Providing health information technology, software and services exclusively for community health clinics and small practices serving the medically underserved.

501(c)(3) charity; gifts are tax-deductible.
59¢ of each $1 spent went to programs.
Run by 18 volunteers and 1,379 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
6 of 6
filings with a surplus
Average surplus $11.8M a year · 6% of revenue · last 6 filings
Looks good: a surplus in 6 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
59%
of spending
Worth a look: 59% of spending went to programs; under 65%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$6.0M
to officers and key staff · 2% of spending
Looks good: pay to officers and key staff is 2% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Worth a look: 0.5 months of spending in cash; under 1.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
8
named funders · $1.4M
Looks good: 8 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$129.8M
58% of total assets
Fine: liabilities are 58% of assets; 50% to 65%.
Pt X · Ln 26
Independent board members
16
of 16 voting members
Looks good: 16 of 16 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$307.3M
+12% vs prior year
Spent
$289.8M
To programs
59%
Net assets
$94.9M
By yearFY2020–FY2025
Revenue
$307.3M
FY2025▲ +12%
Tap a bar for its year
Revenue by fiscal year
FY2020$89.7M
FY2021$108.3M
FY2022$150.5M
FY2023$202.9M
FY2024$273.8M
FY2025$307.3M
Expenses
$289.8M
FY2025▲ +20%
Tap a bar for its year
Expenses by fiscal year
FY2020$82.1M
FY2021$103.2M
FY2022$149.4M
FY2023$194.9M
FY2024$242.3M
FY2025$289.8M
Net assets
$94.9M
FY2025▲ +26%
Tap a bar for its year
Net assets by fiscal year
FY2020$24.1M
FY2021$29.4M
FY2022$30.5M
FY2023$48.5M
FY2024$75.6M
FY2025$94.9M

From the FY2025 Form 990 (year ending August 2025) · figures checked against the IRS filing · see the original

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in May 2004.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

59 cents of each dollar spent went to programs.

Program services 59% · $172.2M Management & general 41% · $117.6M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

33 people listed on the 990; $6.0M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
Chief Executive Officer
$846,101Pt VII · Sec A
Chief Experience Officer
$531,044Pt VII · Sec A
Chief Transformation & Impact Officer
$517,959Pt VII · Sec A
Chief Operations Officer
$426,617Pt VII · Sec A
Chief Financial Officer
$411,311Pt VII · Sec A
General Counsel
$374,343Pt VII · Sec A
Chief of External Affairs
$363,367Pt VII · Sec A
Chief of People & Culture
$355,663Pt VII · Sec A

Abigail Sears’s $846K as Chief Executive Officer is at the 44th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Abigail Sears$846,101$577,138$743,951$899,318$590,423$427,508
Sean Whiteley-Ross———$638,104$408,647$330,395
Kimberly Klupenger$531,044$537,552$591,187$583,641$476,336$317,877
Sean Whiteley-Ross Former——$553,519———
Julie Vails$517,959$340,186————
Jessica Janota—$465,477$317,187$277,985$240,518$210,196
Kathleen Ellington$426,617$270,363————
Brenda Garske$411,311$259,524$194,192———

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Ochin INC executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides information technology systems and knowledge solutions to community health clinics to support affordable, quality healthcare for underserved populations.

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Provided by the organization

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1 program · $172.2M · in their own filed words · FY2024
01

Served 500 county and local health and welfare clinics in supporting and improving their information technology systems.

$172.2Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
See all 8 funders →
Grants paid · 73 grants · $6.9M · 2019–2024
OhsuFY2024$522,036
Abartys Health LLCFY2024$353,227
Community Health Center Network INCFY2024$315,172
University of WashingtonFY2024$255,780
HcnFL · FY2024$97,308
University of ColoradoFY2024$44,766
Oregon Primary Care AssociationFY2024$41,386
Rutgers the State UniversityNJ · FY2024$39,088
Hawaii Pacific UniversityHI · FY2024$17,344
OhsuFY2023$146,644
HcnFL · FY2023$131,825
OhsuFY2023$130,389
OhsuFY2023$93,892
See all 73 grants →

