2024-08-14T13:16:49-05:00 2023-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2022-10-01 271198701 HAMILTON PHYSICIAN GROUP INC HAMI 7068765000 PO BOX 1168 DALTON GA 307221168 JULIE A SOEKORO VP/CFO/ASST TREASURER 7068765000 2024-08-14 1 0 DEBORAH O ERNSBERGER P00364912 8656730844 2022 2024-08-08 14:25:15Z JEFFREY D MYERS PO BOX 1168 DALTON GA 307221168 29802754 0 X N/A X 2009 GA HAMILTON PHYSICIAN GROUP (HPG) PROVIDES VARIOUS PHYSICIAN SPECIALTY SERVICES TO THE CITY OF DALTON AND WHITFIELD COUNTY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, HPG HAD 165,199 OUTPATIENT VISITS. HPG'S VISION IS TO SERVE THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. 6 1 319 0 0 0 1929342 2193257 26257309 27448024 0 0 134830 161473 28321481 29802754 0 0 0 0 34366474 41589778 0 0 0 9526658 10462725 43893132 52052503 -15571651 -22249749 9753726 12469170 13166816 16799946 -3413090 -4330776 AS AN AFFILIATE OF HAMILTON HEALTH CARE SYSTEM, HAMILTON PHYSICIAN GROUP, INC. SUPPORTS THE SYSTEM MISSION OF PROVIDING LEADERSHIP, PARTNERSHIPS AND SEAMLESS RESOURCE COORDINATION TO MEET HEALTH CARE NEEDS THAT ADVANCE THE QUALITY AND DIGNITY OF LIFE. 0 0 51504469 27609497 HAMILTON PHYSICIAN GROUP, INC. (HPG) PROVIDES SPECIALTY PHYSICIAN SERVICES TO THE CITY OF DALTON, WHITFIELD COUNTY, AND SURROUNDING AREAS OF NORTHWEST GEORGIA. DURING FISCAL YEAR 2023, HPG HAD 165,199 OUTPATIENT VISITS. HPG'S MISSION IS TO SERVE THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. THUS, HPG PROVIDED $763,425 IN CHARITY CARE AT ESTABLISHED RATES FOR PATIENTS UNABLE TO PAY FOR THEIR HEALTH CARE SERVICES DURING THE YEAR. IN ADDITION, CHARGES OF $10,007,294 WERE NOT COLLECTED DUE TO SHORTFALLS FROM MEDICARE AND MEDICAID. 51504469 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 33 0 1 319 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 1 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X JULIE A SOEKORO 7062782105 1200 MEMORIAL DRIVE DALTON GA 30720 ASHISH M KABIR MD CHAIRMAN/PHYSICIAN 40.00 X X 487753 0 26263 ROBERT M CHANDLER VICE CHAIRMAN 1.00 X X 0 0 0 JEFFREY D MYERS PRESIDENT/CEO/TREASURER 1.00 40.00 X X 0 1609084 135112 SANDRA D MCKENZIE SECRETARY/VP 1.00 40.00 X X 0 636061 52898 RICHARD FROMM MD TRUSTEE 1.00 X 0 0 0 ERIC MANAHAN TRUSTEE/PHYSICIAN 40.00 X X 611655 0 33402 JULIE A SOEKORO ASSISTANT TREASURER 1.00 40.00 X 0 721943 112436 RANDALL F FOSTER ASSISTANT TREASURER 1.00 40.00 X 0 246469 12592 RICHARD MORRISON MD PHYSICIAN 40.00 X 1124512 0 15250 JUSTIN HARE MD PHYSICIAN 40.00 X 1015012 0 39455 SEYED EMADIAN MD PHYSICIAN 40.00 X 1308917 0 1023 STEVEN PAYNTER MD PHYSICIAN 40.00 X 899640 0 40933 JOSHUA L HARE DO PHYSICIAN 40.00 X 903977 0 58285 6351466 3213557 527649 7 0 1 0 ALL STAR RECRUITING LOCUMS LLC PO BOX 963725 ATLANTA GA 31193 LOCUM TENENS 2287482 COMPHEALTH PO BOX 972651 DALLAS TX 75397 LOCUM TENENS 508383 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 LOCUM TENENS 265485 HAMILTON MEDICAL CENTER INC PO BOX 1168 DALTON GA 30722 DIAGNOSTICS PURCHASED SERVICES 201065 MIKE GIZZI HEALTHCARE SERVICES 6140 W RICHMAN LN NEW PALESTINE IN 46163 