FHI SERVICES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FHI SERVICES (EIN 54-0573701)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201842279349302409
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T13:19:52-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222428965 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITRIN COOPERMAN & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 BETHESDA METRO CENTER 11TH FLOOR | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540573701 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FHI SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FHIS | BusinessNameControlTxt |
| Phone | 5406804100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 WALKER DRIVE NO 301 | AddressLine1Txt |
| City | WARRENTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20186 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINE M CONNOLLY | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5406804100 | PhoneNum |
| Signature | 2018-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN J GIGANTI | PreparerPersonNm |
| PTIN | P00646609 | PTIN |
| Phone | 3016549000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | CHRISTINE M CONNOLLY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 WALKER DRIVE NO 301 | AddressLine1Txt |
| City | WARRENTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20186 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,518,899 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAUQUIERHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS MAKING COMMUNITIES HEALTHIER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,812,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,274,056 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,232,081 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,167,628 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,248,541 | PYOtherRevenueAmt |
| CY Other Revenue | $2,863,769 | CYOtherRevenueAmt |
| PY Total Revenue | $25,292,811 | PYTotalRevenueAmt |
| CY Total Revenue | $12,305,453 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,860,398 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,888,607 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $343,358 | PYOtherExpensesAmt |
| CY Other Expenses | $1,212,292 | CYOtherExpensesAmt |
| PY Total Expenses | $2,203,756 | PYTotalExpensesAmt |
| CY Total Expenses | $4,100,899 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,089,055 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,204,554 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $225,399,613 | TotalAssetsBOYAmt |
| Total Assets EOY | $249,991,075 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,313,224 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,246,921 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $220,086,389 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $246,744,154 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,024,521 | ExpenseAmt |
| Grant | $2,888,607 | GrantAmt |
| Revenue | $7,137,825 | RevenueAmt |
| Desc | FHI SERVICES IS A 501(C) (3) NON-PROFIT CORPORATION. FHI SERVICES IS GOVERNED BY THE SAME BOARD AND MANAGEMENT TEAM AS ITS PARENT ORGANIZATION, FHS SERVICES, AND ITS BROTHER/SISTER ORGANIZATION, THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION).THE THREE ENTITIES, COLLECTIVELY, ARE REFERRED TO AS THE ORGANIZATION". THE ORGANIZATION'S" MISSION IS TO STRENGTHEN THE HEALTH AND VITALITY OF THE COMMUNITIES OF FAUQUIER, RAPPAHANNOCK AND NORTHERN CULPEPER COUNTIES. FAUQUIER HEALTH IS OPERATED BY A JOINT VENTURE (FAUQUIER HOLDING COMPANY) OWNED IN PART BY FHI SERVICES (20%) AND LIFEPOINT HEALTH (80%). FHI SERVICES APPOINTS 50% OF THE MEMBERS OF THE FAUQUIER HOLDING COMPANY LLC'S GOVERNING BOARD AND FHI SERVICES HAS MAJORITY GOVERNANCE WITH RESPECT TO ITEMS/ISSUES IMPACTING THE TAX-EXEMPT PURPOSE OF FHI SERVICES (CHARITABLE OVERRIDE PROVISION).THE COMMUNITY BENEFIT CONTRIBUTION OF FHI SERVICES INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTHCARE AND IMPROVE HEALTH IN FAUQUIER, RAPPAHANNOCK AND NORTHERN CULPEPER COUNTIES. ORGANIZATIONAL COMMITMENT TO PROVIDING A COMMUNITY BENEFIT INCLUDES: FAUQUIER HEALTH (FH) IS A 97 BED NOT-FOR-PROFIT ACUTE CARE FACILITY THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES. THE MISSION IS TO MAKE THE COMMUNITIES IT SERVES HEALTHIER. FH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF FAUQUIER COUNTY WITH A POPULATION OF 109,986. THE SERVICE AREA IS GROWING AND AGING, WITH OVERALL PROJECTED GROWTH BETWEEN 2017-2022 OF 6.3% AND WITH A 45+ POPULATION COMPRISING 45% OF THE TOTAL IN 2022.TO ADDRESS THE GROWING AND CHANGING HEALTHCARE NEEDS RESULTING FROM THESE POPULATION CHANGES, FH CONTINUES TO SUPPORT FIFTEEN PHYSICIANS, TWO OBSTETRICS/GYNECOLOGISTS, TWO FAMILY MEDICINE PHYSICIANS, A RHEUMATOLOGIST, A NEUROLOGIST, AN INFECTIOUS DISEASE SPECIALIST, FIVE INTERNAL MEDICINE PHYSICIANS, TWO UROLOGISTS, AND A HEMATOLOGIST/ONCOLOGIST. ALL PATIENTS AT FH HAVE IMPARTIAL ACCESS TO TREATMENT OR ACCOMMODATIONS THAT ARE AVAILABLE OR MEDICALLY INDICATED, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, RELIGION, OR SOURCE OF PAYMENT FOR CARE. THE 24-HOUR EMERGENCY DEPARTMENT IS OPEN TO EVERYONE IN THE COMMUNITY, REGARDLESS OF ABILITY TO PAY, AND PARTICIPATES IN MEDICARE, MEDICAID, AND CHAMPUS/TRICARE STANDARD.FH HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA.THE MAJORITY OF THE MEMBERS OF THE GOVERNING BODIES FOR FH ARE INDEPENDENT REPRESENTATIVES OF THE COMMUNITIES SERVED.FH PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND IN ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS.FH HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE CARE FOR PATIENTS WITHIN 200% OF THE FEDERAL POVERTY GUIDELINES AND DISCOUNTED CARE FOR PATIENTS WITHIN 300% OF THE FEDERAL POVERTY GUIDELINES. THE FINANCIAL ASSISTANCE PROGRAM ALSO PROVIDES FREE CARE TO PATIENTS WHO RESIDE IN OTHER AREAS WHO ARE WITHIN 100% OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, THROUGH A CONTINUING CARE FUND, FAUQUIER HEALTH OFFERS ASSISTANCE TO INDIVIDUALS WHO HAVE INADEQUATE FINANCIAL MEANS TO COVER THE COST OF POST-HOSPITALIZATION HEALTH SERVICES, SUCH AS NURSING CARE.TO HELP TRAIN AND EDUCATE HEALTH CARE PROFESSIONALS, FH WORKS WITH LOCAL COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS. FH STAFF PROVIDED APPROXIMATELY 23,059 HOURS AT A COST OF APPROXIMATELY $779,920. IN ADDITION, PARTNERSHIPS HAVE BEEN ESTABLISHED WITH LOCAL NON-PROFITS (E.G. FAUQUIER FREE CLINIC, THE CHAMBER OF COMMERCE, SCHOOLS AND CHURCHES) AND NATIONAL ORGANIZATIONS (E.G. THE AMERICAN CANCER SOCIETY) TO SUPPORT LOCAL EVENTS AND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFIT ACTIVITIES ARE COORDINATED BY A FULL-TIME COMMUNITY OUTREACH STAFF PERSON, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND AUXILIARY VOLUNTEERS AS NEEDED.IN ADDITION TO THE CONTRIBUTIONS MADE BY THE HOSPITAL, FHI SERVICES INVESTS IN THE COMMUNITY BY PROVIDING GRANTS RELATED TO THE FOUR PRIORITY AREAS OF CHILDHOOD WELLNESS, MENTAL HEALTH, SENIOR SERVICES AND ACCESS TO HEALTH. FHI SERVICES OFFERS SEVERAL GRANT CYCLES DURING THE YEAR TO HELP NONPROFITS AND GOVERNMENT AGENCIES BETTER THE COMMUNITIES IT SERVES. IN THE CURRENT YEAR, COMPETITIVE PROGRAM AND PLANNING GRANTS, GENERAL OPERATIONS GRANTS, NON-COMPETITIVE HEALTH PRIORITY GRANTS, AND RESPONSIVE GRANTS, WERE FUNDED. PROGRAM AND PLANNING GRANTS THESE 12-MONTH GRANTS ARE DESIGNED TO SUPPORT CLEARLY DEFINED PROGRAM-BASED INITIATIVES AND/OR SPECIFIC ORGANIZATIONAL PLANNING STRATEGIES. OFFERED ANNUALLY, THE OBJECTIVES OF THESE GRANTS ARE TO PROVIDE ONGOING SUPPORT TO SIGNATURE PROGRAMS OF ESTABLISHED ORGANIZATIONS; ENCOURAGE INNOVATION IN CREATING AND INTRODUCING NEW INITIATIVES AND OFFERINGS; AND TO STRENGTHEN EVOLVING ORGANIZATIONS FOCUSED ON CAPACITY AND PROCESS IMPROVEMENT. PROGRAMS MAY BE NEW