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$307.3M
Ln 12
Fees for servicesLn 2g$276.9M
Gifts and grantsLn 1h$30.5M
Money outPt IX
$289.8M
Ln 25
Programscol B$172.2M
Managementcol C$117.6M
Owns and owesPt X
$94.9M
net assets · Ln 32
Cash and savingsLn 1–2$11.7M
Total assetsLn 16$224.7M
LiabilitiesLn 26$129.8M
PeoplePt VI, VII
33
listed · VII A
PaidVII A15
Voting boardVI 1a16
IndependentVI 1b16
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$30.5M
Government grantsLn 1e$19.2M
Fees for servicesLn 2g$276.9M
Total revenueLn 12$307.3M
Assets in detailPt X, end of year
CashLn 1$2.2M
SavingsLn 2$9.5M
Cash and savings togetherLn 1–2$11.7M
InvestmentsLn 11–13$2.1M
Land, buildings, equipmentLn 10c$132.3M
Other assetsLn 15$3.3M
Total assetsLn 16$224.7M
LiabilitiesLn 26$129.8M
Net assetsLn 32$94.9M
OperationsPt I, VI
EmployeesI 51,379
VolunteersI 618
Fiscal year endsHeaderAugust
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$20.4M$11.7M
InvestmentsLn 11–13$2.1M
Land, buildings, equipmentLn 10c$117.7M$132.3M
Total assetsLn 16$194.6M$224.7M
LiabilitiesLn 26$119.0M$129.8M
Net assetsLn 32$75.6M$94.9M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.9M$1.9M
Pay of current officers, directors and key staffLn 5$4.2M$938K$3.3M
Other salaries and wagesLn 7$128.2M$106.8M$21.4M
Pension plan contributionsLn 8$5.3M$3.5M$1.8M
Other employee benefitsLn 9$20.0M$15.7M$4.3M
Payroll taxesLn 10$10.6M$8.5M$2.1M
Legal feesLn 11b$332K$120K$212K
Accounting feesLn 11c$282K$282K
Other fees for servicesLn 11g$1.8M$855K$905K
Advertising and promotionLn 12$32K$32K
Office expensesLn 13$2.1M$825K$1.3M
Information technologyLn 14$68.0M$1.3M$66.7M
OccupancyLn 16$2.7M$312K$2.4M
TravelLn 17$3.7M$2.1M$1.7M
Conferences, conventions and meetingsLn 19$999K$727K$272K
InterestLn 20$3.0M$274K$2.8M
Depreciation, depletion and amortizationLn 22$17.0M$10.5M$6.5M
InsuranceLn 23$899K$899K
Other expenses (24a–d)Ln 24$18.2M$17.6M$592K
All other expensesLn 24e$369K$273K$96K
Total functional expensesLn 25$289.8M$172.2M$117.6M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $307.3M$289.8M$17.6M$94.9M 990 PDF
FY2024 $273.8M$242.3M$31.5M$75.6M 990 PDF
FY2023 $202.9M$194.9M$8.1M$48.5M 990 PDF
FY2022 $150.5M$149.4M$1.2M$30.5M 990 PDF
FY2021 $108.3M$103.2M$5.1M$29.4M 990 PDF
FY2020 $89.7M$82.1M$7.5M$24.1M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $307,334,494 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $34,317,494$30,479,064
I-9 Program service revenuePrior year $239,442,761$276,855,430
I-10 Investment incomePrior year $12,226$0
I-11 Other revenuePrior year $0$0
I-12 Total revenuePrior year $273,772,481$307,334,494
I-13 Grants and similar amounts paidPrior year $707,430$1,886,726
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $137,104,597$168,347,426
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $104,458,563$119,547,893
I-18 Total expensesPrior year $242,270,590$289,782,045
I-19 Revenue less expensesPrior year $31,501,891$17,552,449
Part VI · Governance 16 of 16 board members independent, no flags
VI-1a Voting members of the governing body16
VI-1b Independent voting members16
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $307,334,494 across 5 lines filed
VIII-1e Government grants$19,181,540
VIII-1f All other contributions, gifts and grants$11,297,524
VIII-1h Total contributions, gifts and grants$30,479,064
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $276,855,430$276,855,430
