2025-11-11T14:54:11-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 311592734 COTS CENT 6142407410 1390 DUBLIN ROAD COLUMBUS OH 43215 TRACY L DAVIDSON CEO 6142407410 2025-11-10 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-10 2024 2025-03-06 01:10:19Z TRACY L DAVIDSON 1390 DUBLIN ROAD COLUMBUS OH 43215 2510063 0 X WWW.COTSHEALTH.ORG X 1997 OH COTS PURPOSE IS TO CONVENE A VOLUNTARY, NEUTRAL COLLABORATIVE TO ADDRESS OUR MISSION. 15 15 11 1800 6858 5356 2118262 2095481 439720 381665 0 26059 3583 6858 2561565 2510063 0 0 0 0 1089370 1066985 0 0 0 1421065 1430265 2510435 2497250 51130 12813 1722517 1649673 423430 337773 1299087 1311900 COTS IS A GROUP OF PHYSICIANS, HEALTHCARE PROFESSIONALS, AND OTHER EXPERTS WORKING TOGETHER TO IMPROVE THE HEALTH AND SAFETY OF OUR COMMUNITIES. 0 0 2139779 381665 COTS WAS ESTABLISHED IN 1997 AS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO REDUCING INJURIES AND SAVING LIVES BY IMPROVING AND COORDINATING TRAUMA CARE, EMERGENCY CARE, AND DISASTER PREPAREDNESS SYSTEMS IN CENTRAL OHIO. IN 2019, COTS UPDATED ITS ARTICLES OF INCORPORATION TO REFLECT AN EXPANSION OF ITS COORDINATION EFFORTS STATEWIDE, EXTENDING BEYOND ITS ORIGINAL CENTRAL OHIO FOCUS. IN 2022, COTS OFFICIALLY CHANGED ITS NAME FROM THE CENTRAL OHIO TRAUMA SYSTEM TO SIMPLY COTS TO BETTER REPRESENT ITS BROADER REACH ACROSS OHIO. THE ORGANIZATION SUPPORTS PREVENTION, EDUCATION, DATA COLLECTION, AND RESEARCH INITIATIVES. 2139779 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 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 1 1 0 0 1 58 0 1 11 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 JOE MAZZOLA MPA TRUSTEE 1.00 0.00 X 0 0 0 MIKE GREGORY TRUSTEE 1.00 0.00 X 0 0 0 MORGAN SAUNDERS VICE PRESIDENT 1.00 0.00 X X 0 0 0 ROBERT LOWE MD TRUSTEE 1.00 0.00 X 0 0 0 DAN BACHMANN MD TRUSTEE 1.00 0.00 X 0 0 0 STUART CHOW DO TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM COTTON MD TRUSTEE 1.00 2.00 X 0 0 0 THOMAS ALLENSTEIN RN IMMEDIATE PAST PRESIDENT 1.00 0.00 X X 0 0 0 SHAWN KOSER RN SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 ERIC SRIBNICK MD PRESIDENT 1.00 0.00 X X 0 0 0 URMIL PANDYA MD TRUSTEE 1.00 0.00 X 0 0 0 MONICA TRENISH TRUSTEE 1.00 0.00 X 0 0 0 CARRIE SIMS MD TRUSTEE - PART YEAR 1.00 0.00 X 2300 0 0 EMMETT LOTTON MD TRUSTEE 1.00 0.00 X 0 0 0 TIFFANY KRAUS TRUSTEE 1.00 0.00 X 0 0 0 MEDARD LUTMERDING MD TRUSTEE 1.00 0.00 X 0 0 0 ROBERT E FALCONE MD CEO - PART YEAR 5.00 35.00 X 0 303604 1365 TRACY L DAVIDSON CEO 5.00 35.00 X 0 38963 138 LAURIE HAWKINS CFO/COO 5.00 35.00 X 0 163136 43855 SHERRI KOVACH PRESIDENT 40.00 0.00 X 156844 0 34357 159144 505703 79715 3 0 1 0 0 360000 1230393 505088 2095481 PROGRAM REVENUE 621990 381665 381665 381665 26059 26059 SAVVIK BUYING GROUP IN 900099 6858 6858 6858 2510063 381665 6858 26059 191201 143938 47263 751041 550273 200768 21691 20085 1606 42429 36199 6230 60623 52742 7881 3825 3825 48632 48632 118401 115349 3052 64820 53745 11075 38069 28552 9517 79104 69131 9973 273554 266707 6847 6491 6166 325 DISASTER PREP DELIVERAB 796092 796092 AUTO ALLOWANCE 840 420 420 DUES AND SUBSCRIPTIONS 380 380 FIT CORPORATE 57 57 2497250 2139779 357471 0 1440458 1423346 211956 180075 59970 41295 435120 430163 10133 4957 1722517 1649673 100898 115389 298920 205194 23612 17190 423430 337773 X 1299087 1311900 1299087 1311900 1722517 1649673 12813 0 X X 0 1 X 1 1 1 X 2559754 2119705 1790812 2118262 2095481 10684014 2559754 2119705 1790812 2118262 2095481 10684014 865296 9818718 26059 26059 5356 5356 10196 2793 1687 3583 1502 19761 10735190 0.91460 0.94930 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CREDIT CARD REBATE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21289 19224 2065 413831 410939 2892 4957 REIMBURSEMENT TO AFFILIATES 17190 17190 2510063 0 2510063 0 2510063 2497250 0 2497250 0 2497250 0 0 0 0 0 0 0 0 0 ROBERT E FALCONE MD CEO - PART YEAR 0 303604 0 0 0 0 0 0 0 1365 0 304969 0 0 LAURIE HAWKINS CFO/COO 0 163136 0 0 0 0 0 10983 0 32872 0 206991 0 0 SHERRI KOVACH PRESIDENT 156844 0 0 0 0 0 10362 0 23995 0 191201 0 0 0 PART I, LINE 3: THE ORGANIZATION'S CEO 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 B, LINE 15 THE ORGANIZATION PERFORMS COMPENSATION REVIEWS. THE CEO REVIEW IS HANDLED BY THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION BOARD AND THE CEO EVALUATION COMMITTEE. THE FORMER CEO HAD AN EMPLOYMENT CONTRACT AND IT WAS LAST UPDATED IN 2023. THE CURRENT CEO WAS HIRED IN NOVEMBER 2024 AND THEIR CONTRACT WAS ESTABLISHED AT THAT TIME. THE CEO REVIEWS THE COMPENSATION FOR ALL STAFF. THE CEO ESTABLISHES COMPENSATION BASED ON INFLATION RATES, AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND STUDIES AND APPROVAL BY THE JOINT FINANCE COMMITTEE AND THE BOARD. THE OUTSIDE REVIEW IS CONDUCTED EVERY THREE YEARS AND THE LAST ONE WAS IN 2024. 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 1390 DUBLIN ROAD COLUMBUS OH 43215 314411074 ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE OH 501(C)(6) N/A 0 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 COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED 1390 DUBLIN ROAD COLUMBUS OH 43215 200385860 FUND PHILANTHROPIC INTERESTS OH 501(C)(3) LINE 7 COLUMBUS MEDICAL ASSOCIATION FOUNDATION 1 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 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 COLUMBUS MEDICAL ASSOCIATION FOUNDATION C 360000 GRANT COLUMBUS MEDICAL ASSOCIATION FOUNDATION K 60379 SQ FT CHARGE