FHI SERVICES: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FHI SERVICES (EIN 54-0573701)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-10
- IRS object ID
- 201222239349301332
- Schema version
- 2010v3.7
- 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) |
|---|---|---|
| Timestamp | 2012-08-10T15:19:49-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHEN RUTHERFORD KNIGHT PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6903 ROCKLEDGE DRIVE SUITE 500 | AddressLine1 |
| City | BETHESDA | City |
| State | MD | State |
| ZIP Code | 208171800 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540573701 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fauquier Hospital Incorporated | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FAUQ | NameControl |
| Phone | 5403165000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Hospital Drive | AddressLine1 |
| City | Warrenton | City |
| State | VA | State |
| ZIP Code | 20186 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RODGER BAKER | Name |
| Title | PRESIDENT/CEO | Title |
| Date Signed | 2012-08-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3018281008 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Rodger H Baker | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Hospital Dr | AddressLine1 |
| City | Warrenton | City |
| State | VA | State |
| ZIP Code | 20186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 141404873 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.fauquierhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1954 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1157 | TotalNbrEmployees |
| Total Nbr Volunteers | 365 | TotalNbrVolunteers |
| Total Gross UBI | 54051 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -144786 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 739 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 121835973 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 135106090 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2283146 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6297504 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 217951 | OtherRevenuePriorYear |
| Other Revenue Current Year | 540 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 124337070 | TotalRevenuePriorYear |
| Total Revenue Current Year | 141404873 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 59438034 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60091209 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 59422697 | OtherExpensePriorYear |
| Other Expenses Current Year | 67538676 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 118860731 | TotalExpensesPriorYear |
| Total Expenses Current Year | 127629885 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5476339 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13774988 | RevenuesLessExpensesCY |
| Total Assets BOY | 204784691 | TotalAssetsBOY |
| Total Assets EOY | 214669766 | TotalAssetsEOY |
| Total Liabilities BOY | 92882608 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 94444376 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 111902083 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 120225390 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS TO RESTORE, PROMOTE AND MAINTaiN THE HEALTH OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 99074930 | Expense |
| Grants | 0 | Grants |
| Revenue | 135052579 | Revenue |
| Description | THE COMMUNITY BENEFIT CONTRIBUTION OF FAUQUIER HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT: THE FAUQUIER HOSPITAL, INC. (FH) IS A 97-BED, NOT-FOR-PROFIT, ACUTE CARE FACILITY ESTABLISHED IN 1954 TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES FOR THE COMMUNITIES IT SERVES. OUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF OUR COMMUNITY. FH IS THE ONLY HOSPITAL IN OUR PRIMARY SERVICE AREA OF FAUQUIER COUNTY WITH A POPULATION OF 80,417. OUR SERVICE AREA IS GROWING AND AGING, WITH OVERALL PROJECTED GROWTH BETWEEN 2010-2015 OF 8.6% AND WITH THE 45+ POPULATION COMPRISING 45.37% OF THE TOTAL IN 2015. TO ADDRESS THE GROWING AND CHANGING HEALTH CARE NEEDS RESULTING FROM THESE POPULATION CHANGES, FH: ADDED SIX EMPLOYED PHYSICIANS TO THEIR STAFF, AN ENDOCRINOLOGIST, AN OBSTETRICS/GYNECOLOGIST AND THREE FAMILY MEDICINE PHYSICIANS; IMPLEMENTED A HOME HEALTH DISEASE MANAGEMENT TRAINING PROGRAM (TO INCLUDE CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND DIABETES) FOR PATIENTS; DEVELOPMENT OF A TRANSITIONS TO HOME PROGRAM THAT ADDRESSES CHRONIC DISEASE MANAGEMENT AND READMISSION RATES FOR PATIENTS; FEASIBILITY STUDIES FOR A NEONATAL INTENSIVE CARE UNIT AND AN AMBULATORY SURGERY CENTER. THROUGH PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS WE OPERATE A RETAIL HOME HEALTH SUPPLIES STORE AND A CANCER CENTER. WE ALSO PARTNER 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 EVENTS AND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFITS ACTIVITIES ARE COORDINATED BY TWO FULL-TIME COMMUNITY OUTREACH STAFF, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND OUR AUXILIARY VOLUNTEERS AS NEEDED. WE HAVE A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE CARE FOR RESIDENTS OF FAUQUIER AND RAPPAHANNOCK COUNTIES WHO ARE WITHIN 200% OF THE FEDERAL POVERTY GUIDELINES. THE FINANCIAL ASSISTANCE PROGRAM ALSO PROVIDES FREE CARE TO PATIENTS WHO RESIDE IN OTHER AREAS WHO WITHIN 100% OF THE FEDERAL POVERTY GUIDELINES. ALL UNINSURED PATIENTS, REGARDLESS OF INCOME LEVEL OR COUNTY OF RESIDENCE, RECEIVE A 38% DISCOUNT ON HOSPITAL SERVICES AND THE OPTION FOR AN INTEREST-FREE PAYMENT PLAN FOR BALANCES. EVERY UNINSURED PATIENT IS CONTACTED EITHER DURING THEIR STAY OR THE DAY AFTER AN OUTPATIENT VISIT TO DISCUSS FINANCIAL NEEDS. PATIENTS WHO DO NOT MEET THE REQUIREMENTS FOR STATE FUNDING ARE GIVEN A FINANCIAL AID FORM AND ASSISTANCE WITH COMPLETING THE NECESSARY PAPERWORK. THROUGH THE CONTINUING CARE FUND, THE HOSPITAL OFFERS ASSISTANCE TO INDIVIDUALS WHO HAVE INADEQUATE FINANCIAL MEANS TO COVER THE COSTS OF POST-HOSPITALIZATION HEALTH SERVICES, SUCH AS NURSING CARE; THE COST OF THIS PROGRAM TO FH IN FY11 WAS $85,782. IN FY11, WE PROVIDED $3,929,775 IN FREE MEDICAL CARE, WHICH INCLUDES $208,827 OF CARE PROVIDED TO FREE CLINIC PATIENTS. 