2011-09-06T07:31:06-05:00 2010-12-31 CLARK SCHAEFER HACKETT & CO 150 E CAMPUS VIEW BLVD SUITE 100 COLUMBUS OH 43235 990 2010-01-01 341817218 OHIO PHYSICIANS HEALTH PROGRAM OHIO 6148419690 5900 ROCHE DRIVE STE 440 COLUMBUS OH 43229 DAVID D GOLDBERG DO 6148419690 2011-08-18 1 SHARON R REISMAN 6148852208 2011-08-18 2010 2016-02-24 21:20:13Z DAVID D GOLDBERG DO 5900 ROCHE DRIVE SUITE 440 COLUMBUS OH 43229 927252 0 X WWW.OPHP.ORG X 1995 OH TO FACILITATE THE HEALTH & WELLBEING OF HEALTHCARE PROFESSIONALS TO ENHANCE PATIENT SAFETY 12 11 6 100 0 0 668742 672867 236985 116891 -42041 28974 2800 6652 866486 825384 0 0 0 0 645890 527799 23374 25412 56200 329814 199706 999078 752917 -132592 72467 1095698 1182237 45894 10246 1049804 1171991 TO FACILITATE THE HEALTH AND WELLBEING OF HEALTHCARE PROFESSIONALS IN ORDER TO ENHANCE PATIENT SAFETY. 0 0 594725 116891 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. 594725 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 6 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X KELLEY LONG 6148419690 5900 ROCHE DRIVE SUITE 440 COLUMBUS OH 43229 ROBERT K RUPP JD 1.00 X X 0 0 0 DAVID GOLDBERG DO 1.00 X X 0 0 0 MOLLY A KATZ MD 1.00 X 0 0 0 FARSHID AFSARIFARD PHD 1.00 X 0 0 0 MARTHA BETHEA CPA 1.00 X X 0 0 0 GEORGE HARDING IV MD 1.00 X 0 0 0 RAYMOND MAZZOTTA 1.00 X 0 0 0 PETER D ROGERS MDMPH FASM 40.00 X X X 189868 0 33114 JAMES W KELLER MD 1.00 X 0 0 0 MARGARET L TONDOW 1.00 X 0 0 0 BRUCE WALL MD MMM 1.00 X 0 0 0 PATRICIA J DAVIDSON MD FAAP 1.00 X 0 0 0 CHRISTINA DELOS-REYES MD 1.00 X 0 0 0 RONALD L MILLER MD 1.00 X 0 0 0 189868 0 33114 1 0 1 0 0 572076 100791 672867 ADMINISTRATIVE FEES 561000 91561 91561 TOXICOLOGY FEES 541380 25330 25330 116891 29184 29184 101658 101868 -210 -210 -210 HONORARIA 900099 5350 5350 MISCELLANEOUS 900099 1302 1302 6652 825384 123333 0 29184 222982 191765 28988 2229 304817 261868 37398 5551 859 175 684 10119 8298 1214 607 25412 25412 10253 10253 240 240 52577 44743 2316 5518 26821 18775 5364 2682 15577 15577 4209 3954 255 7636 5727 1909 10611 9020 1591 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 1151 1046 105 752917 594725 101992 56200 54390 57829 34337 14984 66794 80603 8650 15112 63666 41262 27821 22404 898382 985981 5324 5324 1095698 1182237 45894 10246 45894 10246 X 1048519 1170656 1285 1335 1049804 1171991 1095698 1182237 X 72467 49720 X X 0 1 1 X 0 X 648005 653274 679581 668742 672867 3322469 648005 653274 679581 668742 672867 3322469 3322469 18541 21449 29659 21933 29184 120766 27819 21020 4950 2800 6652 63241 3506476 1390305 0.94750 0.94480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4218 330 3888 59448 40932 18516 22404 INVESTMENTS 985981 F 985981 825384 752917 72467 49720 49720 122187 885647 49720 10543 60263 825384 0 825384 763460 10543 10543 752917 0 752917 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. X X X X X 1 NICOLE L MOHAR 200 WESTWIND DRIVE AVON LAKE OH 44012 TO PROVIDE FUNDRAISING & FUND DEVELOPMENT SERVICES 0 84396 25412 58984 84396 25412 58984 OH X X 0 0 0 0 0 0 0 0 0 PETER D ROGERS MDMPH FASM 189868 0 0 0 0 0 15688 0 17426 0 222982 0 0 0 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. FORM 990, PART VI, SECTION B, LINE 12C 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. 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 49,720. THE PROCESS FOR OVERSIGHT OF THE AUDIT AND REVIEW OF THE 990 HAS NOT CHANGED FROM THE PRIOR YEAR.