HAMILTON MEDICAL CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HAMILTON MEDICAL CENTER INC (EIN 58-1519911)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-14
- IRS object ID
- 201441349349304464
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T13:10:18-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581519911 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAMI | NameControl |
| Phone | 7062782105 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1168 | AddressLine1 |
| City | DALTON | City |
| State | GA | State |
| ZIP Code | 307221168 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY L HOWARD | Name |
| Title | VP/CFO/ASSIST SECRETARY/TREAS | Title |
| Phone | 7062782105 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFFREY D MYERS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1168 | AddressLine1 |
| City | DALTON | City |
| State | GA | State |
| ZIP Code | 307221168 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 291520826 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HAMILTONHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | HAMILTON MEDICAL CENTER, INC. OPERATES A 282-BED, ACUTE CARE HOSPITAL, INCLUDING A 24-HOUR EMERGENCY ROOM IN DALTON, GA. DURING THE FISCAL YEAR ENDED 09/30/2013, THE MEDICAL CENTER HAD 46,791 PATIENT DAYS AND 259,063 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1401 | TotalNbrEmployees |
| Total Nbr Volunteers | 198 | TotalNbrVolunteers |
| Total Gross UBI | 58650 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -73612 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3775000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4800000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 178050848 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 187547500 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7346073 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7995890 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7223106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4302645 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 196395027 | TotalRevenuePriorYear |
| Total Revenue Current Year | 204646035 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 87608689 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 89403312 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 86681807 | OtherExpensePriorYear |
| Other Expenses Current Year | 94136401 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 174290496 | TotalExpensesPriorYear |
| Total Expenses Current Year | 183539713 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 22104531 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 21106322 | RevenuesLessExpensesCY |
| Total Assets BOY | 339939496 | TotalAssetsBOY |
| Total Assets EOY | 402207646 | TotalAssetsEOY |
| Total Liabilities BOY | 127145738 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 167285263 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 212793758 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 234922383 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE EXIST TO SERVE PEOPLE THROUGH THE MINISTRY OF HEALTHCARE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 152156779 | Expense |
| Revenue | 188568215 | Revenue |
| Description | HAMILTON MEDICAL CENTER, INC. OPERATES A 282-BED, ACUTE CARE HOSPITAL, INCLUDING A 24-HOUR EMERGENCY ROOM, WHICH SERVES THE NEEDS OF RESIDENTS OF THE CITY OF DALTON, WHITFIELD COUNTY AND SURROUNDING AREAS OF NORTHWEST GEORGIA. DURING THE FISCAL YEAR ENDED 09/30/2013, THE MEDICAL CENTER HAD 46,791 PATIENT DAYS AND 259,063 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. ACCORDINGLY, THE HOSPITAL PROVIDED $50,591,753 IN CHARITY CARE AT ESTABLISHED RATES TO PATIENTS UNABLE TO PAY FOR THEIR HEALTH CARE SERVICES THIS FISCAL YEAR. IN ADDITION, CAHRGES OF $275,462,788 WERE NOT COLLECTED DUE TO SHORTFALLS FROM MEDICARE AND MEDICAID. | Description |
