2020-08-13T09:50:46-05:00 2019-09-30 222428965 CITRIN COOPERMAN & COMPANY LLP 2 BETHESDA METRO CENTER 11TH FLOOR BETHESDA MD 20814 990 2018-10-01 540573701 FHI SERVICES FHIS 5406804100 321 WALKER DRIVE NO 301 WARRENTON VA 20186 CHRISTINE M CONNOLLY PRESIDENT & CEO 5406804100 2020-08-12 1 BRIAN J GIGANTI CPA P00646609 3016549000 108.28.245.23 2020-08-12 10:41:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-09-23 17:36:50Z X CHRISTINE M CONNOLLY 321 WALKER DRIVE NO 301 WARRENTON VA 20186 150476 0 X WWW.FAUQUIERHEALTH.ORG X 1954 VA OUR MISSION IS MAKING COMMUNITIES HEALTHIER. X 14 14 0 14 0 -494 0 73758 2599803 0 16052089 76718 1738226 0 20390118 150476 3602620 0 0 0 0 0 0 0 0 1727351 40160 5329971 40160 15060147 110316 263325644 0 1023558 0 262302086 0 X OUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF THE COMMUNITY. 0 1 NONE NONE NONE 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X LORNA MAGILL 5406804100 321 WALKER DRIVE SUITE 301 WARRENTON VA 20186 JOHN MCCARTHY TRUSTEE 0.00 2.75 X 0 0 0 BETSY DIETEL TRUSTEE 0.00 1.15 X 0 0 0 PATRICIA WOODWARD TRUSTEE 0.00 1.75 X 0 0 0 MARK VAN DE WATER TRUSTEE 0.00 1.75 X 0 0 0 TOM TUCKER TRUSTEE 0.00 1.75 X 0 0 0 SUSAN STRITTMATTER TRUSTEE 0.00 1.50 X 0 0 0 MARY LEIGH MCDANIEL TRUSTEE 0.00 1.75 X 0 0 0 RICK GERHARDT TRUSTEE 0.00 1.25 X 0 0 0 TIM DUNN SECRETARY/TREASURER 0.00 2.25 X 0 0 0 MARSHALL DOELLER TRUSTEE 0.00 1.75 X 0 0 0 JANELLE DOWNES VICE CHAIR 0.00 1.75 X 0 0 0 RAY KNOTT CHAIR 0.00 3.75 X 0 0 0 DAPHNE LATIMORE TRUSTEE 0.00 2.00 X 0 0 0 SUSAN RUBIN TRUSTEE 0.00 2.75 X 0 0 0 LORNA MAGILL CFO 0.00 40.00 X 0 200662 12413 CHRISTINE CONNOLLY PRESIDENT/CEO 0.00 40.00 X 0 297337 51402 AMY PETTY DIRECTOR OF COMMUNICATIONS 0.00 40.00 X 0 111967 21742 ELIZABETH HENRICKSON DIRECTOR OF ADMINISTRATION 0.00 40.00 X 0 125290 20326 0 735256 105883 0 0 1 0 0 73758 73758 76718 76718 150476 0 0 76718 40160 40160 40160 0 40160 0 0 867 0 0 0 0 0 5970609 0 0 0 0 89126222 0 140026119 0 0 0 28201827 0 263325644 0 23558 0 1000000 0 1023558 0 X 262289034 0 13052 0 262302086 0 263325644 0 X 110316 106651 -262519053 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10339211 406360 10745571 9546239 792972 10339211 9064881 481358 9546239 9546225 -481344 9064881 0 X PART X, LINE 2: THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. IN THE FOOTNOTE, FHS SERVICES REFERS TO THE CONSOLIDATED GROUP AS A WHOLE WHICH INCLUDES FHS SERVICES,FHI SERVICES, AND FAUQUIER HEALTH FOUNDATION. FHS SERVICES, FHI SERVICES AND THE FAUQUIER HEALTH FOUNDATION (D/B/A PATH FOUNDATION) ARE ALL EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A PUBLIC CHARITY PURSUANT TO IRC SECTION 509(A). FEDERAL TAX LAW REQUIRES THAT THESE ENTITIES BE OPERATED IN A MANNER CONSISTENT WITH THEIR INITIAL EXEMPTION APPLICATION TO MAINTAIN THEIR EXEMPT STATUS. MANAGEMENT HAS ANALYZED THE OPERATIONS OF THESE ENTITIES AND CONCLUDED THAT