COLUMBUS MEDICAL ASSOCIATION FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS MEDICAL ASSOCIATION FOUNDATION (EIN 31-0679012)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-25
- IRS object ID
- 201332989349300738
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-25T15:34:47-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE ST STE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310679012 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS MEDICAL ASSOCIATION FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 6142407410 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1390 DUBLIN ROAD | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PHILIP CASS | Name |
| Title | CEO | Title |
| Phone | 6142407410 | Phone |
| Date Signed | 2013-10-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | PHILIP CASS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1390 DUBLIN ROAD | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3160252 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GOODHEALTHCOLUMBUS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION EXISTS TO EFFECT CHANGE WITHIN SPECIFIC PRIORITY AREAS TO IMPROVE THE HEALTH OF ALL CENTRAL OHIO RESIDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 15 | TotalNbrEmployees |
| Total Nbr Volunteers | 19 | TotalNbrVolunteers |
| Total Gross UBI | 1454 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 454 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 114605 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 160553 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 48405 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 202554 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2806216 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2521655 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 373211 | OtherRevenuePriorYear |
| Other Revenue Current Year | 275358 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3342437 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3160120 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1308203 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1386608 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 812541 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 554507 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 225758 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 994700 | OtherExpensePriorYear |
| Other Expenses Current Year | 1082988 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3115444 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3024103 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 226993 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 136017 | RevenuesLessExpensesCY |
| Total Assets BOY | 66744843 | TotalAssetsBOY |
| Total Assets EOY | 72297453 | TotalAssetsEOY |
| Total Liabilities BOY | 1078279 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1303314 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65666564 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 70994139 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION EXISTS TO EFFECT CHANGE WITHIN SPECIFIC PRIORITY AREAS TO IMPROVE THE HEALTH OF ALL CENTRAL OHIO RESIDENTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1730087 | Expense |
| Grants | 1386608 | Grants |
| Revenue | 470041 | Revenue |
| Description | SEE SCHEDULE OTHE COLUMBUS MEDICAL ASSOCIATION FOUNDATION EXISTS TO EFFECT CHANGE WITHIN SPECIFIC PRIORITY AREAS TO IMPROVE THE HEALTH OF ALL CENTRAL OHIO RESIDENTS.PRIORITIES:- TRANSFORMING CLINICAL HEALTH CARE DELIVERY TO: BE PATIENT CENTERED, BE BASED ON HEALTH / WELLNESS PARADIGM, BE BASED ON CLEARLY DEFINED PATIENT / DOCTOR RESPONSIBILITY, BE A PARTNERSHIP BETWEEN PATIENT / DOCTOR / PAYER- SUPPORTING AND IMPROVING HEALTH CARE SAFETY NET CLINICAL SERVICES TO UNINSURED AND UNDERINSURED POPULATIONS SUCH AS SUPPORT FOR THE NEWLY CONSOLIDATED PHYSICIANS FREE CLINIC / VOLUNTARY CARE NETWORK. - SAVING AND IMPROVING LIVES THROUGH A COORDINATION OF TRAUMA AND EMERGENCY HEALTH CARE RESOURCES THROUGH SUPPORT FOR THE CENTRAL OHIO TRAUMA SYSTEM- ADVANCING THE CAPABILITIES OF MEDICAL PROFESSIONALS AND INCREASING THE DIVERSITY OF THE HEALTH CARE WORKFORCE, ESPECIALLY WITHIN PRIMARY CARE- ADVANCING LEADERSHIP CAPACITY OF YOUTH TO ENGAGE IN HEALTH PHILANTHROPY | Description |
| Total Program Service Expense | 1730087 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 15 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE EIKENBERRY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6142407410 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1390 DUBLIN ROAD | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| JAMES L NICHOLS | |||||||
| SECRETARY/TREASURER | 1.00 | 1.00 | X | X | 0 | 0 | 0 |
| DWIGHT SCARBOROUGH MD JAN-JUNE | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| TERESA C LONG | |||||||
| TRUSTEE | 1.00 | 2.00 | X | 0 | 0 | 0 | |
| NEDRA HADLEY | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| OLIVIA THOMAS | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| JOYCE PENN | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| LINDA SIEFKAS | |||||||
