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Nonprofiteer
← OHIO SHARED INFORMATION SERVICES INC

Form 990 for tax year 2022

Filed by OHIO SHARED INFORMATION SERVICES INC.

Totals

Total revenue
$28,198,626
Total expenses
$28,769,170
Contributions and grants received
$881,073
Grants paid
$0
Program service revenue
$27,275,244
Investment income
$42,309
Other revenue
$0
Total assets, end of year
$10,735,121
Total liabilities, end of year
$7,068,130
Net assets or fund balances, end of year
$3,666,991
Program services expenses (Part IX)
$24,106,448
Management and general expenses
$4,662,722
Fundraising expenses
$0
Program service expenses (Part III)
$24,106,448

Program services were 83.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $881,073

  • 2a · Program service revenue: User fees

    total $24,526,680 · related or exempt $24,526,680

  • 2b · Program service revenue: Program equipment

    total $1,779,526 · related or exempt $1,582,891 · unrelated business $196,635

  • 2c · Program service revenue: Installation charge

    total $879,918 · related or exempt $879,918

  • 2d · Program service revenue: Travel Reimbursements

    total $89,120 · related or exempt $89,120

  • 3 · Investment income

    total $42,309 · excluded $42,309

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,392,289 · program services $1,087,883 · management and general $304,406

  • 7 · Other salaries and wages

    total $10,573,744 · program services $8,328,166 · management and general $2,245,578

  • 8 · Pension plan contributions

    total $318,936 · program services $232,803 · management and general $86,133

  • 9 · Other employee benefits

    total $1,608,088 · program services $1,173,804 · management and general $434,284

  • 10 · Payroll taxes

    total $876,266 · program services $706,798 · management and general $169,468

  • 11b · Fees: legal

    total $6,826 · management and general $6,826

  • 11c · Fees: accounting

    total $78,825 · management and general $78,825

  • 11g · Fees: other

    total $810,339 · program services $507,447 · management and general $302,892

  • 13 · Office expenses

    total $161,355 · program services $89,023 · management and general $72,332

  • 14 · Information technology

    total $301,253 · program services $295,896 · management and general $5,357

  • 16 · Occupancy

    total $204,813 · program services $1,254 · management and general $203,559

  • 17 · Travel

    total $340,684 · program services $258,873 · management and general $81,811

  • 20 · Interest

    total $77,857 · program services $77,857

  • 22 · Depreciation, depletion and amortization

    total $924,298 · program services $788,869 · management and general $135,429

  • 23 · Insurance

    total $81,856 · program services $12,816 · management and general $69,040

  • 24a · Other expenses: Equipment and services

    total $9,403,209 · program services $9,403,209

  • 24b · Other expenses: Software and equipment

    total $1,181,500 · program services $963,249 · management and general $218,251

  • 24c · Other expenses: Other

    total $263,775 · program services $34,910 · management and general $228,865

  • 24d · Other expenses: Phone and Data Communic

    total $155,981 · program services $142,081 · management and general $13,900

  • 24e · All other expenses

    total $7,276 · program services $1,510 · management and general $5,766

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,636,943 · end of year $5,470,685

  • 4 · Accounts receivable

    beginning of year $502,335 · end of year $488,556

  • 8 · Inventories for sale or use

    beginning of year $381,762 · end of year $207,547

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,514,272 · end of year $1,372,867

  • 10a · Land, buildings and equipment: cost or other basis

    $8,520,152

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,588,060

  • 10c · Land, buildings and equipment, net

    beginning of year $2,634,124 · end of year $2,932,092

  • 15 · Other assets

    beginning of year $4,236 · end of year $263,374

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,560,242 · end of year $2,411,048

  • 19 · Deferred revenue

    beginning of year $3,073,631 · end of year $3,466,713

  • 25 · Other liabilities

    beginning of year $802,264 · end of year $1,190,369

  • 27 · Net assets without donor restrictions

    beginning of year $4,237,535 · end of year $3,666,991

Mission and programs · 2022

Mission

Ohio Shared Information Services (OSIS) is a Health Center Controlled Network (HCCN) providing high quality, cost effective EHR and technical support to Federally Qualified Health Centers (FQHCs), with solution implementation, technology hosting, training, reporting, and assistance in achieving Meaningful Use.

  • Ohio Shared Information Services (OSIS) is a Health Center Controlled Network (HCCN) which is dedicated to providing high quality, cost effective customer focused information technical products primarily to community health centers. To this end OSIS's personnel are focused on providing quality cost effective Electronic Health Record (EHR) and technical support to Federally Qualified Health Centers (FQHCs), with solution implementation, technology.

