MARY WASHINGTON HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARY WASHINGTON HEALTHCARE (EIN 20-1106426)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349304131
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T13:27:16-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540737372EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PBMARES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1725 JACKSON STREET SUITE 210AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201106426EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY WASHINGTON HEALTHCARE GROUP RETURNBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone5407411821Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 FALL HILL AVENUE NO 509AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWINIFRED J HAIKEYName
TitleSR VICE PRESIDENTTitle
Phone5407411821Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEITH L WAMPLERName
PTINP00436324PTIN
Phone5403713566Phone
Date Prepared2013-11-13DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWINIFRED J HAIKEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12300 FALL HILL AVENUE NO 509AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts556114566GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number4243GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MARYWASHINGTONHEALTHCARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body52NbrVotingMembersGoverningBody
Nbr Independent Voting Members39NbrIndependentVotingMembers
Total Nbr Employees4455TotalNbrEmployees
Total Nbr Volunteers628TotalNbrVolunteers
Total Gross UBI2206714TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3276620ContributionsGrantsPriorYear
Contributions Grants Current Year2411552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year579696645ProgramServiceRevenuePriorYear
Program Service Revenue CY537035684ProgramServiceRevenueCY
Investment Income Prior Year-51980InvestmentIncomePriorYear
Investment Income Current Year2855304InvestmentIncomeCurrentYear
Other Revenue Prior Year50240217OtherRevenuePriorYear
Other Revenue Current Year13215573OtherRevenueCurrentYear
Total Revenue Prior Year633161502TotalRevenuePriorYear
Total Revenue Current Year555518113TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1819323GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2402339GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year257022512SalariesEtcPriorYear
Salaries Etc Current Year249763997SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year126659TotalFundrsngExpCurrentYear
Other Expense Prior Year379711817OtherExpensePriorYear
Other Expenses Current Year325039772OtherExpensesCurrentYear
Total Expenses Prior Year638553652TotalExpensesPriorYear
Total Expenses Current Year577206108TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5392150RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-21687995RevenuesLessExpensesCY
Total Assets BOY531390646TotalAssetsBOY
Total Assets EOY491115201TotalAssetsEOY
Total Liabilities BOY316739101TotalLiabilitiesBOY
Total Liabilities EOY305149607TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY214651545NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY185965594NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense561685495Expense
Grants2402339Grants
Revenue535009294Revenue
DescriptionPROVISION OF INPATIENT AND OUTPATIENT GENERAL ACUTE CARE HOSPITAL, PSYCHIATRIC HOSPITAL SERVICES, HOME HEALTH AND HOSPICE SERVICES, IMAGING AND AMBULATORY SURGERY SERVICES AND PHYSICIAN SERVICES. PRIMARY SERVICE AREAS ARE FAIRFAX, STAFFORD, SPOTSYLVANIA, CAROLINE, KING GEORGE, AND WESTMORELAND COUNTIES IN VIRGINIA AND SECONDARY SERVICE AREAS INCLUDE MANASSAS, FAUQUIER, CULPEPER, ORANGE, LOUISA, HANOVER, ESSEX AND RICHMOND COUNTIES IN VIRGINIA. WE SERVED 124,282 PATIENTS IN OUR EMERGENCY ROOMS, 17,140 SURGICAL CASES AND 26,457 PATIENT DISCHARGES.Description
Total Program Service Expense561685495TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096412NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members52NbrVotingGoverningBodyMembers
Number Independent Voting Members39NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWINIFRED J HAIKEYNamePerson
Telephone Number5407411821TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 FALL HILL AVENUE SUITE 509AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (73 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
FRED M RANKIN III
PRESIDENT4.0040.00XX084117645242
SEAN T BARDEN
EXECUTIVE VP4.0040.00XX040144249949
WALTER J KIWALL
EXECUTIVE VP4.0040.00XX044058342996
XAVIER R RICHARDSON
EXECUTIVE VP2.0040.00XX025121838551
J THOMAS RYAN MD
EXECUTIVE VP2.0040.00XX044310042343
RAVI MATHUR
VICE PRESIDENT2.0040.00XX018828334164
CHERYL SPRINGHORN
EXECUTIVE DIRECTOR0.0040.00X014195911226
KENNETH N JOSOVITZ MD
PRESIDENT-STAFFORD HOSPITAL3.002.00X1666700
DAVID M GARTH MD
PRESIDENT-MARY WASHINGTON HOSPITAL4.002.00X2600000
JOSEPH T CRANE IV MD
TRUSTEE2.002.00X000
CINDY MARROW MD
TRUSTEE2.002.00X000
ROBERT E HOUCK
TRUSTEE2.0040.00X01177257975
JOHN F FICK III
CHAIRMAN-MPI2.008.00XX000
ALDA L WHITE
VICE CHAIR-MPI2.002.00XX000
DONALD H NEWLIN
SECRETARY/TREAS-MPI2.005.00XX000
WILLIAM BOLDON
TRUSTEE2.003.00X000
JAN C ERKERT
TRUSTEE2.002.00X000
KURT R LARSON MD
TRUSTEE2.002.00X000
RAYMOND C MCAFOOSE
TRUSTEE2.003.00X000
MICHAEL P MCDERMOTT MD
TRUSTEE2.002.00X000
JOHN C MCKEOWN MD
TRUSTEE2.002.00X000
FRED M MESSING
TRUSTEE2.002.00X000
CLARENCE A ROBINSON
TRUSTEE2.002.00X000
RAYMOND L SLAUGHTER
TRUSTEE2.002.00X000
JONATHAN D WALLACE
TRUSTEE2.002.00X000
MARY KATHERINE GREENLAW
CHAIRMAN-MWH FOUNDATION4.000.00XX000
EDWARD V ALLISON JR
VICE CHAIR-MWH FOUNDATION2.000.00XX000
WILLIAM B YOUNG
SEC/TREAS MWH FOUNDATION2.000.00XX000
MARK A BUTTERWORTH
TRUSTEE2.000.00X000
R LEIGH FRACKELTON JR
TRUSTEE2.000.00X000
JEFFREY A FRAZIER
TRUSTEE2.000.00X015000
ROCHELLE GREY
TRUSTEE2.000.00X000
CHRISTOPHER T HUESGEN MD
TRUSTEE2.000.00X000
PATRICIA LYNCH
TRUSTEE2.000.00X000
EDWARD O MINNIEAR
TRUSTEE2.000.00X000
JUDITH G SMITH
TRUSTEE2.000.00X000
DOUGLAS G STEWART
TRUSTEE2.000.00X000
JOSEPH R WILSON
TRUSTEE2.000.00X000
W MALONE SCHOOLER
CHAIRMAN-SH FOUNDATION2.000.00XX000
JO D KNIGHT
VICE CHAIRMAN-SH FOUNDATION2.000.00XX000
ELAINE F FARMER
SEC/TREAS SH FOUNDATION2.000.00XX000
KEVIN BREEN
TRUSTEE2.000.00X000
CLAY HUBER
TRUSTEE2.000.00X000
DOUGLAS R JOHNSON MD
TRUSTEE2.000.00X000
WILLIAM R JOHNSON
TRUSTEE2.000.00X000
GLEN E KINARD
TRUSTEE2.000.00X000
H CLARK LEMING
TRUSTEE2.000.00X000
TERENCE A MANNION
TRUSTEE2.000.00X000
CHARLES W MCDANIEL
TRUSTEE2.000.00X000
REV GREGORY L POSS
TRUSTEE2.000.00X000
JACK ROWLEY
TRUSTEE2.000.00X000
LAWRENCE ROBERTS MD
TRUSTEE40.000.00X510910032341
KATHRYN S WALL
EXECUTIVE VP2.0040.00X025822734278
MARIANNA BEDWAY
SENIOR VP2.0040.00X023554846060
ERIC FLETCHER
SENIOR VP2.0040.00X023193038840
WINIFRED J HAIKEY
SENIOR VP2.0040.00X024582838197
JOYCE HANSCOME
SENIOR VP2.0040.00X022557134654
JAMES K VAN RENAN
SENIOR VP40.002.00X301970046100
CATHLEEN A YABLONSKI
SENIOR VP40.002.00X211319041390
AMY ADOME MD
VICE PRESIDENT2.0040.00X019501227088
REBECCA BIGONEY MD
VICE PRESIDENT40.002.00X313999021199
