FHI SERVICES: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: FHI SERVICES (EIN 54-0573701)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-14
IRS object ID: 201912269349302406
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-14T15:15:32-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	222428965	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CITRIN COOPERMAN & COMPANY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2 BETHESDA METRO CENTER 11TH FLOOR	AddressLine1Txt
City	BETHESDA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20814	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540573701	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FHI SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FHIS	BusinessNameControlTxt
Phone	5406804100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	321 WALKER DRIVE NO 301	AddressLine1Txt
City	WARRENTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20186	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTINE M CONNOLLY	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	5406804100	PhoneNum
Signature	2019-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRIAN J GIGANTI	PreparerPersonNm
PTIN	P00646609	PTIN
Phone	3016549000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.191.40.50	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-14	IPDt
IP Tm	10:43:53	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D513721559919253B6AF48BCC18EC3BB4810424D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D8079B24E6452CD5AB46C50CF143672D5FACCDF1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHRISTINE M CONNOLLY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	321 WALKER DRIVE NO 301	AddressLine1Txt
City	WARRENTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20186	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$63,111,213	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FAUQUIERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS MAKING COMMUNITIES HEALTHIER.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$4,274,056	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,599,803	CYProgramServiceRevenueAmt
PY Investment Income	$5,167,628	PYInvestmentIncomeAmt
CY Investment Income	$16,052,089	CYInvestmentIncomeAmt
PY Other Revenue	$2,863,769	PYOtherRevenueAmt
CY Other Revenue	$1,738,226	CYOtherRevenueAmt
PY Total Revenue	$12,305,453	PYTotalRevenueAmt
CY Total Revenue	$20,390,118	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,888,607	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,602,620	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,212,292	PYOtherExpensesAmt
CY Other Expenses	$1,727,351	CYOtherExpensesAmt
PY Total Expenses	$4,100,899	PYTotalExpensesAmt
CY Total Expenses	$5,329,971	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,204,554	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,060,147	CYRevenuesLessExpensesAmt
Total Assets BOY	$249,991,075	TotalAssetsBOYAmt
Total Assets EOY	$263,325,644	TotalAssetsEOYAmt
Total Liabilities BOY	$3,246,921	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,023,558	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$246,744,154	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$262,302,086	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO RESTORE, PROMOTE AND MAINTAIN THE HEALTH OF THE COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$3,748,349	ExpenseAmt
Grant	$3,602,620	GrantAmt
Revenue	$4,338,029	RevenueAmt
Desc	FHI SERVICES IS A 501(C) (3) NON-PROFIT CORPORATION. FHI SERVICES IS GOVERNED BY THE SAME BOARD AND MANAGEMENT TEAM AS ITS PARENT ORGANIZATION, FHS SERVICES, AND ITS BROTHER/SISTER ORGANIZATION, THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION). THE THREE ENTITIES, COLLECTIVELY, ARE REFERRED TO AS THE ORGANIZATION". THE ORGANIZATION'S" MISSION IS TO STRENGTHEN THE HEALTH AND VITALITY OF THE COMMUNITIES OF FAUQUIER, RAPPAHANNOCK AND NORTHERN CULPEPER COUNTIES. FAUQUIER HEALTH IS OPERATED BY A JOINT VENTURE (FAUQUIER HOLDING COMPANY) OWNED IN PART BY FHI SERVICES (20%) AND LIFEPOINT HEALTH (80%). FHI SERVICES APPOINTS 50% OF THE MEMBERS OF THE FAUQUIER HOLDING COMPANY LLC'S GOVERNING BOARD AND FHI SERVICES HAS MAJORITY GOVERNANCE WITH RESPECT TO ITEMS/ISSUES IMPACTING THE TAX-EXEMPT PURPOSE OF FHI SERVICES (CHARITABLE OVERRIDE PROVISION).THE COMMUNITY BENEFIT CONTRIBUTION OF FHI SERVICES INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTHCARE AND IMPROVE HEALTH IN FAUQUIER, RAPPAHANNOCK AND NORTHERN CULPEPER COUNTIES. ORGANIZATIONAL COMMITMENT TO PROVIDING A COMMUNITY BENEFIT INCLUDES: FAUQUIER HEALTH (FH) IS A 97 BED NOT-FOR-PROFIT ACUTE CARE FACILITY THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES. THE MISSION IS TO MAKE THE COMMUNITIES IT SERVES HEALTHIER. FH IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA OF FAUQUIER COUNTY WITH A POPULATION OF 109, 986. THE SERVICE AREA IS GROWING AND AGING, WITH OVERALL PROJECTED GROWTH BETWEEN 2017-2022 OF 6.3% AND WITH A 45+ POPULATION COMPRISING 45% OF THE TOTAL IN 2022.TO ADDRESS THE GROWING AND CHANGING HEALTHCARE NEEDS RESULTING FROM THESE POPULATION CHANGES, FH CONTINUES TO SUPPORT FIFTEEN PHYSICIANS, TWO OBSTETRICS/GYNECOLOGISTS, TWO FAMILY MEDICINE PHYSICIANS, A RHEUMATOLOGIST, A NEUROLOGIST, AN INFECTIOUS DISEASE SPECIALIST, FIVE INTERNAL MEDICINE PHYSICIANS, TWO UROLOGISTS, AND A HEMATOLOGIST/ONCOLOGIST. ALL PATIENTS AT FH HAVE IMPARTIAL ACCESS TO TREATMENT OR ACCOMMODATIONS THAT ARE AVAILABLE OR MEDICALLY INDICATED, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, RELIGION, OR SOURCE OF PAYMENT FOR CARE. THE 24-HOUR EMERGENCY DEPARTMENT IS OPEN TO EVERYONE IN THE COMMUNITY, REGARDLESS OF ABILITY TO PAY, AND PARTICIPATES IN MEDICARE, MEDICAID, AND CHAMPUS/TRICARE STANDARD.FH HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA.THE MAJORITY OF THE MEMBERS OF THE GOVERNING BODIES FOR FH ARE INDEPENDENT REPRESENTATIVES OF THE COMMUNITIES SERVED.FH PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND IN ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS.FH HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE CARE FOR PATIENTS WITHIN 200% OF THE FEDERAL POVERTY GUIDELINES AND DISCOUNTED CARE FOR PATIENTS WITHIN 300% OF THE FEDERAL POVERTY GUIDELINES. THE FINANCIAL ASSISTANCE PROGRAM ALSO PROVIDES FREE CARE TO PATIENTS WHO RESIDE IN OTHER AREAS WHO ARE WITHIN 100% OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, THROUGH A CONTINUING CARE FUND, FAUQUIER HEALTH OFFERS ASSISTANCE TO INDIVIDUALS WHO HAVE INADEQUATE FINANCIAL MEANS TO COVER THE COST OF POST-HOSPITALIZATION HEALTH SERVICES, SUCH AS NURSING CARE.TO HELP TRAIN AND EDUCATE HEALTH CARE PROFESSIONALS, FH WORKS WITH LOCAL COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS. FH STAFF PROVIDED APPROXIMATELY 23,059 HOURS AT A COST OF APPROXIMATELY $779,920.64. IN ADDITION, PARTNERSHIPS HAVE BEEN ESTABLISHED WITH LOCAL NON-PROFITS (E.G. FAUQUIER FREE CLINIC, THE CHAMBER OF COMMERCE, SCHOOLS AND CHURCHES) AND NATIONAL ORGANIZATIONS (E.G. THE AMERICAN CANCER SOCIETY) TO SUPPORT LOCAL EVENTS AND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFIT ACTIVITIES ARE COORDINATED BY A FULL-TIME COMMUNITY OUTREACH STAFF PERSON, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND AUXILIARY VOLUNTEERS AS NEEDED.IN ADDITION TO THE CONTRIBUTIONS MADE BY THE HOSPITAL, FHI SERVICES INVESTS IN THE COMMUNITY BY PROVIDING GRANTS RELATED TO THE FOUR PRIORITY AREAS OF CHILDHOOD WELLNESS, MENTAL HEALTH, SENIOR SERVICES AND ACCESS TO HEALTH. FHI SERVICES OFFERS SEVERAL GRANT CYCLES DURING THE YEAR TO HELP NONPROFITS AND GOVERNMENT AGENCIES BETTER THE COMMUNITIES IT SERVES. IN THE CURRENT YEAR, COMPETITIVE PROGRAM AND PLANNING GRANTS, GENERAL OPERATIONS GRANTS, NON-COMPETITIVE HEALTH PRIORITY GRANTS, AND RESPONSIVE GRANTS, WERE FUNDED. PROGRAM AND PLANNING GRANTS THESE 12-MONTH GRANTS ARE DESIGNED TO SUPPORT CLEARLY DEFINED PROGRAM-BASED INITIATIVES AND/OR SPECIFIC ORGANIZATIONAL PLANNING STRATEGIES. OFFERED ANNUALLY, THE OBJECTIVES OF THESE GRANTS ARE TO PROVIDE ONGOING SUPPORT TO SIGNATURE PROGRAMS OF ESTABLISHED ORGANIZATIONS; ENCOURAGE INNOVATION IN CREATING AND INTRODUCING NEW INITIATIVES AND OFFERINGS; AND TO STRENGTHEN EVOLVING ORGANIZATIONS FOCUSED ON CAPACITY AND PROCESS IMPROVEMENT. PROGRAMS MAY BE NEW OR ONGOING AND FUNDS MAY BE USED TO CREATE, IMPLEMENT AND/OR SUSTAIN SPECIFIC PROGRAMS. PLANNING GRANTS MAY BE CONSIDERED FOR A VARIETY OF PROCESSES INCLUDING STRATEGIC PLANNING, BOARD DEVELOPMENT, MASTER FACILITY PLANS, SURVEYS AND EVALUATIONS, PILOT PROGRAMS AND OTHER CAPACITY-BUILDING ACTIVITY. ALL PROGRAM AND PLANNING GRANTS RELATE TO ONE OF FOUR KEY PRIORITIES: ACCESS TO HEALTH, CHILDHOOD WELLNESS, MENTAL HEALTH, SENIOR SERVICES TOTALING $505,583 IN FY2017. (CONTINUED BELOW)	Desc
Total Program Service Expenses	$3,748,349	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	Yes (1)	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LORNA MAGILL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5406804100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	321 WALKER DRIVE SUITE 301	AddressLine1Txt
City	WARRENTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20186	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN MCCARTHY
CHAIR	1.58	1.93	Yes (X)	$0	$0	$0
RAY KNOTT
VICE CHAIR	1.80	2.20	Yes (X)	$0	$0	$0
JANELLE DOWNES
SECRETARY/TREASURER	0.90	1.10	Yes (X)	$0	$0	$0
POWELL DUGAN
LEGAL COUNSEL	1.35	1.65	Yes (X)	$0	$0	$0
MARSHALL DOELLER
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
TIM DUNN
TRUSTEE	0.90	1.10	Yes (X)	$0	$0	$0
RICK GERHARDT
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
ROBIN GULICK
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
JOSHUA JAKUM MD
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
MARY LEIGH MCDANIEL
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
SUSAN STRITTMATTER
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
TOM TUCKER
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
MARK VAN DE WATER
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
KAREN WACHMEISTER
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
PATRICIA WOODWARD
TRUSTEE	0.68	0.83	Yes (X)	$0	$0	$0
CHRISTINE CONNOLLY
PRESIDENT/CEO	18.00	22.00		$0	$276,915	$58,691	Yes (X)
LORNA MAGILL
CFO	18.00	22.00		$0	$182,948	$7,541	Yes (X)
ELIZABETH HENRICKSON
DIRECTOR OF ADMINISTRATION & PROGRAMS	18.00	22.00		$0	$118,760	$23,551		Yes (X)
AMY PETTY
DIRECTOR OF COMMUNICATIONS	18.00	22.00		$0	$101,912	$28,548		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$680,535	TotReportableCompRltdOrgAmt
Total Other Compensation	$118,331	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTICELLO ASSOCIATES	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 LARIMER STREET SUITE 2100	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Services	INVESTMENT ADVISORY SERVICES	ServicesDesc
Compensation	$250,000	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	INCOME FROM HOSPITAL VENTURE	Desc
Business	900003	BusinessCd
Total Revenue Column	$2,599,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,599,803	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,599,803	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,933,487	TotalRevenueColumnAmt
Exclusion	$1,933,487	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,926,745	SecuritiesAmt
Other	$49,912,952	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,143,619	SecuritiesAmt
Other	$37,577,476	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,783,126	SecuritiesAmt
Other	$12,335,476	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,118,602	TotalRevenueColumnAmt
