2024-05-09T08:20:14-05:00 2023-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2022-07-01 581175625 HEMOPHILIA OF GEORGIA INC HEMO 7705188272 8607 ROBERTS DR 150 SANDY SPRINGS GA 303502237 ROBERT GILLESPIE COO 7705188272 2024-05-08 1 ROBERT GILLESPIE 999009999 0 MARY JO ALEXANDER P00002534 7709558600 2024-05-02 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT GILLESPIE 8607 ROBERTS DR 150 SANDY SPRINGS GA 303502237 159883374 0 X WWW.HOG.ORG X 1973 GA HEMOPHILIA OF GEORGIA EXISTS SO THAT PEOPLE IN GEORGIA AFFECTED BY BLEEDING DISORDERS LIVE AS NORMALLY AND PRODUCTIVELY AS POSSIBLE. 10 10 88 127 0 0 1617173 1567368 363158 493292 2298462 929001 22448418 25684688 26727211 28674349 8605908 9182200 0 0 8799910 9797725 0 0 989442 4278619 5610196 21684437 24590121 5042774 4084228 77460536 86473069 22762988 24968283 54697548 61504786 HEMOPHILIA OF GEORGIA EXISTS SO THAT PEOPLE IN GEORGIA AFFECTED BY BLEEDING DISORDERS LIVE AS NORMALLY AND PRODUCTIVELY AS POSSIBLE. 0 0 20964668 9182200 26330311 DIAGNOSIS, SCREENING, TREATMENT, RESEARCH, AND EDUCATION OF PEOPLE WITH BLEEDING DISORDERS THROUGHOUT GEORGIA. THE PRIMARY PURPOSE OF HEMOPHILIA OF GEORGIA IS TO IMPROVE THE QUALITY OF LIFE FOR ALL INDIVIDUALS AFFECTED BY HEMOPHILIA AND ITS COMPLICATIONS BY WAY OF COMMUNITY SERVICE, EDUCATIONAL PROGRAMS AND RESEARCH. THE ORGNIZATION IS DEDICATED TO PROVIDING TREATMENT AND TO FINDING A CURE FOR HEMOPHILIA AND ITS COMPLICATIONS. A SIGNIFICANT PORTION OF HOG'S REVENUES ARE DERIVED FROM THE SALE OF CLOTTING FACTOR PRODUCTS TO PEOPLE WITH BLEEDING DISORDERS, PRIMARILY IN THE STATE OF GEORGIA, AT PRICES BELOW AVERAGE WHOLESALE PRICES. 20964668 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 52 0 1 88 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X ROBERT GILLESPIE 7705188272 8607 ROBERTS DR SUITE 150 SANDY SPRINGS GA 303502237 EDITH A ROSATO CEO 40.00 X 537018 0 38053 PAUL PERROTTI CFO 40.00 X 358162 0 48198 LEIGH CARPENTER VP OF PHARMACY OPERATIONS 40.00 X 218063 0 32503 ROBERT GILLESPIE VP OF PROGRAMS 40.00 X 209033 0 28669 VICTOR MCCARTHY CHIEF DEVELOPMENT OFFICER 40.00 X 199660 0 26890 MARK JOLLY VP PAYER RELATIONS & NETWORK DEVELOP 40.00 X 188357 0 31885 KAREN GENEY CHIEF OPERATING OFFICER 40.00 X 171960 0 17093 JACKIE SHIPP VP INFORMATION TECHNOLOGY 40.00 X 178294 0 9577 DAVID BURNS CHIEF GOVERNANCE OFFICER 1.00 X X 0 0 0 TODD RATLIFF SECRETARY/DIRECTOR 1.00 X X 0 0 0 TOM BRAND DIRECTOR 0.50 X 0 0 0 DAN MADDOCK DIRECTOR 0.50 X 0 0 0 DR ROBERT CARTON DIRECTOR 0.50 X 0 0 0 HIRAM ALLEN DIRECTOR 1.00 X 0 0 0 ALEX POPE VICE CHIEF GOVERNANCE OFFICER 1.00 X 0 0 0 RADIUM YAN DIRECTOR 0.50 X 0 0 0 DONNEL WARREN DIRECTOR 0.50 X 0 0 0 PAD NARAYANAN DIRECTOR 0.50 X 0 0 0 ANDY WURTZEL DIRECTOR 0.50 X 0 0 0 2060547 0 232868 29 0 1 0 SMITH GAMBRELL & RUSSELL LLP 1230 PEACHTREE ST STE 3100 ATLANTA GA 30309 LEGAL 240878 CREATIVE WHEEL LLC 55 PORCH LANE PAWLEYS ISLAND SC 29585 SERVICES 165817 VIRSYS12 278 FRANKLIN RD STE 300 BRENTWOOD TN 37027 TECHNOLOGY CONSULTING 100804 3 196133 1242798 128437 15214 1567368 PHARMACY AND DISPENSING FEES 456110 486274 486274 MEETING REGISTRATION FEES 900099 7018 7018 493292 727306 727306 7793202 7591507 201695 201695 