2014-11-11T09:32:32-06:00 2013-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2013-01-01 300211350 PHYSICIAN'S INSTITUTE FOR EXCELLENCE IN MEDICINE INC PHYS 6783039290 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 DONALD J PALMISANO JR TREASURER 6783039290 2014-11-10 1 JEFF T FUCITO P00120748 7709558600 2014-11-10 X 2013 2015-11-30 17:44:51Z DONALD J PALMISANO JR 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 1067151 0 X HTTP://WWW.PHYSICIANSINSTITUTE.ORG/ X 2003 GA TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FOR GEORGIA PHYSICIANS AND THEIR PATIENTS. 8 8 2 10 0 0 563478 969608 145805 96213 1485 1330 13588 0 724356 1067151 291852 494040 0 0 252125 260608 0 0 0 381964 275176 925941 1029824 -201585 37327 603703 617649 203158 179777 400545 437872 X TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS. 0 0 424089 306803 COLLABORATION 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. 102086 47846 IMPROVING 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. 79073 63250 IMPROVING 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. 132699 76141 96213 PARTNERSHIP 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. 132699 76141 96213 737947 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 10 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X SALLY-ANNE JACOBS 6783039290 1849 THE EXCHANGE SE SUITE 200 ATLANTA GA 30339 WALKER L RAY MD PRESIDENT 0.50 X X 0 0 0 JOHN S ANTALIS MD DIRECTOR 0.50 11.50 X 0 0 0 WILLIAM A BORNSTEIN MD DIRECTOR 0.50 X 0 0 0 JACK M CHAPMAN MD SECRETARY 0.50 1.00 X X 0 0 0 HOWARD MAZIAR MD DIRECTOR 0.50 X 0 0 0 JAMES R MORROW MD DIRECTOR 0.50 X 0 0 0 ALAN L PLUMMER MD VICE PRESIDENT 0.50 X X 0 0 0 RICHARD S SIMMONS MD DIRECTOR 0.50 X 0 0 0 DONALD J PALMISANO JR EX-OFFICIO TREASURER 0.50 48.00 X 0 242900 43857 ROBERT ADDLETON EXECUTIVE VICE PRESIDENT 37.50 X 114000 0 14961 ADELE COHEN SENIOR VICE PRESIDENT 37.50 X 94000 0 21816 208000 242900 80634 1 0 1 0 0 969608 969608 FEES & REGISTRATIONS 611430 96213 96213 96213 1330 1330 1067151 96213 0 1330 X 494040 494040 206015 206015 12480 12480 24635 24635 17478 17478 127260 125212 2048 4107 305 3802 11488 11488 6088 6043 45 PROGRAM MANAGEMENT 51050 51050 OTHER EXPENSE/CREDIT CA 49983 49809 174 OCCUPANCY & SALARY REIM 25000 25000 DUES 200 200 1029824 737947 291877 0 580453 581744 23250 34200 1705 603703 617649 29461 20906 36667 83723 137030 75148 203158 179777 X 137615 157524 262930 280348 400545 437872 603703 617649 37327 0 X X 0 1 X 1 0 X X X 0 0 0 MEDICAL ASSOCIATION OF GEORGIA INC 580605267 501(C)(6) 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ENTITIES 75148 75148 X PART X, LINE 2: THERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10). 1 UNIVERSITY OF MIAMI MILLER SCHOOL 1500 NW 12TH AVE 1026 MIAMI FL 33136 590624458 9000 STROKE PREVENTION VISTA MEDICAL CENTER EAST 1324 N SHERIDAN RD WAUKEGAN IL 60085 203978521 9000 STROKE PREVENTION GALEN PUBLISHING DBA ASIM 166 W MAIN ST SOMERVILLE NJ 08076 223720202 6750 STROKE PREVENTION OKLAHOMA STATE MEDICAL ASSOC 313 NE 50TH ST OKLAHOMA CITY OK 73105 730384245 501C6 9919 OPIOID EDUCATION OREGON MEDICAL ASSOCIATION 11740 SW 68TH PKWY 100 PORTLAND OR 97223 930497431 501C6 17625 OPIOID EDUCATION MAG FOUNDATION INC 1849 THE EXCHANGE ATLANTA GA 30339 586066431 501C3 11343 OPIOID EDUCATION MINNESOTA MEDICAL ASSOCIATION 1300 GODWARD ST NE 2500 MINNEAPOLIS MN 55413 410418625 501C6 18658 OPIOID EDUCATION MEDICAL SOCIETY OF VIRGINIA FOUNDATION- 2924 EMERYWOOD PKWY 300 RICHMOND VA 23294 521394768 501C3 22500 OPIOID EDUCATION ILLINOIS STATE MEDICAL SOCIETY 20 N MICHIGAN AVE 700 CHICAGO IL 60602 362436054 501C6 22500 OPIOID EDUCATION PENNSYLVANIA MEDICAL SOCIETY 777 E PARK DRIVE HARRISBURG PA 17111 231570227 501C6 22500 OPIOID EDUCATION MEDICAL FOUNDATION OF ALABAMA 19 SOUTH JACKSON DT MONTGOMERY AL 36104 630268042 501C3 22500 OPIOID EDUCATION WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT 2033 SIXTH ST 1100 SEATTLE WA 98121 916074463 501C3 18705 OPIOID EDUCATION TEXAS MEDICAL ASSOCIATION 401 W 15TH ST AUSTIN TX 78701 741078510 501C6 21473 OPIOID EDUCATION INSTITUTE FOR MEDICAL QUALIT 180 HOWARD 210 SAN FRANCISCO CA 94105 943240330 501C3 29081 OPIOID EDUCATION FLORIDA MEDICAL ASSOCIATION 1430 PIEDMONT DRIVE EAST TALLAHASSEE FL 32308 590559672 501C6 22500 OPIOID EDUCATION MSMS FOUNDATION 120 W SAGINAW EAST LANSING MI 48823 386069432 501C3 22500 OPIOID EDUCATION MEDCHI- MARYLAND STATE MEDICAL S 1211 CATHEDRAL ST BALTIMORE MD 21201 520410730 501C6 22500 OPIOID EDUCATION INDIANA STATE MEDICAL ASSOCIAT 322 CANAL WALK INDIANAPOLIS IN 46202 359411650 501C6 22500 OPIOID EDUCATION AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS 2318 MILL RD 1300 ALEXANDRIA VA 22314 237067770 501C6 28750 STROKE PREVENTION AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS 2318 MILL RD 1300 ALEXANDRIA VA 22314 237067770 501C6 34500 STROKE PREVENTION WINTHROP UNIVERSITY HOSPITAL 222 STATION PLAZA NORTH 510 MINEOLA NY 11501 111633486 7500 STROKE PREVENTION UNITYPOINT HEALTH FOUNDATION 1415 WOODLAND AVE 140 DES MOINES IA 50309 421467682 501C3 7159 STROKE PREVENTION ST JOSEPH MERCY HEALTH SYSTEM 5333 MCCAULEY DR 2111 YPSILANTI MI 48197 382113393 7500 STROKE PREVENTION BROWARD HEALTH 303 SE 17TH ST FT LAUDERDALE FL 33316 596012065 7500 STROKE PREVENTION PRESENCE SAINT FRANCIS HOSPITAL 365 RIDGE AVE EVANSTON IL 60202 362167800 7500 STROKE PREVENTION 6 19 PART I, LINE 2: A 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. 1 X 0 0 0 0 0 0 0 0 0 DONALD J PALMISANO JR EX-OFFICIO TREASURER 0 197500 0 35000 0 10400 0 14544 0 29313 0 286757 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE 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 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PAYROLL 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 2C THERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS, NOR OVERSIGHT OF THE FINANCIAL STATEMENTS. FORM 990 PART V LINE 2A THE ORGANIZATION HAS TWO EMPLOYEES WHOSE PAYROLL IS HANDLED BY AN EMPLOYEE LEASING COMPANY. THE ORGANIZATION DOES NOT PROCESS ANY PAYROLL. MEDICAL ASSOCIATION OF GEORGIA 1849 THE EXCHANGE SE STE 200 ATLANTA GA 30339 580605267 PROMOTE ART AND SCIENCE OF MEDICINE GA 501(C)(6) N/A 0 MEDICAL ASSOCIATION OF GEORGIA FOUNDATION 1849 THE EXCHANGE SE STE 200 ATLANTA GA 30339 586066431 SUPPPORT MAG GA 501(C)(3) LINE 11A, I MEDICAL ASSOCIATION OF GEORGIA 0 GEORGIA MEDICAL POLITICAL ACTION COMMITTEE 1849 THE EXCHANGE SE STE 200 ATLANTA GA 30339 580939391 PROMOTE MEDICAL PROFESSION GA 527 MEDICAL ASSOCIATION OF GEORGIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 MEDICAL ASSOCIATION OF GA P 306124 ACTUAL COST INCURRED