2015-10-27T09:58:05-05:00 2014-12-31 540737372 PBMARES LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2014-01-01 541240646 MARY WASHINGTON HEALTHCARE MARY 5407412513 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 SEAN T BARDEN EXECUTIVE VICE PRESIDENT 5407412513 2015-10-16 1 KEITH L WAMPLER P00436324 5403713566 2015-10-16 X 2014 2016-02-25 16:41:14Z MICHAEL P MCDERMOTT MD 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 139926542 0 X HTTP://WWW.MARYWASHINGTONHEALTHCARE.COM/ X 1983 VA OUR 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. 17 14 586 0 939845 -102526 2922 94191 67389382 70665417 2979149 4665073 0 0 70371453 75424681 340636 269993 0 0 43520590 44979447 0 0 605758 35695125 36308422 79556351 81557862 -9184898 -6133181 343344849 360096844 102155557 139822587 241189292 220274257 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 79960800 269993 69710678 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. 79960800 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 94 0 586 1 1 1 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X WILLIAM YASCKO 5407412513 2300 FALL HILL AVENUE NO 418 FREDERICKSBURG VA 22401 FRED M RANKIN III PRESIDENT 40.00 4.00 X X 755203 0 30808 KENNETH N JOSOVITZ MD TRUSTEE 2.00 3.00 X 0 23917 0 DAVID M GARTH MD TRUSTEE 2.00 4.00 X 0 0 0 JOHN F FICK III CHAIRMAN 8.00 2.00 X X 0 0 0 ALDA L WHITE VICE CHAIR 2.00 2.00 X X 0 0 0 DONALD H NEWLIN SECRETARY/TREAS 5.00 2.00 X X 0 0 0 WILLIAM BOLDON TRUSTEE 3.00 2.00 X 0 0 0 JAN C ERKERT TRUSTEE 2.00 2.00 X 0 0 0 KURT R LARSON MD TRUSTEE 2.00 2.00 X 0 0 0 MICHAEL P MCDERMOTT MD CEO-ELECT (OCT 2014) 40.00 4.00 X X 125193 0 320 JOHN C MCKEOWN TRUSTEE 2.00 2.00 X 0 0 0 FRED M MESSING TRUSTEE 2.00 2.00 X 0 0 0 CLARENCE A ROBINSON TRUSTEE 2.00 2.00 X 0 0 0 RAYMOND L SLAUGHTER TRUSTEE 2.00 2.00 X 0 0 0 JONATHAN D WALLACE TRUSTEE 2.00 2.00 X 0 0 0 JEFFREY A FRAZIER MD TRUSTEE 2.00 40.00 X 0 0 0 JACK F ROWLEY TRUSTEE 2.00 2.00 X 0 0 0 SEAN T BARDEN EXECUTIVE VP 40.00 4.00 X 393659 0 37188 XAVIER R RICHARDSON EXECUTIVE VP 40.00 2.00 X 253076 0 25625 KATHRYN S WALL EXECUTIVE VP 40.00 2.00 X 259884 0 19461 MARIANNA BEDWAY SENIOR VP 2.00 40.00 X 254407 0 25090 ERIC FLETCHER SENIOR VP 40.00 2.00 X 229636 0 26304 WINIFRED J HAIKEY SENIOR VP (THRU 10/14) 40.00 2.00 X 237603 0 23083 JOYCE HANSCOME SENIOR VP 40.00 2.00 X 243567 0 25927 JAMES K VAN RENAN SENIOR VP (THRU 10/14) 2.00 40.00 X 0 309275 32331 CATHLEEN A YABLONSKI SENIOR VP 2.00 40.00 X 0 228348 23674 REBECCA BIGONEY MD EXECUTIVE VP 2.00 40.00 X 365663 0 26813 KATHLEEN BOURGAULT VICE PRESIDENT 40.00 2.00 X 196370 0 24405 EILEEN L DOHMANN RN VICE PRESIDENT 2.00 40.00 X 214292 0 9849 ALAN EDWARDS VICE PRESIDENT 40.00 0.00 X 195852 0 24088 MARIE FREDRICK VICE PRESIDENT 40.00 2.00 X 220985 0 25277 RAVI MATHUR VICE PRESIDENT (THRU 10/14) 