FURP.ORG / PUBLIC DATA EXPLORER

MARY WASHINGTON HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARY WASHINGTON HEALTHCARE (EIN 54-1240646)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349303524
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)
Timestamp2013-11-14T13:26:31-06:00Timestamp
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)
EIN541240646EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY WASHINGTON HEALTHCAREBusinessNameLine1
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 TS2016-02-25 16:41:14ZBuildTS

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 Receipts73687919GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.MARYWASHINGTONHEALTHCARE.COM/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionOUR MISSIONS 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees566TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI1062617TotalGrossUBI
Net Unrelated Business Txbl Income-189487NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year551845ContributionsGrantsPriorYear
Contributions Grants Current Year59677ContributionsGrantsCurrentYear
Program Service Revenue Prior Year67798617ProgramServiceRevenuePriorYear
Program Service Revenue CY71445804ProgramServiceRevenueCY
Investment Income Prior Year1217772InvestmentIncomePriorYear
Investment Income Current Year567797InvestmentIncomeCurrentYear
Other Revenue Prior Year1406534OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year70974768TotalRevenuePriorYear
Total Revenue Current Year72073278TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year622552GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY840601GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40751904SalariesEtcPriorYear
Salaries Etc Current Year44367788SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year641700TotalFundrsngExpCurrentYear
Other Expense Prior Year32219300OtherExpensePriorYear
Other Expenses Current Year40064264OtherExpensesCurrentYear
Total Expenses Prior Year73593756TotalExpensesPriorYear
Total Expenses Current Year85272653TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2618988RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13199375RevenuesLessExpensesCY
Total Assets BOY363105448TotalAssetsBOY
Total Assets EOY344120060TotalAssetsEOY
Total Liabilities BOY124473618TotalLiabilitiesBOY
Total Liabilities EOY131648668TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY238631830NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY212471392NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense82798812Expense
Grants840601Grants
Revenue70383187Revenue
DescriptionAS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionAS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP.Description
FieldValueIRS element (for citing)
Total Program Service Expense82798812TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
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 With1096109NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5021NumberOfEmployees
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
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WINIFRED J HAIKEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5407411821TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (43 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
PRESIDENT40.004.00XX841176045242
KENNETH N JOSOVITZ MD
OFFICER2.003.00X0166670
DAVID M GARTH MD
OFFICER2.004.00X0260000
JOSEPH T CRANE IV MD
TRUSTEE2.002.00X000
JOHN F FICK III
CHAIR8.002.00XX000
ALDA L WHITE
VICE CHAIR5.002.00XX000
DONALD H NEWLIN
SECRETARY/TREASURER5.002.00XX000
WILLIAM BOLDON
TRUSTEE3.002.00X000
JAN C ERKERT
TRUSTEE2.002.00X000
KURT R LARSON MD
TRUSTEE2.002.00X000
RAYMOND C MCAFOOSE
TRUSTEE3.002.00X000
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
SEAN T BARDEN
EXECUTIVE VP40.004.00X401442049949
WALTER J KIWALL
EXECUTIVE VP40.004.00X440583042996
XAVIER R RICHARDSON
EXECUTIVE VP40.002.00X251218038551
J THOMAS RYAN MD
EXECUTIVE VP40.002.00X443100042343
KATHRYN S WALL
EXECUTIVE VP40.002.00X258227034278
MARIANNA BEDWAY
SENIOR VP40.002.00X235548046060
ERIC FLETCHER
SENIOR VP40.002.00X231930038840
WINIFRED J HAIKEY
SENIOR VP40.002.00X245828038197
JOYCE HANSCOME
SENIOR VP40.002.00X225571034654
JAMES K VAN RENAN
SENIOR VP2.0040.00X030197046100
CATHLEEN A YABLONSKI
SENIOR VP2.0040.00X021131941390
AMY ADOME MD
VICE PRESIDENT40.002.00X195011027089
REBECCA BIGONEY MD
VICE PRESIDENT2.0040.00X031399921199
KATHLEEN BOURGAULT
VICE PRESIDENT40.002.00X182855017460
EILEEN L DOHMANN RN
VICE PRESIDENT2.0040.00X022004424195
MARIE FREDRICK
VICE PRESIDENT40.002.00X194543038348
RAVI MATHUR
VICE PRESIDENT40.002.00X188283034164
MELISSA SMITH
VICE PRESIDENT (FORMER)1.00X19020013460
JAMES SWISHER
VICE PRESIDENT40.002.00X174766024151
DAVID LING MD