VIII-12 Total revenueRelated to mission $276,855,430 · Unrelated business $0 · Excluded from tax $0$307,334,494
Part IX · Statement of functional expenses $289,782,045 across 20 lines filed
IX-1 Grants to domestic organizationsPrograms $1,886,726$1,886,726
IX-5 Pay of current officers, directors and key staffPrograms $937,552 · Management $3,287,462$4,225,014
IX-7 Other salaries and wagesPrograms $106,765,437 · Management $21,421,123$128,186,560
IX-8 Pension plan contributionsPrograms $3,548,186 · Management $1,774,093$5,322,279
IX-9 Other employee benefitsPrograms $15,667,264 · Management $4,344,217$20,011,481
IX-10 Payroll taxesPrograms $8,490,477 · Management $2,111,615$10,602,092
IX-11b Legal feesPrograms $120,500 · Management $211,542$332,042
IX-11c Accounting feesManagement $282,285$282,285
IX-11g Other fees for servicesPrograms $854,744 · Management $905,214$1,759,958
IX-12 Advertising and promotionManagement $32,030$32,030
IX-13 Office expensesPrograms $825,357 · Management $1,271,148$2,096,505
IX-14 Information technologyPrograms $1,326,701 · Management $66,703,982$68,030,683
IX-16 OccupancyPrograms $311,746 · Management $2,430,337$2,742,083
IX-17 TravelPrograms $2,065,820 · Management $1,669,697$3,735,517
IX-19 Conferences, conventions and meetingsPrograms $727,242 · Management $271,983$999,225
IX-20 InterestPrograms $273,696 · Management $2,764,396$3,038,092
IX-22 Depreciation, depletion and amortizationPrograms $10,472,844 · Management $6,545,483$17,018,327
IX-23 InsuranceManagement $899,405$899,405
IX-24 Other expenses (24a–d)Programs $17,620,539 · Management $592,268$18,212,807
IX-24e All other expensesPrograms $273,318 · Management $95,616$368,934
IX-25 Total functional expensesPrograms $172,168,149 · Management $117,613,896 · Fundraising $0$289,782,045
Part X · Balance sheet $224,706,185 assets, 17 lines filed
Asset lines not itemized here account for $1,500,239; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $12,856,072$2,188,511
X-2 Savings and temporary cash investmentsStart of year $7,500,000$9,463,780
X-3 Pledges and grants receivableStart of year $5,689,816$5,260,057
X-4 Accounts receivableStart of year $43,948,992$63,632,718
X-9 Prepaid expenses and deferred chargesStart of year $2,671,368$3,379,819
X-10c Land, buildings and equipment, netStart of year $117,749,380$132,275,570
X-11 Publicly traded securities$2,094,973
X-14 Intangible assetsStart of year $2,240,835$1,655,264
X-15 Other assetsStart of year $1,901,623$3,255,254
X-16 Total assetsStart of year $194,558,086$224,706,185
X-17 Accounts payable and accrued expensesStart of year $40,701,108$52,833,147
X-19 Deferred revenueStart of year $12,931,392$18,548,670
X-25 Other liabilitiesStart of year $1,532,920$5,936,786
X-26 Total liabilitiesStart of year $118,993,631$129,848,782
X-27 Net assets without donor restrictionsStart of year $75,564,455$94,857,403
X-32 Total net assets or fund balancesStart of year $75,564,455$94,857,403
X-33 Total liabilities and net assetsStart of year $194,558,086$224,706,185
Part XI · Reconciliation of net assets $94,857,403 net assets at year end
XI-1 Total revenue$307,334,494
XI-2 Total expenses$289,782,045
XI-3 Revenue less expenses$17,552,449
XI-4 Net assets at start of year$75,564,455
XI-8 Prior period adjustments$3,418,068
XI-9 Other changes in net assets−$1,677,569
XI-10 Net assets at end of year$94,857,403

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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