AUGUSTA HEALTH CARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: AUGUSTA HEALTH CARE INC (EIN 54-1453954)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202503219349305330
Schema version: 2024v5.1
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 B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T08:39:01+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	541453954	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AUGUSTA HEALTH CARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AUGU	BusinessNameControlTxt
Phone	5404806336	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1000	AddressLine1Txt
City	Fishersville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22939	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY MANNIX	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5404806336	PhoneNum
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2025-10-29	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Augusta Health	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY N MANNIX FACHE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1000	AddressLine1Txt
City	Fishersville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22939	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$561,389,767	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AUGUSTAHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1988	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	The mission of Augusta Health is to strengthen the health and well-being of all people in our communities.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3034	TotalEmployeeCnt
Total Volunteers	227	TotalVolunteersCnt
Total Gross UBI	$12,801,561	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$707,961	PYContributionsGrantsAmt
CY Contributions Grants	$710,532	CYContributionsGrantsAmt
PY Program Service Revenue	$469,438,734	PYProgramServiceRevenueAmt
CY Program Service Revenue	$517,128,583	CYProgramServiceRevenueAmt
PY Investment Income	$15,945,754	PYInvestmentIncomeAmt
CY Investment Income	$32,571,597	CYInvestmentIncomeAmt
PY Other Revenue	$5,904,325	PYOtherRevenueAmt
CY Other Revenue	$8,673,701	CYOtherRevenueAmt
PY Total Revenue	$491,996,774	PYTotalRevenueAmt
CY Total Revenue	$559,084,413	CYTotalRevenueAmt
PY Grants And Similar Paid	$635,928	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$588,431	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$199,065,434	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$213,881,307	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$233,548,676	PYOtherExpensesAmt
CY Other Expenses	$249,168,834	CYOtherExpensesAmt
PY Total Expenses	$433,250,038	PYTotalExpensesAmt
CY Total Expenses	$463,638,572	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,746,736	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$95,445,841	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,117,249,169	TotalAssetsBOYAmt
Total Assets EOY	$1,247,688,062	TotalAssetsEOYAmt
Total Liabilities BOY	$59,301,913	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$58,874,851	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,057,947,256	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,188,813,211	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF AUGUSTA HEALTH IS TO STRENGTHEN THE HEALTH AND WELL-BEING OF ALL PEOPLE IN OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$405,873,093	ExpenseAmt
Grant	$588,431	GrantAmt
Revenue	$504,327,022	RevenueAmt
Desc	AUGUSTA HEALTH CARE, INC. IS A 501(C)(3) ORGANIZATION DOING BUSINESS AS AUGUSTA HEALTH. THE ORGANIZATION INCLUDES A MEDICAL CENTER WITH 255 LICENSED INPATIENT BEDS; AN EMERGENCY DEPARTMENT PROVIDING APPROXIMATELY 64,000 VISITS PER YEAR; FIVE URGENT CARE CENTERS TREATING APPROXIMATELY 64,000 PATIENTS; AN OUTPATIENT PAVILION THAT FEATURES STATE-OF-THE-ART TECHNOLOGY FOR THREE OUTPATIENT CENTERS: THE IMAGING CENTER, SURGICAL CENTER, AND BREAST CENTER; A STATE OF THE ART CANCER CENTER PROVIDING TAILOR-MADE COMPREHENSIVE CARE INCLUDING MEDICAL ONCOLOGY AND RADIATION ONCOLOGY; A HOME HEALTH AND HOSPICE PROGRAM SERVING PATIENTS WHO WISH TO REMAIN AT HOME DURING THEIR TREATMENT OR FINAL DAYS; A WOUND HEALING CLINIC PROVIDING A COMPREHENSIVE TREATMENT REGIMEN FOR CHRONIC NON-HEALING WOUNDS; AND A SKILLED NURSING UNIT. THE CAMPUS OF AUGUSTA HEALTH IS DESIGNED TO PROVIDE NOT ONLY HOSPITAL SERVICES BUT COMMUNITY ORIENTED SERVICES. THE CAMPUS INCLUDES THE HOSPITAL PROPER; A MAJOR FITNESS CENTER; AN EDUCATIONAL BUILDING THAT HOUSES AUGUSTA HEALTH EDUCATIONAL SERVICES; A COMMUNITY BUILDING WITH LARGE CONFERENCE ROOMS AVAILABLE TO OTHER COMMUNITY ORGANIZATIONS; AND A BEHAVIORAL HEALTH BUILDING FOR THE PROVISION OF OUTPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES. THIS WIDE RANGE OF FACILITIES HELPS TO SUPPORT AUGUSTA HEALTH'S VISION OF PROVIDING THE COMMUNITY WITH A FULL CONTINUUM OF HEALTH AND COMMUNITY SERVICES. AUGUSTA HEALTH IS SUPPORTED BY AUGUSTA MEDICAL GROUP, A 264 EMPLOYED PROVIDER NETWORK TREATING APPROXIMATELY 700,000 PEOPLE PER YEAR. THE MEDICAL GROUP WAS ESTABLISHED TO SUPPORT THE CHARITABLE PURPOSES OF AUGUSTA HEALTH CARE INC. THIS GROUP ENABLES THE GREATER AUGUSTA COUNTY, VIRGINIA TO BENEFIT FROM A STABLE BASE OF PHYSICIANS IN A BROAD ARRAY OF SPECIALTIES THE HOSPITAL SERVES. AS THE SOLE CORPORATE MEMBER OF AUGUSTA CARE PARTNERS, LLC (THE "LLC"), THE LLC WAS ORGANIZED TO PROVIDE A NETWORK OF INDIVIDUAL PRACTICES OF ACCOUNTABLE CARE ORGANIZATION PROFESSIONALS. IN 2024, AUGUSTA HEALTH RECEIVED THE FOLLOWING SPECIALTY QUALITY AWARDS: LEAPFROG HOSPITAL SAFETY GRADE A; ACUTE CARE HOSPITAL ANTIMICROBIAL STEWARDSHIP HONOR ROLL; CMS HEALTH EQUITY AWARD; AMERICAN HEART ASSOCIATION CAROLYN BOONE LEWIS EQUITY OF CARE AWARD; AMERICAN COLLEGE OF CARDIOLOGY HEARTCARE DESIGNATION; AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS TARGET: STROKE HONOR ROLE; TARGET: TYPE 2 DIABETES HONOR ROLL; QUALITY-IN-SIGHTS HOSPITAL INCENTIVE PROGRAM (Q-HIP); HEALTH GRADES AMERICA'S 50 BEST HOSPITALS FOR SURGICAL EXCELLENCE; HEALTH GRADES AMERICA'S TOP 3 JOINT REPLACEMENT IN STATE; HEALTH GRADES AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT; HEALTH GRADES PATIENT SAFETY EXCELLENCE AWARD; RECIPIENT OF EIGHT 5-STAR PRC EXCELLENCE AWARDS. AUGUSTA HEALTH'S NET COMMUNITY BENEFIT FOR 2024 IS ESTIMATED TO BE $22,696,980. THIS BENEFIT CAN BE CATEGORIZED AS FOLLOWS: $2,930,241 CHARITY $12,379,544 MEDICAID $2,215,046 COMMUNITY HEALTH SERVICES $2,512,739 HEALTH PROFESSIONAL EDUCATION $1,950,659 SUBSIDIZED HEALTH SERVICES $149,563 RESEARCH $559,188 CASH & IN-KIND CONTRIBUTIONS	Desc
Total Program Service Expenses	$405,873,093	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	475	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3034	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wendi Carroll	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5404806336	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	78 Medical Center Circle	AddressLine1Txt
City	Fishersville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22939	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Laurel L Landes
Board Chair	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Mary N Mannix
President & CEO	38.0	2.0	Yes (X)	Yes (X)	$1,156,731	$0	$212,084
Rev John C Peterson
Secretary/Treasurer	1.0		Yes (X)	Yes (X)	$0	$0	$0
Victor M Santos
Vice-Chairman	1.0		Yes (X)	Yes (X)	$0	$0	$0
Christopher C Earhart
Board member	1.0		Yes (X)		$0	$0	$0
Christopher Heck MD
Board member	1.0	39.0	Yes (X)		$0	$256,065	$5,080
David Fosnocht MD
Board member	1.0		Yes (X)		$0	$0	$0
Homer Hite
Board member	1.0	2.0	Yes (X)		$0	$0	$0
Jack Otteni MD
Board member	1.0		Yes (X)		$0	$0	$0
John P Bowers
BOARD MEMBER	1.0		Yes (X)		$0	$0	$0
