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.
76¢ of each $1 spent went to programs.
$5.3M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2024 · 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
76%
of spending
Looks good: 76% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$5.3M
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
Fine: 1.0 months of spending in cash; 1 to 3.
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
$119.0M
61% of total assets
Fine: liabilities are 61% of assets; 50% to 65%.
Pt X · Ln 26
Independent board members
18
of 18 voting members
Looks good: 18 of 18 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$273.8M
+35% vs prior year
Spent
$242.3M
To programs
76%
Net assets
$75.6M
By yearFY2020–FY2025
Revenue
$273.8M
FY2024▲ +35%
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
$242.3M
FY2024▲ +24%
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
$75.6M
FY2024▲ +56%
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 FY2024 Form 990 (year ending August 2024) · figures checked against the IRS filing · see the original

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You’re viewing the FY2024 filing — not the latest on file. See the latest (FY2025) →

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

76 cents of each dollar spent went to programs.

Program services 76% · $184.4M Management & general 24% · $57.9M

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

36 people listed on the 990; $5.3M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2023); the FY2024 filing did not itemize Part VII
Chief Executive Officer
$577,138Pt VII · Sec A
Chief Experience Officer
$537,552Pt VII · Sec A
VP Ehr Operations
$465,477Pt VII · Sec A
Corporate Counsel
$355,651Pt VII · Sec A
Interim Chief Medical Officer
$340,186Pt VII · Sec A
Senior Medical Informaticist
$314,697Pt VII · Sec A
Manager, Medical Informatics
$298,915Pt VII · Sec A
Chief of External Affairs
$288,035Pt 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.

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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 · $184.4M · in their own filed words · FY2023
01

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

$184.4Mprogram 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 FY2024 990, line by line.