CONSULTING SERVICES 166445 9 2193257 2193257 NET PATIENT SERVICE REVENUE 621990 27448024 27448024 27448024 MISCELLANEOUS INCOME 900099 161473 161473 161473 29802754 27609497 0 0 2582110 2582110 33368089 33368089 1249692 1249692 2750687 2750687 1639200 1639200 355000 355000 159434 159434 3261771 3228171 33600 8037 8037 3223464 3223464 2058496 2058496 176411 176411 272314 272314 906155 906155 MISCELLANEOUS EXPENSES 41643 41643 52052503 51504469 548034 0 220741 -51349 3267279 4277063 1620524 3040705 3963173 2372951 1422815 1590222 3222367 3612529 9753726 12469170 3476584 8807308 9690232 7992638 13166816 16799946 X -3413090 -4330776 -3413090 -4330776 9753726 12469170 X -22249749 21332063 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 420976 134519 286457 107391 91006 16385 3130558 2147426 983132 304248 304248 1590222 RIGHT OF USE ASSET, NET 3612529 3612529 NOTE PAYABLE TO HAMILTON MEDICAL CENTER 4920986 LONG-TERM LEASE LIABILITY, NET 3071652 7992638 X PART X, LINE 2: THE SYSTEM HAS ADOPTED PROCEDURES FOR DETERMINING THE EXISTENCE OF UNCERTAIN TAX POSITIONS, AND THE RELATED TIMING AND AMOUNT OF THEIR IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2023 AND 2022. 0 1 0 0 0 0 0 0 0 JEFFREY D MYERS PRESIDENT/CEO/TREASURER 0 955987 0 479272 0 173825 0 59300 0 75812 0 1744196 0 44050 SEYED EMADIAN MD PHYSICIAN 1243158 0 53000 0 12759 0 0 0 1023 0 1309940 0 0 0 RICHARD MORRISON MD PHYSICIAN 1066343 0 0 0 58169 0 15250 0 0 0 1139762 0 0 0 JUSTIN HARE MD PHYSICIAN 567540 0 405224 0 42248 0 38149 0 1306 0 1054467 0 22899 0 JOSHUA L HARE DO PHYSICIAN 710891 0 157887 0 35199 0 57106 0 1179 0 962262 0 41859 0 STEVEN PAYNTER MD PHYSICIAN 602187 0 240341 0 57112 0 37160 0 3773 0 940573 0 21910 0 JULIE A SOEKORO ASSISTANT TREASURER 0 391721 0 188023 0 142199 0 31097 0 81339 0 834379 0 15593 SANDRA D MCKENZIE SECRETARY/VP 0 400619 0 174381 0 61061 0 27158 0 25740 0 688959 0 11908 ERIC MANAHAN TRUSTEE/PHYSICIAN 406744 0 155606 0 49305 0 29408 0 3994 0 645057 0 14158 0 ASHISH M KABIR MD CHAIRMAN/PHYSICIAN 284326 0 161463 0 41964 0 17490 0 8773 0 514016 0 2240 0 RANDALL F FOSTER ASSISTANT TREASURER 0 185361 0 31063 0 30045 0 11569 0 1023 0 259061 0 0 PART I, LINE 4B THE FOLLOWING PERSONS RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED PLANS: - JEFFREY D. MYERS - $ 44,050 - SANDRA D. MCKENZIE - $ 11,908 - JULIE SOEKORO - $ 15,593 - ERIC MANAHAN - $ 14,158 - JOSHUA L. HARE, DO - $ 41,856 - JUSTIN HARE, MD - $ 22,899 - STEVEN PAYTNER, MD - $ 21,910 - ASHISH KABIR, MD - $ 2,240 THE FOLLOWING PERSONS RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED SERP PLANS: - JEFFREY D. MYERS - $ 405,000 - SANDRA D. MCKENZIE - $ 75,000 FORM 990, PART VI, SECTION A, LINE 7A THE REGULAR TRUSTEES OF THE ORGANIZATION ARE APPOINTED BY THE BOARD OF TRUSTEES OF HAMILTON MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN CAPITAL EXPENDITURE AND CONTRACTUAL COMMITMENT DECISIONS MUST BE SUBSEQUENTLY APPROVED BY THE HAMILTON HEALTH CARE SYSTEM BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND REVIEWED BY EXECUTIVE MANAGEMENT. SUBSEQUENTLY, A DRAFT COPY OF THE