OR ONGOING AND FUNDS MAY BE USED TO CREATE, IMPLEMENT AND/OR SUSTAIN SPECIFIC PROGRAMS. PLANNING GRANTS MAY BE CONSIDERED FOR A VARIETY OF PROCESSES INCLUDING STRATEGIC PLANNING, BOARD DEVELOPMENT, MASTER FACILITY PLANS, SURVEYS AND EVALUATIONS, PILOT PROGRAMS AND OTHER CAPACITY-BUILDING ACTIVITY. ALL PROGRAM AND PLANNING GRANTS RELATE TO ONE OF FOUR KEY PRIORITIES: ACCESS TO HEALTH, CHILDHOOD WELLNESS, MENTAL HEALTH, SENIOR SERVICES TOTALING $505,583 IN FY2017. GENERAL OPERATIONS GRANTS OFFERED IN ALTERNATING YEARS, GENERAL OPERATIONS GRANTS ARE THE PATH FOUNDATION'S MOST COMPETITIVE AWARDS. A SMALL NUMBER OF GRANTS WERE MADE TO LOCAL NONPROFITS DEMONSTRATING THE HIGHEST STANDARDS AND PRINCIPLES IN OUR COMMUNITY TOTALING $501,283 IN FY2017. THE PURPOSE OF THESE GRANTS IS TWOFOLD: TO EMPOWER EXCEPTIONAL NONPROFITS TO EXPAND, IMPROVE OR PURSUE THEIR BEST IDEAS; AND TO ESTABLISH A SHARED STANDARD OF BEST PRACTICES THAT ANY NONPROFIT, REGARDLESS OF SIZE, CAN AIM FOR. FUNDS MAY BE USED FOR ANY DIRECT OR INDIRECT COSTS RELATED TO THE NONPROFIT'S ACTIVITIES, INCLUDING BUT NOT LIMITED TO PAYROLL, RENT, UTILITIES, SUPPLIES AND EQUIPMENT, PROJECT COSTS, PROFESSIONAL DEVELOPMENT, CAPITAL IMPROVEMENTS, PROGRAMS, PLANNING, MARKETING, AND PROFESSIONAL SERVICES.HEALTH PRIORITY GRANTS AND RESPONSIVE GRANTSHEALTH PRIORITY GRANTS ARE RESERVED FOR SPECIAL INITIATIVES, OFTEN DEVELOPED OR LED BY PATH WHICH INCLUDE MAJOR AND SOMETIMES MULTI-YEAR PROJECTS DESIGNED TO HAVE LONG-RANGE IMPACT ON OUR FOUR AREAS OF FOCUS. IN THE CURRENT YEAR, NOTABLE INITIATIVES INCLUDED FAUQUIER REACHES FOR EXCELLENCE IN SCHOOL HEALTH (FRESH), COMMIT TO BE FIT, AND SUPPORT FOR TELEHEALTH, BROADBAND, COMMUNITY DESIGN AND WALKABILITY. HEALTH PRIORITY GRANTS IN SUPPORT OF SPECIAL INITIATIVES TOTALED $1,699,299 IN FY 2017. A RESPONSIVE GRANT IN THE AMOUNT OF $265,000 WAS PROVIDED TO SUPPORT THE NORTHERN PIEDMONT COMMUNITY FOUNDATION. | Desc |
| Total Program Service Expenses | $3,024,521 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | Yes (1) | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORNA MAGILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5406804100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 WALKER DRIVE SUITE 301 | AddressLine1Txt |
| City | WARRENTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20186 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOHN MCCARTHY | |||||||
| CHAIR | 1.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROBIN GULICK | |||||||
| VICE CHAIR | 1.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RAYMOND KNOTT | |||||||
| SECRETARY/TREASURER | 1.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARSHALL DOELLER | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JANELLE DOWNES | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| RICK GERHARDT | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JOSHUA JAKUM | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| MARY LEIGH MCDANIEL | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN RUBIN | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN STRITTMATTER | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| TOM TUCKER | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| MARK VAN DE WATER | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN WACHTMEISTER | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA WOODWARD | |||||||
| TRUSTEE | 1.50 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE M CONNOLLY | |||||||
| PRESIDENT/CEO | 8.00 | 32.00 | Yes (X) | $0 | $311,735 | $31,116 | |
| LORNA M MAGILL | |||||||
| CFO | 8.00 | 32.00 | Yes (X) | $0 | $159,896 | $17,233 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $471,631 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $48,349 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCOME FROM HOSPITAL VENTURE | Desc |
| Business | 900003 | BusinessCd |
| Total Revenue Column | $4,274,056 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,274,056 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,274,056 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,394,609 | TotalRevenueColumnAmt |
| Exclusion | $2,394,609 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $52,986,465 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,213,446 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,773,019 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,773,019 | TotalRevenueColumnAmt |
| Exclusion | $2,773,019 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHANGE IN RESERVE LIABILITY | Desc |
| Business | 900009 | BusinessCd |
| Total Revenue Column | $2,863,769 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,863,769 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,863,769 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,305,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,137,825 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,167,628 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,888,607 | TotalAmt |
| Program Services | $2,888,607 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,496 | TotalAmt |
| Program Services | $2,060 | ProgramServicesAmt |
| Management And General | $36,436 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,774 | TotalAmt |
| Program Services | $3,010 | ProgramServicesAmt |
| Management And General | $52,764 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,898 | TotalAmt |
| Management And General | $955,898 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,705 | TotalAmt |
| Program Services | $7,705 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,537 | TotalAmt |
| Management And General | $21,537 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $1,016 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,720 | TotalAmt |
| Program Services | $10,296 | ProgramServicesAmt |
| Management And General | $8,424 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| WALKABILITY TRAILS | $79,141 | $79,141 | |
| OTHER EXPENSES | $33,975 | $33,672 | $303 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,100,899 | TotalAmt |
| Program Services | $3,024,521 | ProgramServicesAmt |
| Management And General | $1,076,378 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,237,509 | BOYAmt |
| EOY | $10,381,665 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,955,914 | BOYAmt |
| EOY | $8,955,914 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,466,887 | BOYAmt |
| EOY | $70,633,054 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $106,953,308 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,046,604 | BOYAmt |
| EOY | $34,954,219 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,692,699 | BOYAmt |
| EOY | $18,112,915 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,399,613 | BOYAmt |
| EOY | $249,991,075 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,179 | BOYAmt |
| EOY | $1,164,188 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,703,045 | BOYAmt |
| EOY | $2,082,733 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,313,224 | BOYAmt |
| EOY | $3,246,921 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,527,098 | BOYAmt |
| EOY | $236,391,891 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,052 | BOYAmt |
| EOY | $13,052 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,546,239 | BOYAmt |
| EOY | $10,339,211 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,086,389 | BOYAmt |
| EOY | $246,744,154 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,399,613 | BOYAmt |
