AUGUSTA HEALTH CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: AUGUSTA HEALTH CARE INC (EIN 54-1453954)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-09-29
IRS object ID: 201602739349300710
Schema version: 2015v2.1
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-09-29T09:43:44-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN 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	2015-01-01	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
Business Name Line2	D/B/A AUGUSTA HEALTH	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	AUGU	BusinessNameControlTxt
Phone	5409324685	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	ROBERT RILEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5409324685	PhoneNum
Signature	2016-09-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	MARY MANNIX	PrincipalOfficerNm

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	$325,621,448	GrossReceiptsAmt
Group Return For Affiliates	0	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	PROVISION OF FULL SERVICE HEALTHCARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2201	TotalEmployeeCnt
Total Volunteers	300	TotalVolunteersCnt
Total Gross UBI	$4,287,588	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$970,127	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$175,663	PYContributionsGrantsAmt
CY Contributions Grants	$344,459	CYContributionsGrantsAmt
PY Program Service Revenue	$281,698,281	PYProgramServiceRevenueAmt
CY Program Service Revenue	$300,740,641	CYProgramServiceRevenueAmt
PY Investment Income	$17,181,294	PYInvestmentIncomeAmt
CY Investment Income	$20,199,185	CYInvestmentIncomeAmt
PY Other Revenue	$2,187,274	PYOtherRevenueAmt
CY Other Revenue	$3,541,960	CYOtherRevenueAmt
PY Total Revenue	$301,242,512	PYTotalRevenueAmt
CY Total Revenue	$324,826,245	CYTotalRevenueAmt
PY Grants And Similar Paid	$893,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$532,629	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,678,417	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$122,038,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$135,698,963	PYOtherExpensesAmt
CY Other Expenses	$186,689,447	CYOtherExpensesAmt
PY Total Expenses	$253,271,130	PYTotalExpensesAmt
CY Total Expenses	$309,261,067	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,971,382	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,565,178	CYRevenuesLessExpensesAmt
Total Assets BOY	$566,426,956	TotalAssetsBOYAmt
Total Assets EOY	$571,891,380	TotalAssetsEOYAmt
Total Liabilities BOY	$63,245,007	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$52,844,656	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$503,181,949	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$519,046,724	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF AUGUSTA HEALTH IS TO PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO EXCELLENT CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$269,274,166	ExpenseAmt
Grant	$532,629	GrantAmt
Revenue	$296,534,601	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 TREATING APPROXIMATELY 61,000 COMMUNITY MEMBERS PER YEAR; 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 PROVIDING COMPREHENSIVE REHABILITATION FOR PATIENTS RECOVERING FROM ORTHOPEDIC SURGERY.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 BRANCH OF A LOCAL COMMUNITY COLLEGE; 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'S NET COMMUNITY BENEFIT FOR 2015 IS ESTIMATED TO BE $18,565,126. THIS BENEFIT CAN BE CATEGORIZED AS FOLLOWS: CHARITY - $ 9,359,951 MEDICAID - 3,870,964 COMMUNITY HEALTH SERVICES - 1,895,341 HEALTH PROFESSIONAL EDUCATION - 123,543 SUBSIDIZED HEALTH SERVICES - 2,782,283 CASH & IN-KIND CONTRIBUTIONS - 533,044	Desc
Total Program Service Expenses	$269,274,166	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	274	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2201	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARAH HASH-RODGERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5403324685	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	189 MEDICAL CENTER DRIVE	AddressLine1Txt
City	FISHERSVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22939	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
REV JOHN C PETERSON
CHAIRMAN	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
VICTOR M SANTOS
VICE CHAIRMAN	1.00		Yes (X)	Yes (X)	$0	$0	$0
MARY N MANNIX
PRESIDENT & CEO	38.00	2.00	Yes (X)	Yes (X)	$738,160	$0	$104,093
WILLIAM PFOST MD
SECRETARY/TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
CHARLES ANDERSEN MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
E STUART CROW
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
JOHN B DAVIS
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DEBRA S CALLISON
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
A WHIT MORRISS MD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
LAUREL L LANDES
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
JOHN ROB O MARSH MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
BEVERLY CHERI S MORAN
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
JOSEPH L RANZINI MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
ARONA E RICHARD
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
BURNIE POWERS
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
ROBERT W RILEY
CFO	39.00	1.00		Yes (X)	$418,881	$0	$46,246
FRED CASTELLO MD
CHIEF MEDICAL OFFICER	40.00				$318,947	$0	$27,088	Yes (X)
KATHLEEN HEATWOLE
VP OF PLANNING AND DEVELOP	40.00				$269,951	$0	$27,882	Yes (X)
MARVELLA REA
CNO	40.00				$214,006	$0	$32,036	Yes (X)
LISA CLINE
COO	40.00				$413,044	$0	$45,284	Yes (X)
DAN O'CONNOR
VP OF HUMAN RESOURCES	40.00				$278,006	$0	$36,143	Yes (X)
GEORGE SEMKO
ADMIN DIRECTOR REVENUE CYCLE	40.00				$179,940	$0	$9,961		Yes (X)
SCOTT CRABTREE
ADMIN DIRECTOR OF PROFESSIONAL SERV	40.00				$170,449	$0	$7,660		Yes (X)
MATTHEW GARNER
PHARMACIST	40.00				$148,567	$0	$8,774		Yes (X)
VICKIE TAYLOR
SURGICAL DIRECTOR	40.00				$157,095	$0	$9,989		Yes (X)
FRANCIS CARRUCIO
ADMIN DIRECTOR	40.00				$210,760	$0	$6,257		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,517,806	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$361,413	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DEARBORN ADVISORS LLC