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: FH OFFERS ALL PATIENTS 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. OUR 24-HOUR EMERGENCY DEPARTMENT IS OPEN TO EVERYONE IN THE COMMUNITY, REGARDLESS OF ABILITY TO PAY. WE HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN OUR AREA. THE MAJORITY OF THE MEMBERS OF OUR GOVERNING BODIES FOR BOTH OUR HOSPITAL AND HEALTH SYSTEM ARE INDEPENDENT REPRESENTATIVES OF THE COMMUNITIES WE SERVE. 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 17,800 HOURS AT A COST OF APPROXIMATELY $1,008,377. FH PARTICIPATES IN MEDICARE, MEDICAID, ANDCHAMPUS/TRICARE STANDARD. 3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: FAUQUIER FREE CLINIC (FFC). FFC PROVIDES PRIMARY HEALTH AND DENTAL CARE TO UNINSURED RESIDENTS OF FAUQUIER AND RAPPAHANNOCK COUNTIES. FH PROVIDED LABORATORY, CARDIOLOGY/NEUROLOGY/PULMONARY SERVICES, AND RADIOLOGY SERVICES AT NO CHARGE TO FCC PATIENTS FOR A TOTAL COST OF $208,827. ATOTAL OF 802 HOURS OF FREE CLINICAL CARE WERE PROVIDED BY COMMUNITY PHYSICIANS AND CLINICAL STAFF. TO HELP FFC EXPAND ITS SERVICES TO MEET THE NEEDS OF A GROWING POPULATION, FH LEASED A BUILDING IN APRIL 2006 TO THE FFC FOR $1 PER YEAR FOR 10 YEARS; THE RENTAL VALUE FY11 WAS $85,284. IN ADDITION, FH CONTRIBUTED $5,000 IN UNRESTRICTED FUNDS. COMMUNITY HEALTH EDUCATION, SCREENINGS AND OUTREACH PROGRAMS FAUQUIER HEALTH PROVIDED HEALTH EDUCATION AT 165 LOCAL EVENTS FOR 97,475 PEOPLE AND SPECIALIZED HEALTH SCREENINGS FOR 1,311 PEOPLE. FH ALSO OFFERS TOURS OF THE HOSPITAL AND 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. THE TOTAL COMMUNITY BENEFIT OF THESE SERVICES WAS $98,674.96 ONE OF SEVERAL FH PUBLICATIONS IS A COMMUNITY NEWSLETTER, HEALTHY HAPPENINGS, INTENDED TO EDUCATE THE PUBLIC ABOUT HEALTH ISSUES AND HEALTH CARE AND HOSPITAL SERVICES. PUBLISHED QUARTERLY, IT REACHES 94,000 HOMES IN FAUQUIER AND SURROUNDING COUNTIES. THE COST TO FH FOR PUBLICATION AND DISTRIBUTION OF THIS NEWSLETTER IN FY11 WAS $186,746. FH OFFERS ADAM, AN ONLINE ILLUSTRATED HEALTH ENCYCLOPEDIA, ON ITS WEBSITE. THE FY11 ANNUAL COST WAS $23,679. EMERGENCY SERVICES. FH PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND EN-ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS, AND ALSO RESTOCKS MEDICAL BOXES AND PROVIDES CLEAN LINENS FOR RESCUE SQUADS AT A COST TO THE HOSPITAL OF APPROXIMATELY $38,822. SUPPORT GROUPS AND COMMUNITY GROUPS. FH SPONSORED, ASSISTED, OR PROVIDED MEETING SPACE FOR FOUR SUPPORT GROUPS THAT MET WEEKLY OR MONTHLY. ADDITIONALLY, FH PROVIDED MEETING SPACE OR CASH DONATIONS FOR SEVERAL NON-PROFIT COMMUNITY GROUPS, (E.G. FAUQUIER FREE CLINIC AND PIEDMONT UNITED WAY). THE TOTAL VALUE OF THE MEETING SPACE IS $51,359. CASH DONATIONS TOTALED $25,939. FH EMPLOYEES PROVIDED REPRESENTATION ON COMMUNITY BOARDS AND COALITIONS AT AN EXPENSE OF $31,812. PHYSICIAN REFERRAL. THE HOSPITAL ASSISTED 3,000 PEOPLE WITH 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. IT COST FH $28,069 TO PROVIDE THIS SERVICE IN FY11. 4. LINKS TO ADDITIONAL COMMUNITY BENEFIT INFORMATION * FAUQUIER HOSPITAL WEBSITE - WWW.FAUQUIERHEALTH.ORG * FAUQUIER ASSISTANCE INFORMATIONN - http://www.fauquierhealth.org/patients.financial-assistance-policy QUANTIFIABLE COMMUNITY BENEFIT CHARITY CARE $3,928,484 GOVERNMENT SPONSORED HEALTH CARE $1,396,909 COMMUNITY BENEFIT PROGRAM $5,234,308 TOTAL QUANTIFIABLE COMM BENEFIT $10,559,701 | Description |
| Total Program Service Expense | 99074930 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 103 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1157 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DARRYL WHITE | NamePerson |
| Telephone Number | 5403165000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 HOSPITAL DR | AddressLine1 |
| City | Warrenton | City |
| State | VA | State |
| ZIP Code | 20186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RODGER BAKER | ||||||||
| PRESIDENT/CEO | 29.0 | X | X | 458264 | 0 | 67084 | ||
| MARSHALL DOELLER | ||||||||
| VICE CHAIRMAN/CHAIRMAN | 3.0 | X | X | 0 | 0 | 0 | ||
| REV JENNINGS HOBSON | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| JOHN MCCARTHY | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| MIRIAM PORTER | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| ELISE WILKINS | ||||||||
| SECRETARY/TREASURER | 3.0 | X | X | 0 | 0 | 0 | ||
| MARK VAN DE WATER | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| SUSAN RUBIN | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| WILBUR HEFLIN | ||||||||
| CHAIRMAN | 3.0 | X | X | 0 | 0 | 0 | ||
| CAREN EASTHAM | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| MARY LEIGH MCDANIEL | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| ADAM WINICK MD | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| JOSHUA JAKUM MD | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| ROBIN GULICK | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| JEFFREY ABRAMS | ||||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |||
| LIONEL PHILLIPS | ||||||||
| VP FINANCE/CFO | 30.0 | X | 267139 | 0 | 28054 | |||
