2012-11-15T08:37:14-08:00 2011-12-31 990 2011-01-01 201106426 Mary Washington Healthcare Group Return MARY 5407411821 2300 Fall Hill Avenue Fredericksburg VA 22401 Winifred J Haikey 2012-11-15 false 2011 2016-02-24 21:20:13Z 632950099 true true 4243 X http://www.marywashingtonhealthcare.com/ X 1983 VA Our 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. 63 44 5243 2933031 -605814 2546339 3276620 626599765 579696645 3692964 -51980 48467579 50240217 681306647 633161502 1633994 1819323 0 256314163 257022512 0 163369 424921647 379711817 682869804 638553652 -1563157 -5392150 496349539 531390646 329304083 316739101 167045456 214651545 Our mission is to improve the health of people in the communities we serve. 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VA 22401 CM Williams 2.00 X 0 0 0 Cheryl Springhorn 40.00 X X 145655 0 12260 Lawrence Robert MD 40.00 X X 508885 0 28607 J Thomas Ryan MD 40.00 X X 0 483709 25783 L Paul Edwards MD 8.00 X 8333 0 0 Jack Rowley 2.00 X 0 0 0 Thomas H Reger 2.00 X 0 0 0 Rev Gregory L Poss 2.00 X 0 0 0 Charles W McDaniel 2.00 X 0 0 0 Ravi Mathur 40.00 X X 0 190886 15399 Terence A Mannion 2.00 X 0 0 0 H Clark Leming 2.00 X 0 0 0 Glenn E Kinard 2.00 X 0 0 0 William R Johnson 2.00 X 0 0 0 Clay Huber 2.00 X 0 0 0 Kevin Breen 2.00 X 0 0 0 Margaret Alexander 2.00 X 0 0 0 Amelia Jackson-Zaremba 2.00 X X 0 0 0 Elaine F Farmer 2.00 X X 0 0 0 Jo D Knight 4.00 X X 0 0 0 W Malone Schooler 4.00 X X 0 0 0 Joseph R Wilson 2.00 X 0 0 0 CM Williams 4.00 X 0 0 0 Judy Smith 2.00 X 0 0 0 Carl D Silver 2.00 X 0 0 0 Xavier R Richardson 40.00 X X 0 262411 35081 Edward O Minniear 2.00 X 0 0 0 Nancy A Miller 2.00 X 0 0 0 Patti J Lynch Jr 2.00 X 0 0 0 Walter J Kiwall 40.00 X X 0 474820 25438 Donald J Kenneweg 2.00 X 0 0 0 Daniel M Hoffman 2.00 X 750 0 0 Rochelle Grey 2.00 X 0 0 0 Jeffrey A Frazier 2.00 X 0 0 0 R Leigh Frackelton Jr 2.00 X 0 0 0 Mark A Butterworth 2.00 X 0 0 0 William Boldon 2.00 X 0 0 0 Sean T Barden 40.00 X X 0 404062 28361 Edward V Allison Jr 2.00 X 0 0 0 William B Young 2.00 X X 0 0 0 Mary Katherine Greenlaw 4.00 X X 0 0 0 Douglas G Stewart 4.00 X X 0 0 0 Clarence A Robinson 2.00 X 0 0 0 Alda L White 2.00 X 0 0 0 Jonathan D Wallace 2.00 X 0 0 0 Raymond L Slaughter 2.00 X 0 0 0 Patrick J McManus MD 2.00 X 20639 0 0 Raymond C McAfoose 2.00 X 0 0 0 William A Hamilton MD 2.00 X 28167 0 0 James A Lewis 2.00 X 0 0 0 John C McKeown MD 2.00 X 0 0 0 Rev Allen H Fisher Jr 2.00 X 0 0 0 Jan C Erkert 2.00 X 0 0 0 Kenneth Josovitz MD 2.00 X 14583 0 0 Cindy Marrow MD 2.00 X 0 0 0 Donald H Newlin 8.00 X X 0 0 0 Michael P McDermott MD 8.00 X X 0 0 0 John F Fick III 12.00 X X 0 0 0 Fred M Rankin III 40.00 X X 0 875992 26645 Cheryl Schlesinger RN 40.00 X 130246 0 15056 James M Grebosky 40.00 X 362268 0 27823 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$52998239 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The interest earned from the endowment funds is used to fund scholarships and grants in furtherance of our mission. 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101 Hospital Center Blvd Stafford VA 22554

X X X 100 Bed Hospital 1 Mary Washington Hospital Inc

1101 Sam Perry Blvd Fredericksburg VA 22401

X X X 437 Bed Acute Care Hospital Lvl 2 Trauma Stafford Hospital LLC 2 false true true 200.0000 true 400.0000 true X X X X X X X true true X X X X X X false false X X X X true X false false Mary Washington Hospital Inc 1 true true 200.0000 true 400.0000 true X X X X X X X true true X X X X X X true false X X X X true X false false 8 Medical Imaging of Fredericksburg