Exclusion	$14,118,602	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CHANGE IN RESERVE LIABILITY	Desc
Business	900009	BusinessCd
Total Revenue Column	$1,738,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,738,226	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,738,226	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,390,118	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,338,029	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$16,052,089	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,602,620	TotalAmt
Program Services	$3,602,620	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$39,536	TotalAmt
Management And General	$39,536	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,186	TotalAmt
Program Services	$3,018	ProgramServicesAmt
Management And General	$32,168	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,253,503	TotalAmt
Management And General	$1,253,503	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$261,051	TotalAmt
Program Services	$4,255	ProgramServicesAmt
Management And General	$256,796	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,002	TotalAmt
Management And General	$1,002	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$3,951	TotalAmt
Program Services	-$2,568	ProgramServicesAmt
Management And General	-$1,383	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	OTHER PROGRAM EXPENSES	Desc
Total	$141,024	TotalAmt
Program Services	$141,024	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,329,971	TotalAmt
Program Services	$3,748,349	ProgramServicesAmt
Management And General	$1,581,622	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,381,665	BOYAmt
EOY	$867	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,955,914	BOYAmt
EOY	$5,970,609	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$70,633,054	BOYAmt
EOY	$89,126,222	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$106,953,308	BOYAmt
EOY	$140,026,119	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$34,954,219	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,112,915	BOYAmt
EOY	$28,201,827	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$249,991,075	BOYAmt
EOY	$263,325,644	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,164,188	BOYAmt
EOY	$23,558	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,082,733	BOYAmt
EOY	$1,000,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,246,921	BOYAmt
EOY	$1,023,558	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$236,391,891	BOYAmt
EOY	$262,289,034	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,052	BOYAmt
EOY	$13,052	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,339,211	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$246,744,154	BOYAmt
EOY	$262,302,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$249,991,075	BOYAmt
EOY	$263,325,644	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,060,147	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,836,996	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,339,211	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,339,211	BeginningYearBalanceAmt
Investment Earnings Or Losses	$406,360	InvestmentEarningsOrLossesAmt
Other Expenditures	-$10,745,571	OtherExpendituresAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (15 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
WELLINGTON CTF RESEARCH EQUITY	$18,032,149	F
FARALLON EQUITY PARTNER LP	$18,211,378	F
PALO ALTO HEALTHCARE OFFSHORE II, LTD	$6,780,012	F
COATUE LONG ONLY OFFSHORE FUND, LP	$8,333,075	F
CANYON VALUE REALIZATION FUND	$9,353,753	F
DAVIDSON KEMPNER INSTITUTIONAL PARTNERS LP	$9,063,843	F
ANCHORAGE CAPITAL PARTNERS	$9,207,949	F
WELLINGTON SRA	$9,034,084	F
INDUS SELECT FUND LTD	$5,902,691	F
MW EURAKA FUND	$8,463,763	F
NITORIUM OFFSHORE FUND LTD	$6,260,817	F
THE SANDERSON INTERNATIONAL VALUE FUND	$10,641,079	F
KABOUTER INTERNATIONAL OPPORTUNITIES OFFSHORE FUNDS	$7,317,173	F
SAMLYN OFFSHORE LTD - CLASS B, SUB-CLASS 1	$6,738,427	F
HARBOR SPRING CAPITAL PARTNERS OFFSHORE, LTD.	$6,685,926	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$140,026,119	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATE	$28,063,101
INTEREST RECEIVABLE	$138,726

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$28,201,827	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	RESERVE LIABILITY	Desc
Amt	$1,000,000	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,000,000	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE FAUQUIER HOSPITAL ENDOWMENT FUND (THE TRUST) IS AN IRREVOCABLE TRUST CREATED BY THE CHICHESTER DUPONT FOUNDATION IN 1959. A LOCAL BANK WAS DESIGNATED AS THE TRUSTEE AND REMITS INCOME FROM THE TRUST TO THE HOSPITAL SEMIANNUALLY. THE INCOME MAY BE EMPLOYED BY THE HOSPITAL TO FURTHER ITS WORK IN SUCH MANNER AS THE BOARD OF TRUSTEES OF THE HOSPITAL DETERMINES. IN 2018, THE FOUNDATION SOLD ITS REMAINING 20% INTEREST IN JOINT VENTURE LLC RESULTING IN THE PERMANENT DISCONTINUANCE OF ITS OPERATION OF A HOSPITAL AND ITS RIGHT TO RECEIVE THE INCOME PERPETUITY. AS PROVIDED FOR IN THE TRUST DOCUMENT, THE TRUSTEE SHALL PAY OVER AND TRANSFER THE PRINCIPAL OF THE TRUST, AND ANY UNDISTRIBUTED INCOME, TO SUCH CHARITABLE ORGANIZATION AS, IN THE JUDGEMENT OF THE CIRCUIT COURT OF FARQUIER COUNTY, VIRGINIA. THE ORGANIZATION HAS FILED A PETITION IN THE CIRCUIT COURT OF FAUQUIER COUNTY, VIRGINIA, REQUESTING THAT THESE FUNDS BE AWARDED TO THE ORGANIZATION.

PART X, LINE 2:

THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. IN THE FOOTNOTE, FHS SERVICES REFERS TO THE CONSOLIDATED GROUP AS A WHOLE WHICH INCLUDES FHS SERVICES,FHI SERVICES, AND FAUQUIER HEALTH FOUNDATION. FHS SERVICES, FHI SERVICES AND THE FAUQUIER HEALTH FOUNDATION (D/B/A PATH FOUNDATION) ARE ALL EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A PUBLIC CHARITY PURSUANT TO IRC SECTION 509(A). FEDERAL TAX LAW REQUIRES THAT THESE ENTITIES BE OPERATED IN A MANNER CONSISTENT WITH THEIR INITIAL EXEMPTION APPLICATION TO MAINTAIN THEIR EXEMPT STATUS. MANAGEMENT HAS ANALYZED THE OPERATIONS OF THESE ENTITIES AND CONCLUDED THAT THESE ENTITIES REMAIN IN COMPLIANCE WITH THE REQUIREMENTS FOR EXEMPTION. THE STATE IN WHICH THESE ENTITIES OPERATE ALSO PROVIDES A GENERAL EXCEPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THESE ENTITIES ARE SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON THEIR UNRELATED BUSINESS INCOME. THESE ENTITIES HAVE NO UNRECOGNIZED TAX BENEFITS. MANAGEMENT HAS ALSO CONSIDERED THE IMPACT OF UNRELATED BUSINESS ACTIVITIES AND HAS CONCLUDED THAT THESE ENTITIES ARE NOT SUBJECT TO UNRELATED BUSINESS TAX OR ANY OTHER TAXES THAT COULD BE IMPOSED BY THE IRC OR STATE TAXING AUTHORITIES. AS SUCH, NO PROVISION IS MADE FOR INCOME TAXES AND NO ASSET OR LIABILITY HAS BEEN RECOGNIZED FOR DEFERRED TAXES.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$66,579,823	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$66,579,823	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$66,579,823	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$602,706	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$602,706	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,209,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,141,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,615	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,811,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,141,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$670,321	NetCommunityBenefitExpnsAmt
Total Expense	0.02660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$171,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,630,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,630,942	NetCommunityBenefitExpnsAmt
Total Expense	0.14420	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,983,073	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,979,449	NetCommunityBenefitExpnsAmt
Total Expense	0.15800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,794,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,145,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,649,770	NetCommunityBenefitExpnsAmt
Total Expense	0.18460	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322	NetCommunityBenefitExpnsAmt
Total Expense	1.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322	NetCommunityBenefitExpnsAmt
Total Expense	1.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$530,186	BadDebtExpenseAmt
Bad Debt Expense Attributable	$228,245	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,871,286	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,787,032	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,915,746	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE FAUQUIER HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 HOSPITAL DRIVE	AddressLine1Txt
City	WARRENTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20186	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FAUQUIERHEALTH.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE FAUQUIER HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.FAUQUIERHEALTH.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.FAUQUIERHEALTH.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.FAUQUIERHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.FAUQUIERHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.FAUQUIERHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
THE FAUQUIER HOSPITAL	PART V, SECTION B, LINE 5: OVER 90 INDIVIDUALS FROM 56 COMMUNITY AND HEALTH CARE ORGANIZATIONS COLLABORATED TO IMPLEMENT A COMPREHENSIVE CHNA PROCESS FOCUSED ON IDENTIFYING AND DEFINING SIGNIFICANT HEALTH NEEDS, ISSUES, AND CONCERNS OF FAUQUIER AND RAPPAHANNOCK COUNTIES. THE THREE-MONTH PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND HAD SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH TO PROVIDE DIRECTION FOR THE COMMUNITY, THE FAUQUIER HEALTH FOUNDATION, THE VIRGINIA DEPARTMENT OF HEALTH, AND FH TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITY.42 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS (REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, ELDERLY AND CHILDREN), FOUNDATIONS, SCHOOLS, HEALTH PROVIDERS, AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN THREE FOCUS GROUPS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON APRIL 4 AND 5, 2017.INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES OCCURRED IN FEBRUARY AND MARCH OF 2017. TWENTY-FIVE COMMUNITY PHYSICIANS AND 285 FAUQUIER HEALTH EMPLOYEES WERE SURVEYED ELECTRONICALLY REGARDING THEIR PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS FROM MARCH 1 THROUGH MARCH 27, 2017. 584 COMMUNITY SURVEYS WERE COMPLETED; 206 BY TELEPHONE (LANDLINE AND CELL PHONES), 268 ELECTRONIC SURVEYS, AND 124 PRINT SURVEYS IN ENGLISH AND 6 IN SPANISH WERE CONDUCTED BETWEEN MARCH 1 AND MARCH 31, 2017. COMMUNITY PARTNERS SENT THE SURVEY OUT TO CLIENTS AND EMPLOYEES. A COMMUNITY HEALTH TOWN HALL WAS CONDUCTED ON APRIL 6, 2017 WITH OVER 60 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, BUSINESS LEADERS, LAW ENFORCEMENT, GOVERNMENT REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATIONS (MENTAL HEALTH, SUBSTANCE ABUSE, ELDERLY SERVICES, MINORITY POPULATIONS, ETC.), AND OTHER COMMUNITY MEMBERS.INPUT OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WAS RECEIVED DURING THE FOCUS GROUPS, THE COMMUNITY HEALTH TOWN HALL, AND THE COMMUNITY SURVEY. AGENCIES REPRESENTING THESE POPULATIONS WERE INTENTIONALLY INVITED TO THE FOCUS GROUPS AND TOWN HALL. NOT-FOR-PROFIT AND GOVERNMENT AGENCIES DISTRIBUTED THE COMMUNITY SURVEY TO THEIR CLIENTS TO ENSURE INPUT FROM THESE POPULATIONS. HOSPITAL EMPLOYEES AND COMMUNITY PHYSICIANS WERE ALSO SURVEYED, PROVIDING INSIGHT INTO THE HEALTH NEEDS OF THE MEDICALLY UNDERSERVED AND THE COMMUNITY AT-LARGE.