PO BOX 6686	CAROL STREAM	IL	60197	IT MANAGEMENT AND STAFF	$9,579,560
SODEXO INC & AFFILIATES
PO BOX 536922	ATLANTA	GA	303536922	FOOD SERVICES MANAGEMENT	$2,994,693
XTEND HEALTHCARE
500 W MAIN ST STE 14	HENDERSONVILLE	TN	37075	BUSINESS OFFICE CONSULTANT	$1,400,446
CREDIT SOULUTIONS LLC
PO BOX 24710	LEXINGTON	KY	40505	CREDIT AND COLLECTION SERVICES	$1,206,992
QUALITY SYSTEMS INC
18111 VON KARMAN AVE STE 600	IRVINE	CA	92612	IT STAFF AND SUPPORT	$1,118,311

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$138,864	RelatedOrganizationsAmt
All Other Contributions	$205,595	AllOtherContributionsAmt
Noncash Contributions	$5,595	NoncashContributionsAmt
Total Contributions	$344,459	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	$286,437,889	$286,437,889
DME	621400	$5,676,503	$5,436,518	$239,985
RETAIL PHARMACY	446110	$5,206,978	$3,275,554	$1,931,424
FITNESS CENTER	713940	$2,165,304	$1,006,866	$1,158,438
OTHER PROGRAM SERVICE REVENUE	900099	$1,115,342	$239,149	$876,193

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$138,625	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$300,740,641	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,999,357	TotalRevenueColumnAmt
Exclusion	$19,999,357	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$824,681	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$520,812	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$303,869	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,869	TotalRevenueColumnAmt
Exclusion	$303,869	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$474,219	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$274,391	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$199,828	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$199,828	TotalRevenueColumnAmt
Exclusion	$199,828	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
AFFILIATED REVENUES	900099	$1,692,564	$1,692,564
CAFETERIA/VENDING	722210	$1,409,169	$1,409,169
TELEPHONE ANSWERING	900099	$81,548		$81,548

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,810	TotalRevenueColumnAmt
Exclusion	$54,810	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,238,091	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$324,826,245	TotalRevenueColumnAmt
Related Or Exempt Func Income	$296,534,601	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,287,588	UnrelatedBusinessRevenueAmt
Exclusion	$23,659,597	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	$532,629	TotalAmt
Program Services	$532,629	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,303,072	TotalAmt
Management And General	$2,303,072	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$128,866	TotalAmt
Program Services	$128,866	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$91,579,645	TotalAmt
Program Services	$82,027,359	ProgramServicesAmt
Management And General	$9,552,286	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,651,592	TotalAmt
Program Services	$4,065,002	ProgramServicesAmt
Management And General	$586,590	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,614,602	TotalAmt
Program Services	$14,519,413	ProgramServicesAmt
Management And General	$2,095,189	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,761,214	TotalAmt
Program Services	$5,908,589	ProgramServicesAmt
Management And General	$852,625	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$782,718	TotalAmt
Management And General	$782,718	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,043,160	TotalAmt
Management And General	$1,043,160	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$144,624	TotalAmt
Management And General	$144,624	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,770	TotalAmt
Management And General	$37,770	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,499,062	TotalAmt
Program Services	$21,625,759	ProgramServicesAmt
Management And General	$16,873,303	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,649,998	TotalAmt
Program Services	$1,087,243	ProgramServicesAmt
Management And General	$562,755	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,478,963	TotalAmt
Program Services	$11,096,068	ProgramServicesAmt
Management And General	$4,382,895	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,624,046	TotalAmt
Program Services	$1,624,046	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,319,795	TotalAmt
Program Services	$5,234,724	ProgramServicesAmt
Management And General	$85,071	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$499,888	TotalAmt
Program Services	$410,805	ProgramServicesAmt
Management And General	$89,083	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$470,566	TotalAmt
Program Services	$267,915	ProgramServicesAmt
Management And General	$202,651	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,006,619	TotalAmt
Program Services	$1,006,619	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,935,000	TotalAmt
Program Services	$14,935,000	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,387,151	TotalAmt
Program Services	$1,387,151	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PENSION TERMINATION EXP	$38,795,442	$38,795,442
MEDICAL SUPPLIES	$24,047,231	$24,047,231
BAD DEBTS	$19,772,130	$19,772,130
COST OF DRUGS SOLD	$18,734,426	$18,734,426

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,460,858	TotalAmt
Program Services	$2,067,749	ProgramServicesAmt
Management And General	$393,109	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$309,261,067	TotalAmt
Program Services	$269,274,166	ProgramServicesAmt
Management And General	$39,986,901	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,253,830	BOYAmt
EOY	$10,138,246	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,718,733	BOYAmt
EOY	$43,176,162	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$30,435	BOYAmt
EOY	$34,704	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,896,182	BOYAmt
EOY	$6,416,197	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,216,329	BOYAmt
EOY	$2,049,513	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$338,470,351	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$201,996,869	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$133,595,204	BOYAmt
