AUGUSTA MEDICAL GROUP: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- AUGUSTA MEDICAL GROUP (EIN 26-2559916)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-11
- IRS object ID
- 201403159349300800
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-11T07:47:23-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262559916 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTA MEDICAL GROUP | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | FISHERSVILLE | City |
| State | VA | State |
| ZIP Code | 22939 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE JIRAK MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5409324685 | PhoneNum |
| Signature | 2014-11-03 | 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 | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GEORGE JIRAK MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1000 | AddressLine1 |
| City | FISHERSVILLE | City |
| State | VA | State |
| ZIP Code | 22939 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,082,144 | 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 | 2008 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY PHYSICIAN PRACTICES OFFERING SERVICES IN SUPPORT OF AUGUSTA HEALTH CARE, INC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 240 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $636,089 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$23,034 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,031,149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,082,144 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$14,996 | PYInvestmentIncomeAmt |
| CY Investment Income | -$12,018 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $20,016,153 | PYTotalRevenueAmt |
| CY Total Revenue | $22,070,126 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,182,914 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,789,779 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,352,739 | PYOtherExpensesAmt |
| CY Other Expenses | $8,849,965 | CYOtherExpensesAmt |
| PY Total Expenses | $29,535,653 | PYTotalExpensesAmt |
| CY Total Expenses | $33,639,744 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,519,500 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,569,618 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,633,519 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,062,716 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,066,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,065,736 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$29,433,405 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$41,003,020 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO EXCELLENT HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,626,552 | ExpenseAmt |
| Revenue | $21,446,055 | RevenueAmt |
| Desc | AUGUSTA MEDICAL GROUP IS A VIRGINIA NONSTOCK CORPORATION THAT IS ORGANIZED AND OPERATED TO SUPPORT THE CHARITABLE PURPOSES OF AUGUSTA HEALTH CARE, INC. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. | Desc |
| Total Program Service Expenses | $29,626,552 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | 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 | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 240 | 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 | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5409324685 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 MEDICAL CENTER CIRCLE | AddressLine1 |
| City | FISHERSVILLE | City |
| State | VA | State |
| ZIP Code | 229390388 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHARLES D ANDERSON MD | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARY MANNIX | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $659,709 | $86,230 | 39.00 | ||
| ROBERT RILEY | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $91,468 | $9,740 | 39.00 | ||
| MICHAEL BARRETT MD | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $268,118 | $0 | $13,202 | |||
| VANESSA LEE MD | |||||||||
| BOARD MEMBER, PHYSICIAN | 1.00 | Yes (X) | $505,307 | $0 | $7,790 | ||||
| ROBERT KNOWLES | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| WILLIAM L PFOST | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| RICH EVANS MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| DAVID W CAULKINS MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $249,819 | $0 | $8,153 | ||||