| VICE PRESIDENT | 1.00 | 1.00 | X | X | 0 | 0 | 0 |
| RONALD BERGGREN | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| BEN ESPY | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| MARC L PARNES | |||||||
| PRESIDENT | 1.00 | 2.00 | X | X | 0 | 0 | 0 |
| WARREN W TYLER | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| MARK A BECHTEL MD JAN-JUNE | |||||||
| TRUSTEE | 1.00 | 2.00 | X | 0 | 0 | 0 | |
| JEFFREY BELL MD JAN-JUNE | |||||||
| TRUSTEE | 1.00 | 2.00 | X | 0 | 0 | 0 | |
| JENNIFER WRENN MD | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| EDWARD T BOPE | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| CLAIRE V WOLFE | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| M VALERIANA MOELLER JAN-JUNE | |||||||
| PAST PRESIDENT | 1.00 | 2.00 | X | X | 0 | 0 | 0 |
| WILLIAM COTTON | |||||||
| TRUSTEE | 1.00 | 2.00 | X | 0 | 0 | 0 | |
| JASMINE GREEN | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| MARK STAMM | |||||||
| TRUSTEE | 1.00 | 53.60 | X | 0 | 0 | 0 | |
| BRET KOCKENTIET MD | |||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |
| MARK STECHSCHULTE MD | |||||||
| TRUSTEE | 1.00 | 2.00 | X | 0 | 0 | 0 | |
| PHILIP CASS | |||||||
| CEO | 20.00 | 37.10 | X | 0 | 208343 | 26336 | |
| JULIE EIKENBERRY | |||||||
| CFO | 23.80 | 30.80 | X | 125427 | 0 | 4711 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 125427 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 208343 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31047 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 160553 | AllOtherContributions |
| Total Contributions | 160553 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RENTAL INCOME | 900099 | 159161 | 159161 |
| PROGRAMS | 900099 | 43393 | 43393 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 202554 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2521787 | TotalRevenueColumn |
| Exclusion | $2,521,787 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 132 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -132 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -132 | TotalRevenueColumn |
| Related Or Exempt Function Income | -132 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| REIMBURSEMENTS | 900099 | 267619 | 267619 | |
| LITIGATION PROCEEDS | 900099 | 3665 | $3,665 | |
| INSURANCE PROCEEDS | 900099 | 2620 | $2,620 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1454 | TotalRevenueColumn |
| Unrelated Business Revenue | 1454 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 275358 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3160120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 470041 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1454 | UnrelatedBusinessRevenue |
| Exclusion | $2,528,072 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1386608 | Total |
| Program Services | 1386608 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130138 | Total |
| Program Services | 31446 | ProgramServices |
| Management And General | 80045 | ManagementAndGeneral |
| Fundraising | 18647 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173506 | Total |
| Program Services | 69402 | ProgramServices |
| Management And General | 86753 | ManagementAndGeneral |
| Fundraising | 17351 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25650 | Total |
| Program Services | 10260 | ProgramServices |
| Management And General | 12825 | ManagementAndGeneral |
| Fundraising | 2565 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175173 | Total |
| Program Services | 70069 | ProgramServices |
| Management And General | 87587 | ManagementAndGeneral |
| Fundraising | 17517 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50040 | Total |
| Program Services | 20016 | ProgramServices |
| Management And General | 25020 | ManagementAndGeneral |
| Fundraising | 5004 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17764 | Total |
| Management And General | 17764 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30355 | Total |
| Management And General | 30355 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324304 | Total |
| Management And General | 324304 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35457 | Total |
| Program Services | 9137 | ProgramServices |
| Management And General | 18366 | ManagementAndGeneral |
| Fundraising | 7954 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94631 | Total |
| Program Services | 41567 | ProgramServices |
| Management And General | 6348 | ManagementAndGeneral |
| Fundraising | 46716 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296790 | Total |
| Program Services | 44206 | ProgramServices |
| Management And General | 188727 | ManagementAndGeneral |
| Fundraising | 63857 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8751 | Total |
| Program Services | 1303 | ProgramServices |
| Management And General | 5565 | ManagementAndGeneral |
| Fundraising | 1883 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132633 | Total |
| Program Services | 27737 | ProgramServices |
| Management And General | 77159 | ManagementAndGeneral |
