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MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC (EIN 30-0211350)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-11
IRS object ID
201433159349301068
Schema version
2013v3.0
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)
Return2014-11-11T09:32:32-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAULDIN & JENKINS LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 GALLERIA PKWY SE STE 1700AddressLine1
CityATLANTACity
StateGAState
ZIP Code303395946ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300211350EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN'S INSTITUTE FOR EXCELLENCEBusinessNameLine1
Business Name Line2IN MEDICINE INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone6783039290PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE NO 200AddressLine1
CityATLANTACity
StateGAState
ZIP Code303392027ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD J PALMISANO JRPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6783039290PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF T FUCITOPreparerPersonNm
PTINP00120748PTIN
Phone7709558600PhoneNum
Preparation2014-11-10PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD J PALMISANO JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE NO 200AddressLine1
CityATLANTACity
StateGAState
ZIP Code303392027ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,067,151GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.PHYSICIANSINSTITUTE.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FOR GEORGIA PHYSICIANS AND THEIR PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$563,478PYContributionsGrantsAmt
CY Contributions Grants$969,608CYContributionsGrantsAmt
PY Program Service Revenue$145,805PYProgramServiceRevenueAmt
CY Program Service Revenue$96,213CYProgramServiceRevenueAmt
PY Investment Income$1,485PYInvestmentIncomeAmt
CY Investment Income$1,330CYInvestmentIncomeAmt
PY Other Revenue$13,588PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$724,356PYTotalRevenueAmt
CY Total Revenue$1,067,151CYTotalRevenueAmt
PY Grants And Similar Paid$291,852PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$494,040CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,125PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$260,608CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$381,964PYOtherExpensesAmt
CY Other Expenses$275,176CYOtherExpensesAmt
PY Total Expenses$925,941PYTotalExpensesAmt
CY Total Expenses$1,029,824CYTotalExpensesAmt
PY Revenues Less Expenses-$201,585PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$37,327CYRevenuesLessExpensesAmt
Total Assets BOY$603,703TotalAssetsBOYAmt
Total Assets EOY$617,649TotalAssetsEOYAmt
Total Liabilities BOY$203,158TotalLiabilitiesBOYAmt
Total Liabilities EOY$179,777TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$400,545NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$437,872NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$424,089ExpenseAmt
Grant$306,803GrantAmt
DescCOLLABORATION IN REMS EDUCATION (CO*RE)THE PHYSICIANS' INSTITUTE MANAGED A COALITION OF 15 MEDICAL SOCIETIES (SMS) TO OFFER LONG-ACTING OPIOID REMS EDUCATIONAL ACTIVITIES TO THEIR RESPECTIVE MEMBERSHIPS THROUGH BOTH LIVE AND ENDURING ACTIVITIES. EACH SMS IDENTIFIED THEIR OWN SPEAKERS AND PROVIDED THEIR OWN CREDIT FOR THE ACTIVITIES. THE FIFTEEN SMS CONDUCTED 62 ACTIVITIES, 50 LIVE AND 12 ENDURING. WITH 50 OR 81% OF ACTIVITIES REPORTING), THERE ARE CURRENTLY 3541 LEARNERS. 70% OF THE TOTAL FUNDS WERE PROVIDED AS GRANTS TO THE SMS TO SUPPORT THEIR EDUCATIONAL ACTIVITIES. OUTCOMES DATA WERE REPORTED TO THE RPC AND TO THE FDA. SUPPORTED BY AN EDUCATIONAL GRANT FROM THE RPC FOR ER/LA OPIOID REMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$102,086ExpenseAmt
