2020-11-04T10:31:05-06:00 2019-12-31 540737372 PBMARES LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2019-01-01 541240646 MARY WASHINGTON HEALTHCARE MARY 5407412507 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 SEAN T BARDEN SENIOR VP AND CFO 5407412507 2020-11-03 1 JENNIFER N FRENCH P00659678 5403713566 2020-10-22 X 209.10.80.132 2020-11-03 15:42:48 ES P 44A12E0BA918B7D37EECC0BCB9782BE59F956267 F99B7208D4C133A96CA67911C91848BA5E590D04 2019 2021-01-29 14:40:06Z MICHAEL P MCDERMOTT MD 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 180158627 0 X WWW.MARYWASHINGTONHEALTHCARE.COM/ X 1983 VA OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 17 16 804 17 380000 -40576 99318 166662 104797897 114252041 8523802 11054924 0 0 113421017 125473627 264038 243173 0 0 55510787 65052421 0 0 730664 76870884 58788731 132645709 124084325 -19224692 1389302 434691972 514696844 128815134 133597940 305876838 381098904 X OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES. 0 0 122226707 243173 113872041 AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP. AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO MEMBERS OF THE AFFILIATED GROUP. 122226707 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 425 0 1 804 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X SANDRA W BROWN 5407412528 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 40.00 4.00 X X 1277492 0 42594 SEAN T BARDEN BSBA MBA SENIOR VP AND CFO 40.00 4.00 X 686076 0 35360 ERIC FLETCHER MBA APR SVP 40.00 2.00 X 473548 0 42695 STEPHEN MANDELL JR MD VICE PRESIDENT 2.00 40.00 X 0 473838 34398 TRAVIS TURNER BS MBA SVP 40.00 2.00 X 455763 0 37130 ELIESE K BERNARD VICE PRESIDENT 2.00 40.00 X 0 431790 37353 KATHRYN WALL BA MA SVP 40.00 2.00 X 434330 0 20994 REBECCA BIGONEY MD EXEC VP AND CMO (UNTIL 6/30/19) 40.00 2.00 X 438486 0 16664 DOUGLAS SCHULTE MD VICE PRESIDENT (THRU 10/10/19 40.00 2.00 X 431328 0 10836 DAVID YI MD VICE PRESIDENT 40.00 2.00 X 402591 0 10789 CHRISTOPHER NEWMAN MD SVP 40.00 2.00 X 371987 0 21267 EILEEN DOHMANN RN BSN MBA NEA-BC SVP & CNO 40.00 2.00 X 376658 0 13880 XAVIER RICHARDSON BA MBA SVP 40.00 2.00 X 355281 0 29643 SANDRA BROWN CPA VICE PRESIDENT 40.00 2.00 X 332360 0 29742 RICHARD A LEWIS MD VICE PRESIDENT 40.00 2.00 X 327486 0 25630 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 2.00 40.00 X 0 322789 25669 TINA ERVIN VICE PRESIDENT 40.00 2.00 X 282990 0 28280 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 40.00 2.00 X 278288 0 29395 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT 40.00 2.00 X 273717 0 28774 EMERIC S PALMER SENIOR MEDICAL DIRECTOR 40.00 2.00 X 264943 0 27985 LAUREN BLALOCK VICE PRESIDENT 40.00 2.00 X 254981 0 37452 ALAN EDWARDS VICE PRESIDENT 40.00 2.00 X 229326 0 39079 CODY BLANKENSHIP VICE PRESIDENT 40.00 2.00 X 232480 0 31985 BRIAN JENKINS VICE PRESIDENT 2.00 40.00 X 0 202990 19126 JUSTIN BOX MBA SVP & CIO (UNTIL 4/26/19) 40.00 2.00 X 204016 0 16394 STEPHEN P HUGHES DIRECTOR, IS TECHNOLOGY 40.00 2.00 X 184586 0 23810 PHILIP A BROWN DIRECTOR