Civic Intelligence

Augusta Medical Group

EIN 26-2559916 • 501(c)3 • Fishersville, VA

Profile

To promote the health and well-being of our community through access to excellent healthcare.

PO Box 1000Fishersville, VA 22939

www.augustahealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

29.77x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

92nd percentile

4.01x

Higher debt load relative to revenue than 92% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

4th percentile

-52%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

92nd percentile

$1,368,815

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

45th percentile

5.0%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Revenue Growth

36th percentile

2.1%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Assets

Up

$10,734,746

Up $2,586,675 (+32%) from 2023

Liabilities

Up

$319,622,739

Up $44,104,147 (+16%) from 2023

Net Assets

Down

-$308,887,993

Down $41,517,472 (-16%) from 2023

Revenue

Down

$79,798,660

Down $4,864,738 (-5.7%) from 2023

Expenses

Up

$121,316,132

Up $3,304,460 (+2.8%) from 2023

Net Income

Down

-$41,517,472

Down $8,169,198 (-24%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400M$200M$0-$200M-$400MAssets 2010: $2,287,233Liabilities 2010: $13,322,619Net Assets 2010: -$11,035,3862010Assets 2011: $1,953,265Liabilities 2011: $21,867,170Net Assets 2011: -$19,913,9052011Assets 2012: $2,633,519Liabilities 2012: $32,066,924Net Assets 2012: -$29,433,4052012Assets 2013: $3,062,716Liabilities 2013: $44,065,736Net Assets 2013: -$41,003,0202013Assets 2014: $3,372,513Liabilities 2014: $58,112,163Net Assets 2014: -$54,739,6502014Assets 2015: $4,060,905Liabilities 2015: $76,202,916Net Assets 2015: -$72,142,0112015Assets 2016: $4,301,617Liabilities 2016: $93,597,124Net Assets 2016: -$89,295,5072016Assets 2017: $4,791,282Liabilities 2017: $113,673,455Net Assets 2017: -$108,882,1732017Assets 2018: $5,428,878Liabilities 2018: $138,177,576Net Assets 2018: -$132,748,6982018Assets 2019: $5,342,525Liabilities 2019: $161,030,986Net Assets 2019: -$155,688,4612019Assets 2020: $5,662,195Liabilities 2020: $188,213,879Net Assets 2020: -$182,551,6842020Assets 2021: $6,939,419Liabilities 2021: $211,360,773Net Assets 2021: -$204,421,3542021Assets 2022: $9,739,820Liabilities 2022: $243,762,067Net Assets 2022: -$234,022,2472022Assets 2023: $8,148,071Liabilities 2023: $275,518,592Net Assets 2023: -$267,370,5212023Assets 2024: $10,734,746Liabilities 2024: $319,622,739Net Assets 2024: -$308,887,9932024

Highlighted filing

2024

Assets$10,734,746
Liabilities$319,622,739
Net Assets-$308,887,993

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $22,681,0662010Expenses 2011: $26,064,5992011Expenses 2012: $29,535,6532012Revenue 2013: $22,070,126Expenses 2013: $33,639,744Net Income 2013: -$11,569,6182013Revenue 2014: $26,144,418Expenses 2014: $39,881,048Net Income 2014: -$13,736,6302014Revenue 2015: $26,743,267Expenses 2015: $44,145,628Net Income 2015: -$17,402,3612015Revenue 2016: $31,017,152Expenses 2016: $48,170,648Net Income 2016: -$17,153,4962016Revenue 2017: $35,486,405Expenses 2017: $55,073,071Net Income 2017: -$19,586,6662017Revenue 2018: $37,112,257Expenses 2018: $60,978,782Net Income 2018: -$23,866,5252018Revenue 2019: $45,626,499Expenses 2019: $68,566,262Net Income 2019: -$22,939,7632019Revenue 2020: $49,915,451Expenses 2020: $76,778,674Net Income 2020: -$26,863,2232020Revenue 2021: $62,512,454Expenses 2021: $88,046,801Net Income 2021: -$25,534,3472021Revenue 2022: $76,499,537Expenses 2022: $106,100,430Net Income 2022: -$29,600,8932022Revenue 2023: $84,663,398Expenses 2023: $118,011,672Net Income 2023: -$33,348,2742023Revenue 2024: $79,798,660Expenses 2024: $121,316,132Net Income 2024: -$41,517,4722024

Highlighted filing

2024

Revenue$79,798,660
Expenses$121,316,132
Net Income-$41,517,472

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.7$320$309$79.8$121$41.5
2023Detailed filing. Detailed filing data is available for this year.$8.15$276$267$84.7$118$33.3
2022Detailed filing. Detailed filing data is available for this year.$9.74$244$234$76.5$106$29.6
2021Detailed filing. Detailed filing data is available for this year.$6.94$211$204$62.5$88.0$25.5
2020Detailed filing. Detailed filing data is available for this year.$5.66$188$183$49.9$76.8$26.9
2019Detailed filing. Detailed filing data is available for this year.$5.34$161$156$45.6$68.6$22.9
2018Detailed filing. Detailed filing data is available for this year.$5.43$138$133$37.1$61.0$23.9
2017Detailed filing. Detailed filing data is available for this year.$4.79$114$109$35.5$55.1$19.6
2016Detailed filing. Detailed filing data is available for this year.$4.30$93.6$89.3$31.0$48.2$17.2
2015Detailed filing. Detailed filing data is available for this year.$4.06$76.2$72.1$26.7$44.1$17.4
2014Detailed filing. Detailed filing data is available for this year.$3.37$58.1$54.7$26.1$39.9$13.7
2013Detailed filing. Detailed filing data is available for this year.$3.06$44.1$41.0$22.1$33.6$11.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.63$32.1$29.4$29.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.95$21.9$19.9$26.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.29$13.3$11.0$22.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.1
Gross Receipts
$79,822,912
Mission and Program Overview

Mission

To promote the health and well-being of our community through access to excellent healthcare.

Community physician practices offering services in support of augusta health care, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$5,773,469$5,674,814▼ $98,655
Land, Buildings, and Equipment, Net$664,415$2,170,515▲ $1,506,100
Cash and Non-Interest-Bearing Accounts$867,247$1,799,863▲ $932,616
Prepaid Expenses and Deferred Charges$234,775$203,477▼ $31,298
Other Notes and Loans Receivable, Net$2,623--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$8,148,071$10,734,746▲ $2,586,675
Other Assets Total$605,542$886,077▲ $280,535
Liabilities
Other Liabilities$258,761,353$295,754,278▲ $36,992,925
Accounts Payable and Accrued Expenses$16,757,239$23,868,461▲ $7,111,222
Total Liabilities$275,518,592$319,622,739▲ $44,104,147
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-267,370,521$-308,887,993▼ $41,517,472
Total Net Assets Fund Balance$-267,370,521$-308,887,993▼ $41,517,472
Total Liabilities and Net Assets / Fund Balance$8,148,071$10,734,746▲ $2,586,675

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,170,515$2,213,827$4,384,342
Other Assets Org$886,077--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James Chadduck MDPhysicianFT$1,209,601$23,940$1,233,541
Glenn Brammer MDPhysicianFT$1,205,755$19,115$1,224,870
Scott Olson MDPhysicianFT$895,753$26,098$921,851
Clark Bernard MDPhysicianFT$853,830$28,132$881,962
Tyler Dailey MDPhysicianFT$792,207$25,756$817,963
Sean Higginson MDBoard MemberFT$652,094$19,692$671,786
Christopher Bunn DOBoard MemberFT$556,830$24,382$581,212
John MackCOO (Termed 11/01/2024)FT$283,568$80,475$364,043
Kristopher DoanPresident - AMG - started 6/3/2024FT$239,104$66,533$305,637
Stephanie Pitsilos MDBoard MemberFT$265,407$21,078$286,485
Christopher Heck MDChairmanFT$256,065$5,080$261,145
Matthew Hoy PABoard MemberFT$192,163$29,684$221,847
Joe Surratt NPBoard MemberFT$132,998$23,305$156,303

Board Members and Trustees

NameTitle
Mary N MannixCEO/Vice Chair
Margaret HershBoard Member
Joe MeadorSenior VP & CFO
Homer HiteTreasurer/Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
All Star Recruiting Locums LLCLocum Tenens4400 West Sample Rd 3250, Coconut Creek, FL 33073$3,093,189
Jackson & Coker Locum TenensLocum TenensPO Box 277638, Atlanta, GA 30384$2,709,074
Foundation Radiology GroupRadiologists401 Liberty Avenue, Pittsburgh, PA 15222$1,420,980
CompHealth IncStaffing605 Westover Blvd, Richmond, VA 23225$1,142,747
Weatherby Locums IncStaffingPO Box 972633, Dallas, TX 75397$1,008,037
Revenue and Support

Revenue Composition

Contributions and Grants
$86,061
Program Service Revenue
$79,736,851
Investment Income
$-24,252
Other Revenue
$0
Change in Net Assets
$-41,517,472

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$97,470,737
Other Expenses$23,845,395
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$78,990,938$2,526,539-$81,517,477
Fees for Services Other$9,296,134$640,288$0$9,936,422
Payroll Taxes$4,685,766$144,067-$4,829,833
Other Employee Benefits$4,559,593$140,188-$4,699,781
Pension Plan Contributions$3,142,768$96,627-$3,239,395
Current Officers, Directors, Trustees, and Key Employees$3,184,251--$3,184,251
Occupancy$2,553,470$864-$2,554,334
Office Expenses$1,498,797$507,012-$2,005,809
Insurance$1,661,300$5,148-$1,666,448
Conferences and Meetings$525,119$9,190-$534,309
Information Technology$430,241--$430,241
Other Expenses$1,074,614$423,654-$423,654
Depreciation Depletion$185,209--$185,209
All Other Expenses$163,342$14,099$0$177,441
Travel$88,630$7,428-$96,058
Fees for Services Legal-$8,750-$8,750
Advertising$262--$262
Total Functional Expenses$116,792,278$4,523,854$0$121,316,132

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Related to board member Christopher HeckEmployee compensationNo$9,718

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$295,305,924
Due to Affiliates$448,354
Long Term Operating Leases-
Short Term Operating Leases-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1B

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.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

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, Line 6 Classes of members or stockholders

Augusta health care, inc. (ahc) is the sole member of the organization.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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, Line 7B Decisions requiring approval by members or stockholders

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 transactions 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, Line 11B Review of form 990 by governing body

The return was prepared by an independent accountant with assistance and oversight by management of augusta health care inc. The cfo and corporate controller 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, Line 12C Conflict of interest policy

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, Line 15A Process to establish compensation of top management official

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 a full report from the executive committee on the full compensation program at augusta health in an executive session of the board. Conflicted members are excused from the meeting. Material covered includes the design of the compensation program, as well as a disclosure on range of base salaries, market benchmark data, and earned incentive compensation levels. Additionally, perquisites such as the senior executive retirement plan (serp) program and other related benefits are periodically reviewed with the board. For those members who are not present for this annual report and remain free of conflict of interest, the chairman of the board presents 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. Accounting department p.o. Box 388 fishersville, va 22939-1000

Form 990, Part VII, Section A

BOARD MEMBERS Stephanie Pitsilos, Matthew Hoy, Christopher Heck, Christopher Bunn, Sean Higginson, and Joe Surratt ARE PAID AS EMPLOYEES OF THE ORGANIZATION AND NOT COMPENSATED FOR BOARD MEMBER SERVICE.

Filing and Contact Details

Filer

Filer Name
Augusta Medical Group
EIN
26-2559916
Phone
5404806336
Address
PO Box 1000, Fishersville, VA 22939

Signing Officer

Name
John E Mack Pa COO
Title
Interim Chief Administrative Office
Phone
5404806336
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Formed
2008
Legal Domicile
Va
Voting Board Members
9
Independent Board Members
2
Employees
327
Volunteers
2

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

Augusta medical group ("amg") is organized and operated in manner that supports augusta 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. Focus on quality of care for patients: the physicians of augusta medical group initiated and continue to provide support to the organization's medical home clinic and the palliative care program. These programs provide resources to enhance a patient's continuum of care with the goal of improving the patient's quality of life by providing additional access to post-acute health care services related to chronic disease management. This intensive use of resources in the outpatient setting reduces the utilization of emergent and/or inpatient services. Physician education: augusta medical group physicians and advanced practice providers (app) participate as preceptors to medical students, physician assistant (pa) students, and nurse practitioner (np) students. Our physicians participate as preceptors for 3rd and 4th year medical students for the edward via college of osteopathic medicine (vcom) and at times precepted students from west virginia school of osteopathic medicine (wvsom), texas college of osteopathic medicine (tcom), and the university of virginia - school of medicine. Our advanced practice providers participate as preceptors for pa and np students from james madison university, liberty university, murphy deming college of health sciences, eastern mennonite university, shenandoah university, jefferson college of health sciences, walden university, and duke university to name a few. The purposes of the affiliations are to promote quality undergraduate medical education and improve the future healthcare workforce. It is the hope of the hospital, the augusta medical group providers and advanced practice providers that these students will gain experience working in a rural healthcare setting. Hence, deciding to return to our community when entering the workforce. On may 2, 2023, augusta health care inc., received accreditation from the accreditation council for graduate medical education (acgme) to begin an internal medicine residency program. As a supporting organization of augusta health care inc., augusta medical group providers agreed to participate in the development and oversight of the program. The program officially opened in july 2024 with ten residents and the support of approximately thirty augusta medical group providers. At the same time, the medical group opened its community clinic. This clinic provides access for those who do not have an established relationship with a primary care physicia

Form 990, Part XII, Line 2C Change of oversight process or selection process

The process has not changed from the prior year.

Financial Statement Notes

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 consolidated financial statements do not reflect a provision or liability for federal and state income tax. The company has determined that it does not have any material unrecognized tax benefits or obligations as of december 31, 2024 and 2023.

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