EXECUTIVE DIRECTOR40.002.00204007028277X
PHILLIP S BORDERS
DIR INTERNAL AUDIT40.000.00180910038736X
TINA ERWIN
EXEC DIR SYS DEVEL40.000.00159520026755X
PHILIP A BROWN
DIR OF PLANNING40.000.00148717028123X
D L SUMNER
DIR OF COMP & BENE40.000.00148290016220X
LISA LUCAS
DIR CLINICAL INFO40.000.00133083011500X
RANDALL PATRICK STEWART
SENIOR VP-(FORMER)40.002.00238370020338X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5741998TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1089999TotalReportableCompFrmRltdOrgs
Total Other Compensation868615TotalOtherCompensation
Number Individuals GT100 K58NumberIndividualsGT100K
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
SODEXO INC & AFFILIATES
PO BOX 905374CHARLOTTENC28290FOOD SERVICES4396177
SHIFTWISE
2501 SW 1ST AVENUEPORTLANDOR22044STAFFING SERVICE2545111
PRICEWATERHOUSE COOPERS
1800 TYSONS BOULEVARDMCLEANVA22044CONSULTING SERVICES2065730
VITALIZE CONSULTING SOLUTIONS
248 MAIN ST STE 101READINGMA01867CONSULTING SERVICES1951744
BEACON PARTNERS INC
97 LIBBEY PKWY STE 310WEYMOUTHMA02189CONSULTING SERVICES1360650
FieldValueIRS element (for citing)
Number Of Contractors GT100 K67NumberOfContractorsGT100K
Government Grants59377GovernmentGrants
All Other Contributions300AllOtherContributions
Total Contributions59677TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT SERVICES REVENUE56100065556731644941141062617
AFFILIATE CAPTIVE INSURANCE56100035960133596013
OTHER OPERATING INCOME56100017493871749387
PERSONNEL SERVICES561000432177432177
ASSOC ASSIST PROGRAM561000111496111496
FieldValueIRS element (for citing)
Total Program Service Revenue71445804TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2182438TotalRevenueColumn
Exclusion$2,182,438ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1612725Securities
Other1916Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1612725Securities
Other-1916Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1614641TotalRevenueColumn
Exclusion-$1,614,641ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column72073278TotalRevenueColumn
Related Or Exempt Function Income70383187RelatedOrExemptFunctionIncome
Unrelated Business Revenue1062617UnrelatedBusinessRevenue
Exclusion$567,797ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total840601Total
Program Services840601ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6692297Total
Program Services6496213ProgramServices
Management And General145223ManagementAndGeneral
Fundraising50861Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28288460Total
Program Services27459608ProgramServices
Management And General613860ManagementAndGeneral
Fundraising214992Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2261417Total
Program Services2195158ProgramServices
Management And General49072ManagementAndGeneral
Fundraising17187Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4367333Total
Program Services4239370ProgramServices
Management And General94772ManagementAndGeneral
Fundraising33191Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2758281Total
Program Services2677464ProgramServices
Management And General59854ManagementAndGeneral
Fundraising20963Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total757956Total
Program Services735748ProgramServices
Management And General16447ManagementAndGeneral
Fundraising5761Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total806911Total
Program Services783269ProgramServices
Management And General17509ManagementAndGeneral
Fundraising6133Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total224188Total
Program Services217619ProgramServices
Management And General4865ManagementAndGeneral
Fundraising1704Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total11854Total
Program Services11507ProgramServices
Management And General257ManagementAndGeneral
Fundraising90Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total391817Total
Program Services380337ProgramServices
Management And General8502ManagementAndGeneral
Fundraising2978Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11308166Total
Program Services10976842ProgramServices
Management And General245377ManagementAndGeneral
Fundraising85947Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3085017Total
Program Services2994628ProgramServices
Management And General66942ManagementAndGeneral
Fundraising23447Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4008687Total
Program Services3891234ProgramServices
Management And General86985ManagementAndGeneral
Fundraising30468Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6953261Total
Program Services6749533ProgramServices
Management And General150880ManagementAndGeneral
Fundraising52848Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4129461Total
Program Services4008469ProgramServices
