AUGUSTA MEDICAL GROUP: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AUGUSTA MEDICAL GROUP (EIN 26-2559916)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201313179349300516
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T07:38:55-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262559916 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUGUSTA MEDICAL GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AUGU | NameControl |
| Phone | 5409324685 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GEORGE JIRAK MD | Name |
| Title | PRESIDENT | Title |
| Phone | 5409324685 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GEORGE JIRAK MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 20031149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AUGUSTAHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY PHYSICIAN PRACTICES OFFERING SERVICES IN SUPPORT OF AUGUSTA HEALTH CARE, INC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 237 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 737716 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 101461 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17177580 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20031149 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | -14996 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8500 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17186080 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20016153 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19211384 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21182914 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6853215 | OtherExpensePriorYear |
| Other Expenses Current Year | 8352739 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 26064599 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29535653 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8878519 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -9519500 | RevenuesLessExpensesCY |
| Total Assets BOY | 1953265 | TotalAssetsBOY |
| Total Assets EOY | 2633519 | TotalAssetsEOY |
| Total Liabilities BOY | 21867170 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 32066924 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -19913905 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -29433405 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO EXCELLENT HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 26364363 | Expense |
| Grants | 0 | Grants |
| Revenue | 19293433 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 26364363 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 237 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH HASH-RODGERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5409324685 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 MEDICAL CENTER CIRCLE | AddressLine1 |
| City | FISHERSVILLE | City |
| State | VA | State |
| ZIP Code | 229391000 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| CHARLES D ANDERSON MD | |||||||||
| CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| MARY MANNIX | |||||||||
| VICE CHAIR | 1.00 | 41.00 | X | X | 0 | 614206 | 63395 | ||
| JOHN HEIDER | |||||||||
| TREASURER | 1.00 | 40.00 | X | X | 0 | 368305 | 13320 | ||
| MICHAEL BARRETT MD | |||||||||
| SECRETARY | 1.00 | X | X | 270348 | 0 | 12123 | |||
| VANESSA LEE MD | |||||||||
| BOARD MEMBER, PHYSICIAN | 1.00 | X | 437690 | 0 | 7342 | ||||
| ROBERT KNOWLES | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM L PFOST | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | X | 0 | 0 | 0 | |||
| RICH EVANS MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT KENNEDY MD | |||||||||
| BOARD MEMBER | 1.00 | X | 167739 | 0 | 3456 | ||||
| L COURTENAY BEEBE MD | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | 343266 | 0 | 9376 | X | ||||
| ANN RUBINO | |||||||||
| VP OF OPERATIONS | 40.00 | 200548 | 0 | 9123 | X | ||||
| MATTHEW POLLARD MD | |||||||||
| PHYSICIAN | 40.00 | 450540 | 0 | 15836 | X | ||||
| HARIS TURALIC MD | |||||||||
| PHYSICIAN | 40.00 | 449122 | 0 | 11488 | X | ||||
| MASOOD AHMED MD | |||||||||
| PHYSICIAN | 40.00 | 516618 | 0 | 11942 | X | ||||
| RAJEEV GOPINATHAIPILLAI MD | |||||||||
| PHYSICIAN | 40.00 | 677196 | 0 | 7342 | X | ||||
| PAUL GUARINO MD | |||||||||
| PHYSICIAN | 40.00 | 442273 | 0 | 14420 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3955340 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 982511 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 179163 | TotalOtherCompensation |
| Number Individuals GT100 K | 55 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN COVERAGE | 522278 |
| AUGUSTA EMERGENCY PHYSICIANS LTD | |||||
| PO BOX 445 | STAUNTON | VA | 24402 | PHYSICIAN & NURSE PRACTITIONER COVERAGE | 371674 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | PHYSICIAN COVERAGE | 204833 |
| PROSCRIPTS DOCUMENTATION SERVICE | |||||
| 7485 SHIPEY AVE | HARMANS | MD | 21077 | CLAIMS TRANSCRIBING SERVICE | 181159 |
| ALL STAR RECRUITING | |||||
| 4400 WEST SAMPLE RD STE 250 | COCONUT CREEK | FL | 33073 | PHYSICIAN COVERAGE | 117529 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | 16721261 | 16721261 | |
