2025-11-17T09:36:44-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 200385860 COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED COLU 6142407410 1390 DUBLIN ROAD COLUMBUS OH 43215 TRACY L DAVIDSON CEO 6142407410 2025-11-14 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-14 2024 2025-03-06 01:10:19Z TRACY L DAVIDSON 1390 DUBLIN ROAD COLUMBUS OH 43215 1754 0 X WWW.CMAFOHIO.ORG X 2003 OH TO PROVIDE HEALTH AND WELLNESS SERVICES WITHOUT GEOGRAPHIC RESTRICTION. 17 17 0 20 0 0 13520 1754 0 0 0 0 0 0 13520 1754 0 0 0 0 0 0 0 0 0 1849 2023 1849 2023 11671 -269 254276 256463 55704 54527 198572 201936 TO PROVIDE HEALTH AND WELLNESS SERVICES WITHOUT GEOGRAPHIC RESTRICTION. 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 0 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 5.00 1.00 X X 0 0 0 MARC L PARNES MD PRESIDENT 2.00 3.00 X X 0 8500 0 KAREN KING MD VICE PRESIDENT 1.00 1.00 X X 0 0 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 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 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 MD TRUSTEE 1.00 1.00 X 0 0 0 LAMONT CLAY MD TRUSTEE 1.00 2.00 X 0 3850 0 ROBERT E FALCONE MD CEO - PART YEAR 25.00 15.00 X 0 303604 1365 TRACY L DAVIDSON CEO 25.00 15.00 X 0 38963 138 LAURIE HAWKINS CFO/COO 24.00 16.00 X 0 163136 43855 0 518053 45358 0 0 1 0 0 1754 1754 1754 0 0 0 2023 2023 2023 0 2023 0 254276 256463 254276 256463 55704 54527 55704 54527 X 94148 94379 104424 107557 198572 201936 254276 256463 -269 3633 0 X X 0 1 X 1 0 X 14874 32138 19325 13520 1754 81611 14874 32138 19325 13520 1754 81611 42816 38795 4569 104 3939 0 0 8612 90223 0.43000 0.38380 X 3 1 3754 0 2000 0 92224 15333 1 1 0 INTER-COMPANY RECEIVABLES 256463 256463 ASSETS HELD FOR OTHERS 54527 54527 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 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 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