| Total Program Service Expense | 152156779 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 197 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1401 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOSEPH L MCGUIRE | NamePerson |
| Telephone Number | 7062782105 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 MEMORIAL DRIVE | AddressLine1 |
| City | DALTON | City |
| State | GA | State |
| ZIP Code | 30720 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT M CHANDLER | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| ROBERT H BROOKER | |||||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| ROBERT B HUBBS | |||||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| ANGELA M GORDY | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| STEVEN W PAYNTER MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| STEPHEN H RYALS MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| W SCOTT SELLERS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MATHEW D SMITH MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| EZAD N AHMAD MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CAROLYN K TURNER | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JEFFREY D MYERS | |||||||||
| PRESIDENT/CEO | 1.00 | X | X | 0 | 837287 | 157980 | 40.00 | ||
| GARY L HOWARD | |||||||||
| VP/CFO/ASST. SECRETARY/TRE | 1.00 | X | 0 | 525920 | 85931 | 40.00 | |||
| JOSEPH L MCGUIRE | |||||||||
| VP/CONTROLLER/ASST TREASUR | 1.00 | X | 0 | 227163 | 56598 | 40.00 | |||
| SANDRA D MCKENZIE | |||||||||
| VICE PRESIDENT | 40.00 | 255706 | 0 | 49292 | X | ||||
| DANNY WRIGHT | |||||||||
| VICE PRESIDENT | 40.00 | 160709 | 0 | 27539 | X | ||||
| CATHY L FERGUSON | |||||||||
| VICE PRESIDENT | 40.00 | 219428 | 0 | 80515 | X | ||||
| STEPHEN G ROHN | |||||||||
| PHYSICIAN | 40.00 | 687915 | 0 | 122157 | X | ||||
| SHAWN C MOLSBERGER | |||||||||
| VICE PRESIDENT | 40.00 | 217047 | 0 | 48208 | X | ||||
| MICHAEL HARTLEY MD | |||||||||
| PHYSICIAN | 40.00 | 464958 | 0 | 19477 | X | ||||
| CARLTON LANCASTER MD | |||||||||
| PHYSICIAN/ MED STAFF CONSU | 40.00 | 273121 | 0 | 43097 | X | ||||
| TIMOTHY R BUNKER MD | |||||||||
| PHYSICIAN | 40.00 | 301186 | 0 | 38154 | X | ||||
| DC CLARK JR | |||||||||
| PHARMACIST | 40.00 | 185291 | 0 | 15261 | X | ||||
| MARY ELLEN MCCANLESS | |||||||||
| PHARMACIST | 40.00 | 205446 | 0 | 19384 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2970807 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1590370 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 763593 | TotalOtherCompensation |
| Number Individuals GT100 K | 65 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 40065 | ATLANTA | GA | 31192 | I.S. CONSULTING AND SUPPORT | 5262690 |
| SODEXO OPERATIONS LLC | |||||
| 86 HOPEMEADOW STREET | SIMSBURG | CT | 06089 | FACILITY MANAGEMENT | 3715450 |
| BRASFIELD GORRIE LLC | |||||
| 1990 VAUGHN ROAD NW | KENNESAW | GA | 30144 | GENERAL CONTRACTOR | 3320577 |
| HOSPITAL MEDICINE ASSOCIATES LLC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | ER PHYSICIANS | 1700000 |
| CHOATE CONSTRUCTION COMPANY | |||||
| 8200 ROBERTS DRIVE SUITE 600 | ATLANTA | GA | 30350 | GENERAL CONTRACTOR | 1319644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 64 | NumberOfContractorsGT100K |
| Related Organizations | 4800000 | RelatedOrganizations |
| Total Contributions | 4800000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | 184556733 | 184556733 |
| WELLNESS CENTER | 713940 | 2018951 | 2018951 |
| MANAGEMENT FEES | 561000 | 971816 | 971816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 187547500 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3914794 | TotalRevenueColumn |
| Exclusion | $3,914,794 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2049151 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2049151 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2049151 | TotalRevenueColumn |
| Exclusion | $2,049,151 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 90824331 | Securities |
| Other | 131556 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 86833212 | Securities |
