2024-10-31T14:09:50-05:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 200385860 COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED COLU 6142407410 1390 DUBLIN ROAD COLUMBUS OH 43215 ROBERT E FALCONE CEO 6142407410 2024-10-29 1 1 AMY CIMINELLO P00796388 6148493000 2024-10-29 2023 2024-10-15 13:58:12Z ROBERT E FALCONE 1390 DUBLIN ROAD COLUMBUS OH 43215 13520 0 X WWW.CMAFOHIO.ORG X 2003 OH TO PROVIDE HEALTH AND WELLNESS SERVICES WITHOUT GEOGRAPHIC RESTRICTION. 17 17 0 20 0 0 19325 13520 0 0 3939 0 0 0 23264 13520 0 0 0 0 0 0 0 0 0 1780 1849 1780 1849 21484 11671 224952 254276 49436 55704 175516 198572 TO PROVIDE HEALTH AND WELLNESS SERVICES TO COMMUNITIES LOCATED OUTSIDE OF THE CENTRAL OHIO AREA. 0 0 0 0 0 THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED EXISTS TO EFFECT CHANGE WITHIN HEALTH CARE AREAS AND TO IMPROVE OVERALL HEALTH. 1 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X LAURIE HAWKINS 6142407410 1390 DUBLIN ROAD COLUMBUS OH 43215 JAMES L NICHOLS SECRETARY/TREASURER 1.00 5.00 X X 0 0 0 MARC L PARNES MD PRESIDENT 1.00 4.00 X X 0 8500 0 ALVIN RODACK TRUSTEE 1.00 1.00 X 0 0 0 EDWARD T BOPE MD TRUSTEE 1.00 1.00 X 0 0 0 JASMINE GREEN TRUSTEE 1.00 1.00 X 0 0 0 MARK STAMM TRUSTEE 1.00 1.00 X 0 0 0 BRET KOCKENTIET MD TRUSTEE 1.00 1.00 X 0 0 0 KAREN KING MD VICE PRESIDENT 1.00 1.00 X X 0 0 0 BARBARA LACH TRUSTEE 1.00 1.00 X 0 0 0 JEFF HALL MD TRUSTEE 1.00 1.00 X 0 0 0 DON BROWN TRUSTEE 1.00 1.00 X 0 0 0 ANITA SOMANI MD TRUSTEE-PART YEAR 1.00 2.00 X 0 0 0 SUGAT PATEL MD TRUSTEE-PART YEAR 1.00 1.00 X 0 0 0 CATHERINE ROMANOS MD TRUSTEE 1.00 2.00 X 0 0 0 AHMAD MOSTAFAVIFAR MD TRUSTEE 1.00 1.00 X 0 0 0 KANNY GREWAL MD TRUSTEE 1.00 2.00 X 0 0 0 LUIS ALCALDE TRUSTEE 1.00 1.00 X 0 0 0 LISA WESOLEK TRUSTEE 1.00 1.00 X 0 0 0 JACOB LIU TRUSTEE 1.00 1.00 X 0 0 0 ROBERT E FALCONE MD CEO 1.00 39.00 X 0 271931 1365 LAURIE HAWKINS CFO/COO 1.00 39.00 X 0 159081 35976 0 439512 37341 0 0 1 0 0 13520 13520 13520 0 0 0 1849 1849 1849 0 1849 0 224952 254276 224952 254276 49436 55704 49436 55704 X 79309 94148 96207 104424 175516 198572 224952 254276 11671 11385 0 X X 0 1 X 1 0 X 21000 14874 32138 19325 13520 100857 21000 14874 32138 19325 13520 100857 51254 49603 19789 4569 104 3939 0 28401 129258 0.38380 0.41970 X COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED (CMAFU) PURPOSE IS TO PROVIDE HEALTH AND WELLNESS SERVICES WITHOUT GEOGRAPHIC RESTRICTION. CMAFU IS PART OF A RELATED GROUP UNDER THE COLUMBUS MEDICAL ASSOCIATION. THE RELATED GROUP WORKS TOGETHER TO ACHIEVE THE MISSION OF THE SUPPORTING PHYSICIANS THROUGH ADVOCACY, EDUCATION, AND SERVICES WHILE ALSO SUPPORTING THE HEALTH OF THE COMMUNITY. THE RELATED GROUP SOLICITS FUNDS FROM THE GENERAL PUBLIC AND