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HAMILTON HEALTH CARE SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HAMILTON HEALTH CARE SYSTEM INC (EIN 58-1519913)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-06-07
IRS object ID
201231599349300508
Schema version
2010v3.4
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)
Timestamp2012-06-07T09:30:53-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 AND CFOTitle
Phone7062726115Phone
Date Signed2012-05-30DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL RAUCHWARGName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts57440240GrossReceipts
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 Members9NbrIndependentVotingMembers
Total Nbr Employees596TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13389400ProgramServiceRevenuePriorYear
Program Service Revenue CY12626823ProgramServiceRevenueCY
Investment Income Prior Year8814989InvestmentIncomePriorYear
Investment Income Current Year7374931InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year22204389TotalRevenuePriorYear
Total Revenue Current Year20001754TotalRevenueCurrentYear
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 Year10682608SalariesEtcPriorYear
Salaries Etc Current Year9898643SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4419826OtherExpensePriorYear
Other Expenses Current Year3061139OtherExpensesCurrentYear
Total Expenses Prior Year15102434TotalExpensesPriorYear
Total Expenses Current Year12959782TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7101955RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7041972RevenuesLessExpensesCY
Total Assets BOY123248382TotalAssetsBOY
Total Assets EOY124575804TotalAssetsEOY
Total Liabilities BOY3829178TotalLiabilitiesBOY
Total Liabilities EOY3622166TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119419204NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY120953638NetAssetsOrFundBalancesEOY
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
Expense12439674Expense
Revenue12626823Revenue
DescriptionSUPPORT OF AFFILIATED TAX-EXEMPT ORGANIZATIONS LISTED IN SCHEDULE R, PART 2.Description
Total Program Service Expense12439674TotalProgramServiceExpense
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 With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees596NumberOfEmployees
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
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Approval1DecisionsSubjectToApproval
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
G LAMAR LYLE
CHAIRMAN1.00XX000
ROBERT M CHANDLER
VICE CHAIRMAN1.00XX000
DON W ADCOCK
TRUSTEE1.00X000
CHARLES H HERNDON JR MD
TRUSTEE1.00X000
BRYAN MCALLISTER
SECRETARY/TREASURER1.00XX000
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
JEFFREY D MYERS
PRESIDENT AND CEO40.00XX3782470110947
GARY L HOWARD
VP/CFO/ASST SECRETARY/TREASURER40.00X3829830120327
JOSEPH L MCGUIRE
ASSISTANT TREASURER40.00X172999065820
KAREN J WISDOM
VICE PRESIDENT40.00X040311054241
MARCIA P CASTEEL
MARKETING DIRECTOR40.0012487606074X
JOHN S BOWLING
PRESIDENT AND CEO40.002708380185612X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1329943TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs403110TotalReportableCompFrmRltdOrgs
Total Other Compensation543021TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INTEGRITY HOSPITAL COMPANY
PO BOX 228SOUTHWEST HARBORMD21279CONSULTING FEES155360
TRUE NORTH CUSTOM PUBLISH
PO BOX 886573ATLANTAGA30368PURCHASED SERVICES143894
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001DALLASTX75312PURCHASED SERVICES133528
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STAFFING SERVICE90009964309176430917
MANAGEMENT FEES90009961959066195906
FieldValueIRS element (for citing)
Total Program Service Revenue12626823TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4999735TotalRevenueColumn
Exclusion$4,999,735ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities39813682Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities37438486Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2375196Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2375196TotalRevenueColumn
Exclusion$2,375,196ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20001754TotalRevenueColumn
Related Or Exempt Function Income12626823RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,374,931ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1690462Total
Management And General1690462ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7103506Total
Management And General7103506ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total119858Total
Management And General119858ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total352040Total
Management And General352040ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total632777Total
Management And General632777ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total130180Total
Management And General130180ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15777Total
Management And General15777ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16159Total
Management And General16159ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total325517Total
Management And General325517ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total636389Total
Management And General636389ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total404889Total
Management And General404889ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total248510Total
Management And General248510ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total71738Total
Management And General71738ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4772Total
Management And General4772ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total60809Total
Management And General60809ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total24740Total
Management And General24740ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CONSULTING FEES459504459504
DUES & SUBSCRIPTIONS312749312749
MANAGEMENT FEE TO HAMIL200004200004
EMPLOYEE RECRUITMENT102097102097
MISCELLANEOUS47305-1239236912439674

