# OEMR Board Meeting - Wednesday, June 14th, 2017

**URL:** <https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613>\
**Category:** OEMR Non Profit Organization\
**Created:** [June 12, 2017, 7:05am UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613 "2017-06-12T07:05:58Z")\
**Posts on this page:** 6\
**Page:** 1

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**Author:** ![brady.miller](https://community.open-emr.org/user_avatar/community.open-emr.org/brady.miller/32/10178_2.png) [@brady.miller](https://community.open-emr.org/u/brady.miller)\
**Post date:** [June 12, 2017, 7:05am UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/1 "2017-06-12T07:05:58Z")

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Here is the Agenda for June 14, 2017 OEMR Board Meeting:

1. Call to Order. Roll call.

2. Approval of prior meeting minutes.  
-April 12, 2017 Board Meeting.  
-May 10, 2017 Board Meeting.

3. Financial Report

4. MU3 Report (ONC 2015)

5. Unfinished Business  
-Revocation status.  
-Marketing.  
-Conference outreach.  
-Raising funds.  
-Conflict of interest policy.  
-Trademarking.  
-Join OSI.(pending)

6. New Business

7. Public and Community Concerns

8. Next Board Meeting on July 12, 2017

9. Adjourn Board Meeting

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**Author:** ![brady.miller](https://community.open-emr.org/user_avatar/community.open-emr.org/brady.miller/32/10178_2.png) [@brady.miller](https://community.open-emr.org/u/brady.miller)\
**Post date:** [June 12, 2017, 7:09am UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/2 "2017-06-12T07:09:14Z")

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Audio files for prior meetings can be found here:  
[http://www.open-emr.org/wiki/index.php/OEMR\_wiki\_page#May\_10.2C\_2017](http://www.open-emr.org/wiki/index.php/OEMR_wiki_page#May_10.2C_2017)

May 10, 2017 Board Meeting minutes are here:

> <https://github.com/oemr501c3/board-meeting-minutes/blob/master/2017-05-10-Board.md>

April 12, 2017 Board Meeting minutes are here:

> <https://github.com/oemr501c3/board-meeting-minutes/blob/master/2017-04-12-Board.md>

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<div class="post-metadata">

**Author:** ![brady.miller](https://community.open-emr.org/user_avatar/community.open-emr.org/brady.miller/32/10178_2.png) [@brady.miller](https://community.open-emr.org/u/brady.miller)\
**Post date:** [June 12, 2017, 7:11am UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/3 "2017-06-12T07:11:09Z")

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Just let me know if there’s any other business that needs to be added to the agenda.  
thanks,  
-brady

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**Author:** ![stephenwaite](https://community.open-emr.org/user_avatar/community.open-emr.org/stephenwaite/32/15754_2.png) [@stephenwaite](https://community.open-emr.org/u/stephenwaite)\
**Post date:** [June 12, 2017, 2:02pm UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/4 "2017-06-12T14:02:21Z")

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thanks @brady.miller, here’s the latest advice from the attorneys regarding our reinstatement:

> I have reviewed the IRS’s adverse determination letter, OEMR’s protest  
> letter and the IRS’s response, and I did some preliminary research  
> within the range requested by the client to see whether there is even a  
> basis to contest the IRS’s determination. Based on my review of the  
> materials and limited research, it is not clear whether the organization  
> would prevail at Appeals, but they can certainly try to appeal the  
> decision.

> OEMR is a non-profit organization formed to ensure that all people,  
> regardless of race, socioeconomic status or geographic location, have  
> access to high-quality medical care through the donation of free, open  
> source medical software and service relating to that software. OEMR  
> supports the OpenEMR project and uses OpenEMR software as an instrument  
> to effect its goals. According to our research, software issues under  
> the Internal Revenue Code have always been challenging, and in 2013 it  
> was reported that exemption applications for open source software  
> projects had landed on the IRS watch list. Following this report, word  
> came out that the IRS was denying 501(c)(3) status on many of these  
> projects, and private rulings denying tax exempt status were released.

> For example, in PLR 201349022 (Dec. 6, 2013) (copy attached), the IRS  
> denied an exemption for an organization that maintained a website for  
> the development and dissemination of a FLOSS fluid dynamics modeling  
> program and was formed solely to promote the development, distribution  
> and adoption of the free open source software code and associated  
> documentation comprising the software application, for benefit of the  
> general public. Despite the clearly scientific content of the program,  
> the IRS’s rationale for denial was perfunctory: “Maintaining a website  
> to promote the development, distribution and adoption of open source  
> software is not an exempt purpose.” The IRS did not that the  
> organization’s day-to-day operations were devoted solely to maintaining  
> their website that hosts and makes software available and it engaged in  
> no other activities. Because the organization did not protest and  
> challenge the IRS’s decision, a more in depth analysis of the IRS’s  
> ruling and reasoning is not available.

> The protest letter submitted by OEMR was not very well written and did  
> not provide an in depth analysis of the facts, issues and law at hand.  
> The protest letter attempted to explain the differences and the  
> separateness between OEMR and OpenEMR, but made many references to OEMR  
> supporting the “charitable side” of OpenEMR. However, based on the PLR  
> referenced above, the IRS may not view OpenEMR’s activities to be  
> charitable. If we were to assist OEMR with challenging the IRS’s  
> adverse determination at the Appeals level, I would suggest having us  
> prepare a response letter to be submitted to Appeals that provides an in  
> depth analysis of the issues, facts and law at issue and that describes  
> in further detail the separateness between OEMR and OpenEMR and the  
> other “charitable” and “educational” activities that OEMR engages in.

