TY 2011 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
HMP OF WASHINGTON COUNTY 4535 DRESLER RD NW CANTON,OH44718	PHYSICIAN SERVICES	1,465,878
ACADEMY FOR ADOLESCENT HEALTH 410 NORTH MAIN STREET WASHINGTON,PA15301	OUTREACH SERVICES	687,255
ITXM CLINICAL SERVICES PO BOX 3455 PITTSBURGH,PA15230	BLOOD PROCESSING	639,136
FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DRIVE CHICAGO,IL60693	HEMODIALYSIS	519,105
WASHINGTON CRITICAL CARE 997 N MAIN STREET WASHINGTON,PA15301	PHYSICIAN SERVICES	440,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 24

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,521,292	1,284,101	237,191
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	97,928,767	82,660,274	15,268,493
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,502,216	2,956,171	546,045
9	Other employee benefits .......	18,294,253	15,441,918	2,852,335
10	Payroll taxes ...........	6,741,107	5,690,072	1,051,035
11	Fees for services (non-employees):
a	Management ......	217,386	217,386
b	Legal .........	330,504		330,504
c	Accounting ...........	367,871		367,871
d	Lobbying ...........	21,185		21,185
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	17,117,238	14,448,416	2,668,822
12	Advertising and promotion ....	866,147	731,102	135,045
13	Office expenses .......	4,258,126	3,594,223	663,903
14	Information technology ......	1,277,358	1,078,200	199,158
15	Royalties ..	0
16	Occupancy ...........	3,972,553	3,353,175	619,378
17	Travel ............	344,864	291,095	53,769
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	2,180,485	2,180,485
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	14,863,167	12,545,787	2,317,380
23	Insurance ..............	8,271,139	7,894,404	376,735
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL SUPPLIES	36,520,814	36,520,814
b	BAD DEBT EXPENSE	11,698,632	11,698,632
c	MED. ASSISTANCE TAX ASSESS.	3,720,000	3,720,000
d	OTHER EXPENSES	4,541,752	3,833,628	708,124
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	238,556,856	210,139,883	28,416,973	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	19,107,950	1	24,227,174
2	Savings and temporary cash investments .......	286,337	2	287,465
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	31,207,166	4	22,758,604
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	1,267,087	8	1,477,421
9	Prepaid expenses and deferred charges ............	2,060,766	9	1,548,720
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	273,194,552
b	Less: accumulated depreciation. .....	10b	142,578,179	132,336,478	10c	130,616,373
11	Investments—publicly traded securities ..........	98,628,879	11	108,417,851
12	Investments—other securities. See Part IV, line 11 ......	0	12	0
13	Investments—program-related. See Part IV, line 11 ..	12,730,632	13	13,673,462
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	4,532,253	15	1,113,971
16	Total assets. Add lines 1 through 15 (must equal line 34)...	302,157,548	16	304,121,041
	17	Accounts payable and accrued expenses .	24,245,906	17	30,532,233
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	96,256,070	20	91,876,442
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	44,690,078	25	78,817,310
26	Total liabilities. Add lines 17 through 25.....	165,192,054	26	201,225,985
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	125,721,046	27	91,669,542
28	Temporarily restricted net assets .....	1,899,128	28	1,753,338
29	Permanently restricted net assets .....	9,345,320	29	9,472,176
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	136,965,494	33	102,895,056
34	Total liabilities and net assets/fund balances .....	302,157,548	34	304,121,041

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

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Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization THE WASHINGTON HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization THE WASHINGTON HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

21,185

Total. Add lines 1c through 1i ...............................

21,185

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Description of Lobbying Activities	Schedule C, Part II-B, Line 1i	Lobbying costs reported in Part II-B Line I consist of the portion of membership dues attributable to lobbying activities. The Hospital does not directly lobby or participate in political activities.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	7,850,809		7,850,809
b	Buildings ................	150,035,210	68,046,890	81,988,320
c	Leasehold improvements ............
d	Equipment ................	115,199,564	74,531,289	40,668,275
e	Other .................	108,969		108,969
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				130,616,373

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
ACCRUED PENSION COSTS		52,143,616
DUE TO THIRD PARTY PAYORS		14,662,936
BOND SWAP LIABILITY		7,698,319
POST-RETIREMENT BENEFIT OBLIG.		2,486,511
SOFTWARE LICENSE OBLIGATION		75,928
LEASE PAYABLE		1,750,000



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		78,817,310
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	821,666	0	821,666	0.360 %
b Medicaid (from Worksheet 3, column a) .....	26,576,247	17,797,356	8,778,891	3.870 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	27,397,913	17,797,356	9,600,557	4.230 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	3,120,990	707,477	2,413,513	1.060 %
f Health professions education (from Worksheet 5) ..	15,932,986	9,914,444	6,018,542	2.650 %
g Subsidized health services (from Worksheet 6) ..	67,071,606	59,728,801	7,342,805	3.240 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....
jTotal Other Benefits ...	86,125,582	70,350,722	15,774,860	6.950 %
kTotal. Add lines 7d and 7j. ..	113,523,495	88,148,078	25,375,417	11.180 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	156,874	156,874	0.070 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	406,558	406,558	0.180 %
9	Other
10	Total	563,432	563,432	0.250 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense........