| LINDA SHARKEY | ||||||||
| VP PATIENT CARE/CNE | 40.0 | 203200 | 0 | 18387 | X | |||
| KATHERINE REEVES | ||||||||
| VP HUMAN RESOURCES | 30.0 | 166956 | 0 | 5590 | X | |||
| GREGORY BENGSTON | ||||||||
| VP BUS DEV & PROF SERVICES | 30.0 | 172596 | 0 | 20468 | X | |||
| MARY SMITH | ||||||||
| VICE PRESIDENT SENIOR SERVICES | 30.0 | 181816 | 0 | 12471 | X | |||
| TRACY TURMAN | ||||||||
| VP SUPPORT SERVICES | 40.0 | 142877 | 0 | 16181 | X | |||
| DARRYL WHITE | ||||||||
| CONTROLLER | 21.0 | 149844 | 0 | 12039 | X | |||
| DONNA STATON | ||||||||
| DIRECTOR INFO SYSTEMS/CIO | 30.0 | 148019 | 0 | 23144 | X | |||
| MARGARET ROWE | ||||||||
| DIRCTOR PHARMACY | 40.0 | 141857 | 0 | 11344 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2032568 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 214762 | TotalOtherCompensation |
| Number Individuals GT100 K | 41 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FAIR OAKS ANESTHESIA ASSOCIATES | |||||
| 3998 FAIR RIDGE DR STE 320 | FAIRFAX | VA | 22033 | HEALTH CARE | 474000 |
| PATHFINDER DIAGNOSTICS PLLC | |||||
| 17175 SPRINGS RD | JEFFERSONTON | VA | 22724 | HEALTH CARE | 369854 |
| HANCOCK DANIEL JOHNSON NAGLE PC | |||||
| PO BOX 72050 | RICHMOND | VA | 232552050 | LEGAL | 318883 |
| PULMONARY AND CRITICAL CARE SPEC OF | |||||
| 3650 JOSEPH SIEWICK DR 307 | FAIRFAX | VA | 220331719 | HEALTH CARE | 291509 |
| COHEN RUTHERFORD KNIGHT PC | |||||
| 6903 ROCKLEDGE DR 500 | BETHESDA | MD | 20817 | ACCOUNTING | 157387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| All Other Contributions | 739 | AllOtherContributions |
| Total Contributions | 739 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REV | 132419898 | 132419898 | ||
| OTHER OPERATING | 1506471 | 1506471 | ||
| THERAPY SERVICES | 1002743 | 1002743 | ||
| OTHER MISC | 123467 | 123467 | ||
| LAB | 53511 | 621500 | 53511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 135106090 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4655928 | TotalRevenueColumn |
| Exclusion | $4,655,928 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1641576 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1641576 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1641576 | TotalRevenueColumn |
| Exclusion | $1,641,576 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CATERING | Description |
| Business Code | 722320 | BusinessCode |
| Total Revenue Column | 540 | TotalRevenueColumn |
| Unrelated Business Revenue | 540 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 540 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141404873 | TotalRevenueColumn |
| Related Or Exempt Function Income | 135052579 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 54051 | UnrelatedBusinessRevenue |
| Exclusion | $6,297,504 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1326498 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1326498 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47071491 | Total |
| Program Services | 36431221 | ProgramServices |
| Management And General | 10640270 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1759199 | Total |
| Program Services | 1324224 | ProgramServices |
| Management And General | 434975 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6443086 | Total |
| Program Services | 4849984 | ProgramServices |
| Management And General | 1593102 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3490935 | Total |
| Program Services | 2627775 | ProgramServices |
| Management And General | 863160 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12337 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 12337 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 761125 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 761125 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69878 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 69878 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110187 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 110187 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 734 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411616 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 411616 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1370284 | Total |
| Program Services | 400820 | ProgramServices |
| Management And General | 969464 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2618227 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2618227 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2321131 | Total |
| Program Services | 2091119 | ProgramServices |
| Management And General | 230012 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412672 | Total |
| Program Services | 120981 | ProgramServices |
| Management And General | 291691 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3990508 | Total |
| Program Services | 3990508 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9706091 | Total |
| Program Services | 7021940 | ProgramServices |
| Management And General | 2684151 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607374 | Total |
| Program Services | 607374 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 11070591 | 11070591 | 0 | 0 |
| BLOOD BANK | 745802 | 745802 | 0 | 0 |
| COLLECTION | 1181452 | 74 | 1181378 | 0 |
| CONTRACT | 3946456 | 1827393 | 2119063 | 0 |
| SUPPLIES AND DRUGS | 19956688 | 19692503 | 264185 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8245523 | Total |
| Program Services | 6272621 | ProgramServices |
| Management And General | 1972902 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127629885 | Total |