KATHLEEN BOURGAULT
VICE PRESIDENT2.0040.00X018285517460
EILEEN L DOHMANN RN
VICE PRESIDENT40.002.00X220044024195
MARIE FREDRICK
VICE PRESIDENT2.0040.00X019454338348
JAMES SWISHER
VICE PRESIDENT2.0040.00X017476624151
DAVID LING MD
EXECUTIVE DIRECTOR2.0040.00020400728277X
GLEN J POFFENBARGER MD
PHYSICIAN40.000.00975578038786X
JT SHERWOOD MD
PHYSICIAN40.000.00827538039878X
CHRISTOS HATJIS MD
PHYSICIAN40.000.00709529030503X
MAURICE EGGLESTON JR MD
PHYSICIAN40.000.00449815035832X
THERESA A CONOLOGUE MD
PHYSICIAN40.000.00409094026911X
RANDALL PATRICK STEWART
SENIOR VP-(FORMER)0.000.00023837020338X
ALAN EDWARDS
VICE PRESIDENT-(FORMER)0.000.00017562638942X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4972463TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5389269TotalReportableCompFrmRltdOrgs
Total Other Compensation996214TotalOtherCompensation
Number Individuals GT100 K251NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO COLLABORATIVE SVCS INC
PO BOX 9146MINNEAPOLISMN554809146LAB SERVICES3275557
HMP OF FREDERICKSBURG LLC
4535 DRESSIER RD NWCANTONOH44718PHYSICIAN SERVICES2007510
OLD DOMINION SECURITY CO
2140 TOMLYNN STRICHMONDVA23230SECURITY SERVICES1639159
SODEXO INC & AFFILIATES
PO BOX 536922ATLANTAGA303536922FOOD SERVICES1565081
CHILDREN'S NATIONAL HOSPITAL
111 MICHIGAN AVE NW SUITE 3W-100WASHINGTONDC20010CONSULTING SERVICES1417932
FieldValueIRS element (for citing)
Number Of Contractors GT100 K73NumberOfContractorsGT100K
Fundraising Events388442FundraisingEvents
Related Organizations378677RelatedOrganizations
Government Grants326593GovernmentGrants
All Other Contributions1317840AllOtherContributions
Noncash Contributions56252NoncashContributions
Total Contributions2411552TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES REVENUE623000492650668492650668
PERSONNEL SERVICES6230001790257217902572
MANAGEMENT SERVICES6230001472394714723947
OTHER OPERATING REVENUE62300044310834431083
CAFETERIA62300039759463975946

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3351468TotalRevenueColumn
Related Or Exempt Function Income1144754RelatedOrExemptFunctionIncome
Unrelated Business Revenue2206714UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue537035684TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1334046TotalRevenueColumn
Exclusion$1,334,046ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real12720643Real
Personal219469Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real12720643Real
Personal219469Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12940112TotalRevenueColumn
Exclusion$12,940,112ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities224334Securities
Other1748463Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other451539Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities224334Securities
Other1296924Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1521258TotalRevenueColumn
Exclusion$1,521,258ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events240051GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events388442CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses144914FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column95137TotalRevenueColumn
Exclusion$95,137ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINCOME FROM PSHIP/LLCDescription
Business Code900099BusinessCode
Total Revenue Column180324TotalRevenueColumn
Related Or Exempt Function Income180324RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue180324TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column555518113TotalRevenueColumn
Related Or Exempt Function Income535009294RelatedOrExemptFunctionIncome
Unrelated Business Revenue2206714UnrelatedBusinessRevenue
Exclusion$15,890,553ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2352589Total
Program Services2352589ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total49750Total
Program Services49750ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5309598Total
Program Services5166230ProgramServices
Management And General142198ManagementAndGeneral
Fundraising1170Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total200162688Total
Program Services194757976ProgramServices
Management And General5360607ManagementAndGeneral
Fundraising44105Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5743299Total
Program Services5588221ProgramServices
Management And General153813ManagementAndGeneral
Fundraising1265Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22299843Total
Program Services21697712ProgramServices
Management And General597217ManagementAndGeneral
Fundraising4914Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16248569Total
Program Services15809832ProgramServices
Management And General435157ManagementAndGeneral
Fundraising3580Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total66562410Total
Program Services64765119ProgramServices
Management And General1782624ManagementAndGeneral
Fundraising14667Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71139Total
Program Services69218ProgramServices
Management And General1905ManagementAndGeneral
Fundraising16Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63158Total
Program Services61453ProgramServices
Management And General1691ManagementAndGeneral
Fundraising14Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total176040Total
Program Services171288ProgramServices
Management And General4713ManagementAndGeneral
Fundraising39Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69233655Total
Program Services67364237ProgramServices
Management And General1854163ManagementAndGeneral
Fundraising15255Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total83625Total
Program Services81368ProgramServices
Management And General2239ManagementAndGeneral
Fundraising18Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3385964Total
Program Services3294538ProgramServices
Management And General90680ManagementAndGeneral
Fundraising746Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2040527Total
Program Services1985429ProgramServices
Management And General54648ManagementAndGeneral
Fundraising450Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29912299Total
Program Services29104619ProgramServices
Management And General801088ManagementAndGeneral
Fundraising6592Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1530743Total
Program Services1489411ProgramServices
Management And General40995ManagementAndGeneral
Fundraising337Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total308850Total
Program Services300511ProgramServices
Management And General8271ManagementAndGeneral
Fundraising68Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1125637Total
Program Services1095243ProgramServices
Management And General30146ManagementAndGeneral
Fundraising248Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32867450Total
Program Services31979976ProgramServices
Management And General880232ManagementAndGeneral
Fundraising7242Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4550975Total
Program Services4428094ProgramServices
Management And General121877ManagementAndGeneral