Grant$47,846GrantAmt
DescIMPROVING THE PRIMARY CARE TREATMENT OF ATRIAL FIBRILLATION BLOCK GRANTSAS PART OF A NATIONAL COLLABORATIVE, THE ATRIAL FIBRILLATION INITIATIVE RECEIVED AN EDUCATIONAL GRANT FROM THE BRISTOL-MYERS SQUIBB/PFIZER PARTNERSHIP. THE MISSION OF THE EVOLUTION OF ANTICOAGULATION MANAGEMENT (TEAM) INITIATIVE IS TO REDUCE STROKE, PULMONARY EMBOLISM, AND OTHER COMPLICATIONS ASSOCIATED WITH THROMBUS FORMATION THROUGH EFFECTIVE CONTINUING EDUCATION THAT RESULTS IN OPTIMAL ANTICOAGULATION MANAGEMENT TARGETING PRIMARY CARE PHYSICIANS AND THEIR TEAMS. THERE WERE 32 LIVE ACTIVITIES THROUGH 14 SEPARATE PROJECTS IN 10 STATES AND PIEM HELPED SUPPORT 1 ENDURING ACTIVITY. A TOTAL OF 1,653 HEALTH CARE PROVIDERS PARTICIPATED IN THESE EDUCATIONAL ACTIVITIES EARNING A TOTAL OF 1,309 CONTINUING EDUCATION CREDITS. EIGHTY-FIVE PERCENT (85%) AGREED-STRONGLY AGREED THAT THE EDUCATIONAL ACTIVITY WILL MAKE THEM MORE EFFECTIVE IN THEIR PRACTICE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$79,073ExpenseAmt
Grant$63,250GrantAmt
DescIMPROVING THE PRIMARY CARE TREATMENT OF ATRIAL FIBRILLATION AHMEAS PART OF THE SAME NATIONAL COLLABORATIVE ABOVE, THE ATRIAL FIBRILLATION INITIATIVE RECEIVED AN EDUCATIONAL GRANT FROM THE BRISTOL-MYERS SQUIBB/PFIZER PARTNERSHIP TO SUPPORT EDUCATIONAL GRANTS FOR THE ASSOCIATION FOR HOSPITAL MEDICAL EDUCATION (AHME). THESE SEMINARS TOOK PLACE DURING 2013-2014, HELD AT 8 STATE ORGANIZATIONS ANNUAL PROGRAMS AND AT THEIR ANNUAL CME CONFERENCE. THE TARGET AUDIENCES FOR THIS SEMINAR WERE PAS WHO CURRENTLY TREAT PATIENTS WITH ATRIAL FIBRILLATION AND PAS LOOKING TO ENHANCE THEIR KNOWLEDGE BASE AND CLINICAL PRACTICES AROUND THIS DISORDER. THE ACTIVITIES PROVIDED EDUCATION TO 1406 PRIMARY CARE PROVIDERS THROUGH THE NINE EDUCATIONAL ACTIVITIES. THESE LOCALLY FOCUSED ACTIVITIES MET THE LEARNING OBJECTIVES BY IMPROVING KNOWLEDGE AND FACILITATING POSITIVE PRACTICE CHANGES RELATED TO THE CARE AND TREATMENT OF PATIENTS WITH A-FIB.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$132,699ExpenseAmt
Grant$76,141GrantAmt
Revenue$96,213RevenueAmt
DescPARTNERSHIP FOR ADULT VACCINATION AND EDUCATION (PAVE)AS A PART OF NATIONAL COLLABORATIVE, PAVE RECEIVED AN EDUCATIONAL GRANT FROM GLAXOSMITHKLINE TO INCREASE THE NUMBER OF ELIGIBLE PERSONS WHO RECEIVE ALL OF THE ADULT VACCINES CURRENTLY RECOMMENDED BY THE US CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP). THE PHYSICIANS' INSTITUTE SUPPORTED EIGHT ORGANIZATIONS TO OFFER CME ACTIVITIES AND TO RECRUIT PHYSICIANS TO PARTICIPATE IN THE PERFORMANCE IMPROVEMENT COMPONENT OF THE PROJECT. AN ARRAY OF RESOURCES WERE PROVIDED TO PARTICIPANTS. THE PAVE PARTNERSHIP PROJECT INCLUDED TWO ACTIVITY COMPONENTS: 1) CME ACTIVITIES AND 2) PERFORMANCE IMPROVEMENT ACTIVITIES. THE PROJECT TARGETED PRIMARY CARE PHYSICIANS AND OTHER HEALTH CARE PROVIDERS AND THEIR TEAMS, IN AREAS OF THE COUNTRY WITH LOWER IMMUNIZATION RATES. USING THE COLLABORATIVE GRANTS MODEL , THE PHYSICIAN'S INSTITUTE INITIATED A REQUEST FOR PROPOSAL (RFP) PROCESS AND SOLICITED GRANT APPLICATIONS FROM STATE MEDICAL SOCIETIES AND CME-ACCREDITED PROVIDERS. THE PHYSICIAN'S INSTITUTE AWARDED GRANT FUNDING TO EIGHT (8) ORGANIZATIONS LOCATED IN GEORGIA, KENTUCKY, MISSISSIPPI, MONTANA, ILLINOIS AND SOUTH DAKOTA. THE PAVE PARTNERSHIP PROVIDED GRANTEES WITH A MANAGEMENT STRUCTURE, PRACTICE-BASED RESOURCES AND A SUPPORT SYSTEM TO CREATE AND OFFER CME ACTIVITIES AND CONDUCT PERFORMANCE IMPROVEMENT INITIATIVES WITHIN THEIR INSTITUTION OR ORGANIZATION.A TOTAL OF 288 PRIMARY CARE PROVIDERS (PCPS) ATTENDED THE CME ACTIVITIES