FURP.ORG / PUBLIC DATA EXPLORER

COLUMBUS MEDICAL ASSOCIATION FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS MEDICAL ASSOCIATION FOUNDATION (EIN 31-0679012)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349306483
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2011-11-14T16:58:37-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310679012EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS MEDICAL ASSOCIATION FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLUNameControl
Phone6142407410Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1431 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameXName
TitleCEOTitle
Phone6142407410Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP CASSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1431 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2908510GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GOODHEALTHCOLUMBUS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE 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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees15TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year214047ContributionsGrantsPriorYear
Contributions Grants Current Year138370ContributionsGrantsCurrentYear
Program Service Revenue Prior Year92411ProgramServiceRevenuePriorYear
Program Service Revenue CY121020ProgramServiceRevenueCY
Investment Income Prior Year1889820InvestmentIncomePriorYear
Investment Income Current Year2326947InvestmentIncomeCurrentYear
Other Revenue Prior Year39020OtherRevenuePriorYear
Other Revenue Current Year318478OtherRevenueCurrentYear
Total Revenue Prior Year2235298TotalRevenuePriorYear
Total Revenue Current Year2904815TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1314242GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1067625GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year906677SalariesEtcPriorYear
Salaries Etc Current Year901592SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year219904TotalFundrsngExpCurrentYear
Other Expense Prior Year704268OtherExpensePriorYear
Other Expenses Current Year773408OtherExpensesCurrentYear
Total Expenses Prior Year2925187TotalExpensesPriorYear
Total Expenses Current Year2742625TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-689889RevenuesLessExpensesPriorYear
Revenues Less Expenses CY162190RevenuesLessExpensesCY
Total Assets BOY65561151TotalAssetsBOY
Total Assets EOY71821410TotalAssetsEOY
Total Liabilities BOY994713TotalLiabilitiesBOY
Total Liabilities EOY1029470TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY64566438NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY70791940NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1501079Expense
Grants1067625Grants
Revenue435836Revenue
DescriptionSEE SCHEDULE OTHE COLUMBUS MEDICAL ASSOCIATION FOUNDATION EXISTS TO EFFECT CHANGE WITHIN SPECIFIC PRIORITY AREAS TO IMPROVE THE HEALTH OF ALL CENTRAL 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 PHILANTHROPYDescription
Total Program Service Expense1501079TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees15NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RUTHANN GARDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6142407420TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1431 EAST BROAD STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES L NICHOLS
SECRETARY/TREASURER1.00XX000
DWIGHT SCARBOROUGH MD
PRESIDENT1.00XX000
TERESA C LONG
TRUSTEE1.00X000
NEDRA HADLEY
TRUSTEE1.00X000
OLIVIA THOMAS
TRUSTEE1.00X000
JOYCE PENN
TRUSTEE1.00X000
ANNE TAYLOR MD
TRUSTEE1.00X000
LINDA SIEFKAS
TRUSTEE1.00X000
RONALD BERGGREN
TRUSTEE1.00X000
BEN ESPY
TRUSTEE1.00X000
MARC L PARNES
TRUSTEE1.00X000
WARREN W TYLER
TRUSTEE1.00X000
MARK A BECHTEL MD
TRUSTEE1.00X000
JEFFREY BELL MD
TRUSTEE1.00X000
JENNIFER WRENN MD
TRUSTEE1.00X000
EDWARD T BOPE
TRUSTEE1.00X000
CLAIRE V WOLFE
TRUSTEE1.00X000
M VALERIANA MOELLER
TRUSTEE1.00X000
PHILIP CASS
CEO20.00X020145324701
JUDY D'ANDREA
CEO23.80X118353019649
WELDON MILBOURNE
DIRECTOR OF DEVELOPMENT40.0011293809556X
FieldValueIRS element (for citing)
Total Reportable Comp From Org231291TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs201453TotalReportableCompFrmRltdOrgs
Total Other Compensation53906TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions138370AllOtherContributions
Total Contributions138370TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENT FROM AFFILIATES532000102000102000
PROGRAMS9000991902019020
FieldValueIRS element (for citing)
Total Program Service Revenue121020TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2330642TotalRevenueColumn
Exclusion$2,330,642ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3695Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3695Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3695TotalRevenueColumn
Exclusion-$3,695ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
REIMBURSEMENTS900099314816314816
INSURANCE PROCEEDS9000992371$2,371
LITIGATION PROCEEDS9000991291$1,291
FieldValueIRS element (for citing)
Total Other Revenue318478TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2904815TotalRevenueColumn
Related Or Exempt Function Income435836RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,330,609ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1067625Total
Program Services1067625ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total260496Total
Program Services62946ProgramServices
Management And General160225ManagementAndGeneral
Fundraising37325Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total380576Total
Program Services152230ProgramServices
Management And General190288ManagementAndGeneral
Fundraising38058Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17088Total
Program Services6835ProgramServices
Management And General8544ManagementAndGeneral
Fundraising1709Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total197160Total
Program Services78864ProgramServices
Management And General98580ManagementAndGeneral
Fundraising19716Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total46272Total
Program Services18509ProgramServices
Management And General23136ManagementAndGeneral
Fundraising4627Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9600Total
Management And General9600ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30635Total
Management And General30635ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total292201Total
Management And General292201ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25366Total
Program Services6536ProgramServices
Management And General13139ManagementAndGeneral
Fundraising5691Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total130614Total
Program Services57372ProgramServices
Management And General8762ManagementAndGeneral
Fundraising64480Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23777Total
Program Services3539ProgramServices
Management And General15122ManagementAndGeneral
Fundraising5116Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8646Total
Program Services1288ProgramServices
Management And General5498ManagementAndGeneral
Fundraising1860Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total127497Total
Program Services26663ProgramServices
Management And General74171ManagementAndGeneral
Fundraising26663Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3776Total
Management And General3776ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25233Total
Program Services6113ProgramServices
Management And General13007ManagementAndGeneral
Fundraising6113Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3319Total
Program Services351ProgramServices
Management And General2617ManagementAndGeneral
Fundraising351Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total73339Total
Program Services5867ProgramServices
Management And General61605ManagementAndGeneral
Fundraising5867Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total7327Total
Program Services1532ProgramServices
Management And General4263ManagementAndGeneral
Fundraising1532Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS75497965957796
VOLUNTEER ACTIVITIES40134013
TAXES & LICENSES516516

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2742625Total
Program Services1501079ProgramServices
Management And General1021642ManagementAndGeneral
Fundraising219904Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY379738BOY
EOY443934EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY217698BOY
EOY244193EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15039BOY
EOY14884EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2277025LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec868791LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1384456BOY
EOY1408234EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63486877BOY
EOY69630503EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY77343BOY
EOY79662EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65561151BOY
EOY71821410EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY184610BOY
EOY296847EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY250000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY560103BOY
EOY732623EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY994713BOY
EOY1029470EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY63639447BOY
EOY69460132EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY520238BOY
EOY818525EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY406753BOY
EOY513283EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64566438BOY
EOY70791940EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65561151BOY
EOY71821410EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses162190ReconcilationRevenueExpenses
Reconcilation Other Changes6063310ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS MEDICAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN314411074EIN
Type Of Organization501 (C)(6)TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE FOUNDATION PROVIDES SUPPORT THROUGH USE OF SHARED EMPLOYEES, FACILITIES, AND REIMBURSEMENTS.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held14NumberDAFsHeld
Donor Advised Contributions121948DonorAdvisedContributions
Grants Paid From Donor Funds56500GrantsPaidFromDonorFunds
Aggregate DAF Value993492AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis636000OtherCostOrOtherBasis
Book Value636000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis864842OtherCostOrOtherBasis
Depreciation292833Depreciation
Book Value572009BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis116956OtherCostOrOtherBasis
Depreciation63840Depreciation
Book Value53116BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis453982OtherCostOrOtherBasis
Depreciation339709Depreciation
Book Value114273BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis205245OtherCostOrOtherBasis
Depreciation172409Depreciation
Book Value32836BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1408234TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
REIMBURSEMENT TO AFFILIATES$340,014
ASSETS HELD FOR OTHERS$392,609
FieldValueIRS element (for citing)
Total Of Amounts732623TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ACCESS HEALTHCOLUMBUS
22 E GAY STREET SUITE 801COLUMBUSOH43215510426050501 (C)(3)350000TO SUPPORT PHASE 1 FOR PATIENT CENTER MEDICAL HOME PROJECT
CENTRAL OHIO TRAUMA SYSTEM
431 E BROAD STREETCOLUMBUSOH43215311592734501 (C)(3)275600TO SUPPORT ITS 2010 CORE SERVICES
COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC
431 E BROAD STREETCOLUMBUSOH43215311373719501 (C)(3)560000TO PROVIDE FREE PRIMARY & SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERSERVEDTO PROVIDE FREE PRIMARY & SPECIALTY MEDICAL CARE FOR THE UNINSURED AND UNDERSERVED
FRANKLIN PARK CONSERVATORY WOMEN'S BOARD
1777 E BROAD STREETCOLUMBUSOH43203311191469501 (C)(3)10000FOR HORICULTURE & EDUCATION PROGRAMS AT THE CONSERVATORY
BBB EDUCATIONAL FOUNDATION OF CENTRAL OHIO
1169 DUBLIN ROADCOLUMBUSOH43215300022212501 (C)(3)10000FOR CENTER OF CAREER ETHICS - TORCHBEARER SPONSORSHIP
(no name)
TO CREATE PRO-BONO MEDICAL HEALTH CLINIC
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonPHILIP CASSNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs201453CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs11897DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs12804NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs226154TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6COLUMBUS MEDICAL ASSOCIATION IS THE ORGANIZATION'S SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE AUTHORITY TO ELECT AND REMOVE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE 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.
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 12C
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 2008.FORM 990, PART VI, SECTION B, LINE 15
THE FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE HOURS DISTRIBUTION FOR RELATED ENTITIES ARE AS FOLLOWS: PHILIP CASS: A. COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC - 5 HOURS B. COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED - 0.1 HOURS C. COLUMBUS MEDICAL ASSOCIATION - 21.3 HOURS D. CENTRAL OHIO TRAUMA SYSTEM - 3.8 HOURS JUDY D'ANDREA: A. COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC - 7.5 HOURS B. COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED - 0.1 HOURS C. COLUMBUS MEDICAL ASSOCIATION - 11.3 HOURS D. CENTRAL OHIO TRAUMA SYSTEM - 7.5 HOURSFORM 990, PART VII
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 6,063,310.FORM 990, PART XI, LINE 5:
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.FORM 990, LINE XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
COLUMBUS MEDICAL ASSOCIATION FOUNDATION UNLIMITED
431 E BROAD STREETCOLUMBUSOH43215200385860PROVIDING HEALTH AND WELLNESS SERVICESOH501(C)(3)LINE 7COLUMBUS MEDICAL ASSOCIATION1
COLUMBUS MEDICAL ASSOCIATION
431 E BROAD STREETCOLUMBUSOH43215314411074ADVANCING COMMUNITY HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICEOH501(C)(6)0N/A
CENTAL OHIO TRAUMA SYSTEM
431 E BROAD STREETCOLUMBUSOH43215311592734REDUCING INJURIES AND SAVING LIVES BY IMPROVING TRAUMA CAREOH501(C)(3)LINE 7COLUMBUS MEDICAL ASSOCIATION1
COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC
431 E BROAD STREETCOLUMBUSOH43215311373719COORDINATING VOLUNTARY HEALTH CARE SERVICESOH501(C)(3)LINE 3COLUMBUS MEDICAL ASSOCIATION1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COLUMBUS MEDICAL ASSOCIATION
P100716ACCRUAL TRANSACTION
CENTRAL OHIO TRAUMA SYSTEM
P100306ACCRUAL TRANSACTION
COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC
P93982ACCRUAL TRANSACTION
COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC
K111885MARKET RATE
COLUMBUS MEDICAL ASSOCIATION PHYSICIANS FREE CLINIC
B560000ACCRUAL TRANSACTION
CENTRAL OHIO TRAUMA SYSTEM
K118206MARKET RATE
CENTRAL OHIO TRAUMA SYSTEM
B275600ACCRUAL TRANSACTION