| Other | 41579 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3991119 | Securities |
| Other | 89977 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4081096 | TotalRevenueColumn |
| Exclusion | $4,081,096 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| VENDOR REBATES | 900099 | 1020715 | 1020715 | |
| GIFT SHOP | 453220 | 202820 | $202,820 | |
| EDUCATION | 611710 | 23216 | $23,216 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1006743 | TotalRevenueColumn |
| Unrelated Business Revenue | 58650 | UnrelatedBusinessRevenue |
| Exclusion | $948,093 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2253494 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 204646035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 188568215 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 58650 | UnrelatedBusinessRevenue |
| Exclusion | $11,219,170 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71662386 | Total |
| Program Services | 66667386 | ProgramServices |
| Management And General | 4995000 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2132392 | Total |
| Program Services | 2132392 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10946700 | Total |
| Program Services | 10946700 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4661834 | Total |
| Program Services | 4661834 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1274478 | Total |
| Management And General | 1274478 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 632229 | Total |
| Management And General | 632229 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112532 | Total |
| Management And General | 112532 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 579811 | Total |
| Management And General | 579811 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23085729 | Total |
| Program Services | 22312725 | ProgramServices |
| Management And General | 773004 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145320 | Total |
| Program Services | 145320 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13244460 | Total |
| Program Services | 1932591 | ProgramServices |
| Management And General | 11311869 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4870984 | Total |
| Program Services | 4870984 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6677762 | Total |
| Management And General | 6677762 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 326888 | Total |
| Program Services | 326888 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232690 | Total |
| Management And General | 232690 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4022285 | Total |
| Management And General | 4022285 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14753298 | Total |
| Program Services | 14753298 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 771274 | Total |
| Management And General | 771274 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 19568652 | 19568652 |
| PROVIDER TAX | 2321200 | 2321200 |
| MISCELLANEOUS | 1516809 | 1516809 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183539713 | Total |
| Program Services | 152156779 | ProgramServices |
| Management And General | 31382934 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9097659 | BOY |
| EOY | 10765920 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7879267 | BOY |
| EOY | 19713587 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27382143 | BOY |
| EOY | 35994615 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4072967 | BOY |
| EOY | 25450590 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3198740 | BOY |
| EOY | 2930325 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6570766 | BOY |
| EOY | 7630685 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 276485867 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 156691356 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116916081 | BOY |
| EOY | 119794511 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141889817 | BOY |