Julie A Plumbley MD
Board member	1.0		Yes (X)		$0	$0	$0
Keri B Rankin
BOARD MEMBER	1.0		Yes (X)		$0	$0	$0
Richard Evans MD
Board member	1.0		Yes (X)		$0	$0	$0
Robin G Crowder
Board member	1.0		Yes (X)		$0	$0	$0
Ronald W Denny
Board member	1.0		Yes (X)		$0	$0	$0
Joe Meador
Senior VP & CFO	40.0			Yes (X)	$478,507	$0	$82,254
Andrew A West MD
CMIO	40.0				$420,544	$0	$17,079	Yes (X)
Clint Merritt
Senior VP & CMO & CPE	40.0				$576,901	$0	$72,624	Yes (X)
Crystal Farmer
Senior VP & COO & CNO	40.0				$555,089	$0	$75,364	Yes (X)
John Boswell
Senior VP & Chief HR Officer	40.0				$416,901	$0	$54,561	Yes (X)
Leigh Williams
Asst. Chief Info Officer	40.0				$250,777	$0	$21,479	Yes (X)
Mark LaRosa
Chief of Staff & Business Development	40.0				$398,125	$0	$54,888	Yes (X)
Mike Canfield
VP and CIO	40.0				$400,690	$0	$49,371	Yes (X)
Scott Crabtree
VP Professional Sevices	40.0				$398,460	$0	$40,885	Yes (X)
Scott Jones
VP of Compliance & Privacy	40.0				$327,011	$0	$35,483	Yes (X)
Shirley Carter
VP of philanthropy	40.0				$325,726	$0	$53,956	Yes (X)
Timothy Norton
Vice President & Chief Legal Officer - started 4/29/2024	40.0				$292,723	$0	$39,688	Yes (X)
Vickie L Taylor
Assistant Chief Nursing Officer	40.0				$289,732	$0	$13,544	Yes (X)
Andrea W Haley
Administrative Director Human Resources	40.0				$247,655	$0	$6,845		Yes (X)
Brian Croghan
Administrative Director Facilities	40.0				$254,567	$0	$14,300		Yes (X)
Joan Stalzer
CCO Population Health (Former)	40.0				$386,721	$0	$19,510		Yes (X)
John Girard
Administrative Director Cancer Center	40.0				$229,653	$0	$20,916		Yes (X)
Sarah E Hash-Rodgers
Adm Dir & Corporate Controller	40.0				$258,890	$0	$8,710		Yes (X)
Jean Veilleux
VP of Legal Affairs and GE (Former)	40.0				$339,214	$0	$34,987			Yes (X)
John Katsianis
VP and CFO (Former)	40.0				$128,733	$0	$0			Yes (X)
Mahfuz Hoq MD
Chief Medical Officer (former)	40.0				$451,737	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,585,087	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$256,065	TotReportableCompRltdOrgAmt
Total Other Compensation	$933,608	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	281	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Qualivis LLC
PO Box 123847	Dallas	TX	75312	Traveling Nurses	$8,865,376
SODEXO Inc
PO Box 360170	Pittsburgh	PA	15251	Food Service	$4,260,060
AVANT Healthcare Professionals
PO Box 744554	Atlanta	GA	30374	Traveling Nurses	$1,991,168
US Security Associates Inc
PO Box 828854	Philadelphia	PA	19182	Security Provider	$1,877,049
Lantz Construction Company
539 S Main St	Broadway	VA	22815	Construction	$1,736,489

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Related Organizations	$710,532	RelatedOrganizationsAmt
Total Contributions	$710,532	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$504,204,959	$501,843,239	$2,361,720
RETAIL PHARMACY	456110	$9,187,411		$9,187,411
FITNESS CENTER	713940	$1,734,087	$901,569	$832,518
DME	621400	$146,461		$146,461
OTHER PROGRAM SERVICE REVENUE	900099	$1,855,665	$1,582,214	$273,451

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$517,128,583	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,147,196	TotalRevenueColumnAmt
Exclusion	$34,147,196	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,680,937	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$699,279	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$981,658	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$981,658	TotalRevenueColumnAmt
Exclusion	$981,658	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$30,476	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,336,916	SecuritiesAmt
Other	$269,159	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,336,916	SecuritiesAmt
Other	-$238,683	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,575,599	TotalRevenueColumnAmt
Exclusion	-$1,575,599	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS	900099	$5,635	$5,635
CAFETERIA/VENDING	900099	$1,564,726	$1,564,726
AFFILIATED REVENUES/LOSSES	900099	$6,121,682	$6,121,682

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,692,043	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$559,084,413	TotalRevenueColumnAmt
Related Or Exempt Func Income	$504,327,022	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,801,561	UnrelatedBusinessRevenueAmt
Exclusion	$41,245,298	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$588,431	TotalAmt
Program Services	$588,431	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,207,601	TotalAmt
Management And General	$7,207,601	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$165,112,656	TotalAmt
Program Services	$142,621,220	ProgramServicesAmt
Management And General	$22,491,436	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,536,483	TotalAmt
Program Services	$5,409,934	ProgramServicesAmt
Management And General	$1,126,549	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,690,727	TotalAmt
Program Services	$19,607,680	ProgramServicesAmt
Management And General	$4,083,047	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,333,840	TotalAmt
Program Services	$9,380,476	ProgramServicesAmt
Management And General	$1,953,364	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$713,241	TotalAmt
Management And General	$713,241	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$750,830	TotalAmt
Management And General	$750,830	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$362,280	TotalAmt
Management And General	$362,280	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$54,118	TotalAmt
Management And General	$54,118	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,501,398	TotalAmt
Program Services	$39,670,578	ProgramServicesAmt
Management And General	$9,830,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,444,792	TotalAmt
Program Services	$11,186	ProgramServicesAmt
Management And General	$1,433,606	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,269,236	TotalAmt
Program Services	$40,612,956	ProgramServicesAmt
Management And General	$5,656,280	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,338,035	TotalAmt
Program Services	$2,889,734	ProgramServicesAmt
Management And General	$448,301	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,686,300	TotalAmt
Program Services	$10,686,300	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$620,522	TotalAmt
Program Services	$589,757	ProgramServicesAmt
Management And General	$30,765	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$663,879	TotalAmt
Program Services	$505,249	ProgramServicesAmt
Management And General	$158,630	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,846,296	TotalAmt
Program Services	$20,846,296	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,459,057	TotalAmt
Program Services	$2,459,057	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$49,088,452	$49,088,452
COST OF DRUGS SOLD	$37,710,513	$37,710,513
BAD DEBTS	$18,916,099	$18,916,099
COST OF FOOD	$2,948,992	$2,948,992

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,794,794	TotalAmt
Program Services	$1,330,183	ProgramServicesAmt
Management And General	$1,464,611	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$463,638,572	TotalAmt
Program Services	$405,873,093	ProgramServicesAmt
Management And General	$57,765,479	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,680,378	BOYAmt
EOY	$25,082,178	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,501,136	BOYAmt
EOY	$69,986,937	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$44,336	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,007,776	BOYAmt
EOY	$8,187,314	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,377,674	BOYAmt
EOY	$9,870,440	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$544,284,797	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$342,782,331	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$205,413,570	BOYAmt