Fundraising1004Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL AND HOSPITAL SU9415795591615540252166720748
BAD DEBT EXPENSE1001851497479982683082208
OTHER MEDICAL & HOSPITA3528635343335694501778
REPAIRS AND MAINTENANCE3106567302268483198685

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2315629Total
Program Services2253103ProgramServices
Management And General62016ManagementAndGeneral
Fundraising510Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total577206108Total
Program Services561685495ProgramServices
Management And General15393954ManagementAndGeneral
Fundraising126659Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1378843BOY
EOY1228402EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY1154684EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY17508077BOY
EOY18513794EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY117166188BOY
EOY92132649EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6396036BOY
EOY4094742EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8124080BOY
EOY8678498EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4108711BOY
EOY2470759EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis692535200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec393664057LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY316605346BOY
EOY298871143EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY44626923BOY
EOY46814526EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15251052BOY
EOY15294513EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY225390BOY
EOY1861491EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY531390646BOY
EOY491115201EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36266643BOY
EOY33505968EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY276369034BOY
EOY267954672EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4103424BOY
EOY3688967EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY316739101BOY
EOY305149607EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY197318929BOY
EOY167487901EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16074406BOY
EOY17219483EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1258210BOY
EOY1258210EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY214651545BOY
EOY185965594EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY531390646BOY
EOY491115201EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-21687995ReconcilationRevenueExpenses
Reconciliation Unrealized Invest4627891ReconciliationUnrealizedInvest
Reconcilation Other Changes-11625847ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance29168493BeginningOfYearBalance
Contributions111350Contributions
Investment Earnings Or Losses3125019InvestmentEarningsOrLosses
Grants Or Scholarships39250GrantsOrScholarships
Other Expenditures908374OtherExpenditures
End Of Year Balance31457238EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance31364122BeginningOfYearBalance
Contributions343694Contributions
Investment Earnings Or Losses-1155863InvestmentEarningsOrLosses
Grants Or Scholarships63750GrantsOrScholarships
Other Expenditures1319711OtherExpenditures
End Of Year Balance29168492EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29030361BeginningOfYearBalance
Contributions455287Contributions
Investment Earnings Or Losses3036877InvestmentEarningsOrLosses
Grants Or Scholarships17000GrantsOrScholarships
Other Expenditures1141403OtherExpenditures
End Of Year Balance31364122EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25187112BeginningOfYearBalance
Contributions814062Contributions
Investment Earnings Or Losses4318842InvestmentEarningsOrLosses
Grants Or Scholarships15000GrantsOrScholarships
Other Expenditures1275156OtherExpenditures
End Of Year Balance29029860EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance32070931BeginningOfYearBalance
Contributions1551410Contributions
Investment Earnings Or Losses-7100198InvestmentEarningsOrLosses
Grants Or Scholarships20000GrantsOrScholarships
Other Expenditures1315031OtherExpenditures
End Of Year Balance25187112EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.68240BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27760PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis24249702OtherCostOrOtherBasis
Book Value24249702BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis254261216OtherCostOrOtherBasis
Depreciation72730088Depreciation
Book Value181531128BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis22482788OtherCostOrOtherBasis
Depreciation4981573Depreciation
Book Value17501215BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis342402887OtherCostOrOtherBasis
Depreciation307023038Depreciation
Book Value35379849BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49138607OtherCostOrOtherBasis
Depreciation8929358Depreciation
Book Value40209249BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings298871143TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$249,981
ACCRUED LOSS-PROFESSIONAL LIABILITY$3,438,986
FieldValueIRS element (for citing)
Total Of Amounts3688967TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE INTEREST EARNED FROM THE ENDOWMENT FUNDS IS USED TO FUND SCHOLARSHIPS AND GRANTS IN FUTHERANCE OF OUR MISSION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 FORM 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 BENEFIT 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SHF GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1225650GrossReceiptsEvent1
Charitable Contributions Event1177245CharitableContributionsEvent1
Gross Revenue Event148405GrossRevenueEvent1
Non Cash Prizes Event122302NonCashPrizesEvent1
Rent Facility Costs Event19387RentFacilityCostsEvent1
Food And Beverage Event11729FoodAndBeverageEvent1
Other Direct Expenses Event13439OtherDirectExpensesEvent1
Name Of Event2OYSTER ROASTNameOfEvent2
Gross Receipts Event2122376GrossReceiptsEvent2
Charitable Contributions Event241065CharitableContributionsEvent2
Gross Revenue Event281311GrossRevenueEvent2
Non Cash Prizes Event233161NonCashPrizesEvent2
Rent Facility Costs Event24273RentFacilityCostsEvent2
Food And Beverage Event220523FoodAndBeverageEvent2
Entertainment Event21500EntertainmentEvent2
Other Direct Expenses Event25272OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events280467GrossReceiptsOtherEvents
Charitable Contrib Other Events170132CharitableContribOtherEvents
Gross Revenue Other Events110335GrossRevenueOtherEvents
Non Cash Prizes Other Events13528NonCashPrizesOtherEvents
Rent Facility Costs Other Events15049RentFacilityCostsOtherEvents
Food And Beverage Other Events1712FoodAndBeverageOtherEvents
Other Direct Expenses Other Events13039OtherDirectExpensesOtherEvents
Gross Receipts Total628493GrossReceiptsTotal
Charitable Contributions Total388442CharitableContributionsTotal
Gross Revenue Total Events240051GrossRevenueTotalEvents
Non Cash Prizes Total Events68991NonCashPrizesTotalEvents
Rent Facility Costs Total Events28709RentFacilityCostsTotalEvents
Food And Beverage Total Events23964FoodAndBeverageTotalEvents
Entertainment Total Events1500EntertainmentTotalEvents
Other Direct Expenses Total Events21750OtherDirectExpensesTotalEvents
