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      <Description>Section 1. 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, inclusive of 29,777 households. Our service area is growing and aging, with overall projected growth between 2011-2016 of 8.6% and with the 45+ population comprising 45.37% of the total in 2016. To address the growing and changing health care needs resulting from these population changes, FH:renovated the Infusion Center providing improved technology and facilities for the patients with the addition of 8 bays for a total of 18; Renovated and built out shell space to add 11 medical/surgical beds; Fauquier Health added three employed physicians to the staff, a Hematologist/Oncologist, a Rheumatologist and a Otolaryngologist, in response to the community need as a demonstrated in the medical staff development plan.; Opened a Wound Healing Center to offer specialized technology for wound healing care. 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. 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. All uninsured patients, regardless of income level or county of residence, receive a 25% discount on hospital services and an additional 10% discount for payment within 30 days or 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 FY10 was $149,077. In FY10, we provided $4,202,304 in free medical care, which includes $281,228 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 17,500 hours at a cost of approximately $1,029,184 on these. FH participates in Medicare, Medicaid, and CHAMPUS/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 of $281,228. Our physicians and clinical staff also provided more than 641 hours of free clinical care. 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 FY10 was $85,284. In addition, FH contributed $5,000 in unrestricted funds. Community Health Education, Screenings and Outreach Programs FH staff connected with community members 108,264 times and participated in 67 local events. FH provided 1,912 free specialized screenings (blood pressure, body mass index, prostate, cholesterol and mammograms). 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 $130,220. Health education through advertising, media, and publications. 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 FY10 was $190,375. FH offers ADAM, an online illustrated health encyclopedia, on its website. The FY10 annual cost was $17,052. 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 $55,070. 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. the American Red Cross and Fauquier County Department of Social Services). The total value of the meeting space is $51,022. Cash donations totaled $16,062. FH employees provided representation on community boards and coalitions at an expense of $65,711. Physician Referral. The hospital assisted 5,197 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. It cost FH $35,235 to provide this service in FY10. 4. Links to Additional Community Benefit Information * Fauquier Hospital Website - www.fauquierhospital.org * Fauquier Assistance Informationn - www.fauquierhospital.org/body.cfm?id=230 Quantifiable Community Benefit Charity Care $4,202,304 Government Sponsored Health Care $2,159,485 Community Benefit Program $4,598,012 Total Quanifiable comm benefit $10,959,801</Description>
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        <NamePerson>LINDA SHARKEY</NamePerson>
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        <OtherCompensation>21068</OtherCompensation>
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        <NamePerson>GREGORY BENGSTON</NamePerson>
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        <NamePerson>MARY SMITH</NamePerson>
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        </AddressOfContractor>
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      <ContractorCompensation>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <PensionPlanContributions>
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        <ProgramServices>1354919</ProgramServices>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>394964</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>75118</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>64134</ManagementAndGeneral>
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      <FeesForServicesOther>
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      </FeesForServicesOther>
      <Advertising>
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      <OfficeExpenses>
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        <ProgramServices>1147855</ProgramServices>
      </OfficeExpenses>
      <InformationTechnology>
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      </InformationTechnology>
      <Royalties>
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      <Occupancy>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
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        <ProgramServices>4054879</ProgramServices>
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      <FSAudited>true</FSAudited>
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      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
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      <OtherAssets>
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      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
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      <OtherAssets>
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      </OtherAssets>
      <OtherAssets>
        <Description>CAPTIVE EQUITY</Description>
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      </OtherAssets>
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        <Description>DUE TO THIRD PARTY PAYERS</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED INTEREST PAYABLE</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
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      <OtherLiabilities>
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      <TotalOfAmounts>4960101</TotalOfAmounts>
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        <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>
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        <TotalCommunityBenefitExpense>131090</TotalCommunityBenefitExpense>
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        <TotalCommunityBenefitExpense>6609637</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>4598012</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04230</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>18992694</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8032893</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10959801</NetCommunityBenefitExpense>
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      </TotalCommunityBenefits>
