MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC (EIN 30-0211350)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201943199349319524
Schema version
2018v3.1
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)
Return2019-11-15T13:38:34-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAULDIN & JENKINS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 GALLERIA PKWY SE STE 1700AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303395946ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300211350EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAG INSTITUTE FOR EXCELLENCEBusinessNameLine1Txt
Business Name Line2IN MEDICINE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMAGIBusinessNameControlTxt
Phone6783039290PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE NO 200AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303392027ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD J PALMISANO JRPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6783039290PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY JO ALEXANDERPreparerPersonNm
PTINP00002534PTIN
Phone7709558600PhoneNum
Preparation2019-11-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.192.51.169IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm14:35:31IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id91065CC9D35D24350E77F4100237C089BE94C045AtSubmissionCreationDeviceId
At Submission Filing Device IdB3ADEFEFE2B8A85EE1565808C4912CD68AB244BDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD J PALMISANO JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE NO 200AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303392027ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$248,915GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.MAG.ORGWebsiteAddressTxt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$118,100PYContributionsGrantsAmt
CY Contributions Grants$248,889CYContributionsGrantsAmt
PY Program Service Revenue$88,839PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$83PYInvestmentIncomeAmt
CY Investment Income$26CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$207,022PYTotalRevenueAmt
CY Total Revenue$248,915CYTotalRevenueAmt
PY Grants And Similar Paid$21,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$146,108PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$159,849PYOtherExpensesAmt
CY Other Expenses$91,039CYOtherExpensesAmt
PY Total Expenses$327,207PYTotalExpensesAmt
CY Total Expenses$91,039CYTotalExpensesAmt
PY Revenues Less Expenses-$120,185PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$157,876CYRevenuesLessExpensesAmt
Total Assets BOY$89,885TotalAssetsBOYAmt
Total Assets EOY$297,230TotalAssetsEOYAmt
Total Liabilities BOY$813TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,072NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$246,948NetAssetsOrFundBalancesEOYAmt
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 ChangeYes (1)SignificantChangeInd
Expense$77,959ExpenseAmt
DescMEDICAL 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.Desc
Total Program Service Expenses$77,959TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
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 Organizations0GrantsToOrganizationsInd
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 Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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 Line1FRED JONESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6783039290PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 THE EXCHANGE SE SUITE 200AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30339ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
AARON H DAVIDSON MD
PRESIDENT0.501.00Yes (X)Yes (X)$0$0$0
KELLY DEGRAFFENREID MD
VICE PRESIDENT0.50Yes (X)Yes (X)$0$0$0
ADAM E BERMAN MD
TREASURER0.50Yes (X)Yes (X)$0$0$0
AMIN A YEHYA MD
SECRETARY0.50Yes (X)Yes (X)$0$0$0
DRAZEN M JUKIC MD
DIRECTOR0.50Yes (X)$0$0$0
MANOJ H SHAH MD
DIRECTOR0.50Yes (X)$0$0$0
LISA PERRY-GILKES MD EX-OFFICIO
DIRECTOR0.5010.00Yes (X)$0$0$0
DONALD J PALMISANO JR EX-OFFICIO
DIRECTOR20.0047.50Yes (X)Yes (X)$0$335,609$51,557
RUTLEDGE FORNEY MD EX-OFFICIO
DIRECTOR0.5010.00Yes (X)$0$0$0
JOHN S HARVEY MD
DIRECTOR0.50Yes (X)$0$0$0
ROB SCHREINER MD
DIRECTOR0.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$335,609TotReportableCompRltdOrgAmt
Total Other Compensation$51,557TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$248,889AllOtherContributionsAmt
Total Contributions$248,889TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26TotalRevenueColumnAmt
Exclusion$26ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$248,915TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,804TotalAmt
Program Services$23,804ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,650TotalAmt
Program Services$22,501ProgramServicesAmt
Management And General$10,149ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$723TotalAmt
Program Services$229ProgramServicesAmt
Management And General$494ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$4,500ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,166TotalAmt
Program Services$13,041ProgramServicesAmt
Management And General$125ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,343TotalAmt
Program Services$2,085ProgramServicesAmt
Management And General$258ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TRAINING$6,205$6,205
SUPPLIES$3,357$3,284$73
RENTAL EXPENSE$2,310$2,310
MEMBERSHIP FEES$1,300$1,300

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$681TotalAmt
Management And General$681ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$91,039TotalAmt
Program Services$77,959ProgramServicesAmt
Management And General$13,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$89,885BOYAmt
EOY$147,230EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$150,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,885BOYAmt
EOY$297,230EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$16,436EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$813BOYAmt
EOY$33,846EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$813BOYAmt
EOY$50,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$89,072BOYAmt
EOY$246,948EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,072BOYAmt
EOY$246,948EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,885BOYAmt
EOY$297,230EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$157,876ReconcilationRevenueExpnssAmt
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 Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL ASSOCIATION OF GEORGIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN580605267EIN
Organization Type10OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (1)SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

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$33,846Amt
FieldValueIRS element (for citing)
Total Liability$33,846TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
TitleDIRECTORTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$225,209CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$100,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$10,400OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$16,500DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$35,057NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$387,166TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART I LINE 5THE ORGANIZATION HAS ONE EMPLOYEE WHO IS COMPENSATED BY A RELATED ENTITY, MEDICAL ASSOCIATION OF GEORGIA ASSOCIATION, EIN 58-0605267. THIS ORGANIZATION IS THE PAYROLL MASTER AND ALL REPORTING IS MADE UNDER THEIR EIN.
FORM 990, PART III, LINE 3THE ORGANIZATION IS NO LONGER SEEKING GRANTS TO ISSUE SUB-GRANTS TO OTHER ORGANIZATIONS WITH SIMILAR MISSIONS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 TO LEAVE THE MEETING AND ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY A BOARD COMPENSATION COMMITTEE.
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 11GPROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 22,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,501. RETIREMENT BONUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,000. TECHNOLOGY CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149.
FORM 990, PART XII LINE 2CTHERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS, NOR OVERSIGHT OF THE FINANCIAL STATEMENTS.
FORM 990 PART X LINE 26THERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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 12A, 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

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