PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132: Form 990, tax year 2014
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- Organization
- PEDIATRIC ACADEMIC ASSOCIATION INC DEPARTMENT OF PEDIATRICS B-132 (EIN 31-1024403)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201503209349309715
- Schema version
- 2014v5.0
- 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) |
|---|---|---|
| Return | 2015-11-16T14:21:34-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SPRUCE ST SUITE 250 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311024403 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDIATRIC ACADEMIC ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEDI | BusinessNameControlTxt |
| Phone | 6147225958 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 CHILDRENS DRIVE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43205 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY ROBINSON | PersonNm |
| Person Title | DIRECTOR/TREASURER | PersonTitleTxt |
| Phone | 6147225958 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNETTE HOELZER | PreparerPersonNm |
| PTIN | P00000633 | PTIN |
| Phone | 6144883126 | PhoneNum |
| Preparation | 2015-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | TIMOTHY ROBINSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 CHILDRENS DRIVE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $108,568,675 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE MEDICAL CARE TO AFFILIATED HOSPITAL PATIENTS, MEDICAL RESEARCH TO THE AFFILIATED HOSPITAL'S RESEARCH INSTITUTE & MEDICAL INSTRUCTION TO STUDENTS OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 448 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $347,055 | PYContributionsGrantsAmt |
| CY Contributions Grants | $666,945 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $95,111,628 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $107,764,696 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,138 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,578 | CYInvestmentIncomeAmt |
| PY Other Revenue | $216,528 | PYOtherRevenueAmt |
| CY Other Revenue | $134,456 | CYOtherRevenueAmt |
| PY Total Revenue | $95,677,349 | PYTotalRevenueAmt |
| CY Total Revenue | $108,568,675 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $87,873,114 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,702,179 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,825,429 | PYOtherExpensesAmt |
| CY Other Expenses | $9,224,422 | CYOtherExpensesAmt |
| PY Total Expenses | $95,698,543 | PYTotalExpensesAmt |
| CY Total Expenses | $106,926,601 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,194 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,642,074 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,807,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,394,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,217,074 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,162,322 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,590,359 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,232,433 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SERVE PATIENTS BY PROVIDING FOR ALL, THE MOST EFFECTIVE, EFFICIENT, AND COMPASSIONATE MEDICAL CARE POSSIBLE. TO SERVE THE MEMBERS OF THE GROUP BY PROVIDING AN OPPORTUNITY TO REALIZE THEIR POTENTIAL AS ACADEMICIANS AND RECEIVE ADEQUATE FINANCIAL COMPENSATION. TO SERVE THE DEPARTMENT BY PROVIDING A STRUCTURE TO FACILITATE EXCELLENCE IN MEDICAL TEACHING AND RESEARCH. TO SERVE THE ENTIRE ORGANIZATION BY MAINTAINING A BALANCE BETWEEN THE ECONOMIC PRESSURES OF FEE-FOR-SERVICE MEDICINE AND ACADEMIC PRODUCTIVITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $85,238,818 | ExpenseAmt |
| Revenue | $87,146,121 | RevenueAmt |
| Desc | PROVIDE MEDICAL CARE AT NATIONWIDE CHILDREN'S HOSPITAL TO ALL OF THE SICK AND INJURED CHILDREN WHO MAY COME TO THE HOSPITAL FOR DIAGNOSIS, TREATMENT AND CARE, WITHOUT REGARD TO THE ABILITY TO PAY FOR SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,968,269 | ExpenseAmt |
| Revenue | $13,258,447 | RevenueAmt |
| Desc | PROVIDE ADMINISTRATIVE MEDICAL OVERSIGHT THROUGHOUT NATIONWIDE CHILDREN'S HOSPITAL'S MEDICAL DEPARTMENTS BY SUPERVISION AND REVIEWING STANDARD OF CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,277,296 | ExpenseAmt |
| Revenue | $6,277,296 | RevenueAmt |
| Desc | ENGAGE IN MEDICAL RESEARCH WITH THE RESEARCH INSTITUTE OF NATIONWIDE CHILDREN'S HOSPITAL. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,059,133 | ExpenseAmt |
| Revenue | $1,082,832 | RevenueAmt |
| Desc | PROVIDE CLINICAL AND CLASSROOM INSTRUCTION TO STUDENTS ENROLLED IN THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE AND TO THE RESIDENTS AND FELLOWS EMPLOYED AT NATIONWIDE CHILDREN'S HOSPITAL. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,059,133 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,082,832 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $105,543,516 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 448 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KARL PRIEDEMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6143553170 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 EAST MAIN STREET | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN ALLEN MD | |||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD MILLER | |||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| E STEVE ROACH MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $300,616 | $54,342 | $46,313 | 10.00 | |||
| RICHARD BRILLI MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $109,549 | $51,410 | $16,153 | 10.00 | |||
| KAREN MCCOY MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $289,124 | $67,820 | $36,698 | 10.00 | |||
| TIMOTHY FELTES MD | |||||||||
| DIRECTOR/PRESIDENT | 40.00 | Yes (X) | $602,133 | $49,139 | $52,841 | 10.00 | Yes (X) | ||
| TIMOTHY ROBINSON | |||||||||
| DIRECTOR/TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| J PHILIP SAUL MD | |||||||||
| DIRECTOR/CHAIR | 40.00 | Yes (X) | $124,845 | $240,345 | $46,226 | 10.00 | Yes (X) | ||
| JOHN BARNARD MD | |||||||||
| DIRECTOR/CHAIR | 40.00 | Yes (X) | $263,028 | $69,853 | $32,962 | 10.00 | Yes (X) | ||
| RHONDA COMER JD | |||||||||
| SECRETARY | 3.00 | $0 | $0 | $0 | Yes (X) | ||||
| BURK DEHORITY | |||||||||
| ADMINISTRATIVE OFFICER | 25.00 | $0 | $0 | $0 | Yes (X) | ||||
| LESLIE MIHALOV MD | |||||||||
| CHIEF EMERGENCY MEDICINE | 40.00 | $342,387 | $45,770 | $49,985 | 10.00 | Yes (X) | |||
| LEIF NELIN MD | |||||||||
| CHIEF NEONATOLOGY | 40.00 | $332,239 | $48,079 | $52,634 | 10.00 | Yes (X) | |||
| JOHN CHEATHAM MD | |||||||||
| PROFESSOR | 40.00 | $742,151 | $112,761 | $66,552 | 10.00 | Yes (X) | |||
| DON HAYES MD | |||||||||
| ASSOCIATE PROFESSOR | 40.00 | $426,226 | $32,454 | $53,612 | 10.00 | Yes (X) | |||
| TIMOTHY CRIPE MD | |||||||||
| PROFESSOR | 40.00 | $406,558 | $46,623 | $30,747 | 10.00 | Yes (X) | |||
| CARLO DILORENZO MD | |||||||||
| PROFESSOR | 40.00 | $391,318 | $73,282 | $56,096 | 10.00 | Yes (X) | |||
| NAOMI KERTESZ MYERS MD | |||||||||
| ASSOCIATE PROFESSOR | 40.00 | $378,893 | $27,683 | $57,096 | 10.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,709,067 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $919,561 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $597,915 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 337 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NATIONWIDE CHILDREN'S HOSPITAL | |||||
| 700 CHILDRENS DRIVE | COLUMBUS | OH | 43205 | ACCT, BILLING AND OTHER SERVICES | $8,330,085 |
| OSU INTERNAL MEDICINE LLC | |||||
| 700 ACKERMAN ROAD SUITE 630 | COLUMBUS | OH | 43202 | MEDICAL SERVICES | $1,159,600 |
| OHIO STATE UNIVERSITY PHYSICIANS | |||||
| 700 ACKERMAN ROAD STE 600 | COLUMBUS | OH | 43210 | MEDICAL SERVICES | $127,352 |
| PREMIER PHYSICIAN SERVICES INC | |||||
| PO BOX 637682 | CINCINNATI | OH | 45263 | MEDICAL SERVICES | $101,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $666,945 | AllOtherContributionsAmt |
| Total Contributions | $666,945 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 900099 | $87,146,121 | $87,146,121 |
| HOSPITAL ADMINISTRATIVE | 900099 | $13,258,447 | $13,258,447 |
| RESEARCH | 900099 | $6,277,296 | $6,277,296 |
| TEACHING | 900099 | $1,082,832 | $1,082,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $107,764,696 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,578 | TotalRevenueColumnAmt |
| Exclusion | $2,578 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,089 | TotalRevenueColumnAmt |
| Exclusion | $18,089 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| SETTLEMENT | 900099 | $100,000 | $100,000 |
| FSA FORFEITURE | 900099 | $13,109 | $13,109 |
| UNCLAIMED FUNDS | 900099 | $3,153 | $3,153 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105 | TotalRevenueColumnAmt |
| Exclusion | $105 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $116,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,568,675 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,764,696 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $137,034 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,542,805 | TotalAmt |
| Program Services | $2,542,805 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,857,452 | TotalAmt |
| Program Services | $85,857,452 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,922,487 | TotalAmt |
| Program Services | $5,922,487 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,355,361 | TotalAmt |
| Program Services | $2,355,361 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,074 | TotalAmt |
| Program Services | $1,024,074 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,721 | TotalAmt |
| Management And General | $38,721 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,776 | TotalAmt |
| Management And General | $52,776 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,618,288 | TotalAmt |
| Program Services | $4,225,649 | ProgramServicesAmt |
| Management And General | $392,639 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,507 | TotalAmt |
| Program Services | $12,058 | ProgramServicesAmt |
| Management And General | $201,449 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,200 | TotalAmt |
| Management And General | $3,200 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,355 | TotalAmt |
| Program Services | $79,172 | ProgramServicesAmt |
| Management And General | $25,183 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,001 | TotalAmt |
| Management And General | $165,001 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,946 | TotalAmt |
| Program Services | $495,888 | ProgramServicesAmt |
| Management And General | $2,058 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PRACTICE PROGRAM EXP. | $1,556,556 | $1,556,556 | |
| TRF DEANS TAXES | $1,469,028 | $1,469,028 | |
| PROF. DEVELOPMENT | $495,260 | $495,260 | |
| MISC | $8,284 | $2,986 | $5,298 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,926,601 | TotalAmt |
| Program Services | $105,543,516 | ProgramServicesAmt |
| Management And General | $1,383,085 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,334,489 | BOYAmt |
| EOY | $5,989,825 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,809,008 | BOYAmt |
| EOY | $9,166,925 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,488,208 | BOYAmt |
| EOY | $1,929,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $121,220 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $114,756 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,040 | BOYAmt |
| EOY | $6,464 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,688 | BOYAmt |
| EOY | $2,302,399 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,807,433 | BOYAmt |
| EOY | $19,394,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,043,386 | BOYAmt |
| EOY | $13,859,923 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,688 | BOYAmt |
| EOY | $2,302,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,217,074 | BOYAmt |
| EOY | $16,162,322 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,590,359 | BOYAmt |
| EOY | $3,232,433 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,590,359 | BOYAmt |
| EOY | $3,232,433 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,807,433 | BOYAmt |
| EOY | $19,394,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,642,074 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $347,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $666,945 | CurrentTaxYearAmt |
| Total | $1,014,000 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,573,230 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,634,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,603,589 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,111,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,764,696 | CurrentTaxYearAmt |
| Total | $454,687,643 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,573,230 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,634,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,603,589 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,458,683 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $108,431,641 | CurrentTaxYearAmt |
| Total | $455,701,643 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $455,701,643 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,673 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110,747 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,667 | CurrentTaxYearAmt |
| Total | $164,577 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,673 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110,747 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,667 | CurrentTaxYearAmt |
| Total | $164,577 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,227 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,464 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,919 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $116,367 | CurrentTaxYearAmt |
| Total | $409,681 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,612,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,646,877 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,770,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,677,349 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $108,568,675 | CurrentTaxYearAmt |
| Total | $456,275,901 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99870 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99890 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $114,756 | DepreciationAmt |
| Book Value | $6,464 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,464 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 457(F) INVESTMENTS | Desc |
| Book Value | $2,302,399 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,302,399 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION | Desc |
| Amt | $2,302,399 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,302,399 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PEDIATRIC ACADEMIC ASSOCIATION RECORDS ANY ACCRUALS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. PEDIATRIC ACADEMIC ASSOCIATION HAD NO ACCRUAL FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2014 AND 2013. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| E STEVE ROACH MD | ||||||||||||||
| DIRECTOR | $288,481 | $30,437 | $9,885 | $0 | $2,250 | $23,905 | $26,000 | $5,356 | $0 | $14,957 | $326,616 | $74,655 | $0 | $0 |
| RICHARD BRILLI MD | ||||||||||||||
| DIRECTOR | $104,817 | $28,081 | $3,500 | $0 | $1,232 | $23,329 | $10,713 | $4,845 | $0 | $595 | $120,262 | $56,850 | $0 | $0 |
| KAREN MCCOY MD | ||||||||||||||
| DIRECTOR | $274,149 | $43,885 | $12,725 | $0 | $2,250 | $23,935 | $26,000 | $9,370 | $0 | $1,328 | $315,124 | $78,518 | $0 | $0 |
| TIMOTHY FELTES MD | ||||||||||||||
| DIRECTOR/PRESIDENT | $470,866 | $25,808 | $129,017 | $0 | $2,250 | $23,331 | $26,000 | $4,995 | $0 | $21,846 | $628,133 | $75,980 | $0 | $0 |
| J PHILIP SAUL MD | ||||||||||||||
| DIRECTOR/CHAIR | $123,440 | $239,423 | $0 | $0 | $1,405 | $922 | $12,250 | $33,519 | $0 | $457 | $137,095 | $274,321 | $0 | $0 |
| JOHN BARNARD MD | ||||||||||||||
