2025-11-14T08:04:39-06:00 2024-12-31 540737372 PBMARES LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2024-01-01 201106426 MARY WASHINGTON HEALTHCARE GROUP RETURN MARY 5407412507 1340 CENTRAL PARK BLVD 100 FREDERICKSBURG VA 22401 THOMAS P MATHEWS EVP & CFO 5407412507 2025-11-13 1 0 JENNIFER N FRENCH CPA P00659678 5403713566 2025-11-13 X 2024 2025-03-06 01:10:19Z X CHRISTOPHER NEWMAN MD 1340 CENTRAL PARK BLVD 100 FREDERICKSBURG VA 22401 1138270961 1 1 4243 X 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. 11 10 5133 463 1649129 0 5525805 3232136 928978151 1047954961 2476697 18905858 189176 220329 937169829 1070313284 3680087 10664718 0 0 339718037 379684624 0 0 1716389 575602020 629955118 919000144 1020304460 18169685 50008824 518712725 620273766 249409729 276139462 269302996 344134304 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. 0 0 945389191 10664718 1046842120 PROVISION OF INPATIENT AND OUTPATIENT GENERAL ACUTE CARE HOSPITAL, PSYCHIATRIC HOSPITAL SERVICES, HOME HEALTH AND HOSPICE SERVICES, IMAGING AND AMBULATORY SURGERY SERVICES AND PHYSICIAN SERVICES. PRIMARY SERVICE AREAS ARE FREDERICKSBURG, ORANGE, PRINCE WILLIAM, STAFFORD, SPOTSYLVANIA, CAROLINE, KING GEORGE, AND WESTMORELAND COUNTIES IN VIRGINIA AND SECONDARY SERVICE AREAS INCLUDE MANASSAS, FAUQUIER, CULPEPER, LOUISA, HANOVER, ESSEX AND RICHMOND COUNTIES IN VIRGINIA. WE SERVED 140,775 PATIENTS IN OUR EMERGENCY ROOMS, 299,071 OUTPATIENTS, 19,096 SURGICAL CASES AND 26,764 PATIENT DISCHARGES. 945389191 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 4 0 1 5133 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X SANDRA W BROWN 5407412507 1340 CENTRAL PARK BLVD 100 FREDERICKSBURG VA 22401 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 2.00 40.00 X X 0 2433987 43948 SAUSHEEN TAYLOR MD PHYSICIAN/TRUSTEE (THRU 4/24) 40.00 2.00 X 283599 0 23620 RONALD W BRANSCOME MS IMMEDIATE PAST CHAIR 2.00 2.00 X X 0 0 0 BRUCE L DAVIS BA BOARD CHAIR 2.00 2.00 X X 0 0 0 CATHERINE M WACK BOARD VICE CHAIR 2.00 2.00 X X 0 0 0 DERMAINE A LEWIS BACC BOARD SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 NICHOLAS J CADWALLENDER BOARD TRUSTEE 2.00 2.00 X 0 0 0 MATTHEW D DUMONT MD BOARD TRUSTEE, (THRU 9/24) 2.00 2.00 X 0 0 0 MARGARET F HARDY RN MBA JD BOARD TRUSTEE 2.00 2.00 X 0 0 0 RICHMOND MCDANIEL BS BOARD TRUSTEE 2.00 2.00 X 0 0 0 HOWARD C OWEN BS BOARD TRUSTEE 2.00 2.00 X 0 0 0 CHETAN B PAI DO BOARD TRUSTEE 2.00 2.00 X 0 0 0 KIMBERLY C YOUNG MBA BOARD TRUSTEE 2.00 2.00 X 0 0 0 CHRISTOPHER NEWMAN MD EVP, COO & CMO 2.00 40.00 X 0 1348734 42496 SEAN T BARDEN BSBA MBA EVP & CFO 2.00 40.00 X 0 1132264 35048 TRAVIS TURNER BS MBA VICE PRESIDENT 2.00 40.00 X 0 619142 134363 ERIC FLETCHER MBA APR SVP & CSO 2.00 40.00 X 0 611905 42336 GEOFFREY LAWSON SVP & CIO 2.00 40.00 X 0 603241 26841 STEPHEN MANDELL MD VICE PRESIDENT 40.00 2.00 X 583577 0 37130 STEPHANIE GOLDBERG VICE PRESIDENT & DIO 40.00 2.00 X 578658 0 12242 JOANNE HUBER-STURANS SVP & CHRO 2.00 40.00 X 0 549957 37221 REGGIE PEARSON SVP & CHOO 40.00 2.00 X 545124 0 20602 XAVIER RICHARDSON BA MBA SVP & CDO 2.00 40.00 X 0 527654 22103 CATHLEEN YABLONSKI BS MS SVP & CAOO 40.00 2.00 X 512763 0 35415 DAVID YI MD VICE PRESIDENT (THRU 5/24) 2.00 40.00 X 0 503385 12198 RENUKA GUPTA VICE PRESIDENT & CQO 40.00 2.00 X 498935 0 27576 DANIEL WOODFORD VICE PRESIDENT (THRU 5/24) 40.00 2.00 X 477572 0 39716 TONJA THIGPEN SVP & CNO 40.00 2.00 X 444946 0 16447 SCOTT SELL VICE PRESIDENT (THRU 5/24) 40.00 2.00 X 422837 0 39628 LAUREN BLALOCK VICE PRESIDENT 2.00 40.00 X 0 420504 43353 SANDRA BROWN CPA VICE PRESIDENT 2.00 40.00 X 0 400267 33157 SUMMER HUGHES VP & CHIEF OF STAFF 2.00 40.00 X 0 387843 8740 SARAH OGLE VICE PRESIDENT 2.00 40.00 X 0 371406 24806 ALAN EDWARDS VICE PRESIDENT 2.00 40.00 X 0 369424 39781 CODY BLANKENSHIP VICE PRESIDENT 40.00 2.00 X 369073 0 38245 TINA ERVIN VICE PRESIDENT 2.00 40.00 X 0 342358 25019 RICHARD LEWIS MD VICE PRESIDENT (THRU 03/24) 2.00 40.00 X 0 188609 7381 SANG NA PHYSICIAN 40.00 X 1209153 0 28213 PARTAM MANALAI PHYSICIAN 40.00 X 1081455 0 35054 AGOSTINO VISIONI PHYSICIAN 40.00 X 978831 0 44851 J T SHERWOOD MD PHYSICIAN 40.00 X 930372 0 47768 JOHN CARDONE PHYSICIAN 40.00 X 731739 0 39221 9648634 10810680 1064519 884 0 1 0 FREDERICKSBURG ORTHOPAEDIC ASSOCIATES 