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Nonprofiteer
← COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED

Form 990 for tax year 2023

Filed by COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED.

Totals

Total revenue
$13,520
Total expenses
$1,849
Contributions and grants received
$13,520
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$254,276
Total liabilities, end of year
$55,704
Net assets or fund balances, end of year
$198,572
Program services expenses (Part IX)
$0
Management and general expenses
$1,849
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% 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
    1 + 5 related
  • MARC L PARNES MD

    PRESIDENT

    Total calculated
    $8,500
    From this org
    $0
    From related orgs
    $8,500
    Other
    $0
    Hours/week
    1 + 4 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-PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • SUGAT PATEL MD

    TRUSTEE-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
    $0
    From related orgs
    $271,931
    Other
    $1,365
    Hours/week
    1 + 39 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
  • LAURIE HAWKINS

    CFO/COO

    Total calculated
    $195,057
    From this org
    $0
    From related orgs
    $159,081
    Other
    $35,976
    Hours/week
    1 + 39 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

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 ORGANIZATIONS 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

  • PHYSICIANS CARE CONNECTION

    501(C)(3) · OPTIMIZING THE HEALTH OF THE MOST VULNERABLE IN CENTRAL OHIO · OH · controlled entity

    Directly controlled by COLUMBUS MEDICAL ASSOCIATION

  • COTS

    501(C)(3) · REDUCING INJURIES AND SAVING LIVES BY IMPROVING EMERGENCY SERVICES · OH · controlled entity

    Directly controlled by COLUMBUS MEDICAL ASSOCIATION

  • COLUMBUS MEDICAL ASSOCIATION

    501(C)(6) · ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE · OH

  • PHYSICIANS LEADERSHIP ACADEMY

    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
202403059349302080

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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