2024-05-14T08:37:23-05:00 2023-06-30 351178661 BLUE & CO LLC 9200 WORTHINGTON RD STE 200 WESTERVILLE OH 43082 990 2022-07-01 311447726 OHIO STATE UNIVERSITY PHYSICIANS INC OHIO 6147847800 700 ACKERMAN RD 6000 COLUMBUS OH 43202 L ARICK FORREST MD PRESIDENT 6149473700 2024-05-13 1 L ARICK FORREST MD 999009999 0 ANGELA N CRAWFORD CPA P00573197 6148852583 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z L ARICK FORREST MD 700 ACKERMAN RD 6000 COLUMBUS OH 43202 1079526709 0 X WWW.OSUPHYSICIANS.COM X 2002 OH OHIO STATE UNIVERSITY PHYSICIANS ALONG WITH THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE RENDER CLINICAL SERVICES IN CONNECTION WITH THEIR TEACHING DUTIES AND PROVIDE MEDICAL CARE TO ALL THOSE WHO SEEK SUCH SERVICES. THE PHYSICIANS SUPPORT ACADEMIC ENRICHMENT TO THE EDUCATIONAL AND RESEARCH PROGRAMS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE AS WELL AS CHARITY CARE TO SUPPORT THE CLINICAL MISSION OF OSU INCLUDING PROVIDING CARE TO INDIVIDUALS THAT MAY NOT BE ABLE TO AFFORD CARE. ADDITIONALLY THEY SUPPORT PATIENTS THAT ARE A PART OF THE MEDICARE / MEDICAID PROGRAMS BY ACCEPTING PAYMENTS FOR SERVICES THAT ARE LESS THAN COST. 31 0 2083 0 0 0 11686052 19874896 714608473 1006325284 562842 6038377 2728256 1124870 729585623 1033363427 6496702 14587231 0 0 575769641 781338819 0 0 0 132619509 259926379 714885852 1055852429 14699771 -22489002 461447285 601695041 240163935 399337704 221283350 202357337 X THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO ENHANCE, IMPROVE AND SUPPORT THE EDUCATIONAL, RESEARCH, AND CLINICAL PROGRAMS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE, THE PHYSICIANS WHO RENDER CLINICAL AND RESEARCH SERVICES IN CONNECTION WITH THEIR TEACHING DUTIES AND TO PROVIDE MEDICAL CARE TO ALL THOSE WHO SEEK SUCH SERVICES. PROGRAMS PROVIDE HEALTH CARE AND TEACHING TO THE CENTRAL OHIO AREA AND MULTIPLE CLINICAL LOCATIONS. OTHER SERVICES INCLUDE BILLING AND COLLECTIONS FOR RELATED ENTITIES AND DEPARTMENTS. CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS CHARITY CARE IN ACCORDANCE WITH FEDERAL GUIDELINES, THE OHIO STATE UNIVERSITY HEALTH SYSTEM AND OHIO STATE UNIVERSITY PHYSICIANS, AND AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE WRITTEN OFF. 0 0 153536954 14587231 2102337 ACADEMIC ENRICHMENT TO SUPPORT THE EDUCATIONAL AND RESEARCH PROGRAMS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE. 544305763 213789836 SUPPORT PATIENTS THAT ARE A PART OF THE MEDICARE /MEDICAID PROGRAMS BY ACCEPTING PAYMENTS FOR SERVICES THAT ARE LESS THAN COST. 12166731 CHARITY CARE TO SUPPORT THE CLINICAL MISSION OF OSU INCLUDING PROVIDING CARE TO INDIVIDUALS THAT MAY NOT BE ABLE TO AFFORD CARE. 222603940 791557981 ALL OTHER PROGRAM SERVICES INCLUDING CLINICAL CARE FOR PATIENTS TYPICAL OF AN ACADEMIC PHYSICIAN OFFICE PRACTICE. THIS WOULD NOT INCLUDE MANAGEMENT AND GENERAL COSTS PER THE 990 MODEL. 