THE FAUQUIER HOSPITAL	PART V, SECTION B, LINE 7D: AS OF AUGUST 1, 2017, THIS REPORT WAS MADE WIDELY AVAILABLE TO THE COMMUNITY VIA FAUQUIER HEALTH'S WEBSITE, WWW.FAUQUIERHEALTH.ORG, AND THE FAUQUIER HEALTH FOUNDATION'S (DBA THE PATH FOUNDATION) WEBSITE, WWW.PATHFORYOU.ORG. OUTSIDE OF THE WEBSITES, PAPER COPIES ARE AVAILABLE FREE OF CHARGE AT BOTH FAUQUIER HOSPITAL AND THE FAUQUIER HEALTH FOUNDATION.
THE FAUQUIER HOSPITAL	PART V, SECTION B, LINE 11: AT THE COMMUNITY HEALTH TOWN HALL, ATTENDEES REVIEWED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY FOR THE NEXT THREE-YEARS AS IDENTIFIED BY THE FOCUS GROUPS AND THE COMMUNITY SURVEY. THE COMMUNITY HEALTH TOWN HALL AFFIRMED THE PRIORITIES, LISTED BELOW.WITH THE FOLLOWING ISSUES PRIORITIZED, ATTENDEES BRAINSTORMED GOALS AND ACTIONS AT THE COMMUNITY HEALTH TOWN HALL, CREATING THE FOUNDATION FOR FAUQUIER AND RAPPAHANNOCK COUNTIES' HEALTH INITIATIVES.SUBSTANCE ABUSE (INCLUDING ALCOHOL, TOBACCO, AND DRUGS), MENTAL HEALTH SERVICES, HEALTHY EATING/ACTIVE LIVING (ADDRESSING GENERAL HEALTH AND OBESITY), SOCIOECONOMICS (HOUSING, JOBS), ACCESS TO CARE (UNINSURED, COST OF INSURANCE AND CARE, AND CATCHING PEOPLE IN THE SERVICE GAP), CHILDHOOD WELLNESS (MENTAL HEALTH, NUTRITION, AND PHYSICAL ACTIVITY) AND SENIOR SERVICES (HOME CARE, WELLNESS, AND CHRONIC DISEASE MANAGEMENT).TO ADDRESS HEALTH EDUCATION AND LEADING CAUSES OF DEATH, THE HOSPITAL HOSTS FREE, MONTHLY HEALTH LECTURES ON VARIOUS TOPICS IDENTIFIED IN THE ASSESSMENT SUCH AS CANCER, HEART DISEASE, STROKE AND TIA, CHOLESTEROL, DIABETES, OBESITY, CONGESTIVE HEART FAILURE AND NUTRITION. FREE BLOOD PRESSURE SCREENINGS WERE ALSO OFFERED AT THE FAUQUIER HOSPITAL BISTRO DURING TUESDAYS AND THURSDAYS SENIOR SUPPER HOURS. FAUQUIER HEALTH ADDRESSES DIABETES BY PROVIDING DIABETES EDUCATION INCLUDING SUPPORT GROUPS, SELF-MANAGEMENT CLASSES, SCREENINGS, COUNSELING, AND TALKS AT SCHOOLS ON DIABETES TO SCHOOL CHILDREN. FREE MAMMOGRAMS ARE PROVIDED TO WOMEN TURNING 40. TO ADDRESS AGING SERVICES, FAUQUIER HEALTH FACILITATES SUPPORT GROUPS FOR ALZHEIMER'S, DEMENTIA, CANCER, CAREGIVERS AND DIABETES. FAUQUIER HEALTH HOSTED A SENIOR RESOURCE FAIR FOR COMMUNITY MEMBERS. IN ADDITION, FAUQUIER PARTNERS WITH THE LOCAL COMMUNITY SERVICE BOARD AND AGING TOGETHER TO HOST MEDICARE/MEDICAID COUNSELING, A FALL SYMPOSIUM AND AN ALZHEIMER'S/DEMENTIA WORKSHOP.TO ADDRESS CHILDHOOD WELLNESS, FAUQUIER HEALTH OFFERS MONTHLY JUNIOR CHEF CLASSES. DURING THE CLASS, THE KIDS LEARN HOW TO COOK HEALTHY MEALS. TO ADDRESS SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES, FAUQUIER HEALTH PROVIDES FREE MEETING SPACE TO SEVERAL SUPPORT GROUPS, INCLUDING FAMILIES OVERCOMING DRUG ADDICTION, NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS), AND THE ADDICTION RECOVERY SUPPORT GROUP. ADDITIONAL SUPPORT GROUPS THAT MEET AT THE HOSPITAL INCLUDE RHEUMATOID ARTHRITIS, BEREAVEMENT, LYME DISEASE, AND BREASTFEEDING. OTHER HEALTH NEEDS IDENTIFIED THAT THE HOSPITAL IS NOT ADDRESSING ARE HANDLED BY LOCAL ORGANIZATIONS OR GOVERNMENT ENTITIES. EXAMPLES INCLUDE, SOCIOECONOMICS WHICH ARE ADDRESSED BY THE LOCAL HEALTH DEPARTMENT AND SOCIAL SERVICES.BEHAVIORAL HEALTH IS CURRENTLY ADDRESSED BY THE LOCAL COMMUNITY SERVICES BOARD AND THE FAUQUIER FREE CLINIC; HOWEVER, THE HOSPITAL IS EXPLORING INITIATIVES TO ADDRESS THE NEED IN THE COMMUNITY. THE HOSPITAL SUPPORTS THE LOCAL FREE CLINIC FINANCIALLY AND WITH DONATED LAB AND RADIOLOGY SERVICES TO PROVIDE CARE TO THE UNINSURED POPULATION.