EOY	$136,473,482	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$282,849,774	BOYAmt
EOY	$264,121,349	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$22,382,519	BOYAmt
EOY	$23,907,502	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$56,056,844	BOYAmt
EOY	$73,576,200	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$43,125	BOYAmt
EOY	$326,970	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,383,981	BOYAmt
EOY	$11,671,055	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$566,426,956	BOYAmt
EOY	$571,891,380	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,127,907	BOYAmt
EOY	$22,407,451	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$141,339	BOYAmt
EOY	$162,308	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,440,000	BOYAmt
EOY	$21,400,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$564,644	BOYAmt
EOY	$418,576	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,971,117	BOYAmt
EOY	$8,456,321	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,245,007	BOYAmt
EOY	$52,844,656	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$502,814,779	BOYAmt
EOY	$518,606,781	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$367,170	BOYAmt
EOY	$439,943	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$503,181,949	BOYAmt
EOY	$519,046,724	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$566,426,956	BOYAmt
EOY	$571,891,380	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,565,178	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$26,741,437	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$27,041,034	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule 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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$36,605	OtherActivitiesAmt
Total Lobbying Expenditures	$36,605	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	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 $ 36,605.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,511,837	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,208,600	OtherCostOrOtherBasisAmt
Book Value	$5,720,437	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,914,334	OtherCostOrOtherBasisAmt
Depreciation	$44,317,316	DepreciationAmt
Book Value	$68,597,018	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,760,012	OtherCostOrOtherBasisAmt
Depreciation	$8,598,710	DepreciationAmt
Book Value	$2,161,302	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$203,246,473	OtherCostOrOtherBasisAmt
Depreciation	$149,080,843	DepreciationAmt
Book Value	$54,165,630	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,829,095	OtherCostOrOtherBasisAmt
Book Value	$5,829,095	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$136,473,482	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN AMG	Desc
Book Value	$73,576,200	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$73,576,200	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$8,363,331
UNAMORTIZED BOND DISCOUNTS	$92,990

Field	Value	IRS element (for citing)
Total Liability	$8,456,321	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$265,953,655	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$26,741,437	NetUnrealizedGainsInvstAmt
Other Revenue	-$11,231,383	OtherRevenueAmt
Revenue Not Reported	-$37,972,820	RevenueNotReportedAmt
Revenue Subtotal	$303,926,475	RevenueSubtotalAmt
Other Revenues Not Included	$20,899,770	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$20,899,770	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$324,826,245	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$250,160,866	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$250,160,866	ExpensesSubtotalAmt
Other Expenses Not Included	$59,100,201	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$59,100,201	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$309,261,067	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPITAL, MEDICAL GROUP, AND FOUNDATION ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON INCOME DERIVED FROM ITS EXEMPT PURPOSE AS A NONPROFIT 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, 2015. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2012, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FUNDING OF PENSION PLAN 27,266,041. CHANGE IN TEMPORARILY RESTRICTED ASSETS 72,773. NET ASSETS RELEASED FROM RESTRICTIONS 225,245. PENSION TERMINATION EXPENSE -38,795,442.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT NET WITH REVENUE 19,772,130. CONTRIBUTIONS EXPENSE NET WITH REVENUE 532,629. EQUITY TRANSFERS BETWEEN AFFILIATES 595,011.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT NET WITH REVENUE 19,772,130. CONTRIBUTIONS EXPENSE NET WITH REVENUE 532,629. PENSION TERMINATION EXPENSE 38,795,442.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN -	0	0	INVESTMENT IN CAPTIVE INSURANCE	$3,809,845
CENTRAL AMERICA AND THE CARIBBEAN -	0	0	SELF INSURANCE PREMIUMS	$1,203,571

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$5,013,416	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$5,013,416	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,359,951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,359,951	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,791,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,920,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,870,964	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,151,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,920,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,230,915	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,895,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,895,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,543	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,543	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,836,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,054,028	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,782,283	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$533,044	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$533,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,388,239	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,054,028	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,334,211	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,539,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,974,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,565,126	NetCommunityBenefitExpnsAmt