Direct Expense Summary Events144914DirectExpenseSummaryEvents
Net Income Summary95137NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense26095724TotalCommunityBenefitExpense
Net Community Benefit Expense26095724NetCommunityBenefitExpense
Percent Of Total Expense0.04600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense48440686TotalCommunityBenefitExpense
Direct Offsetting Revenue33261606DirectOffsettingRevenue
Net Community Benefit Expense15179080NetCommunityBenefitExpense
Percent Of Total Expense0.02680PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense74536410TotalCommunityBenefitExpense
Direct Offsetting Revenue33261606DirectOffsettingRevenue
Net Community Benefit Expense41274804NetCommunityBenefitExpense
Percent Of Total Expense0.07280PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1314277TotalCommunityBenefitExpense
Direct Offsetting Revenue3750DirectOffsettingRevenue
Net Community Benefit Expense1310527NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1188317TotalCommunityBenefitExpense
Direct Offsetting Revenue80818DirectOffsettingRevenue
Net Community Benefit Expense1107499NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense60704907TotalCommunityBenefitExpense
Direct Offsetting Revenue48384159DirectOffsettingRevenue
Net Community Benefit Expense12320748NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense494215TotalCommunityBenefitExpense
Direct Offsetting Revenue144745DirectOffsettingRevenue
Net Community Benefit Expense349470NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1867005TotalCommunityBenefitExpense
Net Community Benefit Expense1867005NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense65568721TotalCommunityBenefitExpense
Direct Offsetting Revenue48613472DirectOffsettingRevenue
Net Community Benefit Expense16955249NetCommunityBenefitExpense
Percent Of Total Expense0.02990PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense140105131TotalCommunityBenefitExpense
Direct Offsetting Revenue81875078DirectOffsettingRevenue
Net Community Benefit Expense58230053NetCommunityBenefitExpense
Percent Of Total Expense0.10270PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense605413TotalCommunityBuildingExpense
Net Community Building Expense605413NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense835TotalCommunityBuildingExpense
Net Community Building Expense835NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense175TotalCommunityBuildingExpense
Net Community Building Expense175NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2018649TotalCommunityBuildingExpense
Net Community Building Expense2018649NetCommunityBuildingExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense247019TotalCommunityBuildingExpense
Net Community Building Expense247019NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense2872091TotalCommunityBuildingExpense
Net Community Building Expense2872091NetCommunityBuildingExpense
Percent Of Total Expense0.00510PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,754,610BadDebtExpenseAmount
Amount Attributable To1463116AmountAttributableTo
Amount Reimbursed By Medicare147405104AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare187117466CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-39712362MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MEDICAL IMAGING OF FREDERICKSBURG
OUTPATIENT IMAGING0.510000.49000
2 FREDERICKSBURG AMBULATORY SURGERY CENTER
AMBULATORY SERGICAL SERVICES0.590000.41000
3 TOMPKINS MARTIN MEDICAL PLAZA
MEDICAL OFFICE BUILDING0.990000.01000
4 BUNKER HILL PARTNERS
MEDICAL OFFICE BUILDING0.200000.20000
5 COWAN INVESTMENT PARTNERS
MEDICAL OFFICE BUILDING0.125000.37500
6 MEDICAL PLAZA AT COSNER CORNER
MEDICAL OFFICE BUILDING0.395000.47400
7 MW EYE CARE CENTER LLC
OPTOMETRY0.600000.40000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
MARY WASHINGTON HOSPITAL INC
11101 SAM PERRY BLVDFREDERICKSBURGVA22401XXX437 BED ACUTE CARE HOSPITAL LEVEL 2 TRAUMA
STAFFORD HOSPITAL LLC
2101 HOSPITAL CENTER BLVDSTAFFORDVA22554XXX100 BED HOSPITAL

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
MARY WASHINGTON HOSPITAL INC
111200.0000000000001400.0000000000001XXXXXXX11XXXXXX10XXXX1X00
STAFFORD HOSPITAL LLC
211200.0000000000001400.0000000000001XXXXXXX11XXXXXX00XXXX1X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
NEXTCARE URGENT CARE - FREDERICKSBURG
330 WHITE OAK ROADFREDERICKSBURGVA224052792URGENT CARE
NEXTCARE URGENT CARE - SPOTSYLVANIA
5325 PLANK ROAD SUITE 105FREDERICKSBURGVA22407URGENT CARE
NEXTCARE URGENT CARE - FREDERICKSBURG
15 SOUTH GATEWAY DRIVEFREDERICKSBURGVA224061231URGENT CARE
NEXTCARE URGENT CARE - DUMFRIES
3990 FETTLER PARK DRIVE SUITE BDUMFRIESVA220251997URGENT CARE
NEXTCARE URGENT CARE - STAFFORD
325 GARRISONVILLE ROAD SUITE 101STAFFORDVA225541544URGENT CARE
NEXTCARE URGENT CARE - WOODBRIDGE
12581 MILSTEAD WAY SUITE 103WOODBRIDGEVA221925446URGENT CARE
FREDERICKSBURG AMBULATORY SURGERY CENTER
1201 SAM PERRY BLVD SUITE 101FREDERICKSBURGVA224014490AMBULATORY SURGERY CENTER
MEDICAL IMAGING OF FREDERICKSBURG
1201 SAM PERRY BLVD SUITE 102 ASCFREDERICKSBURGVA224014490IMAGING SERVICESBUILD

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, L7 COL(F): BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER PATIENT FINANCIAL ASSISTANCE POLICY (PFAP)IN DECEMBER 2011, MWHC UTILIZED THE SERVICES OF SEARCHAMERICA TO IDENTIFY PFAP ELIGIBLE PATIENTS WHOSE ACCOUNTS HAD FALLEN INTO BAD DEBT. IN EARLY 2012, SEARCHAMERICA PROVIDED A LIST UTILIZING VARIOUS MARKET RESEARCH TO APPROXIMATE THE FEDERAL POVERTY LEVEL OF EACH ACCOUNT HOLDER. WITH THIS INFORMATION WE WERE ABLE TO DETERMINE ACCOUNTS THAT MAY HAVE BEEN ELIGIBLE FOR FREE CARE OR DISCOUNTED CARE UNDER OUR FINANCIAL ASSISTANCE POLICY. UTILIZING THE STATISTICAL ANALYSIS THAT SEARCHAMERICA PROVIDED WE HAVE EXTRAPOLATED THE DATA AND ARE ABLE TO ESTIMATE THAT ABOUT 84% OF OUR BAD DEBT IS LIKELY ATTRIBUTABLE TO PFAP ELIGIBLE PATIENTS.
PART II: IN FURTHERANCE OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES THE ORGANIZATION PROMOTES WORKFORCE DEVELOPMENT FOR THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN AREAS IDENTIFIED AS SHORTAGE AREAS THROUGH ITS COMMUNITY NEEDS ASSESSMENTS AND MEDICAL STAFF DEVELOPMENT PLANS. RECRUITMENT OF PHYSICIANS TO PRACTICE IN MWHC'S SERVICE AREA IMPROVES ACCESS TO CARE RESULTING IN GREATER AVAILABILITY OF PHYSICIAN SPECIALISTS, LESS TRAVEL TO OBTAIN CARE, AND SHORTER WAIT TIMES FOR APPOINTMENTS. ADDITIONALLY MWHC, PROVIDES FACILITIES FREE OF CHARGE TO RAPPAHANNOCK EMERGENCY MEDICAL SERVICES WHICH IS VALUED AT APPROXIMATELY $100,000.
PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE.FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO COLLECTION RATE OF SELF-PAY BALANCES. MWHC FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. AT DECEMBER 31, 2012 AND 2011, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTED APPROXIMATELY 90% AND 92%, RESPECTIVELY, OF THE PATIENTS DUE ACCOUNTS RECEIVABLE BALANCE. THE PATIENT DUE ACCOUNTS RECEIVABLE BALANCE REPRESENTS THE ESTIMATED UNINSURED PORTION OF ACCOUNTS RECEIVABLE.
