2025-08-13T11:10:14-05:00 2024-09-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2023-10-01 581331514 DALTON-WHITFIELD COUNTY HOSPITAL LIABILITY TRUST DALT 7062782105 PO BOX 1168 DALTON GA 307221168 JULIE A SOEKORO VP/ASSISTANT TREASURER 7062782105 2025-08-13 1 1 DEBORAH O ERNSBERGER P00364912 8656730844 2023 2025-03-06 01:10:19Z JEFFREY D MYERS PO BOX 1168 DALTON GA 307221168 9880400 0 X N/A X 1977 GA THE TRUST EXISTS TO ENSURE THAT HAMILTON HEALTH CARE SYSTEM AND AFFILIATES MAINTAIN ADEQUATE 1 0 0 0 0 0 0 0 0 0 611412 983476 0 0 611412 983476 0 0 0 0 0 0 0 0 0 45817 49606 45817 49606 565595 933870 15301049 17887001 8925376 12161254 6375673 5725747 X THE TRUST EXISTS TO ENSURE THAT HAMILTON HEALTH CARE SYSTEM AND AFFILIATES MAINTAIN ADEQUATE PROTECTION AGAINST PROFESSIONAL AND PATIENT GENERAL LIABILITY LOSSES BY USING TRUST PRINCIPAL AND EARNINGS SOLEY FOR THE PAYMENT OF GENERAL LIABILITY CLAIMS AND LOSSES, AS WELL AS RELATED COSTS AND EXPENSES. 0 0 THE TRUST EXISTS TO ENSURE THAT HAMILTON HEALTH CARE SYSTEM AND AFFILIATES MAINTAIN ADEQUATE PROTECTION AGAINST PROFESSIONAL AND PATIENT GENERAL LIABILITY LOSSES BY USING TRUST PRINCIPAL AND EARNINGS SOLELY FOR THE PAYMENT OF GENERAL LIABILITY CLAIMS AND LOSSES, AS WELL AS RELATED COSTS AND EXPENSES. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X STATE STREET BANK 6179859434 200 NEWPORT AVENUE 7TH FLOOR N QUINCY MA 02171 STATE STREET BANK & TRUST TRUSTEE 1.00 X 16043 0 0 16043 0 0 0 0 0 0 0 331420 331420 9548980 8896924 652056 652056 652056 983476 0 0 983476 49606 49606 49606 0 49606 0 405948 598596 14156270 16607807 738831 680598 15301049 17887001 8925376 12161254 8925376 12161254 X 6375673 5725747 6375673 5725747 15301049 17887001 X 933870 1652082 -3235878 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 0 1 0 X 1 1 PART IV, SECTION E, LINES 2A & 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 ACCRUED LIABILITY CLAIMS 12161254 12161254 X PART X, LINE 2: THE SYSTEM 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, 2024. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: PROTECTION AGAINST PROFESSIONAL AND PATIENT GENERAL LIABILITY LOSSES BY USING TRUST PRINCIPAL AND EARNINGS SOLEY FOR THE PAYMENT OF GENERAL LIABILITY CLAIMS AND LOSSES, AS WELL AS RELATED COSTS AND EXPENSES. FORM 990, PART VI, SECTION A, LINE 7A HAMILTON MEDICAL CENTER, INC. MAY REMOVE THE TRUSTEE WITH OR WITHOUT CAUSE UPON 30 DAYS WRITTEN NOTICE. UPON NOTICE, HAMILTON SHALL APPOINT A QUALIFIED SUCCESSOR TRUSTEE. HAMILTON MEDICAL CENTER, INC. IS 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 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 XI, LINE 9: CHANGE IN LIABILITY ACCRUAL -3,235,878. 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 HEALTH CARE SYSTEM INC 0 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 MEDICAL CENTER INC PO BOX 1168 DALTON GA 30722 581519911 HEALTHCARE GA 501(C)(3) LINE 3 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 HEALTH CARE SYSTEM INC 0 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 1168 DALTON GA 30722 581970228 SENIOR LIVING SERVICES GA 501(C)(3) LINE 10 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 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 HAMILTON CHILDREN'S INSTITUTE PO BOX 1168 DALTON GA 30722 823312912 PEDIATRIC DEVELOPMENTAL/BEHAVIORAL INSTITUTE GA 501(C)(3) LINE 10 HAMILTON HEALTH CARE SYSTEM INC 0 HAMILTON HEALTH FIRST INC PO BOX 1168 DALTON GA 30722 581694713 PREFERRED PROVIDER GA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0