2020-11-05T15:07:57-06:00 2019-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2019-01-01 300211350 MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC MAGI 6783039290 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 DONALD J PALMISANO JR EXECUTIVE DIRECTOR 6783039290 2020-10-28 1 MARY JO ALEXANDER P00002534 7709558600 2020-10-23 X 50.192.51.169 2020-10-28 13:01:34 ED P A566F6A719FE53D4ADE638FF45DD23DFED1A47D7 DA1B0C875D2D39D11E1EBE3FD774D620B8E21B0F 2019 2021-01-29 14:40:06Z DONALD J PALMISANO JR 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 196964 0 X HTTPS://WWW.MAG.ORG X 2003 GA TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FOR GEORGIA PHYSICIANS AND THEIR PATIENTS. 11 10 3 75 0 0 248889 196350 0 0 26 614 0 0 248915 196964 0 0 0 0 0 0 0 0 102 91039 146397 91039 146397 157876 50567 297230 377417 50282 79902 246948 297515 X TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS. 0 0 124503 MEDICAL ASSOCIATION OF GEORGIA MEDICAL RESERVE CORPS ("MAG MRC")THE MAG MRC RESPONDS TO DECLARED EMERGENCIES IN THE STATE, INCLUDING NATURAL DISASTERS AND DISEASE OUTBREAKS.THE MAG MRC IS PREPARED TO DEPLOY AND STAFF MOBILE HOSPITALS AND SUPPORT EMERGENCY SHELTERS UNDER THE DIRECTION OF DPH.THE MAG MRC COMPLEMENTS THE OFFICIAL MEDICAL AND PUBLIC HEALTH AND EMERGENCY SERVICES RESOURCES IN THE STATE.THE MAG MRC IS PART OF A STATE AND NATIONAL NETWORK OF MRC. THERE ARE NEARLY 1,000 COMMUNITY-BASED MRC UNITS AND 200,000 MRC VOLUNTEERS IN THE U.S. AND ITS TERRITORIES, INCLUDING 19 MRC UNITS IN GEORGIA.THE MAG MRC HAS RECEIVED GRANTS FROM THE GEORGIA TRAUMA CARE NETWORK AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS.MAG MRC MEMBERS ARE CITIZEN VOLUNTEERS. THE MAG MRC INCLUDES PHYSICIANS AND NON-PHYSICIANS.THE MAG MRC IS A GREAT WAY FOR RESIDENTS AND MEDICAL STUDENTS TO DEVELOP THEIR SKILL SETS AND PROFESSIONAL NETWORKS.THE MAG MRC CONDUCTS MONTHLY CLASSROOM TRAINING AND QUARTERLY DRILLS (E.G., RESPONDING TO MASS CASUALTY EVENTS, SETTING UP MOBILE HOSPITALS, AND PRACTICING AEROMEDICAL TRANSPORTATION AND EVACUATION).MAG MRC MEMBERS PARTICIPATE IN AT LEAST ONE TRAINING EXERCISE A YEAR WHICH NORMALLY LAST ONE TO TWO DAYS.MAG MRC MEMBERS ARE REQUIRED TO REGISTER WITH THE 'GEORGIA RESPONDS: STATE EMERGENCY REGISTRY OF VOLUNTEERS IN GEORGIA' (SERVGA) SYSTEM. 124503 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 4 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X FRED JONES 6783039290 1849 THE EXCHANGE SE SUITE 200 ATLANTA GA 30339 AARON H DAVIDSON MD DIRECTOR 0.50 10.00 X 0 0 0 KELLY DEGRAFFENREID MD PRESIDENT 0.50 1.00 X X 0 0 0 ADAM E BERMAN MD VICE PRESIDENT 0.50 X X 0 0 0 AMIN A YEHYA MD TREASURER 0.50 X X 0 0 0 DRAZEN M JUKIC MD DIRECTOR 0.50 X 0 0 0 MANOJ H SHAH MD DIRECTOR 0.50 X 0 0 0 DONALD J PALMISANO JR EX-OFFICIO DIRECTOR 20.00 47.50 X X 0 377379 50140 JOHN S HARVEY MD DIRECTOR 0.50 X 0 0 0 ROB SCHREINER MD SECRETARY 0.50 X X 0 0 0 DESPINA DALTON MD EX-OFFICIO DIRECTOR 0.50 10.00 X 0 0 0 ANDREW REISMAN MD EX-OFFICIO DIRECTOR 0.50 10.00 X 0 0 0 0 377379 50140 0 0 1 0 0 196350 196350 614 614 196964 0 0 614 X 86300 66500 19800 1308 1222 86 9732 9732 8058 8058 4250 4209 41 SUPPLIES & EQUIPMENT 15236 14799 335 102 TRAINING 8516 8516 RECRUITMENT 5720 5720 SPACE RENTAL & OVERHEAD 5220 5220 2057 527 1530 146397 124503 21792 102 147230 233417 150000 144000 297230 377417 16436 5498 33846 74404 50282 79902 X 76018 74826 170930 222689 246948 297515 297230 377417 50567 0 X X 0 1 X 0 0 X X 1 MEDICAL ASSOCIATION OF GEORGIA INC 580605267 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: THE ORGANIZATION OBTAINED THE SUPPORTED ORGANIZATION'S FORM 990 AND DETERMINED IT MET THE SECTION 509(A)(2) PUBLIC SUPPORT TEST. THE SUPPORTED ORGANIZATION'S REVENUE IS PREDOMINANTLY CONTRIBUTIONS, GRANTS AND PROGRAM REVENUE. INVESTMENT INCOME IS MINIMAL. OTHER SOURCES OF INCOME ARE MINIMAL. PART IV, SECTION A, LINE 3C: SUPPORT GIVEN TO THE SUPPORTED SECTION 501(C)(6) ORGANIZATION WAS USED SOLELY FOR CHARITABLE PURPOSES. THE SUPPORTING ORGANIZATION OBTAINED A COPY OF THE SUPPORTED ORGANIZATION'S FORM 990, BYLAWS, AND MINUTES AND CONCLUDED THIS WAS TRUE. THE SUPPORTED ORGANIZATION'S PURPOSE SERVES THE GENERAL PUBLIC TO ENSURE THAT THE CITIZENS OF GEORGIA OBTAIN HIGH QUALITY MEDICAL CARE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ENTITIES 74404 74404 0 0 0 0 0 0 0 0 0 DONALD J PALMISANO JR EX-OFFICIO DIRECTOR 0 225444 0 141535 0 10400 0 16800 0 33340 0 427519 0 0 FORM 990 PART I LINE 5 THREE INDIVIDUALS, EMPLOYED BY A RELATED ENTITY, MEDICAL ASSOCIATION OF GEORGIA ASSOCIATION, INC. EIN 58-0605267, PERFORM PART OR FULL-TIME SERVICES FOR MAG INSTITUTE FOR EXCELLENCE IN MEDICINE, INC. MEDICAL ASSOCIATION OF GEORGIA ASSOCIATION, INC. IS THE PAYROLL MASTER AND ALL REPORTING IS MADE UNDER THEIR EIN. FORM 990, PART VI, SECTION B, LINE 11B 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 TO LEAVE THE MEETING AND ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY A BOARD COMPENSATION COMMITTEE. 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 PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 16,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,500. AFFILIATE SERVICES: PROGRAM SERVICE EXPENSES 50,000. MANAGEMENT AND GENERAL EXPENSES 19,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,800. 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 X LINE 26 THERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10). 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 12A, 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 1 1 1 0 0 0 MEDICAL ASSOCIATION OF GEORGIA INC P 54610