OF PLANNING 40.00 2.00 X 174038 0 29330 GEOFFREY LAWSON SVP 40.00 2.00 X 181048 0 4436 JENNIFER FREELAND DIRECTOR OF IS OPERATIONS 40.00 2.00 X 167293 0 5837 KARIN S HAYNES APPLICATIONS DIRECTOR 40.00 2.00 X 162985 0 7443 WILLIAM M BOLDON MBA CHAIR 2.00 2.00 X X 0 0 0 RONALD W BRANSCOME MS BOARD TRUSTEE 2.00 2.00 X 0 0 0 BRUCE L DAVIS BA BOARD TRUSTEE 2.00 2.00 X 0 0 0 JANAMITRA DEVAN BOARD TRUSTEE 2.00 2.00 X 0 0 0 MATTHEW D DUMONT MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 REV ALLEN H FISHER JR BA BOARD TRUSTEE 2.00 2.00 X 0 0 0 JEFFREY A FRAZIER MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 DAVID M GARTH MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 DERMAINE A LEWIS BOARD TRUSTEE 2.00 2.00 X 0 0 0 JOHN C MCKEOWN MA MPA BOARD TRUSTEE 2.00 2.00 X 0 0 0 SUDEEP J MENACHERY MD BOARD TRUSTEE 2.00 2.00 X 0 0 0 FRED M MESSING MBA LFACHE VICE CHAIR 2.00 2.00 X X 0 0 0 JOHN F ROWLEY III BS JD SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 CATHERINE M WACK BOARD TRUSTEE 2.00 2.00 X 0 0 0 MARTIN A WILDER JR EDD BOARD TRUSTEE 2.00 2.00 X 0 0 0 LINDA D WORRELL BOARD TRUSTEE 2.00 2.00 X 0 0 0 9254077 1431407 763970 76 0 1 0 CHANGE HEALTHCARE 3055 LEBANON PIKESUITE NASHVILLE TN 37214 PROFESSIONAL BILLING SERVICES 1625610 DIXON HUGHES GOODMAN LLP 4350 CONGRESS STSTE CHARLOTTE NC 28209 CONSULTING 813135 TRU SERVICES 152 CONANT STREET 2ND BEVERLY MA 01915 INSURANCE UNDERWRITER 787649 DELL FINANCIAL SERVICES 1 DELL WAY ROUND ROCK TX 78682 FINANCING SOLUTIONS 635663 MERCURY ACCOUNTS RECEIVABLE SERVICES LL 3905 LAVAINE CT ANNANDALE VA 22003 PROFESSIONAL BILLING SERVICES 506539 22 166662 166662 MANAGEMENT SERVICES REVENUE 561000 103894112 103514112 380000 AFFILIATE CAPTIVE INSURANCE 561000 3291534 3291534 OTHER OPERATING INCOME 561000 3199585 3199585 MWHA PHYSICIAN PROGRAMS 561000 3169450 3169450 COLLECTION SERVICES 561000 287432 287432 409928 409928 114252041 5388133 5388133 60351291 500 54685000 0 5666291 500 5666791 5666791 125473627 113872041 380000 11054924 X 243173 243173 8853250 8720451 80565 52234 42355992 41720652 385440 249900 5046501 4970804 45923 29774 5288606 5209277 48126 31203 3508072 3455451 31923 20698 750855 739592 6833 4430 832531 820043 7576 4912 247069 243363 2248 1458 15542 15309 141 92 334543 329525 3044 1974 14681444 14461223 133601 86620 2654836 2615013 24159 15664 3429436 3377994 31208 20234 16514371 16266655 150281 97435 3616827 3562575 32913 21339 672170 662087 6117 3966 23384 23033 213 138 335557 330523 3054 1980 11725534 11549651 106702 69181 1518129 1495357 13815 8957 MEDICAL & HOSPITAL EXPE 1295936 1276497 11793 7646 REPAIRS & MAINTENANCE 84985 83711 773 501 LICENSES & PERMITS 55582 54748 506 328 124084325 122226707 1126954 730664 17363578 24645499 6258155 28355146 16073040 14919366 6539935 6514885 132925335 80061067 49306442 52864268 179665658 208149521 159485164 179248159 434691972 514696844 30005991 37453409 40471307 41607700 58337836 54536831 128815134 133597940 X 288512172 363751451 17364666 17347453 305876838 381098904 434691972 