| EOY | 158540188 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10781586 | BOY |
| EOY | 9888091 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10654008 | BOY |
| EOY | 9955222 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1496462 | BOY |
| EOY | 1543912 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339939496 | BOY |
| EOY | 402207646 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20128210 | BOY |
| EOY | 22088002 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105675000 | BOY |
| EOY | 143759405 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1342528 | BOY |
| EOY | 1437856 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127145738 | BOY |
| EOY | 167285263 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212793758 | BOY |
| EOY | 234922383 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212793758 | BOY |
| EOY | 234922383 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339939496 | BOY |
| EOY | 402207646 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 21106322 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3746095 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -2723792 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5937617 | OtherCostOrOtherBasis |
| Book Value | 5937617 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127690631 | OtherCostOrOtherBasis |
| Depreciation | 52839339 | Depreciation |
| Book Value | 74851292 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 138631058 | OtherCostOrOtherBasis |
| Depreciation | 102059750 | Depreciation |
| Book Value | 36571308 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4226561 | OtherCostOrOtherBasis |
| Depreciation | 1792267 | Depreciation |
| Book Value | 2434294 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 119794511 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ASSET RETIREMENT OBLIGATION | Description |
| Amount | $1,437,856 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1437856 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION HAS ADOPTED PROCEDURES FOR DETERMINING THE EXISTENCE OF UNCERTAIN TAX POSITIONS, AND THE RELATED TIMING AND AMOUNT OF THEIR IMPACT ON THE FINANCIAL STATEMENTS, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2013. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15411561 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4000000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11411561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32231614 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27205143 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5026471 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47643175 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31205143 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16438032 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08960 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 954254 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49953 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 904301 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21487944 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15815113 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5672831 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03090 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 103059 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 103059 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22545257 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15865066 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6680191 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70188432 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47070209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23118223 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $11,446,683 | BadDebtExpenseAmount |