| Program Services | 99074930 | ProgramServices |
| Management And General | 28554955 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19815466 | BOY |
| EOY | 20738827 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14220719 | BOY |
| EOY | 15540680 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2142548 | BOY |
| EOY | 2695962 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 401893 | BOY |
| EOY | 774750 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 169885272 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 102247418 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73544169 | BOY |
| EOY | 67637854 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61498620 | BOY |
| EOY | 85047256 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17713617 | BOY |
| EOY | 7869026 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15447659 | BOY |
| EOY | 14365411 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204784691 | BOY |
| EOY | 214669766 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11672405 | BOY |
| EOY | 13684462 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76250102 | BOY |
| EOY | 74998443 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4960101 | BOY |
| EOY | 5761471 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92882608 | BOY |
| EOY | 94444376 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103851487 | BOY |
| EOY | 112536409 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8050596 | BOY |
| EOY | 7688981 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111902083 | BOY |
| EOY | 120225390 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204784691 | BOY |
| EOY | 214669766 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 13774988 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5451681 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8050596 | BeginningOfYearBalance |
| Contributions | 739 | Contributions |
| Investment Earnings Or Losses | -99088 | InvestmentEarningsOrLosses |
| Other Expenditures | 250195 | OtherExpenditures |
| Administrative Expenses | 13071 | AdministrativeExpenses |
| End Of Year Balance | 7688981 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7627551 | BeginningOfYearBalance |
| Contributions | 699 | Contributions |
| Investment Earnings Or Losses | 648318 | InvestmentEarningsOrLosses |
| Other Expenditures | 213797 | OtherExpenditures |
| Administrative Expenses | 12175 | AdministrativeExpenses |
| End Of Year Balance | 8050596 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7434788 | BeginningOfYearBalance |
| Contributions | 1135 | Contributions |
| Investment Earnings Or Losses | 442346 | InvestmentEarningsOrLosses |
| Other Expenditures | 237296 | OtherExpenditures |
| Administrative Expenses | 13422 | AdministrativeExpenses |
| End Of Year Balance | 7627551 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 584539 | OtherCostOrOtherBasis |
| Book Value | 584539 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75251260 | OtherCostOrOtherBasis |
| Depreciation | 29538786 | Depreciation |
| Book Value | 45712474 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2317853 | OtherCostOrOtherBasis |
| Depreciation | 1445973 | Depreciation |
| Book Value | 871880 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 86071579 | OtherCostOrOtherBasis |
| Depreciation | 67273290 | Depreciation |
| Book Value | 18798289 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5660041 | OtherCostOrOtherBasis |
| Depreciation | 3989369 | Depreciation |
| Book Value | 1670672 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 67637854 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (12 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| 2002 BOND NET DISCOUNT | 335676 |
| 2002 ISSUANCE COSTS | 1475971 |
| DUE FROM HEALTH DYNAMICS | 188588 |
| DUE FROM HEALTH SYSTEM | 3466 |
| DEPOSITS | 106802 |
| BOND FUNDS | 10879987 |
| DUE FROM VSM | 17881 |
| DUE FROM FHPS | 54016 |
| DUE FROM FHSF | 41738 |
| DUE FROM AFFILIATES | 732455 |
| 2008 ISSUANCE COSTS | 115021 |
| CAPTIVE EQUITY | 413810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14365411 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYERS | $2,115,993 |
| ACCRUED INTEREST PAYABLE | $1,975,595 |
| DUE TO AFFILIATES | $1,345,253 |
| CAPITAL LEASE | $324,630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5761471 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch D Part XIV | Identifier |
| Explanation | The Fauquier Hospital Endowment Fund (the Trust) is an irrevocable trust created by the Chichester DuPont System 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3822397 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3822397 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9089529 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7944891 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1144638 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12911926 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7944891 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4967035 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1106310 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27159 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1079151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1018931 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1018931 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6680803 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3658464 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3022339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02590 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 