2015-11-05T15:01:55-06:00 2014-12-31 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2014-01-01 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 2015-11-04 1 MARY JO ALEXANDER P00002534 7709558600 2015-11-04 X 2014 2016-04-25 22:37:26Z DONALD J PALMISANO JR 1849 THE EXCHANGE NO 200 ATLANTA GA 303392027 1118236 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 969608 1025256 96213 92436 1330 544 0 0 1067151 1118236 494040 181988 0 0 260608 291574 0 0 0 275176 602628 1029824 1076190 37327 42046 617649 591482 179777 144937 437872 446545 X TO IMPROVE PATIENT SAFETY AND ACHIEVE CLINICAL IMPROVEMENTS FORGEORGIA PHYSICIANS AND THEIR PATIENTS. 0 0 178993 51750 COLLABORATION IN REMS EDUCATION (CO*RE)THE PHYSICIANS' INSTITUTE RECEIVED SUPPORT THROUGH AN FDA EDUCATIONAL INITIATIVE REGARDING LONG ACTING EXTENDED RELEASE OPIOIDS FOR PRESCRIBERS TO COORDINATE AND MANAGE 15 STATE MEDICAL SOCIETIES EDUCATIONAL ACTIVITIES 158325 100593 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. 59964 18766 TEAM A - AHMEAS 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. 80551 10879 92436 TEAM A - AAPAAS 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 AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS. 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. 80551 10879 92436 477833 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 9 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 267400 48020 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 128360 0 17249 ADELE COHEN SENIOR VICE PRESIDENT 37.50 X 95640 0 24872 224000 267400 90141 1 0 1 0 THE EDUCATIONAL CONCEPT GROUP 1300 PARKWOOD CIRCLE SE ATLANTA GA 30339 RESEARCH 267845 1 1025256 1025256 FEES & REGISTRATIONS 611430 92436 92436 92436 544 544 1118236 92436 0 544 X 181988 181988 230192 230192 14160 14160 29220 29220 18002 18002 466237 194875 271362 7784 1634 6150 30285 27997 2288 10430 10352 78 PROJECT EXPENSES 60987 60987 OCCUPANCY & SALARY REIM 25000 25000 ACCREDITATION FEES 1705 1705 DUES 200 200 1076190 477833 598357 0 581744 573539 34200 17943 1705 617649 591482 20906 28706 83723 23783 75148 92448 179777 144937 X 157524 235585 280348 210960 437872 446545 617649 591482 X 42046 -33373 X X 0 1 X 0 0 X X 1 MEDICAL ASSOCIATION OF GEORGIA INC 580605267 501(C)(6) 1 0 0 1 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 92448 92448 X PART X, LINE 2: THERE ARE NO UNCERTAIN TAX LIABILITIES REPORTED ON THE CONSOLIDATED AUDITED FINANCIALS UNDER FIN 48(ASC 740-10). 1 MINNESOTA MEDICAL ASSOCIATION 1300 GODWARD ST NE 2500 MINNEAPOLIS MN 55413 410418625 501(C)3 7219 OPIOID EDUCATION MSMS FOUNDATION 120 W SAGINAW EAST LANSING MI 48823 386069432 501(C)3 8500 OPIOID EDUCATION FLORIDA MEDICAL ASSOCIATION 1430 PIEDMONT DRIVE EAST TALLAHASSEE FL 32308 590559672 501(C)3 8500 OPIOID EDUCATION MEDICAL FOUNDATION OF ALABAMA 19 SOUTH JACKSON DT MONTGOMERY AL 36104 630268042 501(C)3 8500 OPIOID EDUCATION INSTITUTE FOR MEDICAL QUALITY 180 HOWARD 210 SAN FRANCISCO CA 94105 943240330 501(C)3 10194 OPIOID EDUCATION ILLINOIS STATE MEDICAL SOCIETY 20 N MICHIGAN AVE 700 CHICAGO IL 60602 362436054 501(C)3 8500 OPIOID EDUCATION OKLAHOMA STATE MEDICAL ASSOC 313 NE 50TH ST OKLAHOMA CITY OK 73105 730384245 501(C)3 5306 OPIOID EDUCATION INDIANA STATE MEDICAL ASSOCIAT 322 CANAL WALK INDIANAPOLIS IN 46202 359411650 501(C)3 8500 OPIOID EDUCATION TEXAS MEDICAL ASSOCIATION 401 W 15TH ST AUSTIN TX 78701 741078510 501(C)3 6621 OPIOID EDUCATION WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT 2033 SIXTH ST 1100 SEATTLE WA 98121 916074463 501(C)3 7235 OPIOID EDUCATION MEDICAL SOCIETY OF VIRGINIA FOOUNDATION 2924 EMERYWOOD PKWY 300 RICHMOND VA 23294 521394768 501(C)3 8500 OPIOID EDUCATION MEDICAL SOCIETY OF VIRGINIA FOUNDATION 777 E PARK DRIVE HARRISBURG PA 17111 231570227 501(C)3 8500 OPIOID EDUCATION AMERICAN ACADEMY OF PHYSICIAN 2318 MILL RD 1300 ALEXANDRIA VA 22314 237067770 501(C)3 34500 STROKE PREVENTION EDUCATION AMERICAN ACADEMY OF PHYSICIAN 2318 MILL RD 1300 ALEXANDRIA VA 22314 237067770 501(C)3 17250 STROKE PREVENTION EDUCATION CALIFORNIA HOSPITAL MEDICAL CENTER 1401 S GRAND LEAVEY HALL 311 LOS ANGELES CA 90015 941196203 501(C)3 9911 STROKE PREVENTION EDUCATION 15 0 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 207000 0 50000 0 10400 0 16044 0 31976 0 315420 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 46,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,200. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,517. MED EDUCATIONAL CONSULTANTS: PROGRAM SERVICE EXPENSES 148,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148,675. CME CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 267,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,845. FORM 990, PART XI, LINE 9: RETURN OF UNSPENT FUNDS TO GRANTOR -33,373. 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 351181 ACTUAL COST INCURRED