| Fundraising | 27737 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2408 | Total |
| Management And General | 2408 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23497 | Total |
| Program Services | 5692 | ProgramServices |
| Management And General | 12113 | ManagementAndGeneral |
| Fundraising | 5692 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2928 | Total |
| Program Services | 310 | ProgramServices |
| Management And General | 2308 | ManagementAndGeneral |
| Fundraising | 310 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91350 | Total |
| Program Services | 7308 | ProgramServices |
| Management And General | 76734 | ManagementAndGeneral |
| Fundraising | 7308 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11010 | Total |
| Program Services | 2302 | ProgramServices |
| Management And General | 6406 | ManagementAndGeneral |
| Fundraising | 2302 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DUES & SUBSCRIPTIONS | 8681 | 915 | 6851 | 915 |
| PROGRAM/VOLU ACTIVITIES | 1809 | 1809 | ||
| TAXES & LICENSES | 620 | 620 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3024103 | Total |
| Program Services | 1730087 | ProgramServices |
| Management And General | 1068258 | ManagementAndGeneral |
| Fundraising | 225758 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300723 | BOY |
| EOY | 416976 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73809 | BOY |
| EOY | 47991 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1645 | BOY |
| EOY | 1492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3377087 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 656230 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1363745 | BOY |
| EOY | 2720857 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64922566 | BOY |
| EOY | 69025103 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82355 | BOY |
| EOY | 85034 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66744843 | BOY |
| EOY | 72297453 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245444 | BOY |
| EOY | 429726 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 56879 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 832835 | BOY |
| EOY | 816709 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1078279 | BOY |
| EOY | 1303314 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64558571 | BOY |
| EOY | 69847449 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 720063 | BOY |
| EOY | 790853 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387930 | BOY |
| EOY | 355837 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65666564 | BOY |
| EOY | 70994139 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66744843 | BOY |
| EOY | 72297453 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 136017 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5193012 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -1454 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS MEDICAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 314411074 | EIN |
| Type Of Organization | 501(C)(6) | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number DA Fs Held | 14 | NumberDAFsHeld |
| Number Funds Held | 11 | NumberFundsHeld |
| Donor Advised Contributions | 68102 | DonorAdvisedContributions |
| Contrib To Funds And Other Accounts | 27095 | ContribToFundsAndOtherAccounts |
| Grants Paid From Donor Funds | 78400 | GrantsPaidFromDonorFunds |
| Grants Funds And Other Accounts | 17981 | GrantsFundsAndOtherAccounts |
| Aggregate DAF Value | 1059246 | AggregateDAFValue |
| Aggregate Fund Value | 411589 | AggregateFundValue |
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 253580 | OtherCostOrOtherBasis |
| Book Value | 253580 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2335745 | OtherCostOrOtherBasis |
| Depreciation | 24372 | Depreciation |
| Book Value | 2311373 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 140437 | OtherCostOrOtherBasis |
| Depreciation | 87461 | Depreciation |
| Book Value | 52976 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 431761 | OtherCostOrOtherBasis |
| Depreciation | 355338 | Depreciation |
| Book Value | 76423 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 215564 | OtherCostOrOtherBasis |
| Depreciation | 189059 | Depreciation |
| Book Value | 26505 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2720857 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER SECURITIES | Description |
| Book Value | 69025103 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 69025103 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| REIMBURSEMENT TO AFFILIATES | $405,120 |
| ASSETS HELD FOR OTHERS | $411,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 816709 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE FOUNDATION, COTS, AND THE PCC ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, CERTAIN FOUNDATION INVESTMENTS CAN RESULT IN FEDERAL INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF THE ASSOCIATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ASSOCIATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ASSOCIATION AND AFFILIATES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS AND MANAGEMENT BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ACCESS HEALTHCOLUMBUS | |||||||