| Amount Attributable To | 2861671 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 53554144 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 58856131 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5301987 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 MEMORIAL DRIVE | AddressLine1 |
| City | DALTON | City |
| State | GA | State |
| ZIP Code | 30720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HAMILTON DIAGNOSTIC CENTER | ||||
| 1407 NORTH THORNTON AVENUE | DALTON | GA | 30720 | DIAGNOSTIC IMAGING, SLEEP DISORDERS |
| HAMILTON SPECIALTY IMAGING | ||||
| 1436 BROADRICK DRIVE | DALTON | GA | 30720 | DIAGNOSTIC IMAGING |
| HAMILTON WOUND CARE | ||||
| 1109 BURLEYSON ROAD | DALTON | GA | 30720 | WOUND CARE |
| ENDOVASCULAR SURGERY PRACTICE | ||||
| 1109 BURLEYSON ROAD | DALTON | GA | 30720 | ENDOVASCULAR SERVICES |
| HAMILTON CONVENIENT CARE | ||||
| 1012 BURLEYSON ROAD | DALTON | GA | 30720 | URGENT CARE CLINIC, FAMILY PRACTICE |
| HAMILTON SPINE CENTER | ||||
| 1107 MEMORIAL DRIVE | DALTON | GA | 30720 | SPINE CARE CLINIC |
| BRADLEY WELLNESS CENTER | ||||
| 1250 BROADRICK DRIVE | DALTON | GA | 30720 | FITNESS, CARIAC REHAB, PHYS./OCC. THERAPY |
| NEPHROLOGY PRACTICE | ||||
| 1506 BROADRICK DRIVE | DALTON | GA | 30720 | NEPHROLOGY SERVICES |
| DIABETES TREATMENT CENTER | ||||
| 1109 BURLEYSON ROAD | DALTON | GA | 30720 | DIABETES TREATMENT CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 6A: HAMILTON MEDICAL CENTER ANNUAL COMMUNITY BENEFIT INFORMATION IS INCLUDED IN A SPECIAL SECTION OF HAMILTONHEALTH, A MAGAZINE PUBLISHED QUARTERLY BY HAMILTON HEALTH CARE SYSTEM (HHCS). HAMILTONHEALTH IS MADE AVAILABLE BY DIRECT MAIL TO HOUSEHOLDS IN THE PRIMARY SERVICE AREA; WAITING AREAS AROUND THE CAMPUS; IN WAITING AREAS OF PHYSICIAN OFFICES IN THE PRIMARY SERVICE AREA; AND ON THE HHCS WEBSITE, WWW.HAMILTONHEALTH.COM. | |
| PART I, LINE 7: COSTS FOR THE PURPOSE OF PART I, LINE 7 ARE COMPUTED USING A COST-TO-CHARGES RATIO. | |
| PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES PRESENTED ON PART I, LINE 7 INCLUDE THE FOLLOWING DEPARTMENTS AND SERVICES: - OBSTETRICS SERVICES $ 1,300,377 - BEHAVIORAL HEALTH SERVICES 413,229 - HOME HEALTH SERVICES 1,522,663 - HOSPICE CARE 1,737,878 - ADULT DAY CARE SERVICES 100,000 - CONVENIENT CARE SERVICES 598,683 TOTAL TO PART I, LINE 7G, COL (E): $ 5,672,831 | |
| PART III, LINE 4: HAMILTON MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THIRD-PARTY PAYORS ARE BILLED DIRECTLY AND THE PATIENT'S PORTION IS DETERMINED AND BILLED SUBSEQUENTLY. ACCOUNTS NOT MEETING CHARITY ASSISTANCE GUIDELINES AND UNPAID AFTER CERTAIN COLLECTION EFFORTS ARE CONSIDERED DELINQUENT AND WRITTEN OFF AS BAD DEBTS. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINES 2 AND 3 IS COST TO CHARGE RATIO. THE AUDITED FINANCIAL STATEMENT FOR HAMILTON HEALTH CARE SYSTEM, INC, WHICH INCLUDES HAMILTON MEDICAL CENTER, REPORTS THE PROVISION FOR DOUBTFUL ACCOUNTS AT ESTABLISHED RATES AND CONTAINS THE FOLLOWING FOOTNOTE: "THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES." SINCE HAMILTON MEDICAL CENTER PROVIDES CARE REGARDLESS OF ABILITY TO PAY, A PORTION OF THE PROVISION FOR DOUBTFUL ACCOUNTS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. | |
| PART III, LINE 8: HAMILTON MEDICAL CENTER BELIEVES THAT THE ENTIRE AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. IT IS LIKELY THAT MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS AND THE BURDENS OF GOVERNMENT ARE RELIEVED UPON ACCEPTANCE OF PAYMENT LESS THAN COST. THE AMOUNT REPORTED WAS DERIVED FROM A COST ACCOUNTING SYSTEM THAT INCLUDES ALL SERVICE LINES AND PAYORS. | |
| PART III, LINE 9B: HAMILTON MEDICAL CENTER'S COLLECTIONS POLICY CONTAINS PROVISIONS RELATED TO THE MEDICALLY INDIGENT. PATIENTS WHO STATE THAT THEY HAVE LIMITED RESOURCES OR AN INABILITY TO PAY ARE SCREENED FOR ELIGIBILITY FOR CHARITY ASSISTANCE UNDER THE MEDICAL CENTER'S POLICY. QUALIFYING PATIENTS' ACCOUNTS ARE PARTIALLY OR FULLY WRITTEN-OFF UNDER POLICY PROVISIONS. UPON DETERMINATION OF PATIENT RESPONSIBILITY, BALANCES NOT QUALIFYING FOR ASSISTANCE ARE SUBJECTED TO A COLLECTION CYCLE WITH REGULAR NOTICES AND STATEMENTS. IF PAYMENT ARRANGEMENTS HAVE NOT BEEN MADE UPON COMPLETION OF THE COLLECTION CYCLE, THE ACCOUNT IS WRITTEN-OFF AND REFERRED FOR EXTERNAL COLLECTION FOLLOW-UP. | |
