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

FieldValueIRS element (for citing)
Return2018-08-15T13:19:52-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222428965PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CITRIN COOPERMAN & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 BETHESDA METRO CENTER 11TH FLOORAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540573701EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FHI SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFHISBusinessNameControlTxt
Phone5406804100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 WALKER DRIVE NO 301AddressLine1Txt
CityWARRENTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20186ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTINE M CONNOLLYPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5406804100PhoneNum
Signature2018-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN J GIGANTIPreparerPersonNm
PTINP00646609PTIN
Phone3016549000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerCHRISTINE M CONNOLLYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 WALKER DRIVE NO 301AddressLine1Txt
CityWARRENTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20186ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$62,518,899GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FAUQUIERHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionOUR MISSION IS MAKING COMMUNITIES HEALTHIER.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,812,189PYProgramServiceRevenueAmt
CY Program Service Revenue$4,274,056CYProgramServiceRevenueAmt
PY Investment Income$14,232,081PYInvestmentIncomeAmt
CY Investment Income$5,167,628CYInvestmentIncomeAmt
PY Other Revenue$2,248,541PYOtherRevenueAmt
CY Other Revenue$2,863,769CYOtherRevenueAmt
PY Total Revenue$25,292,811PYTotalRevenueAmt
CY Total Revenue$12,305,453CYTotalRevenueAmt
PY Grants And Similar Paid$1,860,398PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,888,607CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$343,358PYOtherExpensesAmt
CY Other Expenses$1,212,292CYOtherExpensesAmt
PY Total Expenses$2,203,756PYTotalExpensesAmt
CY Total Expenses$4,100,899CYTotalExpensesAmt
PY Revenues Less Expenses$23,089,055PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,204,554CYRevenuesLessExpensesAmt
Total Assets BOY$225,399,613TotalAssetsBOYAmt
Total Assets EOY$249,991,075TotalAssetsEOYAmt
Total Liabilities BOY$5,313,224TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,246,921TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$220,086,389NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$246,744,154NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,024,521ExpenseAmt
Grant$2,888,607GrantAmt
Revenue$7,137,825RevenueAmt
DescFHI 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$3,024,521TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpYes (1)ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LORNA MAGILLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5406804100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 WALKER DRIVE SUITE 301AddressLine1Txt
CityWARRENTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20186ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOHN MCCARTHY
CHAIR1.503.00Yes (X)Yes (X)$0$0$0
ROBIN GULICK
VICE CHAIR1.503.00Yes (X)Yes (X)$0$0$0
RAYMOND KNOTT
SECRETARY/TREASURER1.503.00Yes (X)Yes (X)$0$0$0
MARSHALL DOELLER
TRUSTEE1.503.00Yes (X)$0$0$0
JANELLE DOWNES
TRUSTEE1.503.00Yes (X)$0$0$0
RICK GERHARDT
TRUSTEE1.503.00Yes (X)$0$0$0
JOSHUA JAKUM
TRUSTEE1.503.00Yes (X)$0$0$0
MARY LEIGH MCDANIEL
TRUSTEE1.503.00Yes (X)$0$0$0
SUSAN RUBIN
TRUSTEE1.503.00Yes (X)$0$0$0
SUSAN STRITTMATTER
TRUSTEE1.503.00Yes (X)$0$0$0
TOM TUCKER
TRUSTEE1.503.00Yes (X)$0$0$0
MARK VAN DE WATER
TRUSTEE1.503.00Yes (X)$0$0$0
KAREN WACHTMEISTER
TRUSTEE1.503.00Yes (X)$0$0$0
PATRICIA WOODWARD
TRUSTEE1.503.00Yes (X)$0$0$0
CHRISTINE M CONNOLLY
PRESIDENT/CEO8.0032.00Yes (X)$0$311,735$31,116
LORNA M MAGILL
CFO8.0032.00Yes (X)$0$159,896$17,233
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$471,631TotReportableCompRltdOrgAmt
Total Other Compensation$48,349TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINCOME FROM HOSPITAL VENTUREDesc
Business900003BusinessCd
Total Revenue Column$4,274,056TotalRevenueColumnAmt
Related Or Exempt Func Income$4,274,056RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,274,056TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,394,609TotalRevenueColumnAmt
Exclusion$2,394,609ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$52,986,465SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$50,213,446SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,773,019SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,773,019TotalRevenueColumnAmt