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12959782Total
Program Services12439674ProgramServices
Management And General520108ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY153192BOY
EOY1934994EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1613942BOY
EOY2070440EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5256681BOY
EOY6178449EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8468224BOY
EOY8132459EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY39182BOY
EOY120851EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1809781LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec424469LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1437434BOY
EOY1385312EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY73368665BOY
EOY72223931EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY32911062BOY
EOY32529368EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY123248382BOY
EOY124575804EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1032312BOY
EOY855263EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2796866BOY
EOY2766903EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3829178BOY
EOY3622166EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY119419204BOY
EOY120953638EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119419204BOY
EOY120953638EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123248382BOY
EOY124575804EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7041972ReconcilationRevenueExpenses
Reconcilation Other Changes-5507538ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 OtherXSupportingOrg509a3Type3Other
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$200,000
HLTC INC
5823415749111$950,000
MURRAY MEDICAL CENTER INC
5823415743111$0
ROYAL OAK COMMUNITY LTD
5823734273111$0
WHITFIELD HEALTHCARE FOUNDATION INC
5101750563111$0
WHITFIELD PLACE INC
5821030859111$0
DALTON SENIOR HOUSING INC
5815180119111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts1150000SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$16,159GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB16159TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1141372InvestmentCostOrOtherBasis
Book Value1141372BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis33505OtherCostOrOtherBasis
Depreciation32338Depreciation
Book Value1167BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis634904OtherCostOrOtherBasis
Depreciation392131Depreciation
Book Value242773BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1385312TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INTEREST RECEIVABLE532395F
TIMBERLAND INVESTMENTS4818756F
REAL ESTATE4309386F
LONG/SHORT FUND OF FUNDS8507042F
US TREASURY14361789F
FieldValueIRS element (for citing)
Total Of Book Value Securities32529368TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,771,069
ACCRUED PENSION COST$995,834
FieldValueIRS element (for citing)
Total Of Amounts2766903TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2011.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 (5 entries)

Base 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
339225000390220188250921220489194000
GARY L HOWARD
271522000111461019705010062205033100673500
JOSEPH L MCGUIRE
145733000272660778705803302388190179770
KAREN J WISDOM
02991980001039120159920382490457351058138
JOHN S BOWLING
249055000217830111463074149045645001048780

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BJOHN S. BOWLING - $110,520; GARY L. HOWARD - $4,038; JEFFREY D. MYERS - $3,741
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 (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART IV, LINE 12:FINANCIAL STATEMENTS OF HAMILTON HEALTH CARE SYSTEM, INC ARE AUDITED ON A CONSOLIDATED BASIS TO INCLUDE ALL AFFILIATES OF THE SYSTEM.
CHAIRMAN OF THE BOARD G. LAMAR LYLE HAS A BUSINESS RELATIONSHIP WITH BOARD MEMBER JACKSON P. TURNER.FORM 990, PART VI, SECTION A, LINE 2
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 A, LINE 7B
FOLLOWING 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 MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.FORM 990, PART VI, SECTION B, LINE 11
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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -5,507,538.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 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
DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST
PO BOX 1168DALTONGA30722581331514LIABILITY CLAIMS COVERAGEGA501(C)(3)LINE 11D, III-OHAMILTON HEALTH CARE SYSTEM INC1
DALTON-WHITFIELD ADDITIONAL TRUST
PO BOX 1168DALTONGA30722586345013FUNDS FOR INDIGENT CAREGA501(C)(3)LINE 11A, IHAMILTON HEALTH CARE SYSTEM INC1
DALTON-WHITFIELD INDIGENT CARE TRUST
PO BOX 1168DALTONGA30722586345011FUNDS FOR INDIGENT CAREGA501(C)(3)LINE 11A, IHAMILTON HEALTH CARE SYSTEM INC1
HAMILTON AMBULATORY SURGERY CENTER INC
PO BOX 1168DALTONGA30722582654791SURGICAL SERVICESGA501(C)(3)LINE 3HAMILTON MEDICAL CENTER INC0
HAMILTON MEDICAL CENTER INC
PO BOX 1168DALTONGA30722581519911HOPSITALGA501(C)(3)LINE 3HAMILTON HEALTH CARE SYSTEM INC1
HAMILTON EMERGENCY MEDICAL SERVICES INC
PO BOX 1168DALTONGA30722581651002EMERGENCY MEDICALGA501(C)(3)LINE 9HAMILTON HEALTH CARE SYSTEM INC1
HAMILTON PHYSICIANS 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 1406CHATSWORTHGA30705582373427HOSPITAL 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 HEALTHCARE FOUNDATION INC
PO BOX 1900DALTONGA30722510175056FUNDS FOR HEALTHCAREGA501(C)(3)LINE 11A, IHAMILTON HEALTH CARE SYSTEM INC1
WHITFIELD PLACE INC
PO BOX 1168DALTONGA30722582103085LOW-INCOME HOUSINGGA501(C)(3)LINE 9HAMILTON 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
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 Org0LoansOrGuaranteesFromOtherOrg
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 (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MURRAY MEDICAL CENTER INC
A290547FMV
HAMILTON EMERGENCY MEDICAL SERVICES INC
D-125000FMV
HLTC INC
D350000FMV
ROYAL OAK COMMUNITY LTD
R6008407FMV
HAMILTON MEDICAL CENTER INC
R7374437FMV
ROYAL OAK COMMUNITY LTD
R223902FMV
WHITFIELD HEALTHCARE FOUNDATION INC
R-396224FMV
HAMILTON MEDICAL CENTER INC
R3329506FMV
DALTON SENIOR HOUSING INC
R95000FMV
HLTC INC
R140000FMV
ROYAL OAK COMMUNITY LTD
R50000FMV
WHITFIELD HEALTHCARE FOUNDATION INC
R203226FMV
WHITFIELD PLACEINC
R98000FMV