Management And General89606ManagementAndGeneral
Fundraising31386Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total494812Total
Program Services480314ProgramServices
Management And General10737ManagementAndGeneral
Fundraising3761Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total33187Total
Program Services32215ProgramServices
Management And General720ManagementAndGeneral
Fundraising252Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4593430Total
Program Services4458844ProgramServices
Management And General99674ManagementAndGeneral
Fundraising34912Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1842396Total
Program Services1788415ProgramServices
Management And General39978ManagementAndGeneral
Fundraising14003Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT549422533324119224176
OTHER SUPPLIES39490238333285693001
OTHER MEDICAL EXPENSE33899332906173562576
REPAIRS & MAINTENANCE13511413115529321027

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4690Total
Program Services4552ProgramServices
Management And General102ManagementAndGeneral
Fundraising36Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85272653Total
Program Services82798812ProgramServices
Management And General1832141ManagementAndGeneral
Fundraising641700Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY55515624BOY
EOY22037874EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY30726213EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY66057EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4462911BOY
EOY12292090EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1678046BOY
EOY1661092EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2766503BOY
EOY3017852EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36878658LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18740307LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13365359BOY
EOY18138351EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63811478BOY
EOY70722345EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY216956882BOY
EOY184893223EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY564963EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4548645BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY363105448BOY
EOY344120060EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38101991BOY
EOY34719563EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY30281560BOY
EOY30984140EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY56090067BOY
EOY65944965EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY124473618BOY
EOY131648668EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY221299214BOY
EOY193993699EOY

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)
BOY238631830BOY
EOY212471392EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY363105448BOY
EOY344120060EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-13199375ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6651637ReconciliationUnrealizedInvest
Reconcilation Other Changes-19612700ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MARY WASHINGTON HOSPITAL INC
540519577501(C)(3)111$0
STAFFORD HOSPITAL LLC
134316364501(C)(3)011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$11,854DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB11854TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPART 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.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44824OtherCostOrOtherBasis
Depreciation24058Depreciation
Book Value20766BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis747576OtherCostOrOtherBasis
Depreciation379672Depreciation
Book Value367904BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis36063910OtherCostOrOtherBasis
Depreciation18328144Depreciation
Book Value17735766BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22348OtherCostOrOtherBasis
Depreciation8433Depreciation
Book Value13915BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18138351TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN CENTRAL ATLANTIC HEAT25000C
INVESTMENT IN VA ALLIANCE, LLC5000C
INVESTMENT IN VHA200000C
INVESTMENT IN AFFILIATES184663223C
FieldValueIRS element (for citing)
Total Of Book Value Securities184893223TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$60,848,910
IBNR$3,430,055
LOSS RESERVE ON EXCESS PROGRAM - INSURANCE$1,666,000
FieldValueIRS element (for citing)
Total Of Amounts65944965TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationMWHC 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 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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
ALLSCRIPTS
24630 NETWORK PLACECHICAGOIL60673364016836518080EMR SOFTWARE SUPPORT FOR 10 AREA PHYSICIANS OFFICES IN COMPLIANCE WITH REGULATORY REQUIREMENTS.