AND COMPLETED EVALUATIONS AND 76% OF THEM WERE PHYSICIANS (MD/DOS). SIXTY-FOUR PERCENT (64%) INDICATED THAT MOST OF THEIR PATIENTS (41-100%) ARE ADULTS NEEDING IMMUNIZATIONS. AN OVERWHELMING NUMBER OF PARTICIPANTS (>75%) FELT THE PAVE PROGRAM COMPLETELY MET ALL OF ITS LEARNING OBJECTIVES. NINETY PERCENT (90%) OF RESPONDENTS FELT CONFIDENT (RATING: MOSTLY TO- COMPLETELY) IN APPLYING THE ACIP GUIDELINES AND RECOMMENDING VACCINES TO ADULT PATIENTS IN THEIR PRACTICE. AT THE FOLLOW-UP EVALUATION, 52% CONTINUED TO FEEL CONFIDENT. SEVENTY-FIVE PERCENT (75%) FELT CONFIDENT IN UTILIZING A VACCINE TRACKING SYSTEM. SEVENTY-SEVEN PERCENT (77%) INDICATED THE INFORMATION PRESENTED WILL LEAD TO CHANGES IN CURRENT PRACTICE. ADDITIONAL PHYSICIANS ALSO PARTICIPATED IN THE PERFORMANCE IMPROVEMENT PORTION OF THE PROJECT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$132,699TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$76,141TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$96,213TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$737,947TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SALLY-ANNE JACOBSBusinessNameLine1
FieldValueIRS element (for citing)
Phone6783039290PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE SE SUITE 200AddressLine1
CityATLANTACity
StateGAState
ZIP Code30339ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
WALKER L RAY MD
PRESIDENT0.50Yes (X)Yes (X)$0$0$0
JOHN S ANTALIS MD
DIRECTOR0.50Yes (X)$0$0$011.50
WILLIAM A BORNSTEIN MD
DIRECTOR0.50Yes (X)$0$0$0
JACK M CHAPMAN MD
SECRETARY0.50Yes (X)Yes (X)$0$0$01.00
HOWARD MAZIAR MD
DIRECTOR0.50Yes (X)$0$0$0
JAMES R MORROW MD
DIRECTOR0.50Yes (X)$0$0$0
ALAN L PLUMMER MD
VICE PRESIDENT0.50Yes (X)Yes (X)$0$0$0
RICHARD S SIMMONS MD
DIRECTOR0.50Yes (X)$0$0$0
DONALD J PALMISANO JR EX-OFFICIO
TREASURER0.50Yes (X)$0$242,900$43,85748.00
ROBERT ADDLETON
EXECUTIVE VICE PRESIDENT37.50Yes (X)$114,000$0$14,961
ADELE COHEN
SENIOR VICE PRESIDENT37.50Yes (X)$94,000$0$21,816
FieldValueIRS element (for citing)
Total Reportable Comp From Org$208,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$242,900TotReportableCompRltdOrgAmt
Total Other Compensation$80,634TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$969,608AllOtherContributionsAmt
Total Contributions$969,608TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFEES & REGISTRATIONSDesc
Business611430BusinessCd
Total Revenue Column$96,213TotalRevenueColumnAmt
Related Or Exempt Func Income$96,213RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$96,213TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,330TotalRevenueColumnAmt
Exclusion$1,330ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,067,151TotalRevenueColumnAmt
Related Or Exempt Func Income$96,213RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,330ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$494,040TotalAmt
Program Services$494,040ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$206,015TotalAmt
Management And General$206,015ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,480TotalAmt
Management And General$12,480ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,635TotalAmt
Management And General$24,635ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,478TotalAmt
Management And General$17,478ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$127,260TotalAmt
Program Services$125,212ProgramServicesAmt
Management And General$2,048ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,107TotalAmt
Program Services$305ProgramServicesAmt
Management And General$3,802ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,488TotalAmt
Program Services$11,488ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,088TotalAmt
Program Services$6,043ProgramServicesAmt
Management And General$45ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM MANAGEMENT$51,050$51,050
OTHER EXPENSE/CREDIT CA$49,983$49,809$174
OCCUPANCY & SALARY REIM$25,000$25,000
DUES$200$200

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,029,824TotalAmt
Program Services$737,947ProgramServicesAmt
Management And General$291,877ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$580,453BOYAmt
EOY$581,744EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,250BOYAmt
EOY$34,200EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$1,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$603,703BOYAmt
EOY$617,649EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,461BOYAmt
EOY$20,906EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$36,667BOYAmt
EOY$83,723EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,030BOYAmt
EOY$75,148EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$203,158BOYAmt
EOY$179,777EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$137,615BOYAmt
EOY$157,524EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$262,930BOYAmt
EOY$280,348EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$400,545BOYAmt
EOY$437,872EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$603,703BOYAmt
EOY$617,649EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$37,327ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL ASSOCIATION OF GEORGIA INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN580605267EIN
Organization Type501(C)(6)OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Supported Org NotifiedYes (1)SupportedOrgNotifiedInd
US OrganizedYes (1)USOrganizedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ENTITIESDesc
Amt$75,148Amt
FieldValueIRS element (for citing)
Total Liability$75,148TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10).ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
UNIVERSITY OF MIAMI MILLER SCHOOL
1500 NW 12TH AVE 1026MIAMIFL33136590624458$9,000STROKE PREVENTION
VISTA MEDICAL CENTER EAST
1324 N SHERIDAN RDWAUKEGANIL60085203978521$9,000STROKE PREVENTION
GALEN PUBLISHING DBA ASIM
166 W MAIN STSOMERVILLENJ08076223720202$6,750STROKE PREVENTION
OKLAHOMA STATE MEDICAL ASSOC
313 NE 50TH STOKLAHOMA CITYOK73105730384245$9,919OPIOID EDUCATION501C6
OREGON MEDICAL ASSOCIATION
11740 SW 68TH PKWY 100PORTLANDOR97223930497431$17,625OPIOID EDUCATION501C6
MAG FOUNDATION INC
1849 THE EXCHANGEATLANTAGA30339586066431$11,343OPIOID EDUCATION501C3
MINNESOTA MEDICAL ASSOCIATION
1300 GODWARD ST NE 2500MINNEAPOLISMN55413410418625$18,658OPIOID EDUCATION501C6
MEDICAL SOCIETY OF VIRGINIA FOUNDATION-
2924 EMERYWOOD PKWY 300RICHMONDVA23294521394768$22,500OPIOID EDUCATION501C3
ILLINOIS STATE MEDICAL SOCIETY
20 N MICHIGAN AVE 700CHICAGOIL60602362436054$22,500OPIOID EDUCATION501C6
PENNSYLVANIA MEDICAL SOCIETY
777 E PARK DRIVEHARRISBURGPA17111231570227$22,500OPIOID EDUCATION501C6
MEDICAL FOUNDATION OF ALABAMA
19 SOUTH JACKSON DTMONTGOMERYAL36104630268042$22,500OPIOID EDUCATION501C3
WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT
2033 SIXTH ST 1100SEATTLEWA98121916074463$18,705OPIOID EDUCATION501C3
TEXAS MEDICAL ASSOCIATION
401 W 15TH STAUSTINTX78701741078510$21,473OPIOID EDUCATION501C6
INSTITUTE FOR MEDICAL QUALIT
180 HOWARD 210SAN FRANCISCOCA94105943240330$29,081OPIOID EDUCATION501C3
FLORIDA MEDICAL ASSOCIATION
1430 PIEDMONT DRIVE EASTTALLAHASSEEFL32308590559672$22,500OPIOID EDUCATION501C6
MSMS FOUNDATION
120 W SAGINAWEAST LANSINGMI48823386069432$22,500OPIOID EDUCATION501C3
MEDCHI- MARYLAND STATE MEDICAL S
1211 CATHEDRAL STBALTIMOREMD21201520410730$22,500OPIOID EDUCATION501C6
INDIANA STATE MEDICAL ASSOCIAT