113889 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 113889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8919933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3685623 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5234310 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04490 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21831859 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11630514 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10201345 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08750 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 357 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 357 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 171074 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 171074 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 935 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 935 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 172366 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 172366 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,132,424 | BadDebtExpenseAmount |
| Amount Attributable To | 1274135 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 27225605 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 40792495 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13566890 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fauquier Hospital Incorporated | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Hospital Drive | AddressLine1 |
| City | Warrenton | City |
| State | VA | State |
| ZIP Code | 20186 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Fauquier Hospital Incorporated | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I, Line 3c | ALL UNINSURED PATIENTS, REGARDLESS OF INCOME LEVEL OR COUNTY OF RESIDENCE, RECEIVE A 38% DISCOUNT ON HOSPITAL SERVICES AND THE OPTION FOR AN INTEREST-FREE PAYMENT PLAN FOR BALANCES. IN ADDITION TO THIS REDUCTION, ALL PATIENTS WHO ARE RESIDENTS OF FAUQUIER OR RAPPAHANNOCK COUNTIES AND WHOSE ANNUAL HOUSEHOLD INCOME LEVELS ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES AND HAVE NO OTHER SOURCE OF PAYMENT, ARE ELIGIBLE FOR FREE CARE IF THEY COMPLETE THE APPLICATION PROCESS WHICH INCLUDES THE NEED FOR VERIFICATION OF INCOME. ALL PATIENTS WHO ARE NON RESIDENTS OF FAUQUIER OR RAPPAHANNOCK COUNTIES AND WHOSE ANNUAL HOUSEHOLD INCOME LEVELS ARE AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES AND HAVE NO OTHER SOURCE OF PAYMENT, ARE ALSO ELIGIBLE FOR FREE CARE AFTER COMPLETING THE APPLICATION PROCESS, WHICH ALSO INCLUDES INCOME VERIFICATION. |
| Part I, Line 6a | Fauquier Health prepares its own community benefit report. |
| Part I, Line 7 | PART I, LINE 7G FAUQUIER HEALTH, AS PART OF ITS MEDICAL STAFF DEVELOPMENT PLAN, IDENTIFIES SPECIFIC PHYSICIAN SPECIALTY SHORTAGES IN THE COMMUNITY AND RECRUITS PHYSICIANS TO THE COMMUNITY TO PROVIDE PATIENT SERVICES IN THOSE AREAS OF IDENTIFIED COMMUNITY NEED. THE PHYSICIANS ARE EMPLOYED BY A WHOLLY OWNED HOSPITAL AFFILIATE, FAUQUIER HEALTH PHYSICIANS SERVICES, LLC. THE COST OF OPERATING THIS PHYSICIAN PRACTICE AND MAKING THESE SPECIALTIES AVAILABLE TO THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY EXCEEDS THE REVENUE COLLECTED. THE NECESSARY SUBSIDY IS PROVIDED BY THE FAUQUIER HOSPITAL. THESE SPECIALTIES INCLUDED INFECTIOUS DISEASE, RHUMATOLOGY, NEUROLOGY, ENDOCRINOLOGY, OBSTETRICS, ONCOLOGY, ENT AND PRIMARY CARE. PART I, LINE 7, COLUMN F THE ORGANIZATION REMOVED THE BAD DEBT EXPENSE PRIOR TO CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. |
| Part II | FAUQUIER HEALTH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS: COMMUNITY SUPPORT - FAUQUIER HEALTH HAS CREATED A DISASTER READINESS PLAN TO SUPPORT THE LOCAL COMMUNITY IN THE EVENT OF AN INCIDENT OF SIGNIFICANCE. IT IS ONE OF 14 MEMBERS OF THE NORTHERN VIRGINIA HOSPITAL ALLIANCE WHICH COORDINATES EMERGENCY PREPAREDNESS, RESPONSE AND RECOVERY ACTIVITIES FOR THE MEMBER HOSPITAL AND HEALTHCARE SYSTEMS IN COOPERATION WITH LOCAL, REGIONAL AND STATE RESPONSE PARTNERS. IN ADDITION, FAUQUIER HEALTH STOCKPILES MEDICAL, SURGICAL AND PHARMACEUTICAL SUPPLIES IN THE EVENT OF A COMMUNITY EMERGENCY. ENVIRONMENTAL IMPROVEMENTS - FAUQUIER HEALTH HOSTED A MEDICATION AND SHARPS COLLECTION EVENT ON APRIL 2, 2011, TO COLLECT UNWANTED PRESCRIPTION MEDICATIONS, VITAMINS, AND OVER-THE-COUNTER MEDICATIONS AND USED SHARPS FOR SAFE DISPOSAL. BY HOSTING THE EVENT FAUQUIER HEALTH PROVIDED SAFE DISPOSAL FOR 370 POUNDS OF MEDICATION AND 136 GALLONS OF SHARPS THAT COULD HAVE CONTAMINATED THE COMMUNITY'S GROUND WATER AS WELL AS THE LANDFILL. ECONOMIC DEVELOPMENT - FAUQUIER HEALTH LOANED THE USE OF THE CONFERENCE ROOMS TO THE FAUQUIER COUNTY ECONOMIC DEVELOPMENT OFFICE TO HOST A MEETING FOR COMMUNITY BUSINESSES. THE EVENT HELPS TO PROMOTE BUSINESS IN THE COMMUNITY THUS PROVIDING EMPLOYMENT, SALARIES AND BENEFITS FOR THE RESIDENTS. |
| Part III, Line 4 | THE HOSPITAL'S PATIENT 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 (INCLUDING SELF-PAY PATIENTS), AS WELL AS THOSE AMOUNTS WRITTEN OFF TO CHARITY CARE. CHARITY CARE IS BASED ON A REVIEW OF THE PATIENT'S FINANCIAL CIRCUMSTANCES. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE, THERE ARE NO EFFORTS UNDERTAKEN TO COLLECT ON THE PATIENT'S ACCOUNT AND ANY COLLECTION EFFORTS COMMENCED PRIOR TO THE CHARITY CARE DETERMINATION ARE CEASED. THOSE PATIENT ACCOUNTS RECEIVABLE THAT HAVE NOT BEEN IDENTIFIED AS UNCOLLECTIBLE ARE REPORTED AS NET PATIENT SERVICE REVENUE. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THOSE PATIENT ACCOUNTS RECEIVABLE, TO THE EXTENT THAT THOSE ACCOUNTS ARE ESTIMATED TO NOT BE COLLECTIBLE IN FUTURE PERIODS. ONCE IT HAS BEEN DETERMINED THAT A PATIENT ACCOUNT RECEIVABLE (OR SOME PORTION THEREOF) CANNOT BE COLLLECTED UPON, THE ORGANIZATION WRITES OFF THE PATIENT ACCOUNT (OR THE UNCOLLECTIBLE PORTION) AS A BAD DEBT. THE ORGANIZATION APPLIED ITS COST-TO-CHARGE RATIO, AS CALCULATED IN SCHEDULE H WORKSHEET 2, TO THE PATIENT CHARGES WRITTEN OFF TO BAD DEBT TO DETERMINE THE COST OF THE ORGANIZATION'S BAD DEBT FOR THE TAX YEAR. THE ORGANIZATON ESTIMATED THE AMOUNT OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY BY DETERMINING THE PERCENTAGE OF FINANCIAL ASSISTANCE APPLICATIONS SENT TO PATIENTS THAT WERE NEVER COMPLETED (30%) AND MULTIPLYING THAT BY THE BAD DEBT EXPENSE (AT COST). |