ALTOS SOLUTIONS INC
5424 SUNOL BLVD SUITE 10PLEASANTONCA9456620511264032921EMR SUPPORT
AMERICAN CANCER SOCIETY
250 WILLIAMS ST 4TH FLRATLANTAGA3030313178849115000CANCER RESEARCH501(C)(3)
BOYS AND GIRLS CLUB OF GREATER W
200 GUNNERY RDFREDERICKSBURGVA224025302367595860GENERAL SUPPORT501(C)(3)
CHILDREN'S HOME SOCIETY OF VA
4200 FITZHUGH AVENUERICHMONDVA232305405058845000GENERAL SUPPORT501(C)(3)
CHIP OF VIRGINIA
701 EAST FRANKLIN ST STE 502RICHMONDVA232195416830425000COMPREHENSIVE HEALTH INVESTMENT PLAN SUPPORT
FEAR 2 FREEDOM INC
1205 RIVERSIDE DRIVENEWPORT NEWSVA236064521430345000SEXUAL ABUSE RECOVERY SUPPORT501(C)(3)
GERMANNA COMMUNITY COLLEGE
10000 GERMANNA POINT DRIVEFREDERICKSBURGVA2240854126829211825NURSING SUPPORT
HEALTH IT SERVICES GROUP
750 OLD HICKORY BOULEVARDBRENTWOODTN3702720879039913515GENERAL SUPPORT
MARCH OF DIMES
PO BOX 932852ATLANTAGA3119313184636610000GENERAL SUPPORT501(C)(3)
MARINE CORPS MARATHON
PO BOX 188 3399 RUSSEL RDQUANTICOVA221345414686755000MARATHON SUPPORT501(C)(3)
MCA SYSTEMS
200 OLD LANDING CTFREDERICKSBURGVA224052723817147344GENERAL SUPPORT
MICRO DEVELOPMENT SERV INC
PO BOX 72945PHOENIZAZ8505014187067738109EMR SUPPORT
NATIONAL CAPITAL BOY SCOUTS OF AMERICA
9190 ROCKVILLE PIKEBETHESDAMD208145302046105000GENERAL SUPPORT501(C)(3)
RAPPAHANNOCK AREA YMCA INC
212 BUTLER ROADFREDERICKSBURGVA224055409658265000FITNESS PROGRAMS501(C)(3)
RAPPAHANNOCK POPS ORCHESTRA INC
PO BOX 1972SPOTSYLVANIAVA225539121548086000ENRICHMENT501(C)(3)
VIRGINIA HEALTHCARE FOUNDATION
707 EAST MAIN STREET SUITE 13RICHMONDVA2321954163992410000GENERAL SUPPORT501(C)(3)

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 (25 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
PRESIDENT5821840002589920245000207420886418000
SEAN T BARDEN
EXECUTIVE VP339464000619780245000254490451391000
WALTER J KIWALL
EXECUTIVE VP356613000839700245000184960483579000
XAVIER R RICHARDSON
EXECUTIVE VP210218000410000233660151850289769000
J THOMAS RYAN MD
EXECUTIVE VP3372730001058270245000178430485443000
KATHRYN S WALL
EXECUTIVE VP227227000310000241990100790292505000
MARIANNA BEDWAY
SENIOR VP208565000269830209680250920281608000
ERIC FLETCHER
SENIOR VP205528000264020175450212950270770000
WINIFRED J HAIKEY
SENIOR VP184268000615600226980154990284025000
JOYCE HANSCOME
SENIOR VP204161000214100169300177240260225000
JAMES K VAN RENAN
SENIOR VP027397000028000024500021600034807000
CATHLEEN A YABLONSKI
SENIOR VP018578700025532016575024815025270900
AMY ADOME MD
VICE PRESIDENT17433400020677018680084090222100000
REBECCA BIGONEY MD
VICE PRESIDENT0307364000663506916014283033519800
KATHLEEN BOURGAULT
VICE PRESIDENT1772670005588012650161950200315000
EILEEN L DOHMANN RN
VICE PRESIDENT01979370002210702068003515024423900
MARIE FREDRICK
VICE PRESIDENT173490000210530191960191520232891000
RAVI MATHUR
VICE PRESIDENT168133000201500179740161900222447000
JAMES SWISHER
VICE PRESIDENT15588400018882016115080360198917000
DAVID LING MD
EXECUTIVE DIRECTOR1981860005821035120247650232284000
PHILLIP S BORDERS