| EOY | $249,991,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,204,554 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,453,211 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,546,239 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $792,972 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,339,211 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,064,881 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $481,358 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,546,239 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,546,225 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$481,344 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,064,881 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,058,046 | BeginningYearBalanceAmt |
| Contributions | $697 | ContributionsAmt |
| Investment Earnings Or Losses | $751,271 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $248,020 | OtherExpendituresAmt |
| Administrative Expenses | $15,769 | AdministrativeExpensesAmt |
| End Year Balance | $9,546,225 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,623,235 | BeginningYearBalanceAmt |
| Contributions | $519 | ContributionsAmt |
| Investment Earnings Or Losses | $689,130 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $238,906 | OtherExpendituresAmt |
| Administrative Expenses | $15,932 | AdministrativeExpensesAmt |
| End Year Balance | $9,058,046 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (14 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| WELLINGTON CTF RESEARCH EQUITY | $11,750,860 | F |
| FARALLON EQUITY PARTNER LP | $11,783,702 | F |
| PALO ALTO HEALTHCARE OFFSHORE II, LTD | $6,226,630 | F |
| COATUE LONG ONLY OFFSHORE FUND, LP | $6,989,926 | F |
| CANYON VALUE REALIZATION FUND | $5,930,599 | F |
| DAVIDSON KEMPNER INSTITUTIONAL PARTNERS LP | $5,747,347 | F |
| ANCHORAGE CAPITAL PARTNERS | $5,749,635 | F |
| WELLINGTON SRA | $8,489,224 | F |
| GQG PARTNERS EMERGING MARKETS EQUITY FUND | $7,594,167 | F |
| INDUS SELECT FUND LTD | $6,125,923 | F |
| MW EURAKA FUND | $6,337,251 | F |
| NITORIUM OFFSHORE FUND LTD | $6,045,359 | F |
| THE SANDERSON INTERNATIONAL VALUE FUND | $10,821,625 | F |
| KABOUTER INTERNATIONAL OPPORTUNITIES OFFSHORE FUNDS | $7,361,060 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $106,953,308 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN FAUQUIER HOLDING | Desc |
| Book Value | $34,954,219 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $34,954,219 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $6,601,956 |
| INTEREST RECEIVABLE | $1,171,748 |
| INTEREST IN PERPETUAL TRUST - DUPONT ENDOWMENT FUND | $10,339,211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,112,915 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESERVE LIABILITY | Desc |
| Amt | $2,082,733 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,082,733 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FAUQUIER HOSPITAL ENDOWMENT FUND (THE TRUST) IS AN IRREVOCABLE TRUST CREATED BY THE CHICHESTER DUPONT FOUNDATION IN 1959. A LOCAL BANK WAS DESIGNATED AS THE TRUSTEE AND REMITS INCOME FROM THE TRUST TO THE HOSPITAL SEMIANNUALLY. THE INCOME MAY BE EMPLOYED BY THE HOSPITAL TO FURTHER ITS WORK IN SUCH MANNER AS THE BOARD OF TRUSTEES OF THE HOSPITAL DETERMINES. |
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $557,038 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $557,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,162,726 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,212,411 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,719,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,212,411 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $557,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $191,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $187,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,146 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $159,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,018,966 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,018,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12600 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,369,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,365,645 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,089,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,216,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,922,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16370 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $530,600 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $228,423 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,045,236 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,389,125 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,343,889 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FAUQUIER HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 HOSPITAL DRIVE | AddressLine1Txt |
| City | WARRENTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20186 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FAUQUIERHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FAUQUIER HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FAUQUIERHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FAUQUIERHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FAUQUIERHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.FAUQUIERHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.FAUQUIERHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE FAUQUIER HOSPITAL | PART V, SECTION B, LINE 5: OVER 90 INDIVIDUALS FROM 56 COMMUNITY AND HEALTH CARE ORGANIZATIONS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF FAUQUIER AND RAPPAHANNOCK COUNTIES. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND HAD SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH TO PROVIDE DIRECTION FOR THE COMMUNITY, THE FAUQUIER HEALTH FOUNDATION, THE VIRGINIA DEPARTMENT OF HEALTH, AND FH TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITY.42 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS (REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, ELDERLY AND CHILDREN), FOUNDATIONS, SCHOOLS, HEALTH PROVIDERS, AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN THREE FOCUS GROUPS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON APRIL 4 AND 5, 2017.INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES OCCURRED IN FEBRUARY AND MARCH OF 2017. TWENTY-FIVE COMMUNITY PHYSICIANS AND 285 FAUQUIER HEALTH EMPLOYEES WERE SURVEYED ELECTRONICALLY REGARDING THEIR PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS FROM MARCH 1 THROUGH MARCH 27, 2017. 584 COMMUNITY SURVEYS WERE COMPLETED; 206 BY TELEPHONE (LANDLINE AND CELL PHONES), 268 ELECTRONIC SURVEYS, AND 124 PRINT SURVEYS IN ENGLISH AND 6 IN SPANISH WERE CONDUCTED BETWEEN MARCH 1 AND MARCH 31, 2017. COMMUNITY PARTNERS SENT THE SURVEY OUT TO CLIENTS AND EMPLOYEES. A COMMUNITY HEALTH TOWN HALL WAS CONDUCTED ON APRIL 6, 2017 WITH OVER 60 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, BUSINESS LEADERS, LAW ENFORCEMENT, GOVERNMENT REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATIONS (MENTAL HEALTH, SUBSTANCE ABUSE, ELDERLY SERVICES, MINORITY POPULATIONS, ETC.), AND OTHER COMMUNITY MEMBERS.INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED DURING THE FOCUS GROUPS, THE COMMUNITY HEALTH TOWN HALL, AND THE COMMUNITY SURVEY. AGENCIES REPRESENTING THESE POPULATIONS WERE INTENTIONALLY INVITED TO THE FOCUS GROUPS AND TOWN HALL. NOT-FOR-PROFIT AND GOVERNMENT AGENCIES DISTRIBUTED THE COMMUNITY SURVEY TO THEIR CLIENTS TO ENSURE INPUT FROM THESE POPULATIONS. HOSPITAL EMPLOYEES AND COMMUNITY PHYSICIANS WERE ALSO SURVEYED, PROVIDING INSIGHT INTO THE HEALTH NEEDS OF THE MEDICALLY UNDERSERVED AND THE COMMUNITY AT-LARGE. |
| THE FAUQUIER HOSPITAL | PART V, SECTION B, LINE 7D: AS OF AUGUST 1, 2017, THIS REPORT WAS MADE WIDELY AVAILABLE TO THE COMMUNITY VIA FAUQUIER HEALTH'S WEBSITE, WWW.FAUQUIERHEALTH.ORG, AND THE FAUQUIER HEALTH FOUNDATION'S (DBA THE PATH FOUNDATION) WEBSITE, WWW.PATHFORYOU.ORG. OUTSIDE OF THE WEBSITES, PAPER COPIES ARE AVAILABLE FREE OF CHARGE AT BOTH FAUQUIER HOSPITAL AND THE FAUQUIER HEALTH FOUNDATION. |