3310 FALL HILL AVENUE FREDERICKSBURG VA 22401 PHYSICIAN SERVICES 18110434 ARMG LLC PO BOX 17125 FERNANDINA BEACH FL 32034 PROFESSIONAL SERVICES - PHYSICAL THERAPY 6908512 COMMONWEALTH SPINE & REHAB 4710 SPOTSYLVANIA PKWY STE 201 FREDERICKSBURG VA 22407 PHYSICIAN SERVICES 3068928 TEAM NET MEDICAL LLC 754 WARRENTON ROAD FREDERICKSBURG VA 22406 MEDICAL SERVICES 2595212 HICUITY HEALTH 1 CITYPLACE DRIVE STE 570 ST LOUIS MO 63141 MEDICAL SERVICES 817700 35 473659 338007 831046 1589424 3232136 NET PATIENT SERVICES REVENUE 623000 1018435647 1018435647 OTHER SERVICES 623000 11842695 11842695 PROGRAM RENTAL INCOME 531120 9093823 9093823 MANAGEMENT SERVICES 623000 3876774 3876774 OTHER OPERATING REVENUE 623000 3008940 3008940 1697082 47953 1649129 1047954961 2715995 2715995 77689915 6312709 66245538 1567223 11444377 4745486 16189863 16189863 0 473659 144916 -144916 -144916 INCOME FROM PARTNERSHIPS/LLCS 623000 365245 365245 365245 1070313284 1046671077 1649129 18760942 X 10653718 10653718 11000 11000 4700486 4351710 340785 7991 322448043 298522398 23377483 548162 5992345 5547713 434445 10187 24126927 22336709 1749202 41016 22416823 20753494 1625220 38109 112052641 103738336 8123816 190489 357110 330613 25890 607 11725 10855 850 20 164881 152647 11954 280 167480714 155053645 12142351 284718 24948 23097 1809 42 6467744 5987838 468911 10995 1816994 1682173 131732 3089 19521755 18073241 1415327 33187 2977503 2756572 215869 5062 682138 631523 49455 1160 10809920 10007824 783719 18377 29593742 27397887 2145546 50309 6000581 5555338 435042 10201 MEDICAL AND HOSPITAL SU 166197687 153865819 12049332 282536 PROVIDER ASSESSMENT 51300934 47494404 3719318 87212 BAD DEBT EXPENSE 42225512 39092379 3061350 71783 REPAIRS AND MAINTENANCE 6294752 5827681 456370 10701 5973837 5530577 433104 10156 1020304460 945389191 73198880 1716389 1378574 853733 17955563 16984212 74978272 123626455 136141 790370 18793320 18056475 6829053 8883089 850961263 478965262 329702403 371996001 63991043 69706571 4562954 8632182 385402 744678 518712725 620273766 26274527 59630161 23602 64967 181334667 172102531 41776933 44341803 249409729 276139462 X 251358098 327157562 17944898 16976742 269302996 344134304 518712725 620273766 X 50008824 -4859561 29682045 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7432362 1042305 820528 7654139 7965346 223688 756672 7432362 7950546 500 164367 150067 7965346 7605785 383359 38598 7950546 6199920 1435446 29581 7605785 0.00000 1.00000 0.00000 0 0 32581066 32581066 432872661 228272463 204600198 22705678 18702916 4002762 284986137 201081391 83904746 77815721 30908492 46907229 371996001 ACCRUED LOSS-PROFESSIONAL LIABILIES 4693855 CAPITAL LEASE OBLIGATIONS 39647948 44341803 X PART V, LINE 4: THE INTEREST EARNED FROM THE ENDOWMENT FUNDS IS USED TO FUND SCHOLARSHIPS AND GRANTS IN FUTHERANCE OF OUR MISSION. 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, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A TIMELY BASIS. STAFFORD HOSPITAL CUP 184500 184500 49798 MWHF OPEN 107500 107500 26058 4 181659 181659 3250 65810 473659 473659 3250 141666 144916 -144916 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 6689611 6689611 0.00660 6689611 6689611 0.00660 711697 711697 0.00070 10428509 4357686 6070823 0.00600 203767655 133424537 70343118 0.06920 301933 15875 286058 0.00030 1007128 1007128 0.00100 216216922 137798098 78418824 0.07720 222906533 137798098 85108435 0.08380 950223 55600 894623 0.00090 950223 55600 894623 0.00090 1 15870556 3967639 315463454 392661071 -77197617 X 1 1 1 MEDICAL IMAGING OF FREDERICKSBURG OUTPATIENT IMAGING 0.51000 0.49000 2 FREDERICKSBURG AMBULATORY SURGERY CENTER AMBULATORY SERGICAL SERVICES 0.64000 0.36000 3 COWAN INVESTMENT PARTNERS MEDICAL OFFICE BUILDING 0.12500 0.37500 4 SPOTSYLVANIA PARKWAY MEDICAL PLAZA LLC MEDICAL OFFICE BUILDING 0.42780 0.57220 5 FREDERICKSBURG ENDOSCOPY CENTER HOLDINGS LLC OUTPATIENT ENDOSCOPY 0.51000 0.49000 2 1 MARY WASHINGTON HOSPITAL INC 1101 SAM PERRY BLVD FREDERICKSBURG VA 22401 X X X 471 BED ACUTE CARE HOSPITAL LEVEL 2 TRAUMA 2 STAFFORD HOSPITAL LLC 101 HOSPITAL CENTER BLVD STAFFORD VA 22554 X X X 100 BED HOSPITAL MARY WASHINGTON HOSPITAL INC 1 0 0 1 X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X X 1 22 0 1 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X