6,290,771

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

33,838,268

Enter Medicare allowable costs of care relating to payments on line 5.....

37,753,130

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-3,914,862

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1WPHO	Local Healthcare Network	50.000 %	0.790 %	49.210 %
2TRI-STATE SURGERY	Surgery Center	50.000 %	4.740 %	45.260 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	THE WASHINGTON HOSPITAL 155 WILSON AVENUE WASHINGTON,PA15301	X	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

THE WASHINGTON HOSPITAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address		Type of Facility (describe)
1	Tri-State Surgery Center 95 Leonard Avenue Washington,PA15301	Surgery Center
2	Washington Hospital Family Medicine Ctr 95 Leonard Avenue Washington,PA15301	Family Medicine
3	Washington Hospital Family Medicine Ctr 67 East Pike Street Canonsburg,PA15317	Family Medicine
4	Washington Hospital Family Medicine Ctr 3415 Millers Run Road Cecil,PA15321	Family Medicine
5	Children's Therapy Center 1000 Waterdam Plaza Drive McMurray,PA15317	Children's Therapy
6	Children's Therapy Center 289 North Avenue Washington,PA15301	Children's Therapy
7	Wilfred R Cameron Wellness Center 240 Wellness Way Washington,PA15301	Fitness Center
8	Wound & Skin Healing Center 208 Wellness Way Washington,PA15301	Outpatient Office
9	Diabetes Education & Management Program 95 Leonard Avenue Washington,PA15301	Outpatient Office
10	TWH Lab & Radiology Center 1227 Smith Township State Road Burgettstown,PA15201	Lab Stations & Outpatient Radiology
11	TWH Lab & Radiology Center 343 E Roy Furman Highway Waynesburg,PA15370	Lab Stations & Outpatient Radiology
12	TWH Lab & Radiology Center Neighbor Health Center 95 Leonard Washington,PA15301	Lab Stations & Outpatient Radiology
13	TWH Lab & Radiology Center 67 East Pike Street Canonsburg,PA15317	Lab Stations & Outpatient Radiology
14	TWH Lab & Radiology Center CECIL OUTPATIENT CTR 3415 Millers Cecil,PA15321	Lab Stations & Outpatient Radiology
15	TWH Lab & Radiology Center 2001 Waterdam Plaza Drive McMurray,PA15317	Lab Stations & Outpatient Radiology

