OHIO PHYSICIANS HEALTH PROGRAM: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- OHIO PHYSICIANS HEALTH PROGRAM (EIN 34-1817218)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-09-06
- IRS object ID
- 201142499349300254
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-09-06T07:31:06-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E CAMPUS VIEW BLVD SUITE 100 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43235 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341817218 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO PHYSICIANS HEALTH PROGRAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OHIO | NameControl |
| Phone | 6148419690 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 ROCHE DRIVE STE 440 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43229 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID D GOLDBERG DO | Name |
| Title | MEDICAL DIRECTOR | Title |
| Phone | 6148419690 | Phone |
| Date Signed | 2011-08-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHARON R REISMAN | Name |
| Phone | 6148852208 | Phone |
| Date Prepared | 2011-08-18 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID D GOLDBERG DO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 ROCHE DRIVE SUITE 440 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43229 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 927252 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OPHP.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | TO FACILITATE THE HEALTH & WELLBEING OF HEALTHCARE PROFESSIONALS TO ENHANCE PATIENT SAFETY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 668742 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 672867 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 236985 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 116891 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -42041 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28974 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2800 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6652 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 866486 | TotalRevenuePriorYear |
| Total Revenue Current Year | 825384 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 645890 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 527799 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 23374 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 25412 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 56200 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 329814 | OtherExpensePriorYear |
| Other Expenses Current Year | 199706 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 999078 | TotalExpensesPriorYear |
| Total Expenses Current Year | 752917 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -132592 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 72467 | RevenuesLessExpensesCY |
| Total Assets BOY | 1095698 | TotalAssetsBOY |
| Total Assets EOY | 1182237 | TotalAssetsEOY |
| Total Liabilities BOY | 45894 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10246 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1049804 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1171991 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO FACILITATE THE HEALTH AND WELLBEING OF HEALTHCARE PROFESSIONALS IN ORDER TO ENHANCE PATIENT SAFETY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 594725 | Expense |
| Revenue | 116891 | Revenue |
| Description | CONSULTATION & INTERVENTION: THE OHIO PHYSICIANS HEALTH PROGRAM (OPHP) IS A CONFIDENTIAL RESOURCE FOR PHYSICIANS, VETERINARIANS, DENTISTS, RESIDENTS, MEDICAL STUDENTS, HOSPITALS, FAMILY MEMBERS OR COLLEAGUES WHO MAY HAVE CONCERNS ABOUT A PHYSICIAN OR OTHER HEALTHCARE PROFESSIONAL'S HEALTH, WELLBEING, AND EFFECTIVENESS. OPHP FACILITATES THE HEALTH AND WELLNESS OF HEALTHCARE PROFESSIONALS IN ORDER TO ENHANCE PUBLIC SAFETY. THE ORGANIZATION HELD EDUCATIONAL PRESENTATIONS THROUGHTOUT THE STATE OF OHIO. IN 2010, THERE WERE 432 ACTIVE CASES, 166 SIGNED AGREEMENTS AND 165 NEW REFERRALS. PRINTED MATERIALS WERE MAILED OR DISTRIBUTED INCLUDING THE WINTER NEWSLETTER AND THE 2009 ANNUAL REPORT. | Description |
| Total Program Service Expense | 594725 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 6 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLEY LONG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6148419690 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5900 ROCHE DRIVE SUITE 440 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43229 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT K RUPP JD | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| DAVID GOLDBERG DO | |||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| MOLLY A KATZ MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| FARSHID AFSARIFARD PHD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MARTHA BETHEA CPA | |||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| GEORGE HARDING IV MD | |||||||
| EMERITUS- TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| RAYMOND MAZZOTTA | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| PETER D ROGERS MDMPH FASM | |||||||
| PRESIDENT/MEDICAL DIRECTOR | 40.00 | X | X | 189868 | 0 | 33114 | X |
| JAMES W KELLER MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MARGARET L TONDOW | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| BRUCE WALL MD MMM | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| PATRICIA J DAVIDSON MD FAAP | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CHRISTINA DELOS-REYES MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| RONALD L MILLER MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 189868 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 33114 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 572076 | GovernmentGrants |