DIR INTERNAL AUDIT156410000245000220790166570219646000
TINA ERWIN
EXEC DIR SYS DEVEL1595200000049260218290186275000
PHILIP A BROWN
DIR OF PLANNING1487170000046530234700176840000
D L SUMNER
DIR OF COMP & BENE1482900000042770119430164510000
RANDALL PATRICK STEWART
SENIOR VP-(FORMER)2333700005000029300174080258708000

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 THE EXECUTIVE'S W-2 PART II, COLUMN B DISCLOSURE: PRIMARILY REPRESENTS 457(F) DISTRIBUTIONS.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRAL ATLANTIC HEALTH NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDIRECTORRelationship
Amount Of Transaction119165AmountOfTransaction
Description Of TransactionNETWORKD CHARGESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

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 B, LINE 11LINE 11A EXPLANATION - MANAGEMENT COMPLETES A DRAFT OF THE INTERNAL REVENUE SERVICE (IRS) FORM 990 INFORMATION RETURN FOR THE MARY WASHINGTON HEALTHCARE SYSTEM AND ITS SUBSIDIARIES. 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 AVAILABLE TO THE BOARD OF TRUSTEES THROUGH THE BOARD WEBSITE FOR FURTHER REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CEVERY 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 15MARY 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT PERSONNEL : PROGRAM SERVICE EXPENSES 1,022,150. MANAGEMENT AND GENERAL EXPENSES 22,849. FUNDRAISING EXPENSES 8,003. TOTAL EXPENSES 1,053,002. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 6,732,345. MANAGEMENT AND GENERAL EXPENSES 150,496. FUNDRAISING EXPENSES 52,713. TOTAL EXPENSES 6,935,554. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 2,098,030. MANAGEMENT AND GENERAL EXPENSES 46,900. FUNDRAISING EXPENSES 16,427. TOTAL EXPENSES 2,161,357. ASP SERVICES: PROGRAM SERVICE EXPENSES 614,225. MANAGEMENT AND GENERAL EXPENSES 13,730. FUNDRAISING EXPENSES 4,809. TOTAL EXPENSES 632,764. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 7,619. MANAGEMENT AND GENERAL EXPENSES 170. FUNDRAISING EXPENSES 60. TOTAL EXPENSES 7,849. STORAGE: PROGRAM SERVICE EXPENSES 108,175. MANAGEMENT AND GENERAL EXPENSES 2,418. FUNDRAISING EXPENSES 847. TOTAL EXPENSES 111,440. WASTE DISPOSAL : PROGRAM SERVICE EXPENSES 13,100. MANAGEMENT AND GENERAL EXPENSES 293. FUNDRAISING EXPENSES 103. TOTAL EXPENSES 13,496. MANAGEMENT CONTRACTS: PROGRAM SERVICE EXPENSES 381,198. MANAGEMENT AND GENERAL EXPENSES 8,521. FUNDRAISING EXPENSES 2,985. TOTAL EXPENSES 392,704.OTHER FEES
FORM 990, PART XI, LINE 9:EQUITY EARNINGS IN SUBSIDIARIES -9,507,770. ADDITIONAL MINIMUM PENSION LIABILITY -6,931,357. EQUITY ADJUSTMENT FOR TAXABLE AFFILIATES -5,100,241. RESTRICTED FUNDS INCREASE 1,145,077. OTHER 781,591.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS OF RESPONSIBILITY OF THE AUDIT AND SELECTION OF AUDITORS HAS NOT CHANGED FROM PRIOR YEAR.
FORM 990, PART V, 2AMWHC PROVIDES PAYROLL SERVICES FOR ITS AFFILIATED ENTITIES THROUGH PAYROLL AGENCY AGREEMENTS. THIS ENTITY ISSUED 5,021 W-2S IN TOTAL AND 4,455 WERE FOR AFFILIATED ENTITIES.
ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE MPI - MEDICORP PROPERTIES, INC. MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. MEDIDOCTORS H.C. - MEDIDOCTORS HOLDING COMPANYSCHEDULE R
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.UNRELATED BUSINESS INCOME
PROVISION OF HEALTH CARE. MARY WASHINGTON HEALTHCARE WAS ORGANIZED TO ACT AS THE PARENT CORPORATION IN THE MARY WASHINGTON HEALTHCARE AFFILIATED GROUP, AND TO ENGAGE IN SUCH ACTIVITIES FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF MARY WASHINGTON HOSPITAL, STAFFORD HOSPITAL AND ITS AFFILIATED ORGANIZATIONS IN THE SYSTEM.FORM 990, PART III LINE 1 - ORG. MISSION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MWHC SIR LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 FALL HILL AVE SUITE 509AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode
FieldValueIRS element (for citing)
EIN452931630EIN
Primary ActivitiesMEDICAL MALPRACTICE SELF-INSURANCE SYSTEMPrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income3674560TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MWHCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (10 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 509FREDERICKSBURGVA22401262704632SUPPORT SERVICESVA501(C)(3)LINE 11C, III-FISTAFFORD HOSPITAL LLC1
MARY WASHINGTON HOSPITAL AUXILIARY
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401752985923SUPPORT SERVICESVA501(C)(3)LINE 11C, III-FIMARY WASHINGTON HOSPITAL1
MWH AND UVA RADIOSURGERY CENTER LLC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401900604539MEDICAL SERVICESVA501(C)(3)LINE 11A, IMWH1
STAFFORD HOSPITAL LLC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401134316364HOSPITAL SERVICESVA501(C)(3)LINE 3MWHC1
MARY WASHINGTON HEALTHCARE PHYSICIANS
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401262546097PHYSICIAN SERVICESVA501(C)(3)LINE 11A, IMWHC CLINICAL SERVICES1
MARY WASHINGTON HOSPITAL FOUNDATION INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401521342371INVESTMENT MANAGEMENT/FUNDRAISINGVA501(C)(3)LINE 11A, IMWHC1
MARY WASHINGTON HOSPITAL INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401540519577HOSPITAL SERVICESVA501(C)(3)LINE 3MWHC1
MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541552324AMBULATORY HEALTH CARE SERVICESVA501(C)(3)LINE 11A, IMWHC1
STAFFORD HOSPITAL FOUNDATION INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401640963570INVESTMENT MANAGEMENT/FUNDRAISINGVA501(C)(3)LINE 11A, IMWHC1
MEDICORP PROPERTIES INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401521342372PROPERTY MANAGEMENT SERVICESVA501(C)(3)LINE 11A, IMWHC1

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
FREDERICKSBURG AMBULATORY SURGERY CENTER
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401562322548SURGERY CTRVAN/ARELATED25972375040676010.71500
MEDICAL IMAGING OF FREDERICKSBURG
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541364028IMAGINGVARELATED38427187501169010.51000MWCH CLINICAL SERVICES INC
TOMPKINS MARTIN MEDICAL PLAZA
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541632021REAL ESTATEVAN/ARELATED5748355146286010.80500
VIRGINIA URGENT CARE LLC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401364615049MEDICAL SRVVAN/ARELATED-23929001
MARY WASHINGTON EYE CARE CENTER LLC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401271248032OPTOMETRYVAN/ARELATED-173664546508001.00000
CENTRAL ATLANTIC HEALTH NETWORK
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401274704694GROUP PURCHASINGVARELATED-17924821000.11110

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
FREDERICKSBURG PROFESSIONAL RISK EXCHANGE
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401531095956CAPTIVE INSURANCEVAMWHCC3787805214106280.975000
MARY WASHINGTON HEALTHCARE SERVICES INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541244509RETAIL MEDICALVAMWHC CLINICAL SERVICES INCC-9465257400641.000000
MWHC HOLDING COMPANY INC
2300 FALL HILL AVE SUITE 509FREDERICKSBURGVA22401541725487HOLDING COVAMWHC CLINICAL SERVICES INCC-2923548280741.000000
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 Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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 (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MARY WASHINGTON HOSPITAL
L56043312CORP BOOKS/RECORDS
STAFFORD HOSPITAL
L3602392CORP BOOKS/RECORDS
MEDICORP PROPERTIES INC
L753310CORP BOOKS/RECORDS
MWHC CLINICAL SERVICES
L1995671CORP BOOKS/RECORDS
FREDERICKSBURG AMBULATORY SURGERY CENTER
L1101999CORP BOOKS/RECORDS
MARY WASHINGTON EYE CARE CENTER
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