Total Expense	0.06400	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	2100	PersonsServedCnt
Total Community Benefit Expns	$26,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	285	PersonsServedCnt
Total Community Benefit Expns	$4,220	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	2385	PersonsServedCnt
Total Community Benefit Expns	$30,393	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,772,130	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,962,426	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$85,672,904	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,940,450	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,267,546	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	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	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE DISCLOSURE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.AUGUSTAHEALTH.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.AUGUSTAHEALTH.COM/BILLING-INSURANCE/ASSISTANCE-PROGRAMS	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AUGUSTA HEALTH	PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY CONDUCTED FOCUS GROUPS AND ALSO HELD A COMMUNITY HEALTH SUMMIT.FOR ADDITIONAL INFORMATION GO TO:WWW.AUGUSTAHEALTH.COM/SITES/DEFAULT/FILES/COMMUNITY_OUTREACH/AH-CHNA-2013.PDF
AUGUSTA HEALTH	PART V, SECTION B, LINE 11: NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. AUGUSTA HEALTH IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING HEALTH PRIORITIES THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: HEALTH BEHAVIORS AND COMMUNITY HEALTH EDUCATION: TAKE PERSONAL RESPONSIBILITY IN REGARD TO HEALTHY LIFESTYLE CHOICES (NUTRITION, PHYSICAL ACTIVITY) AUGUSTA WILL PROVIDE EDUCATIONAL OPPORTUNITIES REGARDING NUTRITION, PHYSICAL ACTIVITY, AND CHRONIC DISEASE MANAGEMENT. HOWEVER, THE HOSPITAL WILL NOT MEET THE NEED FOR INCREASED PERSONAL RESPONSIBILITY DUE TO A LACK OF EVIDENCE-BASED INTERVENTIONS AND INSUFFICIENT RESOURCES TO MAKE A MEANINGFUL CHANGE IN THIS AREA. ACCESS AND AFFORDABILITY: AFFORDABLE HEALTH INSURANCE DIRECTLY OFFERING INSURANCE PRODUCTS IS BEYOND THE PURVIEW OF THE HOSPITAL. OTHER RESOURCES IN THE COMMUNITY, INCLUDING THE HEALTH INSURANCE EXCHANGES IMPLEMENTED BY THE ACA ARE MEETING THIS NEED. AUGUSTA WILL ENGAGE IN PROMOTION OF THE EXCHANGES. AUGUSTA ALSO WILL CONTINUE TO PROVIDE ACCESS TO AFFORDABLE HEALTH CARE THROUGH ITS CHARITY CARE PROGRAM. BEHAVIORAL HEALTH: DEPRESSION, TEEN SUICIDE, SUBSTANCE ABUSE, ACCESS TO MENTAL HEALTH CARE AND SUBSTANCE ABUSE TREATMENT SERVICESSOCIOECONOMIC FACTORS: LOW INCOME/POVERTY IN STAUNTON AND WAYNESBORO THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY IMPACT ECONOMIC DEVELOPMENT ISSUES.
AUGUSTA HEALTH	PART V, SECTION B, LINE 13H: 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 35% AND IS UPDATED ANNUALLY.
AUGUSTA HEALTH	PART V, SECTION B, LINE 22D: 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 35% AND IS UPDATED ANNUALLY.
PART V, SECTION B, LINE 7A:	HTTP://WWW.AUGUSTAHEALTH.COM/SITES/DEFAULT/FILES/COMMUNITY_OUTREACH/AH- CHNA-2013.PDF

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	FOR PURPOSES OF PART I, LINE 7(A) THE ORGANIZATION USED THE METHODS PROVIDED IN THE 2015 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.
PART I, LINE 7G:	INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES ACCOUNT FOR $1,269,041 OF THE NET COMMUNITY BENEFIT OF SUBSIDIZED SERVICES. THESE SERVICES PROVIDE SHORT-TERM PSYCHIATRIC CARE FOR ADULTS AND GERIATRIC PATIENTS IN A SUPPORTIVE ENVIRONMENT WITH 24-HOUR NURSING CARE. HOME HEALTH SERVICES PROVIDED BY THE ORGANIZATION CONTRIBUTED $1,513,242 IN NET COMMUNITY BENEFIT. AUGUSTA HEALTH'S HOME HEALTH PROGRAM OFFERS SKILLED NURSING CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND MEDICAL SOCIAL WORKERS.
PART I, LN 7 COL(F):	TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES BAD DEBT IN THE AMOUNT OF $19,772,130. 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).
PART II, COMMUNITY BUILDING ACTIVITIES:	IN PRIOR YEARS, THE PROGRAMS OF AHC COMMUNITY HEALTH FOUNDATION ADDRESSED THE COMMUNITY HEALTH AND WELLNESS NEEDS. BEGINNING IN 2012, THESE PROGRAMS WERE TAKEN OVER BY THE HOSPITAL'S COMMUNITY BENEFIT COMMITTEE. THE HOSPITAL BOARD AND THE COMMUNITY BENEFIT COMMITTEE HAVE TAKEN A LEADERSHIP ROLE IN COORDINATING AND ORGANIZING COMMUNITY PARTNERSHIPS TO ADDRESS SYSTEMS THAT WILL LEAD TO A HEALTHIER COMMUNITY. THE COMMUNITY HEALTH FORUM, THE AUGUSTA REGIONAL DENTAL CLINIC AND AUGUSTA REGIONAL FREE CLINIC, THE WORKING ON WELLNESS PROGRAM (WOW), GO GIRLS AND SPARKABC ARE ALL PROGRAMS THAT THE HOSPITAL HAS SUPPORTED OR INITIATED TO HELP CREATE AND SUSTAIN A HEALTHY COMMUNITY.
PART III, LINE 2:	THE RECORDED AMOUNT OF $19,772,130 WAS TAKEN FROM THE ORGANIZATION'S INCOME STATEMENT FOR THE YEAR-ENDED, 2015. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE COMPANY CEASES COLLECTION EFFORTS .
PART III, LINE 4:	EXCERPT FROM 2015 FINANCIAL AUDIT, NOTE 1 PATIENT ACCOUNTS RECEIVABLE:"PATIENT RECEIVABLES ARE RECORDED AT ESTABLISHED BILLING RATES WHEN PATIENT SERVICES ARE RENDERED. ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE RECORDED AS DEDUCTIONS FROM PATIENT ACCOUNTS RECEIVABLE TO REDUCE RECORDED AMOUNTS TO THEIR NET REALIZABLE VALUE. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND AMOUNTS REIMBURSED. THE COMPANY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE COMPANY CEASES COLLECTION EFFORTS."THE BAD DEBT AMOUNT LISTED IN PART III SECTION A, NUMBER 2 WAS CALCULATED USING WORKSHEET A ON PAGE 4 OF THE 2015 SCHEDULE H INSTRUCTIONS.THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON DISCHARGES IN 2015. PATIENTS THAT WERE CLASSIFIED AS "SP" 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.