PART III, LINE 8: AS A NOT-FOR-PROFIT HOSPITAL IT IS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND TO PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. MWHC ACCEPTS MEDICARE AND MEDICAID AND IT IS A WELL ESTABLISHED FACT THAT NOT-FOR-PROFIT FACILITIES DO NO RECOUP THE COST OF CARING FOR THOSE PATIENTS UTILIZING THESE PROGRAMS. UNDER IRS GUIDELINES MEDICARE AND MEDICAID BENEFICIARIES ARE CONSIDERED TO BE MEMBERS OF A CHARITABLE CLASS, THEREFORE BY ASSISTING THESE PATIENTS AND ACCEPTING THE SHORTFALLS IN REPAYMENT, THE ORGANIZATION IS IN FACT RELIEVING GOVERNMENT BURDEN AND PROVIDING A SIGNIFICANT COMMUNITY BENEFIT TO OUR SERVICE AREA.
PART III, LINE 9B: PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE COLLECTION CYCLE AND MODIFICATIONS OF ABILITY TO PAY MAY BE ADJUSTED SHOULD FINANCIAL OR INSURANCE STATUS CHANGE SINCE THE FIRST DAY OF CARE. MWHC DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THEY HAVE MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS CONSTITUTE NOTIFICATION BY MWHC OF ITS FINANCIAL ASSISTANCE POLICY BY WRITTEN AND/OR ORAL COMMUNICATIONS TO ALL UNINSURED/UNDERINSURED PATIENTS AS WELL AS CONSIDERATION OF ELIGIBILITY BASED UPON THE PRESUMPTIVE ELIGIBILITY GUIDELINES DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2: MARY WASHINGTON HEALTHCARE AND ITS AFFILIATES (MARY WASHINGTON HOSPTIAL, MARY WASHINGTON HOSPITAL FOUNDATION, STAFFORD HOSPITAL, LLC, STAFFORD HOSPITAL FOUNDATION, MEDICORP PROPERTIES, INC., MEDICORP HEALTH SERVICES, AND MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC.) HAS AS ITS MISSION TO IMPROVE THE HEALTH OF MEMBERS OF THE COMMUNITIES IT SERVES: FREDERICKSBURG, VA AND THE SURROUNDING SIX (6) COUNTIES. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THESE COMMUNITIES IN NUMEROUS WAYS INCLUDING: 1) SOLICITING INPUT FROM MWHC'S CITIZEN ADVISORY COUNCIL THAT ENCOMPASS INDIVIDUAL MEMBERS AND SUBCOMMITTEES REPRESENTING EACH OF THE COUNTIES IN MWHC'S SERVICE AREA, AND 2) PERFORMING PERIODIC COMMUNITY NEEDS ASSESSMENTS FOR EACH COUNTY IN COLLABORATION WITH GOVERNMENT AGENCIES AND OTHER COMMUNITY ORGANIZATIONS.
PART VI, LINE 3: MARY WASHINGTON HEALTHCARE AFFILIATES PROVIDE INFORMATION TO PATIENTS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNAGE AT INTAKE AREAS, FLYERS AT ADMISSIONS, NOTICES ON BILLS AND COLLECTION STATEMENTS. FINANCIAL COUNSELORS ARE ALSO AVAILABLE TO ASSIST PATIENTS IN OBTAINING FINANCIAL ASSISTANCE.
PART VI, LINE 4: MARY WASHINGTON HEALTHCARE PROVIDES EXCEPTIONAL MEDICAL SERVICES TO THE CITY OF FREDERICKSBURG AND THE SURROUNDING "COMMUNITY" THAT CONSIST OF THE PRIMARY SERVICE AREA COUNTIES OF STAFFORD, KING GEORGE, SPOTSYLVANIA, WESTMORELAND, ORANGE, PRINCE WILLIAM, AND SECONDARY SERVICE AREA COUNTIES OF MANASSAS, FAUQUIER, CULPEPER, LOUISA, ESSEX, AND RICHMOND. ESTABLISHED IN 1899, MARY WASHINGTON HOSPITAL (MWH), A 437 BED ACUTE CARE FACILITY, OFFERS COMPREHENSIVE HEALTHCARE AND MULTIPLE CENTERS OF EXCELLENCE INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, PSYCHIATRY, AND WOMEN AND INFANT HEALTH. STAFFORD HOSPITAL, LLC, A 100 BED ACUTE CARE FACILITY, ALSO OFFERS COMPREHENSIVE HEALTHCARE SERVICES. BOTH MWH AND SH ARE ACCREDITED BY THE JOINT COMMISSION AND LICENSED BY THE COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH AND THE DEPARTMENT OF MENTAL HEALTH, MENTAL RETARDATION AND SUBSTANCE ABUSE SERVICES. MWH ALSO PROVIDES ADVANCE RADIATION THERAPY THROUGH THE CANCER CENTER OF VIRGINIA AND HOME HEALTH SERVICES THROUGH MARY WASHINGTON HOME HEALTH.AS OF THE MOST RECENT CENSUS WITHIN THE RESPECTIVE COUNTIES THE MAJORITY OF THE GEOGRAPHIC SERVICE AREAS IN WHICH BOTH HOSPITALS SERVE ARE MADE UP OF ABOUT 4,164.5 SQUARE MILES OF SUBURBAN AND RURAL LAND. COMMUNITY RESIDENTS IN THE PRIMARY SERVICE AREAS EARN A MEDIAN INCOME PER HOUSEHOLD OF $57,088/YEAR, WITH A COLLECTIVE AVERAGE OF 7.2% OF THE ENTIRE PRIMARY SERVICE AREA LIVING BELOW THE FEDERAL POVERTY GUIDELINES. THE PRIMARY SERVICE AREA HAS AN ESTIMATED POPULATION OF 657,718 INDIVIDUALS AND 187,202 HOUSEHOLDS.
PART VI, LINE 5: MARY WASHINGTON HOSPITAL, INC. AND STAFFORD HOSPITAL, LLC EACH OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO APPLY, HAVE A GOVERNING BODY WITH A MAJORITY OF INDEPENDENT TRUSTEES, AND PARTICIPATE IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. THROUGH ITS SUBSIDIARIES, PROVIDES ANCILLARY HEALTH SERVICES INCLUDING PHYSICIAN PRACTICES, OUTPATIENT AND AMBULATORY SURGERY, AND HOME HEALTH/HOSPICE SERVICES.THE ORGANIZATION UTILIZES SURPLUS FUNDS TO EXPAND SERVICES PROVIDED TO THE COMMUNITY (IN RESPONSE TO THE COMMUNITY NEEDS ASSESSMENTS), UPGRADE FACILITIES AND EQUIPMENT TO ENHANCE CLINICAL CARE AND PHYSICIAN CONNECTIVITY TO PATIENT ELECTRONIC HEALTH RECORDS, AND HEALTH EDUCATION PROGRAMS.
