2024-11-13T15:49:44+00:00 2023-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-01-01 541453954 AUGUSTA HEALTH CARE INC AUGU 5409324685 PO BOX 1000 Fishersville VA 22939 MARY MANNIX CEO 5409324685 2024-11-13 true true Amy Bibby P00445891 8282542254 2024-11-13 2023 2024-10-15 13:58:12Z Augusta Health MARY N MANNIX FACHE PO BOX 1000 Fishersville VA 22939 495629839 false X WWW.AUGUSTAHEALTH.COM X 1988 VA PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITY THROUGH ACCESS TO EXCELLENT CARE. 16 14 2591 150 8960743 0 650298 707961 429553092 469438734 12467355 15945754 6001876 5904325 448672621 491996774 774166 635928 0 193123561 199065434 0 0 203376864 233548676 397274591 433250038 51398030 58746736 1000629746 1117249169 60187053 59301913 940442693 1057947256 THE MISSION OF AUGUSTA HEALTH IS TO STRENGTHEN THE HEALTH AND WELL-BEING OF ALL PEOPLE IN OUR COMMUNITIES. false false 378762052 635928 460477991 AUGUSTA HEALTH CARE, INC. IS A 501(C)(3) ORGANIZATION DOING BUSINESS AS AUGUSTA HEALTH. THE ORGANIZATION INCLUDES A MEDICAL CENTER WITH 255 LICENSED INPATIENT BEDS; AN EMERGENCY DEPARTMENT Providing APPROXIMATELY 62,000 Visits PER YEAR; Five URGENT CARE CENTERS TREATING APPROXIMATELY 60,000 PATIENTS; An Outpatient pavilion that features state-of-the-art technology for three outpatient centers: the Imaging Center, Surgical Center, and Breast Center; A STATE OF THE ART CANCER CENTER PROVIDING TAILOR-MADE COMPREHENSIVE CARE INCLUDING MEDICAL ONCOLOGY AND RADIATION ONCOLOGY; A HOME HEALTH AND HOSPICE PROGRAM SERVING PATIENTS WHO WISH TO REMAIN AT HOME DURING THEIR TREATMENT OR FINAL DAYS; A WOUND HEALING CLINIC PROVIDING A COMPREHENSIVE TREATMENT REGIMEN FOR CHRONIC NON-HEALING WOUNDS; AND A SKILLED NURSING UNIT. THE CAMPUS OF AUGUSTA HEALTH IS DESIGNED TO PROVIDE NOT ONLY HOSPITAL SERVICES BUT COMMUNITY ORIENTED SERVICES. THE CAMPUS INCLUDES THE HOSPITAL PROPER; A MAJOR FITNESS CENTER; AN EDUCATIONAL BUILDING THAT HOUSES AUGUSTA HEALTH EDUCATIONAL SERVICES; A COMMUNITY BUILDING WITH LARGE CONFERENCE ROOMS AVAILABLE TO OTHER COMMUNITY ORGANIZATIONS; AND A BEHAVIORAL HEALTH BUILDING FOR THE PROVISION OF OUTPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES. THIS WIDE RANGE OF FACILITIES HELPS TO SUPPORT AUGUSTA HEALTH'S VISION OF PROVIDING THE COMMUNITY WITH A FULL CONTINUUM OF HEALTH AND COMMUNITY SERVICES. AUGUSTA HEALTH IS SUPPORTED BY AUGUSTA MEDICAL GROUP, A 270 EMPLOYED PROVIDER NETWORK TREATING APPROXIMATELY 600,000 PEOPLE PER YEAR. THE MEDICAL GROUP WAS ESTABLISHED TO SUPPORT THE CHARITABLE PURPOSES OF AUGUSTA HEALTH CARE INC. THIS GROUP ENABLES THE GREATER AUGUSTA COUNTY, VIRGINIA TO BENEFIT FROM A STABLE BASE OF PHYSICIANS IN A BROAD ARRAY OF SPECIALTIES. THE HOSPITAL SERVES AS THE SOLE CORPORATE MEMBER OF AUGUSTA CARE PARTNERS, LLC (THE "LLC"). The LLC was organized to provide a network of individual practices of accountable care organization professionals, with 369 providers and flow of $88.6 million in Medicare claims covering 7,914 beneficiaries in 2023. IN 2023, AUGUSTA HEALTH RECEIVED THE FOLLOWING SPECIALTY QUALITY AWARDS: LEAPFROG HOSPITAL SAFETY GRADE A; AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS STROKE RECOGNITION; QUALITY-IN-SIGHTS HOSPITAL INCENTIVE PROGRAM (Q-HIP); HEALTH GRADES AMERICA'S 100 BEST JOINT REPLACEMENT HOSPITALS; HEALTH GRADES PATIENT SAFETY EXCELLENCE AWARD; RECIPIENT OF SEVEN 5-STAR PRC EXCELLENCE AWARDS AUGUSTA HEALTH'S NET COMMUNITY BENEFIT FOR 2023 IS ESTIMATED TO BE $20,786,477. THIS BENEFIT CAN BE CATEGORIZED AS FOLLOWS: $2,035,321 CHARITY $14,734,487 MEDICAID $1,292,336 COMMUNITY HEALTH SERVICES $840,543 HEALTH PROFESSIONAL EDUCATION $1,096,605 SUBSIDIZED HEALTH SERVICES $787,185 CASH & IN-KIND CONTRIBUTIONS 378762052 true true false true false false false false false true false true false true true false true false true true false false false false false true true true false true false false false true false false false false false false false false true true true true false false true X 489 0 true 2591 true true true true CJ false false false false false false false false true false X 16 14 false false false false false false false true true false false true true true true true true true true false VA X X X Sarah Hash-Rodgers 5409324685 78 Medical Center Circle Fishersville VA 22939 Burnie Powers Secretary/Treasurer 1.0 1.0 X X 0 0 0 Laurel L Landes Board Chair 1.0 1.0 X X 0 0 0 Mary N Mannix President & CEO 39.0 1.0 X X 1119383 0 184932 Victor M Santos Vice-Chairman 1.0 X X 0 0 0 A Whit Morriss MD Board member 40.0 1.0 X 0 0 0 Christopher Heck MD Board member 1.0 X 0 237830 2931 David Fosnocht MD Board member 1.0 X 0 0 0 Debra S Callison Board member 1.0 X 0 0 