EOY	$201,502,466	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$509,865,727	BOYAmt
EOY	$594,358,618	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,648,433	BOYAmt
EOY	$9,662,591	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$258,252,450	BOYAmt
EOY	$295,332,621	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,884,175	BOYAmt
EOY	$2,441,720	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,573,514	BOYAmt
EOY	$31,263,177	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,117,249,169	BOYAmt
EOY	$1,247,688,062	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,606,930	BOYAmt
EOY	$43,861,474	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,183	BOYAmt
EOY	$15,705	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$411,456	BOYAmt
EOY	$219,147	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$41,336	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$130,000	BOYAmt
EOY	$40,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,103,008	BOYAmt
EOY	$14,738,525	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,301,913	BOYAmt
EOY	$58,874,851	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,057,593,219	BOYAmt
EOY	$1,188,549,847	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$354,037	BOYAmt
EOY	$263,364	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,057,947,256	BOYAmt
EOY	$1,188,813,211	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,117,249,169	BOYAmt
EOY	$1,247,688,062	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$95,445,841	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$36,085,531	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$665,417	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,442	OtherActivitiesAmt
Total Lobbying Expenditures	$20,442	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA). THESE ORGANIZATIONS ROUTINELY ENGAGE IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY, AND A PORTION OF EACH MEMBER'S DUES ARE ALLOCATED TO THOSE LOBBYING EXPENDITURES. THE PORTION OF THE HOSPITAL'S DUES ALLOCATED TO LOBBYING WAS $ 12,295. The Organization also paid $8,147 to Two Capitals Consulting LLC for lobbying services.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,956,321	OtherCostOrOtherBasisAmt
Book Value	$10,956,321	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$199,571,977	OtherCostOrOtherBasisAmt
Depreciation	$93,505,468	DepreciationAmt
Book Value	$106,066,509	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,222,123	OtherCostOrOtherBasisAmt
Depreciation	$175,394	DepreciationAmt
Book Value	$1,046,729	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$314,060,481	OtherCostOrOtherBasisAmt
Depreciation	$236,971,594	DepreciationAmt
Book Value	$77,088,887	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,473,895	OtherCostOrOtherBasisAmt
Depreciation	$12,129,875	DepreciationAmt
Book Value	$6,344,020	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$201,502,466	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN AMG	Desc
Book Value	$295,332,621	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$295,332,621	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Federal Income Taxes
OTHER LIABILITIES	$14,738,525

Field	Value	IRS element (for citing)
Total Liability	$14,738,525	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$574,771,527	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$36,085,531	NetUnrealizedGainsInvstAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$36,085,531	RevenueNotReportedAmt
Revenue Subtotal	$538,685,996	RevenueSubtotalAmt
Other Revenues Not Included	$20,398,417	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$20,398,417	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$559,084,413	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$443,905,572	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$443,905,572	ExpensesSubtotalAmt
Other Expenses Not Included	$19,733,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$19,733,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$463,638,572	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE COMPANY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON INCOME DERIVED FROM ITS EXEMPT PURPOSE AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAX. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2024 and 2023.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BAD DEBT NET WITH REVENUE - 18772141 GRANTS EXPENSE NET WITH REVENUE - 588431 EQUITY TRANSFERS BETWEEN AFFILIATES - 665417 Captive Legal Expense in Revenue - 372428
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT NET WITH REVENUE - 18772141 GRANTS EXPENSE NET WITH REVENUE - 588431 Captive Legal Expense in Revenue - 372428

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investment in Captive insurance Company	TypeOfActivitiesConductedTxt
Region Total Expenditures	$10,542,220	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	$10,542,220	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$10,542,220	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,110,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$180,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,930,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00659	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,805,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,426,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,379,544	NetCommunityBenefitExpnsAmt
Total Expense	0.02784	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$53,916,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,606,466	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,309,785	NetCommunityBenefitExpnsAmt
Total Expense	0.03443	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,215,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,215,046	NetCommunityBenefitExpnsAmt
Total Expense	0.00498	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,512,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,512,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00565	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,385,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,434,518	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,950,659	NetCommunityBenefitExpnsAmt
Total Expense	0.00439	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$149,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00034	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$559,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$559,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00126	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,821,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,434,518	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,387,195	NetCommunityBenefitExpnsAmt
Total Expense	0.01661	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$70,737,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,040,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,696,980	NetCommunityBenefitExpnsAmt
Total Expense	0.05104	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$2,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	426	PersonsServedCnt
Total Community Benefit Expns	$50,884	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,884	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$90,726	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,726	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	5442	PersonsServedCnt
Total Community Benefit Expns	$41,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00009	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	5869	PersonsServedCnt