Exclusion$2,773,019ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCHANGE IN RESERVE LIABILITYDesc
Business900009BusinessCd
Total Revenue Column$2,863,769TotalRevenueColumnAmt
Related Or Exempt Func Income$2,863,769RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,863,769OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,305,453TotalRevenueColumnAmt
Related Or Exempt Func Income$7,137,825RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,167,628ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,888,607TotalAmt
Program Services$2,888,607ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$38,496TotalAmt
Program Services$2,060ProgramServicesAmt
Management And General$36,436ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$55,774TotalAmt
Program Services$3,010ProgramServicesAmt
Management And General$52,764ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$955,898TotalAmt
Management And General$955,898ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,705TotalAmt
Program Services$7,705ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,537TotalAmt
Management And General$21,537ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,046TotalAmt
Program Services$30ProgramServicesAmt
Management And General$1,016ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,720TotalAmt
Program Services$10,296ProgramServicesAmt
Management And General$8,424ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
WALKABILITY TRAILS$79,141$79,141
OTHER EXPENSES$33,975$33,672$303

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,100,899TotalAmt
Program Services$3,024,521ProgramServicesAmt
Management And General$1,076,378ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,237,509BOYAmt
EOY$10,381,665EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,955,914BOYAmt
EOY$8,955,914EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$151,466,887BOYAmt
EOY$70,633,054EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$106,953,308EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,046,604BOYAmt
EOY$34,954,219EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,692,699BOYAmt
EOY$18,112,915EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$225,399,613BOYAmt
EOY$249,991,075EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$46,179BOYAmt
EOY$1,164,188EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$564,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,703,045BOYAmt
EOY$2,082,733EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,313,224BOYAmt
EOY$3,246,921EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$210,527,098BOYAmt
EOY$236,391,891EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,052BOYAmt
EOY$13,052EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,546,239BOYAmt
EOY$10,339,211EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$220,086,389BOYAmt
EOY$246,744,154EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,399,613BOYAmt
EOY$249,991,075EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,204,554ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,453,211NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,546,239BeginningYearBalanceAmt
Investment Earnings Or Losses$792,972InvestmentEarningsOrLossesAmt
End Year Balance$10,339,211EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,064,881BeginningYearBalanceAmt
Investment Earnings Or Losses$481,358InvestmentEarningsOrLossesAmt
End Year Balance$9,546,239EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,546,225BeginningYearBalanceAmt
Investment Earnings Or Losses-$481,344InvestmentEarningsOrLossesAmt
End Year Balance$9,064,881EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,058,046BeginningYearBalanceAmt
Contributions$697ContributionsAmt
Investment Earnings Or Losses$751,271InvestmentEarningsOrLossesAmt
Other Expenditures$248,020OtherExpendituresAmt
Administrative Expenses$15,769AdministrativeExpensesAmt
End Year Balance$9,546,225EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,623,235BeginningYearBalanceAmt
Contributions$519ContributionsAmt
Investment Earnings Or Losses$689,130InvestmentEarningsOrLossesAmt
Other Expenditures$238,906OtherExpendituresAmt
Administrative Expenses$15,932AdministrativeExpensesAmt
End Year Balance$9,058,046EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (14 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
WELLINGTON CTF RESEARCH EQUITY$11,750,860F
FARALLON EQUITY PARTNER LP$11,783,702F
PALO ALTO HEALTHCARE OFFSHORE II, LTD$6,226,630F
COATUE LONG ONLY OFFSHORE FUND, LP$6,989,926F
CANYON VALUE REALIZATION FUND$5,930,599F
DAVIDSON KEMPNER INSTITUTIONAL PARTNERS LP$5,747,347F
ANCHORAGE CAPITAL PARTNERS$5,749,635F