1201 Sam Perry Blvd Ste 102 ASC Bui Fredericksburg VA 22401

Imaging Services Fredericksburg Ambulatory Surgery Center

1201 Sam Perry Blvd Suite 101 Fredericksburg VA 22401

Ambulatory Surgery Center NextCare Urgent Care Woodbridge

12581 Milstead Way Suite 103 Woodbridge VA 22192

Urgent Care NextCare Urgent Care Stafford

325 Garrisonville Road Ste 101 Stafford VA 22554

Urgent Care NextCare Urgent Care Dumfries

3990 Fettler Park Dr Suite B Dumfries VA 22025

Urgent Care NextCare Urgent Care Fredericksburg

15 South Gateway Drive Fredericksburg VA 22401

Urgent Care NextCare Urgent Care Spotsylvania

5325 Plank Rd Ste 105 Fredericksburg VA 22407

Urgent Care NextCare Urgent Care Fredericksburg

330 White Oak Road Fredericksburg VA 22401

Urgent Care Part VI - Additional Information MWHC operates in the Commonwealth of Virginia. Virginia does not provide for the filing of either the Form 990 or an Annual Community Benefit Report. Part VI - States Where Community Benefit Report Filed VA Part VI - Affilated Health Care System Roles and Promotion #7 - 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 Groups 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. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose #6 - 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 utilized 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 - Community Building Activities #5 - 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. Part VI - Community Information #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 - Patient Education of Eligibility for Assistance #3 - Mary Washington Healthcare affiliates provide information to patients about our financial assistance programs through signage at intake areas, flyers at admissions, notices on bills and collections statements. Financial counselors are also available to assist patients in obtaining financial assistance. Part VI - Needs Assessment # 2 - Mary Washington Healthcare and its affiliates (Mary Washington Hospital, 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 the 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 III, Line 9b - Provisions On Collection Practices For Qualified Patients 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 will 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 and well as consideration of eligibility based upon the Presumptive Eligibility Guidelines described in the Financial Assistance Policy. Part III, Line 8 - Explanation Of Shortfall As Community Benefit 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 not 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 4 - Bad Debt Expense Bad Debt Expense attributable to patients eligible under Patient Financial Assistance Policy (PFAP)Part III, Line 3In 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 estrapulated the data and are able to estimate that about 84% of our bad debt is likely attributable to PFAP eligible patients. true Stafford Junction Inc 400 Chatham Sq Office Park Fredericksburg VA 22405 203036072 5666 0 Healthy Living Stafford Head Start 610 Gayle St Fredericksburg VA 22405 546001628 5667 0 Head Start Nutrition Consultant Stafford Dept of Soc Serv PO Box 7 Stafford VA 22554 546001626 5667 0 SHINE Rx Partnership 2924 Emerywood Pkwy 300 Richmond VA 23294 571186937 17100 0 RxP RCDV PO Box 1007 Fredericksburg VA 22401 521142547 10000 0 ED Based DV Intervntn Rappahannock United Way 3310 Shannon Park Dr Fredericksburg VA 22408 546042936 5472 0 Various Rapp Area Hlth Distric 609 Jackson St Fredericksburg VA 22401 546001775 12870 0 High Risk Maternity Rapp Area Hlth Distrc 608 Jackson St Fredericksburg VA 22401 546001775 74813 0 Refugee & Immigrant Health Northern Neck Alliance Inc PO Box 40 Colonial Beach VA 22443 541678053 8300 0 Head Start Micah Ecumenical Minis PO Box 3277 Fredericksburg VA 22402 204044884 153900 0 Respite Ministry Mental Health America 2217 Princess Anne St Fredericksburg VA 22401 540678704 10000 0 Senior Visitors Program Lloyd Moss Free Clinic 1301 Sam Perry Blvd Fredericksburg VA 22401 541677934 820000 0 Free Health Clinic Hospice Support Care 1701 Fall Hill Ave Ste109 Fredericksburg VA 22401 521203673 29925 0 Hospice Support Care Hazel Hill Apartment Corp & Civi 223 Butler Rd Fredericksburg VA 22405 540859802 12200 0 Healthcare Project Guadalupe Free Clinic of Colonia PO Box 275 Colonial Beach VA 22443 510635977 50000 0 Guadalupe Free Clinic Germanna Community College 2130 Germanna Highway Locust Grove VA 22508 541268292 62869 0 Online LPN-RN Program Fredericksburg Dept of Soc Serv 608 Jackson St Suite 100 Fredericksburg VA 22401 546001293 24750 0 Eligibility Worker Fredericksburg Counseling Servic 305 Hanson Ave 140 Fredericksburg VA 22401 540844464 25000 0 Counseling Services Fredericksburg