0 Homer Hite Board member 1.0 1.0 X 0 0 0 Jack Otteni MD Board member 1.0 X 0 0 0 John P Bowers BOARD MEMBER 1.0 X 0 0 0 Keri B Rankin BOARD MEMBER 1.0 X 0 0 0 Rev John C Peterson Board member 1.0 X 0 0 0 Richard Evans MD Board member 1.0 1.0 X 0 0 0 Robin G Crowder Board member 1.0 X 0 0 0 Ronald W Denny Board member 1.0 X 0 0 0 Joe Meador VP & CFO 40.0 X 294534 0 38201 John Katsianis VP and CFO (thru 5/22/23) 40.0 X 620104 0 48528 Clint Merritt Senior VP 40.0 X 396761 0 51432 Crystal Farmer VP and CNO 40.0 X 456037 0 51303 Jean Veilleux VP of Legal Affairs and Ge 40.0 X 460108 0 61193 John Boswell VP of Human Resources 40.0 X 420931 0 50786 Mahfuz Hoq MD Chief Medical Officer 40.0 X 640899 0 11856 Mark LaRosa VP of Business Development 40.0 X 392924 0 45582 Mike Canfield VP and CIO 40.0 X 400744 0 53806 Scott Crabtree ASSISTANT VP 40.0 X 388534 0 38220 Scott Jones VP of Compliance & Privacy 40.0 X 305610 0 36979 Scott Just MD President, AMG 40.0 X 268900 0 6593 Shirley Carter VP of philanthropy 40.0 X 312304 0 48054 Andrea W Haley Administrative Director 40.0 X 239662 0 7182 Andrew A West MD CMIO 40.0 X 413462 0 16103 Brian Croghan Administrative Director 40.0 X 247547 0 14789 Sarah E Hash-Rodgers Administrative Director 40.0 X 253168 0 10519 Vickie L Taylor Assistant Chief Nursing Of 40.0 X 277891 0 13161 7909503 237830 792150 257 false true false Qualivis LLC PO Box 123847 Dallas TX 75312 Traveling Nurses 18841537 Branch Builds Inc 3800 Concorde Pkwy 100 Chantilly VA 20151 Construction 6376334 Sodexo Inc & Affiliates PO Box 536922 Atlanta GA 30353 Nutrition Services Manager 4016566 Achieve LLC 10109 Chokecherry Ct Manassas VA 23060 Consulting 2836071 Barton Malow Builders Inc 100 10Tth Street NE 100 Charlottesville VA 22902 Contractor 2188635 67 707961 707961 NET PATIENT SERVICE REVENUE 621400 456898678 455862201 1036477 RETAIL PHARMACY 456110 6765961 6765961 FITNESS CENTER 713940 1624445 824443 800002 DME 621400 98202 98202 OTHER PROGRAM SERVICE REVENUE 900099 4051448 3791347 260101 0 0 0 0 469438734 18735782 18735782 1234350 694782 539568 0 539568 539568 148255 2938283 -2938283 148255 -2790028 -2790028 MISCELLANEOUS 900099 2808918 2808918 CAFETERIA/VENDING 900099 1404299 1404299 AFFILIATED REVENUES/LOSSES 900099 1151540 1151540 0 0 0 0 5364757 491996774 460477991 8960743 21850079 X 635928 635928 6375204 0 6375204 0 156961306 134607763 22353543 5634389 4643374 991015 20150434 16606237 3544197 9944101 8195064 1749037 685806 685806 462327 462327 336525 336525 128687 128687 47806788 37606657 10200131 0 1083691 25750 1057941 44600115 40063934 4536181 4418940 3972932 446008 10028428 10028428 637394 621084 16310 732134 546617 185517 18396883 18396883 1870783 1870783 MEDICAL SUPPLIES 45200904 45200904 COST OF DRUGS SOLD 35864901 35864901 BAD DEBTS 16615359 16615359 COST OF FOOD 2761049 2761049 1917962 498405 1419557 0 433250038 378762052 54487986 0 9446750 25680378 58096321 61501136 41092 44336 0 8408581 8007776 8719477 9377674 528864207 323450637 198861147 205413570 453316462 509865727 9383624 7648433 225890498 258252450 2783631 3884175 25682163 27573514 1000629746 1117249169 48221317 43606930 24639 9183 945778 411456 41336 100000 130000 10895319 15103008 60187053 59301913 X 940093944 1057593219 348749 354037 940442693 1057947256 1000629746 1117249169 X 58746736 59669390 -911563 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 32961 32961 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 $ 32,961. 10956321 10956321 188453184 85723441 102729743 1167018 175394 991624 305082021 226001632 79080389 23205663 11550170 11655493 205413570 INVESTMENT IN AMG 258252450 C 258252450 OTHER LIABILITIES 15103008 15103008 X 533661719 59669390 0 59669390 473992329 18004445 18004445 491996774 416157156 0 0 416157156 17092882 17092882 433250038 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE COMPANY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON INCOME DERIVED FROM ITS EXEMPT PURPOSE AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAX. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2023 and 2022. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE - 16456954 GRANTS EXPENSE NET WITH REVENUE - 635928 EQUITY TRANSFERS BETWEEN AFFILIATES - 911563 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT NET WITH REVENUE - 16456954 GRANTS EXPENSE NET WITH REVENUE - 635928 Central America and the Caribbean 0 0 Investments 7637962 0 0 0 0 0 0 7637962 0 7637962 true false true true false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA true true true X true X true true false true true 2348918 313597 2035321 0.0047 53024458 38289971 14734487 0.0340 0 0.0 0 0 55373376 38603568 16769808 0.0387 1292336 1292336 0.0030 861823 21280 840543 0.0019 9624918 8528313 1096605 0.0025 0 0.0 787185 787185 0.0018 0 0 12566262 8549593 4016669 0.0093 0 0 67939638 47153161 20786477 0.0480 13 17 57643 57643 0.0001 0 0.0 0 0.0 4 361 38187 38187 0.0001 0 0.0 2 0 88245 88245 0.0002 0 0.0 16 4362 30607 30607 0.0001 0 0.0 35 4740 214682 0 214682 0.0005 true 16456953 982098 105181249 108422219 -3240970 X true true 1 1 AUGUSTA HEALTH 78 MEDICAL CENTER DR FISHERSVILLE VA 22939 X X X HOME HEALTH; SNF; PSYCH, DME; HOSPICE AUGUSTA HEALTH 1 false false true X X X X X X X X X X 22 true false false true X https://www.augustahealth.com/community-outreach/community-health-needs-assessment X true 22 true https://www.augustahealth.com/community-outreach/community-health-needs-assessment false true X 200.0 400.0 X X X X X X X true true X X X X true X https://www.augustahealth.com/business-office/financial-assistance X See Part VI X https://www.augustahealth.com/business-office/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - AUGUSTA HEALTH. INFORMATION GAPS THAT LIMIT THE HOSPITAL FACILITY'S ABILITY TO ACCESS THE COMMUNITY'S HEALTH NEEDS. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - AUGUSTA HEALTH. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by Augusta Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 134 community stakeholders took part in the Online Key Informant Survey. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - AUGUSTA HEALTH. Augusta Health, through its mission to promote the health and well-being of our community through access to excellent care, has developed goals, objectives and strategies to address selected top priority health needs in the areas of: 1) Access to Healthcare Services 2) Behavioral Health, 3) Diabetes, and 4) Nutrition and Physical Activity. The action plans will be implemented in collaboration with various community partners over the next three years. During the CHNA process, the data revealed a total of 14 distinct areas of opportunity. Augusta Health's 2023-2025 implementation strategies are designed to address the top four highest priority areas. Augusta Health has selected these four priorities because of its ability to work in partnership with other organizations and agencies to make the greatest impact. Other needs that were identified have the potential to be addressed through collaborative programming that may or may not involve Augusta Health as a facilitator, partner or funder. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - AUGUSTA HEALTH. Individuals eligible for financial assistance under this policy shall not be charged more than the amounts generally billed (AGB) to individuals who have insurance. This value shall be calculated using the "look-back" method based on actual paid claims from Medicare fee-for-service and private health insurers. The current AGB is 30.4% and is updated annually. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - AUGUSTA HEALTH. THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED AND OFFERED BY OUR SELF PAY EXTENDED BUSINESS OFFICE PARTNER DURING THE COLLECTION PROCESS. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - AUGUSTA HEALTH. Augusta Health does not take any ECAs on outstanding debts. We do offer financial assistance many times during the registration and billing process. We also run a presumptive eligibility scrub 120 days into the billing cycle to determine presumptive eligibility. 0 Schedule H, Part I, Line 7 FOR PURPOSES OF PART I, LINE 7(A) THE ORGANIZATION USED THE METHODS PROVIDED IN THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO TO CONVERT CHARITY CARE WRITE-OFFS TO COST. AMOUNTS REPORTED ON LINES 7(B) AND 7(G) WERE DERIVED FROM THE ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM. Schedule H, Part I, Line 7g HOME HEALTH SERVICES PROVIDED BY THE ORGANIZATION CONTRIBUTED $1,096,605 IN NET COMMUNITY BENEFIT. AUGUSTA HEALTH'S HOME HEALTH PROGRAM OFFERS SKILLED NURSING CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND MEDICAL SOCIAL WORKERS. Schedule H, Part I, Line 7 Part I, LN 7 COL(F) TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES BAD DEBT IN THE AMOUNT OF $16,615,359. THIS AMOUNT FOR BAD DEBT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COL (F). Schedule H, Part V, Section B, Line 16b HTTPS://WWW.AUGUSTAHEALTH.COM/SITES/DEFAULT/FILES/DOCUMENTS/BUSINESS-OFFICE/FINANCIAL_ASSISTANCE_APPLICATION_06-22-2020.PDF Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ACCOUNTS ARE WRITTEN OFF TO BAD DEBT WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE COMPANY CEASES COLLECTION EFFORTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote EXCERPT FROM 2023 FINANCIAL AUDIT, PATIENT ACCOUNTS