514696844 X 1389302 29076190 44756574 X X 0 1 X 1 0 X X 2 MARY WASHINGTON HOSPITAL INC 540519577 3 1 0 0 STAFFORD HOSPITAL LLC 134316364 3 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, LINE 1 SUPPORTED ORGANIZATION, MARY WASHINGTON HOSPITAL, INC. IS LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. SUPPORTED ORGANIZATION, STAFFORD HOSPITAL, LLC, IS CLASSIFIED AS 501(C)(3) AND IS DESIGNATED BY ITS PURPOSE ALIGNED WITH THAT OF MARY WASHINGTON HEALTHCARE TO ESTABLISH, MAINTAIN AND OPERATE, DIRECTLY OR INDIRECTLY, FACILITIES AND SERVICES PROVIDING HEALTH CARE FOR SICK, INJURED, DISABLED OR AGED PERSONS AND PROVIDING FOR THE PRESERVATION OF HEALTH AS THE BOARD OF TRUSTEES MAY DETERMINE FROM TIME TO TIME TO BE APPROPRIATE, INCLUDING, WITHOUT LIMITATION, HOSPITALS, AMBULATORY CARE SERVICES, NURSING CARE FACILITIES AND AGENCIES OR FACILITIES PROVIDING CARE FOR THE PERSONS IN THEIR HOMES . STAFFORD HOSPITAL, LLC IS ORGANIZED EXCLUSIVELY FOR OTHER CHARITABLE, SCIENTIFIC, EDUCATIONAL AND SCIENTIFIC PURPOSES. MORE SPECIFICALLY DEFINED AS FOLLOWS: TO ESTABLISH, OWN, MANAGE, MAINTAIN AND OPERATE ACUTE CARE HOSPITALS AND OTHER HEALTHCARE INSTITUTIONS AND SERVICES; TO PROMOTE HEALTH THROUGH PARTICIPATION IN INTEGRATED PATIENT CARE MANAGEMENT SYSTEMS THAT OFFER ACCESS TO A COMPLETE SPECTRUM OF HEALTH SERVICES, FROM PREVENTION AND TREATMENT TO EMERGENT, ACUTE, CHRONIC AND LONG-TERM CARE; TO CARRY ON MEDICAL AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; TO CARRY ON EDUCATIONAL OR TRAINING ACTIVITIES RELATED TO THE CARE AND PREVENTION OF SICKNESS, INJURY AND DISEASE OR THE PROMOTION OF HEALTH; TO PARTICIPATE, AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED OUT TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY CONSISTENT WITH AND AS LIMITED BY SECTION 501(C)(3) OF THE CODE; AND TO CONDUCT ANY OR ALL LAWFUL AFFAIRS THAT DO NOT CONFLICT WITH THE ABOVE PURPOSES BUT ARE OTHERWISE CONFERRED UPON LIMITED LIABILITY COMPANIES BY THE VIRGINIA LIMITED LIABILITY COMPANY ACT OR ITS SUCCESSOR. 1 1 0 1 0 0 1 15542 1 1 15542 0 PART II-B, LINE 1: PART II-B LOBBYING EXPENDITURES INCLUDE BOTH DIRECT AND INDIRECT EXPENDITURES. MWHC HAS A COST CODE SPECIFICALLY FOR LOBBYING EXPENDITURES. ALL AMOUNTS FROM THAT COST CODE ARE INCLUDED IN THIS SECTION. IN ADDITION, AN ALLOCABLE SHARE OF SALARIES OF THE ORGANIZATION'S ASSOCIATES ENGAGED IN THE ACTIVITY ARE ALSO INCLUDED. 1481229 332752 1148477 3268139 1385573 1882566 128133435 78321190 49812245 42532 21552 20980 52864268 INVEST-VHA, INC. 200000 C INVEST IN SUB-MWH 116568158 C INVEST IN SUB-SHC -19849485 C INVEST IN SUB-MPI 65936649 C INVEST IN SUB-MSI -6648698 C INVEST IN SUB-REX 14970493 C INVEST IN MWHCS 1099260 C INVEST IN MW MEDICAL GROUP -985856 C INVEST IN SUB-MWHP 7607913 C INVEST IN MWUC 349725 C 179248159 IBNR 2706857 LOSS RESERVE ON EXCESS PROGRAM 65280 PENSION LIABILITY 51764694 54536831 X PART X, LINE 2: MWHC WAS RECOGNIZED AS A PUBLIC CHARITY GENERALLY EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE PURSUANT TO A DETERMINATION