| THE FAUQUIER HOSPITAL | PART V, SECTION B, LINE 11: AT THE COMMUNITY HEALTH TOWN HALL, ATTENDEES REVIEWED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY FOR THE NEXT THREE-YEARS AS IDENTIFIED BY THE FOCUS GROUPS AND THE COMMUNITY SURVEY. THE COMMUNITY HEALTH TOWN HALL AFFIRMED THE PRIORITIES, LISTED BELOW.WITH THE FOLLOWING ISSUES PRIORITIZED, ATTENDEES BRAINSTORMED GOALS AND ACTIONS AT THE COMMUNITY HEALTH TOWN HALL, CREATING THE FOUNDATION FOR FAUQUIER AND RAPPAHANNOCK COUNTIES' HEALTH INITIATIVES.SUBSTANCE ABUSE (INCLUDING ALCOHOL, TOBACCO, AND DRUGS), MENTAL HEALTH SERVICES, HEALTHY EATING/ACTIVE LIVING (ADDRESSING GENERAL HEALTH AND OBESITY), SOCIOECONOMICS (HOUSING, JOBS), ACCESS TO CARE (UNINSURED, COST OF INSURANCE AND CARE, AND CATCHING PEOPLE IN THE SERVICE GAP), CHILDHOOD WELLNESS (MENTAL HEALTH, NUTRITION, AND PHYSICAL ACTIVITY) AND SENIOR SERVICES (HOME CARE, WELLNESS, AND CHRONIC DISEASE MANAGEMENT).TO ADDRESS HEALTH EDUCATION AND LEADING CAUSES OF DEATH, THE HOSPITAL HOSTS FREE, MONTHLY HEALTH LECTURES ON VARIOUS TOPICS IDENTIFIED IN THE ASSESSMENT SUCH AS CANCER, HEART DISEASE, STROKE AND TIA, CHOLESTEROL, DIABETES, OBESITY, CONGESTIVE HEART FAILURE AND NUTRITION. FREE BLOOD PRESSURE SCREENINGS WERE ALSO OFFERED AT THE FAUQUIER HOSPITAL BISTRO DURING TUESDAYS AND THURSDAYS SENIOR SUPPER HOURS. FAUQUIER HEALTH ADDRESSES DIABETES BY PROVIDING DIABETES EDUCATION INCLUDING SUPPORT GROUPS, SELF-MANAGEMENT CLASSES, SCREENINGS, COUNSELING, AND TALKS AT SCHOOLS ON DIABETES TO SCHOOL CHILDREN. FREE MAMMOGRAMS ARE PROVIDED TO WOMEN TURNING 40. TO ADDRESS AGING SERVICES, FAUQUIER HEALTH FACILITATES SUPPORT GROUPS FOR ALZHEIMER'S, DEMENTIA, CANCER, CAREGIVERS AND DIABETES. FAUQUIER HEALTH HOSTED A SENIOR RESOURCE FAIR FOR COMMUNITY MEMBERS. IN ADDITION, FAUQUIER PARTNERS WITH THE LOCAL COMMUNITY SERVICE BOARD AND AGING TOGETHER TO HOST MEDICARE/MEDICAID COUNSELING, A FALL SYMPOSIUM AND AN ALZHEIMER'S/DEMENTIA WORKSHOP.TO ADDRESS CHILDHOOD WELLNESS, FAUQUIER HEALTH OFFERS MONTHLY JUNIOR CHEF CLASSES. DURING THE CLASS, THE KIDS LEARN HOW TO COOK HEALTHY MEALS. TO ADDRESS SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES, FAUQUIER HEALTH PROVIDES FREE MEETING SPACE TO SEVERAL SUPPORT GROUPS, INCLUDING FAMILIES OVERCOMING DRUG ADDICTION, NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS), AND THE ADDICTION RECOVERY SUPPORT GROUP. ADDITIONAL SUPPORT GROUPS THAT MEET AT THE HOSPITAL INCLUDE RHEUMATOID ARTHRITIS, BEREAVEMENT, LYME DISEASE, AND BREASTFEEDING. OTHER HEALTH NEEDS IDENTIFIED THAT THE HOSPITAL IS NOT ADDRESSING ARE HANDLED BY LOCAL ORGANIZATIONS OR GOVERNMENT ENTITIES. EXAMPLES INCLUDE, SOCIOECONOMICS WHICH ARE ADDRESSED BY THE LOCAL HEALTH DEPARTMENT AND SOCIAL SERVICES.BEHAVIORAL HEALTH IS CURRENTLY ADDRESSED BY THE LOCAL COMMUNITY SERVICES BOARD AND THE FAUQUIER FREE CLINIC; HOWEVER, THE HOSPITAL IS EXPLORING INITIATIVES TO ADDRESS THE NEED IN THE COMMUNITY. THE HOSPITAL SUPPORTS THE LOCAL FREE CLINIC FINANCIALLY AND WITH DONATED LAB AND RADIOLOGY SERVICES TO PROVIDE CARE TO THE UNINSURED POPULATION. |
| THE FAUQUIER HOSPITAL | PART V, SECTION B, LINE 16J: IN ADDITION TO PUBLISHING THE FINANCIAL ASSISTANCE POLICY ON THE HOSPITAL'S WEBSITE, SIGNAGE IS POSTED STRATEGICALLY THROUGHOUT THE HOSPITAL (INCLUDING ALL INPATIENT, OUTPATIENT, ANCILLARY AND EMERGENCY DEPARTMENT REGISTRATION OFFICES) WHICH INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES CONTACT INFORMATION FOR FINANCIAL COUNSELORS WHO CAN HELP WITH THE APPLICATION PROCESS. NOTIFICATION REGARDING THE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH, THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY FAUQUIER HEALTH. REPRESENTATIVES OF OUR FINANCIAL ASSISTANCE ELIGIBILITY PARTNERS AND MEDASSIST, ALSO DIRECT ALL PATIENTS WHO ARE SCREENED FOR STATE OR FEDERAL ASSISTANCE PROGRAMS BUT DO NOT QUALIFY TO THE HOSPITAL FINANCIAL COUNSELORS FOR HOSPITAL CHARITY SCREENING. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - THE VILLA AT SUFFIELD MEADOWS | ||||
| 6735 SUFFIELD LANE | WARRENTON | VA | 20187 | ASSISTED LIVING |
| 2 - FAUQUIER HEALTH REHABILITATION AND NU | ||||
| 360 HOSPITAL DRIVE | WARRENTON | VA | 20186 | NURSING HOME |
| 3 - FAUQUIER HEALTH WELLNESS CENTER | ||||
| 419 HOLIDAY COURT SUITE 200 | WARRENTON | VA | 20186 | WELLNESS CENTER |
| 4 - FAUQUIER HEALTH SLEEP CENTER | ||||
| 493 BLACKWELL ROAD SUITE 317-A | WARRENTON | VA | 20186 | SLEEP CENTER |
| 5 - WOUND HEALING CENTER | ||||
| 493 BLACKWELL ROAD SUITE 101-A | WARRENTON | VA | 20186 | WOUND CENTER |
| 6 - FAUQUIER HOSPITAL-MEDICAL IMAGING SERVIC | ||||
| 493 BLACKWELL ROAD SUITE 119 | WARRENTON | VA | 20186 | MEDICAL IMAGING |
| 7 - HEMATOLOGYONCOLOGY | ||||
| 500 HOSPITAL DRIVE | WARRENTON | VA | 20186 | PHYSICIAN SERVICE |
| 8 - INFECTIOUS DISEASES RHEUMATOLOGY | ||||
| 550 HOSPITAL DRIVE | WARRENTON | VA | 20186 | PHYSICIAN SERVICE |
| 9 - OBSTETRICS AND GYNECOLOGY | ||||
| 253 VETERNAS DRIVE SUITE 210 | WARRENTON | VA | 20186 | PHYSICIAN SERVICE |
| 10 - FAMILY PRACTICE AT BEALETON | ||||
| 6200 STATION DRIVE | BEALETON | VA | 22712 | PHYSICIAN SERVICE |
| 11 - NEUROLOGY | ||||
| 550 HOSPITAL DRIVE | WARRENTON | VA | 20186 | PHYSICIAN SERVICE |
| 12 - PIEDMONT INTERNAL MEDICINE | ||||
| 419 HOLIDAY COURT SUITE 200 | WARRENTON | VA | 20186 | PHYSICIAN SERVICE |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ALL PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME LEVELS ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG),ARE ELIGIBLE FOR FREE CARE. THIS PROCESS REQUIRES AN APPLICATION AND VERIFICATION OF ALL SOURCES OF INCOME. IN ADDITION,ALL PATIENTS WHOSE INCOME IS BETWEEN 200-300% OF FPG ARE ELIBLE FOR DISCOUNTED CARE. BEFORE FINAL COLLECTION ACTION, ACCOUNTS ARE PUT THROUGH CREDIT SCORING SOFTWARE TO HELP IDENTIFY THOSE PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT CONTACTED FH OFFICE UP TO THAT POINT. IF THE SOFTWARE INDICATES THAT THE PATIENT'S INCOME LEVEL MEETS FINANCIAL ASSISTANCE ELIGIBILITY, THE ACCOUNT IS PRESUMPTIVELY WRITTEN OFF TO CHARITY AND FURTHER COLLECTION ACTIVITY IS NOT PURSUED.PART I, LINE 7THE HOSPITAL FACILITY WAS CONTRIBUTED TO FAUQUIER HOLDING COMPANY, LLC AS PART OF THE LIFEPOINT TRANSACTION IN TAX YEAR 2013. FHI SERVICESRETAINS A 20% OWNERSHIP INTEREST IN FAUQUIER HOLDING COMPANY, LLC, AND APPOINTS 50% OF THE MEMBERS OF THE GOVERNING BOARD AND MAINTAINS RESERVE POWERS OVER EXEMPT ACTIVITIES OF THE JOINT VENTURE. FAUQUIER HOLDING COMPANY, LLC HAS A CALENDAR YEAR FISCAL YEAR AND ISSUES ITSFORM K-1 BASED UPON THE CALENDAR YEAR. AS A RESULT, THE INFORMATION PROVIDED IN PART I LINE 7 AND PART II REFLECTS THE OPERATIONS REFLECTED ON THE K-1 ISSUED BY FAUQUIER HOLDING COMPANY, LLC, WHICH IS 20% OF THE TOTAL COSTS INCURRED BY FAUQUIER HOSPITAL, FOR ITS YEAR ENDING WITHIN FHI SERVICES' FISCAL YEAR ( FROM JANUARY 1, 2016 THROUGH DECEMBER 31, 2016). FHI SERVICES' FISCAL YEAR WAS 10/1/2016 - 9/30/2017. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES SUPPORT THE HEALTH OF THE COMMUNITY BY OFFERING ENVIRONMENTAL IMPROVEMENTS AND COMMUNITY SUPPORT.ENVIRONMENTAL IMPROVEMENTS - FAUQUIER HEALTH'S ANNUAL MEDICATION AND SHARPS COLLECTION EVENTS HELPED TO SAFELY DISPOSE OF 402 GALLONS OF SHARPS AND 842 POUNDS OF MEDICATIONS. RATHER THAN COMMUNITY MEMBERS FLUSHING MEDICATIONS INTO THE GROUND WATER OR DISPOSING OF SHARPS AT THE LANDFILL, FAUQUIER HEALTH COLLECTS THEM AND WORKS WITH A MEDICAL WASTE MANAGEMENT COMPANY THAT DISPOSES OF THE ITEMS.COMMUNITY SUPPORT ACTIVITIES INCLUDED MED SHARPS,EMERGENCY DRUG SUPPLIES AND DISASTER ASSISTANCE. |
| PART III, LINE 2: | THE AMOUNT OF ORGANIZATION'S BAD DEBT EXPENSE WAS ESTIMATED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE FOR FAUQUIER HEALTH BY THE COST-TO-CHARGE RATIO CALCULATED IN WORKSHEET II. THE AMOUNT REPORTED IS 20% OF THIS COST WHICH IS THE FHI SERVICES INTEREST IN THE FAUQUIER HOLDING COMPANY, LLC. |