RECEIVABLE: "The Company grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the Company estimates net realizable value based on the estimated contractual reimbursement percentage, which is predicated on current contract provisions and historical paid claims by payors. For self-pay accounts receivable, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and change in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Patient accounts receivable are written off after collection efforts have been exhausted in accordance with the Company's policies." THE BAD DEBT AMOUNT LISTED IN PART III SECTION A, NUMBER 2 WAS CALCULATED USING WORKSHEET A ON PAGE 4 OF THE 2023 SCHEDULE H INSTRUCTIONS. THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON DISCHARGES IN 2023. PATIENTS THAT WERE CLASSIFIED AS "SELF PAY" WERE UN-INSURED AND THEREFORE CONSIDERED WITHOUT RESOURCES. THEIR ACCOUNT STATUS WAS "BD" MEANING THAT THE ACCOUNT WAS CONSIDERED UNCOLLECTABLE AT THE TIME OF THE REPORT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL CONSIDERS THE FULL AMOUNT OF $3,240,970 TO BE RECOGNIZED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ONCE A PATIENT HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL COLLECTION EFFORTS CEASE FOR CURRENT AND PAST DUE BALANCES AND THE NECESSARY ADJUSTMENTS ARE TAKEN TO THE ACCOUNTS RECEIVABLE. SHOULD THE PATIENT ONLY BE ELIGIBLE FOR A PORTION OF FINANCIAL ASSISTANCE (THROUGH OUR SLIDING SCALE), NO-INTEREST, LOW-PAYMENT, AND LONG TERM PAYMENT PLANS ARE AVAILABLE. Schedule H, Part V, Section B, Line 16a FAP website - AUGUSTA HEALTH: Line 16a URL: https://www.augustahealth.com/business-office/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - AUGUSTA HEALTH: Line 16b URL: See Part VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - AUGUSTA HEALTH: Line 16c URL: https://www.augustahealth.com/business-office/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment AUGUSTA HEALTH COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 TO DETERMINE THE PRIORITY HEALTH NEEDS OF STAUNTON, AUGUSTA COUNTY AND WAYNESBORO VIRGINIA. AUGUSTA HEALTH'S CHNA IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA OF AUGUSTA HEALTH AND THE INFORMATION GATHERED IS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THE CHNA SERVES AS TOOL TO REACH THREE BASIC GOALS: TO IMPROVE RESIDENT'S HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS NOT ONLY ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS, BUT ALSO ONE WHERE ITS RESIDENTS ENJOY A HIGH QUALITY OF LIFE. TO REDUCE THE HEALTH DISPARITIES AMOUNT RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT IS POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES ARE BENEFICIAL IMPROVING HEALTH STATUS, AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASE RESULTING FROM A LACK OF PREVENTIVE CARE. THE CHNA INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDES PRIMARY RESEARCH (COMMUNITY HEALTH PHONE SURVEYS AND ONLINE SURVEYS OF COMMUNITY RESIDENTS) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS (VIRGINIA RISK FACTOR DATA AND NATIONWIDE RISK FACTOR DATA, RESPECTIVELY). QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY OF REPRESENTATIVES FROM VARIOUS COMMUNITY SECTORS. THE SURVEY INSTRUMENT USED FOR THE STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AS WELL AS VARIOUS PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES. THE STUDY AREA FOR THE SURVEY EFFORT IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING STAUNTON CITY, WAYNESBORO CITY AND AUGUSTA COUNTY IN VIRGINIA. THIS COMMUNITY DEFINITION WAS DETERMINED BASED ON ZIP CODES OF RESIDENCE OF AUGUSTA HEALTH PATIENTS (APPROXIMATELY 80% OF ADMISSIONS GENERATE FROM THESE AREAS). A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF RESULTS GATHERED IN THE COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY, ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS, WAS EMPLOYED. AN ONLINE COMMUNITY HEALTH SURVEY WAS ALSO AVAILABLE COMMUNITY-WIDE AND THE LINK WAS DISTRIBUTED THROUGH COMMUNITY PARTNERS. THE SAMPLE DESIGN FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 756 INDIVIDUALS AGE 18 AND OLDER IN THE TOTAL AREA (INCLUDING 185 IN STAUNTON CITY, 170 IN WAYNESBORO CITY AND 401 IN AUGUSTA COUNTY). ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE AREA AS A WHOLE. TO SOLICIT INPUT FROM KEY INFORMANTS (INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY), AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. THE LIST INCLUDED BUSINESS LEADERS, COMMUNITY LEADERS, EDUCATORS, GOVERNMENT REPRESENTATIVES, MEDIA HEALTH REPRESENTATIVES, HEALTH PROVIDERS AND PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES AND SOCIAL SERVICES PROVIDERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER CALLS WERE SENT AS NEEDED. IN ALL, 175 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. FOURTEEN AREAS OF SIGNIFICANT HEALTH AREAS OF OPPORTUNITY WERE IDENTIFIED INCLUDING ACCESS TO HEALTHCARE SERVICES, CANCER, DIABETES, HEART DISEASE AND STROKE, HOUSING, INFANT HEALTH AND FAMILY PLANNING, INJURY AND VIOLENCE, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT, ORAL HEALTH, POTENTIALLY DISABLING CONDITIONS, RESPIRATORY DISEASES, SUBSTANCE ABUSE, AND TOBACCO USE. THESE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING COMPARISON TO BENCHMARK DATA, IDENTIFIED TRENDS, THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS, THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED, AND THE POTENTIAL HEALTH IMPACT OF THE GIVEN ISSUE. A GROUP OF COMMUNITY STAKEHOLDERS, REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED ORGANIZATIONS, WAS CONVENED TO EVALUATE, DISCUSS AND PRIORITIZE THE FOURTEEN AREAS OF OPPORTUNITY IDENTIFIED IN THE CHNA. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS, A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS BASED ON TWO CRITERIA: SCOPE AND SEVERITY AND THE ABILITY TO IMPACT. COMPOSITE SCORES WERE USED TO PRIORITIZE THE NEEDS. THE TOP FOUR AREAS OF FOCUS SELECTED BASED ON THIS CRITERIA INCLUDE: 1)ACCESS TO HEALTHCARE SERVICES; 2)MENTAL HEALTH AND SUBSTANCE USE; AND 3)NUTRITION AND PHYSICAL ACTIVITY. AUGUSTA HEALTH, THROUGH ITS MISSION STRENGTHEN THE HEALTH AND WELL-BEING OF ALL PEOPLE IN OUR COMMUNITIES, HAS CREATED INTERNAL, CROSS-DISCIPLINARY WORKGROUPS AROUND EACH OF THE THREE PRIORITY AREAS. EACH WORKGROUP HAS DEVELOPED GOALS, OBJECTIVES AND STRATEGIES TO ADDRESS SELECTED TOP PRIORITY HEALTH NEEDS IN THE AREAS OF: 1) ACCESS TO HEALTHCARE SERVICES, 2) MENTAL HEALTH AND SUBSTANCE USE, AND 4) NUTRITION AND PHYSICAL ACTIVITY. THE ACTION PLANS ARE BEING IMPLEMENTED WITH THE COLLABORATIVE FROM COMMUNITY PARTNERS. AUGUSTA HEALTH'S 2023-2025 IMPLEMENTATION STRATEGIES ARE DESIGNED TO ADDRESS THE TOP THREE HIGHEST PRIORITY AREAS. AUGUSTA HEALTH HAS SELECTED THESE THREE PRIORITIES BECAUSE OF ITS ABILITY TO WORK IN PARTNERSHIP WITH OTHER ORGANIZATIONS AND AGENCIES TO MAKE THE GREATEST IMPACT. OTHER NEEDS THAT WERE IDENTIFIED HAVE BEEN SHARED WITH COMMUNITY PARTNERS SO HAVE THE MOST APPROPRIATE RESOURCES TO ADDRESS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AUGUSTA HEALTH HAS A MEDICAID ELIGIBILITY TEAM ONSITE TO SCREEN ITS PATIENTS FOR MEDICAID ELIGIBILITY, INCLUDING MEDICAID DISABILITY. AS FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM, AUGUSTA HEALTH INFORMS ITS PATIENTS ABOUT IT IN THE FOLLOWING WAYS: 1. DETAILED INFORMATION ABOUT FINANCIAL ASSISTANCE IS SENT ALONG WITH THE STATEMENTS. 2. FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE AVAILABLE ON THE HOSPITAL'S WEBSITE WWW.AUGUSTAHEALTH.COM. 3. COPIES OF THE FINANCIAL ASSISTANCE GUIDELINES AND APPLICATION FORM ARE AVAILABLE AT THE POINTS OF SERVICE (EMERGENCY ROOM, OUTPATIENT AND INPATIENT AREAS, DOCTOR'S OFFICES, ETC). Schedule H, Part VI, Line 4 Community information OUR PRIMARY SERVICE AREA, THE COMBINED AREA OF STAUNTON, WAYNESBORO AND AUGUSTA COUNTY , ENCOMPASSES 1001.96 SQUARE MILES AND HOUSES A TOTAL POPULATION OF 121,651 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. BETWEEN THE 2010 AND 2020 US CENSUSES, THE TOTAL AREA POPULATION INCREASED BY 6,932 PERSONS, OR 5.9%. WHILE AUGUSTA COUNTY IS PREDOMINANTLY RURAL, THE CITIES OF STAUNTON AND WAYNESBORO ARE NEARLY ENTIRELY URBAN. IN THE TOTAL AREA, 19.9% OF THE POPULATION ARE INFANTS, CHILDREN OR ADOLESCENTS AGE 17 AND UNDER, ANOTHER 60.1% ARE AGE 18 TO 64, WHILE 20.1% ARE AGE 65 OR OLDER. THE PERCENTAGE OF OLDER ADULTS IS MUCH HIGHER THAN THE STATE AND US FIGURES. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY, 88.7% OF RESIDENTS OF THE TOTAL ARE WHITE AND 7.5% ARE BLACK. THE CITIES OF STAUNTON AND WAYNESBORO ARE MORE RACIALLY DIVERSE THAN AUGUSTA COUNTY. A TOTAL OF 3.8% OF TOTAL AREA RESIDENTS ARE HISPANIC OR LATINO, WITH THE PROPORTION THE LARGEST IN WAYNESBORO. BETWEEN 2010 AND 2020, THE HISPANIC POPULATION IN THE TOTAL AREA INCREASED BY 2,385 PEOPLE, OR 70.7%. Schedule H, Part VI, Line 5 Promotion of community health AS A COMMUNITY OWNED HOSPITAL, 100% OF THE SURPLUS GOES BACK INTO THE COMMUNITY THROUGH INVESTMENT IN A NETWORK OF CLINICAL PROVIDERS TO SERVE THE COMMUNITY, FACILITY UPGRADES, STATE OF THE ART EQUIPMENT PURCHASES, INCREASED PATIENT CARE SERVICES, AND ACCESS POINTS THROUGHOUT THE SERVICE AREA, AS WELL AS PROVIDING SUPPORT TO OTHER LOCAL NON-PROFIT AGENCIES THAT COMPLIMENT AND/OR SUPPORT THE MISSION OF AUGUSTA HEALTH. AUGUSTA HEALTH IS IN A LEADERSHIP