LETTER ISSUED BY THE IRS IN MARCH 1992. MWHC IS ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES AND, THEREFORE, MWHC'S STATUS AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH MWHC OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, MWHC IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY DETERMINED. CERTAIN ENTITIES UNDER MWHC ARE TAXABLE ENTITIES. MWHC HAD NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES, OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS REQUIRED. TAX PERIODS FOR WHICH NO RETURN IS FILED REMAIN OPEN FOR EXAMINATION INDEFINITELY. GENERALLY, TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2016, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A TIMELY BASIS. 0 VA HEALTH CARE FOUNDATION 707 EAST MAINE STREET RICHMOND VA 23219 541639924 501(C)(3) 25000 GENERAL SUPPORT FREDERICKSBURG REGIONAL ALLIANCE THE BOWMAN CENTER FREDERICKSBURG VA 22404 541961653 501(C)(3) 20000 COMPREHENSIVE HEALTH INVESTMENT PLAN SUPPORT CITY OF FREDERICKSBURG PO BOX 967 FREDERICKSBURG VA 22404 546001293 115 17500 GENERAL SUPPORT LLOYD F MOSS FREE CLINIC 1301 SAM PERRY BLVD STE FREDERICKSBURG VA 22401 541677934 501(C)(3) 16000 GENERAL SUPPORT LOISANN'S HOPE HOUSE 902 LAFAYETTE BLV FREDERICKSBURG VA 22401 541419314 501(C)(3) 12500 GENERAL SUPPORT HOSPITAL HOSPITALITY HOUSE OF RICHMOND 612 E MARSHALL ST RICHMOND VA 23219 541240348 501(C)(3) 10000 GENERAL SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 10000 GENERAL SUPPORT GEORGE WASHINGTON REGIONAL COMMISSION 406 PRINCESS ANNE STREET FREDERICKSBURG VA 22401 540715969 501(C)(3) 10000 GENERAL SUPPORT EMPLOYMENT RESOURCES INC PO BOX 801 FREDERICKSBURG VA 22404 541566468 501(C)(3) 8750 GENERAL SUPPORT GERMANNA COMMUNITY COLLEGE 2130 GERMANNA HWY LOCUST GROVE VA 22508 541268292 501(C)(3) 7500 GENERAL SUPPORT MARINE CORPS MARATHON PO BOX 188 QUANTICO VA 22134 541468675 501(C)(3) 7500 GENERAL SUPPORT SAFE HARBOR CHILD ADVOCACY CENTER 4702 SOUTHPOINT PKWY FREDERICKSBURG VA 22407 261563081 501(C)(3) 7000 GENERAL SUPPORT RAPPAHANNOCK POPS ORCHESTRA PO BOX 1972 SPOTSYLVANIA VA 22553 912154808 501(C)(3) 6000 GENERAL SUPPORT FREDERICKSBURG VA MAIN STREET INC 904 PRINCESS ANNE ST FREDERICKSBURG VA 22401 472044595 501(C)(3) 5600 GENERAL SUPPORT CHILDREN'S HOME SOCIETY OF VIRGINIA 4200 FITZHUGH AVE RICHMOND VA 23230 540505884 501(C)(3) 5000 GENERAL SUPPORT BOYS & GIRLS CLUB OF RAPPAHANNOCK REGION 500 GUNNERY RD FREDERICKSBURG VA 22401 463043887 501(C)(3) 5000 GENERAL SUPPORT 15 1 X X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 835377 0 316069 0 126046 0 8400 0 34194 0 1320086 0 0 0 SEAN T BARDEN BSBA MBA SENIOR VP AND CFO 458201 0 152449 0 75426 0 8400 0 26960 0 721436 0 0 0 ERIC FLETCHER MBA APR SVP 280951 0 83787 0 108810 0 8400 0 34295 0 516243 0 0 0 STEPHEN MANDELL JR MD VICE PRESIDENT 0 338215 0 83875 0 51748 0 7012 0 27386 0 508236 0 0 TRAVIS TURNER BS MBA SVP 324383 0 82428 0 48952 0 7126 0 30004 0 492893 0 0 0 ELIESE K BERNARD VICE PRESIDENT 0 339321 0 78961 0 13508 0 7830 0 29523 0 469143 0 0 