X X X X X X 1 X 0 X X X 1 X 0 0 STAFFORD HOSPITAL LLC 2 0 0 1 X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X X 1 22 0 1 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X HTTPS://WWW.MARYWASHINGTONHEALTHCARE.COM/ABOUT-US/REGULATORY-DOCUMENTS/ X X X X X X X 1 X 0 X X X 1 X 0 0 MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 5: MWHC'S COMMITMENT AND LEADERSHIP IN INVESTING IN THE HEALTH OF THE COMMUNITIES IT SERVES ARE CENTERED AROUND AN OVERALL COMMUNITY BENEFIT STRATEGY. A KEY VALUE OF MWHC IS TO DIRECTLY UTILIZE COMMUNITY INPUT TO DRIVE INITIATIVES THAT WILL IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. MWHC WORKED JOINTLY WITH THE RAPPAHANNOCK AREA HEALTH DISTRICT (RAHD), THE LOCAL HEALTH DEPARTMENT, TO CONDUCT THE NEEDS ASSESSMENT WHICH FURTHER ENSURED AND STRENGTHENED OUR ATTENTION TO PUBLIC HEALTH ISSUES. THEIR EXPERTISE IN PUBLIC HEALTH HAS ALSO BEEN EXTREMELY BENEFICIAL AS WE COLLABORATED IN THE DEVELOPMENT AND IMPLEMENTATION OF OUR COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, AND RAHD CONTINUES TO BE AN ACTIVE AND ENGAGED PARTNER THROUGHOUT THE PRESENT THREE-YEAR CHNA CYCLE.WE ALSO WORKED CLOSELY WITH BE WELL RAPPAHANNOCK (BWR) AS OUR CHNA STEERING COMMITTEE, AN IMPORTANT ROLE IN ENSURING OUR ABILITY TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE DIVERSE COMMUNITY WE SERVE.BWR IS A COLLABORATIVE COMPRISED OF A BROAD RANGE OF INDIVIDUALS FROM AGENCIES REPRESENTATIVE OF THE COMMUNITY, IN TERMS OF SOCIOECONOMICS, GEOGRAPHIC LOCATION AND SERVICE AREA, AND RACE AND ETHNICITY. THE MEMBERS HAVE A DEEP CONCERN FOR THE OVERALL HEALTH AND WELL-BEING OF THE RESIDENTS OF THE RAPPAHANNOCK REGION. THE PURPOSE OF THE COUNCIL IS TO IDENTIFY AND PRIORITIZE COMMUNITY NEEDS, PROVIDE GUIDANCE AND OVERSIGHT OVER PLANNED COMMUNITY IMPROVEMENTS, AND MONITOR PROGRESS ON PRIORITY HEALTH AND SOCIAL CONCERNS IMPACTING THE RAPPAHANNOCK REGION. BE WELL RAPPAHANNOCK REPRESENTATIVE ORGANIZATIONS INCLUDES THE FOLLOWING DIVERSE ORGANIZATIONS:-REGIONAL COMMUNITY COLLABORATIVE FOR YOUTH AND FAMILIES -DEPARTMENTS OF SOCIAL SERVICES -BUSINESS REPRESENTATIVE-LOCAL GOVERNMENT REPRESENTATIVE -HIGHER EDUCATION -MARY WASHINGTON HEALTHCARE -MARY WASHINGTON HOSPITAL FOUNDATION -MENTAL HEALTH AMERICA -PHYSICIAN REPRESENTATIVE -PUBLIC DEFENDER-RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD -RAPPAHANNOCK AREA HEALTH DISTRICT -RAPPAHANNOCK UNITED WAY -SCHOOL ADMINISTRATOR -SCHOOL SYSTEMS (PUBLIC) MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 6A: STAFFORD HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 6A: MARY WASHINGTON HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 7D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY CLUB, CHAMBER OF COMMERCE, AND FREDERICKSBURG CITY COUNCIL. STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 7D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY CLUB, CHAMBER OF COMMERCE, AND FREDERICKSBURG CITY COUNCIL. MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY ATTACHED TO THE RETURN STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY ATTACHED TO THE RETURN. MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE. SIGNS ARE POSTED IN ALL PATIENT REGISTRATION AREAS AND NOTES INCLUDED ON ALL PATIENT STATEMENTS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHO TO CONTACT FOR MORE INFORMATION. BILLING OFFICE PERSONNEL EXPLAIN THE MATERIALS TO ALL PATIENTS REQUESTING ADDITIONAL INFORMATION. STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE. SIGNS ARE POSTED IN ALL PATIENT REGISTRATION AREAS AND NOTES INCLUDED ON ALL PATIENT STATEMENTS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHO TO CONTACT FOR MORE INFORMATION. BILLING OFFICE PERSONNEL EXPLAIN THE MATERIALS TO ALL PATIENTS REQUESTING ADDITIONAL INFORMATION. 