOY |
| EOY | 437 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5647960 | BOY |
| EOY | 6013452 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1285896 | BOY |
| EOY | 1757476 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4310767 | BOY |
| EOY | 4140915 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8594 | BOY |
| EOY | 4965 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5605257 | BOY |
| EOY | 5903356 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42703 | BOY |
| EOY | 110096 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42703 | BOY |
| EOY | 110096 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5647960 | BOY |
| EOY | 6013452 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 67393 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3175999 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21892278 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11110093 | CurrentTaxYear |
| Total | 36178370 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3175999 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21892278 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11110093 | CurrentTaxYear |
| Total | 36178370 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 36178370 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 24745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15427 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8221 | CurrentTaxYear |
| Total | 48393 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 36226763 | TotalSupport |
| Gross Receipts From Admissions Etc | 169260 | GrossReceiptsFromAdmissionsEtc |
| First5 Years170 | X | First5Years170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18337 | OtherCostOrOtherBasis |
| Depreciation | 5431 | Depreciation |
| Book Value | 12906 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156379 | OtherCostOrOtherBasis |
| Depreciation | 113857 | Depreciation |
| Book Value | 42522 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 55428 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 11521831 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 267872 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 267872 | RevenueNotRptdF990 |
| Revenue Subtotal | 11253959 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11253959 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11454438 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 267872 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 267872 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11186566 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11186566 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE 2010 AND 2011. 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRED RICHARDS | ||||||||||||||
| CIO, COO | 168752 | 0 | 11435 | 0 | 0 | 0 | 11255 | 0 | 17105 | 0 | 208547 | 0 | 0 | 0 |
| FRANK SCHOSSLER | ||||||||||||||
| CFO | 139785 | 0 | 8718 | 0 | 0 | 0 | 9226 | 0 | 13206 | 0 | 170935 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 COMPLETED BY THE CFO AND GRANT ADMINISTRATOR. IT IS REVIEWED BY LEGAL COUNSEL AND THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM. IT IS REVIEWED AGAIN BY THE CFO AND 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 2,609,939. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,609,939. | OTHER FEES |
| THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIE DISTRIBUTION SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3455 MILL RUN DRIVE SUITE 315 | AddressLine1 |
| City | HILLIARD | City |
| State | OH | State |
| ZIP Code | 43026 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTH INFORMATION EXCHANGE AND ELECTRONIC MEDICAL INFORMATION | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO HEALTH INFORMATION PARTNERSHIP INC | BusinessNameLine1 |