KATHRYN WALL BA MA SVP 283497 0 80009 0 70824 0 8400 0 12594 0 455324 0 0 0 REBECCA BIGONEY MD EXEC VP AND CMO (UNTIL 6/30/19) 221857 0 147870 0 68759 0 6009 0 10655 0 455150 0 0 0 DOUGLAS SCHULTE MD VICE PRESIDENT (THRU 10/10/19 316398 0 76818 0 38112 0 8400 0 2436 0 442164 0 0 0 DAVID YI MD VICE PRESIDENT 310269 0 72195 0 20127 0 8400 0 2389 0 413380 0 0 0 CHRISTOPHER NEWMAN MD SVP 270898 0 93272 0 7817 0 0 0 21267 0 393254 0 0 0 EILEEN DOHMANN RN BSN MBA NEA-BC SVP & CNO 279653 0 79072 0 17933 0 8332 0 5548 0 390538 0 0 0 XAVIER RICHARDSON BA MBA SVP 249238 0 64218 0 41825 0 7320 0 22323 0 384924 0 0 0 SANDRA BROWN CPA VICE PRESIDENT 245099 0 53932 0 33329 0 7080 0 22662 0 362102 0 0 0 RICHARD A LEWIS MD VICE PRESIDENT 250969 0 64760 0 11757 0 0 0 25630 0 353116 0 0 0 CATHLEEN YABLONSKI BS MS VICE PRESIDENT 0 215743 0 54348 0 52698 0 2460 0 23209 0 348458 0 0 TINA ERVIN VICE PRESIDENT 201308 0 48117 0 33565 0 6168 0 22112 0 311270 0 0 0 MARIE FREDRICK RT R CRA MJ VICE PRESIDENT 218118 0 49504 0 10666 0 6983 0 22412 0 307683 0 0 0 KATHLEEN BOURGAULT MS CPAM VICE PRESIDENT 214084 0 49004 0 10629 0 6187 0 22587 0 302491 0 0 0 EMERIC S PALMER SENIOR MEDICAL DIRECTOR 264253 0 0 0 690 0 0 0 27985 0 292928 0 0 0 LAUREN BLALOCK VICE PRESIDENT 189746 0 44208 0 21027 0 5691 0 31761 0 292433 0 0 0 ALAN EDWARDS VICE PRESIDENT 172831 0 44156 0 12339 0 5848 0 33231 0 268405 0 0 0 CODY BLANKENSHIP VICE PRESIDENT 180572 0 43972 0 7936 0 3326 0 28659 0 264465 0 0 0 BRIAN JENKINS VICE PRESIDENT 0 194901 0 0 0 8089 0 0 0 19126 0 222116 0 0 JUSTIN BOX MBA SVP & CIO (UNTIL 4/26/19) 102239 0 85551 0 16226 0 3295 0 13099 0 220410 0 0 0 STEPHEN P HUGHES DIRECTOR, IS TECHNOLOGY 161027 0 23150 0 409 0 2846 0 20964 0 208396 0 0 0 PHILIP A BROWN DIRECTOR OF PLANNING 146111 0 26486 0 1441 0 4666 0 24664 0 203368 0 0 0 GEOFFREY LAWSON SVP 120459 0 53818 0 6771 0 0 0 4436 0 185484 0 0 0 JENNIFER FREELAND DIRECTOR OF IS OPERATIONS 145054 0 21774 0 465 0 3863 0 1974 0 173130 0 0 0 KARIN S HAYNES APPLICATIONS DIRECTOR 141258 0 20874 0 853 0 4303 0 3140 0 170428 0 0 0 PART I, LINE 1A PART I, LINE 1A - TRUSTEES WHO ARE UNCOMPENSATED VOLUNTEERS TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL TRAVEL. REIMBURSEMENTS PAID FOR SPOUSAL TRAVEL ARE REIMBURSED AND REPORTED AS INCOME ON A FORM 1099 IN THE YEAR PAID. EXECUTIVES WHO ARE TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL MEALS PROVIDED AND THE AMOUNT IS REPORTED AS INCOME ON THE EXECUTIVE'S W-2. PART I, LINES 4A-B MICHAEL MCDERMOTT RECEIVED A 457(F) DISTRIBUTION OF $87,109. SEAN BARDEN RECEIVED A 457(F) DISTRIBUTION OF $54,508. REBECCA BIGONEY RECEIVED A 457(F) DISTRIBUTION OF $55,299. JUSTIN BOX RECEIVED A 457(F) DISTRIBUTION OF $11,648. ERIC FLETCHER RECEIVED A 457(F) DISTRIBUTION OF $91,565. XAVIER RICHARDSON RECEIVED A 457(F) DISTRIBUTION OF $21,971. TRAVIS TURNER RECEIVED A 457(F) DISTRIBUTION OF $34,945. KATHRYN WALL RECEIVED A 457(F) DISTRIBUTION OF $52,768. ELIESE BERNARD RECEIVED A 457(F) DISTRIBUTION OF $5,183. LAUREN BLALOCK RECEIVED A 