40.00 2.00 X 215883 0 18580 JAMES SWISHER VICE PRESIDENT (THRU 10/14) 40.00 2.00 X 194563 0 12176 TINA M ERVIN VICE PRESIDENT 40.00 0.00 X 186112 0 23296 SANDRA W BROWN VP FINANCE, CONTROLLER 40.00 0.00 X 148905 0 30403 TRAVIS TURNER VP CLINICAL INTEGRATION 40.00 0.00 X 0 200816 29530 STEPHEN MANDELL VICE PRESIDENT 0.00 40.00 X 0 262114 28254 DAVID LING MD EXECUTIVE DIRECTOR (THRU 10/14) 40.00 2.00 X 204613 0 33995 PHILLIP BORDERS CHIEF AUDIT EXECUTIVE 40.00 0.00 X 176997 0 24503 PHILIP A BROWN DIRECTOR OF PLANNING 40.00 0.00 X 150898 0 17795 ROBERT K LIVELY DIR CLERICAL OFFICE (THRU 10/14) 40.00 0.00 X 121428 0 16731 MADHULIKA LALL MED DIR RESOURCE UTILIZATION 40.00 0.00 X 201642 0 19323 WALTER J KIWALL EXECUTIVE VP 40.00 4.00 X 863245 0 2015 MARK SCHWARTZ MGR PHYSICIAN RELATIONS (FORMER) 40.00 0.00 X 302751 0 117 6712427 1024470 636961 25 1 1 0 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 303844674 STAFFING 3075850 HURON HEALTHCARE 3005 MOMENTUM PL CHICAGO IL 606895330 CONSULTING 2117171 KAUFMAN HALL & ASSOCIATES 5202 OLD ORCHARD RD SUITE N700 SKOKIE IL 60077 CONSULTING 1582177 PROFESSIONAL BUILDING MANAGEMENT 56 WELLS LANE FREDERICKSBURG VA 22405 BUILDING MAINTENANCE 1193439 HANCOCK DANIEL JOHNSON & NAGEL PC PO BOX 72050 RICHMOND VA 232552050 LEGAL SERVICES 1069241 51 94191 94191 MANAGEMENT SERVICES REVENUE 561000 65040544 64100699 939845 AFFILIATE CAPTIVE INSURANCE 561000 3788613 3788613 OTHER OPERATING INCOME 561000 1679743 1679743 ASSOC ASSIST PROGRAM 561000 96827 96827 PERSONNEL SERVICES 561000 59690 59690 70665417 2389454 2389454 66739730 37750 64449217 52644 2290513 -14894 2275619 -14894 2290513 75424681 69710678 939845 4679967 269993 269993 6121270 6001005 74649 45616 31288573 30673847 381564 233162 579111 567733 7062 4316 4361625 4275932 53190 32503 2628868 2577219 32059 19590 860294 843392 10491 6411 865437 848434 10554 6449 326109 319702 3977 2430 15734 15425 192 117 488129 478538 5953 3638 5710329 5598139 69637 42553 2213093 2169612 26989 16492 3277486 3213093 39969 24424 7681801 7530876 93680 57245 4281014 4196905 52207 31902 385758 378179 4704 2875 34481 33804 420 257 6742197 6609733 82221 50243 2385836 2338962 29095 17779 MEDICAL EXPENSES 822820 806654 10034 6132 REPAIRS & MAINTENANCE 215252 211023 2625 1604 LICENSE & PERMITS 2652 2600 32 20 81557862 79960800 991304 605758 27604055 35939818 5445439 480527 10101972 10673682 52586 56556 3633585 4196385 53066041 30529375 21104108 22536666 103088409 122765265 171368971 162705753 945724 742192 343344849 360096844 35672282 39552289 30405000 30405000 36078275 69865298 102155557 139822587 X 223643386 204003352 16287696 15012695 1258210 1258210 241189292 220274257 343344849 360096844 X -6133181 246047 -15027901 X X 0 1 X 1 0 X X 2 MARY WASHINGTON HOSPITAL INC 540519577 501(C)(3) 1 0 0 STAFFORD HOSPITAL LLC 134316364 501(C)(3) 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, LINE 1 SUPPORTED ORGANIZATION, MARY WASHINGTON HOSPITAL, INC. IS LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. SUPPORTED ORGANIZATION, STAFFORD HOSPITAL, LLC, IS CLASSIFIED AS 501(C)(3) AND IS DESIGNATED BY ITS PURPOSE ALIGNED WITH THAT OF MARY WASHINGTON HEALTHCARE TO ESTABLISH, MAINTAIN AND OPERATE, DIRECTLY OR INDIRECTLY, FACILITIES AND SERVICES PROVIDING HEALTH CARE FOR SICK, INJURED, DISABLED OR AGED PERSONS AND PROVIDING FOR THE PRESERVATION OF HEALTH AS THE BOARD OF TRUSTEES MAY DETERMINE FROM TIME TO TIME TO BE APPROPRIATE, INCLUDING, WITHOUT LIMITATION, HOSPITALS, AMBULATORY CARE SERVICES, NURSING CARE FACILITIES AND AGENCIES OR FACILITIES PROVIDING CARE FOR THE PERSONS IN THEIR HOMES . STAFFORD HOSPITAL, LLC IS ORGANIZED EXCLUSIVELY FOR OTHER CHARITABLE, SCIENTIFIC, EDUCATIONAL AND SCIENTIFIC PURPOSES. MORE SPECIFICALLY DEFINED AS FOLLOWS: TO ESTABLISH, OWN, MANAGE, MAINTAIN AND OPERATE ACUTE CARE HOSPITALS AND OTHER HEALTHCARE INSTITUTIONS AND SERVICES; TO PROMOTE HEALTH THROUGH PARTICIPATION IN INTEGRATED PATIENT CARE MANAGEMENT SYSTEMS THAT OFFER ACCESS TO A COMPLETE SPECTRUM OF HEALTH SERVICES, FROM PREVENTION AND TREATMENT TO EMERGENT, ACUTE, CHRONIC AND LONG-TERM CARE; TO CARRY ON MEDICAL AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; TO CARRY ON EDUCATIONAL OR TRAINING ACTIVITIES RELATED TO THE CARE AND PREVENTION OF SICKNESS, INJURY AND DISEASE OR THE PROMOTION OF HEALTH; TO PARTICIPATE, AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY CONSISTENT WITH AND AS LIMITED BY SECTION 501(C)(3) OF THE CODE; AND TO CONDUCT ANY OR ALL LAWFUL AFFAIRS THAT DO NOT CONFLICT WITH THE ABOVE PURPOSES BUT ARE OTHERWISE CONFERRED UPON LIMITED LIABILITY COMPANIES BY THE VIRGINIA LIMITED LIABILITY COMPANY ACT OR ITS SUCCESSOR. 1 1 0 1 0 0 1 15734 1 1 15734 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. 49769 27337 22432 760433 494845 265588 52233491 29996925 22236566 22348 10268 12080 22536666 INVEST-VHA, INC. 200000 C INVEST IN SUB-MWH 19591092 C INVEST IN SUB-SRS 370854 C INVEST IN SUB-SHC -10722534 C INVEST IN SUB-MPI 73971650 C INVEST IN SUB-TMMP 5243604 C INVEST IN SUB-HSP 150734 C INVEST IN SUB-SSI 2513 C INVEST IN SUB-FASC 1404830 C INVEST IN SUB-MWEC -1340593 C INVEST IN SUB-QTM 2557753 C INVEST IN SUB-FDN 56102975 C INVEST IN SUB-SHCF 5588377 C INVEST IN SUB-MSI -5292977 C INVEST IN SUB-MIF 1513031 C INVEST IN SUB-MDR LLC -99771 C INVEST IN SUB-PHYS EDGE -1238097 C INVEST IN SUB-REX 12102997 C INVEST IN SUB-PIC-MSI -3496 C INVEST IN VA ALLIANCE, LLC 5000 C INVEST IN CNTRL ATLANTIC HLTH 25000 C INVEST IN SUB - MWHA 2641249 C INVEST IN SUB-HIE -68438 C 162705753 IBNR 4688365 LOSS RESERVE ON EXCESS PROGRAM 774942 PENSION LIABILITY 64401991 69865298 