| All Other Contributions | 100791 | AllOtherContributions |
| Total Contributions | 672867 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ADMINISTRATIVE FEES | 561000 | 91561 | 91561 |
| TOXICOLOGY FEES | 541380 | 25330 | 25330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 116891 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29184 | TotalRevenueColumn |
| Exclusion | $29,184 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 101658 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 101868 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -210 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -210 | TotalRevenueColumn |
| Related Or Exempt Function Income | -210 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HONORARIA | 900099 | 5350 | 5350 |
| MISCELLANEOUS | 900099 | 1302 | 1302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6652 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 825384 | TotalRevenueColumn |
| Related Or Exempt Function Income | 123333 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $29,184 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222982 | Total |
| Program Services | 191765 | ProgramServices |
| Management And General | 28988 | ManagementAndGeneral |
| Fundraising | 2229 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304817 | Total |
| Program Services | 261868 | ProgramServices |
| Management And General | 37398 | ManagementAndGeneral |
| Fundraising | 5551 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 859 | Total |
| Management And General | 175 | ManagementAndGeneral |
| Fundraising | 684 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10119 | Total |
| Program Services | 8298 | ProgramServices |
| Management And General | 1214 | ManagementAndGeneral |
| Fundraising | 607 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25412 | Total |
| Fundraising | 25412 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10253 | Total |
| Management And General | 10253 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240 | Total |
| Program Services | 240 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52577 | Total |
| Program Services | 44743 | ProgramServices |
| Management And General | 2316 | ManagementAndGeneral |
| Fundraising | 5518 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26821 | Total |
| Program Services | 18775 | ProgramServices |
| Management And General | 5364 | ManagementAndGeneral |
| Fundraising | 2682 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15577 | Total |
| Program Services | 15577 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4209 | Total |
| Program Services | 3954 | ProgramServices |
| Fundraising | 255 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7636 | Total |
| Program Services | 5727 | ProgramServices |
| Management And General | 1909 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10611 | Total |
| Program Services | 9020 | ProgramServices |
| Management And General | 1591 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| RESOURCE DEVELOPMENT | 37892 | 24630 | 0 | 13262 |
| CONTRACT LABOR | 11205 | 0 | 11205 | 0 |
| COMPUTER SERVICES | 5897 | 4423 | 1474 | 0 |
| DUES AND SUBSCRIPTIONS | 4216 | 4216 | 0 | 0 |
| CONTINUING EDUCATION | 443 | 443 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1151 | Total |
| Program Services | 1046 | ProgramServices |
| Management And General | 105 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752917 | Total |
| Program Services | 594725 | ProgramServices |
| Management And General | 101992 | ManagementAndGeneral |
| Fundraising | 56200 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54390 | BOY |
| EOY | 57829 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34337 | BOY |
| EOY | 14984 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66794 | BOY |
| EOY | 80603 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8650 | BOY |
| EOY | 15112 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63666 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 41262 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27821 | BOY |
| EOY | 22404 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 898382 | BOY |
| EOY | 985981 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5324 | BOY |
| EOY | 5324 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1095698 | BOY |
| EOY | 1182237 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45894 | BOY |
| EOY | 10246 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45894 | BOY |
| EOY | 10246 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1048519 | BOY |
| EOY | 1170656 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1285 | BOY |
| EOY | 1335 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1049804 | BOY |
| EOY | 1171991 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1095698 | BOY |
| EOY | 1182237 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 72467 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 49720 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 648005 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 653274 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 679581 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 668742 | CurrentTaxYearMinus1Year |
| Current Tax Year | 672867 | CurrentTaxYear |
| Total | 3322469 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 648005 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 653274 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 679581 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 668742 | CurrentTaxYearMinus1Year |