| DIRECTOR/CHAIR | $260,778 | $69,307 | $0 | $0 | $2,250 | $546 | $25,921 | $6,584 | $0 | $457 | $288,949 | $76,894 | $0 | $0 |
| LESLIE MIHALOV MD | ||||||||||||||
| CHIEF EMERGENCY MEDICINE | $329,133 | $21,889 | $11,004 | $0 | $2,250 | $23,881 | $26,000 | $4,738 | $0 | $19,247 | $368,387 | $69,755 | $0 | $0 |
| LEIF NELIN MD | ||||||||||||||
| CHIEF NEONATOLOGY | $277,325 | $26,921 | $52,664 | $0 | $2,250 | $21,158 | $26,000 | $4,891 | $0 | $21,743 | $358,239 | $74,713 | $0 | $0 |
| JOHN CHEATHAM MD | ||||||||||||||
| PROFESSOR | $736,401 | $111,347 | $3,500 | $0 | $2,250 | $1,414 | $26,000 | $16,171 | $2,500 | $21,881 | $770,651 | $150,813 | $0 | $0 |
| DON HAYES MD | ||||||||||||||
| ASSOCIATE PROFESSOR | $378,164 | $14,379 | $45,812 | $0 | $2,250 | $18,075 | $26,000 | $3,434 | $2,500 | $21,678 | $454,726 | $57,566 | $0 | $0 |
| TIMOTHY CRIPE MD | ||||||||||||||
| PROFESSOR | $339,353 | $46,419 | $64,955 | $0 | $2,250 | $204 | $26,000 | $4,410 | $0 | $337 | $432,558 | $51,370 | $0 | $0 |
| CARLO DILORENZO MD | ||||||||||||||
| PROFESSOR | $317,264 | $70,012 | $71,804 | $0 | $2,250 | $3,270 | $26,000 | $7,170 | $0 | $22,926 | $417,318 | $103,378 | $0 | $0 |
| NAOMI KERTESZ MYERS MD | ||||||||||||||
| ASSOCIATE PROFESSOR | $316,963 | $27,118 | $59,680 | $0 | $2,250 | $565 | $26,000 | $3,639 | $0 | $27,457 | $404,893 | $58,779 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | ALTHOUGH THERE IS STILL A REMAINING BALANCE IN THE ACCOUNT AS OF DECEMBER 31, 2014, THERE WERE NO AMOUNTS PAID IN OR OUT DURING 2014 AND THE ASSOCIATION DOES NOT ANTICIPATE ANY FUTURE CONTRIBUTIONS TO BE MADE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS REVIEWED PRIOR TO FILING BY PEDIATRIC ACADEMIC ASSOCIATION DIRECTOR/CHAIR, DIRECTOR/TREASURER, ADMINISTRATIVE OFFICER, NATIONWIDE CHILDREN'S HOSPITAL CONTROLLER AND THE ASSOCIATION'S CONTROLLER. IN ADDITION, THE RETURN WAS MADE AVAILABLE TO THE ENTIRE BOARD UPON REQUEST OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | PAA POLICY REQUIRES THAT ALL PHYSICIANS REPORT CONFLICTS OF INTEREST OR COMMITMENT AT THE TIME THE CONFLICT ARISES. BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY, REGARDLESS OF THE EXISTENCE OF CONFLICT. ALL DISCLOSURES ARE REVIEWED BY NATIONWIDE CHILDREN'S HOSPITAL CORPORATE COMPLIANCE OFFICER. IF A CONFLICT EXISTS, A CONFLICT MANAGEMENT PLAN MAY BE PUT IN PLACE TO MITIGATE THE CONFLICT. PHYSICIANS AND BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY MATTERS WITH RESPECT TO WHICH THE INDIVIDUAL HAS DISCLOSED A POTENTIAL CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE DEAN OF THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE REVIEWS THE CHAIR'S COMPENSATION. THE CHAIR, ASSISTED BY THE COMPENSATION COMMITTEE (AS ADVISORY ONLY NOT APPOINTED BY THE BOARD) REVIEWS EACH INDIVIDUAL'S COMPENSATION EACH YEAR IN RESPECT TO THE NATIONAL SURVEYS OF DATA FROM THE ADMINISTRATION OF THE AMERICAN ASSOCIATION OF PEDIATRICS (AAAP) AND THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES (AAMC). |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ASSOCIATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | THE ASSOCIATION IS INCLUDED AS PART OF THE NATIONWIDE CHILDREN'S HOSPITAL CONSOLIDATED AUDIT. AS SUCH, NATIONWIDE CHILDREN'S HOSPITAL IS THE ENTITY THAT HAS THE COMMITTEE THAT ASSUMES THE RESPONSBILITY FOR THE OVERSIGHT OF SAID AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE OHIO STATE UNIVERSITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 WOODY HAYES DRIVE 2ND FLOOR | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 316025986 | EIN |
| Primary Activities | ENHANCING THE HEALTH OF CHILDREN | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(1) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OHIO STATE UNIVERSITY | ||
| O | $15,930,050 | CASH TRANSFERRED |
| OHIO STATE UNIVERSITY | ||
| R | $1,305,000 | CASH TRANSFERRED |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION IS THE DESIGNATED PRACTICE PLAN OF THE DEPARTMENT OF PEDIATRICS, COLLEGE OF MEDICINE AT THE OHIO STATE UNIVERSITY. | ExplanationTxt |