THESE ENTITIES REMAIN IN COMPLIANCE WITH THE REQUIREMENTS FOR EXEMPTION. THE STATE IN WHICH THESE ENTITIES OPERATE ALSO PROVIDES A GENERAL EXCEPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THESE ENTITIES ARE SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON THEIR UNRELATED BUSINESS INCOME. THESE ENTITIES HAVE NO UNRECOGNIZED TAX BENEFITS. MANAGEMENT HAS ALSO CONSIDERED THE IMPACT OF UNRELATED BUSINESS ACTIVITIES AND HAS CONCLUDED THAT THESE ENTITIES ARE NOT SUBJECT TO UNRELATED BUSINESS TAX OR ANY OTHER TAXES THAT COULD BE IMPOSED BY THE IRC OR STATE TAXING AUTHORITIES. AS SUCH, NO PROVISION IS MADE FOR INCOME TAXES AND NO ASSET OR LIABILITY HAS BEEN RECOGNIZED FOR DEFERRED TAXES. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 66579823 0 0 0 0 0 0 66579823 0 66579823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LORNA MAGILL CFO 0 200164 0 498 0 0 0 10433 0 1980 0 213075 0 0 CHRISTINE CONNOLLY PRESIDENT/CEO 0 290202 0 7135 0 0 0 27190 0 24212 0 348739 0 0 PART I, LINE 3 THE CEO AND CFO ARE COMPENSATED BY THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION). THE ORGANIZATIONS" BOARD ADOPTED A COMPENSATION POLICY FOR ITS CEO AND CFO. AN EXECUTIVE COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION" WAS ESTABLISHED TO REVIEW THE COMPENSATION FOR ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION". THE EXECUTIVE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE MORE THAN MARKET NORMS. INVESTMENTS AND OTHER ASSETS 2018-10-01 262519053 FAIR MARKET VALUE 300219424 FAUQUIER HEALTH FOUNDATION (DBA PATH FOUNDATION) 321 WALKER DRIVE SUITE 301 WARRENTON VA 20186 501 (C) 3 0 0 0 0 1 0 0 1 0 PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: THE TWO ORGANIZATIONS WERE AFFILIATED BEFORE THE MERGER. THE BOARD OF DIRECTORS OF BOTH THE TRANSFEROR AND TRANSFEREE ORGANIZATIONS WHERE THE SAME PRIOR TO THE MERGER. FORM 990, PART III, LINE 3 FHI SERVICES SOLD ITS INTEREST IN JOINT VENTURE LLC AND ENDED IT'S OPERATIONS AS HOSPITAL AS OF SEPTEMBER 30, 2018. EFFECTIVE OCTOBER 1, 2018, FHI SERVICES MERGED INTO THE FAUQUIER HEALTH FOUNDATION HENCE THIS YEAR BEING THE FINAL YEAR FOR THE FHI SERVICES. HENCE THERE IS NO PROGRAM SERVICES ACTIVITY IN THE TAXABLE YEAR ENDING SEPTEMBER 30, 2019. FORM 990, PART VI, SECTION A, LINE 4 FHI SERVICES SOLD ITS INTEREST IN JOINT VENTURE LLC AND ENDED IT'S OPERATIONS AS HOSPITAL AS OF SEPTEMBER 30, 2018. EFFECTIVE OCTOBER 1, 2018, FHI SERVICES MERGED INTO THE FAUQUIER HEALTH FOUNDATION HENCE THIS YEAR BEING THE FINAL YEAR FOR THE FHI SERVICES. HENCE THERE IS NO ACTIVITY IN THE TAXABLE YEAR ENDING SEPTEMBER 30, 2019. FORM 990, PART VI, SECTION A, LINE 6 FHS SERVICES IS THE PARENT OF THE ORGANIZATION AND THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION) IS A BROTHER/SISTER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE FHS SERVICES BOARD OF DIRECTORS ELECTS THE MEMBERS OF FHI SERVICES. FORM 990, PART VI, SECTION A, LINE 7B FHI SERVICES REQUIRES THE APPROVAL OF THE FHS SERVICES BOARD, TO ELECT, APPOINT, OR REMOVE DIRECTORS AND IMPLEMENT AMENDMENTS TO THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PREPARES THE IRS FORM 990 WITH ASSISTANCE FROM AN OUTSIDE ACCOUNTING FIRM. ONCE A DRAFT OF THE FORM 990 IS COMPLETED, IT IS SUBMITTED TO THE MANAGEMENT OF THE ORGANIZATION FOR REVIEW AND COMMENTS. AFTER INCORPORATING CHANGES FROM MANAGEMENT, MATERIALLY COMPLETE DRAFT FORMS 990 ARE MADE AVAILABLE TO THE BOARD OF THE ORGANIZATION. COMMENTS OR QUESTIONS RECEIVED FROM THE BOARD ARE INCORPORATED INTO A FINAL IRS FORM 990 WHICH IS SIGNED BY THE PRESIDENT/CEO, CHRISTINE M. CONNOLLY. FORM 990, PART VI, SECTION B, LINE 12C UNDER THE CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, MANAGEMENT, AND KEY EMPLOYEES COMPLETE AN ANNUAL DISCLOSURE FORM REGARDING BUSINESS RELATIONSHIPS THAT HE OR SHE, OR ANY FAMILY MEMBER, HAS WITH ANY OTHER COMPANY THAT DOES BUSINESS WITH THE ORGANIZATION, AS WELL AS ANY BUSINESS RELATIONSHIPS BETWEEN AND AMONG THE BOARD MEMBERS, MANAGEMENT, AND KEY EMPLOYEES. THE ANNUAL DISCLOSURE STATEMENTS ARE REVIEWED BY INDEPENDENT LEGAL COUNSEL AND THE AUDIT AND COMPLIANCE COMMITTEE, WHO ARE ULTIMATELY RESPONSIBLE IF A CONFLICT EXISTS. ANY SUCH CONFLICTS WOULD BE REPORTED TO THE FULL BOARD. IN ADDITION, ANY PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY HAS AN ONGOING OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OR THE BOARD COMMITTEE IN WHICH THE MATTER ARISES. FINALLY, THE ORGANIZATION MONITORS BOARD MEMBER ELIGIBILITY FOR ANY POTENTIAL CONFLICTS, IN ORDER TO AVOID SUCH CONFLICTS FROM OCCURRING IN THE FIRST PLACE. AN OPPORTUNITY IS GIVEN AT THE START OF EACH MEETING TO DISCLOSE ANY CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND CFO ARE COMPENSATED BY THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION). THE ORGANIZATION'S" BOARD ADOPTED A COMPENSATION POLICY FOR ITS CEO AND CFO. AN EXECUTIVE COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION" WAS ESTABLISHED TO REVIEW THE COMPENSATION FOR ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION". THE EXECUTIVE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE MORE THAN MARKET NORMS. 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: TRANSFER TO FAUQUIER HEALTH FOUNDATION -262,519,053. VIA A MERGER DOCUMENT EFFECTIVE 10/1/2018 FORM 990 PART XII, LINE 2C THERE WAS NO CHANGE IN THE OVERSIGHT PROCEDURES. FHS SERVICES 321 WALKER DRIVE SUITE 301 WARRENTON VA 20186 541416705 MANAGEMENT COORDINATION VA 501(C)(3) LINE 12C, III-FI NONE 0 FAUQUIER HEALTH FOUNDATION (DBA PATH FOUNDATION) 321 WALKER DRIVE SUITE 301 WARRENTON VA 20186 300219424 COMMUNITY HEALTH VA 501(C)(3) LINE 7 FHS SERVICES 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 FAUQUIER HEALTH FOUNDATION(DBA PATH FOUNDATION) R 262519053 FMV