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 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. YEARS ENDING ON OR AFTER DECEMBER 31, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 0 AMERICAN CANCER SOCIETY 250 WILLIAMS ST 4TH FLR ATLANTA GA 30303 131788491 501(C)(3) 13500 CANCER RESEARCH AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 5000 GENERAL SUPPORT CHILDREN'S HOME SOCIETY 4701 MARKET STREET SUITE F FREDERICKSBURG VA 22408 540505884 501(C)(3) 10500 GENERAL SUPPORT FREDERICKSBURG REGIONAL ALLIANCE INC 1125 JEFFERSON DAVIS HIGHWAY 240 FREDERICKSBURG VA 22401 541961653 501(C)(3) 75000 COMPREHENSIVE HEALTH INVESTMENT PLAN SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 5000 GENERAL SUPPORT MARINE CORPS MARATHON PO BOX 188 3399 RUSSEL RD QUANTICO VA 22134 541468675 501(C)(3) 7500 GENERAL SUPPORT RAPPAHANNOCK AREA YMCA INC 212 BUTLER ROAD FREDERICKSBURG VA 22405 540965826 501(C)(3) 7500 FITNESS PROGRAMS RAPPAHANNOCK POPS ORCHESTRA INC PO BOX 1972 SPOTSYLVANIA VA 22553 912154808 501(C)(3) 6000 GENERAL SUPPORT RAPPAHANNOCK UNITED WAY 3310 SHANNON PARK DRIVE FREDERICKSBURG VA 22408 546042936 501(C)(3) 5160 ENRICHMENT RX PARTNERSHIP 2924 EMERYWOOD PARKWAY SUITE 300 RICHMOND VA 23294 571186937 501(C)(3) 6000 GENERAL SUPPORT VIRGINIA HEALTHCARE FOUNDATION 707 EAST MAIN STREET SUITE 13 RICHMOND VA 23219 541639924 501(C)(3) 10000 GENERAL SUPPORT X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 FRED M RANKIN III PRESIDENT 599083 0 0 0 156120 0 7800 0 23008 0 786011 0 0 0 SEAN T BARDEN EXECUTIVE VP 341720 0 0 0 51939 0 7800 0 29388 0 430847 0 0 0 XAVIER R RICHARDSON EXECUTIVE VP 215602 0 0 0 37474 0 6943 0 18682 0 278701 0 0 0 KATHRYN S WALL EXECUTIVE VP 230734 0 0 0 29150 0 7397 0 12064 0 279345 0 0 0 MARIANNA BEDWAY SENIOR VP 226824 0 0 0 27583 0 7156 0 17934 0 279497 0 0 0 ERIC FLETCHER SENIOR VP 207962 0 0 0 21674 0 2189 0 24115 0 255940 0 0 0 WINIFRED J HAIKEY SENIOR VP (THRU 10/14) 181500 0 0 0 56103 0 5814 0 17269 0 260686 0 0 0 JOYCE HANSCOME SENIOR VP 219877 0 0 0 23690 0 6986 0 18941 0 269494 0 0 0 JAMES K VAN RENAN SENIOR VP (THRU 10/14) 0 283317 0 0 0 25958 0 7800 0 24531 0 341606 0 0 CATHLEEN A YABLONSKI SENIOR VP 0 209731 0 0 0 18617 0 2212 0 21462 0 252022 0 0 REBECCA BIGONEY MD EXECUTIVE VP 330000 0 0 0 35663 0 7800 0 19013 0 392476 0 0 0 KATHLEEN BOURGAULT VICE PRESIDENT 179358 0 0 0 17012 0 5645 0 18760 0 220775 0 0 0 EILEEN L DOHMANN RN VICE PRESIDENT 194081 0 0 0 20211 0 6085 0 3764 0 224141 0 0 0 ALAN EDWARDS VICE PRESIDENT 159290 0 0 0 36562 0 0 0 24088 0 219940 0 0 0 MARIE FREDRICK VICE PRESIDENT 199805 0 0 0 21180 0 6349 0 18928 0 246262 0 0 0 RAVI MATHUR VICE PRESIDENT (THRU 10/14) 173030 0 25000 0 17853 0 4345 0 14235 0 234463 0 0 0 JAMES SWISHER VICE PRESIDENT (THRU 10/14) 177843 0 0 0 16720 0 4287 0 7889 0 206739 0 0 0 TINA M ERVIN VICE PRESIDENT 