PART VI, LINE 6: MARY WASHINGTON HEALTHCARE AFFILIATES INCLUDE TWO (2) HOSPITALS, OTHER CLINICAL SERVICES THAT INCLUDE AN AMBULATORY SURGERY CENTER, HOSPICE/HOME HEALTH, INDEPENDENT DIAGNOSTIC TESTING FACILITIES, AND PHYSICIAN PRACTICES; TWO (2) FOUNDATIONS AND A PROPERTY DIVISION. ALL ACTIVITIES OF THIS GROUP ARE COORDINATED AND OVERSEEN BY THE PARENT'S (MARY WASHINGTON HEALTHCARE) BOARD OF TRUSTEES. THE AFFILIATED GROUP'S ACTIVITIES ARE CLOSELY PLANNED/INTEGRATED THROUGH INTERLOCKING BOARDS TO ENSURE THE MOST EFFECTIVE DELIVERY OF CARE. EACH MEMBER OF THE AFFILIATED GROUP FOCUSES EFFORTS IN ITS PARTICULAR AREA OF RESPONSIBILITY AND IS ACCOUNTABLE TO THE PARENT'S BOARD FOR ACHIEVING ITS MISSION AND GOALS FOR THE PROVISION OF HEALTH CARE. THE DIVISION OF SERVICES ABOVE ALLOWS PATIENTS TO ACCESS CARE IN THE MOST APPROPRIATE SETTING. THE GOVERNANCE OVERSIGHT PROVIDED BY THE PARENT GUARANTEES OPTIMAL COORDINATION OF THE VARIOUS SEGMENTS OF CARE AND ENSURES HIGH QUALITY SERVICE AS ECONOMICALLY AS POSSIBLE.
VAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CENTRAL VIRGINIA HEALTH SERVICES
1506 PALMYRA AVEFREDERICKSBURGVA224055408872875000COMMUNITY HEALTH INTERNSHIPS: BUILDING THE FUTURE
OPEN HAND OF FREDERICKSBURG
200 PRINCE EDWARD STFREDERICKSBURGVA224013645640975000SUMMER YOUTH WORKER PROGRAM
RAPPAHANNOCK UNITED WAY
3310 SHANNON PARK DRRICHMONDVA232195460429363000RAPPAHANNOCK AREA CHARITY TRACKER NETWORK
RAPPAHANNOCK AREA OFFICE ON YOUTH
405 CHATHAM SQUARE OFFICE PARKFREDERICKSBURGVA224015460012931820Y2W8 TEEN AWARENESS PROGRAM
MENTAL HEALTH AMERICA OF FREDERICKSBURG
2217 PRINCESS ANNE ST SUITE 104-1LADYSMITHVA225015406787045000SENIOR VISITORS
DAWN PROGRESSIVE ASSOCIATION
24 E CARY ST SUITE 100RICHMONDVA232275410850295000DAWN WASTEWATER IMPROVEMENTS PHASE 2
BETHANY CHRISTIAN SERVICES
1616 STAFFORD AVEFREDERICKSBURGVA2240138140528210000EARLY MEDICAL INTERVENTION
CAROLINE CHRISTIAN HEALTH CENTER
PO BOX 216FREDERICKSBURGVA2240720844678522300MISSION 2540
CENTRAL VIRGINIA HEALTH SERVICES
1506 PALMYRA AVEFREDERICKSBURGVA2240154088728780000CHCRR PRIMARY CARE
DISABILITY RESOURCE CENTER
409 PROGRESS STFREDERICKSBURGVA2240154168767725000EQUIPMENT CONNECTION
FREDERICKSBURG CHRISTIAN HEALTH CENTER
1129 HEATHERSTONE DRFREDERICKSBURGVA22402542061482140000INDIGENT PROGRAM
FREDERICKSBURG REGIONAL TRANSIT
1400 JEFFERSON DAVIS HIGHWAYKILMARNOCKVA2248254600129355000TRANSPORTATION ASSISTANCE FOR INDIGENT PATIENTS
HOSPICE SUPPORT CARE INC
1701 FALL HILL AVE STE 109FREDERICKSBURGVA2240152120367335000HOSPICE SUPPORT CARE
MICAH ECUMENICAL MINISTRIES INC
PO BOX 3277RICHMONDVA23294204044884130000RESIDENTIAL RECOVERY PROGRAM
NORTHERN NECK FREE HEALTH CLINIC
PO BOX 1694FREDERICKSBURGVA2240154167927914000OUTREACH CLINIC IN WESTMORELAND
RAPPAHANNOCK AREA HEALTH DISTRICT
608 JACKSON STFREDERICKSBURGVA2240154600177575000COMPLICATED OBSTETRICAL AND HIGH RISK MATERNITY CARE PROGRAM
RX PARTNERSHIP
2924 EMERYWOOD PARKWAY 300COLONIAL BEACHVA2244357118693720000RXP
FREDERICKSBURG COUNSELING SERVICES INC
305 HANSON AVE 140FALMOUTHVA2240554084446425015COUNSELING SERVICES
FREDERICKSBURG DEPARTMENT OF SOCIAL SERVICES
608 JACKSON ST SUITE 100COLONIAL BEACHVA2244354600129317500COMMUNITY BASED ELIGIBILITY WORKER
GUADALUPE FREE CLINIC OF COLONIAL BEACH INC
PO BOX 275FREDERICKSBURGVA2240151063597755000FREE CLINIC
HAZEL HILL APT CORPORATION
223 BUTLER RDFREDERICKSBURGVA2240254085980214000HAZEL HILL HEALTHCARE PROJECT
NORTHERN NECK ALLIANCE INC
PO BOX 40SPOTSYLVANIAVA225515416780539000NORTHERN NECK HEAD START
RAPPAHANNOCK AREA HEALTH DISTRICT
608 JACKSON STDUMFRIESVA2202654600177520240EVERY WOMAN'S LIFE PROGRAM
RAPPAHANNOCK COUNCIL ON DOMESTIC VIOLENCE
PO BOX 1007FREDERICKSBURGVA2240152114254720000INTIMATE PARTNER VIOLENCE (IPV) HEALTHCARE PARTNERSHIP PROGRAM
SPOTSYLVANIA COUNTY SCHOOLS
6921 NORTH ROXBURY MILL RDSTAFFORDVA2255454600177517526SCHOOL FLUORIDE MOUTH RINSE PROGRAM
ACTION IN COMMUNITY THROUGH SERVICE (ACTS)