| Part III, Line 8 | THE COSTING SOURCE IS THE MEDICARE COST REPORT AND THE METHODOLOGY IS MEDICARE ALLOWABLE COST TO MEDICARE REVENUES RECEIVED. THE ORGANIZATION'S MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, PART OF THE MISSION OF OUR ORGANIZATION IS TO SERVE ELDERLY PATIENTS WITHIN THE COMMUNITY, AND WE BELIEVE PROVIDING SUCH CARE HAS CONTRIBUTED TO THE IMPROVEMENT OF COMMUNITY HEALTH. FURTHERMORE, BY PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. |
| Part III, Line 9b | THE ORGANIZATION HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY. HOWEVER, AS CURRENTLY WRITTEN, THE POLICY DOES NOT CONTAIN PROVISIONS SPECIFICALLY WITH RESPECT TO COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION HAS RECENTLY AMEND ITS WRITTEN DEBT COLLECTION POLICY TO INCLUDE PROVISIONS COVERING THE ORGANIZATION'S COLLECTION PRACTICES FOR FINANCIAL ASSISTANCE PATIENTS. UNDER THE ORGANIZATION'S DEBT COLLECTION POLICY, AS SOON AS A PATIENT'S ELIGIBILITY FOR FREE CARE IS INDENTIFIED THROUGH THE FINANCIAL ASSISTANCE APPLICATION PROCESS, ALL BILLING OR COLLECTION EFFORTS CEASE AT THAT TIME. PATIENTS WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE UNTIL THEIR ACCOUNTS HAVE BEEN TURNED OVER TO A THIRD PARTY FOR COLLECTION ARE NOT CHARGED ANY FEES IF THE PATIENT SUBSEQUENTLY QUALIFIES FOR FREE CARE. |
| Part VI, Line 2, Needs Assessment | FAUQUIER HEALTH ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR FAUQUIER HEALTH'S HEALTH ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY HEALTH NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES. FAUQUIER HEALTH'S COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO: GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED; IDENTIFY AND ADDRESSTHE NEEDS OF VULNERABLE POPULATIONS WITH THE COMMUNITY; ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES AND ADVISORY GROUPS; AND PROVIDE INFORMATION FOR COMMUNITY OUTREACH PLANNING. |
| Part VI, Line 3, Patient education of eligibility for assistance | NOTIFICATION OF FAUQUIER HOSPITAL'S CHARITY PROGRAM IS DISSEMINATED BY VARIOUS MEANS, INCLUDING NOTIFICATION OF CONTACT INFORMATION TO DISCUSS THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ON EACH BILLING STATEMENT, NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT ALL POINTS OF PATIENT ACCESS, AND INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE ORGANIZATION'S WEBSITE. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY A PATIENT 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 AT FAUQUIER HOSPITAL, WE ASK THAT YOU WORK WITH US ON ANY BILLS YOUR 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. UPON REACHING THAT NUMBER, THE PATIENT IS PROMPTED TO SELECTIONS TO HELP THE PATIENT REACH THE STAFF MEMBER THAT IS MOST LIKELY TO BEST BE ABLE TO HELP THEM I.E.: UNINSURED, SPANISH SPEAKING, BILLING QUESTIONS, ETC. IN ADDITION, UNINSURED INPATIENTS AND THOSE WITH MEDICARE AND NO SECONDARY CARRIER ARE CONTACTED (USUALLY A PERSONAL VISIT IN THEIR HOSPITAL ROOM) BY AN EMPLOYEE OF ONE OF OUR PARTNERS, ADVANCED PATIENT AVOCACY (APA). THE APA PERSONNEL SCREEN THESE PATIENTS FOR ELIGIBILITY FOR ASSISTANCE FOR ANY APPLICABLE FEDERAL AND STATE PROGRAMS. IF THESE PATIENTS DO NOT MEET THE CRITERIA FOR THESE PROGRAMS, THEY ARE THEN REFERRED TO THE ORGANIZATION'S SELF PAY FINANCIAL COUNSELOR FOR SCREENING FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. OUTPATIENTS WHOSE ACCOUNT BALANCE MEETS A THRESHOLD OF $750 ARE ALSO CONTACTED BY APA, BUT THESE CONTACTS ARE EITHER BY TELEPHONE OR LETTER.] UNINSURED PATIENTS THAT VISIT OUR EMERGENCY ROOM ARE GIVEN A PACKET THAT INCLUDES A FINANCIAL ASSISTANCE APPLICATION AND A BUSINESS CARD WITH THE NAME AND CONTACT INFORMATION FOR OUR FINANCIAL COUSELOR. THERE IS ALSO SIGNAGE IN OUR PATIENT ACCESS AREAS THAT REMIND PATIENTS THAT WE DO HAVE FINANCIAL COUNSELORS AVAILABLE IN PERSON AND BY PHONE TO ASSIST THEM. |
| Part VI, Line 4, Community Information | THE FAUQUIER HOSPITAL, INC. (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 RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF OUR COMMUNITY. FAUQUIER HOSPITAL 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 80,817. THE AVERAGE HOUSEHOLD INCOME IS $97,919. 7.3% OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. 18.4% OF FAUQUIER HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS OR SELF-PAY. THE FOLLOWING DISTRICTS WITHIN FAUQUIER COUNTY ARE CONSIDERED MUA/P BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA): LEE DISTRICT AND MARSHALL DISTRICT. |
| Part VI, Line 5, Promotion of community health | THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DOING THE FOLLOWING: * ENSURING THAT THE MAJORITY (86%) OF THE INDIVIDUALS SERVING ON THE FAUQUIER HOSPITAL AND FAUQUIER HEALTH SYSTEM 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, * USING SURPLUS FUNDS TO: IMPROVE PATIENT CARE BY UPGRADING THE TOOLS NEEDED TO CARE FOR PATIENTS, UNDERTAKING ADDITIONAL PLANNING TO ENHANCE THE HOSPITAL'S CAPABILITY TO PROVIDE EFFECTIVE CARE TO THE COMMUNITY, AND PROVIDING EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE ORGANIZATION 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 EVENTS AND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFITS ACTIVITIES ARE COORDINATED BY TWO FULL-TIME COMMUNITY OUTREACH STAFF, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND OUR AUXILIARY VOLUNTEERS AS NEEDED. TO HELP TRAIN AND EDUCATE HEALTH CARE PROFESSIONALS, THE ORGANIZATION WORKS WITH LOCAL COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS; THE ORGANIZATION'S STAFF PROVIDED APPROXIMATELY 17,800 HOURS AT A COST OF APPROXIMATELY $1,008,377. 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. THE ORGANIZATION PROVIDED LABORATORY, CARDIOLOGY/NEUROLOGY/PULMONARY SERVICES, AND RADIOLOGY SERVICES AT NO CHARGE TO FCC PATIENTS FOR A TOTAL COST OF $208,827. A TOTAL OF 802 HOURS OF FREE CLINICAL CARE WAS PROVIDED BY COMMUNITY PHYSICIANS AND CLINICAL STAFF. TO HELP FFC EXPAND ITS SERVICES TO MEET THE NEEDS OF A GROWING POPULATION, FAUQUIER HEALTH LEASED A BUILDING IN APRIL 2006 TO THE FFC FOR $1 PER YEAR FOR 10 YEARS. THE RENTAL VALUE IN TAX YEAR 2010 WAS $85,284. IN ADDITION, THE ORGANIZATION CONTRIBUTED $5,000 IN UNRESTRICTED FUNDS. THE ORGANIZATION PROVIDED HEALTH EDUCATION AT 165 LOCAL EVENTS FOR 97,475 PEOPLE AND SPECIALIZED HEALTH SCREENINGS FOR 1,311 PEOPLE. THE ORGANIZATION ALSO OFFERS TOURS OF THE HOSPITAL AND SPEAKERS FOR LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS TO BUILD RELATIONSHIPS WITHIN THE COMMUNITY, PROMOTE COLLABORATION IN MANAGING HEALTH AND WELLNESS, AND EDUCATING THE COMMUNITY WITH RESPECT TO THE HEALTH SYSTEM. THE TOTAL COMMUNITY BENEFIT OF THESE SERVICES WAS $98,675. THE ORGANIZATION PUBLISHES A COMMUNITY NEWSLETTER, HEALTHY HAPPENINGS, INTENDED TO EDUCATE THE PUBLIC ABOUT HEALTH ISSUES AND HEALTH CARE AND HOSPITAL SERVICES. PUBLISHED QUARTERLY, IT REACHES 94,000 HOMES IN FAUQUIER AND SURROUNDING COUNTIES. THE COST TO FH FOR PUBLICATION AND DISTRIBUTION OF THIS NEWSLETTER IN TAX YEAR 2010 WAS $186,746. THE ORGANIZATION ALSO OFFERS ADAM, AN ONLINE ILLUSTRATED HEALTH ENCYCLOPEDIA, ON ITS WEBSITE FOR FREE. THE TAX YEAR 2010 COST WAS $23,679. THE ORGANIZATION PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND EN-ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS, AND ALSO RESTOCKS MEDICAL BOXES AND PROVIDES CLEAN LINENS FOR RESCUE SQUADS AT A COST TO THE HOSPITAL OF APPROXIMATELY $38,822. THE ORGANIZATON SPONSORED, ASSISTED, OR PROVIDED MEETING SPACE FOR FOUR SUPPORT GROUPS THAT MET WEEKLY OR MONTHLY. ADDITIONALLY, THE ORGANIZATION PROVIDED MEETING SPACE OR CASH DONATIONS FOR SEVERAL NON-PROFIT COMMUNITY GROUPS (E.G. FAUQUIER FRE CLINIC AND PIEDMONT UNITED WAY). THE TOTAL VALUE OF THE MEETING SPACE IS $51,359. CASH DONATIONS TOTALED $25,939. THE ORGANIZATION ASSISTED 3,000 PEOPLE WITH 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. IT COST THE ORGANIZATION $28,069 TO PROVIDE THIS SERVICE IN FY09. |
| Part VI, Line 6, Affiliated health care system | THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE ORGANIZATION OPERATES A 97-BED ACUTE CARE HOSPITAL, WHICH PROVIDES GENERAL MEDICAL AND SURGICAL SERVICES AND OPERATES A 24/7 EMERGENCY ROOM. THE HOSPITAL IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF FAUQUIER COUNTY. THE FAUQUIER HEALTH SYSTEM ALSO OPERATES A 113 BED NURSING HOME AND 67 RESIDENT ASSISTED LIVING FACILITY THROUGH ITS RELATED ORGANIZATION FAUQUIER HEALTH SENIOR LIVING, INC. ADDITIONALLY, THE SYSTEM OPERATES A NUMBER OF PHYSICIAN PRACTICES. THE SYSTEM IDENTIFIES SPECIFIC PHYSICIAN SPECIALTY SHORTAGES IN THE COMMUNITY AND EMPLOYS PHYSICIANS IN THOSE SPECIALTY AREAS TO PROVIDE SUCH CARE TO THE COMMUNITY. THE COST OF OPERATING THESE PHYSICIAN PRACTICES, THEREBY MAKING THESE SPECIALTIES AVAILABLE TO THE COMMUNITY (INCLUDING TO THOSE PATIENTS THAT DO NOT HAVE THE ABILITY TO PAY), FAR EXCEEDS THE REVENUE COLLECTED FROM PROVIDING THE SERVICES. AMONG THE SPECIALTIES PROVIDED BY THE PHYSICIAN PRATICES ARE INFECTIOUS DISEASE, RHUMATOLOGY, NEUROLOGY, ENDOCRINOLOGY, OBSTETRICS, ONCOLOGY, ENT AND PRIMARY CARE. IN THE 2010 TAX YEAR, THE SYSTEM ADDED SIX EMPLOYED PHYSICIANS TO ITS STAFF: AN ENDOCRINOLOGIST, AND OBSTETRICS/GYNECOLOGIST AND THREE FAMILY MEDICINE PHYSICIANS. ADDITIONALLY, THE SYSTEM IMPLEMENTED A HOME HEALTH DISEASE MANAGEMENT TRAINING PROGRAM (TO INCLUDE CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND DIABETES) FOR PATIENTS; DEVELOPED A TRANSITION TO HOME PROGRAM THAT ADDRESSES CHRONIC DISEASE MANAGEMENT AND READMISSION RATES FOR PATIENTS; AND UNDERTOOK FEASIBILITY STUDIES FOR A NEONATAL INTENSIVE CARE UNIT AND AN AMBULATORY SURGERY CENTER. |
| Part VI, Line 7, State filing of community benefit report | The Commonwealth of Virginia does not require hospitals to file a community benefit report. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RODGER BAKER | |||||||||||
| 368051 | 0 | 43884 | 0 | 46329 | 0 | 60540 | 0 | 6544 | 0 | 525348 | 0 |
| LIONEL PHILLIPS | |||||||||||
| 216337 | 0 | 20220 | 0 | 30582 | 0 | 20236 | 0 | 7818 | 0 | 295193 | 0 |
| LINDA SHARKEY | |||||||||||
| 169303 | 0 | 23332 | 0 | 10565 | 0 | 6860 | 0 | 11527 | 0 | 221587 | 0 |
| MARY SMITH | |||||||||||
| 143365 | 0 | 15960 | 0 | 22491 | 0 | 6245 | 0 | 6226 | 0 | 194287 | 0 |
| KATHERINE REEVES | |||||||||||
| 142463 | 0 | 15902 | 0 | 8591 | 0 | 5396 | 0 | 194 | 0 | 172546 | 0 |
| GREGORY BENGSTON | |||||||||||
| 144294 | 0 | 14058 | 0 | 14244 | 0 | 6205 | 0 | 14263 | 0 | 193064 | 0 |
| TRACY TURMAN | |||||||||||
| 121427 | 0 | 14127 | 0 | 7323 | 0 | 1962 | 0 | 14219 | 0 | 159058 | 0 |
| DARRYL WHITE | |||||||||||
| 136350 | 0 | 13334 | 0 | 160 | 0 | 5829 | 0 | 6210 | 0 | 161883 | 0 |
| DONNA STATON | |||||||||||
| 134276 | 0 | 13637 | 0 | 106 | 0 | 5746 | 0 | 17398 | 0 | 171163 | 0 |
| MARGARET ROWE | |||||||||||
| 132450 | 0 | 8968 | 0 | 439 | 0 | 5140 | 0 | 6204 | 0 | 153201 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| net earnings | line 6 | Fauquier Hospital has a "Management Performance Incentive Program" (MPIP) under which we award $ to our Director Team for accomplishing a pre-determined, measurable set of tasks related to clinical quality outcomes, patient satisfaction, community outreach and positive operating margins. |
| nonqualified retirement plan | line 4b | FAUQUIER HOSPITAL MAINTAINED A SECTION 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EMPLOYEES. DURING THE 2010 TAX YEAR. THOSE EMPLOYEES THAT PARTICIPATED IN THE SECTION 457(F) PLAN WERE PERMITTED DEFERRALS INTO THE PLAN (THAT IS, NO CONTRIBUTIONS WERE MADE BY THE CORPORATION). RODGER BAKER $48,297 LIONEL PHILLIPS $10,807 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Industrial Development Authority Fauquier County | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 546001274 | IssuerEIN |
| CUSIP Number | 312066BXO | CUSIPNumber |
| Date Issued | 2008-02-13 | DateIssued |
| Issue Price | 22825000 | IssuePrice |
| Description Of Purpose | hospital building improvements | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 23002992 | TotalProceeds |
| Amount In Reserve Fund | 1348704 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 454104 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 21200184 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | true | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BB&T CO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 5.17 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (29 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 990 Review Process | Part VI, Line 11 | 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 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, as well as presented by the outside accounting firm to the organization's Audit & Finance Committee. Comments or questions received from the Board are incorporated into a final Form 990, which is signed by the Persident/CEO of the Fauquier Health System, Rodger Baker. |
| CONFLICTS MONITORING AND ENFORCEMENT | PART VI, 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, the 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. |
| PROCESS FOR DETERMINING COMPENSATION | PART VI, LINE 15 | THE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE OFFICER COMPENSATION. |
| DOCUMENT AVAILABILITY | PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| net assets reconciliation | part xi, line 5 | perm rest invest unrealized loss $ (541,737) equity transfers 560,262 unrealized loss on investments (5,577,379) net assets released for property 14,573 net assets released 92,601 rounding (1) ------------- $(5,451,681) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RODGER BAKER TITLE:PRESIDENT/CEO HOURS:11 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARSHALL DOELLER TITLE:VICE CHAIRMAN/CHAIRMAN HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:REV JENNINGS HOBSON TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN MCCARTHY TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MIRIAM PORTER TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ELISE WILKINS TITLE:SECRETARY/TREASURER HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK VAN DE WATER TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SUSAN RUBIN TITLE:TRUSTEE HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILBUR HEFLIN TITLE:CHAIRMAN HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CAREN EASTHAM TITLE:TRUSTEE HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARY LEIGH MCDANIEL TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ADAM WINICK MD TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSHUA JAKUM MD TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBIN GULICK TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEFFREY ABRAMS TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LIONEL PHILLIPS TITLE:VP FINANCE/CFO HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LINDA SHARKEY TITLE:VP PATIENT CARE/CNE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHERINE REEVES TITLE:VP HUMAN RESOURCES HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GREGORY BENGSTON TITLE:VP BUS DEV & PROF SERVICES HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARY SMITH TITLE:VICE PRESIDENT SENIOR SERVICES HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TRACY TURMAN TITLE:VP SUPPORT SERVICES HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DARRYL WHITE TITLE:CONTROLLER HOURS:19 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONNA STATON TITLE:DIRECTOR INFO SYSTEMS/CIO HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARGARET ROWE TITLE:DIRCTOR PHARMACY HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| FAUQUIER HEALTH SYSTEM INC | |||||||||
| 500 HOSPITAL DR | WARRENTON | VA | 20186 | 541416705 | MGMT COORDINA | VA | 501(c)(3) | 509(A)(3) | NONE |
| FAUQUIER HEALTH FOUNDATION INC | |||||||||
| 500 HOSPITAL DR | WARRENTON | VA | 20186 | 300219424 | FUNDRAISING | VA | 501(c)(3) | 509(A)(1) | FAUQ HLTH SY |
| FAUQUIER HEALTH SENIOR LIVING INC | |||||||||
| 500 HOSPITAL DR | WARRENTON | VA | 20186 | 541416703 | SKILLED CARE | VA | 501(c)(3) | 509(A)(2) | FAQ HLTH SYS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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