THE FAUQUIER HOSPITAL	PART V, SECTION B, LINE 16J: IN ADDITION TO PUBLISHING THE FINANCIAL ASSISTANCE POLICY ON THE HOSPITAL'S WEBSITE, SIGNAGE IS POSTED STRATEGICALLY THROUGHOUT THE HOSPITAL (INCLUDING ALL INPATIENT, OUTPATIENT, ANCILLARY AND EMERGENCY DEPARTMENT REGISTRATION OFFICES) WHICH INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDES CONTACT INFORMATION FOR FINANCIAL COUNSELORS WHO CAN HELP WITH THE APPLICATION PROCESS. NOTIFICATION REGARDING THE POLICY ARE AVAILABLE IN BOTH ENGLISH AND SPANISH, THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY FAUQUIER HEALTH. REPRESENTATIVES OF OUR FINANCIAL ASSISTANCE ELIGIBILITY PARTNERS AND MEDASSIST, ALSO DIRECT ALL PATIENTS WHO ARE SCREENED FOR STATE OR FEDERAL ASSISTANCE PROGRAMS BUT DO NOT QUALIFY TO THE HOSPITAL FINANCIAL COUNSELORS FOR HOSPITAL CHARITY SCREENING.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - THE VILLA AT SUFFIELD MEADOWS
6735 SUFFIELD LANE	WARRENTON	VA	20187	ASSISTED LIVING
2 - FAUQUIER HEALTH REHABILITATION AND NU
360 HOSPITAL DRIVE	WARRENTON	VA	20186	NURSING HOME
3 - FAUQUIER HEALTH WELLNESS CENTER
419 HOLIDAY COURT SUITE 200	WARRENTON	VA	20186	WELLNESS CENTER
4 - FAUQUIER HEALTH SLEEP CENTER
493 BLACKWELL ROAD SUITE 317-A	WARRENTON	VA	20186	SLEEP CENTER
5 - WOUND HEALING CENTER
493 BLACKWELL ROAD SUITE 101-A	WARRENTON	VA	20186	WOUND CENTER
6 - FAUQUIER HOSPITAL-MEDICAL IMAGING SERVIC
493 BLACKWELL ROAD SUITE 119	WARRENTON	VA	20186	MEDICAL IMAGING
7 - HEMATOLOGYONCOLOGY
500 HOSPITAL DRIVE	WARRENTON	VA	20186	PHYSICIAN SERVICE
8 - INFECTIOUS DISEASES RHEUMATOLOGY
550 HOSPITAL DRIVE	WARRENTON	VA	20186	PHYSICIAN SERVICE
9 - OBSTETRICS AND GYNECOLOGY
253 VETERNAS DRIVE SUITE 210	WARRENTON	VA	20186	PHYSICIAN SERVICE
10 - FAMILY PRACTICE AT BEALETON
6200 STATION DRIVE	BEALETON	VA	22712	PHYSICIAN SERVICE
11 - NEUROLOGY
550 HOSPITAL DRIVE	WARRENTON	VA	20186	PHYSICIAN SERVICE
12 - PIEDMONT INTERNAL MEDICINE
419 HOLIDAY COURT SUITE 200	WARRENTON	VA	20186	PHYSICIAN SERVICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ALL PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME LEVELS ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG),ARE ELIGIBLE FOR FREE CARE. THIS PROCESS REQUIRES AN APPLICATION AND VERIFICATION OF ALL SOURCES OF INCOME. IN ADDITION,ALL PATIENTS WHOSE INCOME IS BETWEEN 200-300% OF FPG ARE ELIBLE FOR DISCOUNTED CARE. BEFORE FINAL COLLECTION ACTION, ACCOUNTS ARE PUT THROUGH CREDIT SCORING SOFTWARE TO HELP IDENTIFY THOSE PATIENTS WHO MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAVE NOT CONTACTED FH OFFICE UP TO THAT POINT. IF THE SOFTWARE INDICATES THAT THE PATIENT'S INCOME LEVEL MEETS FINANCIAL ASSISTANCE ELIGIBILITY, THE ACCOUNT IS PRESUMPTIVELY WRITTEN OFF TO CHARITY AND FURTHER COLLECTION ACTIVITY IS NOT PURSUED.PART I, LINE 7THE HOSPITAL FACILITY WAS CONTRIBUTED TO FAUQUIER HOLDING COMPANY, LLC AS PART OF THE LIFEPOINT TRANSACTION IN TAX YEAR 2013. UP UNTIL MAY 2018, FHI SERVICES RETAINS A 20% OWNERSHIP INTEREST IN FAUQUIER HOLDING COMPANY, LLC, AND APPOINTS 50% OF THE MEMBERS OF THE GOVERNING BOARD AND MAINTAINS RESERVE POWERS OVER EXEMPT ACTIVITIES OF THE JOINT VENTURE. FAUQUIER HOLDING COMPANY, LLC HAS A CALENDAR YEAR FISCAL YEAR AND ISSUES ITSFORM K-1 BASED UPON THE CALENDAR YEAR. AS A RESULT, THE INFORMATION PROVIDED IN PART I LINE 7 AND PART II REFLECTS THE OPERATIONS REFLECTED ON THE K-1 ISSUED BY FAUQUIER HOLDING COMPANY, LLC, WHICH IS 20% OF THE TOTAL COSTS INCURRED BY FAUQUIER HOSPITAL, FOR ITS YEAR ENDING WITHIN FHI SERVICES' FISCAL YEAR ( FROM JANUARY 1, 2017 THROUGH DECEMBER 31, 2017). FHI SERVICES' FISCAL YEAR WAS 10/1/2017 - 9/30/2018.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES SUPPORT THE HEALTH OF THE COMMUNITY BY OFFERING ENVIRONMENTAL IMPROVEMENTS AND COMMUNITY SUPPORT.ENVIRONMENTAL IMPROVEMENTS - FAUQUIER HEALTH'S ANNUAL MEDICATION AND SHARPS COLLECTION EVENTS HELPED TO SAFELY DISPOSE OF SHARPS AND MEDICATIONS. RATHER THAN COMMUNITY MEMBERS FLUSHING MEDICATIONS INTO THE GROUND WATER OR DISPOSING OF SHARPS AT THE LANDFILL, FAUQUIER HEALTH COLLECTS THEM AND WORKS WITH A MEDICAL WASTE MANAGEMENT COMPANY THAT DISPOSES OF THE ITEMS.COMMUNITY SUPPORT ACTIVITIES INCLUDED MED SHARPS,EMERGENCY DRUG SUPPLIES AND DISASTER ASSISTANCE.
PART III, LINE 2:	THE AMOUNT OF ORGANIZATION'S BAD DEBT EXPENSE WAS ESTIMATED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE FOR FAUQUIER HEALTH BY THE COST-TO-CHARGE RATIO CALCULATED IN WORKSHEET II. THE AMOUNT REPORTED IS 20% OF THIS COST WHICH IS THE FHI SERVICES INTEREST IN THE FAUQUIER HOLDING COMPANY, LLC.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS ESTIMATED BY USING THE TOTAL BAD DEBT EXPENSE FOR FAUQUIER HEALTH MULTIPLIED BY THE COST-TO-CHARGE RATIO TO CALCULATE COST. THE BAD DEBT EXPENSE AT COST IS MULTIPLIED BY 29% WHICH IS THE ESTIMATED PERCENTAGE ATTRIBUTABLE TO PATIENTS THAT WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY. THE AMOUNT REPORTED IS 20% OF THIS COST WHICH IS THE FHI SERVICES INTEREST IN THE FAUQUIER HOLDING COMPANY, LLC.
PART III, LINE 4:	ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR THE EXCESS OF CHARGES OVER THE PAYMENTS ON PATIENT ACCOUNTS TO BE RECEIVED FROM THIRD PARTY PAYERS AND ESTIMATES OF UNCOLLECTIBLE AMOUNTS. THE SYSTEM'S POLICY IS TO WRITE-OFF ALL PATIENT ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. ANY ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT MAY BECOME UNCOLLECTABLE IN FUTURE PERIODS BASED ON MANAGMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH OF ITS MAJOR PAYERS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS , AND OTHERS FOR SERVICES RENDERED, AND INCLUDE ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGERSUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. FAUQUIER HOSPITAL PERIODICALLY EMPLOYED CREDIT SCORING SOFTWARE TO HELP IDENTIFY PATIENTS THAT MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, WHICH HAD NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IF THE SOFTWARE INDICATED THAT THE PATIENT'S INCOME LEVEL MET FINANCIAL ASSISTANCE ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THEN THE ACCOUNT WAS WRITTEN OFFTO CHARITY AND FURTHER COLLECTION ACTIVITY WAS NOT PURSUED. BECAUSE OF THE PERIODIC USE OF SUCH CREDIT SCORING SOFTWARE THROUGHOUT THE YEAR, IT IS DIFFICULT TO ESTIMATE THE AMOUNT OF THE BAD DEBT EXPENSE ATTRIBUTABLETO PATIENTS THAT MIGHT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 8:	THE SHORTFALL FOR MEDICARE IS NOT CURRENTLY INCLUDED/CONSIDERED IN COMMUNITY BENEFIT. HOWEVER, THE SHORTFALL IS DUE TO THE REIMBURSEMENT FROM MEDICARE FALLING SHORT OF THE COST INCURRED TO PROVIDE CARE TO THE MEDICARE POPULATION SERVED BY THE FAUQUIER HOSPITAL. AS WITH THE SHORTFALL EXPERIENCED FOR THE MEDICAID POPULATION, THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS WELL. IT IS PART OF THE ORGANIZATION'S MISSION TO PROVIDE THE BEST POSSIBLE CARE TO PATIENTS WITHIN OUR COMMUNITY, AND THE ORGANIZATION BELIEVES PROVIDING SUCH CARE HAS IMPROVED THE OVERALL HEALTH OF THE COMMUNITY. BY PROVIDING SUCH CARE TO MEDICARE PATIENTS, THE GOVERNMENT'S BURDEN FOR CARING FOR SUCH INDIVIDUALS IS LESSENED. THE MEDICARE COST REPORT WAS UTILIZED AS OUTLINED IN THE SCHEDULE H,PART III, SECTION B, WORKSHEET B, WHICH UTILIZES THE COST TO CHARGE RATIO DEVELOPED WITHIN THE MEDICARE COST REPORT TO DETERMINE THE ALLOWABLE COST.
PART III, LINE 9B:	FAUQUIER HEALTH'S (FH) FINANCIAL ASSISTANCE POLICY CONTAINS THE FOLLOWING PROVISION ON COLLECTION PRACTICES FOR THOSE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE: FH'S MANAGEMENT SHALL DEVELOP POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTIONS ACTION AND REPORTING TO CREDIT AGENCIES) THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY CARE OR DISCOUNTED CARE; A PATIENT'S GOOD FAITH EFFORTS TO APPLY FOR GOVERNMENTAL ASSISTANCE PROGRAMS OR FINANCIAL ASSISTANCE FROM FH, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH FH. FH WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS LAWSUITS, WAGE GARNISHMENTS, ARRESTS, BODY ATTACHMENTS, LIENS ON RESIDENCES, OR OTHER SIMILAR LEGAL ACTIONS AGAINST ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY. "REASONABLE EFFORTS" INCLUDE NOTIFICATIONS BY THE HOSPITAL OF THIS FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND IN WRITTEN AND ORAL COMMUNICATIONS WITH THE PATIENT REGARDING THE PATIENT'S BILL, INCLUDING INVOICES AND TELEPHONE CALLS BEFORE COLLECTION ACTION OR REPORTING TO CREDIT AGENCIES IS INITIATED. IF A PATIENT IS FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE AFTER COLLECTION ACTIONS HAVE STARTED, ALL COLLECTION ACTIVITY IS IMMEDIATELY STOPPED, NOTIFICATIONS ARE SENT TO THE CREDIT BUREAU IF NECESSARY AND PATIENTS ARE NOT CHARGED FOR COLLECTION FEES. IF A PATIENT IS FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE AFTER MAKING PAYMENTS TOWARDS THEIR BALANCE, THE PAYMENTS ARE REFUNDED TO THE PATIENT.
PART VI, LINE 2:	FAUQUIER HEALTH ASSESSES THE HEALTH NEEDS OF THE COMMUNITY BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS AS WELL AS CONTINUALLY COMMUNICATING WITH THE COMMUNITY STAKEHOLDERS WHO ARE SERVING OUR AREA'S RESIDENTS. FOR EXAMPLE, FAUQUIER HEALTH MEETS REGULARLY WITH THE FAUQUIER FREE CLINIC LEADERSHIP AND PROVIDES FINANCIAL AND IN-KIND ASSISTANCE TO THE CLINIC WHICH SERVES THE LOW INCOME AND UNINSURED IN FAUQUIER AND RAPPAHANNOCK COUNTIES.