Total Community Benefit Expns	$185,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$185,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00042	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,772,141	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,704,482	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$106,881,736	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,720,937	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,839,201	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	AUGUSTA HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	78 MEDICAL CENTER DR	AddressLine1Txt
City	FISHERSVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22939	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	HOME HEALTH; SNF; PSYCH, DME; HOSPICE	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	AUGUSTA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.augustahealth.com/service/community-outreach/community-health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.augustahealth.com/service/community-outreach/community-health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.augustahealth.com/business-office/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://augustahealth.myfa.app/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.augustahealth.com/business-office/financial-assistance	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - AUGUSTA HEALTH. INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ACCESS THE COMMUNITY'S HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - AUGUSTA HEALTH. To solicit input from key informants (defined as those individuals who have a broad interest in the health of the community) and Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by Augusta Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 134 community stakeholders took part in the Online Key Informant Survey.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - AUGUSTA HEALTH. Augusta Health, through its mission to strengthen the health and well-being of all people in our communities, has developed goals, objectives and strategies to address selected top priority health needs in the areas of: 1) Access to Healthcare Services 2) Mental Health and Substance Use, and 3) Nutrition and Physical Activity. The action plans will be implemented in collaboration with various community partners over the next three years. During the CHNA process, the data revealed a total of 14 distinct areas of opportunity. Augusta Health's 2022-2025 implementation strategies are designed to address the top four highest priority areas. Augusta Health has selected these three priorities because of its ability to work in partnership with other organizations and agencies to make the greatest impact. Other needs that were identified have the potential to be addressed through collaborative programming that may or may not involve Augusta Health as a facilitator, partner or funder.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - AUGUSTA HEALTH. Individuals eligible for financial assistance under this policy shall not be charged more than the amounts generally billed (AGB) to individuals who have insurance. This value shall be calculated using the "look-back" method based on actual paid claims from Medicare fee-for-service and private health insurers. The current AGB is 30.4% and is updated annually.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - AUGUSTA HEALTH. Financial assistance is discussed at the point of scheduling and pre-registration, but also at the point of billing should a patient communicate a financial need.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - AUGUSTA HEALTH. Augusta Health does not take any ECAs on outstanding debts. We do offer financial assistance many times during the registration and billing process. We also run a presumptive eligibility scrub 120 days into the billing cycle to determine presumptive eligibility.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	FOR PURPOSES OF PART I, LINE 7(A) THE ORGANIZATION USED THE METHODS PROVIDED IN THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO TO CONVERT CHARITY CARE WRITE-OFFS TO COST. AMOUNTS REPORTED ON LINES 7(B) AND 7(G) WERE DERIVED FROM THE ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM.
Schedule H, Part I, Line 7g	HOME HEALTH SERVICES PROVIDED BY THE ORGANIZATION CONTRIBUTED $9,434,518 IN NET COMMUNITY BENEFIT. AUGUSTA HEALTH'S HOME HEALTH PROGRAM OFFERS SKILLED NURSING CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND MEDICAL SOCIAL WORKERS.
Schedule H, Part I, Line 7 Part I, LN 7 COL(F)	TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES BAD DEBT IN THE AMOUNT OF $18,916,099. THIS AMOUNT FOR BAD DEBT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COL (F).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	18916099
Schedule H, Part II Community Building Activities	Housing assistance was provided to one individual who was experiencing homelessness and in need of temporary shelter, which totaled $2,407. Environment improvements in the amount of $50,884 for free laboratory processing for the Wildlife Center of Virginia. Coalition building included our leadership's time on community health needs assessments activities and serving on community boards. Workforce development funding was provided in the amount of $41,707 to provide employed individuals in our community with resources that they needed to continue gainful employment including required footwear and uniforms, childcare assistance, gas cards or bus fare cards, hygiene supplies, or skills training.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	ACCOUNTS ARE WRITTEN OFF TO BAD DEBT WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE COMPANY CEASES COLLECTION EFFORTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	This amount was computed using the amount of self pay charges in the bad debt balance for 2024. We then applied the cost to charge ratio from our community benefit report to the self pay amount to arrive at the bad debt at cost that could have qualified for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	EXCERPT FROM 2024 FINANCIAL AUDIT, PATIENT ACCOUNTS RECEIVABLE: "The Company grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the Company estimates net realizable value based on the estimated contractual reimbursement percentage, which is predicated on current contract provisions and historical paid claims by payors. For self-pay accounts receivable, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and change in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Patient accounts receivable are written off after collection efforts have been exhausted in accordance with the Company's policies." THE BAD DEBT AMOUNT LISTED IN PART III SECTION A, NUMBER 2 WAS CALCULATED USING WORKSHEET A ON PAGE 4 OF THE 2024 SCHEDULE H INSTRUCTIONS. THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON DISCHARGES IN 2024, PATIENTS THAT WERE CLASSIFIED AS "SELF PAY" WERE UN-INSURED AND THEREFORE CONSIDERED WITHOUT RESOURCES. THEIR ACCOUNT STATUS WAS "BD" MEANING THAT THE ACCOUNT WAS CONSIDERED UNCOLLECTABLE AT THE TIME OF THE REPORT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The hospital considers the full amount of $5,839,201 to be recognized as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ONCE A PATIENT HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL COLLECTION EFFORTS CEASE FOR CURRENT AND PAST DUE BALANCES AND THE NECESSARY ADJUSTMENTS ARE TAKEN TO THE ACCOUNTS RECEIVABLE. SHOULD THE PATIENT ONLY BE ELIGIBLE FOR A PORTION OF FINANCIAL ASSISTANCE (THROUGH OUR SLIDING SCALE), NO-INTEREST, LOW-PAYMENT, AND LONG TERM PAYMENT PLANS ARE AVAILABLE.