WELLINGTON SRA$8,489,224F
GQG PARTNERS EMERGING MARKETS EQUITY FUND$7,594,167F
INDUS SELECT FUND LTD$6,125,923F
MW EURAKA FUND$6,337,251F
NITORIUM OFFSHORE FUND LTD$6,045,359F
THE SANDERSON INTERNATIONAL VALUE FUND$10,821,625F
KABOUTER INTERNATIONAL OPPORTUNITIES OFFSHORE FUNDS$7,361,060F
FieldValueIRS element (for citing)
Total Book Value Securities$106,953,308TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN FAUQUIER HOLDINGDesc
Book Value$34,954,219BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$34,954,219TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$6,601,956
INTEREST RECEIVABLE$1,171,748
INTEREST IN PERPETUAL TRUST - DUPONT ENDOWMENT FUND$10,339,211
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,112,915TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESERVE LIABILITYDesc
Amt$2,082,733Amt
FieldValueIRS element (for citing)
Total Liability$2,082,733TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$557,038TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$557,038NetCommunityBenefitExpnsAmt
Total Expense0.02330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,162,726TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,212,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,719,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,212,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$557,038NetCommunityBenefitExpnsAmt
Total Expense0.02330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$191,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$187,533NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$159,146TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$159,146NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,018,966TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,018,966NetCommunityBenefitExpnsAmt
Total Expense0.12600TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,369,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,365,645NetCommunityBenefitExpnsAmt
Total Expense0.14040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,089,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,216,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,922,683NetCommunityBenefitExpnsAmt
Total Expense0.16370TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$148NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$148NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$530,600BadDebtExpenseAmt
Bad Debt Expense Attributable$228,423BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,045,236ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,389,125CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,343,889MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FAUQUIER HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 HOSPITAL DRIVEAddressLine1Txt
CityWARRENTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20186ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FAUQUIERHEALTH.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE FAUQUIER HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.FAUQUIERHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.FAUQUIERHEALTH.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.FAUQUIERHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.FAUQUIERHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.FAUQUIERHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THE FAUQUIER HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - THE VILLA AT SUFFIELD MEADOWS
6735 SUFFIELD LANEWARRENTONVA20187ASSISTED LIVING
2 - FAUQUIER HEALTH REHABILITATION AND NU
360 HOSPITAL DRIVEWARRENTONVA20186NURSING HOME
3 - FAUQUIER HEALTH WELLNESS CENTER
419 HOLIDAY COURT SUITE 200WARRENTONVA20186WELLNESS CENTER
4 - FAUQUIER HEALTH SLEEP CENTER
493 BLACKWELL ROAD SUITE 317-AWARRENTONVA20186SLEEP CENTER
5 - WOUND HEALING CENTER
493 BLACKWELL ROAD SUITE 101-AWARRENTONVA20186WOUND CENTER
6 - FAUQUIER HOSPITAL-MEDICAL IMAGING SERVIC
493 BLACKWELL ROAD SUITE 119WARRENTONVA20186MEDICAL IMAGING
7 - HEMATOLOGYONCOLOGY
500 HOSPITAL DRIVEWARRENTONVA20186PHYSICIAN SERVICE
8 - INFECTIOUS DISEASES RHEUMATOLOGY
550 HOSPITAL DRIVEWARRENTONVA20186PHYSICIAN SERVICE
9 - OBSTETRICS AND GYNECOLOGY
253 VETERNAS DRIVE SUITE 210WARRENTONVA20186PHYSICIAN SERVICE
10 - FAMILY PRACTICE AT BEALETON
6200 STATION DRIVEBEALETONVA22712PHYSICIAN SERVICE
11 - NEUROLOGY
550 HOSPITAL DRIVEWARRENTONVA20186PHYSICIAN SERVICE
12 - PIEDMONT INTERNAL MEDICINE
419 HOLIDAY COURT SUITE 200WARRENTONVA20186PHYSICIAN SERVICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AGING TOGETHER
PO BOX 367CULPEPERVA22701462046459501 (C)(3)$25,000HEALTH PRIORITY GRANT TO PROVIDE FUNDING TO SUPPORT THE ORGANIZATION DURING DIRECTION AND LEADERSHIP TRANSITION.
CULPEPER COUNTY
302 N MAIN STREETCULPEPERVA22701546001236CULPEPER COUNTY$50,000PROJECT & 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 STREETWARRENTONVA20186546001274FAUQUIER COUNTY$50,000HEALTH 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 STREETWARRENTONVA20186541590790501 (C)(3)$50,000GENERAL 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 STREETWARRENTONVA20186541590790501 (C)(3)$33,000PROJECT & 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 AVENUEWARRENTONVA20186900801730501 (C)(3)$67,000GENERAL 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 40WARRENTONVA20186546001276FAUQUIER COUNTY$781,429HEALTH 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 40WARRENTONVA20186546001276FAUQUIER COUNTY$26,762GENERAL 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 40WARRENTONVA20186546001276FAUQUIER COUNTY$14,750GENERAL SUPPORT TO PROVIDE EVALUATION MEASURES AND CRITERIA FOR THE FRESH PROGRAM.
FAUQUIER COUNTY PUBLIC SCHOOLS
320 HOSPITAL DRIVE SUITE 40WARRENTONVA20186546001276FAUQUIER COUNTY$40,000HEALTH 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 40WARRENTONVA20186546001276FAUQUIER COUNTY$40,300HEALTH 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 40WARRENTONVA20186546001276FAUQUIER COUNTY$100,000PROJECT & 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 STREETWARRENTONVA20186900662914501 (C)(3)$11,600GENERAL 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 STREETWARRENTONVA20186900662914501 (C)(3)$7,600PROJECT & 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 STREETWARRENTONVA20186541271237501 (C)(3)$15,000GENERAL OPERATIONS GRANT FUNDS PROVIDED TO INCREASE CAPACITY BY LEASING A MORE SPACIOUS LOCATION AND DEVELOPING A STRATEGIC FUNDRAISING EFFORT.
FAUQUIER FISH
24 PELHAM STREETWARRENTONVA20186541271237501 (C)(3)$30,067PROJECT & 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 3138WARRENTONVA20188541669652501 (C)(3)$133,000HEALTH 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 3138WARRENTONVA20188541669652501 (C)(3)$99,350GENERAL 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 3138WARRENTONVA20188541669652501 (C)(3)$69,200PROJECT 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 3189WARRENTONVA20188541595774501 (C)(3)$62,500GENERAL 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 153WASHINGTONVA22747521071448501 (C)(3)$7,500PROJECT & 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 AVENUEFREDERICKSBURGVA22401541381671501 (C)(3)$10,000GENERAL 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 245WARRENTONVA20188463737841501 (C)(3)$7,000GENERAL 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 114SPERRYVILLEVA22740541844267501 (C)(3)$10,000PROJECT & 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 1355CULPEPERVA22701200772064501 (C)(3)$8,000GENERAL 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 STREETWARRENTONVA20186521250964501 (C)(3)$15,000GENERAL 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 STREMINGTONVA22701546001276FAUQUIER COUNTY$9,100PROJECT & 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 3549WARRENTONVA20188521215685501 (C)(3)$18,280GENERAL 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 3549WARRENTONVA20188521215685501 (C)(3)$64,000PROJECT & 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 182WARRENTONVA20188311742955501 (C)(3)$35,000GENERAL 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 182WARRENTONVA20188311742955501 (C)(3)$100,000HEALTH PRIORITY GRANT TO ESTABLISH THE ROGER BAKER SCHOLARSHIP FUND HONORING RETIRING FAUQUIER HEALTH CEO.
NORTHERN PIEDMONT COMMUNITY FOUNDATION
PO BOX 182WARRENTONVA20188311742955501 (C)(3)$15,000RESPONSIVE GRANT TO PROVIDE ASSISTANCE WITH ADMINISTRATIVE COSTS ASSOCIATED WITH ADMINISTRATING THE COMMUNITY ASSISTANCE GRANT.
NORTHERN PIEDMONT COMMUNITY FOUNDATION
PO BOX 182WARRENTONVA20188311742955501 (C)(3)$250,000RESPONSIVE 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 193WASHINGTONVA22747475254378501 (C)(3)$40,000PROJECT & 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 HIGHWAYWASHINGTONVA22747546001554RAPPAHANNOCK COUNTY$22,500PROJECT & 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 ROADWASHINGTONVA22747546001554RAPPAHANNOCK COUNTY$162,500HEALTH 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 ROADWASHINGTONVA22747546001554RAPPAHANNOCK COUNTY$149,000HEALTH 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 1568CULPEPERVA22701237238218501 (C)(3)$30,000HEALTH 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 1568CULPEPERVA22701237238218501 (C)(3)$20,000PROJECT & 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 1568CULPEPERVA22701540944913RAPPAHANNOCK COUNTY$13,500HEALTH 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 520WASHINGTONVA22747541061820501 (C)(3)$85,053GENERAL 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 341WARRENTONVA20188546001664TOWN OF WARRENTON$45,000HEALTH PRIORITY GRANT TO ADDRESS PEDESTRIAN SAFETY THROUGH PERMANENT CHANGE AND IMPROVE INTERSECTION WITH RECOMMENDED BULB-OUTS.
VOLTRAN
320 HOSPITAL DRIVE SUITE 11WARRENTONVA20186271352660501 (C)(3)$20,000PROJECT & 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 DRIVEWARRENTONVA20187810807317501 (C)(3)$8,616PROJECT & 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 38CULPEPERVA22701521366827501 (C)(3)$10,000PROJECT & 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 1593MIDDLEBURGVA20118541244012501 (C)(3)$16,500GENERAL OPERATIONS GRANT THAT WILL HELP ADD STAFF TO GROW & ENHANCE BEST PRACTICES.
FieldValueIRS element (for citing)
Total501c3 Org46Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationORGANIZATIONS 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6FHS 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 7ATHE FHS SERVICES BOARD OF DIRECTORS ELECTS THE MEMBERS OF FHI SERVICES.
FORM 990, PART VI, SECTION A, LINE 7BFHI 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 11BTHE 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 12CUNDER 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FHS SERVICES
98 ALEXANDRIA PIKEWARRENTONVA20186541416705MANAGEMENT COORDINATIONVA501(C)(3)LINE 11C, III-F1NONE0
FAUQUIER HEALTH FOUNDATION (DBA PATH FOUNDATION)
98 ALEXANDRIA PIKEWARRENTONVA20186300219424COMMUNITY HEALTHVA501(C)(3)LINE 7FHS SERVICESYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAUQUIER HEALTH FOUNDATION(DBA PATH FOUNDATION)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$2,295,522InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAUQUIER HOLDING COMPANY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 SEVEN SPRINGS WAYAddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37027ZIPCd
FieldValueIRS element (for citing)
EIN901001620EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Predominate IncomeRELATEDPredominateIncomeDesc
All Partners C3 SYes (1)AllPartnersC3SInd
Share Of Total Income$4,532,845ShareOfTotalIncomeAmt
Share Of EOY Assets$32,012,615ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.20000OwnershipPct

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