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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OHIO HOSPITAL ASSOCIATION, THE OHIO OSTEOPATHIC ASSOCIATION, AND THE OHIO STATE MEDICAL ASSOCIATION COMPRISE THE MEMBERSHIP OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE THREE MEMBER ORGANIZATIONS CAN EACH APPOINT ONE MEMBER TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE THREE MEMBER ORGANIZATIONS RETAIN A LIMITED NUMBER OF RESERVED POWERS. BOARD ACTIONS THAT REQUIRE MEMBER APPROVAL RELATE TO ACTIONS WHICH WOULD SUBSTANTIALLY ALTER THE ORGANIZATION, INCLUDING (BUT NOT LIMITED TO) CHANGES IN THE ORGANIZATION'S PURPOSE, ACTIONS THAT WOULD IMPACT THE ORGANIZATION'S TAX-EXEMPT STATUS, AND BORROWINGS IN EXCESS OF CERTAIN DOLLAR THRESHOLDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS MEET TO DISCUSS COMPENSATION AND THEY CONSULT WITH OUTSIDE ADVISORS ON THE APPROPRIATE COMPENSATION BASED ON THE POSITION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATION IS PROVIDED UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,382,525. MANAGEMENT AND GENERAL EXPENSES 262,925. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,645,450.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED.</ExplanationTxt>
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          <BusinessNameLine1Txt>HIE DISTRIBUTION SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3455 MILL RUN DRIVE SUITE 315</AddressLine1Txt>
          <CityNm>HILLIARD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43026</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HEALTH INFORMATION EXCHANGE AND ELECTRONIC MEDICAL INFORMATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIO HEALTH INFORMATION PARTNERSHIP INC</BusinessNameLine1Txt>
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