457(F) DISTRIBUTION OF $12,037. SANDRA BROWN RECEIVED A 457(F) DISTRIBUTION OF $24,697. TINA ERVIN RECEIVED A 457(F) DISTRIBUTION OF $24,625. STEPHEN MANDELL RECEIVED A 457(F) DISTRIBUTION OF $39,052. DOUGLAS SCHULTE RECEIVED A 457(F) DISTRIBUTION OF $27,605. CATHLEEN YABLONSKI RECEIVED A 457(F) DISTRIBUTION OF $41,455. DAVID YI RECEIVED A 457(F) DISTRIBUTION OF $11,944. PART I, LINE 7 PART I, LINE 7 - ALL EXECUTIVES HAVE AS A PART OF THEIR COMPENSATION A VARIABLE COMPONENT SUCH THAT THEY ARE ELIGIBLE TO RECEIVE A PERCENTAGE OF THEIR BASE PAY AS AN INCENTIVE FOR THE ACHIEVEMENT OF INDIVIDUAL AND CORPORATE GOALS AND OBJECTIVES. BRIAN MCDERMOTT MD BROTHER OF PRESIDENT/CEO OF MWHC 101356 DR. BRIAN MCDERMOTT IS A PHYSICIAN MEMBER OF THE MARY WASHINGTON HEALTHCARE ALLIANCE. HE SERVES WITH A GROUP OF ORTHOPEDIC SPECIALISTS THAT ARE FOCUSED ON THE QUALITY, EFFICIENCY, COST EFFECTIVENESS AND OVERALL VALUE OF CARE PROVIDED TO PATIENTS IN MWHC FACILITIES. THE ORTHOPEDIC GROUP COLLABORATES WITH MWH AND SH TO EVALUATE CLINICAL PROTOCOLS AND PRODUCTS IN ORDER TO IMPLEMENT MUTUALLY AGREEABLE INITIATIVES THAT FURTHER THOSE AREAS OF FOCUS. THE PAYMENTS TO DR. MCDERMOTT DURING 2019 REFLECT FMV FOR HIS EFFORTS TO DRIVE IMPROVEMENTS IN CARE DELIVERY FOR ORTHOPEDIC PATIENTS TREATED AT MWHC FACILITIES. 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT COMPLETES A DRAFT OF THE INTERNAL REVENUE SERVICE (IRS) FORM 990 INFORMATION RETURN FOR MARY WASHINGTON HEALTHCARE AND ITS SUBSIDIARIES. THIS DRAFT IS SUBMITTED TO THE AUDIT & COMPLIANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF TRUSTEES. THE FORM 990 AND UNDERLYING INFORMATION ARE PRESENTED TO AND REVIEWED BY THIS COMMITTEE. IF THE CONTENTS OF THE 990 RETURN ARE DEEMED ACCURATE AND ACCEPTABLE BY THE COMMITTEE, THIS BODY RECOMMENDS ACCEPTANCE OF THE RETURN BY THE FULL BOARD OF TRUSTEES. THE FORM 990 RETURN IS SUBSEQUENTLY PRESENTED TO AND REVIEWED BY THE ORGANIZATION'S BOARD OF TRUSTEES. IF DEEMED ACCURATE AND ACCEPTABLE THE BOARD ACCEPTS THE RETURN THROUGH A FORMAL MOTION. AS PART OF THIS PROCESS, THE DRAFT RETURN IS POSTED ON THE BOARD'S WEBSITE WHERE IT REMAINS AVAILABLE FOR REVIEW EVEN AFTER FORMAL ACCEPTANCE BY THE BOARD. THE FORM 990 RETURN IS ALSO AVAILABLE TO MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS THE GENERAL PUBLIC ON MARY WASHINGTON HEALTHCARE'S WEBSITE (WWW.MWHC.COM). FORM 990, PART VI, SECTION B, LINE 12C EVERY TRUSTEE AND EXECUTIVE IS REQUIRED TO DISCLOSE ANY AND ALL CONFLICTS. THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MARY WASHINGTON HEALTHCARE CHIEF COMPLIANCE OFFICER (CCO). THE CCO PRESENTS ALL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE REPORTS ALL CONFLICTS TO THE FULL BOARD. CONFLICTS ARE CONTINUALLY AND ACTIVELY MANAGED. AT EACH MEETING, THE CHAIR ASKS IF ANYONE AT THE MEETING HAS A CONFLICT TO DISCLOSE. INDIVIDUALS WITH CONFLICTS DISCLOSE THEIR CONFLICTS AND THE RELATED TOPIC. THE INDIVIDUAL THEN RECUSES HIM/HERSELF FROM ANY DECISION RELATED TO THAT TOPIC. THE CONFLICT OF INTERESTS POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND COMPLETE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA AND FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 2,222,819. MANAGEMENT AND GENERAL EXPENSES 20,536. FUNDRAISING EXPENSES 13,314. TOTAL EXPENSES 2,256,669. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 3,271,156. MANAGEMENT AND GENERAL EXPENSES 30,221. FUNDRAISING EXPENSES 19,594. TOTAL EXPENSES 3,320,971. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,764,053. MANAGEMENT AND GENERAL EXPENSES 16,297. FUNDRAISING EXPENSES 10,566. TOTAL EXPENSES 1,790,916. ASP SERVICES: PROGRAM SERVICE EXPENSES 4,073,618. MANAGEMENT AND GENERAL EXPENSES 37,634. FUNDRAISING EXPENSES 24,400. TOTAL EXPENSES 4,135,652. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 46,018. MANAGEMENT AND GENERAL EXPENSES 425. FUNDRAISING EXPENSES 276. TOTAL EXPENSES 46,719. STORAGE SERVICES: PROGRAM SERVICE EXPENSES 117,578. MANAGEMENT AND GENERAL EXPENSES 1,086. FUNDRAISING EXPENSES 704. TOTAL EXPENSES 119,368. WASTE DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 17,809. MANAGEMENT AND GENERAL EXPENSES 165. FUNDRAISING EXPENSES 107. TOTAL EXPENSES 18,081. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 910,355. MANAGEMENT AND GENERAL EXPENSES 8,410. FUNDRAISING EXPENSES 5,453. TOTAL EXPENSES 924,218. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,037,817. MANAGEMENT AND GENERAL EXPENSES 18,827. FUNDRAISING EXPENSES 12,206. TOTAL EXPENSES 2,068,850. FORM 990, PART XI, LINE 9: MINIMUM PENSION LIABILITY 2,963,901. INCOME (LOSS) OF SUBSIDIARIES 50,052,233. INCOME ATTRIBUTABLE TO NONCONTROLLING INTEREST -8,259,560. FORM 990, PART XII, LINE 2C THE PROCESS OF RESPONSIBILITY OF THE AUDIT AND SELECTION OF AUDITORS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART III, LINE 1 - ORG. MISSION PROVISION OF HEALTH CARE. MARY WASHINGTON HEALTHCARE WAS ORGANIZED TO ACT AS THE PARENT CORPORATION IN THE MARY WASHINGTON HEALTHCARE AFFILIATED GROUP, AND TO ENGAGE IN SUCH ACTIVITIES FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF MARY WASHINGTON HOSPITAL, STAFFORD HOSPITAL AND ITS AFFILIATED ORGANIZATIONS IN THE SYSTEM. FORM 990, SCHEDULE R ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE MWHA - MARY WASHINGTON HEALTH ALLIANCE MPI - MEDICORP PROPERTIES, INC. MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. MWHC SERVICES, INC. - MARY WASHINGTON HEALTHCARE SERVICES, INC. MEDIDOCTORS H.C. - MEDIDOCTORS HOLDING COMPANY UNRELATED BUSINESS INCOME MWHC AS A PART OF ITS MISSION PROVIDES STRATEGIC PLANNING AND DIRECTION FOR ALL OF ITS AFFILIATES. IRS REGULATIONS TREAT MANAGEMENT FEES RECEIVED FROM TAXABLE SUBSIDIARIES AS UNRELATED BUSINESS INCOME. AS A RESULT, THE REVENUE REPORTED ON LINE 7A IS INCOME FROM TAXABLE SUBSIDIARIES FOR PROVISION OF MANAGEMENT FEES AND LOSS SUSTAINED IS A RESULT FROM ALLOCATIONS OF CORPORATE SERVICES PROVIDED IN EXCESS OF THE REVENUE RECEIVED. 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MWEC WILL BE REPORTED A DISREGARDED ENTITY IN 2020.