5 1 - MEDICAL IMAGING OF FREDERICKSBURG 1201 SAM PERRY BLVD SUITE 102 ASC BUILD FREDERICKSBURG VA 224014490 IMAGING SERVICES 2 - FREDERICKSBURG AMBULATORY SURGERY CENTER 1201 SAM PERRY BLVD SUITE 101 FREDERICKSBURG VA 224014490 AMBULATORY SURGERY CENTER 3 - MARY WASHINGTON URGENT CARE 11131 JOURNAL PARKWAY SUITE A KING GEORGE VA 22485 URGENT CARE 5 - MARY WASHINGTON EYE CARE CENTER 4710 SPOTSYLVANIA PARKWAY FREDERICKSBURG VA 22407 EYE CARE CENTER 6 - FREDERICKSBURG ENDOSCOPY CENTER LLC 1121 CENTRAL PARK BLVD FREDERICKSBURG VA 22401 ENDOSCOPY CENTER PART I, LN 7 COL(F): MWHC UTILIZED THE SERVICES OF SEARCHAMERICA TO IDENTIFYPFAP ELIGIBLE PATIENTS WHOSE ACCOUNTS HAD FALLEN INTO BAD DEBT.SEARCHAMERICA PROVIDED A LIST UTILIZING VARIOUS MARKET RESEARCH TOAPPROXIMATE THE FEDERAL POVERTY LEVEL OF EACH ACCOUNT HOLDER. WITH THISINFORMATION WE WERE ABLE TO DETERMINE ACCOUNTS THAT MAY HAVE BEEN ELIGIBLEFOR FREE CARE OR DISCOUNTED CARE UNDER OUR FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART I, LINE 7B. THE COMMONWEALTH OF VIRGINIA ELECTED TO EXPAND MEDICAID COVERAGE IN 2018 WITH 2019 BEING THE FIRST FULL YEAR OF IMPACT. THIS PROGRAM IS FUNDED THROUGH AN ASSESSMENT LEVIED ON ALL HOSPITALS IN THE COMMONWEALTH BASED ON THEIR TOTAL PATIENT SERVICE REVENUE. ADDITIONAL PROVIDER PAYMENTS ARE DISTRIBUTED BACK TO HOSPITALS WHICH PROVIDE SERVICES TO MEDICAID PATIENTS BASED ON THEIR PERCENTAGE OF NET PATIENT SERVICE REVENUE FROM THE MEDICAID PROGRAM. PART II, COMMUNITY BUILDING ACTIVITIES: 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. RECRUITMENT EFFORTS ARE ENHANCED BY MWHC'S GRADUATE MEDICAL EDUCATION (GME) PROGRAM WHICH STARTED IN JULY 2023. THE MWHC GME PROGRAM ADDS SIGNIFICANT VALUE TO THE GREATER FREDERICKSBURG COMMUNITY BY ENHANCING ACCESS TO AND DELIVERY OF QUALITY CARE. IT ALSO PROVIDES A PIPELINE OF FUTURE PHYSICIANS AS THE REGION CONTINUES TO GROW AND HEALTHCARE NEEDS BECOME MORE COMPLEX. PART III, LINE 4: MWHC PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE. MWHC ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, WAS NOT CONSIDERED MATERIAL.PATIENTS WHO MEET MWHC'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. PART III, LINE 8: AS A NOT-FOR-PROFIT HOSPITAL IT IS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND TO PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. MWHC ACCEPTS MEDICARE AND MEDICAID AND IT IS A WELL ESTABLISHED FACT THAT NOT-FOR-PROFIT FACILITIES DO 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 9B: PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE COLLECTION CYCLE AND MODIFICATIONS OF ABILITY TO PAY MAY BE ADJUSTED SHOULD FINANCIAL OR INSURANCE STATUS CHANGE SINCE THE FIRST DAY OF CARE. MWHC DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE THEY HAVE MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS CONSTITUTE NOTIFICATION BY MWHC OF ITS FINANCIAL ASSISTANCE POLICY BY WRITTEN AND/OR ORAL COMMUNICATIONS TO ALL UNINSURED/UNDERINSURED PATIENTS AS WELL AS CONSIDERATION OF ELIGIBILITY BASED UPON THE PRESUMPTIVE ELIGIBILITY GUIDELINES DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: MARY WASHINGTON HEALTHCARE AND ITS AFFILIATES (MARY WASHINGTON HOSPTIAL, MARY WASHINGTON HOSPITAL FOUNDATION, STAFFORD HOSPITAL, LLC, STAFFORD HOSPITAL FOUNDATION, MEDICORP PROPERTIES, INC., 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 COUNTIES. THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THESE COMMUNITIES IN NUMEROUS WAYS INCLUDING: 1.) WORKING COLLABORATIVELY WITH BE WELL RAPPAHANNOCK (BWR). BWR IS A COLLABORATIVE COMPRISED OF AGENCIES REPRESENTATIVE OF THE COMMUNITY, WITH A DEEP CONCERN FOR THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE RAPPAHANNOCK REGION. THE PURPOSE OF THE COUNCIL IS TO IDENTIFY AND PRIORITIZE COMMUNITY NEEDS, PROVIDE GUIDANCE, AND OVERSIGHT OVER PLANNED COMMUNITY IMPROVEMENTS, AND MONITOR PROGRESS ON PRIORITY HEALTH AND SOCIAL CONCERNS IMPACTING THE RAPPAHANNOCK REGION. BE WELL RAPPAHANNOCK REPRESENTATIVE ORGANIZATIONS INCLUDE COMMUNITY COLLABORATIVE FOR YOUTH AND FAMILIES, DEPARTMENTS OF SOCIAL SERVICES, AREA BUSINESSES, LOCAL GOVERNMENT, HIGHER EDUCATION, RAPPAHANNOCK AREA HEALTH DISTRICT, RAPPAHANNOCK UNITED WAY, RAPPAHANNOCK COMMUNITY SERVICE BOARD, COMMUNITY MENTAL HEALTH, AND AREA SCHOOL DISTRICTS. 