2017-11-15T10:55:21-06:00 2016-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2016-01-01 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 2017-11-14 1 MARY JO ALEXANDER P00002534 7709558600 2017-11-14 X 50.192.51.169 2017-11-14 13:32:56 ES P 22709AFA47563364B621B0C461921DEB0EE6EC74 5A74F20D18CC36D4C0464475D0A1B2F9F688EB59 2016 2017-02-10 21:41:12Z DONALD J PALMISANO JR 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 497773 0 X HTTP://WWW.PHYSICIANSINSTITUTE.ORG/ X 2003 GA TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FOR GEORGIA PHYSICIANS AND THEIR PATIENTS. 10 9 2 9 0 0 348798 398403 152277 99218 186 152 0 0 501261 497773 165251 94341 0 0 274466 282631 0 0 0 256833 162800 696550 539772 -195289 -41999 349897 318421 98641 109164 251256 209257 X TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS. 0 0 78328 35529 ENGAGED PRIMARY CARE PHYSICIANS IN THREE STATES (CALIFORNIA, OKLAHOMA AND TENNESSEE) IN A COLLABORATIVE AND CONSULTATIVE INTERVENTIONAL APPROACH TO IMPROVE PNEUMOCOCCAL RATES, INCLUDING INTERDISCIPLINARY, PRACTICE-BASED LEARNING; EMPLOYMENT OF VALIDATED TOOL; ENHANCED QUALITY OF LIFE; AND DECREASED HEALTHCARE COSTS. SUBSTANTIALLY IMPROVED PNEUMOCOCCAL IMMUNIZATION RATES THROUGH THIS PROJECT. 70973 62250 26427 THE PHYSICIANS' INSTITUTE CONTINUED OPIOID EDUCATION BASED ON FDA CURRICULUM SUPPORTED AND MANAGED EDUCATIONAL ACTIVITIES FOR SIX STATE MEDICAL SOCIETIES FOR 13 ACTIVITIES WITH 1280 LEARNERS. FOLLOW-UP DEMONSTRATED CONSIDERABLE PRACTICE CHANGES AS A RESULT OF THE EDUCATIONAL ACTIVITIES. 58889 34027 THE PHYSICIANS FOUNDATION AWARDED A GRANT TO THE PHYSICIANS' INSTITUTE TO PROVIDE LEADERSHIP WORKSHOPS AND EVALUATION TO SIX MEDICAL SOCIETIES NATIONWIDE THAT DID NOT HAVE LEADERSHIP PROGRAMS IN PLACE. 34447 32091 3235 THE PHYSICIANS' INSTITUTE CONTINUED OPIOID EDUCATION BASED ON FDA CURRICULUM SUPPORTED AND MANAGED EDUCATIONAL ACTIVITIES FOR NINE STATE MEDICAL SOCIETIES FOR 45 ACTIVITIES WITH 1517 LEARNERS. FOLLOW-UP DEMONSTRATED CONSIDERABLE PRACTICE CHANGES AS A RESULT OF THE EDUCATIONAL ACTIVITIES. 34447 32091 3235 242637 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 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 2.00 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 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 20.00 47.50 X X 0 304596 44466 MADALYN N DAVIDOFF MD DIRECTOR 0.50 X 0 0 0 JOHN ROGERS MD DIRECTOR 0.50 X 0 0 0 ROBERT ADDLETON EXECUTIVE VICE PRESIDENT 40.00 X 121985 0 7550 ADELE COHEN SENIOR VICE PRESIDENT 37.50 X 92367 0 5853 214352 304596 57869 1 0 1 0 0 398403 398403 FEES & REGISTRATIONS 611430 99218 99218 99218 152 152 497773 99218 0 152 X 92341 92341 2000 2000 228868 228868 13403 13403 23123 23123 17237 17237 86261 85049 1212 13173 3437 9736 3505 2940 565 25021 25021 30570 30394 176 ACCREDITATION FEES 2705 2705 SUPPLIES 1455 1455 DUES 110 110 539772 242637 297135 0 345913 282671 30000 3750 5750 234 349897 318421 17622 24991 81019 84173 98641 109164 X 148867 105168 102389 104089 251256 209257 349897 318421 -41999 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 84173 84173 1 KENTUCKY MEDICAL ASSOCIATION 4965 US HWY 42 2000 LOUISVILLE KY 40222 610246800 501C(6) 5000 SMS CORE 3 OPIOID EDUCATION LOUISIANA STATE MEDICAL SOCIETY 6767 PERKINS RD 100 BATON ROUGE LA 70808 720386637 501C(6) 10500 SMS CORE 3 OPIOID EDUCATION MEDICAL ASSOCIATION OF THE STATE OF ALABAMA 19 SOUTH JACKSON STREET MONTGOMERY AL 36104 630268042 501C(6) 20000 SMS CORE 3 OPIOID EDUCATION MEDICAL SOCIETY OF VIRGINIA FOUNDATION 2924 EMERYWOOD PARKWAY RICHMOND VA 23294 626021046 501C(3) 5346 SMS CORE 2 OPIOID EDUCATION MICHIGAN STATE MEDICAL SOCIETY 120 W SAGINAW EAST LANSING MI 48823 380830717 501C(6) 12500 SMS CORE 2 & 3 OPIOID EDUCATION MISSISSIPPI STATE MEDICAL SOCIETY 408 WEST PARKWAY PLACE RIDGELAND MS 39157 640317537 501C(6) 5000 SMS CORE 3 OPIOID EDUCATION NORTH CAROLINA MEDICAL SOCIETY PO BOX 37167 RALEIGH NC 27601 560320130 501C(6) 10500 SMS CORE 3 OPIOID EDUCATION 1 6 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. 0 0 0 0 0 0 0 0 0 DONALD J PALMISANO JR EX-OFFICIO TREASURER 0 219196 0 75000 0 10400 0 18684 0 25782 0 349062 0 0 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 TOLEAVE 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 MANAGEMENT: PROGRAM SERVICE EXPENSES 65,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,375. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,212. CONSULTANTS: PROGRAM SERVICE EXPENSES 19,674. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,674. 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. 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 0 1 1 0 0 0