Christian Hlth Cn 1129 Heatherstone Dr Fredericksburg VA 22407 542061482 136800 0 Uninsured Program FRED 1400 Jefferson Davis Hwy Fredericksburg VA 22401 546001293 52750 0 Transit Employment Resource Inc 2130 Germanna Highway Locust Grove VA 22508 317562207 104348 0 Gladys Oberle School disAbility Resource Cn 409 Progress St Fredericksburg VA 22401 541687677 21375 0 Equipment Connection Central Virginia Health Services 1506 Palmyra Ave Richmond VA 23227 540887287 56933 0 Dental/Elig Worker Caroline ChristianHlth PO Boc 216 Ladysmith VA 22501 208446785 22230 0 Family Shared Cost Program Bethany Christian Serv 1616 Stafford Ave Fredericksburg VA 22401 381405282 12825 0 High Risk/Low Income OBGYN 22 3 William F. Jacobs, Jr. Scholarship in Healthcare Administrat 1 William & Viola Adrian Nursing 2 Sue Hall Nursing 1 Stafford Hospital Auxiliary 2 Seth Groover Memorial 1 Sal Kiwall Memorial Scholarship for Clinical Edu 1 Rebecca Bennett Nursing Scholarship 1 Mary Washington Hospital Auxiliary Scholarship 2 Mary F. Willis & James G. Willis Memorial Sch. 1 Marie Lacy Rollins 1 Libby Pearson Annual Nursing Scholarship 1 Laura Leigh Lumpkin Memorial Scholarship 1 Jennie Mae Benson Nursing 1 Jeanne Bullock Nursing 1 Jean C. Williams Nursing Schol 1 Janice Hunt Scholarship 2 Hewetson Nursing Scholarship 1 Harold & Franis Schilz Nursing 1 FEMA Scholarship 4 Elizabeth B Ryan &Catherine Ryan LeGath 1 Cora Graves Allison Nursing 1 Charles Hearn Flwshp 1 Carole Chilton Nursing 1 Barbara Kane Nursing 1 Aquia Harbour POA's 1 April Jett Wills Memorial 1 Grantmaker's Description of How Grants are Used Grants are awarded on recommendation by a selection committee and then approved by the Board of Trustees of the Foundation(s). The selection committee comprised primarily of community members, reviews the proposals, meets to discuss them, and then recommends whether or not a program is funded and, if so, at what level. The Foundation(s) Board of Trustees then receives the recommendation and a vote is taken. All votes are recorded in the Foundations' board minutes. We require all grant recipients to provide a six-month and final report describing how they have met the objectives of the funded program. This includes a narrative portion explaining the program activities, any challenges they have had, and evaluation process for each objective they agree to complete. The funded agency is also required to submit the number of individuals served. We do not monitor scholarship recipients after they are awarded the scholarship. We do ask for proof of acceptance into the college/university program along with their application and send the monies directly to the program. X true true X X X X X X false true false false false false false false false false Xavier R Richardson 198125 25128 39158 27826 7255 297492 Walter J Kiwall 343507 37573 93740 13150 12288 500258 Theresa A Conologue MD 328949 168861 1606 16328 515744 Sean T Barden 325076 40626 38360 10250 18111 432423 Ravi Mathur 164175 12708 14003 12670 2729 206285 Maurice Eggleston Jr MD 415820 220 18871 1029 17485 453425 Marianna Bedway 181497 14296 21420 13602 17313 248128 Lawrence Robert MD 452832 30000 26053 10250 18357 537492 James M Grebosky 289168 22132 50968 10250 17573 390091 James K Van Renan 267545 20536 29051 57624 17479 392235 JT Sherwood MD 655695 103850 58226 10250 20990 849011 J Thomas Ryan MD 331286 36281 116142 13150 12633 509492 Glen J Poffenbarger MD 912814 56899 1710 10250 21897 1003570 Fred M Rankin III 578778 45424 251790 13150 13495 902637 Eileen L Dohmann 192180 14674 24218 8694 1315 241081 Christos Hatjis MD 520661 69401 8525 13458 612045 Cheryl Springhorn 137540 7726 389 5766 6494 157915 Cathleen A Yablonski 185697 14599 25088 3725 17331 246440 Sch J, Part III, Additional Information Part III, Additional Information Schedule J - Part ITrustees who are uncompensated vulunteers 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 (III) Disclosure: Amounts reported in Column C include the value of group term life insurance, non-qualified retirement plan contributions under IRC Section 457(b), expense accounts and cash-in paid annual leave (PAL) balance. Part II, Column CDisclosure:All executives participate in supplemental non-qualified retirement plans. The amount disclosed in Column C represents amounts contributed for the individuals under qualified and nonqualified retirement plans (under IRS Section 403(b), 457(f), 401(a). Amounts contributed to individuals under IRC Section 457(b) are reported under Column B. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Economic Development Auth 521303430 2011-07-12 30000000 Cancer Center Funding false false Industrial Development Authority of City of Fredericksburg 521303430 355849AS9 2007-05-10 81860000 Refunding of 1996 Bonds false false Voluntary Hospitals of America - 2007 Issue 2007-12-28 14000000 Acquisition of property/equipment false false Economic Development Authority of Stafford 541244413 852431AQ8 2006-12-01 125000000 Build new hospital (SH) false false 30210000 210000 30000000 2011 false false true true 86868312 583010 86285302 true false true true 14000000 126000 13874000 false false true true 132581641 959500 131622141 false false true true false false false false true true false false false false true true false false false false true true false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false X Health Tech Resources 5% trstee own Prtr 695586 Rental false Johnson Commercial Real Estate 100% Trustee Owned 661477 Ind. Contractor Relationsp false Stafford Medical Office Mngmt Contract 1335563 Rental, Medical Office Spc false X 3000 FMV X 1600 FMV X 31 90084 FMV X 2 42076 FMV false true false Reserve Powers Part VI, Item 7(b)Members of the Mary Washington Healthcare Group all have one sole member, it's 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. In order to ensure fully integrated operations, the parent and each of the subsidiaries are comprised of identical boards. Independence Part I, Item 4 and Part VI, Item 1 (B)Stricter standards than are required have been used for purposes of determining independence of our Board of Trustees. For example, physicians on the medical staff are not considered to be independent board members. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Audited Financial Statements are posted on the Mary Washington Healthcare for public view. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Every trustee and executive all the way down to our managerial level is required to disclose any and all possible conflicts of interests. The disclosures are made annually and submitted to the MWHC Director of Internal Audit. The Director then presents all conflicts to the Audit & Compliance Committee of the Board of Trustees. The Chairman of the Audit & Compliance Commmittee reports all conflicts to the full board. The conflicts are continually and actively managed. Individuals with conflicts disclose their conflicts again when a topic comes up for discussion for which the individual has a conflict. 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, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Management completes a draft of the Internal Revenue Service (IRS) Form 990 Information Return for the Mary Washington Healthcare Group. At that time the review process begins and the return is submitted to the Audit and Compliance Committee of the Board for Review and Acceptance. The Form 990 is also made accessible to the Board of Trustees through the Board Website for further review. MediCorp Properties Management Co LLC 2300 Fall Hill Ave Fredericksburg VA 22401 263433830 Property Management VA MPI MediDoctors Holding Company LLC 2300 Fall Hill Ave Fredericksburg VA 22401 203111550 Holding Company VA -226310 162953 MWHC Clinical Services Inc CRNA LLC 2300 Fall Hill Ave Fredericksburg VA 22401 571172752 Medical Services VA 272414 MWHC Clinical Services Inc Mary Washington Hospital Auxiliary 2300 Fall Hill Ave Ste 509 Fredericksburg VA 22401 752985923 Medical Serv VA 501(c)(3) 509(A)(3) MWHC false Stafford Hospital Auxiliary 2300 Fall Hill Ave Ste 509 Fredericksburg VA 22401 262704632 Medical Serv VA 501(c)(3) 509(A)(3) MWHC false Mary Washington Eye Care Center 2300 Fall Hill Ave Fredericksburg VA 22401 271248032 Optometry VA MWHC Clinical Related -298401 345384 false false 0.60000 Medical Imaging of Fredericksburg 2300 Fall Hill AveSte 509 Fredericksburg VA 22401 541364028 Medical Srv VA MWHC Clin Related 4013229 8882910 false true 0.51000 Fredburg Ambulatory Surgery Center 2300 Fall Hill AveSte 509 Fredericksburg VA 22401 562322548 Surgery Ctr VA MWHC Clin Related 2188240 4685228 false true 0.71500 Tompkins Martin Medical Plaza 2300 Fall Hill Ave Ste 509 Fredericksburg VA 22401 541632021 Real Estate VA MPI Related 456999 6699030 false true 0.80500 Mary Washington Healthcare Services Inc 2300 Fall Hill Avenue Fredericksburg VA 22401 541244509 Retail Medical VA MWHC Clinical C Corp -951932 1275933 1.00000 MWHC Holding Company Inc 2300 Fall Hill Avenue Fredericksburg VA 22401 541725487 Holding Company VA MWHC Clinical C Corp -801962 1349429 1.00000 false false false false false false false false true true false false false false false false false false Mary Washington Healthcare Services Inc i 538340 Ind Appraisal Mary Washington Eye Care Center i 119331 Ind Appraisal Medical Imaging of Fredericksburg i 930026 Ind Appraisal Fredburg Ambulatory Surgery Center i 933745 Ind Appraisal Tompkins Martin Medical Plaza j 1308553 Ind Appraisal