| Current Tax Year | 672867 | CurrentTaxYear |
| Total | 3322469 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3322469 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18541 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21449 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29659 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21933 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29184 | CurrentTaxYear |
| Total | 120766 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27819 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21020 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4950 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2800 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6652 | CurrentTaxYear |
| Total | 63241 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3506476 | TotalSupport |
| Gross Receipts From Admissions Etc | 1390305 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.94750 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.94480 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4218 | OtherCostOrOtherBasis |
| Depreciation | 330 | Depreciation |
| Book Value | 3888 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 59448 | OtherCostOrOtherBasis |
| Depreciation | 40932 | Depreciation |
| Book Value | 18516 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22404 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS | Description |
| Book Value | 985981 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 985981 | TotalOfBookValueSecurities |
| Total Revenue | 825384 | TotalRevenue |
| Total Expenses | 752917 | TotalExpenses |
| Excess Or Deficit For Year | 72467 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 49720 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 49720 | TotalAdjustments |
| Excess Or Deficit Per FS | 122187 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 885647 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 49720 | NetUnrealizedGainsInvestments |
| Other Revenues | 10543 | OtherRevenues |
| Revenue Not Rptd F990 | 60263 | RevenueNotRptdF990 |
| Revenue Subtotal | 825384 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 825384 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 763460 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10543 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10543 | ExpensesNotRptdF990 |
| Expenses Subtotal | 752917 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 752917 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION ADOPTED THE NEW ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES GUIDANCE ON JANUARY 1, 2009. THESE PROVISIONS CLARIFY THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE ORGANIZATION'S INCOME TAX RETURNS. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE 2007-2010. THE ORGANIZATION'S POLICY WITH REGARD TO INTEREST AND PENALTY IS TO RECOGNIZE INTEREST THROUGH INTEREST EXPENSE AND PENALTIES THROUGH OTHER EXPENSE. IN EVALUATING THE ORGANIZATION'S TAX PROVISIONS AND ACCRUALS, FUTURE TAXABLE INCOME, AND THE REVERSAL OF TEMPORARY DIFFERENCES, INTERPRETATIONS AND TAX PLANNING STRATEGIES ARE CONSIDERED. THE ORGANIZATION BELIEVES ITS ESTIMATES ARE APPROPRIATE BASED ON THE CURRENT FACTS AND CIRCUMSTANCES. |
| PART XII LINE 2D: THIS IS THE IN-KIND CONTRIBUTION OF LEGAL FEES FROM BAKER & HOSTETLER, LLP. | ||
| PART XIII, LINE 2D: THIS IS THE IN-KIND CONTRIBUTION OF LEGAL FEES FROM BAKER & HOSTETLER, LLP. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | NICOLE L MOHAR | NameOfIndividual |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WESTWIND DRIVE | AddressLine1 |
| City | AVON LAKE | City |
| State | OH | State |
| ZIP Code | 44012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | TO PROVIDE FUNDRAISING & FUND DEVELOPMENT SERVICES | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 84396 | GrossReceipts |
| Amount Retained By Contractor | 25412 | AmountRetainedByContractor |
| Net To Organization | 58984 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 84396 | TotalGrossReceipts |
| Total Retained By Contractors | 25412 | TotalRetainedByContractors |
| Total Net To Organization | 58984 | TotalNetToOrganization |
| Licensed States | OH | LicensedStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PETER D ROGERS MDMPH FASM | NamePerson |
| Base Compensation Filing Org | 189868 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 15688 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 17426 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 222982 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN IS PREPARED BY CLARK, SCHAEFER, HACKETT & CO. OHIO PHYSICIANS HEALTH PROGRAM RECEIVES A DRAFT COPY WHICH IS GIVEN TO THE CHAIRMAN OF THE AUDIT/FINANCE COMMITTEE FOR REVIEW AND APPROVAL. ONCE APPROVED, A FINAL RETURN IS PREPARED AND FILED. | |
| ALL OFFICERS, DIRECTORS, OR TRUSTEES KEEP THE OPERATIONS MANAGER UPDATED OF ANY EMPLOYMENT, MEMBERSHIP, AND COMMITTEE INVOLVEMENT THAT COULD COMPROMISE THE CONFLICT OF INTEREST POLICY AT EACH BOARD MEETING OR AS NEEDED. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE ORGANIZATION HAS A COMPENSATION COMMITTEE WITHIN THE BOARD OF TRUSTEES. THESE INDIVIDUALS MEET AND DISCUSS ANY CHANGES OR ADJUSTMENTS THAT NEED TO BE MADE AND PROVIDE THE CHANGE TO THE OPERATIONS MANAGER. | ||
| THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 49,720. | FORM 990, PART XI, LINE 5: |
| THE PROCESS FOR OVERSIGHT OF THE AUDIT AND REVIEW OF THE 990 HAS NOT CHANGED FROM THE PRIOR YEAR. |
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