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        <ExplanationTxt>The supporting organization changes based on member organizations. OSIS is designated by the Federal Bureau of Primary Health Care (BPHC) as a Health Center Controlled Network (HCCN), which provides services to Federally Qualified Health Centers (FQHCs). OSIS's Board members are elected by its members as defined in the Code of Regulations. OSIS's Code of Regulations require members to be executives of FQHCs. The board member's organizations are designated as supported organizations.</ExplanationTxt>
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        <ExplanationTxt>OSIS is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of the Ohio law. However, they are subject to federal income tax on any unrelated business income tax. OSIS IRS Form 990 is subject to review and examination by federal and state authorities. OSIS believes it has appropriate support for any tax positions taken and, therefore, does not have any uncertain income tax positions that are material to the financial statements.</ExplanationTxt>
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        <PersonNm>Jeffery Lowrance</PersonNm>
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        <PersonNm>Thomas Shannon</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Schramm</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brenda Garske</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heidi Gerner</PersonNm>
        <TitleTxt>Chief Member Services Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Thompson</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Kmett</PersonNm>
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        <PersonNm>Todd Portz</PersonNm>
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        <PersonNm>Joseph Dato</PersonNm>
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        <PersonNm>Francis Caparas</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive shall be entitled to receive incentive compensation in addition to his Base Salary for (a) each new client that signs a new contract with OSIS payable upon signing of such contract and (b) for exemplary performance in meeting business objectives and goals that have been agreed upon between the Board and Executive on a percentage basis equal up to 30% of Executive's Base Salary.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The following Board Members are CEOs/Executive Directors of clients: Robin Winslow - Sebasticook Family Health Centers, Willie White - David Raines Community Health Center, Summer Kirby - Compass Community Health Center, Peter Mojarras - Castle Family Health Center, Rhonda Hauff - Yakima Neighborhood Health Services, Jolene Joseph - Healthcare Connection, Dan Prevost - Mariposa Community Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>OSIS was acquired as a wholly owned subsidiary of OCHIN Inc as of 7/01/2024. The Code of Regulations was revised to update the board composition requirements at that time. Per the new regulations, 4 OSIS board members shall be executives of OSIS Members, and 3 shall be appointees from the OCHIN board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Under the revised Code of Regulations OSIS has members and associate members. Changes to the code of regulations in August 2012 combined the 2 classes of membership.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>OSIS is designated by the Federal Bureau of Primary Health Care (BPHC) as a Health Center Controlled Network (HCCN), which provides services to Federally Qualified Health Centers (FQHCs). Under BPHC regulations at least 51% of the Board of HCCNs must be controlled by FQHCs. All of OSIS's Board members are elected by its members as defined in the Code of Regulations. OSIS's Code of Regulations require members to be executives of FQHCs. The board is limited by OSIS's Code of Regulations to seven board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was reviewed by the CEO for accuracy and was provided to the board prior to the filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All directors and officers review the conflict of interest policy annually at a board meeting to ensure that the conflict of interest policy is not violated. They also are required to sign a conflict of interest statement and report any potential conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The board reviews and approves the CEO's salary on an annual basis. This review is documented in the Board minutes. As part of this review the Board has access to various salary surveys.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents of the organization are available on the Ohio Secretary of State's website. The financial statements are available within the annual report which is available upon request. The conflict of interest policy is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Investment in OCHIN -145,492.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Process has not changed from prior year.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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</Return>