Form 990 for tax year 2022
Filed by COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED.
Totals
- Total revenue
- $23,264
- Total expenses
- $1,780
- Contributions and grants received
- $19,325
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $3,939
- Other revenue
- $0
- Total assets, end of year
- $224,952
- Total liabilities, end of year
- $49,436
- Net assets or fund balances, end of year
- $175,516
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $1,780
- 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.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$19,325
-
3 · Investment income
total $3,939 · excluded $3,939
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $1,780 · management and general $1,780
Balance sheet
Part X, book values.
-
15 · Other assets
beginning of year $230,110 · end of year $224,952
-
25 · Other liabilities
beginning of year $47,915 · end of year $49,436
-
27 · Net assets without donor restrictions
beginning of year $79,779 · end of year $79,309
-
28 · Net assets with donor restrictions
beginning of year $102,416 · end of year $96,207
Mission and programs · 2022
Mission
TO PROVIDE HEALTH AND WELLNESS SERVICES TO COMMUNITIES LOCATED OUTSIDE OF THE CENTRAL OHIO AREA.
Activities or mission (Part I)
TO PROVIDE HEALTH AND WELLNESS SERVICES WITHOUT GEOGRAPHIC RESTRICTION.
-
THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED EXISTS TO EFFECT CHANGE WITHIN HEALTH CARE AREAS AND TO IMPROVE OVERALL HEALTH.
As filed on the 2022 return.
Listed in Part VII
-
James L NicholsJAMES L NICHOLS
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Marc L Parnes MDMARC L PARNES MD
PRESIDENT
- Total calculated
- $8,500
- From this org
- $0
- From related orgs
- $8,500
- Other
- $0
- Hours/week
- 1 + 4 related
-
Nedra HadleyNEDRA HADLEY
TRUSTEE-PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Alvin RodackALVIN RODACK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Edward T Bope MDEDWARD T BOPE MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jasmine GreenJASMINE GREEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Mark StammMARK STAMM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Bret Kockentiet MDBRET KOCKENTIET MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Karen King MDKAREN KING MD
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Barbara LachBARBARA LACH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jeff Hall MDJEFF HALL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Don BrownDON BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Anita Somani MDANITA SOMANI MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Beth Liston MDBETH LISTON MD
TRUSTEE-PART YEAR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Sugat Patel MDSUGAT PATEL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Catherine Romanos MDCATHERINE ROMANOS MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Ahmad Mostafavifar MDAHMAD MOSTAFAVIFAR MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Robert E Falcone MDROBERT E FALCONE MD
CEO
- Total calculated
- $266,788
- From this org
- $0
- From related orgs
- $265,421
- Other
- $1,367
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $265,421 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,367 related
- Filer's total
- $0 + $266,788 related
-
Laurie HawkinsLAURIE HAWKINS
CFO/COO
- Total calculated
- $188,503
- From this org
- $0
- From related orgs
- $152,974
- Other
- $35,529
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $152,974 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $9,546 related
- Nontaxable benefits
- $0 + $25,983 related
- Filer's total
- $0 + $188,503 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
-
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) · REDUCING INJURIES AND SAVING LIVES BY IMPROVING EMERGENCY SERVICES · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
-
501(C)(6) · ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE · OH
-
501(C)(3) · SUPPORT PHYSICIANS WITH LEADERSHIP TRAINING · OH · controlled entity
Directly controlled by COLUMBUS MEDICAL ASSOCIATION
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323189349316497
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