| A WHIT MORRISS MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| L COURTENAY BEEBE MD | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | $397,962 | $0 | $5,398 | Yes (X) | ||||
| ANN RUBINO | |||||||||
| VP OF OPERATIONS | 40.00 | $187,091 | $0 | $1,296 | Yes (X) | ||||
| RAJEEV GOPINATHAIPILLAI MD | |||||||||
| PHYSICIAN | 40.00 | $626,751 | $0 | $7,790 | Yes (X) | ||||
| MATTHEW POLLARD MD | |||||||||
| PHYSICIAN | 40.00 | $465,406 | $0 | $12,237 | Yes (X) | ||||
| KRISTEN L SAVOLA MD | |||||||||
| PHYSICIAN | 40.00 | $598,134 | $0 | $7,529 | Yes (X) | ||||
| MASOOD AHMED MD | |||||||||
| PHYSICIAN | 40.00 | $552,259 | $0 | $12,261 | Yes (X) | ||||
| RODNEY C GRABER MD | |||||||||
| PHYSICIAN | 40.00 | $401,673 | $0 | $12,738 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,252,520 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $751,177 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $184,364 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AUGUSTA EMERGENCY PHYSICIANS LTD | |||||
| PO BOX 445 | STAUNTON | VA | 24402 | PHYSICIAN & NURSE PRACTITIONER COVERAGE | $1,887,119 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | PHYSICIAN COVERAGE | $787,244 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN COVERAGE | $495,771 |
| ALL STAR RECRUITING | |||||
| 4400 WEST SAMPLE RD STE 250 | COCONUT CREEK | FL | 33073 | PHYSICIAN COVERAGE | $186,547 |
| CREDIT SOLUTIONS | |||||
| PO BOX 24710 | LEXINGTON | KY | 40505 | CLAIMS TRANSCRIBING SERVICE | $110,777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $18,273,251 | $18,273,251 | |
| PHYSICIAN FEES: SUBSIDY FROM AFFI | 900099 | $2,796,657 | $2,796,657 | |
| SPA REVENUE | 621400 | $636,089 | $636,089 | |
| EHR INCENTIVE PAYMENT | 900099 | $203,987 | $203,987 | |
| MISCELLANEOUS PATIENT REVENUE | 900099 | $172,160 | $172,160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,082,144 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $12,018 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$12,018 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,018 | TotalRevenueColumnAmt |
| Exclusion | -$12,018 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,070,126 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,446,055 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $636,089 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$12,018 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,746 | TotalAmt |
| Management And General | $591,746 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,589 | TotalAmt |
| Program Services | $57,589 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,813,858 | TotalAmt |
| Program Services | $18,601,608 | ProgramServicesAmt |
| Management And General | $2,212,250 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $918,432 | TotalAmt |
| Program Services | $798,446 | ProgramServicesAmt |
| Management And General | $119,986 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,004 | TotalAmt |
| Program Services | $1,146,687 | ProgramServicesAmt |
| Management And General | $172,317 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,150 | TotalAmt |
| Program Services | $946,861 | ProgramServicesAmt |
| Management And General | $142,289 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,511,683 | TotalAmt |
| Program Services | $4,175,495 | ProgramServicesAmt |
| Management And General | $336,188 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,083,594 | TotalAmt |
| Program Services | $655,014 | ProgramServicesAmt |
| Management And General | $428,580 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,489 | TotalAmt |
| Program Services | $833,340 | ProgramServicesAmt |
| Management And General | $1,149 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,114 | TotalAmt |
| Program Services | $15,295 | ProgramServicesAmt |
| Management And General | $6,819 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,522 | TotalAmt |
| Program Services | $200,522 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,996 | TotalAmt |
| Program Services | $574,996 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $918,215 | $918,215 | |
| MEDICAL SUPPLIES | $678,481 | $678,481 | |
| MISCELLANEOUS | $25,871 | $24,003 | $1,868 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,639,744 | TotalAmt |
| Program Services | $29,626,552 | ProgramServicesAmt |
| Management And General | $4,013,192 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $563,944 | BOYAmt |
