2025-11-17T11:45:54-06:00 2024-12-31 990 2024-01-01 831707383 AH GEORGIA INC AHGE 3367162276 PO BOX 32861 CHARLOTTE NC 28232 BRADLEY A CLARK TREASURER 3367162276 2025-11-17 0 2024 2025-03-06 01:10:19Z KENNETH D HAYNES PO BOX 32861 CHARLOTTE NC 28232 213579054 0 X N/A X 2018 NC TO ELEVATE HEALTH AND WELL-BEING THROUGH COMPASSIONATE CARE FOR ALL. OUR VALUES ARE INTEGRITY, RESPECT, OWNERSHIP AND CARING. 0 0 0 0 0 0 0 0 0 212729077 0 32884 0 816842 0 213578803 0 1353 0 0 0 119009849 0 0 0 0 121509230 0 240520432 0 -26941629 0 366203512 0 96639545 0 269563967 X AH GEORGIA, INC. WILL OVERSEE AN INTEGRATED ACADEMIC AND COMMUNITY HEALTH SYSTEM THAT IS STEEPED IN INNOVATION AND POISED TO RESHAPE THE DELIVERY OF HEALTHCARE AND ACHIEVE THE HIGHEST AND SAFEST OUTCOMES IN THE COMMUNITIES IT SERVES. 1 0 196661248 1353 212983818 HARBIN CLINIC IS GEORGIA'S LARGEST PHYSICIAN-LED MULTI-SPECIALTY CLINIC WITH MORE THAN 250 PROVIDERS CARING FOR PATIENTS ACROSS MORE THAN 40 SPECIALITIES AND SERVICES IN 19 LOCATIONS. IT SERVES AS A KEY COMPONENT OF AN INTEGRATED DELIVERY SYSTEM IN FLOYD, POLK, AND CHATTOOGA COUNTIES, GEORGIA, CHEROKEE COUNTY, ALABAMA, AND THEIR SURROUNDING COMMUNITIES (THE COMMUNITY). HARBIN CLINIC PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING RELIEF TO THE POOR AND DISTRESSED THROUGH FINANCIAL ASSISTANCE PROGRAMS AND RELATED CHARITABLE INITIATIVES. 196661248 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X DAVID THOMAS 7046310487 PO BOX 32861 CHARLOTTE NC 28232 BRETT J DENTON DIRECTOR & SECRETARY 1.00 39.00 X X 0 3545376 462832 KEN HAYNES DIRECTOR & PRESIDENT 1.00 39.00 X X 0 4771848 586470 BRADLEY A CLARK DIRECTOR & TREASURER 1.00 39.00 X X 0 2513703 419389 0 10830927 1468691 0 0 1 0 0 PATIENT REVENUE 623000 195927330 195927330 PHARMACY REVENUE 622110 16801747 16801747 212729077 33135 33135 562101 0 562101 562101 562101 251 -251 -251 -251 OTHER OP REVENUE 900099 194767 194767 PURCHASED REBATES 900099 55135 55135 LEASED EMPLOYEE REVENUE 900099 4839 4839 254741 213578803 212983818 0 594985 1353 1353 97823421 87276843 10546578 5665571 1499415 4166156 10122167 2813056 7309111 5398690 1428784 3969906 34414 19091 15323 42103 23357 18746 529279 293618 235661 3720863 3352220 368643 715947 397173 318774 713602 362856 350746 514894 261816 253078 19020764 9671776 9348988 250741 127498 123243 104867 340 104527 12216669 5538854 6677815 2569639 2569639 MEDICAL SUPPLIES 71665035 71665035 BAD DEBT 8799132 8799132 OTHER SUPPLIES 534975 511149 23826 MISCELLANEOUS EXPENSES 57096 29033 28063 19210 19210 240520432 196661248 43859184 0 0 3122438 0 14565063 0 4399878 0 151876072 82359343 56421800 0 25937543 0 104024304 0 62278214 0 366203512 0 22159685 0 74479860 0 96639545 X 0 269563967 0 269563967 0 366203512 X -26941629 296505596 X 0 1 X 1 0 X 0 212983818 212983818 0 0 212983818 212983818 0 0 0 212983818 595236 595236 595236 595236 0 213579054 213579054 0.99720 0.00000 0.00280 0.00000 X 1590000 1590000 7527083 7527083 17295904 7777022 9518882 55728669 48644778 7083891 217687 217687 25937543 DUE FROM AFFILIATES 2967196 RIGHT OF USE 59311018 62278214 0 INTERCOMPANY PAYABLE 13462064 OPERATING LEASE LIABILITIES 61017796 74479860 X PART X, LINE 2: THE ORGANIZATION HAS EVALUATED UNCERTAIN TAX POSITIONS FOR ITS CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023, INCLUDING A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF ITS JOINT VENTURES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS FOR CALENDAR YEARS ENDED DECEMBER 31, 2024 AND 2023. 