UNFILED FORM 990 IS POSTED TO A SECURE PAGE ON THE HAMILTON HEALTH CARE SYSTEM WEBSITE FOR REVIEW AND COMMENT BY ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CLEAR AND DETAILED CONFLICT OF INTEREST POLICY WHICH ESTABLISHES A PROCEDURE FOR IDENTIFYING, REVIEWING AND ADDRESSING CONFLICTS OF INTEREST. THIS POLICY ALSO REQUIRES EACH TRUSTEE AND OFFICER OF THE ORGANIZATION TO ANNUALLY SIGN A STATEMENT ACKNOWLEDGING RECEIPT OF THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 UNDER A BOARD RESOLUTION, THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM HAS THE AUTHORITY TO TAKE ACTION ON BEHALF OF THE BOARD WITH RESPECT TO THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM MAINTAINS MINUTES OF ITS PROCEDURES. ON AN ANNUAL BASIS THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM WILL MEET TO SET THE ANNUAL COMPENSATION OF THE PRESIDENT/CEO. THIS ACTION IS BASED ON CONSULTATION WITH A THIRD PARTY CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION OF THE CEO AND KEY EMPLOYEES SUCH THAT TOTAL COMPENSATION PACKAGES ARE CONSIDERED FAIR MARKET AND NOT EXCESSIVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN ACCRUED LIABILITY CLAIMS 443,550. EQUITY TRANSFER 20,888,513. HAMILTON HEALTH CARE SYSTEM INC PO BOX 1168 DALTON GA 30722 581519913 SUPPORT RELATED ENTITIES GA 501(C)(3) LINE 12B, II N/A 0 DALTON SENIOR HOUSING INC 519 WEST HAWTHORNE STREET DALTON GA 30720 581518011 LOW-INCOME HOUSING GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON AMBULATORY SURGERY CENTER INC PO BOX 1168 DALTON GA 30722 582654791 SURGICAL SERVICES GA 501(C)(3) LINE 3 HAMILTON MEDICAL CENTER INC 0 HAMILTON EMERGENCY MEDICAL SERVICES INC PO BOX 1168 DALTON GA 30722 581651002 EMERGENCY MEDICAL GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON MEDICAL CENTER INC PO BOX 1168 DALTON GA 30722 581519911 HEALTHCARE GA 501(C)(3) LINE 3 HAMILTON HEALTH CARE SYSTEM INC 0 HLTC INC PO BOX 1168 DALTON GA 30722 582341574 LONG TERM ELDERLY CARE GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 ROYAL OAK COMMUNITY LTD PO BOX 1168 DALTON GA 30722 581970228 SENIOR LIVING SERVICES GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 WHITFIELD PLACE INC PO BOX 1168 DALTON GA 30722 582103085 LOW-INCOME HOUSING GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST PO BOX 1168 DALTON GA 30722 581331514 LIABILITY CLAIMS COVERAGE GA 501(C)(3) LINE 12C, III-FI HAMILTON HEALTH CARE SYSTEM INC 0 WHITFIELD HEALTHCARE FOUNDATION INC PO BOX 1168 DALTON GA 30722 510175056 FUNDS FOR HEALTHCARE GA 501(C)(3) LINE 12B, II HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON CHILDREN'S INSTITUTE PO BOX 1168 DALTON GA 30722 823312912 PEDIATRIC DEVELOPMENTAL/BEHAVIORAL TREATMENT GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON ORTHOPEDIC SURGERY CENTER PO BOX 1168 DALTON GA 30722 873430438 ORTHOPEDIC SURGERY CENTER GA N/A 0 0 HAMILTON HEALTH FIRST INC PO BOX 1168 DALTON GA 30722 581694713 PREFERRED PROVIDER ORGANIZATION GA N/A C 0 HMC HOLDINGS INC PO BOX 1168 DALTON GA 30722 TITLE HOLDINGS GA N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0