2017-11-14T08:12:28-06:00 2016-12-31 540737372 PBMARES LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2016-01-01 541240646 MARY WASHINGTON HEALTHCARE MARY 5407412513 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 SEAN T BARDEN EXECUTIVE VICE PRESIDENT 5407412513 2017-10-12 1 JENNIFER N FRENCH P00659678 5403713566 2017-10-12 X 209.10.80.132 2017-10-12 15:03:07 ED P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 5F959D9A16E0A040EA892075FF8FC87BA2D97E9E 2016 2017-02-10 21:41:12Z MICHAEL P MCDERMOTT MD 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 195018095 0 X WWW.MARYWASHINGTONHEALTHCARE.COM/ X 1983 VA OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 18 17 755 16 380000 -4332 15590 355 89771819 91822183 4443866 4204147 0 0 94231275 96026685 252624 187956 0 0 44989493 49510548 0 0 693613 45397780 44222520 90639897 93921024 3591378 2105661 363768880 398868408 125632605 129814936 238136275 269053472 X 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 92233854 187956 91029032 AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP. AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP. 92233854 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 0 0 0 0 0 0 0 1 1 0 0 0 1 250 0 1 755 1 1 1 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JENNINGS D DAWSON III 5407412513 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 IMRAN AHMAD MD UNTIL 10-2016 SH MEDICAL STAFF PRESIDENT 2.00 2.00 X 0 0 0 WILLIAM M BOLDON MBA VICE CHAIR AND BOARD TRUSTEE 2.00 3.00 X X 0 0 0 RONALD W BRANSCOME MS BOARD TRUSTEE 2.00 2.00 X 0 0 0 BRUCE L DAVIS BA BOARD TRUSTEE 2.00 2.00 X 0 0 0 JANET C ERKERT APR BOARD TRUSTEE 2.00 2.00 X 0 0 0 REV ALLEN H FISHER JR BA MDIV 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 4.00 2.00 X 0 0 0 KURT R LARSON MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 40.00 4.00 X X 993935 0 42152 JOHN C MCKEOWN MA MPA BOARD TRUSTEE 2.00 2.00 X 0 0 0 SUDEEP J MENACHERY MD 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 CLARENCE A ROBINSON BS SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 JOHN F ROWLEY BS JD BOARD TRUSTEE 2.00 2.00 X 0 0 0 KURIAN C THOTT MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 ALDA L WHITE BA JD CHAIR 2.00 2.00 X X 0 0 0 MARTIN A WILDER JR EDD BOARD TRUSTEE 2.00 2.00 X 0 0 0 SEAN T BARDEN BSBA MBA EXEC VP AND CFO 40.00 4.00 X 1029668 0 38906 REBECCA BIGONEY MD EXEC VP AND CMO 40.00 2.00 X 511415 0 31731 JUSTIN BOX MBA SVP & CIO 40.00 2.00 X 229848 0 22467 EILEEN DOHMANN RN BSN MBA NEA-BC SVP 40.00 2.00 X 326103 0 9962 ERIC FLETCHER MBA APR SVP 40.00 2.00 X 285396 0 34873 THOMAS G GETTINGER MHA AS OF 411 EVP & COO 40.00 2.00 X 346820 0 22403 XAVIER RICHARDSON BA MBA EVP 40.00 2.00 X 310044 0 32017 TRAVIS TURNER BS MBA SVP 40.00 2.00 X 266232 0 35821 KATHRYN WALL BA MA EVP 40.00 2.00 X 702239 0 20999 ELIESE K BERNARD VICE PRESIDENT (EFF. 12/16) 2.00 40.00 X 0 46886 0 LAUREN BLALOCK VICE PRESIDENT 40.00 2.00 X 187335 0 36319 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT 40.00 2.00 X 225266 0 28010 SANDRA BROWN CPA VICE PRESIDENT 40.00 2.00 X 224179 0 37543 JAMES DANIEL MD SENIOR