Schedule H, Part V, Section B, Line 16a FAP website	- AUGUSTA HEALTH: Line 16a URL: https://www.augustahealth.com/business-office/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- AUGUSTA HEALTH: Line 16b URL: https://augustahealth.myfa.app/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- AUGUSTA HEALTH: Line 16c URL: https://www.augustahealth.com/business-office/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	Augusta Health completed its most recent Community Health Needs Assessment (CHNA) in 2022 to determine the priority health needs of Staunton, Augusta County and Waynesboro Virginia. Augusta Health's CHNA is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the service area of Augusta Health and the information gathered is used to inform decisions and guide efforts to improve community health and wellness. The CHNA serves as tool to reach three basic goals: To improve resident's health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it is possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventative services for all community residents. More accessible preventive services are beneficial improving health status, as well as lowering the costs associated with caring for late-stage disease resulting from a lack of preventive care. The CHNA incorporates data from both quantitative and qualitative sources. Quantitative data includes primary research (community health phone surveys and online surveys of community residents) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the state and national levels (Virginia Risk Factor Data and Nationwide Risk Factor Data, respectively). Qualitative data input includes primary research gathered through an Online Key Informant Survey of representatives from various community sectors. The survey instrument used for the study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System, as well as various public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives. The study area for the survey effort is defined as each of the residential zip codes comprising Staunton City, Waynesboro City and Augusta County in Virginia. This community definition was determined based on zip codes of residence of Augusta Health patients (approximately 80% of admissions generate from these areas). A precise and carefully executed methodology is critical in asserting the validity of results gathered in the community health survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology, one that incorporates both landline and cell phone interviews, was employed. An online community health survey was also available community-wide and the link was distributed through community partners. The sample design for this effort consisted of a stratified random sample of 756 individuals age 18 and older in the total area (including 185 in Staunton City, 170 in Waynesboro City and 401 in Augusta County). Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the area as a whole. To solicit input from key informants (individuals who have a broad interest in the health of the community), an Online Key Informant Survey was also implemented as part of this process. The list included business leaders, community leaders, educators, government representatives, media health representatives, health providers and physicians, public health representatives and social services providers. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as the community overall. Key Informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder calls were sent as needed. In all, 175 community stakeholders took part in the Online Key Informant Survey. Fourteen areas of significant health areas of opportunity were identified including Access to Healthcare Services, Cancer, Diabetes, Heart Disease and Stroke, Housing, Infant Health and Family Planning, Injury and Violence, Mental Health, Nutrition, Physical Activity and Weight, Oral Health, Potentially Disabling Conditions, Respiratory Diseases, Substance Abuse, and Tobacco Use. These areas of opportunity were determined after consideration of various criteria, including comparison to benchmark data, identified trends, the preponderance of significant findings within topic areas, the magnitude of the issue in terms of the number of persons affected, and the potential health impact of the given issue. A group of community stakeholders, representing a cross-section of community-based organizations, was convened to evaluate, discuss and prioritize the fourteen areas of opportunity identified in the CHNA. In order to assign priority to the identified health needs, a wireless audience response system was used in which each participant was able to register his/her ratings based on two criteria: scope and severity and the ability to impact. Composite scores were used to prioritize the needs. The top three areas of focus selected based on this criteria include: 1)Access to Healthcare Services; 2)Mental Health and Substance Use; and 3)Nutrition and Physical Activity. Augusta Health, through its mission strengthen the health and well-being of all people in our communities, has created internal, cross-disciplinary workgroups around each of the three priority areas. Each workgroup has developed goals, objectives and strategies to address selected top priority health needs in the areas of: 1) Access to Healthcare Services, 2) Mental Health and Substance use, and 3) Nutrition and Physical Activity. The action plans are being implemented with the collaborative from community partners. Augusta Health's 2023-2025 implementation strategies are designed to address the top three highest priority areas. Augusta Health has selected these three priorities because of its ability to work in partnership with other organizations and agencies to make the greatest impact. Other needs that were identified have been shared with community partners so have the most appropriate resources to address.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Augusta Health has a Medicaid Eligibility team onsite to screen its patients for Medicaid eligibility, including Medicaid disability. As for the organization's financial assistance program, Augusta Health informs its patients about it in the following ways: 1. Detailed information about financial assistance is sent along with the statements. 2. Financial assistance policy and application are available on the hospital's website www.augustahealth.com. 3. Copies of the financial assistance guidelines and application form are available at the points of service (Emergency Room, Outpatient and Inpatient areas, doctor's offices, etc).
Schedule H, Part VI, Line 4 Community information	Our primary service area, the combined area of Staunton, Waynesboro and Augusta County , encompasses 1001.96 square miles and houses a total population of 121,651 residents, according to latest census estimates. Between the 2010 and 2020 US Censuses, the total area population increased by 6,932 persons, or 5.9%. While Augusta County is predominantly rural, the cities of Staunton and Waynesboro are nearly entirely urban. In the total area, 19.9% of the population are infants, children or adolescents age 17 and under, another 60.1% are age 18 to 64, while 20.1% are age 65 or older. The percentage of older adults is much higher than the state and US figures. In looking at race independent of ethnicity, 88.7% of residents of the total are White and 7.5% are Black. The cities of Staunton and Waynesboro are more racially diverse than Augusta County. A total of 3.8% of total area residents are Hispanic or Latino, with the proportion the largest in Waynesboro. Between 2010 and 2020, the Hispanic population in the total area increased by 2,385 people, or 70.7%.
Schedule H, Part VI, Line 5 Promotion of community health	As a community owned hospital, 100% of the surplus goes back into the community through facility upgrades, state of the art equipment purchases, increased patient care services, and patient care access points throughout the service area, as well as providing grant funding support to other local non-profit agencies that compliment and/or support the mission of Augusta Health. Augusta Health is in a leadership position for community benefit as a result of the Augusta Health Community Partnership Committee. The Community Partnership Committee is appointed by the Augusta Health Board of Directors. The committee improves the health of the community by providing input and oversight on Augusta Health's community benefit initiatives, collaborative partnerships and strategic funding and ensures alignment with the priority areas identified in the Community Health Needs Assessment.