| PART V, SECTION B, LINE 7: HAMILTON MEDICAL CENTER, INC. IDENTIFIED THE SEVEN TOP AREAS TO FOCUS ON OUT OF ALL NEEDS IDENTIFIED BY THE ASSESSMENT. THESE SEVEN ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BUT NOT DEEMED SIGNIFICANT MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURSE CONSTRAINTS PREVENT THE NEEDS FROM BEING ADDRESSED DIRECTLY. | HAMILTON MEDICAL CENTER |
| PART V, SECTION B, LINE 14G: UPON CONSULTATION WITH THE FINANCIAL COUNSELORS, THE FINANCIAL ASSISTANCE POLICY IS PRESENTED AND EXPLAINED. ASSISTANCE IS ALSO OFFERED FOR COMPLETION OF THE APPLICATION FOR FINANCIAL ASSISTANCE. | HAMILTON MEDICAL CENTER |
| PART V, SECTION B, LINE 20D: THE ORGANIZATION IS IN THE PROCESS OF ADOPTING A METHOD FOR CALCULATING AMOUNTS GENERALLY BILLED THAT WILL COMPLY WITH THE REGULATIONS UNDER SECTION 1.501(R)-5 WHEN FINAL GUIDANCE IS AVAILABLE. | HAMILTON MEDICAL CENTER |
| PART VI, LINE 2: HAMILTON MEDICAL CENTER, IN CONJUNCTION WITH HAMILTON HEALTH CARE SYSTEM AND OTHER AFFILIATES, WORKS CLOSELY WITH LOCAL GOVERNMENT AND NOT-FOR-PROFIT AGENCIES TO ASSESS AND MEET THE COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE LATEST CHNA WAS COMPLETED BY HAMILTON MEDICAL CENTER IN SEPTEMBER 2013. IN ORDER TO ASSESS THE UNMET PHYSICIAN NEEDS OF WHITFIELD AND MURRAY COUNTIES, PHYSICIAN NEEDS ASSESSMENTS ARE PERIODICALLY CONDUCTED, MOST RECENTLY IN FEBRUARY 2013. | |
| PART VI, LINE 3: HAMILTON MEDICAL CENTER PROVIDES CARE REGARDLESS OF ABILITY TO PAY. HMC EMPLOYS TWO FULL TIME FINANCIAL COUNSELORS WHO ARE RESPONSIBLE FOR EDUCATING PATIENTS AND RESPONSIBLE PARTIES OF POTENTIAL PAYMENT OPTIONS AS WELL AS THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION AND PROCESS THE APPLICATION FOR APPROVAL. HMC ALSO EMPLOYS THE SERVICES OF A MEDICAID ELIGIBILITY SERVICE TO ASSIST ELIGIBLE PATIENTS WITH OBTAINING MEDICAID COVERAGE. | |
| PART VI, LINE 4: HAMILTON MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF WHITFIELD AND MURRAY COUNTIES IN NORTHWEST GEORGIA AND REPRESENTS 89% OF THE FACILITY'S VOLUME. THE SERVICE AREA HAS A POPULATION OF 142,212 CONSISTING OF 102,945 AND 39,267 IN WHITFIELD AND MURRAY COUNTIES, RESPECTIVELY. MINORITY POPULATIONS IN WHITFIELD COUNTY CONSIST OF HISPANIC (33%) AND AFRICAN AMERICAN (4%). APPROXIMATELY 19% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. MINORITY POPULATIONS IN MURRAY COUNTY CONSIST OF HISPANIC (14%) AND AFRICAN AMERICAN (1%). APPROXIMATELY 20% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. | |
| PART VI, LINE 5: HAMILTON MEDICAL CENTER (HMC), INCLUDING ITS RELATED AFFILIATES, IS ORGANIZED AND OPERATED FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. HMC SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD IS COMPOSED OF CIVIC LEADERS AND PHYSICIANS WHO RESIDE IN THE HOSPITAL'S SERVICE AREA. THE BOARD SETS POLICY AND STRATEGIC DIRECTION AND DETERMINES THE USE OF SURPLUS FUNDS IN FURTHERANCE OF THE HOSPITAL'S CHARITABLE PURPOSE. | |
| PART VI, LINE 6: HAMILTON MEDICAL CENTER, INC. (HMC) IS A CONTROLLED AFFILIATE OF HAMILTON HEALTH CARE SYSTEM, INC. (SYSTEM), WHEREBY THE TRUSTEES AND OFFICERS ARE ELECTED AND APPOINTED BY THE BOARD OF TRUSTEES OF SYSTEM. OTHER CONTROLLED AFFILIATES INCLUDE: DALTON SENIOR HOUSING, INC. AND WHITFIELD PLACE, INC., PROVIDERS OF HOUSING TO LOW INCOME SENIORS AND HANDICAPPED INDIVIDUALS; HAMILTON EMERGENCY MEDICAL SERVICES, INC., WHICH OPERATES WHITFIELD EMERGENCY MEDICAL SERVICES; HLTC, INC., A LONG-TERM CARE SERVICES PROVIDER; MURRAY MEDICAL CENTER, INC.; ROYAL OAK COMMUNITY, LTD., A RETIREMENT COMMUNITY; AND WHITFIELD HEALTHCARE FOUNDATION, INC., A PHILANTHROPIC ORGANIZATION. HAMILTON AMBULATORY SURGERY CENTER, INC., A MULTI-SPECIALTY SURGERY CENTER, AND HAMILTON PHYSICIAN GROUP, INC., A MULTI-SPECIALTY ORGANIZATION OF PHYSICIAN PRACTICES, ARE CONTROLLED AFFILIATES OF HMC. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY D MYERS | ||||||||||||||