2.) RESPONDING TO INFORMATION GATHERED FROM AREA COMMUNITY-BASED ORGANIZATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A FOUNDATION FOR WORKING COLLABORATIVELY WITH KEY STAKEHOLDERS IN THE COMMUNITY TO IMPROVE HEALTH. SPECIAL ATTENTION HAS BEEN GIVEN TO IDENTIFY HEALTH DISPARITIES, NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES THROUGH COMMUNITY INPUT. PART VI, LINE 3: MARY WASHINGTON HEALTHCARE AFFILIATES PROVIDE INFORMATION TO PATIENTS ABOUT ITS FINANCIAL ASSISTANCE PROGRAMS THROUGH SIGNAGE AT INTAKE AREAS, FLYERS AT ADMISSIONS, NOTICES ON BILLS AND COLLECTION STATEMENTS. FINANCIAL COUNSELORS ARE ALSO AVAILABLE TO ASSIST PATIENTS IN OBTAINING FINANCIAL ASSISTANCE. PART VI, LINE 4: MARY WASHINGTON HEALTHCARE PROVIDES EXCEPTIONAL MEDICAL SERVICES TO THE CITY OF FREDERICKSBURG AND THE SURROUNDING "COMMUNITY" THAT CONSIST OF THE PRIMARY SERVICE AREA CITY OF FREDERICKSBURG AND COUNTIES OF STAFFORD, KING GEORGE, SPOTSYLVANIA, CAROLINE, WESTMORELAND, ORANGE, AND PRINCE WILLIAM, MWHC'S SECONDARY SERVICE AREA COUNTIES ARE MANASSAS, FAUQUIER, CULPEPER, LOUISA, ESSEX, AND RICHMOND. ESTABLISHED IN 1899, MARY WASHINGTON HOSPITAL (MWH), A 471 BED ACUTE CARE FACILITY, OFFERS COMPREHENSIVE HEALTHCARE AND MULTIPLE CENTERS OF EXCELLENCE INCLUDING CARDIOLOGY AND CARDIOVASCULAR SURGERY, ONCOLOGY, ORTHOPEDICS, NEUROLOGY AND NEUROSURGERY, BEHAVIORAL HEALTH, 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 AND HOME HEALTH SERVICES THROUGH MARY WASHINGTON HOME HEALTH.AS OF THE MOST RECENT CENSUS, THE PRIMARY SERVICE AREA IN WHICH BOTH HOSPITALS SERVE IS MADE UP OF ABOUT 1,796 SQUARE MILES OF SUBURBAN AND RURAL LAND. COMMUNITY RESIDENTS IN THE PRIMARY SERVICE AREA EARN A MEDIAN INCOME PER HOUSEHOLD OF $95,349/YEAR, WITH A COLLECTIVE AVERAGE OF 8.6% OF THE ENTIRE PRIMARY SERVICE AREA LIVING BELOW THE FEDERAL POVERTY GUIDELINES. THE PRIMARY SERVICE AREA HAS AN ESTIMATED POPULATION OF 477,221 INDIVIDUALS AND 165,393 HOUSEHOLDS. PART VI, LINE 5: MARY WASHINGTON HOSPITAL, INC. AND STAFFORD HOSPITAL, LLC EACH OPERATE EMERGENCY ROOMS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO APPLY, HAVE A GOVERNING BODY WITH A MAJORITY OF INDEPENDENT TRUSTEES, AND PARTICIPATE IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. THROUGH ITS SUBSIDIARIES, PROVIDES ANCILLARY HEALTH SERVICES INCLUDING PHYSICIAN PRACTICES, OUTPATIENT AND AMBULATORY SURGERY, AND HOME HEALTH/HOSPICE SERVICES.THE ORGANIZATION UTILIZES SURPLUS FUNDS TO EXPAND SERVICES PROVIDED TO THE COMMUNITY (IN RESPONSE TO THE COMMUNITY NEEDS ASSESSMENTS), UPGRADE FACILITIES AND EQUIPMENT TO ENHANCE CLINICAL CARE AND PHYSICIAN CONNECTIVITY TO PATIENT ELECTRONIC HEALTH RECORDS, AND HEALTH EDUCATION PROGRAMS. PART VI, LINE 6: MARY WASHINGTON HEALTHCARE AFFILIATES INCLUDE TWO (2) HOSPITALS, OTHER CLINICAL SERVICES THAT INCLUDE AN AMBULATORY SURGERY CENTER, AN ENDOSCOPY CENTER, HOSPICE/HOME HEALTH, INDEPENDENT DIAGNOSTIC TESTING FACILITIES, URGENT CARE CENTERS, OUTPATIENT PHYSICAL THERAPY CENTERS, OUTREACH LABORATORIES, OUTPATIENT INFUSION CENTERS OUTPATIENT RADIATION ONCOLOGY CENTERS AND PHYSICIAN PRACTICES; TWO (2) FOUNDATIONS AND A PROPERTY DIVISION. ALL ACTIVITIES OF THIS GROUP ARE COORDINATED AND OVERSEEN BY THE PARENT'S (MARY WASHINGTON HEALTHCARE) BOARD OF TRUSTEES. THE AFFILIATED GROUP'S ACTIVITIES ARE CLOSELY PLANNED/INTEGRATED THROUGH INTERLOCKING BOARDS TO ENSURE THE MOST EFFECTIVE DELIVERY OF CARE. EACH MEMBER OF THE AFFILIATED GROUP FOCUSES EFFORTS IN ITS PARTICULAR AREA OF RESPONSIBILITY AND IS ACCOUNTABLE TO THE PARENT'S BOARD FOR ACHIEVING ITS MISSION AND GOALS FOR THE PROVISION OF HEALTH CARE. THE DIVISION OF SERVICES ABOVE ALLOWS PATIENTS TO ACCESS CARE IN THE MOST APPROPRIATE SETTING. THE GOVERNANCE OVERSIGHT PROVIDED BY THE PARENT GUARANTEES OPTIMAL COORDINATION OF THE VARIOUS SEGMENTS OF CARE AND ENSURES HIGH QUALITY SERVICE AS ECONOMICALLY AS POSSIBLE. PART VI, LINE 7, REPORTS FILED WITH STATES VA 0 MICAH ECUMENICAL MINISTRIES PO BOX 3277 FREDERICKSBURG VA 22402 204044884 501(C)(3) 130000 0 RESIDENTIAL RECOVERY PROGRAM CENTRAL VA HEALTH SERVICES PO BOX 220 NEW CANTON VA 25892 540887287 501(C)(3) 120000 0 ACCESS TO CARE PROGRAMS FREDERICKSBURG CHRISTIAN HEALTH CENTER 1129 HEATHERSTONE DRIVE FREDERICKSBURG VA 22407 542061482 501(C)(3) 101000 0 ACCESS TO CARE PROGRAMS RAPPAHANNOCK AREA COMMUNITY SERVICES 600 JACKSON STREET FREDERICKSBURG VA 22401 541183037 GOVERNMENT/LOCAL 79800 0 CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH SUPPORT PROGRAM GEORGE WASHINGTON REGIONAL COMMISSION 406 PRINCESS ANNE STREET FREDERICKSBURG VA 22401 540715969 GOVERNMENT/LOCAL 76622 0 ACCESS TO HOUSING GUADALUPE FREE CLINIC OF COLONIAL BEACH PO BOX 275 COLONIAL BEACH VA 22443 510635977 501(C)(3) 