222603940 791557981 932613388 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 216 0 1 2083 1 0 0 0 0 0 0 0 0 0 0 0 0 X 31 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OH X DEBORAH CHUDZIK 6146851517 700 ACKERMAN RD SUITE 6000 COLUMBUS OH 43202 FORREST L ARICK PRESIDENT 1.00 40.00 X X 0 957663 104846 LEE CHERYL VICE PRESIDENT 1.00 40.00 X X 0 893859 214247 PAWLIK TIMOTHY SECRETARY/TREASURER 1.00 40.00 X X 0 1235930 113602 ADKINS ERIC BOARD MEMBER 1.00 40.00 X 0 456150 101679 ANDERSON JAY COO, HEALTH SYSTEM 1.00 40.00 X 0 1466784 170730 BECHTEL MARK BOARD MEMBER 1.00 40.00 X 0 570055 78271 BRADFORD CAROL BOARD MEMBER 1.00 40.00 X 0 1220954 150048 CATERINO JEFF BOARD MEMBER 1.00 40.00 X 0 605434 123921 CHAKRAVARTI ARNAB BOARD MEMBER 1.00 40.00 X 0 1006613 117895 CLARK AARON BOARD MEMBER 1.00 40.00 X 0 263385 56129 COHN DAVID INTERIM CEO, THE JAMES 1.00 40.00 X 0 1048642 210403 EXLINE MATTHEW BOARD MEMBER 1.00 40.00 X 0 405452 70981 FRANKEL WENDY BOARD MEMBER 1.00 40.00 X 0 607766 127156 FREIMER MIRIAM BOARD MEMBER 1.00 40.00 X 0 329792 97958 GLASSMAN ANDREW BOARD MEMBER 1.00 40.00 X 0 974478 115554 LANDON MARK BOARD MEMBER 1.00 40.00 X 0 748491 106581 LONSER RUSSELL BOARD MEMBER 1.00 40.00 X 0 1381370 143916 LUKE WHITNEY BOARD MEMBER 1.00 40.00 X 0 661338 79218 MALLAMPALLI RAMA BOARD MEMBER 1.00 40.00 X 0 749108 132566 MOORE AMY BOARD MEMBER 1.00 40.00 X 0 922937 119629 MOROI SAYOKO BOARD MEMBER 1.00 40.00 X 0 687870 89431 NEEDLEMAN BRADLEY BOARD MEMBER 1.00 40.00 X 0 553214 100107 PANDHARIPANDE PARI BOARD MEMBER 1.00 40.00 X 0 791940 146309 PAPADAKIS MICHAEL BOARD MEMBER 1.00 40.00 X 0 836360 124911 PHAN KINH LUAN BOARD MEMBER 1.00 40.00 X 0 500717 89487 PROSEK JASON BOARD MEMBER 1.00 40.00 X 0 295456 48895 ROCCO JAMES BOARD MEMBER 1.00 40.00 X 0 937756 146041 SEGAL BENJAMIN BOARD MEMBER 1.00 40.00 X 0 616144 109308 TAMMARO VINCENT CFO, MEDICAL CENTER 1.00 40.00 X 0 581738 75955 THOMAS ANDREW BOARD MEMBER / CMO 1.00 40.00 X 0 1155256 131834 URMAN RICHARD BOARD MEMBER 1.00 40.00 X 0 99521 15203 SHARP KYLE EXECUTIVE DIRECTOR 40.00 X 0 481663 78825 CHUDZIK DEBORAH SENIOR DIRECTOR OF FINANCE 40.00 X 0 221040 48235 ELDER JAMES BRADLEY PHYSICIAN 40.00 X 0 1241629 135131 TANDON AMIT PHYSICIAN 40.00 X 0 987028 97575 WHISTON BRYAN PHYSICIAN 40.00 X 0 1084649 133304 OHR MATT PHYSICIAN 40.00 X 0 877676 118543 PREVEDELLO DANIEL PHYSICIAN 40.00 X 0 1031706 137827 0 29487564 4262251 0 0 1 0 VISION RADIOLOGY PLLC 2825 OAK LAWN AVE 192749 DALLAS TX 75219 CONSULTING SERVICES 1567740 DELL MARKETING LP 1 DELL WAY ROUND ROCK TX 78682 PROFESSIONAL AND EDUCATIONAL DEVELOPMENT 1148682 TAFT STETTINIUS & HOLLISTER LLP 65 EAST STATE ST SUITE 1000 COLUMBUS OH 43215 LEGAL SERVICES 720275 MEDSPEED LLC 140 INDUSTRIAL DRIVE ELMHURST IL 60126 COURIER SERVICES 552768 PEDIATRIC ACADEMIC ASSOCIATION 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 CONTINUING EDUCATION 378347 103 19874896 19874896 NET PATIENT CARE REVENUE 900099 661188538 661188538 MEDICAL CENTER REVENUE 900099 149675139 149675139 CONTRACT REVENUE 900099 147707711 147707711 SALARY RECOVERY 900099 27856485 27856485 MEDICAL & TECHNICAL DIRECTION 900099 13636042 13636042 6261369 6261369 1006325284 4350659 4350659 1124870 0 1124870 1124870 1124870 47851000 46163282 1687718 1687718 1687718 1033363427 1007450154 0 6038377 X 14587231 14587231 32490770 28591878 3898892 609298143 536182366 73115777 6356435 5593663 762772 131159129 115420033 15739096 2034342 1790221 244121 762699 671175 91524 1110786 977492 133294 133453515 117439093 16014422 352803 310467 42336 32313833 28436173 3877660 4266933 3754901 512032 13885716 12219430 1666286 5460253 4805023 655230 1267387 1115301 152086 249384 219458 29926 24788556 21813929 2974627 