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HAMILTON MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HAMILTON MEDICAL CENTER INC (EIN 58-1519911)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-05-16
IRS object ID
201131369349302518
Schema version
2009v1.7
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)
Timestamp2011-05-16T10:04:04-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581519911EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAMILTON MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAMINameControl
Phone7062782105Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJoseph L McGuireName
TitleAssistant TreasurerTitle
Date Signed2011-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFREY D MYERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1168AddressLine1
CityDALTONCity
StateGAState
ZIP Code307221168ZIPCode
FieldValueIRS element (for citing)
Gross Receipts302211592GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HAMILTONHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1460TotalNbrEmployees
Total Nbr Volunteers254TotalNbrVolunteers
Total Gross UBI69090TotalGrossUBI
Net Unrelated Business Txbl Income-775712NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10381762ContributionsGrantsPriorYear
Contributions Grants Current Year5242969ContributionsGrantsCurrentYear
Program Service Revenue Prior Year199128895ProgramServiceRevenuePriorYear
Program Service Revenue CY209976010ProgramServiceRevenueCY
Investment Income Prior Year-1688661InvestmentIncomePriorYear
Investment Income Current Year10301464InvestmentIncomeCurrentYear
Other Revenue Prior Year2992046OtherRevenuePriorYear
Other Revenue Current Year4294616OtherRevenueCurrentYear
Total Revenue Prior Year210814042TotalRevenuePriorYear
Total Revenue Current Year229815059TotalRevenueCurrentYear
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 Year87007129SalariesEtcPriorYear
Salaries Etc Current Year87119602SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year111698468OtherExpensePriorYear
Other Expenses Current Year120602339OtherExpensesCurrentYear
Total Expenses Prior Year198705597TotalExpensesPriorYear
Total Expenses Current Year207721941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12108445RevenuesLessExpensesPriorYear
Revenues Less Expenses CY22093118RevenuesLessExpensesCY
Total Assets BOY276564609TotalAssetsBOY
Total Assets EOY298585609TotalAssetsEOY
Total Liabilities BOY133599108TotalLiabilitiesBOY
Total Liabilities EOY131460852TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY142965501NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY167124757NetAssetsOrFundBalancesEOY
Mission DescriptionWE EXIST TO SERVE PEOPLE THROUGH THE MINISTRY OF HEALTHCARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense175848051Expense
Revenue210764990Revenue
DescriptionHAMILTON MEDICAL CENTER OPERATES A 282 BED ACUTE CARE HOSPITAL, INCLUDING A 24-HOUR EMERGENCY ROOM IN DALTON, GA, WHICH SERVES THE NEEDS OF RESIDENTS OF THE CITY OF DALTON, WHITFIELD COUNTY AND SURROUNDING AREAS OF NORTHWEST GEORGIA. DURING THE YEAR ENDED SEPTEMBER 30, 2010, THE MEDICAL CENTER HAD 46,649 PATIENT DAYS AND 219,377 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. ACCORDINGLY, THE HOSPITAL PROVIDED $42,151,849 IN CHARITY CARE AT ESTABLISHED RATES TO PATIENTS UNABLE TO PAY FOR THEIR HEALTH CARE SERVICES THIS FISCAL YEAR. IN ADDITION, CHARGES OF $222,238,036 WERE NOT COLLECTED DUE TO SHORTFALLS FROM MEDICARE AND MEDICAID.Description
Total Program Service Expense175848051TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096263NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1460NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT M CHANDLER
CHAIRMAN1.0XX000
ROBERT H BROOKER
VICE CHAIRMAN1.0XX000
ROBERT B HUBBS
SECRETARY/TREASURER1.0XX000
EZAD N AHMAD MD
TRUSTEE1.0X000
MATTHEW D SMITH MD
TRUSTEE1.0X000
STEVEN W PAYNTER MD
TRUSTEE1.0X000
W SCOTT SELLERS
TRUSTEE1.0X000
CAROLYN K TURNER
TRUSTEE1.0X000
JEFFREY D MYERS
PRESIDENT/CEO1.0XX08028020475
JOHN S BOWLING
PRESIDENT/CEO1.0XX0765748148933
GARY L HOWARD
VP/CFO/ASST SEC/TREASURER1.0X0358185136349
KAREN J WISDOM
VICE PRESIDENT40.0X388627067800
JOSEPH L MCGUIRE
VP/CONTROLLER/ASST TREASURER1.0X018176546934
NORMA D BURROUGHS
ASSISTANT SECRETARY1.0X04762418380
RANDALL F FOSTER
VP/ASST TREASURER40.0X146012077217
JANICE C KEYS
VICE PRESIDENT40.0181351043959X
SANDRA D MCKENZIE
VICE PRESIDENT40.0189041040797X
T STEVEN POUND
VICE PRESIDENT40.0176885062865X