| PART III, LINE 3: | BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY USING THE TOTAL BAD DEBT EXPENSE FOR FAUQUIER HEALTH MULTIPLIED BY THE COST-TO-CHARGE RATIO TO CALCULATE COST. THE BAD DEBT EXPENSE AT COST IS MULTIPLIED BY 29% WHICH IS THE ESTIMATED PERCENTAGE ATTRIBUTABLE TO PATIENTS THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THE AMOUNT REPORTED IS 20% OF THIS COST WHICH IS THE FHI SERVICES INTEREST IN THE FAUQUIER HOLDING COMPANY, LLC. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR THE EXCESS OF CHARGES OVER THE PAYMENTS ON PATIENT ACCOUNTS TO BE RECEIVED FROM THIRD PARTY PAYERS AND ESTIMATES OF UNCOLLECTIBLE AMOUNTS. THE SYSTEM'S POLICY IS TO WRITE-OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. ANY ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT MAY BECOME UNCOLLECTABLE IN FUTURE PERIODS BASED ON MANAGMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH OF ITS MAJOR PAYERS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS , AND OTHERS FOR SERVICES RENDERED, AND INCLUDE ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGERSUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. FAUQUIER HOSPITAL PERIODICALLY EMPLOYED CREDIT SCORING SOFTWARE TO HELP IDENTIFY PATIENTS THAT MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, WHICH HAD NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IF THE SOFTWARE INDICATED THAT THE PATIENT'S INCOME LEVEL MET FINANCIAL ASSISTANCE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THEN THE ACCOUNT WAS WRITTEN OFFTO CHARITY AND FURTHER COLLECTION ACTIVITY WAS NOT PURSUED. BECAUSE OF THE PERIODIC USE OF SUCH CREDIT SCORING SOFTWARE THROUGHOUT THE YEAR, IT IS DIFFICULT TO ESTIMATE THE AMOUNT OF THE BAD DEBT EXPENSE ATTRIBUTABLETO PATIENTS THAT MIGHT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 8: | THE SHORTFALL FOR MEDICARE IS NOT CURRENTLY INCLUDED/CONSIDERED IN COMMUNITY BENEFIT. HOWEVER, THE SHORTFALL IS DUE TO THE REIMBURSEMENT FROM MEDICARE FALLING SHORT OF THE COST INCURRED TO PROVIDE CARE TO THE MEDICARE POPULATION SERVED BY THE FAUQUIER HOSPITAL. AS WITH THE SHORTFALL EXPERIENCED FOR THE MEDICAID POPULATION, THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS WELL. IT IS PART OF THE ORGANIZATION'S MISSION TO PROVIDE THE BEST POSSIBLE CARE TO PATIENTS WITHIN OUR COMMUNITY, AND THE ORGANIZATION BELIEVES PROVIDING SUCH CARE HAS IMPROVED THE OVERALL HEALTH OF THE COMMUNITY. BY PROVIDING SUCH CARE TO MEDICARE PATIENTS, THE GOVERNMENT'S BURDEN FOR CARING FOR SUCH INDIVIDUALS IS LESSENED. THE MEDICARE COST REPORT WAS UTILIZED AS OUTLINED IN THE SCHEDULE H,PART III, SECTION B, WORKSHEET B, WHICH UTILIZES THE COST TO CHARGE RATIO DEVELOPED WITHIN THE MEDICARE COST REPORT TO DETERMINE THE ALLOWABLE COST. |
| PART III, LINE 9B: | FAUQUIER HEALTH'S (FH) FINANCIAL ASSISTANCE POLICY CONTAINS THE FOLLOWING PROVISION ON COLLECTION PRACTICES FOR THOSE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE: FH'S MANAGEMENT SHALL DEVELOP POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTIONS ACTION AND REPORTING TO CREDIT AGENCIES) THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY CARE OR DISCOUNTED CARE; A PATIENT'S GOOD FAITH EFFORTS TO APPLY FOR GOVERNMENTAL ASSISTANCE PROGRAMS OR FINANCIAL ASSISTANCE FROM FH, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH FH. FH WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS LAWSUITS, WAGE GARNISHMENTS, ARRESTS, BODY ATTACHMENTS, LIENS ON RESIDENCES, OR OTHER SIMILAR LEGAL ACTIONS AGAINST ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY. "REASONABLE EFFORTS" INCLUDE NOTIFICATIONS BY THE HOSPITAL OF THIS FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN WRITTEN AND ORAL COMMUNICATIONS WITH THE PATIENT REGARDING THE PATIENT'S BILL, INCLUDING INVOICES AND TELEPHONE CALLS BEFORE COLLECTION ACTION OR REPORTING TO CREDIT AGENCIES IS INITIATED. IF A PATIENT IS FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE AFTER COLLECTION ACTIONS HAVE STARTED, ALL COLLECTION ACTIVITY IS IMMEDIATELY STOPPED, NOTIFICATIONS ARE SENT TO THE CREDIT BUREAU IF NECESSARY AND PATIENTS ARE NOT CHARGED FOR COLLECTION FEES. IF A PATIENT IS FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE AFTER MAKING PAYMENTS TOWARDS THEIR BALANCE, THE PAYMENTS ARE REFUNDED TO THE PATIENT. |
| PART VI, LINE 2: | FAUQUIER HEALTH ASSESSES THE HEALTH NEEDS OF THE COMMUNITY BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS AS WELL AS CONTINUALLY COMMUNICATING WITH THE COMMUNITY STAKEHOLDERS WHO ARE SERVING OUR AREA'S RESIDENTS. FOR EXAMPLE, FAUQUIER HEALTH MEETS REGULARLY WITH THE FAUQUIER FREE CLINIC LEADERSHIP AND PROVIDES FINANCIAL AND IN-KIND ASSISTANCE TO THE CLINIC WHICH SERVES THE LOW INCOME AND UNINSURED IN FAUQUIER AND RAPPAHANNOCK COUNTIES. |
| PART VI, LINE 3: | NOTIFICATION OF FAUQUIER HEALTH'S FINANCIAL ASSISTANCE PROGRAM IS DISSEMINATED BY VARIOUS MEANS, INCLUDING NOTIFICATION OF CONTACT INFORMATION FOR FINANCIAL COUNSELORS ON ALL OUR BILLING STATEMENTS AND SIGNAGE IN ALL OUR PATIENT REGISTRATIONS AREAS. THE POLICY ITSELF IS AVAILABLE ON THE HOSPITAL WEBSITE, WHICH ALSO PROVIDES CONTACT INFORMATION FOR OUR FINANCIAL COUNSELORS. REQUESTS FOR FINANCIAL ASSISTANCE MAY BE MADE AT ANY POINT IN THE COLLECTION CYCLE. EVERY BILLING STATEMENT RECEIVED BY A PATIENT INCLUDES THE FOLLOWING LANGUAGE: "IN MEETING YOUR FINANCIAL OBLIGATIONS FOR THE CARE PROVIDED BY FAUQUIER HEALTH WE ASK THAT YOU WORK WITH US ON ANY BILLS THAT YOU ARE HAVING DIFFICULTY PAYING. YOU WILL FIND OUR STAFF UNDERSTANDING AND EAGER, TO HELP YOU." THIS MESSAGE IS FOLLOWED BY A LIST OF TELEPHONE NUMBERS THAT THE PATIENT MAY CALL TO REACH THE ORGANIZATION'S FINANCIAL COUNSELING STAFF, HOURS OF OPERATION, AND AN EMAIL ADDRESS. WHEN PATIENTS CALL THE FINANCIAL COUNSELING TELEPHONE NUMBER, THEY ARE PROMPTED TO SELECTIONS TO REACH THE STAFF MEMBER THAT IS MOST LIKELY ABLE TO HELP THEM (E.G; UNINSURED, SPANISH SPEAKING, BILLING QUESTIONS, ETC.). IN ADDITION, UNINSURED INPATIENTS AND THOSE WITH MEDICARE INSURANCE AND NO SECONDARY CARRIER ARE CONTACTED (USUALLY WITH A PERSONAL VISIT IN THEIR HOSPITAL ROOM) BY AN EMPLOYEE OF ONE OF OUR PARTNERS, MEDASSIST. THE MEDASSIST PERSONNEL SCREEN THESE PATIENTS FOR ELIGIBILITY FOR AVAILABLE STATE OR FEDERAL PROGRAMS. IF THESE PATIENTS DO NOT MEET CRITERIA FOR THESE PROGRAMS, THEY ARE THEN REFERRED TO A FINANCIAL COUNSELOR FOR SCREENING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. UNINSURED PATIENTS WHO VISIT OUR EMERGENCY DEPARTMENT ARE ALSO GIVEN A PACKET OF INFORMATION THAT INCLUDES A FINANCIAL ASSISTANCE APPLICATION AND A BUSINESS CARD WITH THE NAME AND CONTACT INFORMATION FOR ONE OF OUR FINANCIAL COUNSELORS. LASTLY, WE DO USE CREDIT SCORING SOFTWARE TO HELP IDENTIFY PATIENTS WHO MIGHT QUALIFY FOR FINANCIAL ASSISTANCE BUT HAVE NOT CONTACTED OUR OFFICE. OUR FINANCIAL ASSISTANCE POLICY STATES THAT WE MAY USE THIS KIND OF SOFTWARE, WHICH USES INFORMATION FROM CREDIT BUREAUS AND SCREENS PATIENTS AGAINST THE CRITERIA OF OUR FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 4: | FAUQUIER HEALTH (FH) IS A 97-BED, NOT-FOR-PROFIT, ACUTE CARE FACILITY ESTABLISHED IN 1954 TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO THE RURAL COMMUNITIES IT SERVES. OUR MISSION IS TO MAKE COMMUNITIES HEALTHIER. FAUQUIER HEALTH IS THE ONLY HOSPITAL IN OUR PRIMARY SERVICE AREA, WHICH INCLUDES FAUQUIER AND MINOR PORTIONS OF FIVE SURROUNDING COUNTIES. THE PRIMARY SERVICE AREA HAS A POPULATION OF 109,986. THE AVERAGE HOUSEHOLD INCOME IS $102,185. 6.2% OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. 17.5% OF FAUQUIER HEALTH'S PATIENTS ARE MEDICAID RECIPIENTS OR SELF-PAY. THE FOLLOWING DISTRICTS WITHIN FAUQUIER COUNTY ARE CONSIDERED MEDICALLY UNDERSERVED AREAS AND POPULATIONS (MUA/P) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA): LEE DISTRICT AND MARSHALL DISTRICT. |