Schedule H, Part VI, Line 6 Affiliated health care system	THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report	VA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Central Shenandoah Planning
112 Mactanly Pl	Staunton	VA	24401	541835664	501(C)(3)	$71,555	Operational Support
Blue Ridge Area Food Bank Nework
96 Laurel Hill Rd	Verona	VA	24482	521202644	501(C)(3)	$20,000	Operational Support
Blue Ridge CASA for Children Inc
119 West Frederick St	Staunton	VA	24401	541721227	501(C)(3)	$25,000	Operational Support
Renewing Homes of Greater Augusta
PO Box 3152	Staunton	VA	24402	541738514	501(C)(3)	$25,000	Operational Support
Valley Mission
1513 West Beverly St	Staunton	VA	24401	540930419	501(C)(3)	$20,000	Operational Support
Valley Children's Advocacy Center
1105 Greenville Ave	Staunton	VA	24401	200831874	501(C)(3)	$25,000	Operational Support
Waynesboro Area Refuge Ministry Inc
1035 Fairfax Ave	Waynesboro	VA	22980	471937790	501(C)(3)	$12,500	Operational Support
The Neighbor Bridge Inc
PO Box 552	Fishersville	VA	22939	134148824	501(C)(3)	$25,000	Operational Support
Magnolia Rose Cottage Inc
417 W Main St	Waynesboro	VA	22980	863234962	501(C)(3)	$25,000	Operational Support
Jones Gardens
800 W Beverly St	Staunton	VA	24402	871707034	501(C)(3)	$10,000	Operational Support
Boys & Girls Clubs
1114 W Johnson St	Waynesboro	VA	24401	912117699	501(C)(3)	$10,000	Operational Support
Blue Ridge Court Services
125 S New St	Staunton	VA	24401	541048944	Gov	$20,000	Operational Support
Central Shenandoah EMS Council
2312 W Beverly St	Staunton	VA	24401	541906904	501(C)(3)	$5,000	Operational Support
Project Grows
608 Berrry Farm Rd	Staunton	VA	24402	461070735	501(C)(3)	$25,000	Operational Support
Valley Supportive Housing
1314 W Johnson St	Staunton	VA	24402	270132429	501(C)(3)	$5,000	Operational Support
The Village Prenatal Clinic
600 Hopeman Pkwy	Waynesboro	VA	22980	990805209	501(C)(3)	$5,000	Operational Support
Valley Program for Aging
325 Pine Ave	Waynesboro	VA	22980	540958526	501(C)(3)	$15,000	Operational Support
Valley Hope Counseling Center
201B Rosser Ave	Waynesboro	VA	22980	541956722	501(C)(3)	$25,000	Operational Support
Isaiah 61 Ministries
25 Stoneridge Dr	Waynesboro	VA	22980	470888093	501(C)(3)	$5,000	Operational Support
Blue Ridge Legal Services
125 S New St	Staunton	VA	24401	541048944	501(C)(3)	$5,000	Operational Support
Valley Associates For Independent
3210 Peoples Dr	Harrisonburg	VA	22801	541512497	501(C)(3)	$5,000	Operational Support
Verona Community Center
465 Lee Hwy	Verona	VA	24482	825329342	501(C)(3)	$5,000	Operational Support
Embrace Center For Community
932 Fir St	Waynesboro	VA	22980	270132429	501(C)(3)	$5,000	Operational Support

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	AUGUSTA HEALTH MADE GRANTS THROUGHOUT THE YEAR TO NON-PROFIT AND GOVERNMENTAL COMMUNITY PARTNERS WHO DEVELOPED PROJECTS OR PROVIDED SERVICES TO ADDRESS THE COMMUNITY'S HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
Mary N Mannix
President & CEO	$917,709	$0	$214,503	$0	$24,519	$0	$195,266	$0	$16,818	$0	$1,368,815	$0	$239,022	$0
Christopher Heck MD
Board member	$0	$256,065	$0	$0	$0	$0	$0	$5,080	$0	$0	$0	$261,145	$0	$0
John Katsianis
VP and CFO (Former)	$43,713	$0	$59,164	$0	$25,856	$0	$0	$0	$0	$0	$128,733	$0	$85,020	$0
Jean Veilleux
VP of Legal Affairs and GE (Former)	$208,994	$0	$59,697	$0	$70,523	$0	$26,726	$0	$8,261	$0	$374,201	$0	$130,219	$0
Joe Meador
Senior VP & CFO	$427,899	$0	$44,325	$0	$6,283	$0	$64,014	$0	$18,240	$0	$560,761	$0	$50,608	$0
Mahfuz Hoq MD
Chief Medical Officer (former)	$0	$0	$0	$0	$451,737	$0	$0	$0	$0	$0	$451,737	$0	$0	$0
Clint Merritt
Senior VP & CMO & CPE	$472,977	$0	$62,990	$0	$40,934	$0	$66,526	$0	$6,098	$0	$649,525	$0	$103,925	$0
Crystal Farmer
Senior VP & COO & CNO	$458,838	$0	$68,782	$0	$27,469	$0	$66,238	$0	$9,126	$0	$630,453	$0	$96,251	$0
John Boswell
Senior VP & Chief HR Officer	$333,318	$0	$57,678	$0	$25,905	$0	$45,719	$0	$8,842	$0	$471,462	$0	$83,582	$0
Mark LaRosa
Chief of Staff & Business Development	$321,009	$0	$51,359	$0	$25,757	$0	$48,546	$0	$6,342	$0	$453,013	$0	$77,115	$0
Mike Canfield
VP and CIO	$324,678	$0	$49,107	$0	$26,905	$0	$43,273	$0	$6,098	$0	$450,061	$0	$76,012	$0
Scott Crabtree
VP Professional Sevices	$313,999	$0	$55,490	$0	$28,971	$0	$34,787	$0	$6,098	$0	$439,345	$0	$84,461	$0
Scott Jones
VP of Compliance & Privacy	$255,728	$0	$44,460	$0	$26,823	$0	$33,111	$0	$2,372	$0	$362,494	$0	$71,283	$0
Shirley Carter
VP of philanthropy	$256,565	$0	$43,876	$0	$25,285	$0	$36,787	$0	$17,169	$0	$379,682	$0	$69,161	$0
Andrew A West MD
CMIO	$386,312	$0	$34,232	$0	$0	$0	$10,289	$0	$6,790	$0	$437,623	$0	$34,232	$0
Vickie L Taylor
Assistant Chief Nursing Officer	$263,553	$0	$26,179	$0	$0	$0	$4,834	$0	$8,710	$0	$303,276	$0	$26,179	$0
Timothy Norton
Vice President & Chief Legal Officer - started 4/29/2024	$238,908	$0	$20,000	$0	$33,815	$0	$33,849	$0	$5,839	$0	$332,411	$0	$20,000	$0
Leigh Williams
Asst. Chief Info Officer	$229,262	$0	$21,515	$0	$0	$0	$7,874	$0	$13,605	$0	$272,256	$0	$21,515	$0
Andrea W Haley
Administrative Director Human Resources	$228,547	$0	$19,108	$0	$0	$0	$6,845	$0	$0	$0	$254,500	$0	$19,108	$0
Brian Croghan
Administrative Director Facilities	$231,299	$0	$23,268	$0	$0	$0	$5,370	$0	$8,930	$0	$268,867	$0	$23,268	$0
Sarah E Hash-Rodgers
Adm Dir & Corporate Controller	$238,665	$0	$20,225	$0	$0	$0	$0	$0	$8,710	$0	$267,600	$0	$20,225	$0
Joan Stalzer
CCO Population Health (Former)	$367,243	$0	$19,478	$0	$0	$0	$10,168	$0	$9,342	$0	$406,231	$0	$19,478	$0
John Girard
Administrative Director Cancer Center	$208,310	$0	$21,343	$0	$0	$0	$6,354	$0	$14,562	$0	$250,569	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	Timothy Norton (VP & Chief Legal Officer) received $18,575.87 in housing allowance.