POSITION FOR COMMUNITY BENEFIT AS A RESULT OF THE AUGUSTA HEALTH COMMUNITY PARTNERSHIP COMMITTEE. THE COMMUNITY PARTNERSHIP COMMITTEE IS APPOINTED BY THE AUGUSTA HEALTH BOARD OF DIRECTORS. THE COMMITTEE IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING INPUT AND OVERSIGHT ON AUGUSTA HEALTH'S COMMUNITY BENEFIT INITIATIVES, COLLABORATIVE PARTNERSHIPS AND STRATEGIC FUNDING AND ENSURES ALIGNMENT WITH THE PRIORITY AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE ADMINSTRATION OF THE CHNA EVERY THREE YEARS AS WELL AS OVERSIGHT OF THE CHNA IMPLENTATION PLAN. Schedule H, Part VI, Line 6 Affiliated health care system THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. true Arrow Project 873496978 501(C)(3) 25000 Operational Support Augusta Regional Dental Clinic 202922988 501(C)(3) 15000 Operational Support Blue Ridge Area Food Bank Nework 521202644 501(C)(3) 25000 Operational Support Blue Ridge CASA for Children Inc 541721227 501(C)(3) 25000 Operational Support Brain Injury Connections of the Shenandoah Valley 204795567 501(C)(3) 10000 Operational Support Elk Hill Farm 237071154 501(C)(3) 12500 Operational Support Mental Health America of Augusta 131614906 501(C)(3) 12000 Operational Support Renewing Homes of Greater Augusta 541738514 501(C)(3) 5000 Operational Support Shenandoah LGBTQ Center 464265280 501(C)(3) 10500 Operational Support Valley Mission 540930419 501(C)(3) 20000 Operational Support Valley Children's Advocacy Center 200831874 501(C)(3) 20000 Operational Support Waynesboro Area Refuge Ministry Inc 471937790 501(C)(3) 12500 Operational Support Valley Community Services Board 270132429 501(C)(3) 25000 Operational Support The Neighbor Bridge Inc 134148824 501(C)(3) 6000 Operational Support Magnolia Rose Cottage Inc 863234962 501(C)(3) 5000 Operational Support Strength In Peers Inc 134148824 501(C)(3) 15000 Operational Support Reclaimed Hope Initiative 842649694 501(C)(3) 12500 Operational Support Jones Gardens 871707034 501(C)(3) 6000 Operational Support Central Shenandoah Valley Office On Youth 546001673 501(C)(3) 12500 Operational Support United Way of Staunton 540955100 501(C)(3) 15000 Operational Support AHC Community Foundation PO Box 1000 Fishersville VA 22939 542042365 501(C)(3) 25000 John B. Davis Memorial Scholarship Fund Central Shenandoah Planning 112 MacTanley Place Staunton VA 24401 540857625 501(C)(3) 72839 OPERATIONAL SUPPORT 22 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true X X X X X X true true false false false true false false false Mary N Mannix President & CEO 876503 0 220598 0 22282 0 169200 0 15732 0 1304315 0 242880 0 Christopher Heck MD Board member 0 237830 0 0 0 0 0 2931 0 0 0 240761 0 0 John Katsianis VP and CFO (thru 5/22/23) 439684 0 92653 0 87767 0 35158 0 13370 0 668632 0 115153 0 Joe Meador VP & CFO 242534 0 0 0 52000 0 32555 0 5646 0 332735 0 0 0 Mike Canfield VP and CIO 314007 0 58507 0 28230 0 42160 0 11646 0 454550 0 78108 0 Mark LaRosa VP of Business Development 308568 0 58575 0 25781 0 39739 0 5843 0 438506 0 79559 0 Scott Just MD President, AMG 176590 0 92310 0 0 0 0 0 6593 0 275493 0 92310 0 Crystal Farmer VP and CNO 370553 0 64764 0 20720 0 43914 0 7389 0 507340 0 85485 0 Scott Crabtree ASSISTANT VP 302950 0 57981 0 27603 0 32614 0 5606 0 426754 0 75839 0 Scott Jones VP of Compliance & Privacy 238508 0 48711 0 18391 0 32330 0 4649 0 342589 0 67103 0 Jean Veilleux VP of Legal Affairs and Ge 373230 0 64378 0 22500 0 48347 0 12846 0 521301 0 86878 0 John Boswell VP of Human Resources 315665 0 61124 0 44142 0 40014 0 10772 0 471717 0 82656 0 Clint Merritt Senior VP 354647 0 42114 0 0 0 45826 0 5606 0 448193 0 42114 0 Shirley Carter VP of philanthropy 248035 0 48296 0 15973 0 34658 0 13396 0 360358 0 64269 0 Mahfuz Hoq MD Chief Medical Officer 498608 0 97933 0 44358 0 0 0 11856 0 652755 0 120433 0 Andrew A West MD CMIO 377719 0 35743 0 0 0 9900 0 6203 0 429565 0 35743 0 Vickie L Taylor Assistant Chief Nursing Of 254602 0 23289 0 0 0 5168 0 7993 0 291052 0 23289 0 Sarah E Hash-Rodgers Administrative Director 231937 0 21231 0 0 0 2526 0 7993 0 263687 0 21231 0 Brian Croghan Administrative Director 225928 0 21619 0 0 0 6576 0 8213 0 262336 0 21619 0 Andrea W Haley Administrative Director 221557 0 18105 0 0 0 7182 0 0 0 246844 0 18105 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use William J Meador, VP & CFO, received $12,000 in housing allowance. Schedule J, Part I, Line 4a Severance or change-of-control payment A SEVERANCE PAYMENT WAS MADE TO Dr. Mahfuz Hoq, chief medical officer, IN THE AMOUNT OF $21,858. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS HAD EMPLOYER CONTRIBUTIONS FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): $136,800 - MARY MANNIX 9,760 - MIKE CANFIELD 8,942 - MARK LAROSA 2,758 - JOHN KATSIANIS 15,388 - CRYSTAL FARMER 8,159 - SCOTT CRABTREE 2,370 - SCOTT JONES 15,947 - JEAN VEILLEUX 10,046 - JOHN BOSWELL 3,962 - Joe Meador 14,239 - Clint Merritt Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE TOP EXECUTIVES OF AUGUSTA HEALTH WERE REQUIRED TO SET ANNUAL PERFORMANCE GOALS THAT ALIGNED WITH THE ORGANIZATION'S COMMITMENT TO PERFORMANCE EXCELLENCE. THE GOALS WERE ESTABLISHED WITH FOCUS ON THE FOLLOWING SIX AREAS: QUALITY, SERVICE, PEOPLE, COMMUNITY, GROWTH, AND FINANCE. EACH GOAL WAS REQUIRED TO HAVE MEASURABLE OUTCOMES AND WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD TO ENSURE THAT IT SUPPORTED THE ORGANIZATION'S QUEST FOR SERVICE AND OPERATIONAL EXCELLENCE. WHILE NET EARNINGS WERE A CONSIDERATION IN THE AREA OF FINANCE, THE GOALS WERE ALSO CENTERED AROUND QUALITY, SERVICE, PEOPLE, COMMUNITY, AND GROWTH. EACH EXECUTIVE'S GOALS WERE WEIGHTED ACROSS THE PILLAR GOALS BASED ON THEIR AREA OF RESPONBILITY. WHEN AWARDING VARIABLE COMPENSATION, THE EXECUTIVE 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. Crystal Farmer Officer University Degree X 39000 44336 false true true 44336 Form 990, Part VI, Line 1a Material differences in voting rights Executive compensation program is administered by the Executive Committee of the Board, based on a compensation philosophy approved by the Board at large. Qualified third party consultants are engaged to provide appropriate market comparability, survey data, and to assist the committee with reviews. The base salary benchmarks are targeted at the 50th percentile with flexibility to pay above or below the 50th percentile using salary ranges with a 50% range spread to recognize an incumbent's individual experience, skill, performance, or other relevant recruitment or retention factors. Incentive opportunities are established at levels that when combined with salaries positioned at the 50th percentile, are sufficient to provide total cash compensation that targets up to the approximately market 75th percentile of total cash compensation levels. Total compensation shall not exceed the 90th percentile for any individual without full board approval and documentation of the Board's reasons for such compensation. The Board of Directors receives an annual report from the Executive Committee on the compensation program at Augusta Health in an executive session of the Board. Conflicted members are excused from the meeting. The Chair reviews the design of the compensation program to include base salaries ranges, market increases ranges, and proposed percentages levels for incentive compensation opportunity. Additionally, prerequisites such as the senior executive retirement plan (SERP) program and other related benefits are periodically reviewed with the Board. For those members who are not present for this meeting and remain free of conflict of interest, the chairman of the board may present the same material in a separate session. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ACCOUNTING DEPARTMENT WILL MAKE COPIES OF THE FORM 990 AVAILABLE TO THE CFO AND CEO FOR REVIEW. ALL QUESTIONS WILL BE RESOLVED AND ANSWERED BEFORE PRESENTATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE FINAL DRAFT OF THE RETURN WILL BE POSTED ON THE ORGANIZATION'S INTERNAL WEBSITE WITH ACCESS RESTRICTED TO THE BOARD AND KEY ADMINISTRATIVE PERSONNEL FOR REVIEW. ALL QUESTIONS WILL BE RESOLVED AND ANSWERED BY THE CEO, CFO OR CORPORATE CONTROLLER. ANY REVISIONS AS A RESULT OF THE BOARD REVIEW WILL BE SENT TO THE TAX PREPARER AND SUBSEQUENT REVIEW BY THE BOARD WILL BE SCHEDULED ACCORDINGLY. Form 990, Part VI, Line 12c Conflict of interest policy THE GOVERNANCE COMMITTEE IS CHARGED WITH REVIEWING THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. THE REVIEW IS CONDUCTED AFTER THE ANNUAL BOARD MEETING IN APRIL. CONFLICT OF INTEREST REVIEWS OCCUR AT THE BEGINNING OF EACH BOARD AND COMMITTEE MEETING. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THOSE FOUND TO BE IN A CONFLICT OF INTEREST MAY BE ASKED TO ABSTAIN FROM VOTING AND MAY BE ASKED TO LEAVE THE MEETING DEPENDING ON THE TOPIC AND THEIR DEGREE OF CONFLICT. Form 990, Part VI, Line 15a Process to establish compensation of top management official AUGUSTA HEALTH UTILIZES THE SERVICES OF GALLAGHER PO BOX 71696, CHICAGO, IL 60694-1696 TO DETERMINE COMPETITIVE WAGE RANGES, VARIABLE COMPENSATION AND PERQUISITES FOR EXECUTIVE POSITIONS. IT IS THE GOAL OF THE AUGUSTA HEALTH BOARD TO SATISFY THE FOLLOWING OBJECTIVES: 1.) COMPETITIVENESS: THE PROCESS MUST PRODUCE COMPENSATION AND BENEFIT LEVELS THAT ENABLE THE BOARD TO ATTRACT AND RETAIN THE MANAGEMENT LEADERSHIP ESSENTIAL TO CARRYING OUT ITS MISSION. 