1The main four
Money inPt VIII
$273.8M
Ln 12
Fees for servicesLn 2g$239.4M
Gifts and grantsLn 1h$34.3M
Investment incomeLn 3$12K
Money outPt IX
$242.3M
Ln 25
Programscol B$184.4M
Managementcol C$57.9M
Owns and owesPt X
$75.6M
net assets · Ln 32
Cash and savingsLn 1–2$20.4M
Total assetsLn 16$194.6M
LiabilitiesLn 26$119.0M
PeoplePt VI, VII
36
listed · VII A
PaidVII A16
Voting boardVI 1a18
IndependentVI 1b18
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$34.3M
Government grantsLn 1e$23.8M
Fees for servicesLn 2g$239.4M
Investment incomeLn 3$12K
Total revenueLn 12$273.8M
Assets in detailPt X, end of year
CashLn 1$12.9M
SavingsLn 2$7.5M
Cash and savings togetherLn 1–2$20.4M
Land, buildings, equipmentLn 10c$117.7M
Other assetsLn 15$1.9M
Total assetsLn 16$194.6M
LiabilitiesLn 26$119.0M
Net assetsLn 32$75.6M
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 FY24End FY24
Cash and savingsLn 1–2$9.5M$20.4M
Land, buildings, equipmentLn 10c$103.4M$117.7M
Total assetsLn 16$155.9M$194.6M
LiabilitiesLn 26$107.4M$119.0M
Net assetsLn 32$48.5M$75.6M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$707K$707K
Pay of current officers, directors and key staffLn 5$4.8M$1.1M$3.7M
Other salaries and wagesLn 7$94.4M$78.2M$16.2M
Pension plan contributionsLn 8$3.4M$2.7M$633K
Other employee benefitsLn 9$25.4M$17.7M$7.6M
Payroll taxesLn 10$9.2M$7.5M$1.7M
Legal feesLn 11b$1.1M$477K$577K
Accounting feesLn 11c$112K$112K
Other fees for servicesLn 11g$4.9M$4.3M$687K
Advertising and promotionLn 12$25K$25K
Office expensesLn 13$4.4M$2.5M$1.9M
Information technologyLn 14$57.8M$44.7M$13.1M
OccupancyLn 16$549K$297K$252K
TravelLn 17$4.3M$2.4M$1.9M
InterestLn 20$3.0M$924K$2.1M
Depreciation, depletion and amortizationLn 22$15.2M$9.4M$5.9M
InsuranceLn 23$629K$629K
Other expenses (24a–d)Ln 24$11.7M$11.2M$483K$0
All other expensesLn 24e$775K$291K$483K
Total functional expensesLn 25$242.3M$184.4M$57.9M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest $307.3M$289.8M$17.6M$94.9M 990 PDF
FY2024 Viewing $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 FY2024 990 (6 parts)
Part I · Summary $273,772,481 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $18,825,287$34,317,494
I-9 Program service revenuePrior year $183,201,047$239,442,761
I-10 Investment incomePrior year $3,914$12,226
I-11 Other revenuePrior year $910,589$0
I-12 Total revenuePrior year $202,940,837$273,772,481
I-13 Grants and similar amounts paidPrior year $1,590,025$707,430
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $122,194,562$137,104,597
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $71,094,645$104,458,563
I-18 Total expensesPrior year $194,879,232$242,270,590
I-19 Revenue less expensesPrior year $8,061,605$31,501,891
Part VI · Governance 18 of 18 board members independent, no flags
VI-1a Voting members of the governing body18
VI-1b Independent voting members18
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 $273,772,481 across 6 lines filed
VIII-1e Government grants$23,778,325
VIII-1f All other contributions, gifts and grants$10,539,169
VIII-1h Total contributions, gifts and grants$34,317,494
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $239,442,761$239,442,761
VIII-3 Investment incomeExcluded from tax $12,226$12,226
VIII-12 Total revenueRelated to mission $239,442,761 · Unrelated business $0 · Excluded from tax $12,226$273,772,481
Part IX · Statement of functional expenses $242,270,590 across 19 lines filed
IX-1 Grants to domestic organizationsPrograms $707,430$707,430
IX-5 Pay of current officers, directors and key staffPrograms $1,062,961 · Management $3,727,202$4,790,163
IX-7 Other salaries and wagesPrograms $78,249,807 · Management $16,156,366$94,406,173
IX-8 Pension plan contributionsPrograms $2,743,641 · Management $633,241$3,376,882
IX-9 Other employee benefitsPrograms $17,731,679 · Management $7,624,146$25,355,825
IX-10 Payroll taxesPrograms $7,504,777 · Management $1,670,777$9,175,554
IX-11b Legal feesPrograms $476,936 · Management $576,863$1,053,799
IX-11c Accounting feesManagement $112,087$112,087
IX-11g Other fees for servicesPrograms $4,253,483 · Management $687,208$4,940,691
IX-12 Advertising and promotionManagement $24,661$24,661
IX-13 Office expensesPrograms $2,507,262 · Management $1,888,302$4,395,564
IX-14 Information technologyPrograms $44,740,637 · Management $13,084,269$57,824,906
IX-16 OccupancyPrograms $296,963 · Management $252,489$549,452
IX-17 TravelPrograms $2,384,183 · Management $1,865,899$4,250,082
IX-20 InterestPrograms $924,091 · Management $2,115,018$3,039,109
IX-22 Depreciation, depletion and amortizationPrograms $9,351,846 · Management $5,850,272$15,202,118
IX-23 InsuranceManagement $628,916$628,916
IX-24 Other expenses (24a–d)Programs $11,178,829 · Management $483,481 · Fundraising $0$11,662,310
IX-24e All other expensesPrograms $291,442 · Management $483,426$774,868
IX-25 Total functional expensesPrograms $184,405,967 · Management $57,864,623 · Fundraising $0$242,270,590
Part X · Balance sheet $194,558,086 assets, 16 lines filed
X-1 Cash, non-interest-bearingStart of year $9,018,764$12,856,072
X-2 Savings and temporary cash investmentsStart of year $500,024$7,500,000
X-3 Pledges and grants receivableStart of year $1,898,487$5,689,816
X-4 Accounts receivableStart of year $33,493,137$43,948,992
X-9 Prepaid expenses and deferred chargesStart of year $4,717,745$2,671,368
X-10c Land, buildings and equipment, netStart of year $103,379,448$117,749,380
X-14 Intangible assetsStart of year $1,381,931$2,240,835
X-15 Other assetsStart of year $1,469,379$1,901,623
X-16 Total assetsStart of year $155,858,915$194,558,086
X-17 Accounts payable and accrued expensesStart of year $45,435,745$40,701,108
X-19 Deferred revenueStart of year $25,801,075$12,931,392
X-25 Other liabilitiesStart of year $3,203,050$1,532,920
X-26 Total liabilitiesStart of year $107,379,487$118,993,631
X-27 Net assets without donor restrictionsStart of year $48,479,428$75,564,455
X-32 Total net assets or fund balancesStart of year $48,479,428$75,564,455
X-33 Total liabilities and net assetsStart of year $155,858,915$194,558,086
Part XI · Reconciliation of net assets $75,564,455 net assets at year end
XI-1 Total revenue$273,772,481
XI-2 Total expenses$242,270,590
XI-3 Revenue less expenses$31,501,891
XI-4 Net assets at start of year$48,479,428
XI-8 Prior period adjustments$1,583,136
XI-9 Other changes in net assets−$6,000,000
XI-10 Net assets at end of year$75,564,455

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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