> Although the IRS has issued many denials related to these types of  
> organizations, the IRS has also approved exemption applications related  
> to these types of organizations. The following is a link to some of the  
> private letter rulings and other documentation of IRS determinations  
> relating to FLOSS (free/libre and open source software) organizations –  
> [https://wiki.opensource.org/bin/Main/Projects/entities-wg/IRS+Ruling+Documentation/#HUnder50128c2928329-1](https://wiki.opensource.org/bin/Main/Projects/entities-wg/IRS+Ruling+Documentation/#HUnder50128c2928329-1).  
> If we were to challenge this with IRS Appeals, we would want to review  
> all of these private letter rulings to discern patterns in the IRS’s  
> approval or denial of exemption applications submitted by organizations  
> with activities related to open source software. The following link  
> provides some discussion on patterns in approvals and denials related to  
> these types of organizations - [https://opensource.org/node/840](https://opensource.org/node/840). It  
> notes that organizations whose 501(c)(3) applications were approved  
> between 2010 and 2014, generally speaking, worked on software that  
> served traditionally “charitable” or “educational” purposes (as the IRS  
> has interpreted those concepts) (e.g., supporting development of  
> software for use by educational institutions, producing medical records  
> platform for healthcare providers, particularly in developing countries,  
> producing a software platform to support disaster relief). By contrast,  
> most of the organizations whose 501(c)(3) applications were denied  
> produced more general-purpose software (e.g., developing tools to enable  
> engineers to model fluid dynamics, producing web standards and  
> accompanying software to ease federation between websites). This  
> article further notes that there was little else to distinguish the  
> organizations that were denied from those that were approved and there  
> was a fair amount of overlap between approved and denied organizations.  
> According to the article, it is impossible to know what ultimately made  
> the difference for the “close-call” applications that were approved and  
> in all likelihood, it was a mix of factors, including the quality of the  
> application and the receptiveness of the individual examiner.

> In light of the above, it may be worth trying to take this to IRS  
> Appeals and submitting a well-written, detailed analysis, assuming that  
> the client understands that a good amount of time will be involved in  
> doing additional research, preparing the written analysis and working  
> with Appeals and there is a risk that they may not prevail at the  
> Appeals level. Please let me know what your thoughts are.

> “as the above discussion demonstrates the IRS has not been friendly to  
> claims that creating open source software is a valid scientific,  
> charitable, or educational activity in its own right. However, a variety  
> of organizations have secured tax-exempt status despite the Service’s  
> concerns with FLOSS in general. Typically, their key to success has been  
> convincing the IRS that the organization had a larger charitable  
> ….purpose to which the FLOSS activities were somehow incidental. This is  
> often easier to demonstrate where the software development activities  
> are only one among several complementary ways of furthering exempt  
> purposes. It is also easier in cases where most obvious uses of the  
> FLOSS are themselves charitable. The following are examples of  
> organizations whose exempt status were approved: • An organization that  
> lessened the burdens of government and conducted educational research by  
> collecting information about election technologies and problems with  
> those technologies, developing sample code to address those  
> technologies, and making all of this information available to state  
> elections officials and other stakeholders through white papers,  
> conferences, and other communications. • An organization that created a  
> platform for tracking medical records electronically on the kinds of  
> resource-constrained hardware environments available in the developing  
> world. Often the easiest larger purpose that can subsume a FLOSS  
> development effort is an educational purpose. As there are few limits on  
> the range of topics an educational organization can pursue, many FLOSS  
> organizations can find an educational effort with which the published  
> source code would fit well as a demonstration project or otherwise.”

> Again, this further demonstrates that it may be worth challenging the  
> IRS’s adverse determination and if were to challenge it at the appeals  
> level, we should prepare a detailed analysis explaining the other  
> “charitable” and “educational” activities that OEMR engages in. Please  
> let me know if you have any questions.

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<div class="post-metadata">

**Author:** ![stephenwaite](https://community.open-emr.org/user_avatar/community.open-emr.org/stephenwaite/32/15754_2.png) [@stephenwaite](https://community.open-emr.org/u/stephenwaite)\
**Post date:** [June 13, 2017, 2:43pm UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/5 "2017-06-13T14:43:43Z")

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updated financials [Balance Sheet (eguile)–06\_13\_2017.pdf](https://discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/original/2X/7/7f33a4f601ebbcff1bfbf804eaadb0ea61f1c062.pdf) (88.0 KB)

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<div class="post-metadata">

**Author:** ![brady.miller](https://community.open-emr.org/user_avatar/community.open-emr.org/brady.miller/32/10178_2.png) [@brady.miller](https://community.open-emr.org/u/brady.miller)\
**Post date:** [June 17, 2017, 4:53am UTC](https://community.open-emr.org/t/oemr-board-meeting-wednesday-june-14th-2017/8613/6 "2017-06-17T04:53:25Z")

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Hi,

Here’s the audio for the June 14th, 2017 board meeting:  
[https://www.open-emr.org/oemr/audio/OEMR-board-meeting-06142017.mp4](https://www.open-emr.org/oemr/audio/OEMR-board-meeting-06142017.mp4)

-brady