Schedule J, Part I, Line 4a Severance or change-of-control payment	A SEVERANCE PAYMENT WAS MADE TO Dr. Mahfuz Hoq, chief medical officer, IN THE AMOUNT OF $451,737.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INDIVIDUALS HAD EMPLOYER CONTRIBUTIONS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): $161,966 - MARY MANNIX 34,313 - Clint Merritt 32,888 - CRYSTAL FARMER 30,664 - Joe Meador 17,813 - JOHN BOSWELL 10,067 - MIKE CANFIELD 16,429 - MARK LAROSA 9,035 - SCOTT CRABTREE 2.989 - SCOTT JONES 4,329 - Shirley Carter 2,914 - Timothy Norton
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	THE TOP EXECUTIVES OF AUGUSTA HEALTH WERE REQUIRED TO SET ANNUAL PERFORMANCE GOALS THAT ALIGNED WITH THE ORGANIZATION'S COMMITMENT TO PERFORMANCE EXCELLENCE. THE GOALS WERE ESTABLISHED WITH FOCUS ON THE FOLLOWING SIX AREAS: QUALITY, SERVICE, PEOPLE, COMMUNITY, GROWTH, AND FINANCE. EACH GOAL WAS REQUIRED TO HAVE MEASURABLE OUTCOMES AND WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD TO ENSURE THAT IT SUPPORTED THE ORGANIZATION'S QUEST FOR SERVICE AND OPERATIONAL EXCELLENCE. WHILE NET EARNINGS WERE A CONSIDERATION IN THE AREA OF FINANCE, THE GOALS WERE ALSO CENTERED AROUND QUALITY, SERVICE, PEOPLE, COMMUNITY, AND GROWTH. EACH EXECUTIVE'S GOALS WERE WEIGHTED ACROSS THE PILLAR GOALS BASED ON THEIR AREA OF RESPONBILITY. WHEN AWARDING VARIABLE COMPENSATION, THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED THE YEAR-END ACCOMPLISHMENTS OF THE TOP EXECUTIVES AND AWARDED INCENTIVE COMPENSATION BASED ON THEIR ACTUAL PERFORMANCE AS COMPARED TO THE ESTABLISHED PERFORMANCE BENCHMARKS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Material differences in voting rights	Executive compensation program is administered by the Executive Committee of the Board, based on a compensation philosophy approved by the Board at large. Qualified third party consultants are engaged to provide appropriate market comparability, survey data, and to assist the committee with reviews. The base salary benchmarks are targeted at the 50th percentile with flexibility to pay above or below the 50th percentile using salary ranges with a 50% range spread to recognize an incumbent's individual experience, skill, performance, or other relevant recruitment or retention factors. Incentive opportunities are established at levels that when combined with salaries positioned at the 50th percentile, are sufficient to provide total cash compensation that targets up to the approximately market 75th percentile of total cash compensation levels. Total compensation shall not exceed the 90th percentile for any individual without full board approval and documentation of the Board's reasons for such compensation. The Board of Directors receives an annual report from the Executive Committee on the compensation program at Augusta Health in an executive session of the Board. Conflicted members are excused from the meeting. The Chair reviews the design of the compensation program to include base salary ranges, market increases ranges, and proposed percentages levels for incentive compensation opportunity. Additionally, perquisites such as the senior executive retirement plan (SERP) program and other related benefits are periodically reviewed with the Board. For those members who are not present for this meeting and remain free of conflict of interest, the chairman of the board may present the same material in a separate session.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ACCOUNTING DEPARTMENT WILL MAKE COPIES OF THE FORM 990 AVAILABLE TO THE CFO AND CEO FOR REVIEW. ALL QUESTIONS WILL BE RESOLVED AND ANSWERED BEFORE PRESENTATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE FINAL DRAFT OF THE RETURN WILL BE POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE WITH ACCESS RESTRICTED TO THE BOARD AND KEY ADMINISTRATIVE PERSONNEL FOR REVIEW. ALL QUESTIONS WILL BE RESOLVED AND ANSWERED BY THE CEO, CFO OR CORPORATE CONTROLLER. ANY REVISIONS AS A RESULT OF THE BOARD REVIEW WILL BE SENT TO THE TAX PREPARER AND SUBSEQUENT REVIEW BY THE BOARD WILL BE SCHEDULED ACCORDINGLY.
