2026-08-17T16:02:59-05:00 2025-09-30 621517792 PYA P C 6016 BROOKVALE LANE KNOXVILLE TN 37919 990 2024-10-01 581519911 HAMILTON MEDICAL CENTER INC HAMI 7062726115 PO BOX 1168 DALTON GA 307221168 STEVEN P BRIDENSTINE TAX OFFICER 7062726115 2026-08-17 1 0 MICHELLE HERRELL CPA P00111870 8656730844 2024 2025-03-06 01:10:19Z JEFFREY D MYERS PO BOX 1168 DALTON GA 307221168 1176222126 0 X WWW.HAMILTONHEALTH.COM X 1983 GA HAMILTON MEDICAL CENTER, INC. OPERATES ACUTE CARE HOSPITALS, INCLUDING A 24-HOUR EMERGENCY ROOM, WHICH SERVES THE NEEDS OF COMMUNITIES ACROSS MULTIPLE DIVERSE AREAS. DURING THE FISCAL YEAR ENDED 09/30/2025, THESE HOSPITALS PROVIDED 88,488 PATIENT DAYS AND 312,065 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. 13 10 3759 107 43356 0 7927475 1979251 482101249 675445974 22724112 43617997 9684265 12399626 522437101 733442848 0 0 0 0 210680965 312328709 0 0 0 238891544 361945522 449572509 674274231 72864592 59168617 1256741711 1341601773 496011690 570214383 760730021 771387390 AS AN AFFILIATE OF HAMILTON HEALTH CARE SYSTEM, HAMILTON MEDICAL CENTER, INC. SUPPORTS THE SYSTEM MISSION OF PROVIDING LEADERSHIP, PARTNERSHIPS AND SEAMLESS RESOURCE COORDINATION TO MEET HEALTH CARE NEEDS THAT ADVANCE THE QUALITY AND DIGNITY OF LIFE. 0 0 565236413 677015239 HAMILTON MEDICAL CENTER, INC. OPERATES ACUTE CARE HOSPITALS, INCLUDING A 24-HOUR EMERGENCY ROOM, WHICH SERVES THE NEEDS OF COMMUNITIES OF MULTIPLE DIVERSE AREAS. DURING THE FISCAL YEAR ENDED 09/30/2025, THE HOSPITALS PROVIDED 88,488 PATIENT DAYS AND 312,065 OUTPATIENT VISITS. HAMILTON SERVES THE NEEDS OF AREA RESIDENTS WITHOUT DISCRIMINATION AND REGARDLESS OF ABILITY TO PAY. ACCORDINGLY, THE HOSPITAL PROVIDED $94,734,080 IN CHARITY CARE AT ESTABLISHED RATES TO PATIENTS UNABLE TO PAY FOR THEIR HEALTH CARE SERVICES THIS FISCAL YEAR. IN ADDITION, CHARGES OF $2,202,307,370 WERE NOT COLLECTED DUE TO SHORTFALLS FROM MEDICARE AND MEDICAID. 565236413 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 491 0 1 3759 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X JULIE A SOEKORO 7062782105 1200 MEMORIAL DRIVE DALTON GA 30720 JEFFREY D MYERS PRESIDENT/CEO 1.00 40.00 X X 0 2822417 121719 ROBERT M CHANDLER CHAIRMAN 1.00 X X 0 0 0 ROBERT H BROOKER VICE CHAIRMAN 1.00 X X 0 0 0 ROBERT B HUBBS SECRETARY/TREASURER 1.00 X X 0 0 0 AYMAN RIFAI MD TRUSTEE 1.00 X 0 0 0 W SCOTT SELLERS TRUSTEE 1.00 X 0 0 0 OLIVER F COBB TRUSTEE 1.00 X 0 0 0 ZABDIEL MENDEZ TRUSTEE 1.00 X 0 0 0 MATHEW D SMITH MD TRUSTEE 1.00 X 0 0 0 C CELESTE CRESWELL TRUSTEE 1.00 X 0 0 0 VANCE BELL TRUSTEE 1.00 X 0 0 0 ASHISH M KABIR MD TRUSTEE 1.00 40.00 X 0 637948 34528 SANDRA D MCKENZIE VICE PRESIDENT 1.00 40.00 X 0 1385386 254120 JULIE A SOEKORO CFO/ASSISTANT TREASURER 1.00 40.00 X 0 951442 116875 RANDALL F FOSTER ASSISTANT TREASURER 40.00 X 0 394556 14893 CHRISTOPHER DELASHMITT MD VP & CMO 40.00 X 284528 0 18363 ERNALDO ELEMENTO VICE PRESIDENT 40.00 X 177001 278746 60278 ALFRED D WRIGHT VICE PRESIDENT 40.00 X 403465 0 24646 JUDEAN GUINN VICE PRESIDENT 40.00 X 453232 0 50178 NED WIGGS VICE PRESIDENT 40.00 X 376556 0 71080 MICHAEL HARTLEY MD PHYSICIAN 40.00 X 761844 0 43900 HECTOR DOURRON MD PHYSICIAN 40.00 X 805585 0 39637 TOMMY BLEDSOE JR PHY. EXEC. POPULATION HEALTH 40.00 X 469143 0 45258 LISA DUHAIME PHYSICIAN 40.00 X 758037 0 31468 CLARK MCDONOUGH PHYSICIAN 40.00 X 714949 0 17858 5204340 6470495 944801 305 0 1 0 NORTH GEORGIA ANETHESIA SERVICES PC 315 APOLLO RD LOOKOUT MOUNTAIN GA 307504158 PROFESSIONAL SERVICES 9597652 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EMR 4913489 TU PARKS CONSTRUCTION CO 711 E MAIN ST CHATTANOOGA TN 37408 GENERAL CONTRACTOR 3020462 SODEXO OPERATIONS LLC 915 MEETING ST FL 15 PMB 1500 NORTH BETHESDA MD 208522380 FOOD SERVICES 2055166 QUEST DIAGNOSTICS PO BOX 740736 ATLANTA GA 303740736 LAB SERVICES 1987360 120 1979251 1979251 NET PATIENT SERVICE REVENUE 900099 670556241 670556241 MANAGEMENT FEES 561000 2505423 2505423 WELLNESS CENTER 713940 2384310 2384310 675445974 12297599 12297599 4963620 0 4963620 4963620 4963620 473128206 971470 442779278 0 30348928 971470 31320398 31320398 VENDOR REBATES 900099 2279541 2279541 GIFT SHOP 459420 583332 583332 EDUCATION 611710 122380 122380 4450753 1569265 43356 2838132 7436006 733442848 677015239 43356 54405002 X 1784784 1784784 245563878 236155662 9408216 7701360 7352859 348501 41161695 39299050 1862645 16116992 15387667 729325 4121070 4121070 1799531 1799531 175477 175477 1328090 1328090 87126822 84876822 2250000 560523 560523 47581991 9435191 38146800 12063850 12063850 18482666 18482666 168346 168346 871062 871062 19491268 19491268 38345942 38345942 7677860 7677860 MEDICAL SUPPLIES 83354802 83354802 BAD DEBT EXPENSE 31050185 31050185 PROVIDER TAX 4815126 4815126 MISCELLANEOUS 2930911 2930911 674274231 565236413 109037818 0 30821477 74819873 15343231 775130 93383463 85070650 17321115 11784066 12506571 11484517 25807865 78262324 860915530 385154939 459164814 475760591 457907583 469330683 24720395 25431199 90680568 81242417 23350000 23350000 5734629 4290323 1256741711 1341601773 58867399 177575132 395823559 387358515 35000000 0 6320732 5280736 496011690 570214383 X 760730021 771387390 760730021 771387390 1256741711 1341601773 X 59168617 -13208033 -35303215 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51660024 51660024 415890045 143955196 271934849 8484914 5120711 3364203 364683813 236079032 128604781 20196734 20196734 475760591 PROGRAM RELATED INVESTMENTS 81242417 C 81242417 ASSET RETIREMENT OBLIGATION 1240979 LONG-TERM LEASE LIABILITY 2624981 SHORT-TERM LEASE LIABILITY 1054795 MINORITY INTEREST 359981 5280736 X PART X, LINE 2: HMC HAS ADOPTED PROCEDURES FOR DETERMINING THE EXISTENCE OF UNCERTAIN TAX POSITIONS, AND THE RELATED TIMING AND AMOUNT OF THEIR IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2025 AND 2024. 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 1 18878703 18878703 0.02940 54908490 72727082 0 0.00000 73787193 72727082 18878703 0.02940 1896546 114177 1782369 0.00280 10311623 8478683 1832940 0.00280 137500 137500 0.00020 12345669 8592860 3752809 0.00580 86132862 81319942 22631512 0.03520 1 34282335 8570584 158697469 126436030 32261439 X 1 1 2 1 HAMILTON MEDICAL CENTER 1200 MEMORIAL DRIVE DALTON GA 30720 X X X 2 BRADLEY MEDICAL CENTER 2305 CHAMBLISS AVENUE NW CLEVELAND TN 373113847 X X X HAMILTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X HTTPS://WWW.HAMILTONHEALTH.COM/ABOUT/CHNA-IMPLEMENTATION-STRATEGY/ X 1 24 1 HTTPS://WWW.HAMILTONHEALTH.COM/ABOUT/CHNA-IMPLEMENTATION-STRATEGY/ 0 1 X 125.000000000000 250.000000000000 X X X 1 1 X X X X 1 X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X X X X X X 1 X 0 X X X 1 X 0 0 BRADLEY MEDICAL CENTER 2 0 0 1 X X X X X X X X X 24 0 0 0 1 X HTTPS://VITRUVIANHEALTH.COM/ABOUT/CHNA-IMPLEMENTATION-STRATEGY/ X 1 24 1 HTTPS://VITRUVIANHEALTH.COM/ABOUT/CHNA-IMPLEMENTATION-STRATEGY/ 0 1 X 125.000000000000 250.000000000000 X X X 1 1 X X X X 1 X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X WWW.VITRUVIANHEALTH.COM/PATIENTS-VISITORS/PATIENT-RESOURCES/BILL-PAY X X X X X X 1 X 0 X X X 1 X 0 0 HAMILTON MEDICAL CENTER PART V, SECTION B, LINE 11: HAMILTON MEDICAL CENTER, INC. IDENTIFIED THE TOP SIX AREAS TO FOCUS ON OUT OF ALL NEEDS IDENTIFIED BY THE ASSESSMENT. THESE SIX ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BUT NOT DEEMED SIGNIFICANT MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURSE CONSTRAINTS PREVENT THE NEEDS FROM BEING ADDRESSED DIRECTLY. BRADLEY MEDICAL CENTER PART V, SECTION B, LINE 11: BRADLEY MEDICAL CENTER, INC. IDENTIFIED THE TOP THREE AREAS TO FOCUS ON OUT OF ALL NEEDS IDENTIFIED BY THE ASSESSMENT. THESE THREE ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT BUT NOT DEEMED SIGNIFICANT MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURSE CONSTRAINTS PREVENT THE NEEDS FROM BEING ADDRESSED DIRECTLY. HAMILTON MEDICAL CENTER PART V, SECTION B, LINE 16J: UPON CONSULTATION WITH THE PATIENT ACCOUNTS LIAISON, THE FINANCIAL ASSISTANCE POLICY IS PRESENTED AND EXPLAINED. ASSISTANCE IS ALSO OFFERED FOR COMPLETION OF THE APPLICATION FOR FINANCIAL ASSISTANCE. BRADLEY MEDICAL CENTER PART V, SECTION B, LINE 16J: UPON CONSULTATION WITH THE PATIENT ACCOUNTS LIAISON, THE FINANCIAL ASSISTANCE POLICY IS PRESENTED AND EXPLAINED. ASSISTANCE IS ALSO OFFERED FOR COMPLETION OF THE APPLICATION FOR FINANCIAL ASSISTANCE. 9 1 - HAMILTON DIAGNOSTIC CENTER 1407 NORTH THORNTON AVENUE DALTON GA 30720 DIAGNOSTIC IMAGING, SLEEP DISORDERS 2 - HAMILTON SPECIALTY IMAGING 1436 BROADRICK DRIVE DALTON GA 30720 DIAGNOSTIC IMAGING 3 - HAMILTON WOUND CARE 1109 BURLEYSON ROAD DALTON GA 30720 WOUND CARE 4 - ENDOVASCULAR SURGERY PRACTICE 1109 BURLEYSON ROAD DALTON GA 30720 ENDOVASCULAR SERVICES 5 - HAMILTON CONVENIENT CARE 1012 BURLEYSON ROAD DALTON GA 30720 URGENT CARE CLINIC, FAMILY PRACTICE 6 - HAMILTON SPINE CENTER 1107 MEMORIAL DRIVE DALTON GA 30720 SPINE CARE CLINIC 7 - BRADLEY WELLNESS CENTER 1250 BROADRICK DRIVE DALTON GA 30720 FITNESS, CARDIAC REHAB, PHYS./OCC. THERAPY 8 - NEPHROLOGY PRACTICE 1506 BROADRICK DRIVE DALTON GA 30720 NEPHROLOGY SERVICES 9 - DIABETES TREATMENT CENTER 1109 BURLEYSON ROAD DALTON GA 30720 DIABETES TREATMENT CENTER PART I, LINE 6A: HAMILTON MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CORRESPONDING IMPLEMENTATION STRATEGY ARE COMPLETED EVERY THREE YEARS AND ARE PUBLICLY AVAILABLE ON THE ORGANIZATION'S WEBSITE: WWW.HAMILTONHEALTH.COM/ABOUT/CHNA-IMPLEMENTATION-STRATEGY/. A PAPER COPY IS ALSO AVAILABLE FREE OF CHARGE BY REQUEST. PART I, LINE 7: COSTS FOR THE PURPOSE OF PART I, LINE 7 ARE COMPUTED USING A COST-TO-CHARGES RATIO. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES PRESENTED ON PART I, LINE 7 INCLUDE THE DEPARTMENTS AND SERVICES: HOME HEALTH SERVICES & HOSPICE CARE PART III, LINE 2: THE ORGANIZATION UTILIZES A COST TO CHARGE RATIO PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT 25% OF THOSE REPORTED AS BAD DEBT WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF THE INDIVIDUAL APPLIED FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE PROGRAM. PART III, LINE 4: HAMILTON MEDICAL CENTER AND BRADLEY MEDICAL CENTER PROVIDE 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 2AND 3 IS COST TO CHARGE RATIO.THE AUDITED FINANCIAL STATEMENT FOR HAMILTON HEALTH CARE SYSTEM, INC, WHICH INCLUDE HAMILTON MEDICAL CENTER AND BRADLEY MEDICAL CENTER, REPORTS THE PROVISION FOR DOUBTFUL ACCOUNTS AT ESTABLISHED RATES AND CONTAINS THE FOLLOWING FOOTNOTE: HAMILTON MEDICAL CENTER, INC. 58-1519911 "FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, HMC RECOGNIZES REVENUE ON THE BASIS OF ESTABLISHED RATES, DISCOUNTED ACCORDING TO POLICY FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF HMC'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF HMC'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLE ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ASSESSES THEIR VALUATION BASED UPON BUSINESS AND ECONOMIC CONSIDERATIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF EXPERIENCE AND OTHER COLLECTION TRENDS. HMC HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. THESE CONTRACTUAL ADJUSTMENTS ARE EXPLICIT PRICE CONCESSIONS AND REPRESENT THE DIFFERENCE BETWEEN ESTABLISHED CHARGES AND THE ESTIMATED REIMBURSABLE AMOUNTS FROM THIRD-PARTYPAYORS. EXPLICIT PRICE CONCESSIONS ARE ESTIMATED BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE."SINCE HAMILTON MEDICAL CENTER AND BRADLEY MEDICAL CENTER PROVIDE 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 AND BRADLEY MEDICAL CENTER BELIEVE 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 AND BRADLEY 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 THE COMMUNITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE LATEST CHNA WAS COMPLETED BY HAMILTON MEDICAL CENTER IN 2025. IN ORDER TO ASSESS THE UNMET PHYSICIAN NEEDS OF WHITFIELD AND MURRAY COUNTIES, PHYSICIAN NEEDS ASSESSMENTS ARE PERIODICALLY CONDUCTED, MOST RECENTLY IN 2025. PART VI, LINE 3: HAMILTON MEDICAL CENTER AND BRADLEY MEDICAL CENTER PROVIDE CARE REGARDLESS OF ABILITY TO PAY. HMC EMPLOYS TWO FULL TIME PATIENT ACCOUNT LIAISONS WHO ARE RESPONSIBLE FOR EDUCATING PATIENTS AND RESPONSIBLE PARTIES OF POTENTIAL PAYMENT OPTIONS AS WELL AS THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. THE PATIENT ACCOUNT LIAISONS ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION AND PROCESS THE APPLICATION FOR APPROVAL. HMC HAS TWO MEDICAID ELIGIBILITY REPRESENTATIVES TO ASSIST ELIGIBLE PATIENTS WITH OBTAINING MEDICAID COVERAGE.BRADLEY MEDICAL CENTER, INC. EMPLOYS TWO FULL TIME PATIENT ACCOUNT REPRESENTATIVES WHO ARE RESPONSIBLE FOR EDUCATING PATIENTS AND ASSISTING WITH POTENTIAL PAYMENT OPTIONS AS WELL AS THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. THE PATIENT ACCOUNT REPRESENTATIVES ASSIST PATIENTS WITH COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION AND PROCESS FOR APPROVAL. BRADLEY HAS TWO TENNCARE/MEDICAID ELIGIBILITY SCREENING REPRESENTATIVES WHO ASSIST ELIGIBLE PATIENTS TO OBTAIN TENNCARE/MEDICAID COVERAGE. PART VI, LINE 4: HAMILTON MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF WHITFIELD AND MURRAY COUNTIES IN NORTHWEST GEORGIA AND REPRESENTS 89% OF THE FACILITY'S VOLUME. THE SERVICE AREA HAS A POPULATION OF 147,819 CONSISTING OF 106,212 AND 41,607 IN WHITFIELD AND MURRAY COUNTIES, RESPECTIVELY. MINORITY POPULATIONS IN WHITFIELD COUNTY CONSIST OF HISPANIC (39.1%) AND AFRICAN AMERICAN (5.7%). APPROXIMATELY 14.4% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. MINORITY POPULATIONS IN MURRAY COUNTY CONSIST OF HISPANIC (17.8%) AND AFRICAN AMERICAN (2.0%). APPROXIMATELY 15.7% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL.BRADLEY MEDICAL CENTER'S PRIMARY SERVICE AREA CONSISTS OF BRADLEY, POLK, MCMINN, MEIGS, AND RHEA COUNTIES IN SOUTHEAST TENNESSEE AND REPRESENTS 93% OF HOSPITAL ADMISSIONS. THE BRADLEY COUNTY POPULATION IS 115,465; THE NEXT CLOSEST IS MCMINN COUNTY WITH 55,689. POLK COUNTY HAS A POPULATION OF 18,592. MINORITY POPULATIONS IN BRADLEY COUNTY CONSIST OF HISPANIC (9.9%) AND AFRICAN AMERICAN (5.5%). APPROXIMATELY 11.6% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. MINORITY POPULATIONS IN POLK COUNTY CONSIST OF HISPANIC (2.6%) AND AFRICAN AMERICAN (1.1%). APPROXIMATELY 14.6% OF THE POPULATION LIVE BELOW THE POVERTY LEVEL. PART VI, LINE 5: HAMILTON MEDICAL CENTER (HMC) AND BRADLEY MEDICAL CENTER (BMC), INCLUDING THEIR RELATED AFFILIATES, ARE ORGANIZED AND OPERATED FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES THEY SERVE. HMC AND BMC SUPPORT THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD IS COMPOSED OF CIVIC LEADERS AND PHYSICIANS WHO RESIDE IN THE HOSPITAL'S SERVICE AREA. THE BOARD SETS POLICY AND STRATEGIC DIRECTION AND DETERMINES THE USE OF SURPLUS FUNDS IN FURTHERANCE OF THE HOSPITAL'S CHARITABLE PURPOSE. PART VI, LINE 6: HAMILTON MEDICAL CENTER, INC. (HMC) AND BRADLEY MEDICAL CENTER, INC. (BMC) ARE CONTROLLED AFFILIATES OF VITRUVIAN HEALTH (SYSTEM), WHEREBY THE TRUSTEES AND OFFICERS ARE ELECTED AND APPOINTED BY THE BOARD OF TRUSTEES OF SYSTEM. OTHER HAMILTON MEDICAL CENTER, INC. 58-1519911 CONTROLLED AFFILIATES INCLUDE: DALTON SENIOR HOUSING, INC. AND WHITFIELD PLACE, INC., PROVIDERS OF HOUSING TO LOW INCOME SENIORS AND HANDICAPPED INDIVIDUALS; HAMILTON EMERGENCY MEDICAL SERVICES, INC., WHICH OPERATES WHITFIELD EMERGENCY MEDICAL SERVICES; HLTC, INC., A LONG-TERM CARE SERVICES PROVIDER; MURRAY MEDICAL CENTER, INC.; ROYAL OAK COMMUNITY, LTD., A RETIREMENT COMMUNITY; AND WHITFIELD HEALTHCARE FOUNDATION, INC., A PHILANTHROPIC ORGANIZATION. HAMILTON AMBULATORY SURGERY CENTER, INC., A MULTI-SPECIALTY SURGERY CENTER, AND HAMILTON PHYSICIAN GROUP, INC., A MULTI-SPECIALTY ORGANIZATION OF PHYSICIAN PRACTICES, AND HAMILTON CHILDREN'S INSTITUTE, AND BRADLEY PHYSICIAN SERVICES ARE CONTROLLED AFFILIATES OF HMC. X X 1 1 X X X 0 1 0 0 0 0 0 0 0 JEFFREY D MYERS PRESIDENT/CEO 0 1612808 0 748869 0 460740 0 80371 0 41348 0 2944136 0 63121 SANDRA D MCKENZIE VICE PRESIDENT 0 883427 0 428355 0 73604 0 225479 0 28641 0 1639506 0 208229 JULIE A SOEKORO CFO/ASSISTANT TREASURER 0 534038 0 230000 0 187404 0 34589 0 82286 0 1068317 0 17339 HECTOR DOURRON MD PHYSICIAN 458950 0 312589 0 34046 0 39511 0 126 0 845222 0 22261 0 MICHAEL HARTLEY MD PHYSICIAN 474291 0 232067 0 55486 0 43292 0 608 0 805744 0 26042 0 LISA DUHAIME PHYSICIAN 541000 0 164415 0 52622 0 30860 0 608 0 789505 0 13610 0 CLARK MCDONOUGH PHYSICIAN 639764 0 21650 0 53535 0 17250 0 608 0 732807 0 0 0 ASHISH M KABIR MD TRUSTEE 0 340092 0 251056 0 46800 0 26220 0 8308 0 672476 0 8970 ERNALDO ELEMENTO VICE PRESIDENT 134594 115341 0 120000 42407 43405 7779 11496 40449 554 225229 290796 0 0 TOMMY BLEDSOE JR PHY. EXEC. POPULATION HEALTH 348133 0 53593 0 67417 0 5323 0 39935 0 514401 0 5323 0 JUDEAN GUINN VICE PRESIDENT 230142 0 107713 0 115377 0 14173 0 36005 0 503410 0 0 0 NED WIGGS VICE PRESIDENT 204439 0 114451 0 57666 0 16625 0 54455 0 447636 0 0 0 ALFRED D WRIGHT VICE PRESIDENT 231484 0 97155 0 74826 0 12622 0 12024 0 428111 0 0 0 RANDALL F FOSTER ASSISTANT TREASURER 0 244051 0 90760 0 59745 0 13006 0 1887 0 409449 0 0 CHRISTOPHER DELASHMITT MD VP & CMO 242981 0 0 0 41547 0 8329 0 10034 0 302891 0 0 0 PART I, LINE 1A THE PERSONAL USE PORTION OF BOTH SPOUSAL TRAVEL AND SOCIAL CLUB DUES ARE INCLUDED IN THE RECIPIENTS TAXABLE WAGES. PART I, LINE 4B THE FOLLOWING PERSONS RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED PLANS: - JEFFREY D. MYERS - $63,121 - SANDRA D. MCKENZIE - $208,229 - JULIE