| 22 E GAY STREET SUITE 801 | COLUMBUS | OH | 43215 | 510426050 | 501 (C)(3) | 375000 | TO SUPPORT PHASE 1 FOR PATIENT CENTER MEDICAL HOME PROJECT |
| CENTRAL OHIO TRAUMA SYSTEM | |||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 311592734 | 501 (C)(3) | 275600 | TO SUPPORT ITS CORE SERVICES |
| COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC | |||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 311373719 | 501 (C)(3) | 560000 | TO PROVIDE FREE PRIMARY & SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERSERVED |
| BUCKEYE RANCH | |||||||
| 5665 HOOVER ROAD | COLUMBUS | OH | 43123 | 310642111 | 501 (C)(3) | 29000 | TO SUPPORT CHARITABLE PURPOSES |
| BBB EDUCATIONAL FOUNDATION | |||||||
| 1169 DUBLIN ROAD | COLUMBUS | OH | 43215 | 314152770 | 501 (C)(3) | 10000 | TO SUPPORT CHARITABLE PURPOSES |
| THE OHIO CANCER RESEARCH ASSOCIATES | |||||||
| 50 WEST BROAD STREET 1132 | COLUMBUS | OH | 43215 | 311038309 | 501 (C)(3) | 7500 | PROVIDES FOR FUNDS FOR SEED GRANTS FOR YOUNG INVESTIGATORS/RESEARCH IN CANCER RESEARCH |
| RECREATION UNLIMITED | |||||||
| 7700 PIPER ROAD | ASHLEY | OH | 43003 | 311813336 | 501 (C)(3) | 5000 | TO SUPPORT CHARITABLE PURPOSES |
| MENTAL HEALTH AMERICA | |||||||
| 2323 W 5TH AVE SUITE 160 | COLUMBUS | OH | 43204 | 314412697 | 501 (C)(3) | 25000 | TO SUPPORT CHARITABLE PURPOSES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 8 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: A MEMORANDUM OF AGREEMENT IS SIGNED BETWEEN THE GRANTEE AND GRANTOR THAT DESCRIBES THE CONDITIONS FOR THE GRANT TO INCLUDE PAYMENT AND REPORTING PROCESSES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PHILIP CASS | NamePerson |
| Title | CEO | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 208343 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 8233 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 18103 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 234679 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4A | FORMER COO JUDY D'ANDREA RECEIVED $45,750 OF SEVERANCE PAYMENTS IN INSTALLEMENTS FROM OCTOBER 7, 2011 THROUGH FEBRUARY 10, 2012. THE PORTION FOR THE 2012 CALENDAR YEAR WAS $12,872. | |
| PART III | PART I, LINE 3: THE RELATED ORGANIZATION, COLUMBUS MEDICAL ASSOCIATION PERFORMS THE COMPENSATION REVIEWS USING AN INDEPENDENT CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. COLUMBUS MEDICAL ASSOCIATION FOUNDATION ALSO PARTICIPATES IN THIS PROCESS. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 11 | THE RETURN IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE THE RETURN IS FILED. IN ADDITION, THE RETURN IS REVIEWED BY THE COO WITH MEMBERS OF THE FINANCE COMMITTEE. | |
| 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. THOSE CONFLICTS ARE THEN ADDRESSED BY THE BOARD. VOTING AND PARTICIPATION RESTRICTIONS ARE IMPOSED ON THOSE WITH ANY CONFLICTS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COLUMBUS MEDICAL ASSOCIATION AND COLUMBUS MEDICAL ASSOCIATION FOUNDATION PERFORM THE COMPENSATION REVIEWS. THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S COMPENSATION. THEN THE EXECUTIVE DIRECTOR REVIEWS THE COMPENSATION OF ALL OF THE OFFICERS. THE BOARD ESTABLISHES COMPENSATION BASED ON AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. THE LAST COMPENSATION REVIEW WAS IN 2012 AND WILL BE UPDATED IN 2015. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | FLOW THROUGH INCOME FROM PRIVATE EQUITY INVESTMENT FUND V, LP FORM K-1 -1,454. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED | |||||||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 200385860 | PROVIDING HEALTH AND WELLNESS 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) | 0 | N/A | ||
| CENTAL OHIO TRAUMA SYSTEM | |||||||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 311592734 | REDUCING INJURIES AND SAVING LIVES BY IMPROVING TRAUMA CARE | OH | 501(C)(3) | LINE 7 | COLUMBUS MEDICAL ASSOCIATION | 1 | |
| PHYSICIANS CARE CONNECTION | |||||||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 311373719 | COORDINATING VOLUNTARY HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 3 | COLUMBUS MEDICAL ASSOCIATION | 1 | |
| PARATUS SOLUTIONS | |||||||||||
| 1390 DUBLIN ROAD | COLUMBUS | OH | 43215 | 270650876 | PROVIDING DISASTER PREPAREDNESS TO COMMUNITY | OH | 501(C)(3) | LINE 7 | COLUMBUS MEDICAL ASSOCIATION | 1 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CENTRAL OHIO TRAUMA SYSTEMS | ||
| B | 275600 | GRANT |
| PHYSICIANS CARE CONNECTION | ||
| B | 560000 | GRANT |
| COLUMBUS MEDICAL ASSOCIATION | ||
| O | 196218 | SPLIT COSTS |
| PHYSICIANS CARE CONNECTION | ||
| O | 86131 | AGREED UPON % OF TIME |
| PHYSICIANS CARE CONNECTION | ||
| L | 136018 | AGREED UPON % OF TIME |
| CENTRAL OHIO TRAUMA SYSTEMS | ||
| O | 86190 | AGREED UPON % OF TIME |
| CENTRAL OHIO TRAUMA SYSTEMS | ||
| L | 137751 | MARKET RATE |
| COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED | ||
| C | 75155 | DONOR ADVISED FUND |