| PART VI, LINE 5: | FAUQUIER HEALTH PROMOTES THE HEALTH OF THE COMMUNITY BY: - ENSURING THAT THE MAJORITY OF THE INDIVIDUALS SERVING ON THE FAUQUIER HOSPITAL BOARD OF DIRECTORS RESIDE IN THE PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION.- EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO ARE INTERESTED. - FAUQUIER HEALTH USES SURPLUS FUNDS TO IMPROVE PATIENT CARE BY UPGRADING THE TOOLS NEEDED TO CARE FOR PATIENTS AND PLANNING FOR IMPROVEMENTS. FAUQUIER HEALTH CONTINUES TO SUPPORT FIFTEEN EMPLOYED PHYSICIANS, TWO OBSTETRICS/GYNECOLOGISTS, TWO FAMILY MEDICINE PHYSICIANS, A RHEUMATOLOGIST, A NEUROLOGIST, AN INFECTIOUS DISEASE SPECIALIST, FIVE INTERNAL MEDICAL PHYSICIANS, TWO UROLOGISTS AND A HEMATOLOGIST/ONCOLOGIST. A HOME HEALTH DISEASE MANAGEMENT TRAINING PROGRAM (TO INCLUDE CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND DIABETES) WAS IMPLEMENTED FOR PATIENTS. A TRANSITIONS TO HOME PROGRAM WAS DEVELOPED TO ADDRESS CHRONIC DISEASE MANAGEMENT AND READMISSION RATES FOR PATIENTS. FEASIBILITY STUDIES FOR A NEONATAL INTENSIVE CARE UNIT WERE ALSO PERFORMED.- FH PARTNERS WITH LOCAL NON-PROFIT ORGANIZATIONS(E.G. FAUQUIER FREE CLINIC, THE CHAMBER OF COMMERCE, SCHOOLS AND CHURCHES) AND NATIONAL ORGANIZATIONS (E.G. THE AMERICAN CANCER SOCIETY) TO SUPPORT LOCAL EVENTSAND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFITS ACTIVITIES ARE COORDINATED BY A FULL-TIME COMMUNITY OUTREACH STAFF PERSON, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND OUR AUXILIARY VOLUNTEERS AS NEEDED. - TO HELP TRAIN AND EDUCATE HEALTH CARE PROFESSIONALS, FH WORKS WITH LOCAL COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS; FH STAFF PROVIDED APPROXIMATELY 23,059 HOURS AT A COST OF APPROXIMATELY $779,920. -ADDITIONALLY, THE ORGANIZATION PROVIDES ASSISTANCE TO THE FAUQUIER FREE CLINIC (FFC). FFC PROVIDES PRIMARY HEALTH AND DENTAL CARE TO UNINSURED RESIDENTS OF FAUQUIER AND RAPPAHANNOCK COUNTIES. FAUQUIER HEALTH PROVIDED LABORATORY, CARDIOLOGY/NEUROLOGY/PULMONARY SERVICES AND RADIOLOGY SERVICES AT NO CHARGE TO FFC PATIENTS FOR A TOTAL COST OF $30,253. A TOTAL OF 1,221 HOURS OF FREE CLINICAL CARE WERE PROVIDED BY COMMUNITY PHYSICIANS AND CLINICAL STAFF. IN ADDITION, FAUQUIER HEALTH CONTRIBUTED $2,500 IN UNRESTRICTED FUNDS. COMMUNITY HEALTH EDUCATION, SCREENINGS AND OUTREACH PROGRAMS:FAUQUIER HEALTH PROVIDED 71 HEALTH EDUCATION SEMINARS (WHICH INCLUDE CLASSES AND LECTURES) AND HEALTH SCREENINGS AT 11 LOCAL EVENTS. COLON CANCER EDUCATION AND PROSTATE SCREENING WAS PROVIDED TO THE COMMUNITY. FAUQUIER HEALTH ALSO PROVIDES SPEAKERS FOR LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS TO BUILD RELATIONSHIPS WITHIN THE COMMUNITY, PROMOTE COLLABORATION IN MANAGING HEALTH AND WELLNESS, AND EDUCATE THE COMMUNITY ON THE HEALTH SYSTEM.HEALTH EDUCATION THROUGH ADVERTISING, MEDIA, AND PUBLICATIONS:TWO OF FAUQUIER HEALTH'S PUBLICATIONS ARE A COMMUNITY NEWSLETTER, HEALTHY HAPPENINGS, INTENDED TO EDUCATE THE PUBLIC ABOUT HEALTH ISSUES AND HEALTH CARE AND HOSPITAL SERVICES. PUBLISHED QUARTERLY, IT REACHES 103,000 HOMES IN FAUQUIER AND SURROUNDING COUNTIES. THE SENIOR LIVING PUBLICATION IS PUBLISHED TWICE A YEAR AND REACHES 47,700 INDIVIDUALS WHO ARE AGE 55 AND OLDER. THE COST TO FAUQUIER HEALTH FOR PUBLICATION AND DISTRIBUTION OF THESE NEWSLETTERS IN FY16 WAS $340,519. EMERGENCY SERVICES:FAUQUIER HEALTH PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND IN ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS. SUPPORT GROUPS AND COMMUNITY GROUPS:FAUQUIER HEALTH SPONSORED, ASSISTED, OR PROVIDED MEETING SPACE FOR FIVE SUPPORT GROUPS THAT MET WEEKLY OR MONTHLY, AT A COST TO FAUQUIER HEALTH OF $10,446.73. ADDITIONALLY, FAUQUIER HEALTH PROVIDED MEETING SPACE OR CASH DONATIONS FOR SEVERAL NON-PROFIT COMMUNITY GROUPS, (E.G. THE AMERICAN RED CROSS, NATIONAL ALLIANCE FOR PUBLIC HEALTH AND AMERICAN CANCER SOCIETY FAUQUIER CHAPTER), WITH A FAIR MARKET VALUE OF $57,829 FOR THE MEETING SPACE AND TOTAL CASH DONATIONS IN THE AMOUNT OF $12,550. FAUQUIER HEALTH EMPLOYEES PROVIDED REPRESENTATION ON COMMUNITY BOARDS AND COALITIONS AT AN EXPENSE OF $6,903.PHYSICIAN REFERRAL:THE HOSPITAL ASSISTED 858 PEOPLE THROUGH THE PHYSICIAN REFERRAL PROGRAM, WHICH HELPS THE COMMUNITY WITH QUESTIONS ON PHYSICIANS, APPOINTMENTS, CLASSES AND PROGRAMS REGISTRATION, AND HEALTH RESOURCES AVAILABLE THROUGH THE HOSPITAL OR IN THE COMMUNITY. |
| PART VI, LINE 6: | THE 80% OWNER OF FAUQUIER HEALTH IS LIFEPOINT HEALTH, A LEADING HEALTHCARE COMPANY DEDICATED TO MAKING COMMUNITIES HEALTHIER WITH FACILITIES IN 22 STATES. FHI SERVICES HAS A 20% OWNERSHIP INTEREST IN FAUQUIER HOLDING COMPANY, LLC. TOGETHER THEY OPERATE FAUQUIER HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AGING TOGETHER | |||||||
| PO BOX 367 | CULPEPER | VA | 22701 | 462046459 | 501 (C)(3) | $25,000 | HEALTH PRIORITY GRANT TO PROVIDE FUNDING TO SUPPORT THE ORGANIZATION DURING DIRECTION AND LEADERSHIP TRANSITION. |
| CULPEPER COUNTY | |||||||
| 302 N MAIN STREET | CULPEPER | VA | 22701 | 546001236 | CULPEPER COUNTY | $50,000 | PROJECT & PLANNING GRANT TO BUILD AN INCLUSIVE PLAYGROUND AT THE CULPEPER COUNTY SPORTS COMPLEX, AS A COLLABORATIVE COMMUNITY EFFORT THAT INCLUDED A NUMBER OF COMMUNITY PARTNERS. |
| ECONOMIC DEVELOPMENT AUTHORITY OF FAUQUIER COUNTY | |||||||
| 35 CULPEPER STREET | WARRENTON | VA | 20186 | 546001274 | FAUQUIER COUNTY | $50,000 | HEALTH PRIORITY GRANT TO EXPAND ACCESS TO AFFORDABLE BROADBAND IN UNSERVED AND UNDERSERVED AREAS OF FAUQUIER COUNTY. THE GRANT ALLOWED FOR A BETA TEST EFFORT THAT UTILIZED EXISTING SWITCHING STATIONS AUGMENTED WITH ROUTERS TO PROVIDE HIGH SPEED DSL CONNECTIONS TO 300 HOUSEHOLDS. |
| FAUQUIER COMMUNITY CHILD CARE INC | |||||||
| 26 ASHBY STREET | WARRENTON | VA | 20186 | 541590790 | 501 (C)(3) | $50,000 | GENERAL OPERATIONS GRANT TO PROVIDE FUNDS TO UNDERTAKE MARKETING THE WORK FCCC DOES TO SUPPORT THE COMMUNITY, FUNDING FOR TECHNOLOGY ENHANCEMENTS AND SECURING OFFICE SPACE FOR THE ADMINISTRATIVE OFFICE. |
| FAUQUIER COMMUNITY CHILD CARE INC | |||||||
| 26 ASHBY STREET | WARRENTON | VA | 20186 | 541590790 | 501 (C)(3) | $33,000 | PROJECT & PLANNING GRANT TO ENHANCE AND REFINE THE IMPLEMENTATION OF THE HEALTHY EATING AND PHYSICAL ACTIVITY STANDARDS (HEPA) TO ADDRESS THE NEEDS OF THE FAMILIES OF FCCC. |
| FAUQUIER COMMUNITY FOOD BANK AND THRIFT STORE INC | |||||||
| 249 E SHIRLEY AVENUE | WARRENTON | VA | 20186 | 900801730 | 501 (C)(3) | $67,000 | GENERAL OPERATIONS GRANT TO PROVIDE FUNDING FOR CAPITAL IMPROVEMENTS INCLUDING THE INSTALLATION OF NEW WINDOWS AND A SUSPENDED (DROP) CEILING FOR THE FOOD BANK BUILDING. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $781,429 | HEALTH PRIORITY GRANT FOR THE SECOND ALLOCATION TO FUND THE 2017-2018 ACADEMIC YEAR OF THE FRESH PROGRAM. THIS IS A MULTI-YEAR PROGRAM WHOSE FOCUS IS TO ELEVATE NUTRITION, EXERCISE AND AFTER SCHOOL ENRICHMENT ACROSS THE FCPS SCHOOL DISTRICT. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $26,762 | GENERAL SUPPORT PROVIDED FOR THE PROMOTIONAL ITEMS FOR THE FRESH PROGRAM TO INCLUDE; STATIONARY, WEB-SITE DEVELOPMENT, T-SHIRTS, VIDEO PRODUCTION, CANNING LABELS, PENCILS, AND BUTTONS. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $14,750 | GENERAL SUPPORT TO PROVIDE EVALUATION MEASURES AND CRITERIA FOR THE FRESH PROGRAM. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $40,000 | HEALTH PRIORITY GRANT WHICH PROVIDED FOR A BRIDGE PAYMENT NEEDED TO FUND THE GAP PERIOD CAUSED BY A SHIFT IN THE PROGRAM YEAR TO ALIGN WITH THE PATH FISCAL YEAR FOR THE FRESH, PROGRAM. THIS IS A MULTI-YEAR PROGRAM WHOSE FOCUS IS TO ELEVATE NUTRITION, EXERCISE AND AFTER SCHOOL ENRICHMENT ACROSS THE FCPS SCHOOL DISTRICT. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $40,300 | HEALTH PRIORITY GRANT TO PROVIDE MATCHING FUNDS TO SUPPORT RENOVATION OF A PORTION OF MARSHALL COMMUNITY CENTER FOR USE AS AN AFTERSCHOOL TEEN CENTER. |
| FAUQUIER COUNTY PUBLIC SCHOOLS | |||||||
