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HAMILTON HEALTH CARE SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HAMILTON HEALTH CARE SYSTEM INC (EIN 58-1519913)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-14
IRS object ID
201441349349304479
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T13:10:18-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581519913EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAMILTON HEALTH CARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAMINameControl
Phone7062726115Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1168AddressLine1
CityDALTONCity
StateGAState
ZIP Code307221168ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY L HOWARDName
TitleSENIOR VICE PRESIDENT & CFOTitle
Phone7062726115Phone
Date Signed2014-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY L HOWARDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1168AddressLine1
CityDALTONCity
StateGAState
ZIP Code307221168ZIPCode
FieldValueIRS element (for citing)
Gross Receipts72096083GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HAMILTONHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SUPPORT FOR AFFILIATED TAX-EXEMPT ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees568TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12069133ProgramServiceRevenuePriorYear
Program Service Revenue CY13836016ProgramServiceRevenueCY
Investment Income Prior Year4036715InvestmentIncomePriorYear
Investment Income Current Year5201766InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16105848TotalRevenuePriorYear
Total Revenue Current Year19037782TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9500459SalariesEtcPriorYear
Salaries Etc Current Year11921939SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3639926OtherExpensePriorYear
Other Expenses Current Year3231763OtherExpensesCurrentYear
Total Expenses Prior Year13140385TotalExpensesPriorYear
Total Expenses Current Year15153702TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2965463RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3884080RevenuesLessExpensesCY
Total Assets BOY130585524TotalAssetsBOY
Total Assets EOY137802733TotalAssetsEOY
Total Liabilities BOY4158368TotalLiabilitiesBOY
Total Liabilities EOY4269667TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY126427156NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY133533066NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE SYSTEM PROVIDES LEADERSHIP TO MEET THE HEALTH CARE NEEDS OF THE AREA WITH SERVICES THAT ADVANCE THE QUALITY AND DIGNITY OF LIFE. THE ORGANIZATION SERVES AS THE PARENT CORPORATION FOR HAMILTON MEDICAL CENTER AND OTHER HEALTH-RELATED ENTITIES. THE ORGANIZATION MANAGES RESOURCES IN A MANNER THAT PROMOTES COMMUNITY TRUST AND ASSURES CONTINUED FINANCIAL VIABILITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14565038Expense
Revenue13836016Revenue
DescriptionPROVIDED SUPPORT FOR AFFILIATED TAX-EXEMPT ORGANIZATIONS LISTED IN SCHEDULE A, PART I.Description
Total Program Service Expense14565038TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees568NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH L MCGUIRENamePerson
Telephone Number7062782105TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 MEMORIAL DRIVEAddressLine1
CityDALTONCity
StateGAState
ZIP Code30720ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
G LAMAR LYLE
CHAIRMAN1.00XX000
ROBERT M CHANDLER
VICE CHAIRMAN1.00XX000
DON W ADCOCK
TRUSTEE1.00X000
CHARLES H HERNDON JR MD
TRUSTEE1.00X000
BRYAN E MCALLISTER
TRUSTEE1.00X000
WILLIAM H PULLEN MD
TRUSTEE1.00X000
DOROTHY B REICH
TRUSTEE1.00X000
HENRY C THARPE JR
TRUSTEE1.00X000
JACKSON P TURNER
TRUSTEE1.00X000
LUIS M VIAMONTE MD
TRUSTEE1.00X000
GARY A MIDDLETON
TRUSTEE1.00X000
JEFFREY D MYERS
PRESIDENT/CEO40.00XX8372870157980
GARY L HOWARD
VP/CFO/ASST SECRETARY/TREA40.00X525920085931
JOSEPH L MCGUIRE
ASSISTANT TREASURER40.00X227163056598
PATRICE FERKO
DIRECTOR CBO40.00111941017376X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1702311TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation317885TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KAUFMAN HALL & ASSOCIATES
75 REMITTANCE DR STE 1030CHICAGOIL606751030FINANCIAL SOFTWARE194161
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001DALLASTX75312PURCHASED SERVICES120132
REVENUE CYCLE COMPASS
PO BOX 79461BALTIMOREMD21279CONSULTING FEES110952
ADVISORY BOARD CO
PO BOX 79461BALTIMOREMD21279DUES AND SUBSCRIPTIONS106600
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES90009976973417697341
AFFILIATE STAFFING90009961386756138675
FieldValueIRS element (for citing)
Total Program Service Revenue13836016TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2806651TotalRevenueColumn
Exclusion$2,806,651ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities55453416Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities53058301Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2395115Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2395115TotalRevenueColumn
Exclusion$2,395,115ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19037782TotalRevenueColumn
Related Or Exempt Function Income13836016RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,201,766ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1590370Total
Program Services1590370ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7486540Total
Program Services7486540ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total143200Total