169998 0 0 0 16114 0 5275 0 18021 0 209408 0 0 0 SANDRA W BROWN VP FINANCE, CONTROLLER 145631 0 0 0 3274 0 3877 0 26526 0 179308 0 0 0 TRAVIS TURNER VP CLINICAL INTEGRATION 0 192744 0 0 0 8072 0 2542 0 26988 0 230346 0 0 STEPHEN MANDELL VICE PRESIDENT 0 255005 0 0 0 7109 0 7409 0 20845 0 290368 0 0 DAVID LING MD EXECUTIVE DIRECTOR (THRU 10/14) 201560 0 0 0 3053 0 6219 0 27776 0 238608 0 0 0 PHILLIP BORDERS CHIEF AUDIT EXECUTIVE 160534 0 0 0 16463 0 5080 0 19423 0 201500 0 0 0 PHILIP A BROWN DIRECTOR OF PLANNING 149417 0 0 0 1481 0 4651 0 13144 0 168693 0 0 0 MADHULIKA LALL MED DIR RESOURCE UTILIZATION 195000 0 0 0 6642 0 225 0 19098 0 220965 0 0 0 WALTER J KIWALL EXECUTIVE VP 57155 0 0 0 806090 0 422 0 1593 0 865260 0 0 0 MARK SCHWARTZ MGR PHYSICIAN RELATIONS (FORMER) 12242 0 0 0 290509 0 117 0 0 0 302868 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, 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. THERE WAS NO INCENTIVE COMPENSATION PAID IN 2013. FORM 990, PART V, Q 7G AND 7H QUESTIONS 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 11 LINE 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 12C EVERY TRUSTEE AND EXECUTIVE IS REQUIRED TO DISCLOSE ANY AND ALL CONFLICTS. THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MARY WASHINGTON HEALTHCARE CHIEF AUDIT EXECUTIVE (CAE). THE CAE PRESENTS ALL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE REPORTS ALL CONFLICTS TO THE FULL BOARD. CONFLICTS ARE CONTINUALLY AND ACTIVELY MANAGED. AT EACH MEETING, THE CHAIR ASKS IF ANYONE AT THE MEETING HAS A CONFLICT TO DISCLOSE. INDIVIDUALS WITH CONFLICTS DISCLOSE THEIR CONFLICTS AND THE RELATED TOPIC. THE INDIVIDUAL THEN RECUSES HIM/HERSELF FROM ANY DECISION RELATED TO THAT TOPIC. THE CONFLICT OF INTERESTS POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND COMPLETE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA AND FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: DECREASE IN MINIMUM PENSION LIABILITY -37,354,304. INCOME(LOSS) OF SUBSIDIARIES 21,111,418. EQUITY ADJUSTMENTS FOR SUBSIDIARIES 1,944,376. EQUITY ADJUSTMENTS FOR TAXABLE AFFILATES -729,391. FORM 990, PART XII, LINE 2C THE PROCESS OF RESPONSIBILITY OF THE AUDIT AND SELECTION OF AUDITORS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, SCHEDULE R ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE MPI - MEDICORP PROPERTIES, INC. MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. MEDIDOCTORS H.C. - MEDIDOCTORS HOLDING COMPANY UNRELATED BUSINESS INCOME MWHC AS A PART OF ITS MISSION PROVIDES STRATEGIC PLANNING AND DIRECTION FOR ALL OF ITS AFFILIATES. IRS REGULATIONS TREAT MANAGEMENT FEES RECEIVED FROM TAXABLE SUBSIDIARIES AS UNRELATED BUSINESS INCOME. AS A RESULT, THE REVENUE REPORTED ON LINE 7A IS INCOME FROM TAXABLE SUBSIDIARIES FOR PROVISION OF MANAGEMENT FEES AND