SHAWN MOLSBERGER
VICE PRESIDENT40.0152622043992X
CARLTON LANCASTER
PHYS/MEDICAL STAFF CONSULTANT40.03276640125438X
TIMOTHY R BUNKER
PHYSICIAN40.0248631026487X
HENRIETTA S PLANZER
PHARMACIST40.0158867017996X
DC CLARK JR
PHARMACIST40.0168309024357X
KATHY E HENSON
PHARMACIST40.0159544018833X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2297553TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1433602TotalReportableCompFrmRltdOrgs
Total Other Compensation920812TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SIEMENS MEDICAL SOLUTIONS
PO BOX 40065ATLANTAGA311920065I.S. CONSULT & SUPP4752738
ANESTHESIA ASSOCIATES
PO BOX 2563DALTONGA30720ANESTHESIA SERVICES2353416
SODEXO OPERATIONS LLC
86 HOPEMEADOW STSIMSBURGCT06089FACILITY MANAGEMENT2022277
SOUTHEASTERN PHYSICIAN
PO BOX 634850CINCINNATIOH452634850EMERGENCY ROOM PHYS1411211
ACS CONSULTANTS INC
PO BOX 202617DALLASTX753202617I.S. CONSULT & SUPP988502
FieldValueIRS element (for citing)
Number Of Contractors GT100 K58NumberOfContractorsGT100K
Related Organizations5242969RelatedOrganizations
Total Contributions5242969TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE900099206771482206771482
MANAGEMENT FEES56100010310271031027
WELLNESS CENTER71394021044112104411
ANSWERING SERVICE5170006909069090
FieldValueIRS element (for citing)
Total Program Service Revenue209976010TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5543323TotalRevenueColumn
Exclusion$5,543,323ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1963124Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1963124Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1963124TotalRevenueColumn
Exclusion$1,963,124ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities77031498Securities
Other123176Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities72378720Securities
Other17813Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4652778Securities
Other105363Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4758141TotalRevenueColumn
Exclusion$4,758,141ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
VENDOR REBATES900099858070858070
GIFT SHOP453220282623$282,623
EDUCATION61171012671$12,671

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1178128TotalRevenueColumn
Exclusion$1,178,128ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2331492TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column229815059TotalRevenueColumn
Related Or Exempt Function Income210764990RelatedOrExemptFunctionIncome
Unrelated Business Revenue69090UnrelatedBusinessRevenue
Exclusion$13,738,010ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1677457Total
Management And General1677457ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total65515680Total
Program Services62460184ProgramServices
Management And General3055496ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2172323Total
Program Services2172323ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13261750Total
Program Services13261750ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4492392Total
Program Services4492392ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total73166Total
Management And General73166ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total714516Total
Management And General714516ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total120862Total
Management And General120862ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total556911Total
Management And General556911ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20184042Total
Program Services19474042ProgramServices
Management And General710000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total152984Total
Program Services152984ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32476226Total
Program Services20461163ProgramServices
Management And General12015063ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3741302Total
Program Services3741302ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6952366Total
Management And General6952366ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total274118Total
Program Services274118ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total190646Total
Management And General190646ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3818063Total
Management And General3818063ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13687170Total
Program Services13687170ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total894344Total
