MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MAG INSTITUTE FOR EXCELLENCE IN MEDICINE INC (EIN 30-0211350)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-09
IRS object ID
201643149349300024
Schema version
2015v2.1
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)
Return2016-11-09T08:59:15-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300211350EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN'S INSTITUTE FOR EXCELLENCEBusinessNameLine1Txt
Business Name Line2IN MEDICINE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
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 TitleTREASURERPersonTitleTxt
Phone6783039290PhoneNum
Signature2016-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY JO ALEXANDERPreparerPersonNm
PTINP00002534PTIN
Phone7709558600PhoneNum
Preparation2016-11-03PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$501,261GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,025,256PYContributionsGrantsAmt
CY Contributions Grants$348,798CYContributionsGrantsAmt
PY Program Service Revenue$92,436PYProgramServiceRevenueAmt
CY Program Service Revenue$152,277CYProgramServiceRevenueAmt
PY Investment Income$544PYInvestmentIncomeAmt
CY Investment Income$186CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,118,236PYTotalRevenueAmt
CY Total Revenue$501,261CYTotalRevenueAmt
PY Grants And Similar Paid$181,988PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$165,251CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$291,574PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$274,466CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$602,628PYOtherExpensesAmt
CY Other Expenses$256,833CYOtherExpensesAmt
PY Total Expenses$1,076,190PYTotalExpensesAmt
CY Total Expenses$696,550CYTotalExpensesAmt
PY Revenues Less Expenses$42,046PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$195,289CYRevenuesLessExpensesAmt
Total Assets BOY$591,482TotalAssetsBOYAmt
Total Assets EOY$349,897TotalAssetsEOYAmt
Total Liabilities BOY$144,937TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,641TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$446,545NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$251,256NetAssetsOrFundBalancesEOYAmt
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$189,609ExpenseAmt
Grant$165,251GrantAmt
Revenue$13,111RevenueAmt
DescTHE PHYSICIANS' INSTITUTE RECEIVED SUPPORT TO MANAGE NINE STATE MEDICAL SOCIETIES (SMS) TO OFFER LA OPIOID REMS EDUCATIONAL ACTIVITIES TO THEIR RESPECTIVE MEMBERSHIPS. INTERACTIVE ACTIVITIES WILL BE PLANNED BY THE INDIVIDUAL SMS AND PROVIDED THROUGH LIVE ACTIVITIES AND ENDURING ACTIVITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$153,063ExpenseAmt
Revenue$42,880RevenueAmt
DescTHE PHYSICIANS' INSTITUTE WAS SELECTED BY PFIZER FOR A PARTNERSHIP PROJECT TO MANAGE COLLABORATIVE GRANTS TO FIVE STATE CHAPTERS OF PRIMARY CARE SPECIALTY SOCIETIES AND PRIMARY CARE ASSOCIATIONS TO MANAGE PERFORMANCE IMPROVEMENT ACTIVITIES FOR 5-10 PRACTICES EACH RELATED TO IMPROVING THE CARE OF PATIENTS WHO EXPERIENCE CHRONIC PAIN IN A PATIENT CENTERED MEDICAL HOME CONTEXT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$30,859ExpenseAmt
Revenue$33,460RevenueAmt
DescTHE PHYSICIANS' INSTITUTE MANAGED AN INITIATIVE FOR ASSOCIATION OF HOSPITAL MEDICAL EDUCATION FOCUSING ON LA OPIOID EDUCATION TO 18 HOSPITALS SYSTEMS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$13,563ExpenseAmt
Revenue$62,826RevenueAmt
DescAS PART OF A NATIONAL COLLABORATIVE, THE ATRIAL FIBRILLATION INITIATIVE RECEIVED AN EDUCATIONAL GRANTS FROM THE BRISTOL-MYERS SQUIBB/PFIZER PARTNERSHIP TO DEVELOP EDUCATIONAL ACTIVITIES FOR THE ASSOCIATION FOR HOSPITAL MEDICAL EDUCATION. 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$13,563TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$62,826TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$387,094TotalProgramServiceExpensesAmt
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 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 Document4IRPDocumentCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 JACOBSBusinessNameLine1Txt
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 (12 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$02.00
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
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
TREASURER20.00Yes (X)Yes (X)$0$289,193$43,96847.50
MADALYN N DAVIDOFF MD
DIRECTOR0.50Yes (X)$0$0$0
JOHN ROGERS MD
DIRECTOR0.50Yes (X)$0$0$0
ROBERT ADDLETON
EXECUTIVE VICE PRESIDENT40.00Yes (X)$124,026$0$18,777
ADELE COHEN
SENIOR VICE PRESIDENT37.50Yes (X)$98,436$0$25,376
FieldValueIRS element (for citing)
Total Reportable Comp From Org$222,462TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$289,193TotReportableCompRltdOrgAmt
Total Other Compensation$88,121TotalOtherCompensationAmt
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$348,798AllOtherContributionsAmt
Total Contributions$348,798TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFEES & REGISTRATIONSDesc
Business611430BusinessCd
Total Revenue Column$152,277TotalRevenueColumnAmt
Related Or Exempt Func Income$152,277RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$152,277TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$186TotalRevenueColumnAmt
Exclusion$186ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$501,261TotalRevenueColumnAmt
Related Or Exempt Func Income$152,277RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$186ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$165,251TotalAmt
Program Services$165,251ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$221,600TotalAmt
Management And General$221,600ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,140TotalAmt
Management And General$13,140ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,919TotalAmt
Management And General$22,919ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,807TotalAmt
Management And General$16,807ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$70,779TotalAmt
Program Services$69,521ProgramServicesAmt
Management And General$1,258ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,057TotalAmt
Program Services$1,066ProgramServicesAmt
Management And General$5,991ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$330TotalAmt
Management And General$330ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,246TotalAmt
Program Services$16,246ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,133TotalAmt
Program Services$4,679ProgramServicesAmt
Management And General$454ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROJECT EXPENSES$130,331$130,331
OCCUPANCY & SALARY REIM$25,000$25,000
ACCREDITATION FEES$1,705$1,705
BANK FEES$156$156