322 CANAL WALKINDIANAPOLISIN46202359411650$22,500OPIOID EDUCATION501C6
AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS
2318 MILL RD 1300ALEXANDRIAVA22314237067770$28,750STROKE PREVENTION501C6
AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS
2318 MILL RD 1300ALEXANDRIAVA22314237067770$34,500STROKE PREVENTION501C6
WINTHROP UNIVERSITY HOSPITAL
222 STATION PLAZA NORTH 510MINEOLANY11501111633486$7,500STROKE PREVENTION
UNITYPOINT HEALTH FOUNDATION
1415 WOODLAND AVE 140DES MOINESIA50309421467682$7,159STROKE PREVENTION501C3
ST JOSEPH MERCY HEALTH SYSTEM
5333 MCCAULEY DR 2111YPSILANTIMI48197382113393$7,500STROKE PREVENTION
BROWARD HEALTH
303 SE 17TH STFT LAUDERDALEFL33316596012065$7,500STROKE PREVENTION
PRESENCE SAINT FRANCIS HOSPITAL
365 RIDGE AVEEVANSTONIL60202362167800$7,500STROKE PREVENTION
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org19TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA PROJECT MANAGER HAS CONTACT WITH THE GRANTEE THROUGHOUT THE PROJECT, MONITORING PROGRESS, TROUBLESHOOTING, AND REVIEWING THE FINAL REPORT TO INSURE THE PROJECT IS COMPLETED. THE GRANTEE ONLY GETS A PORTION OF THE GRANT UNTIL THE PROJECT IS SATISFACTORALLY COMPLETED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDONALD J PALMISANO JR EX-OFFICIOPersonNm
TitleTREASURERTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$197,500CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$35,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$10,400OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$14,544DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$29,313NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$286,757TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE DIRECTOR OF OPERATIONS AND THE TREASURER REVIEW THE RETURN. ONCE THEY APPROVE THE RETURN, IT IS SIGNED AND MAILED BY THE EXECUTIVE DIRECTOR. IN ADDITION, THE BOARD REVIEWS THE RETURNS BEFORE THEY ARE FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS ODTKE. BOARD MEMBERS ARE GIVEN THE POLICY WHEN APPOINTED. ONCE THE POLICY IS UNDERSTOOD, IT IS SIGNED BY THE BOARD MEMBERS. DURING BOARD MEETINGS, LEGAL COUNSEL ASKS IF THERE ARE ANY CONFLICTS OF INTEREST. IF ONE ARISES, THE BOARD MEMBER MAY BE ASKED TOLEAVE THE MEETING AND ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GPAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,048. GRANT EVALUATORS: PROGRAM SERVICE EXPENSES 25,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,000. MED EDUCATIONAL CONSULTANTS: PROGRAM SERVICE EXPENSES 65,762. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,762. WEBSITE CONSULTANTS: PROGRAM SERVICE EXPENSES 34,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,450.
FORM 990, PART XII LINE 2CTHERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS, NOR OVERSIGHT OF THE FINANCIAL STATEMENTS.
FORM 990 PART V LINE 2ATHE ORGANIZATION HAS TWO EMPLOYEES WHOSE PAYROLL IS HANDLED BY AN EMPLOYEE LEASING COMPANY. THE ORGANIZATION DOES NOT PROCESS ANY PAYROLL.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDICAL ASSOCIATION OF GEORGIA
1849 THE EXCHANGE SE STE 200ATLANTAGA30339580605267PROMOTE ART AND SCIENCE OF MEDICINEGA501(C)(6)N/A0
MEDICAL ASSOCIATION OF GEORGIA FOUNDATION
1849 THE EXCHANGE SE STE 200ATLANTAGA30339586066431SUPPPORT MAGGA501(C)(3)0LINE 11A, IMEDICAL ASSOCIATION OF GEORGIA
GEORGIA MEDICAL POLITICAL ACTION COMMITTEE
1849 THE EXCHANGE SE STE 200ATLANTAGA30339580939391PROMOTE MEDICAL PROFESSIONGA5270MEDICAL ASSOCIATION OF GEORGIA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL ASSOCIATION OF GABusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$306,124InvolvedAmt
Method Of Amount DeterminationACTUAL COST INCURREDMethodOfAmountDeterminationTxt