PART VI, LINE 3:	NOTIFICATION OF FAUQUIER HEALTH'S FINANCIAL ASSISTANCE PROGRAM IS DISSEMINATED BY VARIOUS MEANS, INCLUDING NOTIFICATION OF CONTACT INFORMATION FOR FINANCIAL COUNSELORS ON ALL OUR BILLING STATEMENTS AND SIGNAGE IN ALL OUR PATIENT REGISTRATIONS AREAS. THE POLICY ITSELF IS AVAILABLE ON THE HOSPITAL WEBSITE, WHICH ALSO PROVIDES CONTACT INFORMATION FOR OUR FINANCIAL COUNSELORS. REQUESTS FOR FINANCIAL ASSISTANCE MAY BE MADE AT ANY POINT IN THE COLLECTION CYCLE. EVERY BILLING STATEMENT RECEIVED BY A PATIENT INCLUDES THE FOLLOWING LANGUAGE: "IN MEETING YOUR FINANCIAL OBLIGATIONS FOR THE CARE PROVIDED BY FAUQUIER HEALTH WE ASK THAT YOU WORK WITH US ON ANY BILLS THAT YOU ARE HAVING DIFFICULTY PAYING. YOU WILL FIND OUR STAFF UNDERSTANDING AND EAGER, TO HELP YOU." THIS MESSAGE IS FOLLOWED BY A LIST OF TELEPHONE NUMBERS THAT THE PATIENT MAY CALL TO REACH THE ORGANIZATION'S FINANCIAL COUNSELING STAFF, HOURS OF OPERATION, AND AN EMAIL ADDRESS. WHEN PATIENTS CALL THE FINANCIAL COUNSELING TELEPHONE NUMBER, THEY ARE PROMPTED TO SELECTIONS TO REACH THE STAFF MEMBER THAT IS MOST LIKELY ABLE TO HELP THEM (E.G; UNINSURED, SPANISH SPEAKING, BILLING QUESTIONS, ETC.). IN ADDITION, UNINSURED INPATIENTS AND THOSE WITH MEDICARE INSURANCE AND NO SECONDARY CARRIER ARE CONTACTED (USUALLY WITH A PERSONAL VISIT IN THEIR HOSPITAL ROOM) BY AN EMPLOYEE OF ONE OF OUR PARTNERS, MEDASSIST. THE MEDASSIST PERSONNEL SCREEN THESE PATIENTS FOR ELIGIBILITY FOR AVAILABLE STATE OR FEDERAL PROGRAMS. IF THESE PATIENTS DO NOT MEET CRITERIA FOR THESE PROGRAMS, THEY ARE THEN REFERRED TO A FINANCIAL COUNSELOR FOR SCREENING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. UNINSURED PATIENTS WHO VISIT OUR EMERGENCY DEPARTMENT ARE ALSO GIVEN A PACKET OF INFORMATION THAT INCLUDES A FINANCIAL ASSISTANCE APPLICATION AND A BUSINESS CARD WITH THE NAME AND CONTACT INFORMATION FOR ONE OF OUR FINANCIAL COUNSELORS. LASTLY, WE DO USE CREDIT SCORING SOFTWARE TO HELP IDENTIFY PATIENTS WHO MIGHT QUALIFY FOR FINANCIAL ASSISTANCE BUT HAVE NOT CONTACTED OUR OFFICE. OUR FINANCIAL ASSISTANCE POLICY STATES THAT WE MAY USE THIS KIND OF SOFTWARE, WHICH USES INFORMATION FROM CREDIT BUREAUS AND SCREENS PATIENTS AGAINST THE CRITERIA OF OUR FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:	FAUQUIER HEALTH (FH) IS A 97-BED, NOT-FOR-PROFIT, ACUTE CARE FACILITY ESTABLISHED IN 1954 TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO THE RURAL COMMUNITIES IT SERVES. OUR MISSION IS TO MAKE COMMUNITIES HEALTHIER. FAUQUIER HEALTH IS THE ONLY HOSPITAL IN OUR PRIMARY SERVICE AREA, WHICH INCLUDES FAUQUIER AND MINOR PORTIONS OF FIVE SURROUNDING COUNTIES. THE PRIMARY SERVICE AREA HAS A POPULATION OF 109,986. THE AVERAGE HOUSEHOLD INCOME IS $102,185. 6.2% OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. 17.5% OF FAUQUIER HEALTH'S PATIENTS ARE MEDICAID RECIPIENTS OR SELF-PAY. THE FOLLOWING DISTRICTS WITHIN FAUQUIER COUNTY ARE CONSIDERED MEDICALLY UNDERSERVED AREAS AND POPULATIONS (MUA/P) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA): LEE DISTRICT AND MARSHALL DISTRICT.
PART VI, LINE 5:	FAUQUIER HEALTH PROMOTES THE HEALTH OF THE COMMUNITY BY: - ENSURING THAT THE MAJORITY (78%) OF THE INDIVIDUALS SERVING ON THE FAUQUIER HOSPITAL BOARD OF DIRECTORS RESIDE IN THE PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION.- EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO ARE INTERESTED. - FAUQUIER HEALTH USES SURPLUS FUNDS TO IMPROVE PATIENT CARE BY UPGRADING THE TOOLS NEEDED TO CARE FOR PATIENTS AND PLANNING FOR IMPROVEMENTS. FAUQUIER HEALTH CONTINUES TO SUPPORT FIFTEEN EMPLOYED PHYSICIANS, TWO OBSTETRICS/GYNECOLOGISTS, TWO FAMILY MEDICINE PHYSICIANS, A RHEUMATOLOGIST, A NEUROLOGIST, AN INFECTIOUS DISEASE SPECIALIST, FIVE INTERNAL MEDICAL PHYSICIANS, TWO UROLOGISTS AND A HEMATOLOGIST/ONCOLOGIST. A TRANSITIONS TO HOME PROGRAM WAS DEVELOPED TO ADDRESS CHRONIC DISEASE MANAGEMENT AND READMISSION RATES FOR PATIENTS.- FH PARTNERS WITH LOCAL NON-PROFIT ORGANIZATIONS(E.G. FAUQUIER FREE CLINIC, THE CHAMBER OF COMMERCE, SCHOOLS AND CHURCHES) AND NATIONAL ORGANIZATIONS (E.G. THE AMERICAN CANCER SOCIETY) TO SUPPORT LOCAL EVENTSAND PROVIDE COMMUNITY HEALTH AND WELLNESS PROGRAMS. THESE COMMUNITY BENEFITS ACTIVITIES ARE COORDINATED BY A FULL-TIME COMMUNITY OUTREACH STAFF PERSON, SUPPORTED BY ADMINISTRATIVE AND CLINICAL DEPARTMENTS, AND OUR AUXILIARY VOLUNTEERS AS NEEDED. - TO HELP TRAIN AND EDUCATE HEALTH CARE PROFESSIONALS, FH WORKS WITH LOCAL COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS. -ADDITIONALLY, THE ORGANIZATION PROVIDES ASSISTANCE TO THE FAUQUIER FREE CLINIC (FFC). FFC PROVIDES PRIMARY HEALTH AND DENTAL CARE TO UNINSURED RESIDENTS OF FAUQUIER AND RAPPAHANNOCK COUNTIES. FAUQUIER HEALTH PROVIDED LABORATORY, CARDIOLOGY/NEUROLOGY/PULMONARY SERVICES AND RADIOLOGY SERVICES AT NO CHARGE TO FFC PATIENTS. ADDITIONALLY, FREE CLINICAL CARE WAS PROVIDED BY COMMUNITY PHYSICIANS AND CLINICAL STAFF. COMMUNITY HEALTH EDUCATION, SCREENINGS AND OUTREACH PROGRAMS:FAUQUIER HEALTH PROVIDED 66 HEALTH EDUCATION SEMINARS (WHICH INCLUDE CLASSES AND LECTURES) AND HEALTH SCREENINGS AT 16 LOCAL EVENTS. LUNG CANCER EDUCATION AND PROSTATE SCREENING WAS PROVIDED TO THE COMMUNITY. FAUQUIER HEALTH ALSO PROVIDES SPEAKERS FOR LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS TO BUILD RELATIONSHIPS WITHIN THE COMMUNITY, PROMOTE COLLABORATION IN MANAGING HEALTH AND WELLNESS, AND EDUCATE THE COMMUNITY ON THE HEALTH SYSTEM.HEALTH EDUCATION THROUGH ADVERTISING, MEDIA, AND PUBLICATIONS. FAUQUIER HEALTH HAS ONE PUBLICATION WHICH IS A COMMUNITY NEWSLETTER, HEALTHY HAPPENINGS, INTENDED TO EDUCATE THE PUBLIC ABOUT HEALTH ISSUES AND HEALTH CARE AND HOSPITAL SERVICES. PUBLISHED QUARTERLY, IT REACHES 104,000 HOMES IN FAUQUIER AND SURROUNDING COUNTIES. EMERGENCY SERVICES:FAUQUIER HEALTH PROVIDES MEDICAL OVERSIGHT, DIRECTION, AND ORDERS TO PARAMEDICS IN THE FIELD AND IN ROUTE TO THE HOSPITAL. OUR EMERGENCY DEPARTMENT OFFERS 24-HOUR ACCESS TO MEDICAL SERVICES AND HELICOPTER TRANSPORT FOR CRITICALLY ILL OR INJURED INDIVIDUALS. SUPPORT GROUPS AND COMMUNITY GROUPS. FAUQUIER HEALTH SPONSORED, ASSISTED, OR PROVIDED MEETING SPACE FOR NINE SUPPORT GROUPS THAT MET WEEKLY OR MONTHLY. ADDITIONALLY, FAUQUIER HEALTH PROVIDED MEETING SPACE OR CASH DONATIONS FOR SEVERAL NON-PROFIT COMMUNITY GROUPS, (E.G. THE AMERICAN RED CROSS, AGING TOGETHER AND AMERICAN CANCER SOCIETY FAUQUIER CHAPTER). FAUQUIER HEALTH EMPLOYEES PROVIDED REPRESENTATION ON COMMUNITY BOARDS AND COALITIONS.PHYSICIAN REFERRAL. THE PHYSICIAN REFERRAL PROGRAM HELPS THE COMMUNITY WITH QUESTIONS ON PHYSICIANS, CLASSES AND PROGRAMS REGISTRATION, AND HEALTH RESOURCES AVAILABLE THROUGH THE HOSPITAL OR IN THE COMMUNITY.
PART VI, LINE 6:	UP UNTIL MAY 2018, LIFEPOINT HEALTH WAS 80% OWNER OF FAUQUIER HEALTH, A LEADING HEALTHCARE COMPANY DEDICATED TO MAKING COMMUNITIES HEALTHIER WITH FACILITIES IN 30 STATES. FHI SERVICES HELD A 20% OWNERSHIP INTEREST IN FAUQUIER HOLDING COMPANY, LLC UNTIL MAY 2018, WHEN THE FHI SERVICES BOARD ELECTED TO EXERCISE THE PUT OPTION. UP UNTIL MAY 2018, TOGETHER THEY OPERATED FAUQUIER HEALTH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AFRO-AMERICAN HISTORICAL ASSOCIATION OF FAUQUIER COUNTY (AAHA)
PO BOX 340	THE PLAINS	VA	20198	541853798	FAUQUIER COUNTY	$65,765	PROGRAM & PLANNING GRANT - THE PROJECT IS DESIGNED TO COMPILE A COLLECTION OF STORIES WITHIN THE AFRICAN AMERICAN COMMUNITY THROUGH AN INTERDISCIPLINARY APPROACH: ROUND TABLE DISCUSSIONS, ORAL HISTORY INTERVIEWS, & SOCIAL MEDIA.