Management And General894344ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR DOUBTFUL ACCTS3157121131571211
CONSULTING FEES12169091216909
MANAGEMENT FEE TO HHCS10950001095000
PROVIDER TAX588561588561
MISCELLANEOUS EXPENSES22939422293942

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total207721941Total
Program Services175848051ProgramServices
Management And General31873890ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6778133BOY
EOY3709458EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3176318BOY
EOY2335685EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21930245BOY
EOY22203734EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1175317BOY
EOY1235933EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3179196BOY
EOY3411759EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8408523BOY
EOY7521327EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis233960392LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec115610111LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY116967339BOY
EOY118350281EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY72245568BOY
EOY98569329EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31096343BOY
EOY29554384EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY9654065BOY
EOY9896958EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1953562BOY
EOY1796761EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY276564609BOY
EOY298585609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18928037BOY
EOY19253156EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY113510000BOY
EOY111020000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1161071BOY
EOY1187696EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY133599108BOY
EOY131460852EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY142965501BOY
EOY167124757EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY142965501BOY
EOY167124757EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY276564609BOY
EOY298585609EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5937617OtherCostOrOtherBasis
Book Value5937617BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis109374456OtherCostOrOtherBasis
Depreciation39912664Depreciation
Book Value69461792BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis113223648OtherCostOrOtherBasis
Depreciation73442135Depreciation
Book Value39781513BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5424671OtherCostOrOtherBasis
Depreciation2255312Depreciation
Book Value3169359BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings118350281TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
US TREASURY19419229F
INTEREST RECEIVABLE746695F
TIMBERLAND INVESTMENTS4472561F
REAL ESTATE4915899F
FieldValueIRS element (for citing)
Total Of Book Value Securities29554384TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionASSET RETIREMENT OBLIGATIONDescription
Amount$1,187,696Amount
FieldValueIRS element (for citing)
Total Of Amounts1187696TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART X, LINE 2 - THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT WERE MATERIAL TO THE FINANCIAL STATEMENTS. ACCORDINGLY, THE ORGANIZATION DID NOT INCLUDE A FIN 48 FOOTNOTE IN ITS FINANCIAL STATEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense15695860TotalCommunityBenefitExpense
Direct Offsetting Revenue4992969DirectOffsettingRevenue
Net Community Benefit Expense10702891NetCommunityBenefitExpense
Percent Of Total Expense0.06080PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense29665415TotalCommunityBenefitExpense
Direct Offsetting Revenue27103401DirectOffsettingRevenue
Net Community Benefit Expense2562014NetCommunityBenefitExpense
Percent Of Total Expense0.01450PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense45361275TotalCommunityBenefitExpense
Direct Offsetting Revenue32096370DirectOffsettingRevenue
Net Community Benefit Expense13264905NetCommunityBenefitExpense
Percent Of Total Expense0.07530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1271927TotalCommunityBenefitExpense
Direct Offsetting Revenue85111DirectOffsettingRevenue
Net Community Benefit Expense1186816NetCommunityBenefitExpense
Percent Of Total Expense0.00670PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense21638343TotalCommunityBenefitExpense
Direct Offsetting Revenue16547814DirectOffsettingRevenue
Net Community Benefit Expense5090529NetCommunityBenefitExpense