| 320 HOSPITAL DRIVE SUITE 40 | WARRENTON | VA | 20186 | 546001276 | FAUQUIER COUNTY | $100,000 | PROJECT & PLANNING GRANT FOR THE ESTABLISHMENT OF THE FAUQUIER ENVIRONMENTAL STUDIES ACADEMY WHICH WILL PROVIDE FCPS STUDENTS WITH A FOUR-YEAR INTEGRATED PROGRAM EMPHASIZING ENVIRONMENTAL STUDIES. |
| FAUQUIER EDUCATION FARM | |||||||
| 24 PELHAM STREET | WARRENTON | VA | 20186 | 900662914 | 501 (C)(3) | $11,600 | GENERAL OPERATIONS GRANT FUNDING TO ALLOW FOR THE HIRING OF A PART-TIME ADMINISTRATIVE ASSISTANT AND TO INCREASE THE EXECUTIVE DIRECTOR'S HOURS FROM A 32 HOUR/WEEK POSITION TO A 40 HOUR/WEEK POSITION. THIS WILL ALLOW FOR THE EXECUTIVE DIRECTOR TO INCREASE HIS ABILITY TO PROFESSIONALLY MANAGE THE CROPS AND INCREASE TEACHING OPPORTUNITIES, AS WELL AS INCREASE PRODUCTION, WHICH WILL INCREASE DONATIONS TO LOCAL FOOD BANKS. |
| FAUQUIER EDUCATION FARM | |||||||
| 24 PELHAM STREET | WARRENTON | VA | 20186 | 900662914 | 501 (C)(3) | $7,600 | PROJECT & PLANNING GRANT FUNDS PROVIDED FOR THE PLANTING MATERIALS NEEDED FOR THE 2018 AGRICULTURAL DEMONSTRATION PROJECTS AND WORKSHOP SERIES. THIS PROGRAM WILL CREATE OPPORTUNITIES FOR VOLUNTEERS, INCREASE PRODUCTION AND DONATIONS FOR LOCAL FOOD BANKS THROUGH AGRICULTURE EDUCATION. THESE EDUCATIONAL PROGRAMS WILL HELP CREATE AND STRENGTHEN NEW HOME GARDENERS AND FARMERS, HELPING TO MAKE THE ENTIRE COMMUNITY MORE FOOD SECURE AND SUSTAINABLE. |
| FAUQUIER FISH | |||||||
| 24 PELHAM STREET | WARRENTON | VA | 20186 | 541271237 | 501 (C)(3) | $15,000 | GENERAL OPERATIONS GRANT FUNDS PROVIDED TO INCREASE CAPACITY BY LEASING A MORE SPACIOUS LOCATION AND DEVELOPING A STRATEGIC FUNDRAISING EFFORT. |
| FAUQUIER FISH | |||||||
| 24 PELHAM STREET | WARRENTON | VA | 20186 | 541271237 | 501 (C)(3) | $30,067 | PROJECT & PLANNING GRANT - TO SUPPORT THE WEEKEND POWER PACK PROGRAM WHICH PROVIDES BACKPACK MEALS TO CHILDREN WHO ARE AT RISK OF HUNGER DURING THE WEEKENDS, SCHOOL HOLIDAYS, AND SNOW DAYS. |
| FAUQUIER FREE CLINIC INC | |||||||
| PO BOX 3138 | WARRENTON | VA | 20188 | 541669652 | 501 (C)(3) | $133,000 | HEALTH PRIORITY GRANT FUNDS TO CONTINUE INCREASED ACCESS TO BEHAVIORAL HEALTHCARE THROUGH THE IMPLEMENTATION OF INTEGRATED MENTAL HEALTH IN PRIMARY CARE SETTINGS, USE OF TELE-PSYCHIATRY AND REMOTE MENTAL HEALTH SERVICES, AND A PART-TIME NURSING POSITION TO SUPPORT PATIENTS. |
| FAUQUIER FREE CLINIC INC | |||||||
| PO BOX 3138 | WARRENTON | VA | 20188 | 541669652 | 501 (C)(3) | $99,350 | GENERAL OPERATIONS GRANTS FUNDING TO ADVANCE THE FREE CLINICS MISSION TO PROVIDE COMPREHENSIVE MEDICAL, DENTAL, AND MENTAL HEALTH CARE TO ELIGIBLE RESIDENTS. CURRENT OPERATIONAL OBJECTIVES INCLUDE FINALIZING THE STRATEGIC PLANNING, MENTAL HEALTH SERVICE EXPANSION, REVIEW AND IMPROVE MEDICATION ACCESS PROGRAMS AND DEVELOP FUNDRAISING METHODS TO SCALE WITH THE GROWTH OF THE CLINIC. |
| FAUQUIER FREE CLINIC INC | |||||||
| PO BOX 3138 | WARRENTON | VA | 20188 | 541669652 | 501 (C)(3) | $69,200 | PROJECT AND PLANNING GRANT TO SUPPORT THE EXPANSION OF THE 2017 DENTAL CARE PROGRAM. DENTIST COVERAGE WILL INCREASE TO 3 DAYS A WEEK AND ALLOW FOR A NEW SHIFT FOR A DENTIST DURING THE DENTAL HYGIENE CLINIC DAY. |
| FAUQUIER HABITAT FOR HUMANITY | |||||||
| PO BOX 3189 | WARRENTON | VA | 20188 | 541595774 | 501 (C)(3) | $62,500 | GENERAL OPERATIONS GRANT FUNDS TO ALLOW FOR ADDING HOME BUILDING SERVICES TO INCREASE THE NUMBER OF NEW FAMILIES THAT CAN BE SERVED BY THE ORGANIZATION. DEVELOP A PLAN TO GROW THE RESTORE OPERATION TO HELP INCREASE OPERATING FUNDS. |
| FOOTHILLS FORUM | |||||||
| PO BOX 153 | WASHINGTON | VA | 22747 | 521071448 | 501 (C)(3) | $7,500 | PROJECT & PLANNING GRANT TO SUPPORT A MULTI-PART RESEARCH/REPORTING PROJECT TO DELVE INTO CRITICAL HEALTH AND TRANSPORTATION ISSUES FACING THE COUNTY'S AGING POPULATION AND FORGE NEW NONPROFIT PARTNERSHIPS VIA POST-PUBLICATION FORUMS. |
| FRIENDS OF THE RAPPAHANNOCK | |||||||
| 3219 FALL HILL AVENUE | FREDERICKSBURG | VA | 22401 | 541381671 | 501 (C)(3) | $10,000 | GENERAL OPERATIONS GRANT FUNDS TO SUPPORT THE RAPPAHANNOCK HEADWATERS EDUCATION EXPANSION, SPECIFICALLY TO EXPAND THE EDUCATION AND RESTORATION PROGRAMS. |
| GIRLS ON THE RUN PIEDMONT | |||||||
| PO BOX 245 | WARRENTON | VA | 20188 | 463737841 | 501 (C)(3) | $7,000 | GENERAL OPERATIONS GRANT TO PROVIDE CRITICAL SUPPORT FOR THE EXPANSION INTO RAPPAHANNOCK COUNTY AND THE CONTINUED EXPANSION AND DEVELOPMENT OF THE PROGRAM IN FAUQUIER AND CULPEPER COUNTIES. THE GRANT SUPPORTS PLANS TO CONTINUE AND EXPAND SCHOLARSHIP AND TUITION FUNDING, PROVIDE UPDATED LESSON MATERIALS FOR COACHES AND PARTICIPANTS AND EXPAND MARKETING EFFORTS TO MIDDLE SCHOOLS AND ADDITIONAL ELEMENTARY SCHOOLS. |
| HEADWATERS FOUNDATION | |||||||
| PO BOX 114 | SPERRYVILLE | VA | 22740 | 541844267 | 501 (C)(3) | $10,000 | PROJECT & PLANNING GRANT FUNDING FOR AN AFTER SCHOOL ENRICHMENT PROGRAM FOR PUBLIC SCHOOL STUDENTS IN RAPPAHANNOCK COUNTY. FUNDS WOULD SUPPORT PAYING INSTRUCTORS AND PROGRAM STAFF WHO WORK DIRECTLY WITH STUDENTS, SUPPLIES FOR THE PROGRAM, TRAINING AND BACKGROUND CHECKS ON PROGRAM STAFF AND INSTRUCTORS, AND OTHER COSTS INCURRED IN DIRECT SERVICES TO STUDENTS. |
| HEALTHY CULPEPER | |||||||
| PO BOX 1355 | CULPEPER | VA | 22701 | 200772064 | 501 (C)(3) | $8,000 | GENERAL OPERATIONS GRANT TO SUPPORT NON-PROFIT PARTNERS WITH IMPROVED EMAIL AND MARKETING TECHNIQUES, COALITION OUTREACH THROUGH A REGIONAL COALITION CONFERENCE AND INCREASED HOURS OF OPERATION TO SUPPORT PARTNERING ORGANIZATIONS. |
| HOSPICE SUPPORT OF FAUQUIER COUNTY | |||||||
| 42 N 5TH STREET | WARRENTON | VA | 20186 | 521250964 | 501 (C)(3) | $15,000 | GENERAL OPERATIONS GRANT GENERAL OPERATING SUPPORT TO PROVIDE THE MEANS TO UTILIZE MEDIA OUTLETS TO MAKE RESIDENTS AWARE OF FREE SERVICES. PUBLISH THE VOLUNTEER TRAINING CURRICULUM IN PRINT AND ON SOCIAL MEDIA. HOLD AWARENESS ACTIVITIES BY PARTNERING WITH OTHER ORGANIZATIONS TO INCREASE BOTH VOLUNTEER RANKS AND LOAN CLOSET DONATIONS. |
| MM PIERCE ELEMENTARY SCHOOL | |||||||
| 12074 JAMES MADISON ST | REMINGTON | VA | 22701 | 546001276 | FAUQUIER COUNTY | $9,100 | PROJECT & PLANNING GRANT TO CONTINUE SERVICING THE ECONOMICALLY DISADVANTAGED PIERCE COMMUNITY WITH THE LAMP MOBILE PROGRAM. THE LAMP PROGRAM PROVIDED WEEKLY OPPORTUNITIES FOR CHILDREN TO READ BOOK, TAKE HOME BOOKS, EXPLORE EDUCATIONAL APPS ON IPADS, ENGAGE IN PHYSICAL ACTIVITY THROUGH A VARIETY OF PE ACTIVITIES, CREATE ART PROJECTS USING NUMEROUS MEDIUMS, AND MAKE MUSIC USING VARIOUS INSTRUMENTS. |
| MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY | |||||||
| PO BOX 3549 | WARRENTON | VA | 20188 | 521215685 | 501 (C)(3) | $18,280 | GENERAL OPERATIONS GRANT TO FOCUS ON IMPROVING MENTAL HEALTH AND SUBSTANCE USE RESOURCES THROUGH COLLABORATION, BUILDING ON EXISTING PARTNERSHIPS AND NEW COLLABORATIONS TO LEAD THE COMMUNITY IN SETTING AND IMPLEMENTING A SHARED AGENDA FOR IMPROVING ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORTS/TREATMENT. |
| MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY | |||||||
| PO BOX 3549 | WARRENTON | VA | 20188 | 521215685 | 501 (C)(3) | $64,000 | PROJECT & PLANNING GRANT TO IMPLEMENT A COLLABORATIVE COMMUNITY RESPONSE TO DOCUMENTED CONCERNS ABOUT MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES AMONG LOCAL YOUTH, INCLUDING STRATEGIES TO REDUCE STIGMA, PROMOTE PREVENTION PROGRAMS, INCREASE TREATMENT AND HELP FAMILIES. |
| NORTHERN PIEDMONT COMMUNITY FOUNDATION | |||||||
| PO BOX 182 | WARRENTON | VA | 20188 | 311742955 | 501 (C)(3) | $35,000 | GENERAL OPERATIONS GRANT TO STRENGTHEN COMMUNITY CONNECTIONS BY PROSPECTING; INCREASING PUBLIC AWARENESS; ENGAGING PROFESSIONAL ADVISORS; INCREASING COMMITTEE INVOLVEMENT AND BROADEN OUTREACH ACTIVITIES. |
| NORTHERN PIEDMONT COMMUNITY FOUNDATION | |||||||
| PO BOX 182 | WARRENTON | VA | 20188 | 311742955 | 501 (C)(3) | $100,000 | HEALTH PRIORITY GRANT TO ESTABLISH THE ROGER BAKER SCHOLARSHIP FUND HONORING RETIRING FAUQUIER HEALTH CEO. |
| NORTHERN PIEDMONT COMMUNITY FOUNDATION | |||||||