0 1 0 0 0 0 0 0 0 KEN HAYNES DIRECTOR & PRESIDENT 0 1666931 0 2774393 0 330524 0 545575 0 40895 0 5358318 0 0 BRETT J DENTON DIRECTOR & SECRETARY 0 1430026 0 1930432 0 184918 0 430548 0 32284 0 4008208 0 0 BRADLEY A CLARK DIRECTOR & TREASURER 0 1697429 0 713004 0 103270 0 390217 0 29172 0 2933092 0 0 PART I, LINE 4B CERTAIN DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THE FILING ORGANIZATION PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED DEFERRED SEVERANCE. THE DETERMINATION OF THE PAYMENT AMOUNT FROM NON-QUALIFIED COMPENSATION PROCEDURES. THE FOLLOWING DIRECTORS, OFFICERS, AND KEY ORGANIZATION FOR SEVERANCE AND/OR NON-QUALIFIED DEFERRED COMPENSATION PLANS COMPENSATION PLAN (RESTORATION OR SERP) AND/OR RECEIVED PAYMENTS FOR DEFERRED COMPENSATION PLANS FOLLOWED THE EMPLOYMENT ORGANIZATION'S EMPLOYEES RECEIVED PAYMENTS FROM THE FILING ORGANIZATION OR A RELATED DURING THE CURRENT TAX YEAR: SEVERANCE PAYMENTS: NONE NON-QUALIFIED DEFERRED COMPENSATION PAYMENTS: BRADLEY A. CLARK 362,617 BRETT J. DENTON 402,948 KEN HAYNES 521,425 FORM 990, PART III, LINE 2 HARBIN CLINIC, A PHYSICIAN-LED MULTI-SPECIALTY CLINIC, BECAME A WHOLLY-OWNED SUBSIDIARY OF AH GEORGIA, INC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH). FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ("CMHA", DBA ATRIUM HEALTH), THE ORGANIZATION'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CMHA, THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS VOTING AND OTHER RIGHTS EXPRESSLY SET FORTH IN THE FILING ORGANIZATION'S BYLAWS, OR AS REQUIRED BY LAW. EXPRESS RIGHTS OF THE SOLE MEMBER PROVIDED IN THE BYLAWS INCLUDE: 1. AMENDING, MODIFYING, OR REPEALING THE ARTICLES OF INCORPORATION; 2. AMENDING, MODIFYING, OR REPEALING ANY PROVISION OF THE BYLAWS THAT AFFECTS ANY RIGHT OR POWER OF THE SOLE MEMBER; AND 3. THE DISSOLUTION OR MERGER OF THE FILING ORGANIZATION, OR THE SALE, PLEDGE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS. ADDITIONALLY, CMHA, AS THE SOLE MEMBER, MAY ASSIGN ITS MEMBERSHIP IN THE FILING ORGANIZATION TO ANOTHER PERSON WITHOUT CONSIDERATION IN A WRITING SIGNED BY AN EXECUTIVE OFFICER OF THE SOLE MEMBER AND PROVIDED TO THE SECRETARY OR PRESIDENT OF THE FILING ORGANIZATION. ALL DIRECTORS, OTHER THAN AN INDEPENDENT DIRECTOR (AS DESCRIBED IN THE ORGANIZATION'S BYLAWS), MAY BE REMOVED WITH OR WITHOUT CAUSE BY CMHA AS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 8B THE FILING ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FILING ORGANIZATION'S BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 WITH SUFFICIENT TIME TO PERMIT REVIEW, COMMENT, AND QUESTIONS PRIOR TO ITS FILING. IF MODIFICATIONS ARE REQUIRED FOLLOWING SUCH REVIEW AND COMMENT, THE REVISED FORM 990 IS REDISTRIBUTED TO ALL DIRECTORS PRIOR TO ITS FILING WITH THE IRS, ALONG WITH A REPORT NOTING THE MODIFICATIONS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST ("COI") POLICY IS APPLICABLE TO ALL "COVERED PERSONS AND APPLIES TO TRANSACTIONS OR OTHER ARRANGEMENTS IN WHICH THE PERSONAL OR FINANCIAL INTERESTS OF A COVERED PERSON MAY APPEAR TO BE ADVANCED BY AN ACTION OF THE ORGANIZATION, OR OTHERWISE WHENEVER A COVERED PERSON'S PERSONAL OR FINANCIAL INTERESTS COULD BE REASONABLY VIEWED AS AFFECTING HIS OR HER OBJECTIVITY OR INDEPENDENCE IN FULFILLING HIS OR HER DUTIES TO THE ORGANIZATION (SUCH TRANSACTION OR ARRANGEMENT, A "COVERED TRANSACTION"). COVERED PERSONS INCLUDES CURRENT OFFICERS, DIRECTORS, SELECTION COMMITTEE MEMBERS, AND EMPLOYEES OF THE ORGANIZATION, AS WELL AS "FAMILY MEMBERS AND "AFFILIATED ENTITIES". "FAMILY MEMBER" INCLUDES ANY SPOUSE (INCLUDING FORMER SPOUSES WITHIN LAST FIVE YEARS), ANCESTOR, SIBLING, CHILD, GRANDCHILD, GREAT-GRANDCHILD, OR THE SPOUSE (OR FORMER SPOUSE WITHIN FIVE YEARS) OF SUCH PERSONS. "AFFILIATED ENTITY" INCLUDES AN ENTITY IN WHICH THE COVERED PERSON IS AN OFFICER, DIRECTOR, TRUSTEE, EMPLOYEE, OR HAS A MORE THAN 10% BENEFICIAL INTEREST (DIRECTLY OR WITH ONE OR MORE FAMILY MEMBERS OR OTHER AFFILIATED ENTITIES). WHEN A COVERED PERSON BECOMES AWARE OF A POSSIBLE COVERED TRANSACTION, HE/SHE HAS A DUTY TO TAKE THE FOLLOWING ACTIONS: IMMEDIATELY DISCLOSE TO THE PRESIDENT OR CHAIR OF THE BOARD OF DIRECTORS; REFRAIN FROM USING HIS/HER PERSONAL INFLUENCE TO ENCOURAGE ENTERING INTO THE COVERED TRANSACTION; AND PHYSICALLY EXCUSE HIMSELF/HERSELF FROM PARTICIPATION IN ANY DISCUSSIONS REGARDING THE COVERED TRANSACTION. THE ORGANIZATION MAY ENTER INTO A COVERED TRANSACTION IF THE BOARD (OR COMMITTEE THEREOF) ACTING IN EITHER CASE WITHOUT THE PARTICIPATION OF THE CONFLICTED PARTY, DETERMINES THAT SUCH TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. IN ORDER TO ASSIST THE ORGANIZATION IN IDENTIFYING POTENTIAL COVERED TRANSACTIONS, EACH COVERED PERSON WHO SERVES AS A CURRENT OFFICER, DIRECTOR OR KEY EMPLOYEE ANNUALLY COMPLETES AND SIGNS A CONFLICT OF INTEREST DECLARATION ("DECLARATION") PROVIDED BY THE ORGANIZATION, AND UPDATES SUCH DECLARATION AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. COMPLETED DECLARATIONS ARE AVAILABLE FOR INSPECTION BY THE BOARD OF DIRECTORS AND THE OFFICERS OF THE ORGANIZATION, AND BY SUCH OTHER PERSONS AS THE PRESIDENT DEEMS APPROPRIATE. THE BOARD (OR COMMITTEE THEREOF) IS RESPONSIBLE FOR REVIEWING ANNUAL DECLARATIONS, RECEIVING DISCLOSURE OF POSSIBLE COVERED TRANSACTIONS, REVIEWING COVERED TRANSACTIONS, MAINTAINING DOCUMENTATION OF REVIEW OF COVERED TRANSACTIONS (INCLUDING NATURE AND RESOLUTION), AND REPORTING TO THE BOARD ALL FINDINGS AND ACTIONS (IF PROCEDURES ARE ADMINISTERED BY A COMMITTEE OF THE BOARD). THE BOARD HAS AUTHORITY TO REVIEW THE OPERATION OF THE COI POLICY AND MAKE CHANGES FROM TIME TO TIME AS IT DEEMS APPROPRIATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. FORM 990, PART XI, LINE 9: CAPITALIZATION CO 583 148,248,712. REPURCHASE OF MEMBER INTERESTS 123,097,116. NET ASSETS MOVED OVER 25,159,768. THE HARBIN CLINIC LLC 420 EAST SECOND AVE SUITE 103 ROME GA 30161 582234972 HEALTHCARE GA 213578802 366203513 AH GEORGIA INC CENTRAL GEORGIA SENIOR HEALTH INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582345439 CONTINUING CARE RETIREMENT COMMUNITY GA 501(C)(3) LINE 12B, II NAVICENT HEALTH INC 1 HEALTH SERVICES OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582307485 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 MEDICAL CENTER OF CENTRAL GEORGIA INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582149128 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 THE MEDICAL CENTER OF PEACH COUNTY INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 453765471 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 NAVICENT HEALTH BALDWIN INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 823914925 HEALTHCARE GA 501(C)(3) LINE 3 NAVICENT HEALTH INC 1 NAVICENT HEALTH INC 777 HEMLOCK STREET MSC 111 MACON GA 31201 582149127 HEALTHCARE GA 501(C)(3) LINE 12D, III-O AHNH GEORGIA INC 1 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY 1000 BLYTHE BOULEVARD CHARLOTTE NC 28203 560529945 HEALTHCARE NC NC POLITICAL SUBDIVI N/A 0 FLOYD HEALTHCARE MANAGEMENT INC 304 TURNER MCCALL BOULEVARD ROME GA 301620233 581973570 HEALTHCARE GA 501(C)(3) LINE 3 AH GEORGIA INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1