MEDICAL DIRECTOR 2.00 40.00 X 0 285291 30317 ALAN EDWARDS VICE PRESIDENT 40.00 2.00 X 209828 0 38691 TINA ERVIN VICE PRESIDENT 40.00 2.00 X 225468 0 27777 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 40.00 2.00 X 242192 0 27870 JOYCE HANSCOME UNTIL 05-2016 VICE PRESIDENT 40.00 2.00 X 255081 0 18474 STEPHEN MANDELL MD VICE PRESIDENT 2.00 40.00 X 0 347430 33411 DOUGLAS SCHULTE MD VICE PRESIDENT 40.00 2.00 X 361414 0 10279 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 2.00 40.00 X 0 296678 28527 DAVID YI MD VICE PRESIDENT 40.00 2.00 X 284518 0 3646 MADHULIK A LALL MED DIR RESOURCE UTILIZATION 40.00 0.00 X 236876 0 23515 PHILIP BORDERS CHIEF AUDIT EXECUTIVE 40.00 0.00 X 180114 0 26544 PHILIP BROWN DIRECTOR OF PLANNING 40.00 0.00 X 164717 0 19236 KARIN HAYNES APPLICATIONS DIRECTOR 40.00 0.00 X 156802 0 6543 LISA LUCAS DIRECTOR, CLINICAL INFORMATICS 40.00 0.00 X 151808 0 11440 8107298 976285 699473 24 0 1 0 OLD DOMINION SECURITY CO 2140 TOMLYNN ST RICHMOND VA 23230 SECURITY SERVICES 2627054 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 303844674 CONTRACT STAFFING 1108031 PROFESSIONAL BUILDING MAINTENANCE 56 WELL LANE FREDERICKSBURG VA 22405 BUILDING MAINTENANCE 1062315 ORION HEALTH INC 2120 COLORADO AVE SUITE 250 SANTA MONICA CA 90404 IS PROJECTS 993123 HANCOCK DANIEL JOHNSON NAGLE 4701 COX ROAD SUITE 400 GLEN ALEN VA 23060 LEGAL SERVICES 954380 54 55 300 300 355 MANAGEMENT SERVICES REVENUE 561000 85375949 84995949 380000 AFFILIATE CAPTIVE INSURANCE 561000 3184521 3184521 OTHER OPERATING INCOME 561000 2506239 2506239 ANSWERING SERVICES 561000 242110 242110 COLLECTION SERVICES 561000 191223 191223 322141 322141 91822183 1941655 1941655 101253902 98578259 413151 2675643 -413151 2262492 -413151 2675643 96026685 91029032 380000 4617298 187956 187956 7736922 7597658 82011 57253 32603119 32016263 345593 241263 2096550 2058813 22223 15514 4201226 4125604 44533 31089 2872731 2821022 30451 21258 935448 918610 9916 6922 803702 789236 8519 5947 389961 382941 4134 2886 29789 29253 316 220 351392 345067 3725 2600 8224749 8076704 87182 60863 2108848 2070889 22354 15605 3657791 3591950 38773 27068 9706885 9532161 102893 71831 3350024 3289724 35510 24790 382421 375537 4054 2830 290664 285432 3081 2151 10026854 9846370 106285 74199 2827213 2776324 29968 20921 MEDICAL & HOSPITAL EXPE 968046 950621 10261 7164 REPAIRS & MAINTENANCE 163769 160821 1736 1212 LICENSE & PERMITS 3683 3617 39 27 BAD DEBT EXPENSE 1281 1281 93921024 92233854 993557 693613 52413509 90973164 298332 989878 14490565 9344131 5075540 4421051 67704970 49999091 20292369 17705879 121342718 134076505 149310206 141023355 545641 334445 363768880 398868408 34246568 34187819 30405000 30258414 60981037 65368703 125632605 129814936 X 223766610 255625568 13111455 12169694 1258210 1258210 238136275 269053472 363768880 398868408 X 2105661 4065394 24746142 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 ON 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 29789 1 1 29789 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. 