PART III, LINE 8:	THE HOSPITAL CONSIDERS $4,267,546 TO BE THE AMOUNT RECOGNIZED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	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.
PART V, LINE 16B	HTTP://WWW.AUGUSTAHEALTH.COM/SITES/DEFAULT/FILES/BILLING_AMP_INSURANCE/FINANCIAL_ASSISTANCE_APPLICATION_2015.PDF
PART VI, LINE 2:	THE AUGUSTA HEALTH BOARD OF DIRECTORS RECOGNIZES THAT THE HEALTH OF THE COMMUNITY IS MULTI-FACETED. AUGUSTA HEALTH PARTICIPATES WITH OVER 110 AGENCIES AND ORGANIZATIONS IN THE COMMUNITY HEALTH FORUM BY DONATING STAFF SUPPORT AND RESOURCES TO COORDINATE MEETINGS. THE GOALS OF THE FORUM ARE TO DETERMINE THE NEEDS OF THE COMMUNITY, IDENTIFY GAPS AND DUPLICATION OF SERVICES AND COORDINATE EFFORTS AS WELL AS TO FACILITATE COMMUNICATION AND EDUCATION AMONG ALL FORUM PARTICIPANTS ABOUT COMMUNITY HEALTH NEEDS. IN 2009, THE AUGUSTA HEALTH FOUNDATION IN CONJUNCTION WITH AUGUSTA HEALTH AND THE COMMUNITY FORUM CONDUCTED A NEEDS ASSESSMENT WHICH IDENTIFIED MENTAL HEALTH AND CHRONIC DISEASE MANAGEMENT AS TWO PRIORITIES FOR THE AREA. SINCE THEN THE MENTAL HEALTH COALITION HAS BEEN ESTABLISHED WITH 4 ACTIVE WORKGROUPS TO ADDRESS STIGMA, ACCESS AND SERVICES, CONSUMER SUPPORT AND FUNDING. CHRONIC DISEASE MANAGEMENT HAS BEEN ADDRESSED THROUGH COMMUNITY SCREENINGS AND EVIDENCED BASED SELF MANAGEMENT COURSES AND PROGRAMS.
PART VI, LINE 3:	AUGUSTA HEALTH HAS A MEDICAID ELIGIBILITY TEAM ONSITE TO SCREEN ITS PATIENTS FOR MEDICAID ELIGIBILITY, INCLUDING 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.).
PART VI, LINE 4:	AUGUSTA HEALTH SERVES A LARGE RURAL AREA. THE COMBINED AREA OF STAUNTON, WAYNESBORO AND AUGUSTA COUNTY , ENCOMPASSES 1002.02 SQUARE MILES AND HOUSES A TOTAL POPULATION OF 119,016 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. BETWEEN THE 2000 AND 2010 US CENSUSES, THE TOTAL AREA POPULATION INCREASED BY 9,514 PERSONS, OR 8.7%. WHILE AUGUSTA COUNTY IS PREDOMINANTLY RURAL, THE CITIES OF STAUNTON AND WAYNESBORO ARE NEARLY ENTIRELY URBAN. IN THE TOTAL AREA, 20.7% OF THE POPULATION ARE INFANTS, CHILDREN OR ADOLESCENTS AGE 17 AND UNDER, ANOTHER 61.3% ARE AGE 18 TO 64, WHILE 18% ARE AGE 65 OR OLDER. THE PERCENTAGE OF OLDER ADULTS IS MUCH HIGHER THAN THE STATE AND US FIGURESIN LOOKING AT RACE INDEPENDENT OF ETHNICITY, 88.9% OF RESIDENTS OF THE TOTAL ARE WHITE AND 7.1% ARE BLACK. THE CITIES OF STAUNTON AND WAYNESBORO ARE MORE RACIALLY DIVERSE THAN AUGUSTA COUNTY. A TOTAL OF 3.1% OF TOTAL AREA RESIDENTS ARE HISPANIC OR LATINO, WITH THE PROPORTION THE LARGEST IN WAYNESBORO. BETWEEN 2000 AND 2010, THE HISPANIC POPULATION IN THE TOTAL AREA INCREASED BY 1,846 PEOPLE, OR 120.7% LESS THAN ONE PERCENT OF THE TOTAL AREA POPULATION AND 5 AND OLDER LIVE IN A HOME IN WHICH NO PERSONS AGE 14 OR OLDER IS PROFICIENT IN ENGLISH.