AGING TOGETHER
PO BOX 367	CULPEPER	VA	22701	462046459	501 (C)(3)	$5,000	NON-COMPETIVE SENIOR SERVICES GRANT - AGING TOGETHER IS PROPOSING TO UTILIZE SENIOR TRANSPORTATION GRANT FUNDS TO CREATE A PART-TIME POSITION WITHIN THE CALL CENTER TO PROVIDE INTENSIVE VOLUNTEER RECRUITMENT EFFORTS AND TO PROVIDE ALL TRAVEL TRAINING.
AGING TOGETHER
PO BOX 367	CULPEPER	VA	22701	462046459	501 (C)(3)	$62,000	PROGRAM & PLANNING GRANT - ENGAGING COMMUNITIES IN STRATEGIC PLANNING TO MEET THE NEEDS OF OLDER ADULTS/CAREGIVERS.
ALLEGRO COMMUNITY SCHOOL OF THE ARTS
20 MAIN STREET	WARRENTON	VA	20186	261393763	501 (C)(3)	$10,000	NON-COMPETITIVE ACCESS GRANT TO SUPPORT ALLEGRO IN PARTNERING WITH THE TOWN OF WARRENTON AND THE VIRGINIA COMMISSION FOR THE ARTS TO CONTINUE A WARREN GREEN SUMMER CONCERT SERIES AND FIRST NIGHT ACTIVITIES IN WARRENTON.
CULPEPER COMMUNITY DEVELOPMENT COPORATION
602 S MAIN STREET	CULPEPER	VA	22701	541463631	501 (C)(3)	$200,000	NON-COMPETITIVE ACCESS GRANT TO RENOVATE THE EXISTING 33 UNITS AND BUILD 10 MORE UNITS IN 3 SEPARATE BUILDINGS AT ANN WINGFIELD COMMONS. ELEVEN OF THE 43 UNITS WILL BE SPECIFICALLY DESIGNATED TO SERVE HOUSEHOLDS INCLUDING AT LEAST ONE PERSON WITH A BEHAVIORAL, INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITY, LIKELY REFERRED, OR BEING FOLLOWED BY RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES. ALSO PLANNED FOR THE SITE IS A 1000 SQUARE FOOT COMMUNITY BUILDING THAT WILL CONTAIN OFFICE SPACE FOR CULPEPER CDC AND A PROPERTY MANAGEMENT OFFICE AND A COMMUNITY ROOM ACCESSIBLE TO ALL RESIDENTS.
FAUQUIER CADRE
PO BOX 3187	WARRENTON	VA	20188	621455013	501 (C)(3)	$20,000	PROGRAM & PLANNING GRANT - EXPANSION OF LOCK YOUR MEDS PROGRAM WHICH EDUCATES FAMILIES ABOUT THE CRITICAL NEED TO KEEP THEIR OVER-THE-COUNTER AND PRESCRIPTION MEDICATIONS LOCKED IN A SECURE PLACE IN THE HOME.
FAUQUIER COMMUNITY CHILD CARE INC
26 ASHBY STREET	WARRENTON	VA	20186	541590790	501 (C)(3)	$14,500	PROGRAM & PLANNING GRANT - LET'S KEEP MOVIN' CONTINUED SUPPORT
FAUQUIER COUNTY GOVERNMENT
10 HOTEL STREET	WARRENTON	VA	20186	546001274	GOVERNMENT	$7,854	NON-COMPETITIVE ACCESS GRANT TO FUND THE COLLABORATION OF THE FAUQUIER RAPPAHANNOCK MOBILITY COUNCIL INCLUDING VIRGINIA REGIONAL TRANSIT AND FAUQUIER COUNTY REPRESENTATIVES TO IMPROVE PUBLIC TRANSPORTATION SERVICES.
FAUQUIER COUNTY GOVERNMENT
10 HOTEL STREET	WARRENTON	VA	20186	546001274	GOVERNMENT	$90,000	NON-COMPETITIVE ACCESS GRANT TO FUND THE BROADBAND TOWER DEPLOYMENT PROJECT WHICH IS DESIGNED TO ESTABLISH TOWERS IN RURAL COUNTY AREAS AND WILL PROVIDE IMMEDIATE BROADBAND OPTIONS, AS WELL A CELL SERVICE, TO LACKING AREAS. SIX TOWERS ARE PROJECTED TO BE UP IN 12 MONTHS.
FAUQUIER COUNTY PUBLIC SCHOOLS
320 HOSPITAL DRIVE	WARRENTON	VA	20186	546001276	FAUQUIER COUNTY	$17,023	NON-COMPETITIVE CHILDHOOD WELLNESS GRANT - BRIDGE PAYMENT FOR FRESH, A MULTI-YEAR PROGRAM TO ELEVATE NUTRITION, EXERCISE AND AFTER-SCHOOL ENRICHMENT ACROSS THE SCHOOL DISTRICT. FUNDING SHALL SUPPORT ACTIVITIES DEVELOPED IN ACADEMIC YEAR 2017-2018, AS DESCRIBED IN FRESH IMPLEMENTATION PLAN DATED MAY 13, 2016. THE FAUQUIER COUNTY PUBLIC SCHOOL SYSTEM AND PATH FOUNDATION SUPPORT A CULTURE OF HEALTH AND FITNESS FOR OUR COMMUNITY IN GENERAL AND SPECIFICALLY FOR OUR STUDENTS.
FAUQUIER COUNTY PUBLIC SCHOOLS
320 HOSPITAL DRIVE	WARRENTON	VA	20186	546001276	FAUQUIER COUNTY	$944,301	NON-COMPETITIVE CHILDHOOD WELLNESS GRANT - TO PROVIDE FRESH (ACADEMIC YEAR 2018-2019) FUNDING TO CONTINUE A MULTI-YEAR PROGRAM TO ELEVATE NUTRITION, EXERCISE AND AFTER SCHOOL ENRICHMENT.
FAUQUIER COUNTY PUBLIC SCHOOLS
320 HOSPITAL DRIVE	WARRENTON	VA	20186	546001276	FAUQUIER COUNTY	$73,500	NON-COMPETITIVE ACCESS GRANT TO FUND A PROGRAM THROUGH THE FAUQUIER COUNTY PUBLIC SCHOOLS TO ADDRESS EQUITY ISSUES TO REMOVE BARRIERS. INITIATIVES INCLUDE ACTIVITIES SUCH AS: LEADERSHIP TRAINING, SPEAKER EVENTS AND FCPS EDUCATOR EQUITY SHOWCASE. ADDITIONAL INITIATIVES TO REMOVE BARRIERS FOR CHILDREN ARE: COLLEGE AND CAREER COUNSELING - MAKING TOOLS AND RESOURCES AVAILABLE TO STUDENTS, CAMP CREATION, AS WELL AS TUITION ASSISTANCE FOR DUAL ENROLLMENT FOR STUDENTS WHO QUALIFY FOR FREE AND REDUCED LUNCH.
FAUQUIER COUNTY PUBLIC SCHOOLS - STUDENT SERVICES
320 HOSPITAL DRIVE	WARRENTON	VA	20186	546001276	FAUQUIER COUNTY	$15,000	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING FOR FCPS TO PROVIDE 15 YOUTH MENTAL HEALTH FIRST AID COURSES THIS SCHOOL YEAR (OCTOBER 2017 - AUGUST 30, 2018).
FAUQUIER COUNTY PUBLIC SCHOOLS - STUDENT SERVICES
320 HOSPITAL DRIVE	WARRENTON	VA	20186	546001276	FAUQUIER COUNTY	$19,860	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING CONTINUATION OF PROVIDING AND ADDITIONAL 15 CLASSES TO SERVE UP TO 300 TRAINEES (SCHOOL EMPLOYEES AND COMMUNITY LEADERS WHO WORK WITH YOUTH).
FAUQUIER EDUCATION FARM
24 PELHAM STREET	WARRENTON	VA	20186	900662914	501 (C)(3)	$22,540	PROGRAM & PLANNING GRANT - FUNDING FOR THE FAUQUIER EDUCATION FARM OUTDOOR TEACHING LAB TO ASSIST IN DEMONSTRATING AGRICULTURE BEST PRACTICES. THE FARM PRODUCES A LARGE VOLUME OF PRODUCE, ALL OF WHICH DONATED TO AREA FOOD BANKS.
FAUQUIER FISH
24 PELHAM STREET	WARRENTON	VA	20186	541271237	501 (C)(3)	$25,000	NON-COMPETITIVE ACCESS GRANT TO FUND A PARTNERSHIP WITH THE WARRENTON FARMERS' MARKET AND ARCHWOOD GREEN BARN FARMERS' MARKET TO IMPLEMENT THE FARMERS MARKET COALITION'S POWER OF PRODUCE (POP) PROGRAM TO TISTRIBUTE VOUCHERS TO CHILDREN IN THE COMMUNITY AND ANYONE SUFFERING FROM FOOD INSECURITY.
FAUQUIER FISH
24 PELHAM STREET	WARRENTON	VA	20186	541271237	501 (C)(3)	$88,650	PROGRAM & PLANNING GRANT - FUNDING FOR THE WEEKEND POWER PACK (WPP) PROGRAM TO PROVIDE FOOD TO FAUQUIER COUNTY STUDENTS WHO ARE AT RISK OF HUNGER DURING WEEKENDS, SCHOOL HOLIDAYS, AND SNOW DAYS.
FAUQUIER FREE CLINIC INC
PO BOX 3138	WARRENTON	VA	20188	541669652	501 (C)(3)	$306,000	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING OF THE FAUQUIER FREE CLINIC TELEHEALTH PROGRAM INCLUDING ONE FULL-TIME MENTAL HEALTH CLINICIAN, A PART-TIME NURSING SUPPORT POSITION, MEDICATIONS AND FEES FOR TELEHEALTH VISITS WITH THERAPISTS, PSYCHOLOGISTS AND PSYCHIATRISTS.
FAUQUIER FREE CLINIC INC
PO BOX 3138	WARRENTON	VA	20188	541669652	501 (C)(3)	$81,000	PROGRAM & PLANNING GRANT TO FUND EXPENSES RELATED TO PROVIDING ORAL HEALTH CARE TO LOW-INCOME ADULTS AND CHILDREN IN FAUQUIER AND RAPPAHANNOCK COUNTIES.