LOSS SUSTAINED IS A RESULT FROM ALLOCATIONS OF CORPORATE SERVICES PROVIDED IN EXCESS OF THE REVENUE RECEIVED. FORM 990, PART III, LINE 1 - ORG. MISSION PROVISION OF HEALTH CARE. MARY WASHINGTON HEALTHCARE WAS ORGANIZED TO ACT AS THE PARENT CORPORATION IN THE MARY WASHINGTON HEALTHCARE AFFILIATED GROUP, AND TO ENGAGE IN SUCH ACTIVITIES FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF MARY WASHINGTON HOSPITAL, STAFFORD HOSPITAL AND ITS AFFILIATED ORGANIZATIONS IN THE SYSTEM. MWHC SIR LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 452931630 MEDICAL MALPRACTICE SELF-INSURANCE SYSTEM VA 3788613 0 MWHC STAFFORD HOSPITAL AUXILIARY 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 262704632 SUPPORT SERVICES VA 501(C)(3) LINE 11C, III-FI STAFFORD HOSPITAL LLC 1 MARY WASHINGTON HOSPITAL AUXILIARY 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 752985923 SUPPORT SERVICES VA 501(C)(3) LINE 11C, III-FI MARY WASHINGTON HOSPITAL 1 MWH AND UVA RADIOSURGERY CENTER LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 900604539 MEDICAL SERVICES VA 501(C)(3) LINE 11A, I MWH 1 STAFFORD HOSPITAL LLC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 134316364 HOSPITAL SERVICES VA 501(C)(3) LINE 3 MWHC 1 MARY WASHINGTON HEALTHCARE PHYSICIANS 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 262546097 PHYSICIAN SERVICES VA 501(C)(3) LINE 11A, I MWHC CLINICAL SERVICES 1 MARY WASHINGTON HOSPITAL FOUNDATION INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 521342371 INVESTMENT MANAGEMENT/FUNDRAISING VA 501(C)(3) LINE 11A, I MWHC 1 MARY WASHINGTON HOSPITAL INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 540519577 HOSPITAL SERVICES VA 501(C)(3) LINE 3 MWHC 1 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 541552324 AMBULATORY HEALTH CARE SERVICES VA 501(C)(3) LINE 11A, I MWHC 1 STAFFORD HOSPITAL FOUNDATION INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 640963570 INVESTMENT MANAGEMENT/FUNDRAISING VA 501(C)(3) LINE 11A, I MWHC 1 MEDICORP PROPERTIES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 521342372 PROPERTY MANAGEMENT SERVICES VA 501(C)(3) LINE 11A, I MWHC 1 TOMPKINS MARTIN MEDICAL PLAZA 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 541632021 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 619448 6580042 0 1 0.99000 FREDERICKSBURG AMBULATORY SURGERY CENTER 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 562322548 SURGERY CTR VA MWHC CLINICAL SERVICES INC RELATED 2199380 1403390 0 1 0.53370 MEDICAL IMAGING OF FREDERICKSBURG 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 541364028 IMAGING VA MWHC CLINICAL SERVICES INC RELATED 3541112 1513029 0 1 0.51000 MARY WASHINGTON EYE CARE CENTER 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 271248032 OPTOMETRY VA MWHC CLINICAL SERVICES INC RELATED -284367 -1324662 