19134792 16838617 2296175 1600434 1408382 192052 BAD DEBT - PATIENT 14273193 14273193 OTHER EXPENSES 7006095 6165362 840733 1055852429 932613388 123239041 0 151452824 69499282 81916013 143770922 44905461 88127755 5083980 5795400 1197238 2265567 2983403 4489364 274614029 72579116 98411056 202034913 75497310 85711838 461447285 601695041 61145195 19865787 5417894 5618498 9635766 8984786 275186 163689894 364868633 240163935 399337704 X 221283350 202357337 221283350 202357337 461447285 601695041 X -22489002 4192932 -629943 X X 0 1 X 1 0 X X X 1 THE OHIO STATE UNIVERSITY 316025986 5 1 14587231 0 1 14587231 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X PART IV, SECTION D, LINE 3: THE UNIVERSITY APPOINTS A VOTING MAJORITY OF THE BOARD OF THE MEDICAL PRACTICE GROUP FOR PHYSICIAN FACULTY MEMBERS IN THE COLLEGES OF MEDICINE AND PUBLIC HEALTH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2090595 2090595 18195558 9547377 8648181 9274780 5509717 3765063 30584158 17980896 12603262 214468938 39541126 174927812 202034913 DUE FROM AFFILIATES 70658281 OTHER ASSETS 19975 NOTES RECEIVABLE - DUE FROM OTHERS 15033582 85711838 DUE TO AFFILIATES 166663583 PENSION OBLIGATIONS 1400564 CAPITAL LEASE OBLIGATIONS 181822607 OTHER CURRENT LIABILITIES 14981879 364868633 X 1021435000 4192932 4192932 1017242068 16121359 16121359 1033363427 1039729000 0 1039729000 16123429 16123429 1055852429 PART X, LINE 2: OSUP IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), EXCEPT FOR TAXES ON INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME. OSUP ASSESSES UNCERTAIN TAX POSITIONS AND HAS DETERMINED THERE WERE NO SUCH POSITIONS THAT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS AND ROUNDING 1,848,166. BAD DEBT NETTED WITH REVENUE ON AUDITED FINANCIALS 14,273,193. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 1,850,236. PROVISION FOR BAD DEBT 14,273,193. 0 THE OHIO STATE UNIVERSITY 1960 KENNY ROAD COLUMBUS OH 432101016 316025986 115 14587231 0 ACADEMIC ENRICHMENT 1 0 PART I, LINE 2: GRANTS MADE BY THE ORGANIZATION ARE EXCLUSIVELY GIVEN TO THE VARIOUS MEDICAL DEPARTMENTS AT THE OHIO STATE UNIVERSITY, A RELATED SECTION 115 ORGANIZATION. X X X 0 0 0 0 0 0 0 0 0 ANDERSON JAY COO, HEALTH SYSTEM 0 1052067 0 327338 0 87379 0 143195 0 27535 0 1637514 0 0 LONSER RUSSELL BOARD MEMBER 0 1034536 0 246388 0 100446 0 117633 0 26283 0 1525286 0 0 ELDER JAMES BRADLEY PHYSICIAN 0 624719 0 580553 0 36357 0 107596 0 27535 0 1376760 0 0 BRADFORD CAROL BOARD MEMBER 0 817376 0 292314 0 111264 0 130813 0 19235 0 1371002 0 0 PAWLIK TIMOTHY SECRETARY/TREASURER 0 859476 0 303008 0 73446 0 85706 0 27896 0 1349532 0 0 THOMAS ANDREW BOARD MEMBER / CMO 0 759758 0 358652 0 36846 0 97488 0 34346 0 1287090 0 0 COHN DAVID INTERIM CEO, THE JAMES 0 742773 0 231432 0 74437 0 177538 0 32865 0 1259045 0 0 WHISTON BRYAN PHYSICIAN 0 762841 0 241124 0 80684 0 105206 0 28098 0 1217953 0 0 PREVEDELLO DANIEL PHYSICIAN 0 710577 0 265147 0 55982 0 110292 0 27535 0 1169533 0 0 CHAKRAVARTI ARNAB BOARD MEMBER 0 739989 0 195618 0 71006 0 88517 0 29378 0 1124508 0 0 LEE CHERYL VICE PRESIDENT 0 663227 0 160131 0 70501 0 186510 0 27737 0 1108106 0 0 GLASSMAN ANDREW BOARD MEMBER 0 719972 0 173455 0 81051 0 96556 0 18998 0 1090032 0 0 TANDON AMIT PHYSICIAN 0 556859 0 389240 0 40929 0 68074 0 29501 0 1084603 