PART VI, LINE 5:	AUGUSTA HEALTH RECEIVED THE FOLLOWING AWARDS IN 2015: AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES AND 100 GREAT COMMUNITY HOSPITALS BY BECKERS. ALSO IN 2015, AUGUSTA HEALTH EARNED OR MAINTAINED THE FOLLOWING ACCREDITATIONS: AMERICAN ACADEMY OF SLEEP MEDICINE ACCREDITED CENTER; AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER FOR AN OUTSTANDING CANCER PROGRAM; THE JOINT COMMISSION PRIMARY STROKE CENTER CERTIFICATION; THE NATIONAL ACCREDITATION FOR BREAST CENTERS; NUCLEAR MEDICINE ACCREDITED FACILITY BY THE AMERICAN COLLEGE OF RADIOLOGY; RADIATION ONCOLOGY ACCREDITED FACILITY BY THE AMERICAN COLLEGE OF RADIOLOGY; SOCIETY OF CHEST PAIN CENTERS; AND THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, CHEST PAIN CENTER ACCREDITATION WITH PCI (CORONARY ANGIOPLASTY).
PART VI, LINE 6:	THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AUGUSTA REGIONAL DENTAL CLINIC
342 MULE ACADEMY RD	FISHERVILLE	VA	22939	202922988	501(C)(3)	$20,000	OPERATIONAL SUPPORT - MULTI-YEAR GRANT
AUGUSTA REGIONAL FREE CLINIC
PO BOX 153	FISHERVILLE	VA	22939	541651896	501(C)(3)	$20,000	OPERATIONAL SUPPORT - MULTI-YEAR GRANT
BLUE RIDGE COMMUNITY COLLEGE
PO BOX 80	WEYERS CAVE	VA	24486	541268283	501(C)(3)	$80,000	FUNDS TO BE ALLOCATED TO THE NURSING PROGRAM
MARY BALDWIN COLLEGE
PO BOX 1500	STAUNTON	VA	24402	540506319	501(C)(3)	$65,000	OPERATIONAL SUPPORT
CENTRAL SHENANDOAH EMS COUNCIL
PO BOX 256	FISHERVILLE	VA	22939	541906904	501(C)(3)	$10,000	FUNDING FOR COMMUNITY TRAINING
CROSSROADS TO BRAIN INJURY RECOVERY
601 UNVIERSITY BLVD STE 317	HARRISONBURG	VA	22807	204795567	501(C)(3)	$10,000	OPERATIONAL SUPPORT
ROCKBRIDGE AREA TRANSPORT
PO BOX 1108	LEXINGTON	VA	24450	043586915	501(C)(3)	$9,528	OPERATIONAL SUPPORT
VALLEY PROGRAM FOR THE AGING
PO BOX 817	WAYNESBORO	VA	22980	540958526	501(C)(3)	$12,000	OPERATIONAL SUPPORT
SALVATION ARMY WAYNESBORO E AUGUSTA
246 ARCH AVENUE	WAYNESBORO	VA	22980	580660607	501(C)(3)	$21,154	OPERATIONAL SUPPORT
VALLEY HOPE COUNSELING CENTER
20 STONERIDGE DR STE 202	WAYNESBORO	VA	22980	541956722	501(C)(3)	$20,000	OPERATIONAL SUPPORT
VALLEY MISSION
1513 W BEVERLY ST	STAUNTON	VA	24401	540930419	501(C)(3)	$20,000	OPERATIONAL SUPPORT
SHENANDOAH VALLEY COMMUNITY FOCUS INC
250 SOUTH WAYNE AVE 101	WAYNESBORO	VA	22980	262111079	501(C)(3)	$14,450	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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	$553,270	$0	$167,390	$0	$17,500	$0	$96,257	$0	$7,836	$0	$842,253	$0	$184,890	$0
ROBERT W RILEY
CFO	$323,675	$0	$70,960	$0	$24,246	$0	$40,910	$0	$5,336	$0	$465,127	$0	$95,206	$0
FRED CASTELLO MD
CHIEF MEDICAL OFFICER	$206,663	$0	$64,618	$0	$47,666	$0	$24,007	$0	$3,081	$0	$346,035	$0	$82,522	$0
KATHLEEN HEATWOLE
VP OF PLANNING AND DEVELOP	$204,028	$0	$40,767	$0	$25,156	$0	$26,610	$0	$1,272	$0	$297,833	$0	$58,511	$0
MARVELLA REA
CNO	$182,940	$0	$31,066	$0	$0	$0	$24,700	$0	$7,336	$0	$246,042	$0	$31,066	$0
LISA CLINE
COO	$320,781	$0	$60,501	$0	$31,762	$0	$40,637	$0	$4,647	$0	$458,328	$0	$78,942	$0
DAN O'CONNOR
VP OF HUMAN RESOURCES	$231,164	$0	$39,730	$0	$7,112	$0	$30,807	$0	$5,336	$0	$314,149	$0	$46,842	$0
GEORGE SEMKO
ADMIN DIRECTOR REVENUE CYCLE	$179,940	$0	$0	$0	$0	$0	$4,625	$0	$5,336	$0	$189,901	$0	$0	$0
SCOTT CRABTREE
ADMIN DIRECTOR OF PROFESSIONAL SERV	$150,075	$0	$13,868	$0	$6,506	$0	$4,143	$0	$3,517	$0	$178,109	$0	$13,868	$0
MATTHEW GARNER
PHARMACIST	$148,567	$0	$0	$0	$0	$0	$4,580	$0	$4,194	$0	$157,341	$0	$0	$0
VICKIE TAYLOR
SURGICAL DIRECTOR	$137,282	$0	$14,383	$0	$5,430	$0	$4,863	$0	$5,126	$0	$167,084	$0	$14,383	$0
FRANCIS CARRUCIO
ADMIN DIRECTOR	$191,404	$0	$19,356	$0	$0	$0	$4,238	$0	$2,019	$0	$217,017	$0	$19,356	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	ANNUALLY, AUGUSTA HEALTH HOLDS A LEADERSHIP RETREAT FOR BOARD MEMBERS, MEDICAL STAFF, AND SENIOR MANAGEMENT. SPOUSES ARE INVITED TO ATTEND THE RETREAT AT THE EXPENSE OF THE ORGANIZATION. THE VALUE PLACED ON THE HOTEL/MEALS FOR THE TWO DAY PERIOD IS $243 PER PERSON. THE AMOUNT IS NOT TAXABLE TO EMPLOYEES.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): MARY MANNIX: $70,307 ROBERT RILEY: 14,960 MARVELLA REA: 1,000 KATHLEEN HEATWOLE: 2,509 DAN O'CONNOR: 5,716 LISA CLINE: 14,687