| PHYSICIAN FEES: SUBSIDY FROM AFFI | 900099 | 2355250 | 2355250 | |
| SPA REVENUE | 621400 | 737716 | 737716 | |
| MISCELLANEOUS PATIENT REVENUE | 900099 | 216922 | 216922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20031149 | TotalProgramServiceRevenue |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14996 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -14996 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -14996 | TotalRevenueColumn |
| Exclusion | -$14,996 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20016153 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19293433 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 737716 | UnrelatedBusinessRevenue |
| Exclusion | -$14,996 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1289816 | Total |
| Program Services | 727503 | ProgramServices |
| Management And General | 562313 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16541884 | Total |
| Program Services | 14837415 | ProgramServices |
| Management And General | 1704469 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1173677 | Total |
| Program Services | 1024478 | ProgramServices |
| Management And General | 149199 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1189289 | Total |
| Program Services | 1038105 | ProgramServices |
| Management And General | 151184 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 988248 | Total |
| Program Services | 862621 | ProgramServices |
| Management And General | 125627 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4460796 | Total |
| Program Services | 4228184 | ProgramServices |
| Management And General | 232612 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 635261 | Total |
| Program Services | 499177 | ProgramServices |
| Management And General | 136084 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140 | Total |
| Management And General | 1140 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 878042 | Total |
| Program Services | 776808 | ProgramServices |
| Management And General | 101234 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21380 | Total |
| Program Services | 14772 | ProgramServices |
| Management And General | 6608 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245738 | Total |
| Program Services | 245738 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 508133 | Total |
| Program Services | 508133 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 967821 | 967821 | |
| MEDICAL SUPPLIES | 573408 | 573408 | |
| MISCELLANEOUS EXPENSES | 61020 | 60200 | 820 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29535653 | Total |
| Program Services | 26364363 | ProgramServices |
| Management And General | 3171290 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152799 | BOY |
| EOY | 563944 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889739 | BOY |
| EOY | 837230 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 17889 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31079 | BOY |
| EOY | 30531 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2339911 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1155986 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 879648 | BOY |
| EOY | 1183925 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1953265 | BOY |
| EOY | 2633519 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1777982 | BOY |
| EOY | 1784108 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20089188 | BOY |
| EOY | 30282816 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21867170 | BOY |
| EOY | 32066924 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19913905 | BOY |
| EOY | -29433405 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19913905 | BOY |
| EOY | -29433405 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1953265 | BOY |
| EOY | 2633519 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -9519500 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 12418030 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15218723 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17177580 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19293433 | CurrentTaxYear |
| Total | 64107766 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 12418030 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15218723 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17177580 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19293433 | CurrentTaxYear |
| Total | 64107766 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 64107766 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Total | 8500 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Total | 8500 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 68334 | CurrentTaxYear |
| Total | 68334 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1365 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1677 | CurrentTaxYearMinus2Years |
| Total | 3042 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 12419395 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15220400 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17186080 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19361767 | CurrentTaxYear |
