2016-11-09T08:59:15-06:00 2015-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2015-01-01 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 2016-11-03 1 MARY JO ALEXANDER P00002534 7709558600 2016-11-03 X 2015 2017-02-10 21:41:12Z DONALD J PALMISANO JR 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 501261 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 10 0 0 1025256 348798 92436 152277 544 186 0 0 1118236 501261 181988 165251 0 0 291574 274466 0 0 0 602628 256833 1076190 696550 42046 -195289 591482 349897 144937 98641 446545 251256 X TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS. 0 0 189609 165251 13111 THE 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. 153063 42880 THE 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. 30859 33460 THE PHYSICIANS' INSTITUTE MANAGED AN INITIATIVE FOR ASSOCIATION OF HOSPITAL MEDICAL EDUCATION FOCUSING ON LA OPIOID EDUCATION TO 18 HOSPITALS SYSTEMS. 13563 62826 AS 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. 13563 62826 387094 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 1 0 1 4 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 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 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 289193 43968 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 124026 0 18777 ADELE COHEN SENIOR VICE PRESIDENT 37.50 X 98436 0 25376 222462 289193 88121 1 0 1 0 0 348798 348798 FEES & REGISTRATIONS 611430 152277 152277 152277 186 186 501261 152277 0 186 X 165251 165251 221600 221600 13140 13140 22919 22919 16807 16807 70779 69521 1258 7057 1066 5991 330 330 16246 16246 5133 4679 454 PROJECT EXPENSES 130331 130331 OCCUPANCY & SALARY REIM 25000 25000 ACCREDITATION FEES 1705 1705 BANK FEES 156 156 96 96 696550 387094 309456 0 573539 345913 17943 3750 234 591482 349897 28706 17622 23783 92448 81019 144937 98641 X 235585 148867 210960 102389 446545 251256 591482 349897 -195289 0 X X 0 1 X 0 0 X X 1 MEDICAL ASSOCIATION OF GEORGIA INC 580605267 9 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 81019 81019 FORM 990 PART X THERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10). 1 INSTITUTE FOR MEDICAL QUALITY 180 HOWARD STREET SAN FRANCISCO CA 94558 943240330 501C(3) 77000 REMS-2 SMS INDIANA STATE MEDICAL ASSOCIATION 322 CANAL WALK INDIANOPOLIS IN 46202 350411650 501C(6) 8806 REMS-2 SMS MARYLAND STATE MEDICAL SOCIETY 1211 CATHEDRAL STREET BALTIMORE MD 21201 520410730 501C(6) 5250 REMS-2 SMS MEDICAL SOCIETY OF VIRGINIA FOUNDATION 2924 EMERYWOOD PARKWAY RICHMOND VA 23294 626021046 501C(3) 14000 REMS-2 SMS MICHIGAN STATE MEDICAL SOCIETY 120 W SAGINAW EAST LANSING MI 48823 380830717 501C(6) 14000 REMS-2 SMS MINNESOTA MEDICAL ASSOCIATION 1300 GODWARD STREET NE MINNEAPOLIS MN 55413 410418625 501C(6) 10500 REMS-2 SMS OREGAN MEDICAL ASSOCIATION 11740 SW 68TH PARKWAY PORTLAND OR 97223 930497431 501C(6) 9100 REMS-2 SMS WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE 420 1ST ANTOINE DETROIT MI 48201 386028429 501C(3) 5495 REMS-2 SMS WSMA FOUNDATION FOR HEALTH CARE 2001 SIXTH AVENUE SEATTLE WA 98121 916074463 501C(3) 8400 REMS-2 SMS MEDICAL ASSOCIATION OF THE STATE OF ALABAMA 19 SOUTH JACKSON STREET MONTGOMERY AL 36104 630268042 501C(6) 9100 REMS-2 SMS 4 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. 1 X 0 0 0 0 0 0 0 0 0 DONALD J PALMISANO JR EX-OFFICIO TREASURER 0 218793 0 60000 0 10400 0 17784 0 26184 0 333161 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 PROGRAM 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 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 25000 ACTUAL COST INCURRED