| PRESIDENT/CEO | 0 | 462167 | 0 | 179250 | 0 | 195870 | 0 | 12934 | 0 | 145046 | 0 | 995267 | 0 | 149709 |
| GARY L HOWARD | ||||||||||||||
| VP/CFO/ASST. SECRETARY/TRE | 0 | 318816 | 0 | 86380 | 0 | 120724 | 0 | 16066 | 0 | 69865 | 0 | 611851 | 0 | 74596 |
| JOSEPH L MCGUIRE | ||||||||||||||
| VP/CONTROLLER/ASST TREASUR | 0 | 164762 | 0 | 41440 | 0 | 20961 | 0 | 10970 | 0 | 45628 | 0 | 283761 | 0 | 8182 |
| SANDRA D MCKENZIE | ||||||||||||||
| VICE PRESIDENT | 179198 | 0 | 49360 | 0 | 27148 | 0 | 9615 | 0 | 39677 | 0 | 304998 | 0 | 9598 | 0 |
| DANNY WRIGHT | ||||||||||||||
| VICE PRESIDENT | 121402 | 0 | 29484 | 0 | 9823 | 0 | 8058 | 0 | 19481 | 0 | 188248 | 0 | 0 | 0 |
| CATHY L FERGUSON | ||||||||||||||
| VICE PRESIDENT | 159872 | 0 | 42624 | 0 | 16932 | 0 | 11150 | 0 | 69365 | 0 | 299943 | 0 | 0 | 0 |
| STEPHEN G ROHN | ||||||||||||||
| PHYSICIAN | 518983 | 0 | 142837 | 0 | 26095 | 0 | 12517 | 0 | 109640 | 0 | 810072 | 0 | 17 | 0 |
| SHAWN C MOLSBERGER | ||||||||||||||
| VICE PRESIDENT | 159665 | 0 | 34136 | 0 | 23246 | 0 | 8254 | 0 | 39954 | 0 | 265255 | 0 | 14618 | 0 |
| MICHAEL HARTLEY MD | ||||||||||||||
| PHYSICIAN | 449774 | 0 | 0 | 0 | 15184 | 0 | 12500 | 0 | 6977 | 0 | 484435 | 0 | 0 | 0 |
| CARLTON LANCASTER MD | ||||||||||||||
| PHYSICIAN/ MED STAFF CONSU | 227192 | 0 | 0 | 0 | 45929 | 0 | 13995 | 0 | 29102 | 0 | 316218 | 0 | 1495 | 0 |
| TIMOTHY R BUNKER MD | ||||||||||||||
| PHYSICIAN | 254098 | 0 | 30742 | 0 | 16346 | 0 | 12553 | 0 | 25601 | 0 | 339340 | 0 | 53 | 0 |
| DC CLARK JR | ||||||||||||||
| PHARMACIST | 154898 | 0 | 10437 | 0 | 19956 | 0 | 7806 | 0 | 7455 | 0 | 200552 | 0 | 0 | 0 |
| MARY ELLEN MCCANLESS | ||||||||||||||
| PHARMACIST | 191301 | 0 | 2111 | 0 | 12034 | 0 | 10374 | 0 | 9010 | 0 | 224830 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | THE FOLLOWING PERSONS RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED PLANS: - JEFFREY D. MYERS - $ 434 - GARY L. HOWARD - $ 3,566 - CARLTON LANCASTER - $ 1,495 - STEPHEN ROHN - $ 17 - TIMOTHY R. BUNKER - $ 53 |
| PART I, LINE 6 | THE ORGANIZATION HAS A MANAGEMENT PERFORMANCE INCENTIVE PLAN FOR ELIGIBLE PARTICIPANTS TO FOCUS ON SPECIFIC STRATEGIC, ORGANIZATIONAL AND FINANCIAL GOALS. THE TOTAL AWARDS UNDER THE PLAN CANNOT EXCEED TEN PERCENT OF THE HAMILTON HEALTH CARE SYSTEM COMBINED EXCESS OF REVENUES OVER EXPENSES EXCLUDING INVESTMENT INCOME. INDIVIDUAL INCENTIVES ARE BASED UPON ACHIEVING CERTAIN ORGANIZATIONAL AND INDIVIDUAL SERVICE QUALITY, FINANCIAL RESULTS AND CUSTOMER SATISFACTION GOALS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| DEVELOPMENT AUTHORITY OF THE CITY OF DALTON | ||||||||
| A | 581519911 | 235550FGO | 2012-12-05 | 55334800 | REFUND BONDS ISSUED 12/18/96, 04/01/98 & 09/04/03 | 0 | 0 | 0 |
| DEVELOPMENT AUTHORITY OF THE CITY OF DALTON | ||||||||
| B | 581519911 | NONEAVAIL | 2012-12-05 | 60200000 | REFUND BONDS ISSUED 11/18/92 & 09/04/03, IMPROVEMENTS TO MEDICAL CENTER | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 55334800 | 22 | 734597 | 54418104 | 182191 | 2012 | 1 | 0 | 1 | 1 | |
| B | 60200000 | 2131 | 200700 | 39939501 | 16026959 | 2016 | 1 | 0 | 0 | 1 | 4034971 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.01830 | 0.01830 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00710 | 0.00710 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART II, LINE 11 | Identifier |
