2022-05-16T14:39:56-05:00 2021-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2020-07-01 581175625 HEMOPHILIA OF GEORGIA INC HEMO 7705188272 8607 ROBERTS DR NO 150 SANDY SPRINGS GA 303502237 PAUL PERROTTI CFO 7705188272 2022-05-12 1 PAUL PERROTTI 999009999 MARY JO ALEXANDER P00002534 7709558600 2022-05-12 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z PAUL PERROTTI 8607 ROBERTS DR NO 150 SANDY SPRINGS GA 303502237 118679963 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 48 75 0 0 1559833 3517063 690174 424953 375453 2088638 10270941 18532078 12896401 24562732 4190363 8184479 0 0 6145493 7200343 0 0 421433 5469460 3789373 15805316 19174195 -2908915 5388537 59043671 67882004 16992651 14704743 42051020 53177261 HEMOPHILIA OF GEORGIA EXISTS SO THAT PEOPLE IN GEORGIA AFFECTED BY BLEEDING DISORDERS LIVE AS NORMALLY AND PRODUCTIVELY AS POSSIBLE. 0 0 16337380 8184479 19007539 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. 16337380 1 1 0 1 0 0 0 0 0 0 1 1 0 0 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 36 0 1 48 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 PAUL PEROTTI 7705188272 8607 ROBERTS DR SUITE 150 SANDY SPRINGS GA 303502237 EDITH A ROSATO CHIEF EXECUTIVE OFFICER 40.00 X 473861 0 25117 KAREN GENEY COO 40.00 X 204512 0 22022 LEIGH CARPENTER DIRECTOR OF PHARMACY 40.00 X 189881 0 10135 JACKIE J SHIPP VP OF INFORMATION TECHNOLOGY 40.00 X 159983 0 8864 JEFF CORNETT VP OF RESEARCH & PUBLIC POLICY 40.00 X 160145 0 8121 ROBERT GILLESPIE VP OF PROGRAMS 40.00 X 150799 0 8101 RESHAM SAHIJRAM PHARMACIST 40.00 X 141916 0 4877 PAUL PERROTTI CFO 40.00 X 49228 0 796 TOM BRAND VICE CHIEF GOVERNANCE OFF 1.00 X X 0 0 0 DAVID HALL SECRETARY/DIRECTOR 0.70 X X 0 0 0 ANDREW WURTZEL CHIEF GOVERNANCE OFFICER 0.50 X 0 0 0 DAN MADDOCK DIRECTOR 0.50 X 0 0 0 DAVID BURNS DIRECTOR 0.70 X 0 0 0 NICK BLACKMON DIRECTOR 0.80 X 0 0 0 DR ROBERT CARTON DIRECTOR 0.70 X 0 0 0 HIRAM ALLEN DIRECTOR 1.00 X 0 0 0 ALEX POPE DIRECTOR 0.50 X 0 0 0 RADIUM YAN DIRECTOR 0.50 X 0 0 0 TODD RATLIFF DIRECTOR 0.50 X 0 0 0 1530325 0 88033 11 0 1 0 SMITH GAMBRELL & RUSSELL LLP 1230 PEACHTREE ST STE 3100 ATLANTA GA 30309 LEGAL 351409 NELSON MULLINS RILEY & SCARBOROUGH PO BOX 11009 COLUMBIA SC 29211 LOBBYING 121943 2 117663 3323709 75691 3517063 PHARMACY AND DISPENSING FEES 446110 395628 395628 MEETING REGISTRATION FEES 900099 29325 29325 424953 816797 816797 7750133 6478292 1271841 1271841 1271841 24180 117663 74688 -50508 -50508 106146837 87564251 18582586 18582586 24562732 19007539 0 2038130 6573461 6573461 1611018 1611018 1035786 857358 132088 46340 5009114 4213496 565174 230444 183988 102781 77644 3563 573232 320224 241908 11100 398223 307032 62968 28223 247713 171787 69806 6120 59161 59161 117743 117743 133159 133159 131005 131005 22370 2055 20315 448735 221962 226669 104 634192 453846 154274 26072 318857 200767 105338 12752 259099 106088 152811 200 54487 43375 11112 730687 699706 28643 2338 264958 5673 259285 MEDICAL SUPPLIES 110698 110698 COMMUNITY EDUCATION, AW 59130 59130 BOOKS, DUES, & SUBSCRIP 45563 18780 4706 22077 REPAIRS & MAINTENANCE 35268 13120 22148 116548 114018 1857 673 19174195 16337380 2415382 421433 7226183 4605146 5475348 9189348 331507 323410 9351328 11100308 2530528 3384728 339625 431909 4206861 2184359 2315765 2022502 18995847 25821090 12317800 8502708 159740 2500855 59043671 67882004 11617499 9758246 3349927 2133042 937100 0 1088125 2813455 16992651 14704743 X 41921750 52963115 129270 214146 42051020 53177261 59043671 67882004 5388537 5737704 0 X X 0 1 X 1 1 1 X 1724666 1492648 1601993 1559833 3517063 9896203 1724666 1492648 1601993 1559833 3517063 9896203 9896203 690190 900213 1080349 961491 816797 4449040 60731 83 10882 1280 72976 14418219 504830160 0.68640 0.65400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 117743 0 0 117743 0 SCHEDULE C, PART II-B, LINE 1G FEES PAID FOR GENERAL BUSINESS MATTERS INVOLVING HEALTHCARE REGULATIONS AND POLICIES CONSULTATION: $117,743 801168 415996 385172 915566 475396 440170 2490127 1292967 1197160 2022502 US GOVERNMENT & AGENCY SECURITIES 7097606 F CERTIFICATES OF DEPOSIT 1405102 F 8502708 LEASE LIABILITY 2592202 EXPENSE REIMBURSEMENTS DUE TO SUBGRANTEES 221253 2813455 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. GOLF TOURNAMENT 80904 63645 17259 29068 9699 TROT TO CLOT 52663 47397 5266 25147 1 8276 6621 1655 10774 141843 117663 24180 29068 45620 74688 -50508 1 EMORY UNIVERSITY PO BOX 935084 ATLANTA GA 311935084 580566256 501(C)(3) 3409000 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS AUGUSTA UNIVERSITY 1120 15TH STREET CJ-3301 AUGUSTA GA 30912 1207406 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS WORLD FEDERATION OF HEMOPHILIA USA PMB 142 911 CENTRAL AVE STE 24 ALBANY NY 12214 161513923 501(C)(3) 315000 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS CHILDREN'S HEALTHCARE OF ATLANTA 1575 NORTHEAST EXPY NE ATLANTA GA 30329 582367819 501(C)(3) 291832 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS HEMOPHILIA FOUNDATION OF GREATER FLORIDA INC 1350 ORANGE AVENUE SUITE 227 WINTER PARK FL 32789 593418827 501(C)(3) 197358 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS SCOTTISH RITE CHILDREN'S MEDICAL CENTER INC 1575 NORTHEAST EXPY NE ATLANTA GA 30329 580572465 501(C)(3) 178317 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS AMERICAN THROMBOSIS & HEMOSTASIS NETWORK 67 RED ROCK CIRCLE ROCHESTER NY 14626 205244339 501(C)(3) 161875 RESEARCH AND FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 4700 WATERS AVENUE SAVANNAH GA 31404 581618486 501(C)(3) 130258 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF ALABAMA AT BIRMINGHAM AB 990 1720 SECOND AVENUE SOUTH BIRMINGHAM AL 352940109 60108 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF MIAMI OFFICE OF RESEARCH ADMINISTRATION PO BOX 405803 ATLANTA GA 303845803 48515 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL C/O BANK OF AMERICA LOCKBOX SERVICES PO BOX 402420 ATLANTA GA 303842420 48068 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS JOHNS HOPKINS ALL CHILDREN'S HOSPITAL 501 6TH AVE SOUTH ST PETERSBERG FL 33701 590683252 501(C)(3) 43235 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ST JOSEPH'S CHILDREN'S HOSPITAL 2985 DREW STREET CLEARWATER FL 33759 39963 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS VANDERBILT UNIVERSITY MEDICAL CENTER VUMC FINANCE DEPT 1236 PO BOX 121236 DALLAS TX 753121236 352528741 501(C)(3) 36970 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF FLORIDA PO BOX 113001 GAINSVILLE FL 326113001 31116 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS NEMOURS CHILDREN'S CLINIC - JACKSONVILLE 10140 CENTURION PARKWAY NORTH JACKSONVILLE FL 32256 592039653 501(C)(3) 30957 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF SOUTH FLORIDA PO BOX 864568 ORLANDO FL 328864568 29559 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ALABAMA DEPARTMENT OF REHABILITATION SERVICES 602 S LAWRENCE STREET MONTGOMERY AL 36104 26200 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS ORLANDO HEALTH FOUNDATION 3160 SOUTHGATE COMMERCE BLVD SUITE 50 ORLANDO FL 32806 592244943 501(C)(3) 23225 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF LOUISVILLE PO BOX 909 LOUISVILLE KY 402010909 14025 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF KENTUCKY C/O PNC BANK PO BOX 931113 CLEVELAND OH 44193 13320 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS WAKE FOREST UNIVERSITY HEALTH SERVICES OFFICE OF SPONSORED PROGRAMS MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27517 223849199 501(C)(3) 12120 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY OF TENNESSEE OFFICE OF SPONSORED PROGRAMS 910 MADISON AVENUE SUITE 823 MEMPHIS TN 38163 10407 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS KIDZ MEDICAL SERVICES 5955 PONCE DE LEON BLVD CORAL GABLES FL 33146 10100 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS PALMETTO HEALTH 7 RICHLAND MEDICAL PARK RD STE 7215 7215 COLUMBIA SC 29203 581307597 501(C)(3) 7969 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS EAST CAROLINA UNIVERSITY OFFICE OF RESEARCH ADMINISTRATION 209 EAST 5TH STREET MS 211 GREENVILLE NC 27858 7624 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS UNIVERSITY HEALTH SYSTEM INC EAST TN COMPREHENSIVE HEMOPHILIA CENTER 1928 ALCOA HIGHWAY STW B-214 KNOXVILLE TN 37920 912059334 501(C)(3) 5878 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC 7730 OLD CANTON RD MADISON MS 39110 5540 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS GEORGIAN'S FOR A HEALTHY FUTURE 50 HURT PLAZA SE SUITE 806 ATLANTA GA 30303 263695851 501(C)(3) 5000 FOR THE CARE AND TREATMENT OF PEOPLE WITH BLEEDING DISORDERS 26 3 EDUCATIONAL SCHOLARSHIPS 24 67125 CLIENT ASSSITANCE (COVID 19) 7 3022 PATIENT ASSISTANCE 1000 1540871 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 X 0 0 0 0 0 0 0 1 0 EDITH A ROSATO CHIEF EXECUTIVE OFFICER 393861 0 80000 0 0 0 17100 0 8017 0 498978 0 0 0 KAREN GENEY COO 174512 0 30000 0 0 0 11272 0 10750 0 226534 0 0 0 LEIGH CARPENTER DIRECTOR OF PHARMACY 164881 0 25000 0 0 0 10021 0 114 0 200016 0 0 0 JACKIE J SHIPP VP OF INFORMATION TECHNOLOGY 144983 0 15000 0 0 0 8864 0 0 0 168847 0 0 0 JEFF CORNETT VP OF RESEARCH & PUBLIC POLICY 135145 0 25000 0 0 0 8121 0 0 0 168266 0 0 0 ROBERT GILLESPIE VP OF PROGRAMS 125799 0 25000 0 0 0 7691 0 410 0 158900 0 0 0 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 $80,000 KAREN GENEY $30,000 LEIGH CARPENTER $25,000 JEFF CORNETT $25,000 JACKIE J SHIPP $15,000 ROBERT GILLESPIE $25,000 RESHAM SAHIJRAM $15,000 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 THE ORGANIZATION SELECTED A NEW INDEPENDENT ACCOUNTING FIRM FOR THE YEAR ENDED JUNE 30, 2021. BEACON PHARMACY LLC 8607 ROBERTS DRIVE SUITE 150B SANDY SPRINGS GA 30350 263967837 SELL NON-340B PHARMACY PRODUCTS GA 18500227 43198421 HEMOPHILIA OF GEORGIA INC