2.) STRATEGIC ALIGNMENT: THE PROCESS MUST ALIGN EXECUTIVE COMPENSATION WITH THE INSTITUTION'S STRATEGIC GOALS. IT MUST REWARD MANAGEMENT FOR ACCOMPLISHING THESE GOALS. 3.) REGULATORY COMPLIANCE: THE PROCESS MUST ASSURE THAT THE INSTITUTION MEETS ITS CHARITABLE PURPOSE OBLIGATIONS TO REMAIN TAX-EXEMPT AND THEREFORE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF SECTION 4958 OF THE IRC SO AS TO AVOID THE IMPOSITION OF INTERMEDIATE SANCTIONS IN THE FORM OF EXCISE TAXES PENALTIES ON ITS TRUSTEES AND EXECUTIVES. 4.) PUBLIC TRUST: BOARD MEMBERS ARE INVESTED WITH A PUBLIC TRUST TO SHEPHERD INSTITUTIONAL ASSETS AS RESPONSIBLE FIDUCIARIES AND REPRESENTATIVES. THEREFORE, THE PROCESS MUST ASSURE THAT COMPENSATION AND BENEFIT LEVELS ARE REASONABLE, NOT EXCESSIVE, AND DEFENSIBLE IF AND WHEN SUBJECTED TO PUBLIC SCRUTINY. BASE SALARIES TARGETED AT THE 50TH PERCENTILE, WITH FLEXIBILITY TO PAY ABOVE OR BELOW THE 50TH PERCENTILE USING SALARY RANGES WITH A 50% RANGE SPREAD TO RECOGNIZE AN INCUMBENT'S INDIVIDUAL EXPERIENCE, SKILL, PERFORMANCE OR OTHER RELEVANT RECRUITMENT OR RETENTION FACTORS. VARIABLE COMPENSATION LEVELS THAT, WHEN COMBINED WITH SALARIES POSITIONED AT THE 50TH PERCENTILE, ARE SUFFICIENT TO PROVIDE TOTAL CASH COMPENSATION THAT TARGETS UP TO THE APPROXIMATE MARKET 75TH PERCENTILE OF TOTAL CASH COMPENSATION LEVELS. TOTAL COMPENSATION SHALL NOT EXCEED THE 90TH PERCENTILE FOR ANY INDIVIDUAL WITHOUT FULL BOARD APPROVAL AND DOCUMENTATION OF THE BOARD'S REASONS FOR SUCH COMPENSATION. COMPENSATION, INDIVIDUAL PERFORMANCE AND COMPETITIVE DATA ARE REVIEWED ANNUALLY FOR ALL EXECUTIVE POSITIONS AS FOLLOWS: CEO CFO CNO CMO CIO PRESIDENT, MEDICAL GROUP VP OF LEGAL AFFAIRS VP OF HUMAN RESOURCES VP OF BUSINESS DEVELOPMENT AND CSO VP OF POPULATION HEALTH VP OF COMPLIANCE & PRIVACY VP OF PROFESSIONAL SERVICES THE BOARD OF DIRECTORS RECEIVED A SUMMARY FROM THE EXECUTIVE COMMITTEE ON THE COMPENSATION PROGRAM AT AUGUSTA HEALTH IN AN EXECUTIVE SESSION OF THE BOARD. CONFLICTED MEMBERS WERE EXCUSED FROM THE MEETING. THE CHAIR REVIEWS THE DESIGN OF THE COMPENSATION PROGRAM TO INCLUDE BASE SALARIES RANGES, MARKET INCREASES RANGES, AND PROPOSED PERCENTAGES LEVELS FOR INCENTIVE COMPENSATION OPPORTUNITY. ADDITIONALLY, PERQUISITE SUCH AS THE SERP PROGRAM AND OTHER RELATED BENEFITS WERE REVIEWED WITH THE BOARD. FOR THOSE MEMBERS WHO WERE NOT PRESENT FOR THIS MEETING AND REMAINED FREE OF CONFLICT OF INTEREST, THE CHAIRMAN OF THE BOARD OFFERS TO PRESENT THE SAME MATERIAL IN A SEPARATE SESSION. Form 990, Part VI, Line 18 How forms are made available to the public PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Line 19 Required documents available to the public COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICE. PLEASE DIRECT ALL REQUESTS TO: AUGUSTA HEALTH CARE, INC. ATTN: CORPORATE CONTROLLER P.O. BOX 1000 FISHERSVILLE, VA 22939-1000 Form 990, Part VII, Section A BOARD MEMBER Christopher Heck IS PAID AS AN EMPLOYEE OF AUGUSTA MEDICAL GROUP, A RELATED ORGANIZATION AND HE IS NOT COMPENSATED FOR HIS BOARD MEMBER SERVICE. Form 990, Part IX, Line 11g Other Fees PHYSICIAN FEES - Total Expense: 22721041, Program Service Expense: 22721041, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 8272317, Program Service Expense: 8272317, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 10107663, Program Service Expense: 4997254, Management and General Expenses: 5110409, Fundraising Expenses: ; CONSULTANTS - Total Expense: 4232056, Program Service Expense: 1616045, Management and General Expenses: 2616011, Fundraising Expenses: ; OTHER FEES - Total Expense: 2473711, Program Service Expense: , Management and General Expenses: 2473711, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFERS BETWEEN AFFILIATES - -911563; Form 990, Part XII, Line 2c Change of oversight process or selection process THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Schedule F, Part IV, Line 4 THE ORGANIZATION IS NOT REQUIRED TO FILE THE FORM 8621. AUGUSTA CARE PARTNERS LLC 78 MEDICAL CENTER DR FISHERSVILLE VA 22939 462840076 HEALTHCARE VA 0 0 NA Lifecore Community Inc SPC Captive Insurance CJ 8768683 14755298 NA AHC COMMUNITY HEALTH FOUNDATION PO BOX 1000 FISHERSVILLE VA 22939 542042365 SUPPORTING ORGANIZATION VA 501(c)(3) Type I AUGUSTA HEALTH CARE INC true AUGUSTA MEDICAL GROUP PO BOX 1000 FISHERSVILLE VA 22939 262559916 HEALTHCARE VA 501(c)(3) 10 AUGUSTA HEALTH CARE INC true true false true false false false false false false true false false true true true false true true true AUGUSTA MEDICAL GROUP A 1210046 FMV AUGUSTA MEDICAL GROUP Q 63297028 AUGUSTA HEALTH FOUNDATION R 911653 AUGUSTA HEALTH FOUNDATION C 1703693