Liabilities / Assets
91st percentile
Higher debt load relative to assets than 91% of similar nonprofits.
Physicians Leadership Academy
990 • Fiscal year 2022 • EIN 82-2152009
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.55x
Liabilities / Revenue
89th percentile
Higher debt load relative to revenue than 89% of similar nonprofits.
Net Margin
48th percentile
Higher net margin than 48% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 62.2% of source-year revenue.
Asset Growth
74th percentile
Faster asset growth than 74% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Balance Sheet
Assets
Up$224,749
Up $44,426 (+25%) from 2021
Net Assets
Up$101,217
Up $14,613 (+17%) from 2021
Liabilities
Up$123,532
Up $29,813 (+32%) from 2021
Revenue And Expenses
Revenue
Up$428,600
Up $82,100 (+24%) from 2021
Expenses
Up$413,987
Up $92,609 (+29%) from 2021
Net Income
Down$14,613
Down $10,509 (-42%) from 2021
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2022 to Dec 31, 2022
- Signed
- Nov 13, 2023
- Return Version
- 2022v5.0
- Gross Receipts
- $428,600
Mission and Program Overview
Mission
Support physicians by providing leadership training that improves the lives of their community, patients, and themselves.
To support physicians through mindful leadership training.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $172,441 | $223,349 | ▲ $50,908 |
| Rtn Earn Endowment Incm Other Fnds | $86,604 | $101,217 | ▲ $14,613 |
| Accounts Receivable | $6,750 | $1,000 | ▼ $5,750 |
| Prepaid Expenses and Deferred Charges | $1,132 | $400 | ▼ $732 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $180,323 | $224,749 | ▲ $44,426 |
| Liabilities | |||
| Deferred Revenue | $75,000 | $90,000 | ▲ $15,000 |
| Other Liabilities | $8,767 | $17,681 | ▲ $8,914 |
| Accounts Payable and Accrued Expenses | $9,952 | $15,851 | ▲ $5,899 |
| Total Liabilities | $93,719 | $123,532 | ▲ $29,813 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $86,604 | $101,217 | ▲ $14,613 |
| Total Liabilities and Net Assets / Fund Balance | $180,323 | $224,749 | ▲ $44,426 |
Compensation and Service Providers
Employees
| Name | Title | Base | Total |
|---|---|---|---|
| Jeffrey Bell Md | Trustee | $8,990 | $8,990 |
| Marc L Parnes Md | Past Resident | $8,500 | $8,500 |
Board Members and Trustees
| Name | Title |
|---|---|
| Jason Mellilo Md | President |
| Dawn Prall Md | Vice President |
| Amy Rettig | Trustee |
| Christina Chan Do | Trustee |
| Diane Habash | Trustee |
| Douglas Finnie Md | Trustee |
| Elizabeth Lottes Do | Trustee |
| Maria Courser Md | Trustee |
| William Schnackel Md | Trustee |
| John Heintz Md | Trustee - Part Year |
| Robert Balchick Md | Trustee - Part Year |
| Robert E Falcone Md | CEO |
| Laurie Hawkins | CFO |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $302,000
- Program Service Revenue
- $126,600
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $14,613
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $413,987 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Conferences and Meetings | $153,775 | $556 | - | $154,331 |
| Fees for Services Other | $88,439 | $3,203 | - | $91,642 |
| Fees for Services Accounting | - | $14,800 | - | $14,800 |
| Occupancy | $4,745 | $9,742 | - | $14,487 |
| Office Expenses | $156 | - | - | $156 |
| Fees for Services Legal | - | $94 | - | $94 |
| Other Expenses | $66,239 | $78 | - | $78 |
| Total Functional Expenses | $313,354 | $100,633 | $0 | $413,987 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Reimbursement to Affiliates | $17,681 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
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 at that time and at any time the matter becomes a board action. 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
“The organization performs compensation reviews. The ceo review is handled by the columbus medical association foundation board and the ceo evaluation committee. The ceo has an employment contract and it was last updated in 2021. 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 2021.”
Form 990, Part VI, Section C, Line 19
“The governing documents, conflict of interest policy, and financial statements are available upon request.”
Filing and Contact Details
Filer
- Filer Name
- Physicians Leadership Academy
- EIN
- 82-2152009
- Phone
- 6142407410
- Address
- 1390 DUBLIN ROAD, COLUMBUS, OH 43215-1009
Signing Officer
- Name
- Robert E Falcone
- Title
- CEO
- Phone
- 6142407410
- Signed
- 2023-11-13
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Robert E Falcone
- Formed
- 2017
- Legal Domicile
- Oh
- Voting Board Members
- 11
- Independent Board Members
- 11
- Employees
- 0
- Volunteers
- 14
Preparer
- Firm
- Plante & Moran Pllc
- Address
- 250 S HIGH ST SUITE 100, COLUMBUS, OH 43215
- Preparer
- Amy Ciminello
- Phone
- 6148493000
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G
“Consultant - seminar guest facility: program service expenses 50,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 50,500. Consultant - meditation: program service expenses 11,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,500. Consultant - coaching: program service expenses 18,990. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,990. Professional fees-marketing: program service expenses 7,449. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,449. Other service fees: program service expenses 0. Management and general expenses 3,203. Fundraising expenses 0. Total expenses 3,203.”
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.”
Raw XML AppendixShowing 400 of 572 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1000 |
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| IRS990/ActivityOrMissionDesc | 0 | TO SUPPORT PHYSICIANS THROUGH MINDFUL LEADERSHIP TRAINING. |
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| IRS990/CYOtherRevenueAmt | 0 | 0 |
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| IRS990/Desc | 0 | THE PHYSICIANS LEADERSHIP ACADEMY (PLA) RECONNECTS PRACTICING PHYSICIANS WITH THEIR ORIGINAL PURPOSE AND IN DOING SO CREATES AUTHENTIC LEADERSHIP. THE PLA FOCUSES ON THREE PRIMARY AREAS: EMOTIONAL INTELLIGENCE, SOCIAL INTELLIGENCE AND COGNITIVE CAPACITY. |
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| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 428600 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 25 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE PURPOSE OF THE PHYSICIANS LEADERSHIP ACADEMY IS TO PROVIDE MINDFUL LEADERSHIP TRAINING TO IMPROVE THE LIVES OF PHYSICIANS, THEIR PATIENTS, AND THE COMMUNITY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 86604 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 101217 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 9742 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 4745 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 14487 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 156 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 156 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | SALARY ALLOCATION/REIMB |
| IRS990/OtherExpensesGrp/Desc | 1 | AUTO ALLOWANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | TAXES & LICENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 71760 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 400 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 78 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 66239 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 137999 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 400 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 78 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 8767 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 17681 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 0 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1132 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 400 |
| IRS990/PrincipalOfficerNm | 0 | ROBERT E FALCONE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 611430 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | TUITION |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 126600 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 126600 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 249000 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 321378 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 97500 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 25122 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 321378 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 346500 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 14613 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 1 |
| IRS990/RelatedOrganizationsAmt | 0 | 302000 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 126600 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 86604 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 101217 |
| IRS990ScheduleA/SchoolInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 17681 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | REIMBURSEMENT TO AFFILIATES |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 17681 |
| IRS990ScheduleE/ComplianceWithRevProc7550Ind | 0 | 1 |
| IRS990ScheduleE/DiscriminateRaceAdmissPlcyInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceAthltProgInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceEducPlcyInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceEmplmFcultyInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceOtherActyInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceSchsInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceStdntsRghtsInd | 0 | 0 |
| IRS990ScheduleE/DiscriminateRaceUseOfFcltsInd | 0 | 0 |
| IRS990ScheduleE/GovernmentFinancialAidRcvdInd | 0 | 0 |
| IRS990ScheduleE/GovernmentFinancialAidRvkdInd | 0 | 0 |
| IRS990ScheduleE/MaintainCpyOfAllSolInd | 0 | 0 |
| IRS990ScheduleE/MaintainCpyOfBrochuresEtcInd | 0 | 0 |
| IRS990ScheduleE/MaintainRacialCompRecsInd | 0 | 1 |
| IRS990ScheduleE/MaintainScholarshipsRecsInd | 0 | 0 |
| IRS990ScheduleE/NondiscriminatoryPolicyStmtInd | 0 | 1 |
| IRS990ScheduleE/PlcyPblczdViaBroadcastMediaInd | 0 | 1 |
| IRS990ScheduleE/PolicyStmtInBrochuresEtcInd | 0 | 1 |
| IRS990ScheduleE/SupplementalInformationDetail/ExplanationTxt | 0 | THE POLICY IS DISCLOSED ON THE APPLICATION PAGE OF THE PLA WEBSITE. |
| IRS990ScheduleE/SupplementalInformationDetail/ExplanationTxt | 1 | LINE 4B: ALL STUDENTS ENROLLED AT PLA PAY THE SAME AMOUNT OF TUITION. LINE 4C: AT THIS TIME PLA DOES NOT UTILIZE BROCHURES OR CATALOGUES. LINE 4D: AT THIS TIME PLA HAS NOT SOLICITED CONTRIBUTIONS. SUPPORT IS PROVIDED BY A RELATED ORGANIZATION, COLUMBUS MEDICAL ASSOCIATION FOUNDATION. |
| IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE E, PART I, LINE 3 |
| IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | SCHEDULE E, PART I, LINE 4 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 265421 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 152974 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 9546 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 1365 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 25983 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | ROBERT E FALCONE MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | LAURIE HAWKINS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | CFO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 266786 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 188503 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION'S 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. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 3: |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | COLUMBUS MEDICAL ASSOCIATION IS THE ORGANIZATION'S SOLE MEMBER. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE SOLE MEMBER HAS THE AUTHORITY TO ELECT AND REMOVE DIRECTORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE RETURN IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE THE RETURN IS FILED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE ORGANIZATION ANNUALLY SENDS A DISCLOSURE FORM TO ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES REQUIRING THEM TO DISCLOSE ANY CONFLICTS OF INTEREST AT THAT TIME AND AT ANY TIME THE MATTER BECOMES A BOARD ACTION. THOSE CONFLICTS ARE THEN ADDRESSED BY THE BOARD. VOTING AND PARTICIPATION RESTRICTIONS ARE IMPOSED ON THOSE WITH ANY CONFLICTS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE ORGANIZATION PERFORMS COMPENSATION REVIEWS. THE CEO REVIEW IS HANDLED BY THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION BOARD AND THE CEO EVALUATION COMMITTEE. THE CEO HAS AN EMPLOYMENT CONTRACT AND IT WAS LAST UPDATED IN 2021. 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 2021. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | CONSULTANT - SEMINAR GUEST FACILITY: PROGRAM SERVICE EXPENSES 50,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,500. CONSULTANT - MEDITATION: PROGRAM SERVICE EXPENSES 11,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,500. CONSULTANT - COACHING: PROGRAM SERVICE EXPENSES 18,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,990. PROFESSIONAL FEES-MARKETING: PROGRAM SERVICE EXPENSES 7,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,449. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,203. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 12C |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $224,749
- Liabilities
- $123,532
- Net assets
- $101,217
- Revenue
- $428,600
- Expenses
- $413,987
- Net income
- $14,613