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        <ExplanationTxt>INCOME TAXES ARE NOT PROVIDED FOR IN THE CONSOLIDATED FINANCIAL STATEMENTS SINCE OCHIN, OPS, CTN, VOXENT, AND OSIS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE PROVISIONS. NONE OF OCHIN'S ENTITIES ARE CLASSIFIED AS PRIVATE FOUNDATIONS. EACH OF OCHIN'S ENTITIES FILE INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION. IN ADDITION, OCHIN AND OPS EACH FILE INFORMATIONAL RETURNS IN OREGON. OCHIN, VOXENT, AND CTN, FILE RETURNS IN THE STATE OF CALIFORNIA. OSIS FILES ITS RETURN IN THE STATE OF OHIO. U.S. GAAP PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. MANAGEMENT DOES NOT BELIEVE ANY OF OCHIN'S ENTITIES HAVE ANY UNCERTAIN TAX POSITIONS THAT DO NOT MEET THE MORE LIKELY THAN NOT CRITERIA AND THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. OCHIN HAS NOT RECORDED ANY PENALTY OR INTEREST RELATED TO THEIR TAX POSITIONS, AND IF ANY WERE RECORDED, THOSE AMOUNTS WOULD BE INCLUDED IN MANAGEMENT AND GENERAL EXPENSE.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEICIA ENNIS</PersonNm>
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        <PersonNm>ANDREW KMETT</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A 457(F) PLAN FOR SELECT OFFICERS. CONTRIBUTIONS AND DISTRIBUTIONS FOR THE YEAR, AS APPLICABLE, WERE AS FOLLOWS: - ABIGAIL SEARS, CEO (OCHIN) - CONTRIBUTIONS OF $65,388</ExplanationTxt>
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        <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>
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        <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, III- 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, DANIEL PREVOST - MARIPOSA COMMUNITY HEALTH CENTER.</ExplanationTxt>
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        <ExplanationTxt>UNDER THE REVISED CODE OF REGULATIONS OSIS HAS MEMBERS AND ASSOCIATE MEMBERS. CHANGES TO THE CODE OF REGULATIONS IN AUGUST 2012 COMBINED THE TWO CLASSES OF MEMBERSHIP.</ExplanationTxt>
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      <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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
        </USAddress>
        <EIN>200195556</EIN>
        <PrimaryActivitiesTxt>SUPPORTING HEALTH AND WELFARE CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OCHIN PRACTICE SERVICES</BusinessNameLine1Txt>
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          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
        </USAddress>
        <EIN>451677876</EIN>
        <PrimaryActivitiesTxt>OPERATING SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VOXENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
        </USAddress>
        <EIN>611541009</EIN>
        <PrimaryActivitiesTxt>TECHNOLOGY-BASED SERVICES FOR PLANNED PARENTHOOD TO IMPROVE PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALIFORNIA TELEHEALTH NETWORK</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
        </USAddress>
        <EIN>273045436</EIN>
        <PrimaryActivitiesTxt>ADVANCED INFO TECHNOLOGIES TO IMPROVE ACCESS TO QUALITY HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>