0 0 ROCCO JAMES BOARD MEMBER 0 668403 0 167867 0 101486 0 116178 0 29863 0 1083797 0 0 FORREST L ARICK PRESIDENT 0 699656 0 207675 0 50332 0 83268 0 21578 0 1062509 0 0 MOORE AMY BOARD MEMBER 0 728021 0 158554 0 36362 0 89178 0 30451 0 1042566 0 0 OHR MATT PHYSICIAN 0 537379 0 273019 0 67278 0 91008 0 27535 0 996219 0 0 PAPADAKIS MICHAEL BOARD MEMBER 0 616762 0 186662 0 32936 0 96176 0 28735 0 961271 0 0 PANDHARIPANDE PARI BOARD MEMBER 0 601530 0 85061 0 105349 0 117241 0 29068 0 938249 0 0 MALLAMPALLI RAMA BOARD MEMBER 0 504666 0 130591 0 113851 0 101920 0 30646 0 881674 0 0 LANDON MARK BOARD MEMBER 0 503338 0 144120 0 101033 0 87212 0 19369 0 855072 0 0 MOROI SAYOKO BOARD MEMBER 0 529044 0 114542 0 44284 0 80981 0 8450 0 777301 0 0 LUKE WHITNEY BOARD MEMBER 0 446451 0 122981 0 91906 0 63568 0 15650 0 740556 0 0 FRANKEL WENDY BOARD MEMBER 0 404809 0 112438 0 90519 0 103340 0 23816 0 734922 0 0 CATERINO JEFF BOARD MEMBER 0 453576 0 121505 0 30353 0 91443 0 32478 0 729355 0 0 SEGAL BENJAMIN BOARD MEMBER 0 447787 0 112425 0 55932 0 90073 0 19235 0 725452 0 0 TAMMARO VINCENT CFO, MEDICAL CENTER 0 508031 0 0 0 73707 0 64231 0 11724 0 657693 0 0 NEEDLEMAN BRADLEY BOARD MEMBER 0 525810 0 5404 0 22000 0 69973 0 30134 0 653321 0 0 BECHTEL MARK BOARD MEMBER 0 396528 0 118527 0 55000 0 56581 0 21690 0 648326 0 0 PHAN KINH LUAN BOARD MEMBER 0 343957 0 89536 0 67224 0 62736 0 26751 0 590204 0 0 SHARP KYLE EXECUTIVE DIRECTOR 0 372575 0 109088 0 0 0 63000 0 15825 0 560488 0 0 ADKINS ERIC BOARD MEMBER 0 254029 0 52392 0 149729 0 69154 0 32525 0 557829 0 0 EXLINE MATTHEW BOARD MEMBER 0 355953 0 39035 0 10464 0 41385 0 29596 0 476433 0 0 FREIMER MIRIAM BOARD MEMBER 0 231278 0 25061 0 73453 0 75353 0 22605 0 427750 0 0 PROSEK JASON BOARD MEMBER 0 210592 0 43320 0 41544 0 31149 0 17746 0 344351 0 0 CLARK AARON BOARD MEMBER 0 225869 0 31135 0 6381 0 28319 0 27810 0 319514 0 0 CHUDZIK DEBORAH SENIOR DIRECTOR OF FINANCE 0 180616 0 27192 0 13232 0 25792 0 22443 0 269275 0 0 A COUNTY OF FRANKLIN OHIO 316400067 2013-05-01 15381000 REFINANCE ORIGINAL FINANCE BUILDING PROJECTS AND INFORMATION SYSTEMS 0 0 0 A 650980 15381000 86000 15381000 2013 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT AND CHIEF FINANCIAL OFFICER. THE GOVERNING BODY DISCUSSES THE DOCUMENT AT THE FINANCE COMMITTEE OF THE BOARD AS IT IS ULTIMATELY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTOR OF COMPLIANCE AND RISK MANAGEMENT AND THE GOVERNANCE AND ETHICS COMMITTEE OF THE OSUP BOARD MONITOR OUR COMPLIANCE PROGRAM. THE PRESIDENT OF THE BOARD OF OSUP CHAIRS THE GOVERNANCE AND ETHICS COMMITTEE. THESE COMMITTEES ARE RESPONSIBLE FOR REVIEWING ANY POTENTIAL CONFLICT TO DETERMINE IF ONE EXISTS. FORM 990, PART VI, SECTION B, LINE 15 ALL SALARIED POSITIONS WITHIN OSUP ARE REVIEWED ANNUALLY WITH BENCHMARK DATA FROM THE ASSOCIATION OF ACADEMIC MEDICAL CENTER'S DATA TO INSURE REASONABLENESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE THROUGH ITS LEGAL COUNSEL FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 117,439,093. MANAGEMENT AND GENERAL EXPENSES 16,014,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,453,515. FORM 990, PART XI, LINE 9: ADOPTION OF GASB NO. 96 -629,943. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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