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$96TotalAmt
Management And General$96ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$696,550TotalAmt
Program Services$387,094ProgramServicesAmt
Management And General$309,456ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$573,539BOYAmt
EOY$345,913EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,943BOYAmt
EOY$3,750EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$234EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$591,482BOYAmt
EOY$349,897EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,706BOYAmt
EOY$17,622EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,783BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,448BOYAmt
EOY$81,019EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,937BOYAmt
EOY$98,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$235,585BOYAmt
EOY$148,867EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$210,960BOYAmt
EOY$102,389EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,545BOYAmt
EOY$251,256EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$591,482BOYAmt
EOY$349,897EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$195,289ReconcilationRevenueExpnssAmt
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 Type9OrganizationTypeCd
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 3BTHE 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 3CSUPPORT 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$81,019Amt
FieldValueIRS element (for citing)
Total Liability$81,019TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990 PART XFormAndLineReferenceDesc
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 (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INSTITUTE FOR MEDICAL QUALITY
180 HOWARD STREETSAN FRANCISCOCA94558943240330501C(3)$77,000REMS-2 SMS
INDIANA STATE MEDICAL ASSOCIATION
322 CANAL WALKINDIANOPOLISIN46202350411650501C(6)$8,806REMS-2 SMS
MARYLAND STATE MEDICAL SOCIETY
1211 CATHEDRAL STREETBALTIMOREMD21201520410730501C(6)$5,250REMS-2 SMS
MEDICAL SOCIETY OF VIRGINIA FOUNDATION
2924 EMERYWOOD PARKWAYRICHMONDVA23294626021046501C(3)$14,000REMS-2 SMS
MICHIGAN STATE MEDICAL SOCIETY
120 W SAGINAWEAST LANSINGMI48823380830717501C(6)$14,000REMS-2 SMS
MINNESOTA MEDICAL ASSOCIATION
1300 GODWARD STREET NEMINNEAPOLISMN55413410418625501C(6)$10,500REMS-2 SMS
OREGAN MEDICAL ASSOCIATION
11740 SW 68TH PARKWAYPORTLANDOR97223930497431501C(6)$9,100REMS-2 SMS
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
420 1ST ANTOINEDETROITMI48201386028429501C(3)$5,495REMS-2 SMS
WSMA FOUNDATION FOR HEALTH CARE
2001 SIXTH AVENUESEATTLEWA98121916074463501C(3)$8,400REMS-2 SMS
MEDICAL ASSOCIATION OF THE STATE OF ALABAMA
19 SOUTH JACKSON STREETMONTGOMERYAL36104630268042501C(6)$9,100REMS-2 SMS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

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$218,793CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$60,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$10,400OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$17,784DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$26,184NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$333,161TotalCompensationRltdOrgsAmt
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 11GPROGRAM MANAGEMENT: PROGRAM SERVICE EXPENSES 24,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,500. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,258. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,258. CONSULTANTS: PROGRAM SERVICE EXPENSES 45,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,021.
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/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 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 GABusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$25,000InvolvedAmt
Method Of Amount DeterminationACTUAL COST INCURREDMethodOfAmountDeterminationTxt

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