FAUQUIER HABITAT FOR HUMANITY
PO BOX 3189	WARRENTON	VA	20188	541595774	501 (C)(3)	$75,572	PROGRAM & PLANNING GRANT TO FUND AN ONGOING, COMPREHENSIVE REVITALIZATION EFFORT TO IMPROVE THE QUALITY OF LIFE IN THE HAITI STREET NEIGHBORHOOD OF WARRENTON, A PERSISTENTLY UNDERSERVED TRADITIONALLY BLACK NEIGHBORHOOD IN WARRENTON.
FAUQUIER HABITAT FOR HUMANITY
PO BOX 3189	WARRENTON	VA	20188	541595774	501 (C)(3)	$250,000	NON-COMPETITIVE ACCESS GRANT TO FUND FAUQUIER HABITAT FOR HUMANITY PROJECT TO SECURE AT-RISK PROPERTIES WITH THE INTENTION OF ENSURING AFFORDABILITY FOR LOW-INCOME RESIDENTS AND HONORING THE CULTURAL, ARCHITECTURAL AND HISTORIC FABRIC OF THE COMMUNITY.
FOOTHILLS FORUM
PO BOX 153	WASHINGTON	VA	22747	521071448	501 (C)(3)	$10,000	PROGRAM & PLANNING GRANT TO FUND TIMELY RESEARCH AND REPORTING ON THE MANY PLAYERS PROVIDING HEALTH CARE, SERVICE AND TRANSPORTATION TO OUR RURAL POPULATION.
GREATER PIEDMONT TRAUMA INFORMED COMMUNITY NETWORK
317 SOUTH WEST STREET	CULPEPER	VA	22701	475563707	501 (C)(3)	$30,000	PROGRAM & PLANNING GRANT - TO PROVIDE PSYCHOEDUCTIONAL CLASSES TO AT RISK SYCAMORE PARK ELEMENTARY SCHOOL STUDENTS AND THEIR FAMILIES. CLASSES WILL FOCUS ON SELF REGULATION, COPING SKILLS, SELF CARE, RESOURCES, AND IMPACT OF STRESS ON BEHAVIOR.
HEADWATERS FOUNDATION
PO BOX 114	SPERRYVILLE	VA	22740	541844267	501 (C)(3)	$10,000	PROGRAM & PLANNING GRANT - FUNDING FOR ITS AFTER-SCHOOL ENRICHMENT PROGRAM TO CONTINUE OFFERING PUBLIC SCHOOL STUDENTS AND THEIR FAMILIES A RELIABLE, SAFE, AND FUN OPTION FOR AFTER SCHOOL HOURS.
HERO'S BRIDGE
5150 PARK LAKE DRIVE	MIDLAND	VA	22728	812827604	501 (C)(3)	$68,068	NON-COMPETITIVE ACCESS GRANT TO FUND THE BATTLE BUDDY PROGRAM WHICH ENGAGES THE COMMUNITY UTILIZING A COMMUNITY HEALTH WORKER MODEL TO PROVIDE DIRECT ASSISTANCE TO ELDERLY VETERANS TO COMBAT HEALTH, NUTRITION, FUNCTIONAL AND MENTAL HEALTH PROBLEMS TO WHICH THEY ARE MORE PREDISPOSED.
KID PAN ALLEY
PO BOX 38	WASHINGTON	VA	22747	201609731	501 (C)(3)	$20,000	PROGRAM & PLANNING GRANT - TO FUND THE STORIES BETWEEN US PROJECT ABOUT SHARING LIFE STORIES AND BRIDGING THE GAP BETWEEN THE YOUNG AND THE AGING. BY CREATING ORIGINAL SONGS ABOUT THE EXPERIENCE, THE PARTICIPANTS AND AUDIENCE HAVE A LASTING GIFT OF CREATIVITY THAT THEY SHARE.
MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY
PO BOX 3549	WARRENTON	VA	20188	521215685	501 (C)(3)	$110,000	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING TO ASSIST THE MENTAL HEALTH ASSOCIATION WITH OPERATIONS SUPPORT FOR A COMMUNITY OUTREACH PERSON AND ADULT MENTAL HEATH FIRST AID.
MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY
PO BOX 3549	WARRENTON	VA	20188	521215685	501 (C)(3)	$6,831	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING FOR THE GROWING UP DRUG FREE PARENT GUIDE BROCHURE TO CHRIS HERREN EVENT.
NORTHERN PIEDMONT COMMUNITY FOUNDATION
PO BOX 5	CULPEPER	VA	22701	311742955	501 (C)(3)	$250,000	RESPONSIVE GRANT - GRANT FOR CREATION OF A RESPONSIVE FUND TO SUPPORT LOCAL INITIATIVES.
NORTHERN PIEDMONT COMMUNITY FOUNDATION
PO BOX 5	CULPEPER	VA	22701	311742955	501 (C)(3)	$20,000	RESPONSIVE GRANT ADMINISTRATIVE FEE
NORTHERN VIRGINIA THERAPEUTIC RIDING PROGRAM
6429 CLIFTON ROAD	CLIFTON	VA	20124	541897241	501 (C)(3)	$9,700	PROGRAM & PLANNING GRANT - TO FUND A TWELVE WEEK EQUINE-ASSISTED, HANDS-ON LEARNING PROGRAM THAT WILL HELP 40 AT-RISK FAUQUIER COUNTY STUDENTS DEVELOP SKILLS THAT FACILITATE THEIR LONG-TERM MENTAL WELLNESS AND LEADERSHIP ABILITIES.
PIEDMONT DISPUTE RESOLUTION CENTER
98 ALEXANDRIA PIKE SUITE 53	WARRENTON	VA	20186	541661815	501 (C)(3)	$43,500	PROGRAM & PLANNING GRANT TO FUND THE DEVELOPMENT OF A ROBUST EARLY INTERVENTION CONFLICT RESOLUTION PROGRAM FOR NON-COURT INVOLVED RESIDENTS OF NORTHERN CULPEPER, FAUQUIER AND RAPPAHANNOCK COUNTIES THROUGH MEDIATION AND RESTORATIVE JUSTICE EDUCATION AND SERVICES.
PIEDMONT SYMPHONY ORCHESTRA
PO BOX 509	WARRENTON	VA	20188	541793978	501 (C)(3)	$18,000	PROGRAM & PLANNING GRANT - TO PROVIDE FUNDING FOR TWO OF OUR THREE YOUTH COMMUNITY OUTREACH PROGRAMS; THE PSO MUSIC MENTORS PROGRAM AND OUR YOUNG ARTIST COMPETITION.
RAPPHOME
PO BOX 193	WASHINGTON	VA	22747	475254378	501 (C)(3)	$35,000	PROGRAM & PLANNING GRANT - RAPP AT HOME IS A RURAL SENIOR VILLAGE SERVING RAPPAHANNOCK COUNTY. RAPP AT HOME'S MISSION IS TO FACILITATE AGING IN PLACE, ALLOWING RESIDENTS TO LEAD VITAL, CONNECTED LIVES IN THEIR OWN HOMES.
RAPPAHANNOCK COUNTY PUBLIC SCHOOLS
6 SCHOOLHOUSE ROAD	WASHINGTON	VA	22747	546001554	RAPPAHANNOCK COUNTY	$250,750	NON-COMPETITIVE CHILDHOOD WELLNESS GRANT - TO PROVIDE FUNDING TO COMMIT TO BE FIT (ACADEMIC YEAR 2018 - 2019) TO CONTINUE A MULTI YEAR PROJECT.
RAPPAHANNOCK GOODWILL INDUSTRIES INC
4701 MARKET STREET	FREDERICKSBURG	VA	20148	540808744	501 (C)(3)	$20,404	PROGRAM & PLANNING GRANT - TO PROVIDE FUNDING FOR THE GROUNDWORK PROJECT WHICH ENCOURAGES LEADERSHIP DEVELOPMENT, BUILDS TEAMWORK, AND ESTABLISHES CAREERS FOR YOUNG PEOPLE THROUGH HANDS-ON LEARNING AND EXPERIENTIAL EDUCATION.
RAPPUINC
PO BOX 35	SPERRYVILLE	VA	22740	474370354	501 (C)(3)	$40,000	PROGRAM & PLANNING GRANT TO PROVIDE FUNDS TO MAKE THE TRANSITION FROM A VOLUNTEER-LED PROGRAM MANAGEMENT TO A PAID PART-TIME DIRECTOR OF HEALTHCARE TRAINING PROGRAMS.
SPIRITWORKS FOUNDATION
5800 MOORETOWN ROAD	WILLIAMSBURG	VA	23188	202129080	501 (C)(3)	$100,000	NON-COMPETITIVE MENTAL HEALTH GRANT - WARRENTON RECOVERY CENTER EXPANDED PROGRAMMING AND RECOVERY SUPPORT SERVICES TO WARRENTON AND FAUQUIER COUNTY AND SURROUNDING AREAS.
THE CLIFTON INSTITUTE INC
6712 BLANTYRE ROAD	WARRENTON	VA	20187	521413042	501 (C)(3)	$17,750	PROGRAM & PLANNING GRANT - TO EXPAND THE CLIFTON INSTITUTES OUTDOOR EXPERIENTIAL EDUCATION PROGRAM CAPACITY FOR LOCAL ELEMENTARY AND SECONDARY SCHOOL STUDENTS. PROVIDE ENHANCED, HIGH-QUALITY STEM PROGRAMMING TO ASSIST LOCAL EDUCATORS TO ACHIEVE SOL PROFICIENCY OBJECTIVES.
THE MCSHIN FOUNDATION
2300 DUMBARTON ROAD	RICHMOND	VA	23228	201327278	501 (C)(3)	$17,900	NON-COMPETITIVE MENTAL HEALTH GRANT - FUNDING TO PROVIDE THE WARRENTON RECOVERY COMMUNITY CENTER A COMMUNITY SPACE TO HOLD RECOVERY MEETINGS, SUPPORT GROUPS, PUBLIC FORUMS, FILM SCREENINGS, EDUCATIONAL EVENTS, AND OTHER RECOVERY-FOCUSED EVENTS AND GATHERINGS. HAVING A WELCOMING, SAFE, AND FRIENDLY RECOVERY COMMUNITY CENTER IN OUR OWN COMMUNITY WILL HELP CREATE POSITIVE CHANGE THAT MOVES US AWAY FROM NEGATIVE STIGMA SURROUNDING SUBSTANCE USE DISORDERS AND TOWARDS COMMUNITY BELIEF IN AND SUPPORT OF RECOVERY SOLUTIONS.
TOWN OF WARRENTON
18 COURT STREET	WARRENTON	VA	20186	546001664	TOWN OF WARRENTON	$7,000	NON-COMPETITIVE ACCESS GRANT TO FUND DEVELOPMENT OF COMMUNICATION ACTION ITEMS TO BE COMPLETED FOR THE COMPLETE STREETS & COMPREHENSIVE PLAN.