Percent Of Total Expense0.02890PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense130939TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense130939NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23041209TotalCommunityBenefitExpense
Direct Offsetting Revenue16632925DirectOffsettingRevenue
Net Community Benefit Expense6408284NetCommunityBenefitExpense
Percent Of Total Expense0.03630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68402484TotalCommunityBenefitExpense
Direct Offsetting Revenue48729295DirectOffsettingRevenue
Net Community Benefit Expense19673189NetCommunityBenefitExpense
Percent Of Total Expense0.11160PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,762,961BadDebtExpenseAmount
Amount Attributable To2940740AmountAttributableTo
Amount Reimbursed By Medicare52451186AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare58393507CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5942321MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAMILTON MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11200 MEMORIAL DRIVEAddressLine1
CityDALTONCity
StateGAState
ZIP Code30720ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
General ExplanationPART I, LINE 6A - HAMILTON MEDICAL CENTER ANNUAL COMMUNITY BENEFIT INFORMATION IS INCLUDED IN A SPECIAL SECTION OF HAMILTONHEALTH, A MAGAZINE PUBLISHED QUARTERLY BY HAMILTON HEATH CARE SYSTEM (HHCS). HAMILTONHEALTH IS MADE AVAILABLE BY DIRECT MAIL TO HOUSE-HOLDS 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 - THE AMOUNTS REPORTED IN THE TABLE OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS WERE DERIVED FROM COST TO CHARGE RATIO. THE TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A WAS $207,721,941. THE BAD DEBT INCLUDED IN THIS AMOUNT WAS $31,571,211. AFTER BAD DEBT WAS DEDUCTED FROM THE TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN F WAS $176,150,730. PART I, LINE 7G - IN FURTHERANCE OF ITS MISSION, HAMILTON MEDICAL CENTER PROVIDES CERTAIN SERVICES TO THE COMMUNITY AT A LOSS. THESE SERVICES INCLUDE OBSTETRICS, BEHAVIORAL HEALTH, HOME HEALTH AND HOSPICE. 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 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 COMMUNITY NEEDS. IN ORDER TO ASSESS UNMET PHYSICIAN NEEDS OF WHITFIELD AND MURRAY COUNTIES, PHYSICIAN NEEDS ASSESSMENTS ARE PERIODICALLY CONDUCTED, MOST RECENTLY IN MAY, 2010. PART VI, LINE 3 - HAMILTON MEDICAL CENTER (HMC) 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 97% OF THE FACILITY'S VOLUME. THE SERVICE AREA HAS A POPULATION OF 134,319 CONSISTING OF 93,698 AND 40,621 IN WHITFIELD AND MURRAY COUNTIES, RESPECTIVELY. MINORITY POPULATIONS CONSIST OF HISPANIC (24%) AND AFRICAN AMERICAN (3%). APPROXIMATELY 18% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. PART VI, LINE 6 - 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 7 - 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 CARDIOLOGY PRACTICE EMPLOYING FOUR CARDIOLOGISTS, ARE CONTROLLED AFFILIATES OF HMC.GeneralExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 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
JOHN S BOWLING
04760440493700240334039244010968909146810181666
GARY L HOWARD
026477301550607790603049601058530494534037663
KAREN J WISDOM
28839301627408396002057604722404564270359620
JOSEPH L MCGUIRE
0143415010232028118085470383870228699019235
RANDALL F FOSTER
12244007263016309072870699300223229000
JANICE C KEYS
162043069900123180550903845002253100103550
SANDRA D MCKENZIE
16465707116017268088160319810229838000
T STEVEN POUND
14210207400027383086500542150239750094760
SHAWN MOLSBERGER
1427830654103298038880401040196614000
CARLTON LANCASTER
238235012464076965017278010816004531020337470
TIMOTHY R BUNKER
2421460006485054940209930275118000
HENRIETTA S PLANZER
150132035008385078400101560176863000
DC CLARK JR
14627502750019284082130161440192666000
KATHY E HENSON
1482740600010670078970109360178377000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART I, LINE 4BReturnReference
ExplanationJOHN S. BOWLING - $227,208 GARY L. HOWARD - $17,627 KAREN J. WISDOM - $7,207 CARLTON LANCASTER, M.D. - $4,797 PART 1, LINE 6A/6B - 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 HAMILTON HEALTH CARE SYSTEM COMBINED EXCESS OF REVENUE OVER EXPENSE EXCLUDING INVESTMENT INCOME. INDIVIDUAL INCENTIVES ARE BASED UPON ACHIEVING CERTAIN ORGANIZATIONAL AND INDIVIDUAL SERVICE QUALITY, FINANCIAL RESULTS AND CUSTOMER SATISFACTION GOALS.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
DEVELOP AUTHORITY OF CITY OF DALTON (SERIES 2003)
810614876XXXXXXXXX2003-06-021000000REFUND BONDS ISSUED 12/18/96falsefalse