| EOY | $880,419 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $837,230 | BOYAmt |
| EOY | $1,026,429 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,417 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,889 | BOYAmt |
| EOY | $27,790 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,531 | BOYAmt |
| EOY | $37,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,394,541 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,314,335 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,183,925 | BOYAmt |
| EOY | $1,080,206 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,519 | BOYAmt |
| EOY | $3,062,716 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,784,108 | BOYAmt |
| EOY | $2,313,444 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,282,816 | BOYAmt |
| EOY | $41,752,292 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,066,924 | BOYAmt |
| EOY | $44,065,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$29,433,405 | BOYAmt |
| EOY | -$41,003,020 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$29,433,405 | BOYAmt |
| EOY | -$41,003,020 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,519 | BOYAmt |
| EOY | $3,062,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$11,569,618 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $3 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,418,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,218,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,177,580 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,293,433 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,446,055 | CurrentTaxYearAmt |
| Total | $85,553,821 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,418,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,218,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,177,580 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,293,433 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,446,055 | CurrentTaxYearAmt |
| Total | $85,553,821 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $85,553,821 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $8,500 | CurrentTaxYearMinus2YearsAmt |
| Total | $8,500 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $8,500 | CurrentTaxYearMinus2YearsAmt |
| Total | $8,500 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $68,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$23,034 | CurrentTaxYearAmt |
| Total | $45,300 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,365 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,677 | CurrentTaxYearMinus3YearsAmt |
| Total | $3,042 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,419,395 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,220,400 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,186,080 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,361,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,423,021 | CurrentTaxYearAmt |
| Total | $85,610,663 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $247,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,493 | DepreciationAmt |
| Book Value | $115,105 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,146,943 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,181,842 | DepreciationAmt |
| Book Value | $965,101 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,080,206 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $41,752,292 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,752,292 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2013. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2010, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 MANNIX | ||||||||||||||
| VICE CHAIR | $0 | $512,509 | $0 | $130,200 | $0 | $17,000 | $0 | $77,754 | $0 | $8,476 | $0 | $745,939 | $0 | $147,200 |
| MICHAEL BARRETT MD | ||||||||||||||
| SECRETARY | $267,893 | $0 | $225 | $0 | $0 | $0 | $5,842 | $0 | $7,360 | $0 | $281,320 | $0 | $225 | $0 |
| VANESSA LEE MD | ||||||||||||||
| BOARD MEMBER, PHYSICIAN | $505,307 | $0 | $0 | $0 | $0 | $0 | $6,375 | $0 | $1,415 | $0 | $513,097 | $0 | $0 | $0 |
| DAVID W CAULKINS MD | ||||||||||||||
| BOARD MEMBER | $249,594 | $0 | $225 | $0 | $0 | $0 | $3,702 | $0 | $4,451 | $0 | $257,972 | $0 | $225 | $0 |
| L COURTENAY BEEBE MD | ||||||||||||||
| EXECUTIVE DIRECTOR | $67,953 | $0 | $48,162 | $0 | $281,847 | $0 | $2,311 | $0 | $3,087 | $0 | $403,360 | $0 | $50,637 | $0 |