64537 31797 32740 3072755 723664 2349091 64526512 49230900 15295612 41166 12730 28436 17705879 INVEST-VHA, INC. 200000 C INVEST IN SUB-MWH 71076657 C INVEST IN SUB-SHC -14481272 C INVEST IN SUB-MPI 71476729 C INVEST IN SUB-MSI -6829786 C INVEST IN SUB-REX 11928498 C INVEST IN CNTRL ATLANTIC HLTH 25000 C INVEST IN SUB - MWHA 2794529 C INVEST IN SUB-HIE 341499 C INVEST IN MWHCS 4491501 C 141023355 IBNR 4021615 LOSS RESERVE ON EXCESS PROGRAM 291653 PENSION LIABILITY 61055435 65368703 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. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A TIMELY BASIS. 0 FREDERICKSBURG REGIONAL ALLIANCE PO BOX 863 FREDERICKSBURG VA 22404 541961653 501(C)(3) 50000 COMPREHENSIVE HEALTH INVESTMENT PLAN SUPPORT VIRGINIA HEALTHCARE FOUNDATION 707 EAST MAIN STREET SUITE 1350 RICHMOND VA 23219 541639924 501(C)(3) 25000 GENERAL SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 311932852 131846366 501(C)(3) 7500 GENERAL SUPPORT MARINE CORPS MARATHON PO BOX 188 3399 RUSSEL RD QUANTICO VA 22134 541468675 501(C)(3) 7500 GENERAL SUPPORT RAPPAHANNOCK POPS ORCHESTRA INC PO BOX 1972 SPOTSYLVANIA VA 22553 912154808 501(C)(3) 6000 GENERAL SUPPORT RAPPAHANNOCK UNITED WAY 3310 SHANNON PARK DRIVE FREDERICKSBURG VA 22408 546042936 501(C)(3) 5000 ENRICHMENT EMPLOYMENT RESOURCES PO BOX 801 FREDERICKSBURG VA 22404 541566468 501(C)(3) 5000 SUMMER INTERNSHIP STAFFORD COUNTY PO BOX 1777 STAFFORD VA 22555 546001626 5000 ARMED SERVICES MEMORIAL 7 1 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 761594 0 186719 0 45622 0 7950 0 34202 0 1036087 0 0 0 SEAN T BARDEN BSBA MBA EXEC VP AND CFO 407381 0 94323 0 527964 0 7950 0 30956 0 1068574 0 0 0 REBECCA BIGONEY MD EXEC VP AND CMO 400073 0 91294 0 20048 0 7950 0 23781 0 543146 0 0 0 JUSTIN BOX MBA SVP & CIO 185984 0 35000 0 8864 0 0 0 22467 0 252315 0 0 0 EILEEN DOHMANN RN BSN MBA NEA-BC SVP 261456 0 51182 0 13465 0 7950 0 2012 0 336065 0 0 0 ERIC FLETCHER MBA APR SVP 228370 0 45540 0 11486 0 6257 0 28616 0 320269 0 0 0 THOMAS G GETTINGER MHA AS OF 411 EVP & COO 299435 0 35000 0 12385 0 0 0 22403 0 369223 0 0 0 XAVIER RICHARDSON BA MBA EVP 224364 0 42279 0 43401 0 6959 0 25058 0 342061 0 0 0 TRAVIS TURNER BS MBA SVP 218879 0 36822 0 10531 0 6761 0 29060 0 302053 0 0 0 KATHRYN WALL BA MA EVP 246122 0 47149 0 408968 0 7821 0 13178 0 723238 0 0 0 LAUREN BLALOCK VICE PRESIDENT 154533 0 25002 0 7800 0 5182 0 31137 0 223654 0 0 0 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT 184010 0 31155 0 10101 0 5998 0 22012 0 253276 0 0 0 SANDRA BROWN CPA VICE PRESIDENT 188817 0 27253 0 8109 0 6143 0 31400 0 261722 0 0 0 JAMES DANIEL MD SENIOR MEDICAL DIRECTOR 0 234323 0 36900 0 14068 0 7622 0 22695 0 315608 0 0 ALAN EDWARDS VICE PRESIDENT 171065 0 28800 0 9963 0 5699 0 32992 0 248519 0 0 0 TINA ERVIN VICE PRESIDENT 188151 0 29214 0 8103 0 5972 0 21805 0 253245 0 0 0 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 193171 0 36864 0 12157 0 6359 0 21511 0 270062 0 0 0 JOYCE HANSCOME UNTIL 05-2016 VICE PRESIDENT 129133 0 32322 0 93626 0 4179 0 14295 0 273555 0 0 0 STEPHEN MANDELL MD VICE PRESIDENT 0 289738 0 45876 0 11816 0 7950 0 25461 0 380841 0 0 DOUGLAS SCHULTE MD VICE PRESIDENT 303265 0 49119 0 9030 0 7950 0 2329 0 371693 0 0 0 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 0 245339 0 41307 0 10032 0 2631 0 25896 0 325205 0 0 DAVID YI MD VICE PRESIDENT 275833 0 0 0 8685 0 330 0 3316 0 288164 0 0 0 MADHULIK A LALL MED DIR RESOURCE UTILIZATION 236576 0 0 0 300 0 4518 0 18997 0 260391 0 0 0 PHILIP BORDERS CHIEF AUDIT EXECUTIVE 155089 0 3118 0 21907 0 5085 0 21459 0 206658 0 0 0 PHILIP BROWN DIRECTOR OF PLANNING 149052 0 14224 0 1441 0 4666 0 14570 0 183953 0 0 0 KARIN HAYNES APPLICATIONS DIRECTOR 138279 0 18075 0 448 0 4199 0 2344 0 163345 0 0 0 LISA LUCAS DIRECTOR, CLINICAL INFORMATICS 138306 0 13046 0 456 0 0 0 11440 0 163248 0 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 SEAN BARDEN RECEIVED A 457(F) DISTRIBUTION OF $491,931. KATHRYN WALL RECEIVED A 457(F) DISTRIBUTION OF $374,705. XAVIER RICHARDSON RECEIVED A 457(F) DISTRIBUTION OF $9,430. JOYCE HANSCOME RECEIVED SEVERANCE PAY OF $87,155 WHICH WAS INCLUDED IN HER 2016 W-2. 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. 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 AUDIT & COMPLIANCE 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 AUDIT EXECUTIVE (CAE). THE CAE PRESENTS ALL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE AUDIT AND COMPLIANCE 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 XI, LINE 9: DECREASE IN MINIMUM PENSION LIABILITY -4,541,873. INCOME (LOSS) OF SUBSIDIARIES 36,397,799. INCOME ATTRIBUTABLE TO NONCONTROLLING INTEREST -7,109,784. FORM 990, PART XII, LINE 2C THE PROCESS OF RESPONSIBILITY OF THE AUDIT AND SELECTION OF AUDITORS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, SCHEDULE R ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE MPI - MEDICORP PROPERTIES, INC. MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL 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. 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. MWHC SIR LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 452931630 MEDICAL MALPRACTICE SELF-INSURANCE SYSTEM VA 181272 0 MWHC STAFFORD HOSPITAL AUXILIARY 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 262704632 SUPPORT SERVICES VA 501(C)(3) LINE 12C, III-FI 1 MARY WASHINGTON HOSPITAL AUXILIARY 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 752985923 SUPPORT SERVICES VA 501(C)(3) LINE 12C, III-FI 1 MWH AND UVA RADIOSURGERY CENTER LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 900604539 MEDICAL SERVICES VA 501(C)(3) LINE 12A, I MWH 1 STAFFORD HOSPITAL LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 134316364 HOSPITAL SERVICES VA 501(C)(3) LINE 3 MWHC 1 MARY WASHINGTON HEALTHCARE PHYSICIANS 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 262546097 PHYSICIAN SERVICES VA 501(C)(3) LINE 12A, I MWHC CLINICAL SERVICES 1 MARY WASHINGTON HOSPITAL FOUNDATION INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 521342371 INVESTMENT MANAGEMENT/FUNDRAISING VA 501(C)(3) LINE 12A, I MWHC 1 MARY WASHINGTON HOSPITAL INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 540519577 HOSPITAL SERVICES VA 501(C)(3) LINE 3 MWHC 1 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 541552324 AMBULATORY HEALTH CARE SERVICES VA 501(C)(3) LINE 12A, I MWHC 1 STAFFORD HOSPITAL FOUNDATION INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 640963570 INVESTMENT MANAGEMENT/FUNDRAISING VA 501(C)(3) LINE 12A, I MWHC 1 MEDICORP PROPERTIES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 521342372 PROPERTY MANAGEMENT SERVICES VA 501(C)(3) LINE 12A, I MWHC 1 FREDERICKSBURG AMBULATORY SURGERY CENTER 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 562322548 SURGERY CTR VA MWHC CLINICAL SERVICES INC RELATED 2705053 1492163 0 1 0.53870 MEDICAL IMAGING OF FREDERICKSBURG 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 541364028 IMAGING VA MWHC CLINICAL SERVICES INC RELATED 4886100 1652630 0 1 0.51000 MARY WASHINGTON EYE CARE CENTER 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 271248032 OPTOMETRY VA MWHC CLINICAL SERVICES INC RELATED -172573 -1903341 0 1 0.99000 CENTRAL ATLANTIC HEALTH NETWORK 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 274704694 GROUP PURCHASING VA N/A RELATED -184 24141 1 0 0.12500 COWAN INVESTMENT PARTNERS LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 651294835 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED -7658 61765 0 0 0.12500 SPOTSYLVANIA PARKWAY MEDICAL PLAZA LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 262656396 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 161303 -689227 0 0 0.39500 SPOTSYLVANIA PARKWAY MEDICAL PLAZA II LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 454281946 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED -9994 914512 0 0 0.39500 MARY WASHINGTON HEALTH ALLIANCE LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 463055639 PHYSICIAN'S NETWORK VA MARY WASHINGTON HEALTH CARE RELATED 1019890 6759022 0 1 1.00000 FREDERICKSBURG PROFESSIONAL RISK EXCHANGE 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 331095356 CAPTIVE INSURANCE VA MARY WASHINGTON HEALTHCARE C -59035 18564857 1.00000 0 MARY WASHINGTON HEALTHCARE SERVICES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 541244509 RETAIL MEDICAL VA MWHC CLINICAL SERVICES INC C -152876 1368761 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 FREDERICKSBURG AMBULATORY SURGERY CENTER L 855559 CORP BOOKS/RECORDS FREDERICKSBURG PROFESSIONAL RISK EXCHANGE L 380000 CORP BOOKS/RECORDS FREDERICKSBURG PROFESSIONAL RISK EXCHANGE M 344878 CORP BOOKS/RECORDS MARY WASHINGTON EYE CARE CENTER L 94071 CORP BOOKS/RECORDS MARY WASHINGTON HOSPITAL L 68148783 CORP BOOKS/RECORDS MEDICAL IMAGING OF FREDERICKSBURG L 1025006 CORP BOOKS/RECORDS MEDICORP PROPERTIES INC L 943828 CORP BOOKS/RECORDS MEDICORP PROPERTIES INC K 3322232 CORP BOOKS/RECORDS MWH FOUNDATION L 601974 CORP BOOKS/RECORDS MWHC PHYSICIANS L 1500000 CORP BOOKS/RECORDS SHC FOUNDATION L 142892 CORP BOOKS/RECORDS STAFFORD HOSPITAL L 11084582 CORP BOOKS/RECORDS MARY WASHINGTON HEALTHCARE ALLIANCE L 141107 CORP BOOKS/RECORDS FORM 990, PART III AS OF DECEMBER 31, 2016, MARY WASHINGTON HEALTHCARE BECOME THE SOLE MEMBER OF MARY WASHINGTON HEALTH ALLIANCE (MWHA). A FINAL PARTNERSHIP RETURN WAS FILED FOR 2016 AND MWHA BECAME A DISREGARDED ENTITY UNDER MARY WASHINGTON HEALTHCARE AND WILL BE REPORTED AS SUCH IN 2017.