DEVELOPMENT AUTH OF CITY OF DALTON (SERIES 2003B)
810614876235550EQ92003-09-0455000000EXPAND AND IMPROVE HEALTH CARE FACfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
1000000000002003truefalsetruetrue
5859908600042045002008falsefalsetruetrue58178636

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
falsefalsefalsefalsetruetrue
falsetruefalsefalsetruetrue0.008500.00850

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsetrue
truetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDALTON SURGICAL GROUPNamePerson
FieldValueIRS element (for citing)
RelationshipSEE SCHEDULE ORelationship
Amount Of Transaction604141AmountOfTransaction
Description Of TransactionPROFESSIONAL FEESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S MISSIONIdentifier
Return ReferenceFORM 990, PART I, LINE IReturnReference
ExplanationHAMILTON MEDICAL CENTER, INC. OPERATES A 282-BED, ACUTE CARE HOSPITAL INCLUDING A 24-HOUR EMERGENCY ROOM IN DALTON, GA. DURING THE FISCAL YEAR ENDED 9/30/10, HAMILTON HAD 46,649 PATIENT DAYS AND 219,377 OUTPATIENT VISITS. HAMILTON'S VISION IS TO SERVE THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. FORM 990 PART IV LINE 12 - THE FINANCIAL STATEMENTS OF HAMILTON MEDICAL CENTER, INC., ARE AUDITED ON A CONSOLIDATED BASIS TO INCLUDE HAMILTON AMBULATORY SURGERY CENTER, INC., AND HAMILTON PHYSICIANS GROUP, INC., BOTH OF WHICH ARE WHOLLY-OWNED SUBSIDIARIES FORM 990, PART IV, LINE 27 - ANNUAL PHYSICAL EXAMINATIONS ARE MADE AVAILABLE TO ALL TRUSTEES AT NO CHARGE. 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 11A - FOLLOWING MANAGEMENT PREPARATION AND REVIEW, THE FORM 990 IS REVIEWED BY ERNST & YOUNG. SUBSEQUENTLY, A DRAFT COPY OF THE UNFILED FORM 990 IS POSTED TO A SECURE PAGE ON THE HAMILTON HEALTH CARE SYSTEM WEBSITE FOR REVIEW AND COMMENT BY ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C - THE ORGANIZATION HAS A CLEAR AND DETAILED CONFLICT OF INTEREST POLICY WHICH ESTABLISHES A PROCEDURE FOR IDENTIFYING, REVIEWING AND ADDRESSING CONFLICTS OF INTEREST. THIS POLICY ALSO REQUIRES EACH TRUSTEE, OFFICER, AND EMPLOYEE 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 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 19 - THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SCHEDULE L, PART IV - ORGANIZATION MORE THAN 5% OWNED BY STEVEN W. PAYNTER, TRUSTEE.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
DALTON SENIOR HOUSING INC
519 WEST HAWTHORNE STREETDALTONGA30720581518011LOW INC HOUSEGA501(C)(3)9NA
DALTON-WHITFIELD COUNTY HOSPITAL LIAB TR
PO BOX 1168DALTONGA307221168581331514LIAB CLAIMSGA501(C)(3)11 III-ONA
DALTON-WHITFIELD ADDITIONAL TRUST
PO BOX 1168DALTONGA307221168586345013FUND IND CAREGA501(C)(3)11 INA
DALTON-WHITFIELD INDIGENT CARE TRUST
PO BOX 1168DALTONGA307221168586345011FUND IND CAREGA501(C)(3)11 INA
HAMILTON AMBULATORY SURGERY CENTER INC
PO BOX 1168DALTONGA307221168582654791SURGICAL SERVGA501(C)(3)3NA
HAMILTON DIAGNOSTICS - ELLIJAY INC
PO BOX 1168DALTONGA307221168582473918IMAGING SERVGA501(C)(3)9NA
HAMILTON EMERGENCY MEDICAL SERVICES INC
PO BOX 1168DALTONGA307221168581651002EMERGENCY MEDGA501(C)(3)9NA
HAMILTON HEALTH CARE SYSTEM INC
PO BOX 1900DALTONGA307221900581519913SUPPORTGA501(C)(3)11 III-ONA
HAMILTON PHYSICIANS GROUP INC
PO BOX 1168DALTONGA307221168271198701PHYS PRACTICEGA501(C)(3)3NA
HLTC INC
PO BOX 1168DALTONGA307221168582341574LT ELDER CAREGA501(C)(3)9NA
MURRAY MEDICAL CENTER INC
PO BOX 1406CHATSWORTHGA30705582373427HOSPITAL CAREGA501(C)(3)3NA
ROYAL OAK COMMUNITY LTD
PO BOX 1900DALTONGA307221900581970228SR LIVING SRVGA501(C)(3)9NA
WHITFIELD HEALTHCARE FOUNDATION INC
PO BOX 1900DALTONGA307221900510175056FUND HLTHCAREGA501(C)(3)11 INA
WHITFIELD PLACE INC
PO BOX 1168DALTONGA307221168582103085LOW INC HOUS.GA501(C)(3)9NA

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 Code307221168ZIPCode
FieldValueIRS element (for citing)
EIN581694713EIN
Primary ActivityPREFERRED PROVIDEPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DALTON-WHITFIELD ADDITIONAL TRUST
C4992969
HAMILTON AMBULATORY SURGERY CENTER INC
A686500
HAMILTON AMBULATORY SURGERY CENTER INC
N1488027
HAMILTON AMBULATORY SURGERY CENTER INC
P336390
HAMILTON AMBULATORY SURGERY CENTER INC
R640438
HAMILTON AMBULATORY MEDICAL SERVICES INC
A54372
HAMILTON EMERGENCY MEDICAL SERVICES INC
P1512921
HAMILTON PHYSICIANS GROUP INC
P521398
HLTC INC
P168176
MURRAY MEDICAL CENTER INC
P2787637
MURRAY MEDICAL CENTER INC
R100000
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