Form 990 for tax year 2023
Filed by COLUMBUS MEDICAL ASSOCIATION FOUNDATION.
Totals
- Total revenue
- $657,647
- Total expenses
- $3,936,148
- Contributions and grants received
- $46,236
- Grants paid
- $2,044,912
- Program services expenses (Part IX)
- $2,274,951
- Management and general expenses
- $1,491,384
- Fundraising expenses
- $169,813
- Program service expenses (Part III)
- $2,274,951
Program services were 57.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JAMES L NICHOLS
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 5 + 1 related
-
MARC L PARNES MD
PRESIDENT
- Total calculated
- $8,500
- From this org
- $0
- From related orgs
- $8,500
- Other
- $0
- Hours/week
- 2 + 3 related
-
ALVIN RODACK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
EDWARD T BOPE MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JASMINE GREEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MARK STAMM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRET KOCKENTIET MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
KAREN KING MD
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BARBARA LACH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JEFF HALL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DON BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ANITA SOMANI MD
TRUSTEE TERM ENDED - PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
SUGAT PATEL MD
TRUSTEE TERM ENDED - PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CATHERINE ROMANOS MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
AHMAD MOSTAFAVIFAR MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
KANNY GREWAL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
LUIS ALCALDE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
LISA WESOLEK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JACOB LIU
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ROBERT E FALCONE MD
CEO
- Total calculated
- $273,296
- From this org
- $271,931
- From related orgs
- $0
- Other
- $1,365
- Hours/week
- 27 + 13 related
Schedule J breakdown matched by us
- Base
- $271,931
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $1,365
- Filer's total
- $273,296
-
LAURIE HAWKINS
CFO/COO
- Total calculated
- $195,057
- From this org
- $159,081
- From related orgs
- $0
- Other
- $35,976
- Hours/week
- 26 + 14 related
Schedule J breakdown matched by us
- Base
- $159,081
- Bonus
- $0
- Other
- $0
- Deferred
- $9,928
- Nontaxable benefits
- $26,048
- Filer's total
- $195,057
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 — 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
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Written employment contract
- 3 · Approval by the board or compensation committee
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 1A
- COLUMBUS MEDICAL ASSOCIATION FOUNDATION PROVIDES A MEMBERSHIP TO AN ATHLETIC CLUB FOR THE CEO. THE PRIMARY PURPOSE OF THIS MEMBERSHIP IS FOR THE CEO TO BE ABLE TO HOLD MEETINGS AT THIS LOCATION.
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
-
$816,912
TO PROVIDE FREE PRIMARY & SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERSERVED
-
$360,000
TO SUPPORT ITS CORE SERVICES
-
$302,000
TO EDUCATE PHYSICIANS THROUGH LEADERSHIP TRAINING
-
TO SUPPORT ITS CORE SERVICES
-
$250,000
TO SUPPORT ADAMH CRISIS CENTER CAMPAIGN FUND
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 UNLIMITED
501(C)(3) · FUND PHILANTHROPIC INTERESTS · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION FOUNDATION
-
501(C)(6) · ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE · OH
-
501(C)(3) · REDUCING INJURIES AND SAVING LIVES BY IMPROVING EMERGENCY SERVICES · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
-
501(C)(3) · OPTIMIZING THE HEALTH OF THE MOST VULNERABLE IN CENTRAL OHIO · 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
- 12 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433179349307178
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