PO BOX 74STAFFORDVA22554724654089767920000ACTS HELPLINE ASSISTANCE AND OUTREACH PROJECT
STAFFORD COUNTY DEPARTMENT OF SOCIAL SERVICES
PO BOX 7FREDERICKSBURGVA2240554600162624750STAFFORD'S HEALTH INSURANCE ENROLLMENT (SHINE) PROGRAM
STAFFORD COUNTY SCHOOLS
31 STAFFORD AVEFREDERICKSBURGVA2240554600162827400FITNESSGRAM/ACTIVITYGRAM FITNESS ASSESSMENT/REPORTING SOFTWARE
STAFFORD COUNTY SCHOOLS
31 STAFFORD AVEFREDERICKSBURGVA2240154600162850900IT'S NO LONGER A WEIGHT ROOM -- IT'S A WELLNESS ROOM!
STAFFORD JUNCTION INC
400 CHATHAM SQUARE OFFICE PARKFREDERICKSBURGVA2240520303607216540HEALTHY LIVING PAYS
STAFFORD SCHOOLS HEAD STARTVPIEARLY HEAD START
610 GAYLE STFREDERICKSBURGVA2240554600162811303STAFFORD SCHOOLS HEAD START NUTRITION CONSULTANT PROJECT
LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BLVDFREDERICKSBURGVA22401541677934820000FREE HEALTH CLINIC

Form990 Schedule I Part III Form990ScheduleIPartIII (29 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
ANNE GRAZIANI BROADDUS NURSING SCHOLARSHIP11500
APRIL JETT WILLS MEMORIAL NURSING SCHOLARSHIP11000
AQUIA HARBOUR PROPERTY OWNER'S ASSOCIATION SCHOLARSHIP1500
BARBARA KANE NURSING SCHOLARSHIP1750
CHARLES M. "PETE" HEARN FELLOWSHIP11500
CORA GRAVES ALLISON NURSING SCHOLARSHIP1750
ELEANOR HEYCOCK PETTIT NURSING SCHOLARSHIP11500
ELIZABETH BRUNELLE RYAN AND CATHERINE RYAN LEGATH SCHOLARSHIP1750
FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE SCHOLARSHIP21700
HAROLD AND FRANCES SCHILZ NURSING SCHOLARSHIP22000
HEWETSON NURSING SCHOLARSHIP22000
IDA RICHARDSON JENKINS MEMORIAL SCHOLARSHIP1750
JANICE HUNT SCHOLARSHIP47000
JEAN C. WILLIAMS MEMORIAL NURSING SCHOLARSHIP1750
JEANE BULLOCK NURSING SCHOLARSHIP12000
JENNIE MAE BENSON NURSING SCHOLARSHIP11000
LAURA LEIGH LUMPKIN MEMORIAL SCHOLARSHIP12000
LIBBY PEARSON ENDOWED NURSING SCHOLARSHIP1750
MARIE LACY ROLLINS SCHOLARSHIP11500
MARY FRANCES WILLIS & JAMES G. WILLIS MEMORIAL SCHOLARSHIP44000
MARY WASHINGTON HOSPITAL AUXILIARY SCHOLARSHIP22000
NANCY HAZARD MEMORIAL SCHOLARSHIP1750
REBECCA BENNETT NURSING SCHOLARSHIP11000
SAL KIWALL MEMORIAL SCHOLARSHIP FOR CLINICAL EDUCATION11500
SAM MILLER SCHOLARSHIP1800
STAFFORD HOSPITAL AUXILIARY SCHOLARSHIP21500
SUE HALL NURSING SCHOLARSHIP11500
WILLIAM AND VIOLA ADRIAN NURSING SCHOLARSHIP35000
WILLIAM F. JACOBS, JR. SCHOLARSHIP IN HEALTHCARE ADMINISTRATION12000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRED M RANKIN III
PRESIDENT0582184000258992024500020742088641800
SEAN T BARDEN
EXECUTIVE VP033946400061978024500025449045139100
WALTER J KIWALL
EXECUTIVE VP035661300083970024500018496048357900
XAVIER R RICHARDSON
EXECUTIVE VP021021800041000023366015185028976900
J THOMAS RYAN MD
EXECUTIVE VP0337273000105827024500017843048544300
RAVI MATHUR
VICE PRESIDENT016813300020150017974016190022244700
CHERYL SPRINGHORN
EXECUTIVE DIRECTOR014195900000394807278015318500
LAWRENCE ROBERTS MD
TRUSTEE5109100000075000248410543251000
KATHRYN S WALL
EXECUTIVE VP022722700031000024199010079029250500
MARIANNA BEDWAY
SENIOR VP020856500026983020968025092028160800
ERIC FLETCHER
SENIOR VP020552800026402017545021295027077000
WINIFRED J HAIKEY
SENIOR VP018426800061560022698015499028402500
JOYCE HANSCOME
SENIOR VP020416100021410016930017724026022500
JAMES K VAN RENAN
SENIOR VP273970000280000245000216000348070000
CATHLEEN A YABLONSKI
SENIOR VP185787000255320165750248150252709000
AMY ADOME MD
VICE PRESIDENT01743350002067701868008408022210000
REBECCA BIGONEY MD
VICE PRESIDENT3073640006635069160142830335198000
KATHLEEN BOURGAULT
VICE PRESIDENT0177267000558801265016195020031500
EILEEN L DOHMANN RN
VICE PRESIDENT19793700022107020680035150244239000
MARIE FREDRICK
VICE PRESIDENT017349000021053019196019152023289100
JAMES SWISHER
VICE PRESIDENT01558840001888201611508036019891700
DAVID LING MD
EXECUTIVE DIRECTOR0198186000582103512024765023228400
GLEN J POFFENBARGER MD
PHYSICIAN97557800000750003128601014364000
JT SHERWOOD MD
PHYSICIAN8275380000075000323780867416000
CHRISTOS HATJIS MD
PHYSICIAN7095290000075000230030740032000
MAURICE EGGLESTON JR MD
PHYSICIAN4498150000075000283320485647000
THERESA A CONOLOGUE MD
PHYSICIAN4090940000075000194110436005000
RANDALL PATRICK STEWART
SENIOR VP-(FORMER)0233370000500002930017408025870800
ALAN EDWARDS
VICE PRESIDENT-(FORMER)015760000018026012270026672021456800

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1APART 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, LINE 7PART 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. THERE WAS NO INCENTIVE COMPENSATION PAID IN 2012.
PART IIISCHEDULE J - PART I 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 TEH EXECUTIVE'S W-2 PART II, COLUMN B DISCLOSURE: PRIMARILY REPRESENTS 457(F) DISTRIBUTIONS.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ECONOMIC DEVELOPMENT AUTHORITY
A541244413852431AQ82006-12-01125000000BUILD STAFFORD HOSPITAL FACILITY000
LYNCHBURG IDA-VHA POOLED FINANCING
B2007-12-2814000000ACQUISITION OF MWH EQUIPMENT000
CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
C521303430355849AS92007-05-1081860000REFUNDING OF 1996 MWH BONDS000
CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
D5213034302011-07-1230000000BUILD AND EQUIP CANCER CENTER000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A13258164195950013162214120080011
B140000001260001387400020070011
C868683125830108628530220071011
D302100002100003000000020110011

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseEngage Bond Counsel ResearchEngageBondCounselResearch
A00110101
B001101010.002000.00200
D011111011

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000100001
B001010001
C001000001
D010010001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STAFFORD MEDICAL OFFICE
MANAGEMENT CONTRACT1442676RENTAL, MEDICAL OFFICE0
HEALTH TECH RESOURCES
5% TRUSTEE OWNERSHIP1276178RENTAL0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions13NumberOfContributions
Noncash Contribs Rptd F9904840NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9901250NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99024653NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionGIFT CARDS AND CERTIFICATESDescription
Number Of Contributions58NumberOfContributions
Noncash Contribs Rptd F99025509NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationTHE GROUP HAS A POLICY REQUIRING REVIEW AND BOARD APPROVAL OF ALL NON-STANDARD CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, Q 7G AND 7HQUESTIONS 7G AND 7H DO NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY OR CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF THE MARY WASHINGTON HEALTHCARE GROUP ALL HAVE ONE SOLE MEMBER, ITS PARENT MARY WASHINGTON HEALTHCARE (MWHC).