| Total | 64187642 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 292402 | OtherCostOrOtherBasis |
| Depreciation | 105121 | Depreciation |
| Book Value | 187281 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2047509 | OtherCostOrOtherBasis |
| Depreciation | 1050865 | Depreciation |
| Book Value | 996644 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1183925 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $30,282,816 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30282816 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| 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, 2012. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2009, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY MANNIX | ||||||||||||||
| VICE CHAIR | 0 | 495385 | 0 | 102321 | 0 | 16500 | 0 | 53600 | 0 | 9795 | 0 | 677601 | 0 | 16500 |
| JOHN HEIDER | ||||||||||||||
| TREASURER | 0 | 285525 | 0 | 51838 | 0 | 30942 | 0 | 5784 | 0 | 7536 | 0 | 381625 | 0 | 16784 |
| MICHAEL BARRETT MD | ||||||||||||||
| SECRETARY | 244629 | 0 | 501 | 0 | 25218 | 0 | 5601 | 0 | 6522 | 0 | 282471 | 0 | 0 | 0 |
| VANESSA LEE MD | ||||||||||||||
| BOARD MEMBER, PHYSICIAN | 434098 | 0 | 3592 | 0 | 0 | 0 | 6250 | 0 | 1092 | 0 | 445032 | 0 | 0 | 0 |
| ROBERT KENNEDY MD | ||||||||||||||
| BOARD MEMBER | 160406 | 0 | 7333 | 0 | 0 | 0 | 3456 | 0 | 0 | 0 | 171195 | 0 | 0 | 0 |
| L COURTENAY BEEBE MD | ||||||||||||||
| EXECUTIVE DIRECTOR | 280321 | 0 | 46170 | 0 | 16775 | 0 | 5722 | 0 | 3654 | 0 | 352642 | 0 | 16775 | 0 |
| ANN RUBINO | ||||||||||||||
| VP OF OPERATIONS | 167674 | 0 | 22109 | 0 | 10765 | 0 | 4060 | 0 | 5063 | 0 | 209671 | 0 | 10765 | 0 |
| MATTHEW POLLARD MD | ||||||||||||||
| PHYSICIAN | 443926 | 0 | 6614 | 0 | 0 | 0 | 6250 | 0 | 9586 | 0 | 466376 | 0 | 0 | 0 |
| HARIS TURALIC MD | ||||||||||||||
| PHYSICIAN | 400278 | 0 | 48844 | 0 | 0 | 0 | 6250 | 0 | 5238 | 0 | 460610 | 0 | 0 | 0 |
| MASOOD AHMED MD | ||||||||||||||
| PHYSICIAN | 500840 | 0 | 15778 | 0 | 0 | 0 | 6146 | 0 | 5796 | 0 | 528560 | 0 | 0 | 0 |
| RAJEEV GOPINATHAIPILLAI MD | ||||||||||||||
| PHYSICIAN | 629774 | 0 | 15778 | 0 | 31644 | 0 | 6250 | 0 | 1092 | 0 | 684538 | 0 | 0 | 0 |
| PAUL GUARINO MD | ||||||||||||||
| PHYSICIAN | 427309 | 0 | 0 | 0 | 14964 | 0 | 6250 | 0 | 8170 | 0 | 456693 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | SPOUSES OF BOARD MEMBERS AND KEY EMPLOYEES ARE INVITED TO THE ANNUAL RETREAT AND ARE NOT EXPECTED TO REIMBURSE THE ORGANIZATION FOR LODGING OR MEALS. THE EXPENSES ARE COVERED BY AUGUSTA HEALTH, A RELATED ORGANIZATION. | |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FROM A RELATED ORGANIZATION FOR 2012, AS FOLLOWS. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): MARY MANNIX: $ 47,350 | |
| PART I, LINE 6 | IN 2012, 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 ACCRUED TO THE INDIVIDUALS FOR THE 2012 REPORTING YEAR, BUT WERE NOT PAID OUT UNTIL 2013. IN 2013, THE AMOUNTS WILL APPEAR AS TAXABLE INCOME TO THE RECIPIENTS. BONUS AMOUNTS THAT WERE EARNED IN 2011 AND PAID OUT IN 2012 ARE SHOWN IN COLUMN (B)(II). THE AMOUNTS ACCRUED IN 2012 FOR EACH EXECUTIVE ARE AS FOLLOWS: COURTENAY BEEBE: $ 48,162 THE FOLLOWING INDIVIDUALS WERE ALLOCATED INCENTIVE COMPENSATION FOR 2012 TO BE PAID OUT IN 2013 FROM A RELATED ORGANIZATION: MARY MANNIX: $ 130,200 JOHN HEIDER: 55,524 | |
| PART III | EXPLANATION OF LINE 3: THE ORGANIZATION RELIED ON THE OVERSIGHT OF A RELATED ORGANIZATION IN DETERMINATION OF COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS. THE FOLLOWING METHODS WERE USED IN ESTABLISHING COMPENSATION PACKAGES: - COMPENSATION COMMITTEE, - INDEPENDENT COMPENSATION CONSULTANTS, - COMPENSATION STUDIES AND SURVEYS, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PATTI KANNEY | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY RELATIONSHIP WITH BOARD MEMBER WILLIAM PFOST | Relationship |
| Amount Of Transaction | 39322 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 | THERE WAS A CHANGE TO THE NUMBER OF BOARD MEMBERS TO THE QUALITY IMPROVEMENT AND PEER REVIEW COMMITTEE. THE COMMITTEE WILL NO LONGER HAVE TO CONSIST OF AT LEAST THREE DIRECTORS. | |
| 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) CAPITAL, 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 15 | 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 | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,794. MANAGEMENT AND GENERAL EXPENSES 72,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,452. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 434,496. MANAGEMENT AND GENERAL EXPENSES 121,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 556,359. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,778,894. MANAGEMENT AND GENERAL EXPENSES 38,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,816,985. | OTHER FEES |
| 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. | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: |
| 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. | INDEPENDENT VOTING BOARD MEMBERS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |