2024-08-14T12:30:10-05:00 2023-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2022-10-01 586345011 DALTON-WHITFIELD INDIGENT CARE TRUST DALT 7062726115 PO BOX 1168 DALTON GA 307221168 JULIE A SOEKORO VICE PRESIDENT/CFO 7062726115 2024-08-14 1 0 DEBORAH O ERNSBERGER P00364912 8656730844 2022 2024-08-08 14:25:15Z JULIE A SOEKORO PO BOX 1168 DALTON GA 307221168 3599230 0 X N/A X 1996 GA THE ORGANIZATION WAS ESTABLISHED TO PROVIDE FINANCIAL RESOURCES FOR HEALTHCARE SERVICES RENDERED TO THE INDIGENT POPULATION OF DALTON AND WHITFIELD COUNTY. 7 6 0 0 0 0 0 0 0 0 602556 400404 0 0 602556 400404 0 0 0 0 0 0 0 0 0 128652 105667 128652 105667 473904 294737 13185568 13840644 27097 17187 13158471 13823457 THE DALTON-WHITFIELD INDIGENT CARE TRUST WAS ESTABLISHED FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES TO THE INDIGENT OF DALTON AND WHITFIELD COUNTY. 0 0 FUNDS DISTRIBUTED TO PROVIDE HEALTHCARE SERVICES TO THE INDIGENT. DUE TO SUSTAINED INVESTMENT LOSSES, NO FUNDS WERE PROVIDED TO HAMILTON MEDICAL CENTER, INC. FOR HEALTHCARE SERVICES PROVIDED TO THE INDIGENT OF THE CITY OF DALTON AND WHITFIELD COUNTY. 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 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 1609084 135112 JOHN T MINOR TRUSTEE, COMMITTEE CHAIRMAN 1.00 X 0 0 0 WALTER M JONES JR TRUSTEE 1.00 X 0 0 0 BRYAN E MCALLISTER TRUSTEE 1.00 X 0 0 0 W SCOTT SELLERS TRUSTEE 1.00 X 0 0 0 HENRY C THARPE JR TRUSTEE 1.00 X 0 0 0 JERRY T WATKINS JR TRUSTEE 1.00 X 0 0 0 0 1609084 135112 0 0 1 0 0 287530 287530 3311700 3198826 112874 112874 112874 400404 0 0 400404 50000 50000 5055 5055 45992 45992 4620 4620 105667 0 105667 0 381052 300765 11766016 12638056 1038500 901823 13185568 13840644 27097 17187 27097 17187 X 13158471 13823457 13158471 13823457 13185568 13840644 294737 370249 0 X 0 1 X 1 0 X X 1 HAMILTON MEDICAL CENTER INC 581519911 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 THE SUPPORTED ORGANIZATION'S CEO IS AN OFFICER ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE SUPPORTED ORGANIZATION'S PURPOSE IS TO PROVIDE FUNDING FOR THE CHARITABLE PURPOSES OF THE SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATION PROVIDES THIS GUIDANCE THROUGH THE SHARED OFFICER. PART IV, SECTION E, LINES 2A AND 2B THE ORGANIZATION'S ACTIVITIES DURING THE TAX YEAR DIRECTLY FURTHERED HAMILTON MEDICAL CENTER'S EXEMPT PURPOSE BY PROVIDING FUNDING AVAILABLE TO MAKE GRANTS SO THAT HAMILTON MEDICAL CENTER CAN PROVIDE HEALTHCARE TO THE COMMUNITY. IF THE TRUST DID NOT EXIST, THEN HAMILTON MEDICAL CENTER WOULD BE DIRECTLY CONDUCTING THESE ACTIVITIES. 0 REAL ESTATE 901823 F 901823 724661 370249 370249 354412 45992 45992 400404 59675 0 59675 45992 45992 105667 0 1 0 0 0 0 0 0 0 JEFFREY D MYERS PRESIDENT/CEO 0 955987 0 479272 0 173825 0 59300 0 75812 0 1744196 0 44050 PART I, LINE 4B THE FOLLOWING PERSON RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED PLANS: - JEFFREY D. MYERS - $44,050 THE FOLLOWING PERSON RECEIVED CURRENT YEAR DEFERRED COMPENSATION ACCRUALS FROM NON-QUALIFIED SERP PLANS: - JEFFREY D. MYERS - $405,000 FORM 990, PART VI, SECTION A, LINE 7A THE TRUST COMMITTEE REPORTED ON PART VII IS APPOINTED BY THE WHITFIELD HEALTHCARE FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM. 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 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 VALUE 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. HAMILTON MEDICAL CENTER PO BOX 1168 DALTON GA 30722 581519911 HEALTHCARE GA 501(C)(3) LINE 3 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0