Program Services143200ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2061649Total
Program Services2061649ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total640180Total
Program Services640180ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total200004Total
Management And General200004ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total147168Total
Program Services147168ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22061Total
Program Services22061ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total21538Total
Management And General21538ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total377594Total
Management And General377594ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1143732Total
Program Services1143732ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total454176Total
Program Services454176ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total627256Total
Program Services627256ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total63767Total
Program Services63767ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8113Total
Program Services8113ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total83857Total
Program Services83857ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total30136Total
Program Services30136ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total52361Total
Program Services62833ProgramServices
Management And General-10472ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15153702Total
Program Services14565038ProgramServices
Management And General588664ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY788257BOY
EOY214936EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6809313BOY
EOY2358098EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7011059BOY
EOY9638650EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4259036BOY
EOY2821351EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94165BOY
EOY97638EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2069311LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec514413LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1332914BOY
EOY1554898EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY91789292BOY
EOY103354420EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18501488BOY
EOY17762742EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY130585524BOY
EOY137802733EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY876420BOY
EOY1067916EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3281948BOY
EOY3201751EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4158368BOY
EOY4269667EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY126427156BOY
EOY133533066EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY126427156BOY
EOY133533066EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY130585524BOY
EOY137802733EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3884080ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3221830ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
HAMILTON AMBULATORY SURGERY CENTER
5826547913111$0
HAMILTON MEDICAL CENTER INC
5815199113111$0
HAMILTON EMERGENCY MEDICAL SERVICES INC
5816510029111$1,200,000
HLTC INC
5823415749111$750,000
MURRAY MEDICAL CENTER INC
5823415743111$0
ROYAL OAK COMMUNITY LTD
5823734273111$1,950,000
WHITFIELD HEALTHCARE FOUNDATION INC
5101750563111$0
WHITFIELD PLACE INC
5821030859111$5,000
DALTON SENIOR HOUSING INC
5815180119111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts3905000SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$21,538OtherActivitiesAmount
Total Lobbying Expenditures IIB21538TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE GEORGIA HOSPITAL ASSOCIATION. EACH YEAR, A PORTION OF DUES PAID TO THESE ORGANIZATONS IS ALLOCATED TO LOBBYING EFFORTS ENGAGED BY THESE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. THE AMOUNT ON LINE 1(I) ABOVE IS AN ESTIMATION OF THE LOBBYING PORTION OF DUES PAID FOR THE FISCAL YEAR.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1141372OtherCostOrOtherBasis
Book Value1141372BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis36267OtherCostOrOtherBasis
Depreciation32476Depreciation
Book Value3791BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis891672OtherCostOrOtherBasis
Depreciation481937Depreciation
Book Value409735BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1554898TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIMBERLAND INVESTMENTS4741417F
REAL ESTATE5321167F
LONG/SHORT FUND OF FUNDS7700158F
FieldValueIRS element (for citing)
Total Of Book Value Securities17762742TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,472,203
ACCRUED PENSION COST$1,729,548
FieldValueIRS element (for citing)
Total Of Amounts3201751TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFFREY D MYERS
PRESIDENT/CEO462167017925001958700129340145046099526701497090
GARY L HOWARD
VP/CFO/ASST SECRETARY/TREA318816086380012072401606606986506118510745960
JOSEPH L MCGUIRE
ASSISTANT TREASURER1647620414400209610109700456280283761081820

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BTHE FOLLOWING PERSONS RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED PLANS: - JEFFREY D. MYERS - $ 434 - GARY L. HOWARD - $ 3,566
PART I, LINE 6THE 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 O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2CHAIRMAN OF THE BOARD G. LAMAR LYLE HAS A BUSINESS RELATIONSHIP WITH BOARD MEMBER JACKSON P. TURNER.