| PO BOX 182 | WARRENTON | VA | 20188 | 311742955 | 501 (C)(3) | $15,000 | RESPONSIVE GRANT TO PROVIDE ASSISTANCE WITH ADMINISTRATIVE COSTS ASSOCIATED WITH ADMINISTRATING THE COMMUNITY ASSISTANCE GRANT. |
| NORTHERN PIEDMONT COMMUNITY FOUNDATION | |||||||
| PO BOX 182 | WARRENTON | VA | 20188 | 311742955 | 501 (C)(3) | $250,000 | RESPONSIVE GRANT FOR THE CREATION OF A RESPONSIVE FUND TO SUPPORT LOCAL INITIATIVES PROVIDING ASSISTANCE FOR URGENT NEED AND BENEVOLENT RELIEF REQUESTS THAT FALL OUTSIDE THE PATH FOUNDATION'S CORE MISSION. |
| RAPP AT HOME | |||||||
| PO BOX 193 | WASHINGTON | VA | 22747 | 475254378 | 501 (C)(3) | $40,000 | PROJECT & PLANNING GRANT TO SUPPORT EXPLORATION OF A PROGRAM TO DEVELOP INNOVATIVE WAYS TO ADDRESS THE IMPACTS RESULTING FROM THE AGING DEMOGRAPHIC IN RAPPAHANNOCK COUNTY. THE GOAL OF THE PROGRAM IS TO DEVELOP A LONG TERM PLAN FOR AGING RESIDENTS TO STAY IN THEIR HOMES BY CREATING STRONGER, MORE SUPPORTIVE COMMUNITIES OF SENIORS ASSISTING ONE ANOTHER THROUGH SOCIAL PROGRAMS, TRANSPORTATION AND PERSONALIZED PROBLEM SOLVING ASSISTANCE. |
| RAPPAHANNOCK COUNTY HIGH SCHOOL | |||||||
| 12576 LEE HIGHWAY | WASHINGTON | VA | 22747 | 546001554 | RAPPAHANNOCK COUNTY | $22,500 | PROJECT & PLANNING GRANTS TO ESTABLISH PRIDE, A SCHOOL-WIDE APPROACH TO STRUCTURING A SCHOOL CLIMATE AND CULTURE THAT PROVIDES MULTIPLE OPPORTUNITIES TO DISPLAY AND RECEIVE POSITIVE REINFORCEMENT FOR PRO-SOCIAL BEHAVIORS. |
| RAPPAHANNOCK COUNTY SCHOOLS | |||||||
| 6 SCHOOLHOUSE ROAD | WASHINGTON | VA | 22747 | 546001554 | RAPPAHANNOCK COUNTY | $162,500 | HEALTH PRIORITY GRANT TO CONTINUE THE COMMIT TO BE FIT PROGRAM FOR THE 2017-2018 ACADEMIC YEAR. THE PROGRAM WORKS TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE RAPPAHANNOCK COUNTY PUBLIC SCHOOLS COMMUNITY. THE PRIMARY GOAL IS TO INSPIRE STUDENTS TO MAKE HEALTHIER NUTRITIONAL CHOICES AS WELL AS TO UNDERSTAND THE IMPORTANCE OF BECOMING PHYSICALLY FIT, THEREBY IMPROVING THE OVERALL HEALTH AND WELLNESS OF THE COMMUNITY. |
| RAPPAHANNOCK COUNTY SCHOOLS | |||||||
| 6 SCHOOLHOUSE ROAD | WASHINGTON | VA | 22747 | 546001554 | RAPPAHANNOCK COUNTY | $149,000 | HEALTH PRIORITY GRANT TO CONTINUE THE COMMIT TO BE FIT PROGRAM BY PROVIDING BRIDGE FUNDING FOR THE PERIOD OF JULY, 2017-SEPTEMBER, 2017. |
| RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES | |||||||
| PO BOX 1568 | CULPEPER | VA | 22701 | 237238218 | 501 (C)(3) | $30,000 | HEALTH PRIORITY GRANT FUNDING FOR A PRELIMINARY STUDY FOR A NEW BEHAVIORAL HEALTH FACILITY IN WARRENTON. RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES, FAUQUIER COUNTY GOVERNMENT AND PATH FOUNDATION ARE WORKING IN CONCERT TO IDENTIFY NEW SPACE OPTIONS FOR A BEHAVIORAL HEALTH FACILITY. |
| RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES | |||||||
| P O BOX 1568 | CULPEPER | VA | 22701 | 237238218 | 501 (C)(3) | $20,000 | PROJECT & PLANNING GRANT TO FOSTER THE DEVELOPMENT OF TWO (ONE MALE, ONE FEMALE) OXFORD HOUSE MODEL ADDICTION RECOVERY PROGRAMS FOR FAUQUIER COUNTY USING THE OXFORD HOUSE MODEL AND A PARENT EDUCATION AND SUPPORT PROGRAM. |
| RAPPAHANNOCK-RAPIDAN REGIONAL COMMISSION | |||||||
| PO BOX 1568 | CULPEPER | VA | 22701 | 540944913 | RAPPAHANNOCK COUNTY | $13,500 | HEALTH PRIORITY GRANT FUNDING TO SUPPORT THE FAMS PROJECT WHICH WILL PROVIDE SUPPORT TO ALL LOW INCOME RESIDENTS TO INCLUDE; TAXI CAB VOUCHERS, GAS CARDS AND MARKETING MATERIALS TO RESIDENTS IN THE RAPPAHANNOCK-RAPIDAN REGION. |
| THE CHILD CARE AND LEARNING CENTER (CCLC) | |||||||
| PO BOX 520 | WASHINGTON | VA | 22747 | 541061820 | 501 (C)(3) | $85,053 | GENERAL OPERATIONS GRANT FUNDING TO IMPROVE THE QUALITY OF EXISTING PROGRAMS AND FACILITIES, OFFER ACCESS TO CCLC AND IT'S PROGRAMS TO A GREATER NUMBER OF LOCAL CHILDREN IN NEED, SUPPORT THE ORGANIZATION'S ASSESSMENT OF FUTURE ENDEAVORS, AND ENHANCE THE SAFETY AND SECURITY OF THE CHILDREN. |
| TOWN OF WARRENTON - COMMUNITY DEVELOPMENT DEPARTMENT | |||||||
| PO BOX 341 | WARRENTON | VA | 20188 | 546001664 | TOWN OF WARRENTON | $45,000 | HEALTH PRIORITY GRANT TO ADDRESS PEDESTRIAN SAFETY THROUGH PERMANENT CHANGE AND IMPROVE INTERSECTION WITH RECOMMENDED BULB-OUTS. |
| VOLTRAN | |||||||
| 320 HOSPITAL DRIVE SUITE 11 | WARRENTON | VA | 20186 | 271352660 | 501 (C)(3) | $20,000 | PROJECT & PLANNING GRANT TO CONTRACT WITH A COORDINATOR TO BUILD FUNDRAISING AND OUTREACH PROGRAMS, RECRUIT AND MANAGE VOLUNTEERS, COORDINATE RIDES AND MAINTAIN RECORDS. |
| WARRENTON LIONS CLUB CHARITIES INC | |||||||
| 7770 PICADILLY DRIVE | WARRENTON | VA | 20187 | 810807317 | 501 (C)(3) | $8,616 | PROJECT & PLANNING GRANT TO IMPROVE CAPABILITY TO SCREEN AN INCREASING NUMBER OF STUDENTS FOR SIGHT AND HEARING DEFICIENCIES. |
| WINDMORE FOUNDATION FOR THE ARTS INC | |||||||
| PO BOX 38 | CULPEPER | VA | 22701 | 521366827 | 501 (C)(3) | $10,000 | PROJECT & PLANNING GRANT FUNDING FOR FOUR EVENTS FOR THE YOUNG AT HEART SERIES. THE SERIES FOSTERS THE CELEBRATION OF SENIORITY THROUGH CREATIVITY AND SELF-EXPRESSION WITH THE LITERARY, VISUAL, AND PERFORMING ARTS. |
| WINDY HILL FOUNDATION | |||||||
| PO BOX 1593 | MIDDLEBURG | VA | 20118 | 541244012 | 501 (C)(3) | $16,500 | GENERAL OPERATIONS GRANT THAT WILL HELP ADD STAFF TO GROW & ENHANCE BEST PRACTICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 46 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ORGANIZATIONS SEEKING GRANT FUNDING MUST SUBMIT A PROPOSAL BUDGET AND, IN MOST CASES, AN ORGANIZATION BUDGET, DURING THE APPLICATION PROCESS. APPLICANTS TO 12-MONTH GRANTS MUST SUBMIT ORGANIZATION FINANCIALS AND A FORM 990. THE GRANT AGREEMENT SPECIFIES THAT FUNDS MAY ONLY BE USED IN CONFORMITY WITH THE ORIGINAL PROPOSAL AND ANY SUBSTANTIAL CHANGES MUST BE REQUESTED AND APPROVED IN WRITING. TWELVE-MONTH COMPETITIVE GRANTS REQUIRE GRANTEES TO FILE A WRITTEN SIX-MONTH INTERIM REPORT AND/OR FINAL REPORTS SPECIFYING HOW FUNDS WERE USED, FOLLOWING THE END OF THE GRANT TERM. IN THE CASE OF A SUCCESSFUL PROPOSAL, THE PROJECT AND ITS BUDGET SUBMITTED AT THE TIME OF APPLICATION FORM THE BASIS OF THE GRANT AGREEMENT. THE REPORTING SUBMITTED IS REVIEWED AND EVALUATED BY THE ORGANIZATION'S PROGRAM STAFF. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE M CONNOLLY | ||||||||||||||
| PRESIDENT/CEO | $0 | $221,350 | $0 | $88,765 | $0 | $1,620 | $0 | $8,908 | $0 | $22,208 | $0 | $342,851 | $0 | $0 |
| LORNA M MAGILL | ||||||||||||||
| CFO | $0 | $142,005 | $0 | $16,825 | $0 | $1,066 | $0 | $5,753 | $0 | $11,480 | $0 | $177,129 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 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/CORPORATE COMPLIANCE OFFICER, 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 XII, LINE 2C | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FHS SERVICES | ||||||||||
| 98 ALEXANDRIA PIKE | WARRENTON | VA | 20186 | 541416705 | MANAGEMENT COORDINATION | VA | 501(C)(3) | LINE 11C, III-F1 | NONE | 0 |
| FAUQUIER HEALTH FOUNDATION (DBA PATH FOUNDATION) | ||||||||||
| 98 ALEXANDRIA PIKE | WARRENTON | VA | 20186 | 300219424 | COMMUNITY HEALTH | VA | 501(C)(3) | LINE 7 | FHS SERVICES | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAUQUIER HEALTH FOUNDATION(DBA PATH FOUNDATION) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $2,295,522 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAUQUIER HOLDING COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 SEVEN SPRINGS WAY | AddressLine1Txt |
| City | BRENTWOOD | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37027 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 901001620 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Predominate Income | RELATED | PredominateIncomeDesc |
| All Partners C3 S | Yes (1) | AllPartnersC3SInd |
| Share Of Total Income | $4,532,845 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $32,012,615 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.20000 | OwnershipPct |
Comments