A. SOEKORO - $17,339 - MICHAEL HARTLEY, MD - $26,042 - TOMMY BLEDSOE, JR. - $5,323 - HECTOR DOURRON, MD - $22,261 - ASHISH KABIR - $8,970 - LISA DUHAIME - $13,610 A DALTON-WHITFIELD COUNTY JOINT DEVELOPMENT AUTHORITY 581519911 235641AM9 2017-12-21 90000000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HEALTHCARE FACILITIES 0 0 0 B DALTON-WHITFIELD COUNTY JOINT DEVELOPMENT AUTHORITY 900521568 235641BF3 2024-07-31 74625000 ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP HEALTHCARE FACILITIES 0 0 0 A 96897633 1260588 96897633 0 0 1 1 B 83243667 645696 83243667 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 0 B 0 FORM 990, PART VI, SECTION A, LINE 7A THE REGULAR TRUSTEES OF THE ORGANIZATION ARE APPOINTED BY THE BOARD OF TRUSTEES OF HAMILTON HEALTH CARE SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN CAPITAL EXPENDITURE AND CONTRACTUAL COMMITMENT DECISIONS MUST BE SUBSEQUENTLY APPROVED BY THE HAMILTON HEALTH CARE SYSTEM BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND REVIEWED BY EXECUTIVE MANAGEMENT. SUBSEQUENTLY, A DRAFT COPY OF THE UNFILED FORM 990 IS POSTED TO A SECURE PAGE ON THE HAMILTON HEALTH CARE SYSTEM WEBSITE FOR REVIEW AND COMMENT BY ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CLEAR AND DETAILED CONFLICT OF INTEREST POLICY WHICH ESTABLISHES A PROCEDURE FOR IDENTIFYING, REVIEWING AND ADDRESSING CONFLICTS OF INTEREST. THIS POLICY ALSO REQUIRED EACH TRUSTEE AND OFFICER OF THE ORGANIZATION TO ANNUALLY SIGN A STATEMENT ACKNOWLEDGING RECEIPT OF THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 UNDER A BOARD RESOLUTION, THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM HAS THE AUTHORITY TO TAKE ACTION ON BEHALF OF THE BOARD WITH RESPECT TO THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM MAINTAINS MINUTES OF ITS PROCEDURES. ON AN ANNUAL BASIS THE FINANCE & AUDIT COMMITTEE OF HAMILTON HEALTH CARE SYSTEM WILL MEET TO SET THE ANNUAL COMPENSATION OF THE PRESIDENT/CEO. THIS ACTION IS BASED ON CONSULTATION WITH A THIRD PARTY CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION OF THE CEO AND KEY EMPLOYEES SUCH THAT TOTAL COMPENSATION PACKAGES ARE CONSIDERED FAIR MARKET AND NOT EXCESSIVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 84,876,822. MANAGEMENT AND GENERAL EXPENSES 2,250,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,126,822. FORM 990, PART XI, LINE 9: DISTRIBUTION FROM RELATED ENTITY (HPG) -30,554,604. CHANGE IN LIABILITY CLAIMS ACCRUAL 4,967,355. TRANSFER OF INVESTMENT TO(FROM) LIABILITY CLAIMS TRUST -8,901,763. BRADLEY ENTITIES DISTRIBUTION -803,391. OTHER ADJUSTMENT -10,812. FORM 990, PART XII, LINE 2: FINANCIAL STATEMENTS OF HAMILTON MEDICAL CENTER, INC ARE AUDITED ON A CONSOLIDATED BASIS TO INCLUDE HAMILTON AMBULATORY SURGERY CENTER, INC. AND HAMILTON PHYSICIAN GROUP, INC, BOTH OF WHICH ARE WHOLLY-OWNED SUBSIDIARIES EXEMPT UNDER SECTION 501(C)(3). BRADLEY MEDICAL CENTER LLC 2305 CHAMBLISS AVENUE NW CLEVELAND TN 373113847 992892769 HEALTHCARE TN -29765287 306504122 HAMILTON MEDICAL CENTER INC BRADLEY PHYSICIAN SERVICES LLC 2305 CHAMBLISS AVENUE NW CLEVELAND TN 373113847 992916217 HEALTHCARE TN -13391306 6916285 HAMILTON MEDICAL CENTER INC HAMILTON HEALTH CARE SYSTEM INC PO BOX 1168 DALTON GA 30722 581519913 SUPPORT RELATED ENTITIES GA 501(C)(3) LINE 12B, II N/A 0 DALTON SENIOR HOUSING INC 519 WEST HAWTHORNE STREET DALTON GA 30720 581518011 LOW-INCOME HOUSING GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON AMBULATORY SURGERY CENTER INC PO BOX 1168 DALTON GA 30722 582654791 SURGICAL SERVICES GA 501(C)(3) LINE 3 HAMILTON MEDICAL CENTER INC 1 HAMILTON EMERGENCY MEDICAL SERVICES INC PO BOX 1168 DALTON GA 30722 581651002 EMERGENCY MEDICAL GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON PHYSICIAN GROUP INC PO BOX 1168 DALTON GA 30722 271198701 PHYSICIAN PRACTICE GA 501(C)(3) LINE 3 HAMILTON MEDICAL CENTER INC 1 HLTC INC PO BOX 1168 DALTON GA 30722 582341574 LONG TERM ELDERLY CARE GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 ROYAL OAK COMMUNITY LTD PO BOX 1900 DALTON GA 30722 581970228 SENIOR LIVING SERVICES GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST PO BOX 1168 DALTON GA 30722 581331514 LIABILITY CLAIMS COVERAGE GA 501(C)(3) LINE 12C, III-FI HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON CHILDREN'S INSTITUTE PO BOX 1168 DALTON GA 30722 823312912 PEDIATRIC DEVELOPMENTAL/BEHAVIORAL HEALTH TREATMENT GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 WHITFIELD HEALTHCARE FOUNDATION INC PO BOX 1168 DALTON GA 30722 510175056 FUNDS FOR HEALTHCARE GA 501(C)(3) LINE 12B, II HAMILTON HEALTH CARE SYSTEM INC 0 WHITFIELD PLACE INC PO BOX 1168 DALTON GA 30722 582103085 LOW-INCOME HOUSING GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 DALTON-WHITFIELD ADDITIONAL TRUST PO BOX 1168 DALTON GA 30722 586345013 FUNDS FOR INDIGENT CARE GA 501(C)(3) LINE 12C, III-FI N/A 0 DALTON-WHITFIELD INDIGENT CARE TRUST PO BOX 1168 DALTON GA 30722 586345011 FUNDS FOR INDIGENT CARE GA 501(C)(3) LINE 12C, III-FI N/A 0 HAMILTON ORTHOPEDIC SURGERY CENTER PO BOX 1168 DALTON GA 30722 873430438 ORTHOPEDIC SURGERY CENTER GA HAMILTON MEDICAL CENTER INC RELATED 1569265 4987711 0 1 0.51000 HAMILTON HEALTH FIRST INC PO BOX 1168 DALTON GA 307221168 581694713 PREFERRED PROVIDER ORGANIZATION GA HAMILTON MEDICAL CENTER INC C 1.00000 0 HMC HOLDINGS INC PO BOX 1168 DALTON GA 307221168 TITLE HOLDING GA HAMILTON MEDICAL CENTER INC C 1.00000 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 HAMILTON AMBULATORY SURGERY CENTER INC A 686496 FMV HAMILTON AMBULATORY SURGERY CENTER INC O 1208816 FMV HAMILTON AMBULATORY SURGERY CENTER INC Q 1653150 FMV BRADLEY PHYSICIAN SERVICES LLC Q 4625194 FMV BRADLEY MEDICAL CENTER LLC Q 16218249 FMV HAMILTON PHYSICIAN GROUP INC D 22059361 INCR. 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