FORM 990, PART VI, SECTION B, LINE 11FOLLOWING MANAGEMENT PREPARATION AND REVIEW, THE FORM 990 IS REVIEWED BY AN INDEPENDENT CPA 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 12CTHE 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 15UNDER 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 PROCEEDINGS. 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 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2:THE FINANCIAL STATEMENTS OF HAMILTON HEALTH CARE SYSTEM, INC. ARE AUDITED ON A CONSOLIDATED BASIS TO INCLUDE ALL AFFILIATES OF THE SYSTEM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DALTON SENIOR HOUSING INC
519 WEST HAWTHORNE STREETDALTONGA30720581518011LOW-INCOME HOUSINGGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
HAMILTON AMBULATORY SURGERY CENTER INC
PO BOX 1168DALTONGA30722582654791SURGICAL SERVICESGA501(C)(3)LINE 3HAMILTON MEDICAL CENTER INC0
HAMILTON EMERGENCY MEDICAL SERVICES INC
PO BOX 1168DALTONGA30722581651002EMERGENCY MEDICALGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
HAMILTON MEDICAL CENTER INC
PO BOX 1168DALTONGA30722581519911HEALTHCAREGA501(C)(3)LINE 3HAMILTON HEALTH CARE SYSTEM INC1
HAMILTON PHYSICIAN GROUP INC
PO BOX 1168DALTONGA30722271198701PHYSICIAN PRACTICEGA501(C)(3)LINE 3HAMILTON MEDICAL CENTER INC0
HLTC INC
PO BOX 1168DALTONGA30722582341574LONG TERM ELDERLY CAREGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
MURRAY MEDICAL CENTER INC
PO BOX 1168DALTONGA30722582373427HOSPITAL CARE / SERVICESGA501(C)(3)LINE 3HAMILTON HEALTH CARE SYSTEM INC1
ROYAL OAK COMMUNITY LTD
PO BOX 1900DALTONGA30722581970228SENIOR LIVING SERVICESGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
WHITFIELD PLACE INC
PO BOX 1168DALTONGA30722582103085LOW-INCOME HOUSINGGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST
PO BOX 1168DALTONGA30722581331514LIABILITY CLAIMS COVERAGEGA501(C)(3)LINE 11D, III-OHAMILTON HEALTH CARE SYSTEM INC1
WHITFIELD HEALTHCARE FOUNDATION INC
PO BOX 1900DALTONGA30722510175056FUNDS FOR HEALTHCAREGA501(C)(3)LINE 11B, IIHAMILTON HEALTH CARE SYSTEM INC1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HAMILTON HEALTH FIRST INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1168AddressLine1
CityDALTONCity
StateGAState
ZIP Code30722ZIPCode
FieldValueIRS element (for citing)
EIN581694713EIN
Primary ActivityPREFERRED PROVIDERPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HAMILTON HEALTH CARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HAMILTON EMERGENCY MEDICAL SERVICES
A126067FMV
HLTC INC
D750000Y/E BALANCE
HAMILTON EMERGENCY MEDICAL SERVICES
D1200000Y/E BALANCE
ROYAL OAK COMMUNITY LTD
D1950000Y/E BALANCE
HAMILTON EMERGENCY MEDICAL SERVICES
E500000Y/E BALANCE
ROYAL OAK COMMUNITY LTD
E445000Y/E BALANCE
HLTC INC
E1993520Y/E BALANCE
DALTON SENIOR HOUSING
E125000Y/E BALANCE
WHITFIELD PLACE
E94000Y/E BALANCE
HAMILTON MEDICAL CENTER
O3155434FMV
HAMILTON MEDICAL CENTER
P9481882FMV
HAMILTON EMERGENCY MEDICAL SERVICES
P402874FMV
ROYAL OAK COMMUNITY LTD
P192608FMV
HAMILTON MEDICAL CENTER
Q201190FMV
DALTON SENIOR HOUSING
K74374FMV
WHITFIELD PLACE
K90902FMV
HAMILTON MEDICAL CENTER
K7000008FMV
HAMILTON EMERGENCY MEDICAL SERVICES
K155004FMV
HLTC INC
K140016FMV
WHITFIELD HEALTHCARE FOUNDATION
K187034FMV
ROYAL OAK COMMUNITY LTD
K50004FMV