| ANN RUBINO | ||||||||||||||
| VP OF OPERATIONS | $20,857 | $0 | $0 | $0 | $166,234 | $0 | $535 | $0 | $761 | $0 | $188,387 | $0 | $5,737 | $0 |
| RAJEEV GOPINATHAIPILLAI MD | ||||||||||||||
| PHYSICIAN | $626,526 | $0 | $225 | $0 | $0 | $0 | $6,375 | $0 | $1,415 | $0 | $634,541 | $0 | $225 | $0 |
| MATTHEW POLLARD MD | ||||||||||||||
| PHYSICIAN | $465,181 | $0 | $225 | $0 | $0 | $0 | $6,375 | $0 | $5,862 | $0 | $477,643 | $0 | $225 | $0 |
| KRISTEN L SAVOLA MD | ||||||||||||||
| PHYSICIAN | $540,117 | $0 | $225 | $0 | $57,792 | $0 | $6,375 | $0 | $1,154 | $0 | $605,663 | $0 | $225 | $0 |
| MASOOD AHMED MD | ||||||||||||||
| PHYSICIAN | $512,534 | $0 | $225 | $0 | $39,500 | $0 | $6,285 | $0 | $5,976 | $0 | $564,520 | $0 | $225 | $0 |
| RODNEY C GRABER MD | ||||||||||||||
| PHYSICIAN | $401,448 | $0 | $225 | $0 | $0 | $0 | $6,262 | $0 | $6,476 | $0 | $414,411 | $0 | $225 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM A RELATED ORGANIZATION AS FOLLOWS. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): MARY MANNIX: $ 53,879 |
| 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 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 REVIEWED 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, GOALS CENTERED AROUND QUALITY, SERVICE, PEOPLE, COMMUNITY, AND GROWTH WERE EQUALLY CONSIDERED WHEN AWARDING INCENTIVE COMPENSATION. THESE AMOUNTS WERE PAID TO THE INDIVIDUALS FOR THE CURRENT REPORTING YEAR AND ACCRUED IN THE PREVIOUS YEAR. THE AMOUNTS ARE AS FOLLOWS: MARY MANNIX: $ 130,200 JOHN HEIDER: 55,524 COURTENAY BEEBE: 48,162 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATTI KANNEY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY RELATIONSHIP WITH BOARD MEMBER WILLIAM PFOST | RelationshipDescriptionTxt |
| Transaction | $57,589 | TransactionAmt |
| Transaction | COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE OF THE BOARD SHALL CONSIST OF THREE DIRECTORS, WHICH SHALL INCLUDE THE CHAIR OF THE BOARD, THE CEO OF AHC, AND ONE OTHER MEMBER OF THE BOARD, WHO MUST ALSO BE A MEMBER OF THE AHC BOARD AND BE APPROVED BY THE AHC BOARD (THE "AHC BOARD MEMBER"). THE CHAIR OF THE BOARD SHALL ACT AS THE CHAIR OF THE EXECUTIVE COMMITTEE. IN THE EVENT OF A CONFLICT OR UNAVAILABILITY OF THE AHC BOARD MEMBER FOR A PARTICULAR EXECUTIVE COMMITTEE MEETING, THE CHAIR OF THE BOARD MAY APPOINT ANOTHER MEMBER OF THE BOARD TO THE EXECUTIVE COMMITTEE FOR SUCH MEETING, PROVIDED THAT SUCH INDIVIDUAL MUST BE WITHOUT PERSONAL OR FINANCIAL INTEREST IN THE PARTICULAR ISSUES TO BE DISCUSSED IN SUCH EXECUTIVE COMMITTEE MEETING, WHICH WOULD AMOUNT TO A CONFLICT OF INTEREST. THE EXECUTIVE COMMITTEE MAY EXERCISE THE AUTHORITY OF THE BOARD AND SHALL HAVE POWER TO TRANSACT ALL BUSINESS OF THE BOARD AND THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THESE BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE TITLE OF EXECUTIVE DIRECTOR WAS CHANGED TO PRESIDENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | AUGUSTA HEALTH CARE, INC. (AHC) IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATION'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE AHC BOARD OF DIRECTORS TO TERMS OF ONE YEAR EACH MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF AHC HAS THE EXCLUSIVE POWER TO APPROVE: (1) OPERATING, RESEARCH AND EDUCATION, BUDGET, AND CAPITAL EXPENDITURES, (2) COMPENSATION OF PHYSICIANS, (3) INCURRENCE OF DEBT, INCLUDING LEASES OR LINES OF CREDIT, (4) THE SALE, LEASE, EXCHANGE, MORTGAGE, ENCUMBRANCE, OR OTHER DISPOSITION OF ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, (5) ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS, (6) REMOVAL OF THE MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE, (7) ELECTION OF THE EXECUTIVE DIRECTOR, (8) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION AND/OR BYLAWS, (9) MERGERS, DISSOLUTIONS, AND MAJOR CORPORATE TRASACTIONS DEFINED IN THE BYLAWS, (10) THE ESTABLISHMENT OF POLICIES IN CONNECTION WITH MAJOR POLICY ISSUES WHICH THE CORPORATION MUST ADOPT AND FOLLOW, AND (11) SUPPORTING ANY ORGANIZATION DEEMED BY THE PRESIDENT OF AHC TO BE A COMPETITOR OF AHC OR ANY OF ITS OPERATING DIVISIONS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT OF AUGUSTA HEALTH CARE INC. THE CFO AND ACCOUNTING DIRECTOR OF AUGUSTA HEALTH REVIEWED THE 990 DRAFT. REQUESTED CHANGES AND CORRECTIONS WERE ADDRESSED BY THE TAX PREPARER. THE FINAL DRAFT OF THE RETURN WAS POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE WITH ACCESS RESTRICTED TO THE BOARD. ALL QUESTIONS AS A RESULT OF THIS POSTING WERE RESOLVED AND ANSWERED TIMELY. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE GOVERNANCE COMMITTEE OF AUGUSTA HEALTH CARE, INC. IS CHARGED WITH REVIEWING THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. THE REVIEW IS CONDUCTED IN APRIL AFTER THE ANNUAL BOARD MEETING AND IS ADDITIONALLY REVIEWED AS CHANGES OCCUR IN CIRCUMSTANCES AND IS CONSIDERED IN MANAGEMENT'S GOVERNANCE DECISION MAKING. CONFLICTS OF INTEREST ARE REVIEWED AS A MATTER OF BUSINESS AT EVERY 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 15A | AUGUSTA MEDICAL GROUP WORKS WITH HUMAN RESOURCES PERSONNEL OF AUGUSTA HEALTH CARE, INC. TO ESTABLISH COMPENSATION FOR KEY EMPLOYEES. IN TURN, AUGUSTA HEALTH CARE, INC. UTILIZES THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES, 901 MARQUETTE AVE S., SUITE 2100, MINNEAPOLIS, MN 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: COMPETITIVENESS, STRATEGIC ALIGNMENT, REGULATORY COMPLIANCE AND PUBLIC TRUST. THE BENCHMARKS USED ARE 50TH AND 60TH PERCENTILE OF SIMILAR POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS. FINDINGS OF THE CONSULTANT ARE REVIEWED BY THE BOARD OF DIRECTORS OF AUGUSTA HEALTH, INC., THE SOLE MEMBER. |
| 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: DIRECTOR OF ACCOUNTING P.O. BOX 1000 FISHERSVILLE, VA 22939-1000 |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 366,176. MANAGEMENT AND GENERAL EXPENSES 76,656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 442,832. PHYSICIAN FEES : PROGRAM SERVICE EXPENSES 3,786,890. MANAGEMENT AND GENERAL EXPENSES 95,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,881,890. OTHER FEES : PROGRAM SERVICE EXPENSES 22,429. MANAGEMENT AND GENERAL EXPENSES 164,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,961. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART III, LINE 4A | AUGUSTA MEDICAL GROUP ("AMG") IS ORGANIZED AND OPERATED IN MANNER THAT SUPPORTS AUGSUTA HEALTH CARE'S ("AHC") CHARITABLE PURPOSES THROUGH THE OWNERSHIP AND OPERATION OF A COMMUNITY PHYSICIAN DEVELOPMENT SERVICE. THIS SERVICE PROVIDES A MEANS TO ENABLE AHC TO: (I) RECRUIT AND EMPLOY A STABLE BASE OF PHYSICIANS TO SUPPORT THE LEVEL OF MEDICAL CARE PROVIDED THROUGH AHC; (II) RECRUIT AND EMPLOY PHYSICIANS IN A BROAD ARRAY OF SPECIALTIES TO ENHANCE THE OVERALL LEVEL OF SPECIALIZED CARE AVAILABLE WITHIN THE GREATER AUGUSTA COUNTY, VIRGINIA COMMUNITY; (III) CREATE A VEHICLE FOR FUTURE COLLABORATION BETWEEN THE HOSPITAL AND ITS MEDICAL STAFF; AND (IV) STABILIZE THE PROVISION OF PRIMARY CARE THROUGH EXISTING PHYSICIAN PRACTICES IN THE GREATER AUGUSTA COUNTY, VIRGINIA AREA. DEVELOPING THIS PHYSICIAN BASE THROUGH PHYSICIAN RECRUITMENT EFFORTS, PHYSICIAN AFFILIATIONS AND/OR EMPLOYMENT AGREEMENTS, AMG HELPS AHC PROVIDE THE COMMUNITY AN ADEQUATE NUMBER OF QUALIFIED PHYSICIANS PRACTICING IN HOSPITAL-BASED SPECIALTIES. AMG ALSO OWNS AND OPERATES PHYSICIAN PRACTICES AND PROVIDES OTHER HEALTHCARE RELATED OUTPATIENT SERVICES IN THE COMMUNITY SERVED BY AUGUSTA HEALTH. AS WITH AHC, AMG ENSURES THAT PATIENTS ARE TREATED FOR MEDICALLY NECESSARY CONDITIONS REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, IN A MANNER CONSISTENT WITH AHC'S CHARITY CARE PROGRAM. IN RECOGNIZING THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AMG DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. |
| FORM 990, PART VI, LINE 1: | THE ORGANIZATION DOES NOT HAVE A MAJORITY INDEPENDENT BOARD PER THE IRS'S DEFINITION OF AN INDEPENDENT BOARD MEMBER DUE TO COMPENSATION FROM RELATED ORGANIZATIONS; HOWEVER, AUGUSTA MEDICAL GROUP WAS FORMED TO SUPPLEMENT THE SERVICES OF ITS SOLE MEMBER, AUGUSTA HEALTH CARE, INC., AND THROUGH A SIGNIFICANT DEGREE OF MANAGEMENT, GOVERNANCE RESERVED POWERS, AND APPOINTMENT RIGHTS, THE SOLE MEMBER HAS EFFECTIVE OVERSIGHT OVER THE ORGANIZATION. THE BOARD OF AUGUSTA HEALTH CARE, INC. HAS AN INDEPENDENT MAJORITY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AUGUSTA HEALTH CARE INC | |||||||||||
| PO BOX 1000 | FISHERSVILLE | VA | 22939 | 541453954 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | N/A | 0 | |
| AHC COMMUNITY HEALTH FOUNDATION | |||||||||||
| PO BOX 1000 | FISHERSVILLE | VA | 22939 | 542042365 | SUPPORTING ORGANIZATION | VA | 501(C)(3) | LINE 11A, I | 0 | AUGUSTA HEALTH CARE INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |