2021-11-15T07:44:50-06:00 2020-12-31 540737372 PBMARES LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2020-01-01 541240646 MARY WASHINGTON HEALTHCARE MARY 5407412507 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 SEAN T BARDEN SENIOR VP AND CFO 5407412507 2021-10-15 1 SEAN BARDEN XXX-XX-XXXX JENNIFER N FRENCH CPA P00659678 5403713566 2021-10-15 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL P MCDERMOTT MD 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 549790606 0 X WWW.MARYWASHINGTONHEALTHCARE.COM/ X 1983 VA OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 17 15 809 16 380000 0 166662 183557 114252041 123258451 11054924 48578774 0 0 125473627 172020782 243173 171549 0 0 65052421 67038487 0 0 630887 58788731 63850871 124084325 131060907 1389302 40959875 514696844 663087560 133597940 231844653 381098904 431242907 OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES. 0 0 129405157 171549 122878451 AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP. 129405157 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 469 0 1 809 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X SANDRA W BROWN 5407412528 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 40.00 4.00 X X 1603506 0 42691 CHRISTOPHER NEWMAN MD SVP, COO & CMO 40.00 2.00 X 817435 0 41774 SEAN T BARDEN BSBA MBA SVP & CFO 40.00 4.00 X 713426 0 33619 TRAVIS TURNER BS MBA SVP & CPHO 40.00 2.00 X 685129 0 35176 STEPHEN MANDELL JR MD VICE PRESIDENT 2.00 40.00 X 0 587531 30663 ELIESE K BERNARD VICE PRESIDENT 2.00 40.00 X 0 497437 34183 KATHRYN WALL BA MA SVP & CHRO 40.00 2.00 X 512272 0 18581 EILEEN DOHMANN RN BSN MBA NEA-BC SVP & CNO 40.00 2.00 X 510138 0 10077 ERIC FLETCHER MBA APR SVP & CSO 40.00 2.00 X 437827 0 38169 DAVID YI MD VICE PRESIDENT 40.00 2.00 X 456649 0 7780 GEOFFREY LAWSON SVP & CIO 40.00 2.00 X 425305 0 16909 ALAN EDWARDS VICE PRESIDENT 40.00 2.00 X 375520 0 36985 BRIAN JENKINS VICE PRESIDENT 2.00 40.00 X 0 377280 28124 RICHARD A LEWIS MD VICE PRESIDENT 40.00 2.00 X 379768 0 25442 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 40.00 2.00 X 371326 0 26808 EMERIC S PALMER SENIOR MEDICAL DIRECTOR 40.00 2.00 X 332590 0 39449 XAVIER RICHARDSON BA MBA SVP & CDO 40.00 2.00 X 339318 0 16468 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 2.00 40.00 X 0 313507 25798 CODY BLANKENSHIP VICE PRESIDENT 40.00 2.00 X 300184 0 32842 LAUREN BLALOCK VICE PRESIDENT 40.00 2.00 X 287534 0 34176 SANDRA BROWN CPA VICE PRESIDENT 40.00 2.00 X 289430 0 26546 TINA ERVIN VICE PRESIDENT 40.00 2.00 X 272849 0 25020 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT (THRU 5/9/20) 40.00 2.00 X 257645 0 12206 SARAH OGLE VICE PRESIDENT (AS OF 5/10/20) 40.00 2.00 X 222841 0 5892 STEPHEN P HUGHES DIRECTOR, IS TECHNOLOGY 40.00 2.00 X 190416 0 26735 PHILIP A BROWN DIRECTOR OF PLANNING 40.00 2.00 X 171255 0 26975 KIM BURCH DIRECTOR OF HUMAN RESOURCES 40.00 2.00 X 163547 0 23652 JENNIFER FREELAND DIRECTOR OF IS OPERATIONS 40.00 2.00 X 168366 0 3800 DOUGLAS SCHULTE MD FORMER VICE PRESIDENT (THRU 10/10 40.00 2.00 X 113689 0 540 WILLIAM M BOLDON MBA CHAIR 2.00 2.00 X X 0 0 0 RONALD W BRANSCOME MS VICE CHAIR 2.00 2.00 X X 0 0 0 BRUCE L DAVIS BA BOARD TRUSTEE 2.00 2.00 X 0 0 0 JANAMITRA DEVAN BOARD TRUSTEE THRU 9/15/2020 2.00 2.00 X 0 0 0 MATTHEW D DUMONT MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 REV ALLEN H FISHER JR BA BOARD TRUSTEE 2.00 2.00 X 0 0 0 JEFFREY A FRAZIER MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 DAVID M GARTH MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 MARGARET F HARDY BOARD TRUSTEE 2.00 2.00 X 0 0 0 BRADFORD L KING MD BOARD TRUSTEE 2.00 40.00 X 0 591165 7605 DERMAINE A LEWIS BOARD TRUSTEE 2.00 2.00 X 0 0 0 FRED M MESSING MBA LFACHE BOARD TRUSTEE 2.00 2.00 X 0 0 0 JOHN F ROWLEY III BS JD SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 CATHERINE M WACK BOARD TRUSTEE 2.00 2.00 X 0 0 0 MARTIN A WILDER JR EDD BOARD TRUSTEE 2.00 2.00 X 0 0 0 LINDA D WORRELL BOARD TRUSTEE 2.00 2.00 X 0 0 0 10397965 2366920 734685 92 1 1 0 HANCOCK DANIEL JOHNSON & NAGLE PC PO BOX 72050 RICHMOND VA 232552050 LEGAL SERVICES 1081414 CHANGE HEALTHCARE LLC 3055 LEBANON PIKE NASHVILLE TN 37214 BILLING SERVICES 941620 CARE LOGISTICS 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 CONSULTING SERVICES 812081 SIRIUS FEDERAL LLC 2151 PRIEST BRIDGE DR CROFTON MD 21114 TECHNOLOGY SERVICES 466984 MERCURY ACCOUNTS RECEIVABLE SERVICES LL 3905 LAVAINE CT ANNANDALE VA 22003 PROFESSIONAL BILLING SERVICES 371586 34 183557 183557 MANAGEMENT SERVICES REVENUE 561000 112551646 112171646 380000 MWHA PHYSICIAN PROGRAMS 561000 5282496 5282496 AFFILIATE CAPTIVE INSURANCE 561000 3366087 3366087 OTHER OPERATING INCOME 561000 1095603 1095603 COLLECTION SERVICES 561000 376442 376442 586177 586177 123258451 5106312 5106312 421242286 377769824 43472462 43472462 43472462 172020782 122878451 380000 48578774 X 171549 171549 9859493 9734770 77200 47523 45354900 44781160 355129 218611 2657950 2624327 20812 12811 4898428 4836463 38355 23610 4267716 4213730 33416 20570 739479 730125 5790 3564 834551 823993 6535 4023 161038 159001 1261 776 15901 15699 125 77 352504 348045 2760 1699 15367811 15173409 120330 74072 2845082 2809092 22277 13713 3774008 3726267 29550 18191 19122131 18880236 149726 92169 3831302 3782836 29999 18467 308465 304563 2415 1487 263425 260092 2063 1270 11819977 11670455 92550 56972 3027753 2989452 23707 14594 MEDICAL & HOSPITAL EXPE 1122343 1108145 8788 5410 REPAIRS & MAINTENANCE 193780 191329 1517 934 LICENSES & PERMITS 62227 61440 487 300 BAD DEBT EXPENSE 9094 8979 71 44 131060907 129405157 1024863 630887 24645499 120538908 28355146 25083836 14919366 31231 1520466 6514885 7896676 142623127 92669698 52864268 49953429 208149521 242212776 179248159 215850238 514696844 663087560 37453409 135345766 41607700 36084657 54536831 60414230 133597940 231844653 X 363751451 411583343 17347453 19659564 381098904 431242907 514696844 663087560 X 40959875 -13626754 22810882 X X 0 1 X 1 0 X X 2 MARY WASHINGTON HOSPITAL INC 540519577 3 1 0 0 STAFFORD HOSPITAL LLC 134316364 3 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, LINE 1 SUPPORTED ORGANIZATION, MARY WASHINGTON HOSPITAL, INC. IS LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. SUPPORTED ORGANIZATION, STAFFORD HOSPITAL, LLC, IS CLASSIFIED AS 501(C)(3) AND IS DESIGNATED BY ITS PURPOSE ALIGNED WITH THAT OF MARY WASHINGTON HEALTHCARE TO ESTABLISH, MAINTAIN AND OPERATE, DIRECTLY OR INDIRECTLY, FACILITIES AND SERVICES PROVIDING HEALTH CARE FOR SICK, INJURED, DISABLED OR AGED PERSONS AND PROVIDING FOR THE PRESERVATION OF HEALTH AS THE BOARD OF TRUSTEES MAY DETERMINE FROM TIME TO TIME TO BE APPROPRIATE, INCLUDING, WITHOUT LIMITATION, HOSPITALS, AMBULATORY CARE SERVICES, NURSING CARE FACILITIES AND AGENCIES OR FACILITIES PROVIDING CARE FOR THE PERSONS IN THEIR HOMES . STAFFORD HOSPITAL, LLC IS ORGANIZED EXCLUSIVELY FOR OTHER CHARITABLE, SCIENTIFIC, EDUCATIONAL AND SCIENTIFIC PURPOSES. MORE SPECIFICALLY DEFINED AS FOLLOWS: TO ESTABLISH, OWN, MANAGE, MAINTAIN AND OPERATE ACUTE CARE HOSPITALS AND OTHER HEALTHCARE INSTITUTIONS AND SERVICES; TO PROMOTE HEALTH THROUGH PARTICIPATION IN INTEGRATED PATIENT CARE MANAGEMENT SYSTEMS THAT OFFER ACCESS TO A COMPLETE SPECTRUM OF HEALTH SERVICES, FROM PREVENTION AND TREATMENT TO EMERGENT, ACUTE, CHRONIC AND LONG-TERM CARE; TO CARRY ON MEDICAL AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; TO CARRY ON EDUCATIONAL OR TRAINING ACTIVITIES RELATED TO THE CARE AND PREVENTION OF SICKNESS, INJURY AND DISEASE OR THE PROMOTION OF HEALTH; TO PARTICIPATE, AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED OUT TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY CONSISTENT WITH AND AS LIMITED BY SECTION 501(C)(3) OF THE CODE; AND TO CONDUCT ANY OR ALL LAWFUL AFFAIRS THAT DO NOT CONFLICT WITH THE ABOVE PURPOSES BUT ARE OTHERWISE CONFERRED UPON LIMITED LIABILITY COMPANIES BY THE VIRGINIA LIMITED LIABILITY COMPANY ACT OR ITS SUCCESSOR. 1 1 0 1 0 0 1 15901 1 1 15901 0 PART II-B, LINE 1: PART II-B LOBBYING EXPENDITURES INCLUDE BOTH DIRECT AND INDIRECT EXPENDITURES. MWHC HAS A COST CODE SPECIFICALLY FOR LOBBYING EXPENDITURES. ALL AMOUNTS FROM THAT COST CODE ARE INCLUDED IN THIS SECTION. IN ADDITION, AN ALLOCABLE SHARE OF SALARIES OF THE ORGANIZATION'S ASSOCIATES ENGAGED IN THE ACTIVITY ARE ALSO INCLUDED. 1549555 442726 1106829 3268139 1572414 1695725 137762901 90630066 47132835 42532 24492 18040 49953429 INVEST-VHA, INC. 200000 C INVEST IN SUB-MWH 155416643 C INVEST IN SUB-SHC -8986962 C INVEST IN SUB-MPI 66472488 C INVEST IN SUB-MSI -6851506 C INVEST IN SUB-REX 17678129 C INVEST IN MCS -11645946 C INVEST IN SUB-MWHP 3567392 C 215850238 IBNR 2928523 PENSION LIABILITY 57485707 60414230 X PART X, LINE 2: MWHC WAS RECOGNIZED AS A PUBLIC CHARITY GENERALLY EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE PURSUANT TO A DETERMINATION LETTER ISSUED BY THE IRS IN MARCH 1992. MWHC IS ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES AND, THEREFORE, MWHC'S STATUS AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH MWHC OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, MWHC IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY DETERMINED. CERTAIN ENTITIES UNDER MWHC ARE TAXABLE ENTITIES. MWHC HAD NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES, OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS REQUIRED. TAX PERIODS FOR WHICH NO RETURN IS FILED REMAIN OPEN FOR EXAMINATION INDEFINITELY. GENERALLY, TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2017, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A TIMELY BASIS. 0 RAPPAHANNOCK UNITED WAY 3310 SHANNON PARK DR FREDERICKSBURG VA 22408 546042936 501(C)(3) 41109 ENRICHMENT FREDERICKSBURG CHRISTIAN HEALTH CENTER 1129 HEATHERSTONE DRIVE FREDERICKSBURG VA 22407 542061482 501(C)(3) 40600 ALLIANCE PHYS HARDWARE FOR EPIC CONNECT VA HEALTH CARE FOUNDATION 707 EAST MAINE STREET SUITE 1350 RICHMOND VA 23219 541639924 501(C)(3) 25000 GENERAL SUPPORT SAFE HARBOR CHILD ADVOCACY CENTER 4702 SOUTHPOINT PKWY FREDERICKSBURG VA 22407 261563081 501(C)(3) 6000 GENERAL SUPPORT CHILDREN'S HOME SOCIETY OF VIRGINIA 4200 FITZHUGH AVE RICHMOND VA 23230 540505884 501(C)(3) 5000 GENERAL SUPPORT BOYS & GIRLS CLUB OF RAPPAHANNOCK REGION 500 GUNNERY RD FREDERICKSBURG VA 22401 463043887 501(C)(3) 5000 GENERAL SUPPORT 6 X X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 1052210 0 330004 0 221292 0 8550 0 34141 0 1646197 0 0 0 CHRISTOPHER NEWMAN MD SVP, COO & CMO 603773 0 197952 0 15710 0 7043 0 34731 0 859209 0 0 0 SEAN T BARDEN BSBA MBA SVP & CFO 527220 0 164885 0 21321 0 6966 0 26653 0 747045 0 0 0 TRAVIS TURNER BS MBA SVP & CPHO 412503 0 100302 0 172324 0 5055 0 30121 0 720305 0 0 0 STEPHEN MANDELL JR MD VICE PRESIDENT 0 364344 0 86762 0 136425 0 4808 0 25855 0 618194 0 0 ELIESE K BERNARD VICE PRESIDENT 0 386634 0 88592 0 22211 0 4869 0 29314 0 531620 0 0 KATHRYN WALL BA MA SVP & CHRO 325535 0 85694 0 101043 0 5412 0 13169 0 530853 0 0 0 EILEEN DOHMANN RN BSN MBA NEA-BC SVP & CNO 333885 0 82075 0 94178 0 4203 0 5874 0 520215 0 0 0 ERIC FLETCHER MBA APR SVP & CSO 335932 0 86780 0 15115 0 5235 0 32934 0 475996 0 0 0 DAVID YI MD VICE PRESIDENT 350382 0 79342 0 26925 0 5271 0 2509 0 464429 0 0 0 GEOFFREY LAWSON SVP & CIO 320470 0 87856 0 16979 0 5735 0 11174 0 442214 0 0 0 ALAN EDWARDS VICE PRESIDENT 212002 0 45677 0 117841 0 3903 0 33082 0 412505 0 0 0 BRIAN JENKINS VICE PRESIDENT 0 295741 0 72498 