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        <TotalCommunityBuildingExpense>4420</TotalCommunityBuildingExpense>
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        <PersonsServed>43</PersonsServed>
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        <NetCommunityBuildingExpense>2356</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EnvironmentalImprovements>
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        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
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        <TotalCommunityBuildingExpense>193162</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>193162</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00190</PercentOfTotalExpense>
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      <CostOfCareReimbursedByMedicare>37580669</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-12916016</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
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      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
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          <BusinessNameLine1>CANCER CENTER AT</BusinessNameLine1>
        </NameOfEntity>
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          <BusinessNameLine1>FAUQUIER HEALTH HOME</BusinessNameLine1>
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          <BusinessNameLine1>The Fauquier Hospital Incorporated</BusinessNameLine1>
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        <Address>
          <AddressLine1>500 Hospital Drive</AddressLine1>
          <City>Warrenton</City>
          <State>VA</State>
          <ZIPCode>20186</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
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      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>Fauquier Hospital applies a 25% discount to all uninsured patients, regardless of income, at time of final billing. This discount can be increased to 35% if the total balance is paid within 30 days from the discharge/service date. 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.</IncomeBasedCriteria>
        <AnnualCommunityBenefitExpln>Fauquier Health prepares its own community benefit report.</AnnualCommunityBenefitExpln>
        <SubsidizedHealthServicesExpln>Fauquier Health, as part of its medical staff development plan, identifies specific physician specialty shortages and recruits those physicians to the community. The physicians are employed by a wholly owned Hospital affiliate, Fauquier Health Physician Services, LLC. The cost of operating this service 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 include infectious disease, rhumatology,neurology,endocrinology,obstretrics, oncology, ENT and primary care.</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>The organization removed the bad debt expense prior to calculating the percent of total expense.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>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 uncollectible. An allowance for doubtful accounts is recorded for accounts not yet written off, which may become uncollectible in future periods. The policy of the Hospital is to provide needed medical care without regard to the patient's ability to pay for such services. Charity care is defined as care for which collection is not attempted (e.g. indigent care) and operating costs for services rendered for Medicaid patients that are in excess of reimbursement. Charity care is based on a review of the patient's financial circumstances upon admission or the service date. Because collection of the amounts determined to qualify as charity care is not pursued, such amounts are not reported as a component of net patient service revenues. The cost and expenses incurred in providing these services are included in operating expenses.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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. 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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Though the hospital does have a written debt collection policy, it does not contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Notification of Fauquier Hospital's charity program is disseminated by various means, including notification of contact information on our billing statements, notices at all points of patient access, and our website. A request for financial assistance may be done at any point in the collection cycle. As soon as a patient's eligibility for free care is identified through the 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 collection agencies or attorneys for collection, are not charged for legal or collections fees if it is deemed that they meet all criteria for free care.</DebtCollectionPolicy>
        <GeneralExplanation>Fauquier Hospital's total annual expense of $118,860,882 includes a bad debt write-off expense of $9,693,976. This amount is made up of both actual patient account write-offs of $9,097,633 and an additional $596,343 to account for an increase in our estimated the bad debt write off reserve for patient accounts carried on the Hospital's Balance Sheet as Accounts Receivable as of September 30, 2010 estimated to be uncollectible but not yet recognized as a bad debt account write-off/ expense. The hospital must generate $ 9,693,976 of net revenue to cover the cost of bad debts.</GeneralExplanation>
        <GeneralExplanation>The Commonwealth of Virginia does not require hospitals to file a community benefit report.</GeneralExplanation>
        <NeedsAssessment>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 address the 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.</NeedsAssessment>
        <PatientEducationAssistance>Fauquier Hospital's Billing Philosophy is displayed on the reverse side of every billing statement that patients receive. It explains that we do provide a "considerable" amount of charity care to those less fortunate and also contains the following statement: "in meeting your financial obligations for the care provided at Fauquier Hospital, we ask that you work with us on any bills you are having difficulty paying. You will find our staff understanding and eager to help you." This message is followed by the telephone numbers that connect patients to our Financial Counseling staff. Upon reaching that number, they are prompted to selections for the staff member that is most likely to best be able to help them i.e.: uninsured, Spanish speaking, billing questions, etc. Our 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 corporate partners, Advanced Patient Advocacy (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 our self pay financial counselor for screening for our internal charity programs. 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 counselor. There is also signage in our Patient Access areas that reminds patients that we do have financial counselors available in person and by phone to assist them.</PatientEducationAssistance>