PART I, LINE 6	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 INCENTIVE COMPENSATION, THE EXECUTIVE COMPENSATION 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF AUGUSTA VA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	541311681	BondIssuerEIN
CUSIP	05112MCP8	CUSIPNum
Bond Issued	2003-12-17	BondIssuedDt
Issue Price	$33,510,000	IssuePriceAmt
Purpose	CURRENT REFUNDING	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$12,110,000	RetiredAmt
Total Proceeds	$38,637,362	TotalProceedsAmt
In Reserve Fund	$5,267,469	InReserveFundAmt
Issuance Costs From Proceeds	$374,087	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$33,483,180	OtherSpentProceedsAmt
Substantial Completion	1994	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF AUGUSTA, VA DATE THE REBATE COMPUTATION WAS PERFORMED: 08/31/2010
SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:	THE SERIES 2003 BONDS WERE ISSUED FOR THE PURPOSE OF: 1) REFUNDING THE ISSUER'S PRIOR SERIES 1993 BONDS, 2) FUNDING A DEBT SERVICE RESERVE FUND FOR THE SERIES 2003 BONDS, AND 3) PAYING COST OF ISSUANCE EXPENSES.
SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:	THE AMOUNTS PRESENT ON PART II, LINE 11 REPRESENT AMOUNTS USED TO CURRENTLY REFUND BONDS ISSUED IN 1993.
SCHEDULE K, PART III:	THE SERIES 2003 BONDS WERE ISSUED ENTIRELY TO REFUND A PRIOR ISSUE DATED BEFORE JANUARY 1, 2003 AND WERE NOT USED TO ACQUIRE NEW PROPERTY; THEREFORE, SCHEDULE K, PART III IS NOT REQUIRED TO BE COMPLETED FOR THIS ISSUE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
HEATHER SMITH
FAMILY RELATIONSHIP WITH BOARD MEMBER E. STUART CROW	$56,282	COMPENSATION AS EMPLOYEE OF AUGUSTA HEALTH CARE, INC.	0
BRENDA CASTELLO
FAMILY RELATIONSHIP WITH KEY EMPLOYEE FRED CASTELLO, MD	$8,655	COMPENSATION AS EMPLOYEE OF AUGUSTA HEALTH CARE, INC.	0
PATTI KANNEY
FAMILY RELATIONSHIP WITH BOARD MEMBER WILLIAM PFOST	$63,929	COMPENSATION AS EMPLOYEE OF AUGUSTA HEALTH CARE, INC.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE-CHAIR, THE PRESIDENT, THE SECRETARY, AND THE TREASURER AND TWO OTHER MEMBERS OF THE BOARD. THE CHAIR OF THE BOARD SHALL BE THE CHAIR OF THE EXECUTIVE COMMITTEE. IT SHALL BE THE DUTY OF THE EXECUTIVE COMMITTEE TO REVIEW AND ORGANIZE MATTERS TO BE CONSIDERED BY THE BOARD; TO DELIBERATE MATTERS OF A SIGNIFICANT STRATEGIC OR ADMINISTRATIVE NATURE; AND TO ADVISE THE BOARD AND ADMINISTRATION ON SUCH MATTERS. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE BOARD BUT ONLY WHEN SPECIFICALLY AUTHORIZED BY THE BOARD TO DO SO. THE EXECUTIVE COMMITTEE SHALL HANDLE ALL MATTERS RELATED TO EXECUTIVE COMPENSATION. WHEN EXECUTIVE COMPENSATION MATTERS ARE BEING DELIBERATED, ANY COMMITTEE MEMBER WHO MAY BE DEEMED TO HAVE A DISQUALIFYING BUSINESS, PERSONAL OR PROFESSIONAL RELATIONSHIP WITH THE CORPORATION WILL BE EXCUSED, INCLUDING BUT NOT LIMITED TO THE PRESIDENT AND PRACTICING PHYSICIANS. THE PRESIDENT MAY PRESENT INFORMATION, MAKE RECOMMENDATIONS AND ANSWER QUESTIONS ON MATTERS OF COMPENSATION BUT MAY NOT BE A VOTING MEMBER ON THESE MATTERS. EXECUTIVE COMPENSATION MATTERS SHALL BE REVIEWED AT LEAST ANNUALLY TO EVALUATE THE PERFORMANCE OF THE PRESIDENT AND TO OVERSEE THE ADMINISTRATION OF THE EXECUTIVE COMPENSATION SYSTEM AND APPROVE COMPENSATION PROVIDED UNDER THAT SYSTEM ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ADMINISTER THE CORPORATE CONTRACT POLICY AS APPROVED BY THE BOARD AND, ON BEHALF OF THE BOARD. THE COMMITTEE SHALL PROVIDE FOR REVIEW OF ALL CONTRACTS WITH PHYSICIANS AND CONTRACTS FOR TRANSACTIONS OUTSIDE THE NORMAL COURSE OF BUSINESS. THE CONTRACTS SHALL BE REVIEWED TO ENSURE THE CONTRACTS MEET THE CORPORATION'S MISSION AND VALUES STANDARDS, AS WELL AS, ALL APPLICABLE LAWS AND REGULATIONS. ANY EXECUTIVE COMMITTEE MEMBER WHO MAY HAVE A DISQUALIFYING BUSINESS, PERSONAL OR PROFESSIONAL RELATIONSHIP WITH THE CORPORATION OR ANY ENTITY WHICH HAS OR MAY HAVE A COMPETING INTEREST WITH THE CORPORATION WILL BE EXCUSED FROM DELIBERATING ON ANY MATTERS RELATED TO CORPORATE CONTRACT POLICY AND ADMINISTRATION.