    Expenses $23,368,174 · Revenue $27,078,609

  • OSIS was awarded a grant to further the goals of the HRSA Health Center Program. Activities in this project will strengthen the foundation needed to maximize use of health data and health information exchange to realize improved health indicators. NextGen EHR optimization, health information exchange connectivity, support for data collection, analysis and reporting will position CHCs for better outcomes. Activities for the project will include educational sessions, training materials, support and guidance for targeted activities to result in enhancing the patient/provider experience and advancing interoperability.

    Expenses $738,274

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Marc Bellisario

    Chairman (Exit 06/30/22)

    Total calculated
    $0
    Hours/week
    1

  • Summer Kirby

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Cynthia Holstein

    Board Member (Exit 06/01/22)

    Total calculated
    $0
    Hours/week
    1

  • Willie White

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Peter Mojarras

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Robin Winslow

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Dan Fisher

    Vice Chairman (Exit 06/01/22)

    Total calculated
    $0
    Hours/week
    1

  • Rhonda Hauff

    Board Member (Start 06/01/22)

    Total calculated
    $0
    Hours/week
    1

  • Jolene Joseph

    Board Member (Start 06/01/22)

    Total calculated
    $0
    Hours/week
    1

  • Dan Prevost

    Secretary (Start 06/01/22)

    Total calculated
    $0
    Hours/week
    1

  • Jeffery Lowrance

    CEO

    Total calculated
    $399,194
    From this org
    $363,791
    From related orgs
    $0
    Other
    $35,403
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $270,971
    Bonus
    $92,820
    Other
    $0
    Deferred
    $11,395
    Nontaxable benefits
    $24,008
    Filer's total
    $399,194

  • Thomas Shannon

    CFO

    Total calculated
    $253,951
    From this org
    $223,009
    From related orgs
    $0
    Other
    $30,942
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,009
    Bonus
    $26,000
    Other
    $0
    Deferred
    $6,934
    Nontaxable benefits
    $24,008
    Filer's total
    $253,951

  • Michael Schramm

    CTO

    Total calculated
    $226,733
    From this org
    $195,748
    From related orgs
    $0
    Other
    $30,985
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,748
    Bonus
    $26,000
    Other
    $0
    Deferred
    $6,977
    Nontaxable benefits
    $24,008
    Filer's total
    $226,733

  • Heidi Gerner

    Chief Member Services Officer

    Total calculated
    $211,244
    From this org
    $180,166
    From related orgs
    $0
    Other
    $31,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,166
    Bonus
    $26,000
    Other
    $0
    Deferred
    $7,243
    Nontaxable benefits
    $23,835
    Filer's total
    $211,244

  • Scott Heaton

    VP of Customer Relations

    Total calculated
    $301,169
    From this org
    $278,399
    From related orgs
    $0
    Other
    $22,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,962
    Bonus
    $138,437
    Other
    $0
    Deferred
    $5,763
    Nontaxable benefits
    $17,007
    Filer's total
    $301,169

  • Todd Portz

    Director of IT

    Total calculated
    $190,731
    From this org
    $173,240
    From related orgs
    $0
    Other
    $17,491
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,240
    Bonus
    $9,000
    Other
    $0
    Deferred
    $4,213
    Nontaxable benefits
    $13,278
    Filer's total
    $190,731

  • Andrew Kmett

    Sr Dir of Apps Engineering

    Total calculated
    $200,928
    From this org
    $170,172
    From related orgs
    $0
    Other
    $30,756
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,172
    Bonus
    $9,000
    Other
    $0
    Deferred
    $7,041
    Nontaxable benefits
    $23,715
    Filer's total
    $200,928

  • Francis Caparas

    Director of EHR Development

    Total calculated
    $167,045
    From this org
    $160,284
    From related orgs
    $0
    Other
    $6,761
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,284
    Bonus
    $9,000
    Other
    $0
    Deferred
    $6,411
    Nontaxable benefits
    $350
    Filer's total
    $167,045

  • Joseph Dato

    Director of DBA

    Total calculated
    $188,885
    From this org
    $158,592
    From related orgs
    $0
    Other
    $30,293
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,592
    Bonus
    $9,000
    Other
    $0
    Deferred
    $6,578
    Nontaxable benefits
    $23,715
    Filer's total
    $188,885

  • Jennifer Thompson

    VP of Human Resources

    Total calculated
    $184,597
    From this org
    $154,209
    From related orgs
    $0
    Other
    $30,388
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,209
    Bonus
    $26,000
    Other
    $0
    Deferred
    $6,403
    Nontaxable benefits
    $23,985
    Filer's total
    $184,597

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 5
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
1 November 2023
IRS schema version
2022v5.0
Source object
202323119349302137

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