Totals
- Total revenue
- $2,894,472
- Total expenses
- $3,241,131
- Contributions and grants received
- $2,600,017
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $2,903,724
- Management and general expenses
- $337,407
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,903,724
Program services were 89.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CREGG ASHCRAFT MD
MEDICAL DIRECTOR
- Total calculated
- $57,250
- From this org
- $57,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 10
-
DEBRA WRIGHT CNP
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
FRANCIS BLAIS DO
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
HEATHER SLATTERY
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JAIME CAPESTANY RPH
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
MONICA HUECKEL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
TRACY DAVIDSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JERRY VALENTINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
STACY CONRAD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JAMES COTTLE DDS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
HEATHER LANGERMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ROBERT BALCHICK MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ISI IKHAREBA
ORGANIZATION PRESIDENT
- Total calculated
- $193,943
- From this org
- $158,889
- From related orgs
- $0
- Other
- $35,054
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $158,889
- Bonus
- $0
- Other
- $0
- Deferred
- $9,928
- Nontaxable benefits
- $25,126
- Filer's total
- $193,943
-
LAURIE HAWKINS
CFO/COO
- Total calculated
- $195,057
- From this org
- $0
- From related orgs
- $159,081
- Other
- $35,976
- Hours/week
- 6 + 34 related
Schedule J breakdown matched by us
- Base
- $0 + $159,081 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,928 related
- Nontaxable benefits
- $0 + $26,048 related
- Filer's total
- $0 + $195,057 related
-
ROBERT E FALCONE MD
CEO
- Total calculated
- $273,296
- From this org
- $0
- From related orgs
- $271,931
- Other
- $1,365
- Hours/week
- 5 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $271,931 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,365 related
- Filer's total
- $0 + $273,296 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3:
- THE ORGANIZATION'S CEO, ROBERT FALCONE, IS COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION, THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION, PERFORMS THE COMPENSATION REVIEW THROUGH THE CEO EVALUATION COMMITTEE AND USES AN EMPLOYMENT CONTRACT WITH BOARD APPROVAL.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
COLUMBUS MEDICAL ASSOCIATION FOUNDATION
501(C)(3) · SUPPORT INITIATIVES THAT IMPROVE THE HEALTH OF CENTRAL OHIO RESIDENTS · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
-
501(C)(6) · ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE · OH
-
COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED
501(C)(3) · FUND PHILANTHROPIC INTERESTS · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION FOUNDATION
-
501(C)(3) · REDUCING INJURIES AND SAVING LIVES BY IMPROVING EMERGENCY SERVICES · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
-
501(C)(3) · SUPPORT PHYSICIANS WITH LEADERSHIP TRAINING · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 29 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403059349302140
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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