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATES INFORMATION TECHNOLOGY MANAGEMENT DUTIES TO DEARBORN ADVISORS. DEARBORN PROVIDED A SENIOR EXECUTIVE TO LEAD THE INFORMATION TECHNOLOGY DIVISION AND ADDITIONAL MANPOWER TO OPTIMIZE THE HEALTH SYSTEM'S AMBULATORY ELECTRONIC MEDICAL RECORD.
FORM 990, PART VI, SECTION B, LINE 11	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. THE FORM WILL BE PRESENTED, REVIEWED AND DISCUSSED AT THE EXECUTVIE COMMITTEE OF THE BOARD MEETING HELD PRIOR TO FILING. THE REVIEW WILL BE DULY NOTED IN THE MINTUES. 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, SECTION B, LINE 12C	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 MUST ABSTAIN FROM VOTING AND MAY BE ASKED TO LEAVE THE MEETING DEPENDING ON THE TOPIC AND THEIR DEGREE OF CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	AUGUSTA HEALTH UTILIZES THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES, 901 MARQUETTE AVENUE SOUTH SUITE 2100 MINNEAPOLIS, MINNESOTA TO DETERMINE COMPETITIVE WAGE RANGES, VARIABLE COMPENSATION AND PREQUISITES 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. INCENTIVE OPPORTUNITY 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. BENEFITS AND PERQUISITES AT MARKET COMPETITIVE LEVELS. SEVERANCE AT CONSERVATIVE LEVELS ON AN INDIVIDUAL BASIS. 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: CEO CFO COO CNO CMO VP OF HUMAN RESOURCES VP OF PLANNING AND DEVELOPMENT THE BOARD OF DIRECTORS RECEIVED A FULL REPORT FROM THE EXECUTIVE COMMITTEE ON THE FULL COMPENSATION PROGRAM AT AUGUSTA HEALTH IN AN EXECUTIVE SESSION OF THE BOARD. CONFLICTED MEMBERS WERE EXCUSED FROM THE MEETING. MATERIAL COVERED INCLUDED THE DESIGN OF THE COMPENSATION PROGRAM, AS WELL AS ACTUAL BASE SALARIES, MARKET BENCHMARK DATA, AND INCENTIVE COMPENSATION EARNED BY EACH EXECUTIVE. ADDITIONALLY, PREREQUISITES 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 PRESENTED THE SAME MATERIAL IN A SEPARATE SESSION.
FORM 990, PART VI, SECTION C, LINE 18	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, SECTION C, LINE 19	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 IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,150,631. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,150,631. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,973,315. MANAGEMENT AND GENERAL EXPENSES 4,734,581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,707,896. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 4,244,567. MANAGEMENT AND GENERAL EXPENSES 2,227,884. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,472,451. CONSULTANTS: PROGRAM SERVICE EXPENSES 2,257,246. MANAGEMENT AND GENERAL EXPENSES 7,596,391. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,853,637. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,314,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,314,447.
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED STATUS OF PENSION PLAN 27,266,041. TEMPORARILY RESTRICTED CONTRIBUTIONS 72,773. NET ASSETS RELEASED FROM RESTRICTIONS 225,245. EQUITY TRANSFERS BETWEEN AFFILIATES -595,011. CHANGE IN NET ASSETS OF SHEN HOUSE 71,986.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	AUGUSTA CARE PARTNERS LLC	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)
EIN	462840076	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

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)	LINE 11A, I	AUGUSTA HEALTH CARE INC	Yes (1)
AUGUSTA MEDICAL GROUP
PO BOX 1000	FISHERSVILLE	VA	22939	262559916	HEALTHCARE	VA	501(C)(3)	LINE 9	AUGUSTA HEALTH CARE INC	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
AUGUSTA MEDICAL GROUP
M	$3,921,628
AUGUSTA MEDICAL GROUP
Q	$6,400,000
AUGUSTA MEDICAL GROUP
A	$442,830
AUGUSTA HEALTH FOUNDATION
M	$369,676
AUGUSTA HEALTH FOUNDATION
C	$138,864