Form 990, Part VI, Line 12c Conflict of interest policy	THE GOVERNANCE COMMITTEE IS CHARGED WITH REVIEWING THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. THE REVIEW IS CONDUCTED AFTER THE ANNUAL BOARD MEETING IN APRIL. CONFLICT OF INTEREST REVIEWS OCCUR AT THE BEGINNING OF EACH BOARD AND COMMITTEE MEETING. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THOSE FOUND TO BE IN A CONFLICT OF INTEREST MAY BE ASKED TO ABSTAIN FROM VOTING AND MAY BE ASKED TO LEAVE THE MEETING DEPENDING ON THE TOPIC AND THEIR DEGREE OF CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	AUGUSTA HEALTH UTILIZES THE SERVICES OF Sullivan Cotter 100 Washington Street South Ste 51, Minneapolis, Minnesota 55401 TO DETERMINE COMPETITIVE WAGE RANGES, VARIABLE COMPENSATION AND PERQUISITES FOR EXECUTIVE POSITIONS. IT IS THE GOAL OF THE AUGUSTA HEALTH BOARD TO SATISFY THE FOLLOWING OBJECTIVES: 1.) COMPETITIVENESS: THE PROCESS MUST PRODUCE COMPENSATION AND BENEFIT LEVELS THAT ENABLE THE BOARD TO ATTRACT AND RETAIN THE MANAGEMENT LEADERSHIP ESSENTIAL TO CARRYING OUT ITS MISSION. 2.) STRATEGIC ALIGNMENT: THE PROCESS MUST ALIGN EXECUTIVE COMPENSATION WITH THE INSTITUTION'S STRATEGIC GOALS. IT MUST REWARD MANAGEMENT FOR ACCOMPLISHING THESE GOALS. 3.) REGULATORY COMPLIANCE: THE PROCESS MUST ASSURE THAT THE INSTITUTION MEETS ITS CHARITABLE PURPOSE OBLIGATIONS TO REMAIN TAX-EXEMPT AND THEREFORE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF SECTION 4958 OF THE IRC SO AS TO AVOID THE IMPOSITION OF INTERMEDIATE SANCTIONS IN THE FORM OF EXCISE TAXES PENALTIES ON ITS TRUSTEES AND EXECUTIVES. 4.) PUBLIC TRUST: BOARD MEMBERS ARE INVESTED WITH A PUBLIC TRUST TO SHEPHERD INSTITUTIONAL ASSETS AS RESPONSIBLE FIDUCIARIES AND REPRESENTATIVES. THEREFORE, THE PROCESS MUST ASSURE THAT COMPENSATION AND BENEFIT LEVELS ARE REASONABLE, NOT EXCESSIVE, AND DEFENSIBLE IF AND WHEN SUBJECTED TO PUBLIC SCRUTINY. BASE SALARIES TARGETED AT THE 50TH PERCENTILE, WITH FLEXIBILITY TO PAY ABOVE OR BELOW THE 50TH PERCENTILE USING SALARY RANGES WITH A 50% RANGE SPREAD TO RECOGNIZE AN INCUMBENT'S INDIVIDUAL EXPERIENCE, SKILL, PERFORMANCE OR OTHER RELEVANT RECRUITMENT OR RETENTION FACTORS. VARIABLE COMPENSATION LEVELS THAT, WHEN COMBINED WITH SALARIES POSITIONED AT THE 50TH PERCENTILE, ARE SUFFICIENT TO PROVIDE TOTAL CASH COMPENSATION THAT TARGETS UP TO THE APPROXIMATE MARKET 75TH PERCENTILE OF TOTAL CASH COMPENSATION LEVELS. TOTAL COMPENSATION SHALL NOT EXCEED THE 90TH PERCENTILE FOR ANY INDIVIDUAL WITHOUT FULL BOARD APPROVAL AND DOCUMENTATION OF THE BOARD'S REASONS FOR SUCH COMPENSATION. COMPENSATION, INDIVIDUAL PERFORMANCE AND COMPETITIVE DATA ARE REVIEWED ANNUALLY FOR ALL EXECUTIVE POSITIONS AS FOLLOWS: President/CEO SVP & COO & CNO SVP & CFO SVP & CMO & CPE SVP & Chief HR Officer PRESIDENT, MEDICAL GROUP VP & Chief Legal Officer VP Chief of Staff & Bus. Dev. VP Chief Compliance Officer VP Professional Services Chief Nurse Officer VP Chief Info Officer THE BOARD OF DIRECTORS RECEIVED A SUMMARY FROM THE EXECUTIVE COMMITTEE ON THE COMPENSATION PROGRAM AT AUGUSTA HEALTH IN AN EXECUTIVE SESSION OF THE BOARD. CONFLICTED MEMBERS WERE EXCUSED FROM THE MEETING. THE CHAIR REVIEWS THE DESIGN OF THE COMPENSATION PROGRAM TO INCLUDE BASE SALARY RANGES, MARKET INCREASES RANGES, AND PROPOSED PERCENTAGES LEVELS FOR INCENTIVE COMPENSATION OPPORTUNITY. ADDITIONALLY, PERQUISITES SUCH AS THE SERP PROGRAM AND OTHER RELATED BENEFITS WERE REVIEWED WITH THE BOARD. FOR THOSE MEMBERS WHO WERE NOT PRESENT FOR THIS MEETING AND REMAINED FREE OF CONFLICT OF INTEREST, THE CHAIRMAN OF THE BOARD OFFERS TO PRESENT THE SAME MATERIAL IN A SEPARATE SESSION.
Form 990, Part VI, Line 18 How forms are made available to the public	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Line 19 Required documents available to the public	COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICE. PLEASE DIRECT ALL REQUESTS TO: AUGUSTA HEALTH CARE, INC. ATTN: CORPORATE CONTROLLER P.O. BOX 1000 FISHERSVILLE, VA 22939-1000
Form 990, Part VII, Section A	BOARD MEMBER Christopher Heck IS PAID AS AN EMPLOYEE OF AUGUSTA MEDICAL GROUP, A RELATED ORGANIZATION AND HE IS NOT COMPENSATED FOR HIS BOARD MEMBER SERVICE.
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN FEES - Total Expense: 24226648, Program Service Expense: 24226648, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 7479691, Program Service Expense: 7458571, Management and General Expenses: 21120, Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 11226158, Program Service Expense: 5610641, Management and General Expenses: 5615517, Fundraising Expenses: ; CONSULTANTS - Total Expense: 4064285, Program Service Expense: 2374718, Management and General Expenses: 1689567, Fundraising Expenses: ; OTHER FEES - Total Expense: 2504616, Program Service Expense: , Management and General Expenses: 2504616, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	EQUITY TRANSFERS BETWEEN AFFILIATES - -665417; Total - -665417;
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
Schedule F, Part IV, Line 4	THE ORGANIZATION IS NOT REQUIRED TO FILE THE FORM 8621.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AUGUSTA CARE PARTNERS LLC
78 MEDICAL CENTER DR	FISHERSVILLE	VA	22939	462840076	HEALTHCARE	VA	$0	$0	NA
Lifecore Community Inc SPC
					Captive Insurance		$9,828,622	$16,057,898	NA	PO Box 10233	Grand Cayman	CJ	CJ

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
AHC COMMUNITY HEALTH FOUNDATION
PO BOX 1000	FISHERSVILLE	VA	22939	542042365	SUPPORTING ORGANIZATION	VA	501(c)(3)	Type I	AUGUSTA HEALTH CARE INC	Yes (true)
AUGUSTA MEDICAL GROUP
PO BOX 1000	FISHERSVILLE	VA	22939	262559916	HEALTHCARE	VA	501(c)(3)	10	AUGUSTA HEALTH CARE INC	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AUGUSTA MEDICAL GROUP
A	$1,733,625	FMV
AUGUSTA MEDICAL GROUP
Q	$72,494,733
AUGUSTA HEALTH FOUNDATION
R	$665,417
AUGUSTA HEALTH FOUNDATION
C	$1,518,895