GOVERNMENTAL UNITS. THERE ARE CONTINUED CAMPAIGNS TO INCREASE CONTRIBUTIONS AND FUNDING. THE BOARD OF CMAFU REPRESENTS THE COMMUNITY AND MEMBERS OF THE COLUMBUS MEDICAL ASSOCIATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3 1 7770 0 4466 5000 90283 14141 1 1 0 INTER-COMPANY RECEIVABLES 254276 254276 ASSETS HELD FOR OTHERS 55704 55704 0 0 0 0 0 0 0 0 0 ROBERT E FALCONE MD CEO 0 271931 0 0 0 0 0 0 0 1365 0 273296 0 0 LAURIE HAWKINS CFO/COO 0 159081 0 0 0 0 0 9928 0 26048 0 195057 0 0 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. FORM 990, PART VI, SECTION A, LINE 6 COLUMBUS MEDICAL ASSOCIATION IS THE ORGANIZATION'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE AUTHORITY TO ELECT AND REMOVE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE AUTHORITY TO ELECT AND REMOVE DIRECTORS AND APPROVE CHANGES IN THE BY-LAWS AND CODE OF REGULATIONS. IN ADDITION THE SOLE MEMBER HAS THE AUTHORITY TO APPROVE DECISIONS SUCH AS DISSOLVING THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY SENDS A DISCLOSURE FORM TO ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES REQUIRING THEM TO DISCLOSE ANY CONFLICTS OF INTEREST. ANY NEW BOARD MEMBERS ARE ADVISED OF THE POLICY UPON ENTERING THE DUTIES OF HIS/HER OFFICE. THOSE CONFLICTS ARE THEN ADDRESSED BY THE BOARD. VOTING AND PARTICIPATION RESTRICTIONS ARE IMPOSED ON THOSE WITH ANY CONFLICTS. THE BOARD PRESIDENT AND SECRETARY/TREASURER ARE AUTHORIZED AND DIRECTED TO SEE THAT THIS POLICY IS FOLLOWED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, LINE XII, LINE 2C THE TREASURERS OF THE FILING ORGANIZATION AND ITS RELATED ENTITIES ARE MEMBERS OF THE JOINT FINANCE COMMITTEE. THIS COMMITTEE MAKES DECISIONS CONCERNING THE SELECTION OF THE INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. COLUMBUS MEDICAL ASSOCIATION FOUNDATION 1390 DUBLIN ROAD COLUMBUS OH 43215 310679012 SUPPORT INITIATIVES THAT IMPROVE THE HEALTH OF CENTRAL OHIO RESIDENTS OH 501(C)(3) LINE 12B, II COLUMBUS MEDICAL ASSOCIATION 1 PHYSICIANS CARE CONNECTION 1390 DUBLIN ROAD COLUMBUS OH 43215 311373719 OPTIMIZING THE HEALTH OF THE MOST VULNERABLE IN CENTRAL OHIO OH 501(C)(3) LINE 3 COLUMBUS MEDICAL ASSOCIATION 1 COTS 1390 DUBLIN ROAD COLUMBUS OH 43215 311592734 REDUCING INJURIES AND SAVING LIVES BY IMPROVING EMERGENCY SERVICES OH 501(C)(3) LINE 7 COLUMBUS MEDICAL ASSOCIATION 1 COLUMBUS MEDICAL ASSOCIATION 1390 DUBLIN ROAD COLUMBUS OH 43215 314411074 ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE OH 501(C)(6) N/A 0 PHYSICIANS LEADERSHIP ACADEMY 1390 DUBLIN ROAD COLUMBUS OH 43215 822152009 SUPPORT PHYSICIANS WITH LEADERSHIP TRAINING OH 501(C)(3) LINE 2 COLUMBUS MEDICAL ASSOCIATION 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0