201695 40638 196133 193039 -152401 -152401 149261498 123424479 25837019 25837019 RETAINER REFUND 900099 70 70 70 28674349 26330311 0 776670 6914607 6914607 2267593 2267593 1370128 1093309 174065 102754 6599851 5261677 843655 494519 186011 149936 21983 14092 1173117 945603 138641 88873 468618 377735 55382 35501 388538 349684 38854 146125 146125 152699 152699 52445 52445 151079 134600 16479 10260 1186 8841 233 485386 304144 174442 6800 658774 531012 77855 49907 491620 396275 58101 37244 1175578 947587 138932 89059 28146 1845 26301 412756 386504 23076 3176 246243 198487 29101 18655 MEDICAL SUPPLIES 205457 205457 DUES AND TAXES 137015 110442 16193 10380 COMMUNITY EDUCATION/AWA 101016 101016 0 0 CAMP EXPENSES 84497 84497 682562 201472 469142 11948 24590121 20964668 2636011 989442 5887444 6201383 4417317 2917815 300128 484161 14826366 16489069 5606648 7096845 652793 846382 3450307 1032031 2307749 2418276 29795368 36147356 7707758 6236791 5958965 7634991 77460536 86473069 14646612 17371269 2094891 1828544 6021485 5768470 22762988 24968283 X 54464581 61169690 232967 335096 54697548 61504786 77460536 86473069 4084228 2723010 0 X X 0 1 X 1 1 1 X 1601993 1559833 3517063 1607512 1567368 9853769 1601993 1559833 3517063 1607512 1567368 9853769 9853769 1080349 961491 816797 913591 727306 4499534 43691 70 43761 14397064 587052722 0.68440 0.67490 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RETAINER REFUND - 2021 AMOUNT: $ 43,691. 2022 AMOUNT: $ 70. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 152699 0 0 152699 0 SCHEDULE C, PART II-B, LINE 1G FEES PAID FOR GENERAL BUSINESS MATTERS INVOLVING HEALTHCARE REGULATIONS AND POLICIES CONSULTATION: $152,699 1499628 448560 1051068 952375 284867 667508 998304 298604 699700 2418276 US GOVERNMENT & AGENCY SECURITIES 5316980 F CERTIFICATES OF DEPOSIT 919811 F 6236791 ACCRUED INTEREST RECEIVABLE 87840 LONG TERM DEPOSITS 19860 RIGHT OF USE ASSET 4290139 OTHER RECEIVABLES 3237152 7634991 LEASE LIABILITY 5530537 EXPENSE REIMBURSEMENTS DUE TO SUBGRANTEES 237933 5768470 X PART X, LINE 2: HOG IS A NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BEACON IS A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY HOG. AS A SINGLE MEMBER LIMITED LIABILITY COMPANY, BEACON IS A DISREGARDED ENTITY FOR INCOME TAX PURPOSES. ANY INCOME EARNED BY BEACON THAT IS RELATED TO HOG'S EXEMPT STATUS PURPOSE WILL ALSO BE EXEMPT. ANY OTHER INCOME EARNED BY BEACON WILL BE TAXED AT STANDARD CORPORATE RATES. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). GOLF TOURNAMENT 99070 79256 19814 108606 TROT TO CLOT 97980 85100 12880 50145 1 39721 31777 7944 34288 236771 196133 40638 193039 193039 -152401 1 AUGUSTA UNIVERSITY 1120 15TH STREET CJ-3301 AGUSTA GA 30912 GOVT 1423082 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ALABAMA DEPARTMENT OF REHABILITATION SERVICES 602 S LAWRENCE STREET MONTGOMERY AL 36104 GOVT 26200 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS CAMP TWIN LAKES 1100 SPRING ST NW SUITE 406 ATLANTA GA 30309 501C(3) 20000 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS EAST CAROLINA UNIVERSITY 209 EAST 5TH STREET MS 211 GREENVILLE NC 27858 GOVT 9900 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS EMORY UNIVERSITY PO BOX 935084 ATLANTA GA 31193 GOVT 3870581 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS FOUNDATION FOR WOMEN & GIRLS WITH BLODD DISORDER P O BOX 1358 MONTCLAIR NJ 07042 501C(3) 30000 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS HEMOPHILIA FOUNDATION OF GREATER FLORIDA 1350 ORANGE AVENUE SUITE 227 WINTER PARK FL 32789 501C(3) 132500 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS HEMOPHILIA OF FOUNDATION OF MICHIGAN 1921 W MICHIGAN AVE YPSILANTI MO 48197 501C(3) 10000 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS JOHNS HOPKINS ALL CHILDREN'S HOSPITAL 501 6TH AVE SOUTH ST PETERSBERG FL 33701 501C(3) 43220 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS KIDZ MEDICAL SERVICES INC 5955 PONCE DE LEON BLVD CORAL GABLES FL 33146 21988 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 4700 WATERS AVENUE SAVANNAH GA 31404 501C(3) 246071 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS MISSISSIPPI CENTER FOR ADVANCED MEDICINE 7731 OLD CANTON ROAD STE B MADISON MS 39110 6440 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS NATIONAL HEMOPHILIA FOUNDATION (COALITION OF THE AMERICAS) 7 PENN PLAZA SUITE 1204 NEW YORK NY 10001 501C(3) 26600 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS NEMOURS CHILDREN'S CLINIC - JACKSONVILLE 10140 CENTURION PARKWAY NORTH JACKSONVILLE FL 32256 501C(3) 40055 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ORLANDO HEALTH FOUNDATION 3160 SOUTHGATE COMMERCE BLVD SUITE 50 ORLANDO FL 32806 501C(3) 25754 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ST JOSEPH'S CHILDREN'S HOSPITAL 2985 DREW STREET CLEARWATER FL 33759 GOVT 39200 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY HEALTH SYSTEM INC 1928 ALCOA HIGHWAY STW B-214 KNOXVILLE TN 37920 501C(3) 21000 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF ALABAMA AT BIRMINGHAM AB 990 1720 SECOND AVENUE SOUTH BIRMINGHAM AL 35294 GOVT 46645 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF FLORIDA PO BOX 113001 GAINSVILLE FL 32611 GOVT 36463 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF KENTUCKY PO BOX 931113 CLEVELAND OH 44193 GOVT 17394 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF LOUISVILLE PO BOX 909 LOUISVILLE KY 40201 GOVT 18700 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF MIAMI PO BOX 405803 ATLANTA GA 30384 GOVT 60583 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL PO BOX 402420 ATLANTA GA 30384 GOVT 91192 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF SOUTH CAROLINA PO BOX 2266 COLUMBIA SC 29202 GOVT 11400 0 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF SOUTH FLORIDA PO BOX 864568 ORLANDO FL 32886 GOVT 18155 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS VANDERBILT UNIVERSITY MEDICAL CENTER PO BOX 121236 DALLAS TX 75312 501C(3) 15526 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS WAKE FOREST UNIVERSITY HEALTH SERVICES 1834 WAKE FOREST RD WINSTONSALEM NC 27517 501C(3) 16959 0 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS WORLD FEDERATION OF HEMOPHILIA PMB 142 911 CENTRAL AVE STE 24 ALBAN NY 12214 501C(3) 580000 0 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS 28 2 EDUCATIONAL SCHOLARSHIPS 27 87312 PATIENT ASSISTANCE 1000 2180281 PART I, LINE 2: THE ELIGIBILITY FOR GRANTS IS STATED IN THE GRANT GUIDANCE WHICH ALSO INCLUDES THE FUNDER'S CRITERIA FOR AWARD. THE PROCEDURE FOR MONITORING USE OF GRANT FUNDS APPLIES TO THE AFFILIATES. PERIODIC SITE VISITS TAKE PLACE TO ASSURE THAT SUBS CONTINUE TO MEET THE DEFINITION OF COMPREHENSIVE CARE, THAT THEY REMAIN HIPAA COMPLIANT AND THAT PATIENTS ARE PLEASED WITH THEIR CARE. FURTHER, THE ORGANIZATION REQUIRES DATA AND PROGRESS REPORTS FROM THE AFFILIATES ANNUALLY, WHICH DOCUMENT THEIR PROGRESS TOWARD STATED REGIONAL GOALS AND OBJECTIVES AND ALSO THEIR PATIENT ENROLLMENT NUMBERS IN THE PROGRAM. THE ORGANIZATION EMPLOYS A REGIONAL COORDINATOR WHOSE MAIN RESPONSIBILITY IS TO OVERSEE THESE GRANTS AND MAINTAIN THE RECORDS. X X 1 0 0 0 0 0 0 1 0 EDITH A ROSATO CEO 447953 0 89065 0 0 0 17223 0 20830 0 575071 0 0 0 PAUL PERROTTI CFO 292662 0 65500 0 0 0 17783 0 30415 0 406360 0 0 0 LEIGH CARPENTER VP OF PHARMACY OPERATIONS 188563 0 29500 0 0 0 11579 0 20924 0 250566 0 0 0 ROBERT GILLESPIE VP OF PROGRAMS 172333 0 36700 0 0 0 10656 0 18013 0 237702 0 0 0 VICTOR MCCARTHY CHIEF DEVELOPMENT OFFICER 169660 0 30000 0 0 0 8081 0 18809 0 226550 0 0 0 MARK JOLLY VP PAYER RELATIONS & NETWORK DEVELOP 158357 0 30000 0 0 0 10716 0 21169 0 220242 0 0 0 KAREN GENEY CHIEF OPERATING OFFICER 111960 0 60000 0 0 0 6483 0 10610 0 189053 0 0 0 JACKIE SHIPP VP INFORMATION TECHNOLOGY 157794 0 20500 0 0 0 9577 0 0 0 187871 0 0 0 PART I, LINE 1A HEMOPHILIA OF GEORGIA PAYS 100% OF COVERAGE FOR THE EMPLOYEE ONLY FOR HSA MEDICAL, DENTAL & VISION BENEFIT PLANS. PART I, LINE 4A PAUL PERROTTI - $89,180 PART I, LINE 7 THE BOARD SETS AND APPROVES THE CEO'S BONUS BASED ON HAVING ACCOMPLISHED THE BOARD'S ENDS AND HOW WELL SHE ACHIEVED THOSE ENDS. THE CEO APPROVES MANAGER'S BONUSES. THE BOARD SETS MANAGEMENT LIMITATIONS AND THE CEO MUST GIVE THE BOARD MONITORING REPORTS WHICH ARE REVIEWED AND ACCEPTED BY THE BOARD. ALL OTHER DISCRETIONARY BONUSES ARE APPROVED BY EXECUTIVE MANAGEMENT. BONUS AMOUNTS FOR THE YEAR ARE AS FOLLOWS: EDITH A. ROSATO $89,065 KAREN GENEY $60,000 LEIGH CARPENTER $29,500 JACKIE SHIPP $20,500 ROBERT GILLESPIE $36,700 VICTOR MCCARTHY $30,000 PAUL PERROTTI $65,500 MARK JOLLY $30,000 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 ELECTRONICALLY SENT TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENLY MONITOR COMPLIANCE WITH THE POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A CEO COMPENSATION COMMITTEE AND A POLICY REGARDING CEO COMPENSATION. THE COMPENSATION IS BASED UPON THE CEO'S END OF YEAR REPORTS AND PERIODIC MONITORING REPORTS. THE BOARD RATES THE CEO REPORTS AND THEN RECEIVES THE RECOMMENDATION OF THE COMPENSATION COMMITTEE AS TO THE CEO COMPENSATION. THEY ALSO PERFORM A SALARY STUDY EVERY OTHER YEAR, AND ADJUST COMPENSATION AS NECESSARY. ALL OF THE VP'S HAVE OBJECTIVES TO ACHIEVE. INCREASES ARE BASED UPON HOW SUCCESSFULLY THEY ACCOMPLISH THEIR OBJECTIVES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. BEACON PHARMACY LLC 8607 ROBERTS DRIVE SUITE 150B SANDY SPRINGS GA 30350 263967837 SELL NON-340B PHARMACY PRODUCTS GA 22494734 48058369 HEMOPHILIA OF GEORGIA INC