0 9041 0 0 0 28124 0 405404 0 0 RICHARD A LEWIS MD VICE PRESIDENT 282009 0 66004 0 31755 0 0 0 25442 0 405210 0 0 0 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 242555 0 56607 0 72164 0 4432 0 22376 0 398134 0 0 0 EMERIC S PALMER SENIOR MEDICAL DIRECTOR 300650 0 0 0 31940 0 4509 0 34940 0 372039 0 0 0 XAVIER RICHARDSON BA MBA SVP & CDO 252629 0 69195 0 17494 0 4537 0 11931 0 355786 0 0 0 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 0 248548 0 56222 0 8737 0 2217 0 23581 0 339305 0 0 CODY BLANKENSHIP VICE PRESIDENT 237940 0 45554 0 16690 0 4152 0 28690 0 333026 0 0 0 LAUREN BLALOCK VICE PRESIDENT 218546 0 45614 0 23374 0 3891 0 30285 0 321710 0 0 0 SANDRA BROWN CPA VICE PRESIDENT 224202 0 56566 0 8662 0 4118 0 22428 0 315976 0 0 0 TINA ERVIN VICE PRESIDENT 214890 0 49774 0 8185 0 3045 0 21975 0 297869 0 0 0 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT (THRU 5/9/20) 95488 0 57387 0 104770 0 2848 0 9358 0 269851 0 0 0 SARAH OGLE VICE PRESIDENT (AS OF 5/10/20) 200990 0 16627 0 5224 0 3309 0 2583 0 228733 0 0 0 STEPHEN P HUGHES DIRECTOR, IS TECHNOLOGY 165192 0 24866 0 358 0 2853 0 23882 0 217151 0 0 0 PHILIP A BROWN DIRECTOR OF PLANNING 146692 0 23118 0 1445 0 2668 0 24307 0 198230 0 0 0 KIM BURCH DIRECTOR OF HUMAN RESOURCES 141196 0 22044 0 307 0 1698 0 21954 0 187199 0 0 0 JENNIFER FREELAND DIRECTOR OF IS OPERATIONS 144248 0 21959 0 2159 0 2049 0 1751 0 172166 0 0 0 DOUGLAS SCHULTE MD FORMER VICE PRESIDENT (THRU 10/10 14670 0 0 0 99019 0 453 0 87 0 114229 0 0 0 BRADFORD L KING MD BOARD TRUSTEE 0 425210 0 51384 0 114571 0 5852 0 1753 0 598770 0 0 PART I, LINE 1A PART I, LINE 1A - TRUSTEES WHO ARE UNCOMPENSATED VOLUNTEERS TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL TRAVEL. REIMBURSEMENTS PAID FOR SPOUSAL TRAVEL ARE REIMBURSED AND REPORTED AS INCOME ON A FORM 1099 IN THE YEAR PAID. EXECUTIVES WHO ARE TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL MEALS PROVIDED AND THE AMOUNT IS REPORTED AS INCOME ON THE EXECUTIVE'S W-2. PART I, LINES 4A-B MICHAEL MCDERMOTT RECEIVED A 457(F) DISTRIBUTION OF $162,390. EILEEN DOHMANN RECEIVED A 457(F) DISTRIBUTION OF $75,309. TRAVIS TURNER RECEIVED A 457(F) DISTRIBUTION OF $156,958. KATHRYN WALL RECEIVED A 457(F) DISTRIBUTION OF $59,214. ELIESE BERNARD RECEIVED A 457(F) DISTRIBUTION OF $13,840. LAUREN BLALOCK RECEIVED A 457(F) DISTRIBUTION OF $15,304. CODY BLANKENSHIP RECEIVED A 457(F) DISTRIBUTION OF $8,676. KATHLEEN BOURGAULT RECEIVED A 457(F) DISTRIBUTION OF $99,729. ALAN EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $104,407. MARIE FREDERICK RECEIVED A 457(F) DISTRIBUTIONS OF $61,143. RICHARD LEWIS RECEIVED A 457(F) DISTRIBUTION OF $16,287. STEPHEN MANDELL RECEIVED A 457(F) DISTRIBUTION OF $118,531. DOUGLAS SCHULTE RECEIVED A 457(F) DISTRIBUTION OF $98,590. DAVID YI RECEIVED A 457(F) DISTRIBUTION OF $18,650. PART I, LINE 7 PART I, LINE 7 - ALL EXECUTIVES HAVE AS A PART OF THEIR COMPENSATION A VARIABLE COMPONENT SUCH THAT THEY ARE ELIGIBLE TO RECEIVE A PERCENTAGE OF THEIR BASE PAY AS AN INCENTIVE FOR THE ACHIEVEMENT OF INDIVIDUAL AND CORPORATE GOALS AND OBJECTIVES. BRIAN MCDERMOTT MD BROTHER OF PRESIDENT/CEO OF MWHC 70045 DR. BRIAN MCDERMOTT IS A PHYSICIAN MEMBER OF THE MARY WASHINGTON HEALTHCARE ALLIANCE. HE SERVES WITH A GROUP OF ORTHOPEDIC SPECIALISTS THAT ARE FOCUSED ON THE QUALITY, EFFICIENCY, COST EFFECTIVENESS AND OVERALL VALUE OF CARE PROVIDED TO PATIENTS IN MWHC FACILITIES. THE ORTHOPEDIC GROUP COLLABORATES WITH MWH AND SH TO EVALUATE CLINICAL PROTOCOLS AND PRODUCTS IN ORDER TO IMPLEMENT MUTUALLY AGREEABLE INITIATIVES THAT FURTHER THOSE AREAS OF FOCUS. THE PAYMENTS TO DR. MCDERMOTT DURING 2020 REFLECT FMV FOR HIS EFFORTS TO DRIVE IMPROVEMENTS IN CARE DELIVERY FOR ORTHOPEDIC PATIENTS TREATED AT MWHC FACILITIES. 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT COMPLETES A DRAFT OF THE INTERNAL REVENUE SERVICE (IRS) FORM 990 INFORMATION RETURN FOR MARY WASHINGTON HEALTHCARE AND ITS SUBSIDIARIES. THIS DRAFT IS SUBMITTED TO THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES. THE FORM 990 AND UNDERLYING INFORMATION ARE PRESENTED TO AND REVIEWED BY THIS COMMITTEE. IF THE CONTENTS OF THE 990 RETURN ARE DEEMED ACCURATE AND ACCEPTABLE BY THE COMMITTEE, THIS BODY RECOMMENDS ACCEPTANCE OF THE RETURN BY THE FULL BOARD OF TRUSTEES. THE FORM 990 RETURN IS SUBSEQUENTLY PRESENTED TO AND REVIEWED BY THE ORGANIZATION'S BOARD OF TRUSTEES. IF DEEMED ACCURATE AND ACCEPTABLE THE BOARD ACCEPTS THE RETURN THROUGH A FORMAL MOTION. AS PART OF THIS PROCESS, THE DRAFT RETURN IS POSTED ON THE BOARD'S WEBSITE WHERE IT REMAINS AVAILABLE FOR REVIEW EVEN AFTER FORMAL ACCEPTANCE BY THE BOARD. THE FORM 990 RETURN IS ALSO AVAILABLE TO MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS THE GENERAL PUBLIC ON MARY WASHINGTON HEALTHCARE'S WEBSITE (WWW.MWHC.COM). FORM 990, PART VI, SECTION B, LINE 12C EVERY TRUSTEE AND EXECUTIVE IS REQUIRED TO DISCLOSE ANY AND ALL CONFLICTS. THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MARY WASHINGTON HEALTHCARE CHIEF COMPLIANCE OFFICER (CCO). THE CCO PRESENTS ALL CONFLICTS TO THE ENTERPRISE RISK MANAGEMENT COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE ENTERPRISE RISK MANAGEMENT COMMITTEE REPORTS ALL CONFLICTS TO THE FULL BOARD. CONFLICTS ARE CONTINUALLY AND ACTIVELY MANAGED. AT EACH MEETING, THE CHAIR ASKS IF ANYONE AT THE MEETING HAS A CONFLICT TO DISCLOSE. INDIVIDUALS WITH CONFLICTS DISCLOSE THEIR CONFLICTS AND THE RELATED TOPIC. THE INDIVIDUAL THEN RECUSES HIM/HERSELF FROM ANY DECISION RELATED TO THAT TOPIC. THE CONFLICT OF INTERESTS POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND COMPLETE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA AND FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 3,258,656. MANAGEMENT AND GENERAL EXPENSES 25,842. FUNDRAISING EXPENSES 15,908. TOTAL EXPENSES 3,300,406. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 2,918,551. MANAGEMENT AND GENERAL EXPENSES 23,145. FUNDRAISING EXPENSES 14,248. TOTAL EXPENSES 2,955,944. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,264,314. MANAGEMENT AND GENERAL EXPENSES 10,026. FUNDRAISING EXPENSES 6,172. TOTAL EXPENSES 1,280,512. ASP SERVICES: PROGRAM SERVICE EXPENSES 4,532,854. MANAGEMENT AND GENERAL EXPENSES 35,947. FUNDRAISING EXPENSES 22,128. TOTAL EXPENSES 4,590,929. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 985,101. MANAGEMENT AND GENERAL EXPENSES 7,812. FUNDRAISING EXPENSES 4,809. TOTAL EXPENSES 997,722. STORAGE SERVICES: PROGRAM SERVICE EXPENSES 141,007. MANAGEMENT AND GENERAL EXPENSES 1,118. FUNDRAISING EXPENSES 688. TOTAL EXPENSES 142,813. WASTE DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 17,611. MANAGEMENT AND GENERAL EXPENSES 140. FUNDRAISING EXPENSES 86. TOTAL EXPENSES 17,837. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 471,184. MANAGEMENT AND GENERAL EXPENSES 3,737. FUNDRAISING EXPENSES 2,300. TOTAL EXPENSES 477,221. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,584,131. MANAGEMENT AND GENERAL EXPENSES 12,563. FUNDRAISING EXPENSES 7,733. TOTAL EXPENSES 1,604,427. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY -13,468,864. INCOME (LOSS) OF SUBSIDIARIES 44,332,542. INCOME ATTRIBUTABLE TO NONCONTROLLING INTEREST -8,052,796. FORM 990, PART XII, LINE 2C RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AUDITORS RESTS WITH THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FORM 990, PART III, LINE 1 - ORG. MISSION PROVISION OF HEALTH CARE. MARY WASHINGTON HEALTHCARE WAS ORGANIZED TO ACT AS THE PARENT CORPORATION IN THE MARY WASHINGTON HEALTHCARE AFFILIATED GROUP, AND TO ENGAGE IN SUCH ACTIVITIES FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF MARY WASHINGTON HOSPITAL, STAFFORD HOSPITAL AND ITS AFFILIATED ORGANIZATIONS IN THE SYSTEM. FORM 990, SCHEDULE R ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE MWHA - MARY WASHINGTON HEALTH ALLIANCE MPI - MEDICORP PROPERTIES, INC. MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. MWHC SERVICES, INC. - MARY WASHINGTON HEALTHCARE SERVICES, INC. MEDIDOCTORS H.C. - MEDIDOCTORS HOLDING COMPANY UNRELATED BUSINESS INCOME MWHC AS A PART OF ITS MISSION PROVIDES STRATEGIC PLANNING AND DIRECTION FOR ALL OF ITS AFFILIATES. IRS REGULATIONS TREAT MANAGEMENT FEES RECEIVED FROM TAXABLE SUBSIDIARIES AS UNRELATED BUSINESS INCOME. AS A RESULT, THE REVENUE REPORTED ON LINE 7A IS INCOME FROM TAXABLE SUBSIDIARIES FOR PROVISION OF MANAGEMENT FEES AND LOSS SUSTAINED IS A RESULT FROM ALLOCATIONS OF CORPORATE SERVICES PROVIDED IN EXCESS OF THE REVENUE RECEIVED. 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