        <CommunityInformation>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 Rappahannock Counties. The primary service area has a population of 78,870. The median household income is $79,285. 6.1% of the community residents have incomes below the federal poverty guideline. 19.9% 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.</CommunityInformation>
        <CommunityBuildingActivities>Fauquier Health's community building activities promote the health of the community in the following ways: Environmental Improvements - Fauquier Health hosted a Medication and Sharps Collection event on April 24, 2010, to collect unwanted prescription medications, vitamins, and over-the-counter medications and used sharps for safe disposal. By hosting the event Fauquier Health provide safe disposal for 40 gallons of medication and 107 pounds of sharps that could have contaminated the community's ground water as well as the landfill. Physical Improvements and Housing - Fauquier Health contributed to the physical improvement of a transitional housing facility in Vint Hill, Virginia by providing a group of volunteers who worked for the day painting the inside of a town home. The newly painted town home will provide housing for a family that qualifies for the Fauquier Family Shelter Services housing program. 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.</CommunityBuildingActivities>
        <OtherInformation>Fauquier Health promotes the health of the community by: * Ensuring that the majority (93%) of the individuals serving on the Fauquier Hospital and Fauquier Health System Board of Directors are not employees or contractors of the organization and are selected for diverse experience and perspective. This is accomplished through a bi-annual governance assessment to determine gaps and needs for certain skills or attributes. * Extending medical staff privileges to all qualified physicians in the community who are interested. * Fauquier Health uses surplus funds to improve patient care by renovating and upgrading facilities and upgrading the tools needed to care for our patients. In FY2010, Fauquier Health renovated the Infusion Center providing improved technology and facilities for the patients with the addition of 8 bays for a total of 18; Implemented Physician Order Entry in the Emergency Department and for Inpatients. Physician Order Entry allows physicians to enter orders electronically and the information (such as allergies or drug interactions) is immediately available to clinical staff. POE improves the timeliness of service for the patients and clinicians that results in improved patient safety and care.; Renovated and built out shell space to add 11 medical/surgical beds; Fauquier Health added three employed physicians to their staff, a Hematologist/Oncologist, a Rheumatologist and an Otolaryngologist, in response to the community need as demonstrated in the medical staff development plan.; Opened a Wound Healing Center to offer specialized technology for wound healing care. The center's hyperbaric oxygen chambers can be used to treat patients suffering from diabetic ulcers or infections as well as uncommon ailments such as gangrene.</OtherInformation>
        <AffiliatedHealthCareSystem>Fauquier Health is not part of an affiliated health care system.</AffiliatedHealthCareSystem>
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        <NamePerson>GREGORY BENGSTON</NamePerson>
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        <Identifier>net earnings</Identifier>
        <ReturnReference>line 6</ReturnReference>
        <Explanation>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.</Explanation>
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      <GeneralExplanation>
        <Identifier>990 Review Process</Identifier>
        <ReturnReference>Part VI, Line 11</ReturnReference>
        <Explanation>Both the management of the organization and the Audit and Compliance committee of the Board of Directors will review/comment on the accuracy of the 990 form prior to filing. Rodger Baker, President/CEO of the Health System will be signing the return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICTS MONITORING AND ENFORCEMENT</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>The annual disclosure of conflicts statement is completed by all board members and management. They are reviewed by independent legal counsel, the corporate compliance officer, and the audit and compliance committee, who are ultimately responsible if a conflict exists. Such conflicts would be reported to the full board. Board member eligibility is carefully screened for any potential conflicts in order to avoid such conflicts from occurring.</Explanation>
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      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>PART VI, LINE 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAUQUIER HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 HOSPITAL DR</AddressLine1>
          <City>WARRENTON</City>
          <State>VA</State>
          <ZIPCode>20186</ZIPCode>
        </AddressUS>
        <EIN>541416705</EIN>
        <PrimaryActivities>MGMT COORDINA</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NONE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAUQUIER HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 HOSPITAL DR</AddressLine1>
          <City>WARRENTON</City>
          <State>VA</State>
          <ZIPCode>20186</ZIPCode>
        </AddressUS>
        <EIN>300219424</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAUQ HLTH SY</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FAUQUIER HEALTH SENIOR LIVING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 HOSPITAL DR</AddressLine1>
          <City>WARRENTON</City>
          <State>VA</State>
          <ZIPCode>20186</ZIPCode>
        </AddressUS>
        <EIN>541416703</EIN>
        <PrimaryActivities>SKILLED CARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAQ HLTH SYS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FAUQUIER HEALTH PHYSICIAN SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>500 HOSPITAL DR</AddressLine1>
          <City>WARRENTON</City>
          <State>VA</State>
          <ZIPCode>20186</ZIPCode>
        </AddressUS>
        <EIN>262121044</EIN>
        <PrimaryActivity>MEDICAL SERVI</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FAQ HEALTH SYS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>INVESTMENT</PredominantIncomeType>
        <ShareOfTotalIncome>-2165464</ShareOfTotalIncome>
        <ShareOfEOYAssets>1539769</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FAUQUIER HEALTH PHYSICIAN SERVICES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>1500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>