FORM 990, PART VI, SECTION A, LINE 7AMARY WASHINTON HEALTHCARE (MWHC) HAS THE POWER TO APPOINT BOARD OF TRUSTEES FOR THE GROUP.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS OF THE MARY WASHINGTON HEALTHCARE GROUP ALL HAVE ONE SOLE MEMBER, ITS PARENT MARY WASHINGTON HEALTHCARE (MWHC). MWHC HAS RESERVED CERTAIN POWERS TO ITSELF WITHIN EACH OF ITS SUBSIDIARIES' ORGANIZING DOCUMENTS. THESE RESTRICTIONS INCLUDE AMENDING THE GOVERNING DOCUMENTS, BUDGETING, EXPENDITURES OVER CERTAIN THRESHOLDS.
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT COMPLETES A DRAFT OF THE FORM 990 FOR THE MARY WASHINGTON HEALTHCARE GROUP. AT THAT TIME THE RETURN IS SUBMITTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR REVIEW AND ACCEPTANCE. THE FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF TRUSTEES THROUGH THE BOARD WEBSITE FOR FURTHER REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CEVERY TRUSTEE, AND EXECUTIVE MEMBER OF MANAGEMENT IS REQUIRED TO DISCLOSE ANY AND ALL POSSIBLE CONFLICTS OF INTERESTS. THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MWHC CHIEF AUDIT EXECUTIVE (CAE). THE CAE THEN 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 CHARI 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 15MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND COMMERCIALLY REASONABLE 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, FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS, AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA POINT PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE.
FORM 990, PART VI, SECTION C, LINE 19THE AUDITED FINANCIALS STATEMENTS ARE POSTED ON THE MARY WASHINGTON HEALTHCARE WEBSITE FOR PUBLIC VIEW.
FORM 990, PART IX, LINE 11GCONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 5,833,974. MANAGEMENT AND GENERAL EXPENSES 160,577. FUNDRAISING EXPENSES 1,321. TOTAL EXPENSES 5,995,872. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 38,792,246. MANAGEMENT AND GENERAL EXPENSES 1,067,735. FUNDRAISING EXPENSES 8,785. TOTAL EXPENSES 39,868,766. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 2,573,496. MANAGEMENT AND GENERAL EXPENSES 70,834. FUNDRAISING EXPENSES 583. TOTAL EXPENSES 2,644,913. ASP SERVICES: PROGRAM SERVICE EXPENSES 13,427. MANAGEMENT AND GENERAL EXPENSES 370. FUNDRAISING EXPENSES 3. TOTAL EXPENSES 13,800. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 5,225,130. MANAGEMENT AND GENERAL EXPENSES 143,819. FUNDRAISING EXPENSES 1,183. TOTAL EXPENSES 5,370,132. STORAGE: PROGRAM SERVICE EXPENSES 123,762. MANAGEMENT AND GENERAL EXPENSES 3,406. FUNDRAISING EXPENSES 28. TOTAL EXPENSES 127,196. WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 1,077,496. MANAGEMENT AND GENERAL EXPENSES 29,657. FUNDRAISING EXPENSES 244. TOTAL EXPENSES 1,107,397. MANAGEMENT CONTRACTS : PROGRAM SERVICE EXPENSES 13,724,706. MANAGEMENT AND GENERAL EXPENSES 377,765. FUNDRAISING EXPENSES 3,108. TOTAL EXPENSES 14,105,579.OTHER FEES
FORM 990, PART XI, LINE 9:RELIEF FROM AFFILIATE LOANS -19,492,791. LOSS FROM RELATED AFFILIATES 7,010,901. VCSI -FINAL RETURN 856,043.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE GROUP RETURN IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MWHC. CONSISTENT WITH PRIOR YEARS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AUDITORS RESTS WITH THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART V, Q2ANO ENTITY WITHIN THE GROUP FILES W-2S WITH THE IRS. ALL PAYROLL IS PAID THROUGH AN AGENCY AGREEMENT WITH MARY WASHINGTON HEALTCARE, THE PARENT ORGANIZATION. MARY WASHINGTON HEALTHCARE FILES ALL W-2S.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CRNA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 FALL HILL AVE SUITE 509AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode
FieldValueIRS element (for citing)
EIN571172752EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income0TotalIncome
EOY Assets278315EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MWHC CLINICAL SERVICES INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
STAFFORD HOSPITAL AUXILIARY
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401262704632MEDICAL SERVICESVA501(C)(3)LINE 11C, III-FIMWHC0
MARY WASHINGTON HOSPITAL AUXILIARY
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401752985923MEDICAL SERVICESVA501(C)(3)LINE 11C, III-FIMWHC0
MWH AND UVA RADIOSURGERY CENTER LLC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401900604539MEDICAL SERVICESVA501(C)(3)LINE 11A, IMWHC0
MARY WASHINGTON HEALTHCARE
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541240646MEDICAL SERVICESVA501(C)(3)LINE 11B, IIMWHC0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
TOMPKINS MARTIN MEDICAL PLAZA
2300 FALL HILL AVE STE 509FREDERICKSBURGVA22401541632021REAL ESTATEVAMPIRELATED5748355246286010.80500
FREDERICKSBURG AMBULATORY SURGERY CENTER
2300 FALL HILL AVE STE 509FREDERICKSBURGVA22401562322548SURGERY CTRVAMWHC CLINICAL SERVICES INCRELATED25972375040676010.71500
MEDICAL IMAGING OF FREDERICKSBURG
2300 FALL HILL AVE STE 509FREDERICKSBURGVA22401541364028IMAGINGVAMWHC CLINICAL SERVICES INCRELATED38427187501169010.51000
MARY WASHINGTON EYE CARE CENTER
2300 FALL HILL AVE STE 509FREDERICKSBURGVA22401271248032OPTOMETRYVAMWHC CLINICAL SERVICES INCRELATED-173664546508000.60000
CENTRAL ATLANTIC HEALTH NETWORK
2300 FALL HILL AVE STE 509FREDERICKSBURGVA22401274704694GROUP PURCHASINGVARELATED-17924821100.11110

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
MWHC HOLDING COMPANY INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541725487HOLDING COMPANYVAMWHC CLINICAL SERVICES INCC-2923548280741.000000
MARY WASHINGTON HEALTHCARE SERVICES
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541244509RETAIL MEDICALVAMWHC CLINICAL SERVICES INCC-9465257400641.000000
FREDERICKSBURG PROFESSIONAL RISK EXCHANGE
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401531095956CAPTIVE INSURANCEVAMWHCC0.975000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TOMPKINS MARTIN MEDICAL PLAZA
K1360903IND APPRAISAL
FREDERICKSBURG AMBULATORY SURGERY CENTER
J964325IND APPRAISAL
MEDICAL IMAGING OF FREDERICKSBURG
J944679IND APPRAISAL
MARY WASHINGTON EYE CARE CENTER
J122853IND APPRAISAL
MARY WASHINGTON HEALTHCARE SERVICES INC
J554335IND APPRAISAL
MARY WASHINGTON HOSPITAL AUXILIARY
C220000CASH TRANSACTION

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