| Explanation | THE AMOUNTS ON THIS LINE WERE SPENT FOR THE FOLLOWING PURPOSES: TRUSTEE FEES REFUND PRIOR BONDS PAY INTEREST ON PRIOR BONDS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE REGULAR TRUSTEES OF THE ORGANIZATION ARE APPOINTED BY THE BOARD OF TRUSTEES OF HAMILTON HEALTH CARE SYSTEM, 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 11 | FOLLOWING MANAGEMENT PREPARATION AND REVIEW, THE FORM 990 IS REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. SUBSEQUENTLY, A DRAFT 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 REQUIRED 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 ORGANIZATION'S COMPENSATION COMMITTEE HAS THE AUTHORITY TO TAKE ACTION ON BEHALF OF THE BOARD WITH RESPECT TO THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE MAINTAINS MINUTES OF ITS PROCEDURES. ON AN ANNUAL BASIS THE COMPENSATION COMMITTEE WILL MEET TO SET THE ANNUAL COMPENSATION OF THE PRESIDENT/CEO. THIS ACTION IS BASED ON CONSULTATION WITH A THRID 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 IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 22,312,725. MANAGEMENT AND GENERAL EXPENSES 773,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,085,729. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN LIABILITY CLAIMS ACCRUAL 317,925. LOSS ON EARLY EXTINGUISHMENT OF DEBT -697,696. DISTRIBUTION TO RELATED ENTITY -2,344,021. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HAMILTON HEALTH CARE SYSTEM INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 581519913 | SUPPORT RELATED ENTITIES | GA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| DALTON SENIOR HOUSING INC | |||||||||||
| 519 WEST HAWTHORNE STREET | DALTON | GA | 30720 | 581518011 | LOW-INCOME HOUSING | GA | 501(C)(3) | LINE 9 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| HAMILTON AMBULATORY SURGERY CENTER INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 582654791 | SURGICAL SERVICES | GA | 501(C)(3) | LINE 3 | 1 | HAMILTON MEDICAL CENTER INC | |
| HAMILTON EMERGENCY MEDICAL SERVICES INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 581651002 | EMERGENCY MEDICAL | GA | 501(C)(3) | LINE 9 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| HAMILTON PHYSICIAN GROUP INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 271198701 | PHYSICIAN PRACTICE | GA | 501(C)(3) | LINE 3 | 1 | HAMILTON MEDICAL CENTER INC | |
| HLTC INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 582341574 | LONG TERM ELDERLY CARE | GA | 501(C)(3) | LINE 9 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| MURRAY MEDICAL CENTER INC | |||||||||||
| PO BOX 1406 | CHATSWORTH | GA | 30705 | 582373427 | HOSPITAL CARE / SERVICES | GA | 501(C)(3) | LINE 3 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| ROYAL OAK COMMUNITY LTD | |||||||||||
| PO BOX 1900 | DALTON | GA | 30722 | 581970228 | SENIOR LIVING SERVICES | GA | 501(C)(3) | LINE 9 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| WHITFIELD PLACE INC | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 582103085 | LOW-INCOME HOUSING | GA | 501(C)(3) | LINE 9 | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 581331514 | LIABILITY CLAIMS COVERAGE | GA | 501(C)(3) | LINE 11D, III-O | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
| DALTON-WHITFIELD ADDITIONAL TRUST | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 586345013 | FUNDS FOR INDIGENT CARE | GA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| DALTON-WHITFIELD INDIGENT CARE TRUST | |||||||||||
| PO BOX 1168 | DALTON | GA | 30722 | 586345011 | FUNDS FOR INDIGENT CARE | GA | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| WHITFIELD HEALTHCARE FOUNDATION INC | |||||||||||
| PO BOX 1900 | DALTON | GA | 30722 | 510175056 | FUNDS FOR HEALTHCARE | GA | 501(C)(3) | LINE 11B, II | 0 | HAMILTON HEALTH CARE SYSTEM INC | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON HEALTH FIRST INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1168 | AddressLine1 |
| City | DALTON | City |
| State | GA | State |
| ZIP Code | 30722 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581694713 | EIN |
| Primary Activity | PREFERRED PROVIDER | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HAMILTON AMBULATORY SURGERY CENTER INC | ||
| A | 686500 | FMV |
| HAMILTON AMBULATORY SURGERY CENTER INC | ||
| N | 1535576 | FMV |
| HAMILTON AMBULATORY SURGERY CENTER INC | ||
| P | 908846 | FMV |
| HAMILTON AMBULATORY SURGERY CENTER INC | ||
| Q | 703691 | FMV |
| HAMILTON PHYSICIANS GROUP INC | ||
| D | 1222382 | INCR. IN LOAN BAL |