0 0 0.99000 CENTRAL ATLANTIC HEALTH NETWORK 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 274704694 GROUP PURCHASING VA N/A RELATED -175 24507 1 0 0.12500 MARY WASHINGTON HEALTH ALLIANCE 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 463055639 ADMINISTRATIVE SERVICES VA MARY WASHINGTON HEALTHCARE RELATED -16010 2655226 0 1 0.82750 COWAN INVESTMENT PARTNERS LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 651294835 REAL ESTATE VA N/A RELATED -19021 45814 0 0 0.12500 BUNKER HILL PARTNERS LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 510584884 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 1226624 25896 0 0 0.20000 STAFFORD MEDICAL OFFICE PAVILION LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 262981929 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 134154 1997727 0 0 0.20000 SPOTSYLVANIA PARKWAY MEDICAL PLAZA LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 262656396 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 127602 -729076 0 0 0.39500 SPOTSYLVANIA PARKWAY MEDICAL PLAZA II LLC 2300 FALL HILL AVE STE 418 FREDERICKSBURG VA 22401 454281946 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED -9641 915927 0 0 0.39500 THE VIRGINIA ALLIANCE LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24504 900436011 MEDICAL VA N/A RELATED -456 12696 0 -456 0 0.26800 FREDERICKSBURG PROFESSIONAL RISK EXCHANGE 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 531095956 CAPTIVE INSURANCE VA MARY WASHINGTON HEALTHCARE C 458054 0.97500 0 MARY WASHINGTON HEALTHCARE SERVICES INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 541244509 RETAIL MEDICAL VA MWHC CLINICAL SERVICES INC C 169465 1692985 1.00000 0 MWHC HOLDING COMPANY INC 2300 FALL HILL AVE SUITE 418 FREDERICKSBURG VA 22401 541725487 HOLDING CO VA MWHC CLINICAL SERVICES INC C 114246 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 MARY WASHINGTON HOSPITAL L 54843312 CORP BOOKS/RECORDS STAFFORD HOSPITAL L 3602392 CORP BOOKS/RECORDS MEDICORP PROPERTIES INC L 1240327 CORP BOOKS/RECORDS MWHC CLINICAL SERVICES L 1508654 CORP BOOKS/RECORDS FREDERICKSBURG AMBULATORY SURGERY CENTER L 909486 CORP BOOKS/RECORDS MARY WASHINGTON EYE CARE CENTER L 53465 CORP BOOKS/RECORDS MWH FOUNDATION L 557347 CORP BOOKS/RECORDS SHC FOUNDATION L 131257 CORP BOOKS/RECORDS MEDICAL IMAGING OF FREDERICKSBURG L 1008466 CORP BOOKS/RECORDS FREDERICKSBURG PROFESSIONAL RISK EXCHANGE L 380000 CORP BOOKS/RECORDS MEDICORP PROPERTIES INC M 574188 CORP BOOKS/RECORDS MEDICORP PROPERTIES INC K 3998839 CORP BOOKS/RECORDS TOMPKINS MARTIN MEDICAL PLAZA K 250965 CORP BOOKS/RECORDS FREDERICKSBURG PROFESSIONAL RISK EXCHANGE M 343541 CORP BOOKS/RECORDS MWHC SERVICES L 559845 CORP BOOKS/RECORDS SCHEDULE R PART III TOMPKINS MARTIN MEDICAL PLAZA BECAME A SINGLE MEMBER LLC OF MEDICORP PROPERTIES, INC. ON 9/5/14.