TOWN OF WARRENTON
18 COURT STREET	WARRENTON	VA	20186	546001664	TOWN OF WARRENTON	$9,315	NON-COMPETITIVE ACCESS GRANT TO HELP FUND A MARKET MANAGER FOR 2018 FARMER'S MARKET SEASON AND EXPAND CHILDREN'S ACTIVITIES.
TOWN OF WARRENTON
18 COURT STREET	WARRENTON	VA	20186	546001664	TOWN OF WARRENTON	$45,815	NON-COMPETITIVE ACCESS GRANT TO FUND A COLLABORATION OF THE FAUQUIER RAPPAHANNOCK MOBILITY COUNCIL, INCLUDING VIRGINIA REGIONAL TRANSIT AND TOWN OF WARRENTON REPRESENTATIVES TO IMPROVE PUBLIC TRANSPORTATION SERVICES.
VERDUN ADVENTURE BOUND
17044 ADVENTURE BOUND TR	RIXEYVILLE	VA	22737	541937517	501 (C)(3)	$62,500	PROGRAM & PLANNING GRANT - TO PROVIDE FUNDING FOR VAB AND FCCC TO COLLABORATE IN TEACHING SKILLS, THROUGH HEARTMATH; SMART BRAIN/WISE HEART AND EXPERIENTIAL LEARNING, TO PROVIDE LIFE RESILIENCY TOOLS TO APPROXIMATELY 315 YOUTH WITH BENEFITS TO REDUCE THE SUBSTANCE ABUSE CRISIS IN OUR COMMUNITY.

Field	Value	IRS element (for citing)
Total501c3 Org	32	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ORGANIZATIONS SEEKING GRANT FUNDING MUST SUBMIT A PROPOSAL BUDGET AND, IN MOST CASES, AN ORGANIZATION BUDGET, DURING THE APPLICATION PROCESS. APPLICANTS TO 12-MONTH GRANTS MUST SUBMIT ORGANIZATION FINANCIALS AND A FORM 990. THE GRANT AGREEMENT SPECIFIES THAT FUNDS MAY ONLY BE USED IN CONFORMITY WITH THE ORIGINAL PROPOSAL AND ANY SUBSTANTIAL CHANGES MUST BE REQUESTED AND APPROVED IN WRITING. TWELVE-MONTH COMPETITIVE GRANTS REQUIRE GRANTEES TO FILE A WRITTEN SIX-MONTH INTERIM REPORT AND/OR FINAL REPORTS SPECIFYING HOW FUNDS WERE USED, FOLLOWING THE END OF THE GRANT TERM. IN THE CASE OF A SUCCESSFUL PROPOSAL, THE PROJECT AND ITS BUDGET SUBMITTED AT THE TIME OF APPLICATION FORM THE BASIS OF THE GRANT AGREEMENT. THE REPORTING SUBMITTED IS REVIEWED AND EVALUATED BY THE ORGANIZATION'S PROGRAM STAFF.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE CONNOLLY
PRESIDENT/CEO	$0	$228,760	$0	$46,195	$0	$1,960	$0	$26,690	$0	$32,001	$0	$335,606	$0	$0
LORNA MAGILL
CFO	$0	$160,103	$0	$21,381	$0	$1,464	$0	$6,624	$0	$917	$0	$190,489	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	THE CEO AND CFO ARE COMPENSATED BY THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION). THE ORGANIZATIONS" BOARD ADOPTED A COMPENSATION POLICY FOR ITS CEO AND CFO. AN EXECUTIVE COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION" WAS ESTABLISHED TO REVIEW THE COMPENSATION FOR ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION". THE EXECUTIVE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE MORE THAN MARKET NORMS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	FHI SERVICES SOLD ITS 20% INTEREST IN JOINT VENTURE LLC., THUS ENDING ITS OPERATIONS AS A HOSPITAL.
FORM 990, PART III, LINE 4A	GENERAL OPERATIONS GRANTS OFFERED IN ALTERNATING YEARS, GENERAL OPERATIONS GRANTS ARE THE PATH FOUNDATION'S MOST COMPETITIVE AWARDS. A SMALL NUMBER OF GRANTS WERE MADE TO LOCAL NONPROFITS DEMONSTRATING THE HIGHEST STANDARDS AND PRINCIPLES IN OUR COMMUNITY TOTALING $501,283 IN FY2017. THE PURPOSE OF THESE GRANTS IS TWOFOLD: TO EMPOWER EXCEPTIONAL NONPROFITS TO EXPAND, IMPROVE OR PURSUE THEIR BEST IDEAS; AND TO ESTABLISH A SHARED STANDARD OF BEST PRACTICES THAT ANY NONPROFIT, REGARDLESS OF SIZE, CAN AIM FOR. FUNDS MAY BE USED FOR ANY DIRECT OR INDIRECT COSTS RELATED TO THE NONPROFIT'S ACTIVITIES, INCLUDING BUT NOT LIMITED TO PAYROLL, RENT, UTILITIES, SUPPLIES AND EQUIPMENT, PROJECT COSTS, PROFESSIONAL DEVELOPMENT, CAPITAL IMPROVEMENTS, PROGRAMS, PLANNING, MARKETING, AND PROFESSIONAL SERVICES. HEALTH PRIORITY GRANTS AND RESPONSIVE GRANTS HEALTH PRIORITY GRANTS ARE RESERVED FOR SPECIAL INITIATIVES, OFTEN DEVELOPED OR LED BY PATH WHICH INCLUDE MAJOR AND SOMETIMES MULTI-YEAR PROJECTS DESIGNED TO HAVE LONG-RANGE IMPACT ON OUR FOUR AREAS OF FOCUS. IN THE CURRENT YEAR, NOTABLE INITIATIVES INCLUDED FAUQUIER REACHES FOR EXCELLENCE IN SCHOOL HEALTH (FRESH), COMMIT TO BE FIT, AND SUPPORT FOR TELEHEALTH, BROADBAND, COMMUNITY DESIGN AND WALKABILITY. HEALTH PRIORITY GRANTS IN SUPPORT OF SPECIAL INITIATIVES TOTALED $1,699,299 IN FY 2017. A RESPONSIVE GRANT IN THE AMOUNT OF $265,000 WAS PROVIDED TO SUPPORT THE NORTHERN PIEDMONT COMMUNITY FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 6	FHS SERVICES IS THE PARENT OF THE ORGANIZATION AND THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION) IS A BROTHER/SISTER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE FHS SERVICES BOARD OF DIRECTORS ELECTS THE MEMBERS OF FHI SERVICES.
FORM 990, PART VI, SECTION A, LINE 7B	FHI SERVICES REQUIRES THE APPROVAL OF THE FHS SERVICES BOARD, TO ELECT, APPOINT, OR REMOVE DIRECTORS AND IMPLEMENT AMENDMENTS TO THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION PREPARES THE IRS FORM 990 WITH ASSISTANCE FROM AN OUTSIDE ACCOUNTING FIRM. ONCE A DRAFT OF THE FORM 990 IS COMPLETED, IT IS SUBMITTED TO THE MANAGEMENT OF THE ORGANIZATION FOR REVIEW AND COMMENTS. AFTER INCORPORATING CHANGES FROM MANAGEMENT, MATERIALLY COMPLETE DRAFT FORMS 990 ARE MADE AVAILABLE TO THE BOARD OF THE ORGANIZATION. COMMENTS OR QUESTIONS RECEIVED FROM THE BOARD ARE INCORPORATED INTO A FINAL IRS FORM 990 WHICH IS SIGNED BY THE PRESIDENT/CEO, CHRISTINE M. CONNOLLY.
FORM 990, PART VI, SECTION B, LINE 12C	UNDER THE CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, MANAGEMENT, AND KEY EMPLOYEES COMPLETE AN ANNUAL DISCLOSURE FORM REGARDING BUSINESS RELATIONSHIPS THAT HE OR SHE, OR ANY FAMILY MEMBER, HAS WITH ANY OTHER COMPANY THAT DOES BUSINESS WITH THE ORGANIZATION, AS WELL AS ANY BUSINESS RELATIONSHIPS BETWEEN AND AMONG THE BOARD MEMBERS, MANAGEMENT, AND KEY EMPLOYEES. THE ANNUAL DISCLOSURE STATEMENTS ARE REVIEWED BY INDEPENDENT LEGAL COUNSEL/CORPORATE COMPLIANCE OFFICER, AND THE AUDIT AND COMPLIANCE COMMITTEE, WHO ARE ULTIMATELY RESPONSIBLE IF A CONFLICT EXISTS. ANY SUCH CONFLICTS WOULD BE REPORTED TO THE FULL BOARD. IN ADDITION, ANY PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY HAS AN ONGOING OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OR THE BOARD COMMITTEE IN WHICH THE MATTER ARISES. FINALLY, THE ORGANIZATION MONITORS BOARD MEMBER ELIGIBILITY FOR ANY POTENTIAL CONFLICTS, IN ORDER TO AVOID SUCH CONFLICTS FROM OCCURRING IN THE FIRST PLACE. AN OPPORTUNITY IS GIVEN AT THE START OF EACH MEETING TO DISCLOSE ANY CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO AND CFO ARE COMPENSATED BY THE FAUQUIER HEALTH FOUNDATION (DBA THE PATH FOUNDATION). THE ORGANIZATION'S" BOARD ADOPTED A COMPENSATION POLICY FOR ITS CEO AND CFO. AN EXECUTIVE COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION" WAS ESTABLISHED TO REVIEW THE COMPENSATION FOR ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION". THE EXECUTIVE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE MORE THAN MARKET NORMS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	REMOVAL OF BENEFICIAL INTEREST IN PERPETUAL TRUST -10,339,211.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FHS SERVICES
321 WALKER DRIVE SUITE 301	WARRENTON	VA	20186	541416705	MANAGEMENT COORDINATION	VA	501(C)(3)	LINE 11C, III-F1	NONE	0
FAUQUIER HEALTH FOUNDATION (DBA PATH FOUNDATION)
321 WALKER DRIVE SUITE 301	WARRENTON	VA	20186	300219424	COMMUNITY HEALTH	VA	501(C)(3)	LINE 7	FHS SERVICES	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FAUQUIER HEALTH FOUNDATION(DBA PATH FOUNDATION)
R	$10,302,264	FMV
FHS SERVICES
R	$251,045	FMV

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAUQUIER HOLDING COMPANY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 SEVEN SPRINGS WAY	AddressLine1Txt
City	BRENTWOOD	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37027	ZIPCd

Field	Value	IRS element (for citing)
EIN	901001620	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd
Predominate Income	RELATED	PredominateIncomeDesc
All Partners C3 S	0	AllPartnersC3SInd
Share Of Total Income	$2,599,803	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.20000	OwnershipPct