75000 0 ACCESS TO CARE PROGRAMS VIRGINIA DEPARTMENT OF HEALTH RAPPAHANNOCK AREA HEALTH DISTRICT 608 JACKSON STREET FREDERICKSBURG VA 22401 546001775 GOVERNMENT/LOCAL 55000 0 ACCESS TO CARE PROGRAMS FREDERICKSBURG AREA FOOD BANK 3631 LEE HILL DR FREDERICKSBURG VA 22408 541255013 501(C)(3) 51156 0 HEALTHY PANTRY INITIATIVE FREDERICKSBURG REGIONAL TRANSIT 1400 JEFFERSON DAVIS HIGHWAY FREDERICKSBURG VA 22401 546001293 GOVERNMENT/LOCAL 40000 0 ACCESS TO CARE PROGRAMS VIRGINIA COMMUNITY FOOD CONNECTIONS PO BOX 7664 FREDERICKSBURG VA 22404 811346510 501(C)(3) 33500 0 FRESH FOOD ACCESS FOR COMMUNITY HEALTH LOISANN'S HOPE HOUSE 902 LAFAYETTE BOULEVARD FREDERICKSBURG VA 22401 521419314 501(C)(3) 25000 0 AFFORDABLE HOUSING GWYNETH'S GIFT FOUNDATION 2217 PRINCESS ANNE STREET SUITE 101 FREDERICKSBURG VA 22401 474428397 501(C)(3) 21000 0 LIFESAVING CPR EDUCATION AND AED ACCESS RAPPAHANNOCK AREA AGENCY ON AGING INC 460 LENDALL LANE FREDERICKSBURG VA 22405 541027651 501(C)(3) 18250 0 ACCESS TO CARE PROGRAMS RX PARTNERSHIP 2924 EMERYWOOD PARKWAY 300 RICHMOND VA 23294 571186937 501(C)(3) 15000 0 ACCESS TO CARE PROGRAMS STAFFORD JUNCTION INC 791 TRUSLOW ROAD FREDERICKSBURG VA 22406 203036072 501(C)(3) 15000 0 HEALTHY LIVING PROGRAMS SERVE 15 UPTON LANE STAFFORD VA 22554 541289683 501(C)(3) 13500 0 HEALTH AND WELLNESS DAYS PROGRAM THE HUB OF HOPE 5008 SOUTHPOINT PARKWAY FREDERICKSBURG VA 22407 852751588 501(C)(3) 12500 0 NUTRITION PROGRAMS RAPPAHANNOCK EDUCATION FARM 404 RIVERSIDE DRIVE FREDERICKSBURG VA 22401 923364872 501(C)(3) 10000 0 NUTRITION PROGRAMS DOWNTOWN GREENS INC 206 CHARLES STREET FREDERICKSBURG VA 22401 541853889 501(C)(3) 10000 0 NUTRITION PROGRAMS LOVE THY NEIGHBOR - KING GEORGE 10250 KINGS HIGHWAY KING GEORGE VA 22485 473194275 501(C)(3) 10000 0 NUTRITION PROGRAMS SERVANTS AT WORK INC - VIRGINIA PO BOX 41208 FREDERICKSBURG VA 22404 833751081 501(C)(3) 7500 0 ACCESS TO CARE PROGRAMS THE ZOE LIFE CENTER (ZOE FREEDOM CENTER) 928 BRAGG ROAD FREDERICKSBURG VA 22407 824028300 501(C)(3) 7000 0 BEHAVIORAL HEALTH PROGRAMS 18 4 ANNE GRAZIANI BROADDUS SCHOLARSHIP 1 1000 BARBARA KANE SCHOLARSHIP 1 750 CORA GRAVES ALLISON SCHOLARSHIP 1 1000 HAROLD SCHILZ SCHOLARSHIP 1 750 IDA JENKINS NURSING SCHOLARSHIP 1 750 JEANE BULLOCK NURSING SCHOLARSHIP 1 750 LAURA LUMPKIN MEMORIAL SCHOLARSHIP 2 2000 LIBBY PEARSON SCHOLARSHIP 1 750 NANCY HAZARD MEMORIAL SCHOLARSHIP 1 750 SAL KIWALL SCHOLARSHIP 1 750 SUE HALL NURSING SCHOLARSHIP 1 1000 VICKIE GRAVES PITTMAN GERMANNA SCHOLARSHIP 1 750 X X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 MICHAEL P MCDERMOTT MD MBA PRESIDENT AND CEO 0 1395749 0 609206 0 429032 0 10350 0 33598 0 2477935 0 337412 CHRISTOPHER NEWMAN MD EVP, COO & CMO 0 843349 0 418294 0 87091 0 10350 0 32146 0 1391230 0 58969 SANG NA PHYSICIAN 1150011 0 59142 0 0 0 10350 0 17863 0 1237366 0 0 0 SEAN T BARDEN BSBA MBA EVP & CFO 0 734723 0 240545 0 156996 0 10350 0 24698 0 1167312 0 120427 PARTAM MANALAI PHYSICIAN 1016094 0 0 0 65361 0 2484 0 32570 0 1116509 0 0 0 AGOSTINO VISIONI PHYSICIAN 895113 0 82500 0 1218 0 9231 0 35620 0 1023682 0 0 0 J T SHERWOOD MD PHYSICIAN 790005 0 140367 0 0 0 10350 0 37418 0 978140 0 0 0 JOHN CARDONE PHYSICIAN 670009 0 61730 0 0 0 10350 0 28871 0 770960 0 0 0 TRAVIS TURNER BS MBA VICE PRESIDENT 0 407358 0 146575 0 65209 0 103508 0 30855 0 753505 0 59377 ERIC FLETCHER MBA APR SVP & CSO 0 409976 0 120029 0 81900 0 10350 0 31986 0 654241 0 59041 GEOFFREY LAWSON SVP & CIO 0 421406 0 122541 0 59294 0 10360 0 16481 0 630082 0 33425 STEPHEN MANDELL MD VICE PRESIDENT 428181 0 99607 0 55789 0 8516 0 28614 0 620707 0 46992 0 STEPHANIE GOLDBERG VICE PRESIDENT & DIO 443702 0 98058 0 36898 0 10350 0 1892 0 590900 0 0 0 JOANNE HUBER-STURANS SVP & CHRO 0 430773 0 103033 0 16151 0 10350 0 26871 0 587178 0 0 REGGIE PEARSON SVP & CHOO 459694 0 50000 0 35430 0 10350 0 10252 0 565726 0 0 0 XAVIER RICHARDSON BA MBA SVP & CDO 0 334117 0 97158 0 96379 0 10350 0 11753 0 549757 0 63183 CATHLEEN YABLONSKI BS MS SVP & CAOO 361853 0 104120 0 46790 0 9192 0 26223 0 548178 0 31044 0 RENUKA GUPTA VICE PRESIDENT & CQO 447013 0 44248 0 7674 0 10350 0 17226 0 526511 0 0 0 DANIEL WOODFORD VICE PRESIDENT (THRU 5/24) 364778 0 90342 0 22452 0 9246 0 30470 0 517288 0 19310 0 DAVID YI MD VICE PRESIDENT (THRU 5/24) 0 162704 0 100681 0 240000 0 10350 0 1848 0 515583 0 36607 LAUREN BLALOCK VICE PRESIDENT 0 313992 0 73043 0 33469 0 9645 0 33708 0 463857 0 23565 SCOTT SELL VICE PRESIDENT (THRU 5/24) 342483 0 79672 0 682 0 10350 0 29278 0 462465 0 0 0 TONJA THIGPEN SVP & CNO 393016 0 38975 0 12955 0 0 0 16447 0 461393 0 0 0 SANDRA BROWN CPA VICE PRESIDENT 0 303290 0 70553 0 26424 0 8984 0 24173 0 433424 0 23340 ALAN EDWARDS VICE PRESIDENT 0 270379 0 64351 0 34694 0 7695 0 32086 0 409205 0 30359 CODY BLANKENSHIP VICE PRESIDENT 282900 0 67330 0 18843 0 7707 0 30538 0 407318 0 16944 0 SUMMER HUGHES VP & CHIEF OF STAFF 0 306818 0 67805 0 13220 0 5773 0 2967 0 396583 0 0 SARAH OGLE VICE PRESIDENT 0 286515 0 66652 0 18239 0 8820 0 15986 0 396212 0 13486 TINA ERVIN VICE PRESIDENT 0 255959 0 59543 0 26856 0 7652 0 17367 0 367377 0 22316 SAUSHEEN TAYLOR MD PHYSICIAN/TRUSTEE (THRU 4/24) 142616 0 36960 0 104023 0 5562 0 18058 0 307219 0 0 0 RICHARD LEWIS MD VICE PRESIDENT (THRU 03/24) 0 53367 0 78625 0 56617 0 1585 0 5796 0 195990 0 30912 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 4B MICHAEL MCDERMOTT RECEIVED A 457(F) DISTRIBUTION OF $337,412 CHRISTOPHER NEWMAN RECEIVED A 457(F) DISTRIBUTION OF $58,969 SEAN BARDEN RECEIVED A 457(F) DISTRIBUTION OF $120,427 TRAVIS TURNER RECEIVED A 457(F) DISTRIBUTION OF $59,377 ERIC FLETCHER RECEIVED A 457(F) DISTRIBUTION OF $59,041 GEOFFREY LAWSON RECEIVED A 457(F) DISTRIBUTION OF $33,425 STEPHEN MANDELL RECEIVED A 457(F) DISTRIBUTION OF $46,992 XAVIER RICHARDSON RECEIVED A 457(F) DISTRIBUTION OF $63,183 CATHLEEN YABLONSKI RECEIVED A 457(F) DISTRIBUTION OF $31,044 DAVID YI RECEIVED A 457(F) DISTRIBUTION OF $36,607 DANIEL WOODFORD RECEIVED A 457(F) DISTRIBUTION OF $19,310 LAUREN BLALOCK RECEIVED A 457(F) DISTRIBUTION OF $23,565 SANDRA BROWN RECEIVED A 457(F) DISTRIBUTION OF $23,340 SARAH OGLE RECEIVED A 457(F) DISTRIBUTION OF $13,486 ALAN EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $30,359 CODY BLANKENSHIP RECEIVED A 457(F) DISTRIBUTION OF $16,944 TINA ERVIN RECEIVED A 457(F) DISTRIBUTION OF $22,316 RICHARD LEWIS RECEIVED A 457(F) DISTRIBUTION OF $30,912 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. SCHEDULE J INDEPENDENT BOARD TRUSTEES RECEIVE NO COMPENSATION. A ECONOMIC DEVELOPMENT AUTHORITY 521303430 355849BC3 2014-05-28 59254492 REFUNDING OF 2002 BONDS 0 0 0 B ECONOMIC DEVELOPMENT AUTHORITY 541244413 852431BM6 2016-05-02 128486132 REFUNDING OF 2006 BONDS 0 0 0 C ECONOMIC DEVELOPMENT AUTHORITY 521303430 2016-11-22 30405000 REFUNDING OF 2013 BONDS 0 0 0 D VIRGINIA SMALL BUSINESS FINANCING AUTHORITY 521300845 2023-11-20 50000000 CAPITAL PURCHASES 0 0 0 A 4375000 59524492 630794 58623698 2014 1 0 1 1 B 7780000 128486132 2100667 126385465 2016 1 0 1 1 C 8685000 30405000 30405000 2016 1 0 1 1 D 50000000 50000000 2024 0 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 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 FINANCE 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.MARYWASHINGTONHEALTHCARE.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 ENTERPRISE RISK MANAGEMENT COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE ENTERPRISE RISK MANAGEMENT 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 COMMERCIALLY REASONABLE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA, FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS, AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA POINTS PROVIDE ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIALS STATEMENTS ARE POSTED ON THE MARY WASHINGTON HEALTHCARE WEBSITE FOR PUBLIC VIEW. FORM 990, PART IX, LINE 11G CONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 37,435,690. MANAGEMENT AND GENERAL EXPENSES 2,931,613. FUNDRAISING EXPENSES 68,741. TOTAL EXPENSES 40,436,044. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 61,720,252. MANAGEMENT AND GENERAL EXPENSES 4,833,353. FUNDRAISING EXPENSES 113,334. TOTAL EXPENSES 66,666,939. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 10,227,515. MANAGEMENT AND GENERAL EXPENSES 800,923. FUNDRAISING EXPENSES 18,780. TOTAL EXPENSES 11,047,218. ASP SERVICES: PROGRAM SERVICE EXPENSES 36,294. MANAGEMENT AND GENERAL EXPENSES 2,842. FUNDRAISING EXPENSES 67. TOTAL EXPENSES 39,203. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 9,826,567. MANAGEMENT AND GENERAL EXPENSES 769,525. FUNDRAISING EXPENSES 18,044. TOTAL EXPENSES 10,614,136. STORAGE SERVICES: PROGRAM SERVICE EXPENSES 111,617. MANAGEMENT AND GENERAL EXPENSES 8,741. FUNDRAISING EXPENSES 205. TOTAL EXPENSES 120,563. WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 1,446,748. MANAGEMENT AND GENERAL EXPENSES 113,296. FUNDRAISING EXPENSES 2,657. TOTAL EXPENSES 1,562,701. MANAGEMENT CONTRACTS: PROGRAM SERVICE EXPENSES 34,248,962. MANAGEMENT AND GENERAL EXPENSES 2,682,058. FUNDRAISING EXPENSES 62,890. TOTAL EXPENSES 36,993,910. FORM 990, PART XI, LINE 9: UNCOLLECTED PLEDGES 3,809,302. ELIMINATION OF EQUITY FOR CONSOLIDATED ENTITIES 12,198,981. RELIEF FROM AFFILIATE LOANS 13,785,358. MARY WASHINGTON HOSPITAL AUXILLIARY EQUITY NEW ADDITION TO GROUP -111,596. FORM 990, PART XII, LINE 2C THE COMPANIES IN THE GROUP RETURN ARE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MWHC. RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AUDITORS RESTS WITH THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. FORM 990, PART V, Q2A NO ENTITY WITHIN THE GROUP FILES W-2S WITH THE IRS. ALL PAYROLL IS PAID THROUGH AN AGENCY AGREEMENT WITH MARY WASHINGTON HEALTHCARE. FORM 990, SCHEDULE R ABBREVIATIONS: MWHC - MARY WASHINGTON HEALTHCARE 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 FORM 990, PART V, Q3A AND Q3B MARY WASHINGTON HOSPITAL AND MARY WASHINTON HOSPITAL FOUNDATON FILE SEPARATE 990T'S RELATED TO UNRELATED BUSINESS INCOME. MEDIDOCTORS LLC 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 541990805 MEDICAL VA 1891 -6407 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC MARY WASHINGTON HEALTHCARE PROVIDERS LLC 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 571172752 MEDICAL VA 27075609 454177 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC MARY WASHINGTON EYE CARE LLC 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 271248032 MEDICAL VA 2475426 815125 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC MWHC URGENT CARE LLC 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 834378864 MEDICAL VA 13499318 1360087 MARY WASHINGTON HEALTHCARE CLINICAL SERVICES INC STAFFORD HOSPITAL AUXILIARY 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 262704632 MEDICAL SERVICES VA 501(C)(3) LINE 12D, III-O 0 MARY WASHINGTON HEALTHCARE 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 541240646 SUPPORT SERVICES VA 501(C)(3) LINE 12C, III-FI 0 COMMONWEALTH IMAGING LLC 10401 SPOTSYLVANIA AVENUE SUITE 200 FREDERICKSBURG VA 22408 050622704 IMAGING VA MWHC SERVICES INC RELATED 24629 31377 0 0 0.33330 COWAN INVESTMENT PARTNERS LLC 6308 FIVE MILE CENTRE PARK 215 FREDERICKSBURG VA 22407 651294835 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 109519 115784 0 0 0.12500 FREDERICKSBURG AMBULATORY SURGERY CENTER 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 562322548 SURGERY CTR VA MWHC CLINICAL SERVICES INC RELATED 2036194 176617 0 1 0.64000 FREDERICKSBURG ENDOSCOPY CENTER LLC 2500 YORK ROAD SUITE 300 JAMISON PA 18929 834398314 ENDOSCOPY VA MWHC ENDOSCOPY HOLDINGS LLC RELATED 2613525 899269 0 0 0.51000 MEDICAL IMAGING OF FREDERICKSBURG 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 541364028 IMAGING VA MWHC CLINICAL SERVICES INC RELATED 9385393 8786462 0 1 0.51000 MWHC ENDOSCOPY HOLDINGS LLC 2500 YORK ROAD SUITE 300 JAMISON PA 18929 834407938 ENDOSCOPY VA MWHC CLINICAL SERVICES INC RELATED 1552807 539060 0 1 0.60000 SPOTSYLVANIA PARKWAY MEDICAL PLAZA LLC 401 CHATHAM SQUARE OFFICE PARK FREDERICKSBURG VA 22405 262656396 REAL ESTATE VA MEDICORP PROPERTIES INC RELATED 263469 -631549 0 0 0.42780 FREDERICKSBURG PROFESSIONAL RISK EXCHANGE 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 331095956 CAPTIVE INSURANCE VA MWHC C 1050113 14948771 1.00000 0 MARY WASHINGTON HEALTH PLAN 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 823693765 HEALTH MAINTENANCE VA MWHC C 715909 9896553 1.00000 0 MARY WASHINGTON HEALTHCARE SERVICES INC 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 541244509 RETAIL MEDICAL VA MWHC C -735739 649341 1.00000 0 PINNACLE HEALTH CORPORATION 1340 CENTRAL PARK BLVD STE 100 FREDERICKSBURG VA 22401 311636492 HEALTH MANAGEMENT VA MWHA C -36321 273085 1.00000 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0