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Part I, Line 3c		N/A - the Hospital uses FPG to determine charity care.
Part I, Line 7g		Programs reported as subsidized health services include hospital based programs whose purpose is to serve a medical need to the community, the largest being an inpatient psychiatric unit. Services provided to Medicare recipients which are not reportable on the Medicare cost report are also included in subsidized health services. There are no physician clinics reported as subsidized services.
Part I, Line 7, Column (f)		For purposes of calculating the percentages in line 7, column (F), Bad Debt Expense of $11,698,632 was subtracted from total expenses reported on form 990, part IX, line 25, column (A).
Part I, Line 7		The Hospital's cost-to-charge ratios were used to calculate all amounts reported on line 7.
Part III, Line 3		Although we recognize the possibility that some of the bad debt costs could qualify under our charity care policy, we have no reasonable way to determine those amounts.
Part III, Lines 2 & 4		The Hospital follows AICPA guidance in reporting bad debt as an operating expense. Accounts are deemed to be bad debt after all reasonable collection efforts are applied. The Hospital has a generous interest-free payment plan policy and does not classify accounts on a payment plan as bad debt. Any accounts that are determined to be charity care are excluded from bad debt totals. Any discount or settlements provided to patients are also excluded from bad debt totals. The amount due from a patient is written off to bad debt once the account is deemed uncollectable. Those amounts can be a combination of gross charges (in the case of uninsured patients not seeking discounts or payment plans) and net amount due (in the case of insured patients with co-pays/deductibles/co-insurance obligations). The Hospital converts all bad debt account to gross charges and applies an overall cost-to-charge ratio to determine the cost of bad debt reported on part III, line 2. The audited financial statements of the Hospital discloses/describes bad debt as follows: Balance Sheet: The amount of the allowance for doubtful accounts is clearly disclosed with patient accounts receivable for all years presented. Statement of Operations: Bad debt is clearly reported as a separate operating expense for all years presented. Footnotes: The "Net Revenue from Patient Services & Accounts Receivable" footnote states "Revenues from patient services are recognized in the period in which the services are provided. Management performs an evaluation of the collectability of revenues from patients based upon an assessment of historical and expected net collections and records an allowance for bad debts based on probability of collection."
Part III, Line 8		The Hospital's service area has a very high elderly population. Medicare makes up 62% of the inpatient patient care days and 37% of the outpatient services provided by the hospital. As the largest hospital in the county, we provide a wide array of services to our community. Our elderly population does not have to travel to the nearest large city hospital to seek care for most services. Medicare patients generally have multiple health conditions that can easily complicate the care provided to them. The current inpatient payment system provides payment for the health condition that precipitated an admission to the hospital - it does not necessarily take into account all of the other underlying illnesses that must be treated or attended to during a patient's stay. As such, tremendous resources can be used to treat a Medicare patient with multiple illnesses yet the hospital may only be paid for resources associated with the admitting illness. The hospital strives to provide all needed care to our patients without consideration of payment shortfalls. As such, we feel strongly that the Medicare shortfalls incurred by the hospital are a community benefit.
Part III, Line 9b		The Hospital has a written bad debt policy by which it follows for all patients. If a patient is determined to qualify for charity care or financial assistance, the account is excluded from the normal collection process. Those accounts are handled under the separate charity care policy. If an account is set up on a payment plan, only the current monthly payment amount is pursued under the collection policy. Part V, Line 19d The maximum amount that can be charged to a financial assistance policy (FAP) eligible patient is 40% of the gross charge. This is a 60% discount from the gross charge and the intent is for the amount charged to approximate the net collection for all payers.
Part VI, Line 2 - Needs Assessment		The primary method that the Hospital uses to assess the health care needs of the communities it serves is through assessing the total number of physicians providing medical services to the areas served. The qualitative standard does not factor the economic or financial benefits to the hospital of any recruitment of physicians in addressing the continuum of need. The assessment focuses on community need as a determining factor in assessing the appropriateness of physician recruitment initiatives. The approach to evaluating physician need is based on the following factors: Defining the demographic profile and payor mix of the Hospital's service area. Researching unique service area factors that might influence the demand for healthcare services within the area. Identifying the total number of physicians by specialty in the defined service area. Developing a profile of the current medical staff. Utilizing six established physician needs assessment models to identify potential physician surpluses or deficits in each medical specialty. Examining results of the medical staff survey and physician focus interviews to determine the perceived recruitment needs of the Hospital's existing staff physicians and to identify medical community concerns. Conduct a community survey to integrate perceived community shortages into recommendations. Evaluating results of the above efforts in the context of our medical staffing and consulting experience. Other ways to assess the communities' health needs includes conducting various health screenings, seminars and education sessions held for the general public.
Part VI, Line 3 - Patient Education of Eligibility for Assistance		The Hospital attempts to inform all uninsured patients of available programs to assist them in obtaining health care services. Inpatient: Any patient admitted to the hospital without insurance is provided assistance in applying for the state medical assistance program. A hospital representative will explain the state programs to the patient and assist in the preparation of the application and gathering of information, if applicable. If the patient does not qualify for assistance, the representative informs him/her of the hospital's charity care program. Outpatient: Certain outpatient areas (emergency room, registration) have signs that let patients know the hospital has a charity care program. Some areas also have medical assistance applications on hand to give to patients. Consistent with the hospital mission, all patients requiring immediate care are treated without regard to their ability to pay. All Patients: The hospital does not have an up front financial counseling program, nor do we ask for payment prior to providing non-elective services. Once a patient receives a bill, a phone number is provided for them to call and discuss any payment issues. If the patient does not call or make payment, a hospital representative will call him/her to determine if they are eligible for any programs or insurances or to make payment arrangements that can help the patient. At any point in the conversation, if the patient says he/she cannot afford the bill, the patient is offered a charity care application. Once the charity care application is complete, if the patient does not qualify but continues to express concerns about being able to pay his/her bill, the account is reviewed for the possibility of a discount or an affordable payment plan. The hospital strives to accommodate every patient's financial situation if possible. The hospital's charity care program provides for free or discounted care based on federal poverty guidelines (FPG). Depending on income level, individuals without insurance can qualify for discounts ranging between 60-100%. Individuals with insurance can qualify for discounts ranging between 10-100%. All bills are sent out with gross charges whether it is billed to an insurance company or a self-pay individual. Patients who qualify will have their charge discounted based on our charity care policy. Bills for patients without insurance coverage are routinely discounted 30% - 50%.
Part VI, Line 4 - Community Information		The Washington Hospital (TWH) is a 260 bed acute care general hospital located in Washington, Pennsylvania. Founded in 1897, the hospital serves the surrounding communities with a total patient draw of over 320,000 residents living in 63 zip codes. The service area extends to the western and southern borders of Pennsylvania. There are three other general acute care hospitals that serve portions of TWH's geographic area, however, TWH is the largest hospital providing the broadest range of services to the community. TWH is the only hospital that offers obstetrical, cardiothoracic, electrophysiology, interventional cardiac procedures, acute rehabilitation, diabetes management, wound care and children's therapy services to the service area. The geographic area of service is quite large and has a substantial rural component. At least three areas within TWH's service area are designated as medically underserved and/or areas with a health care professional shortage. Approximately 16% of the patients served are medical assistance and another 3% are uninsured. To further support the large geographic area, TWH provides space for a medical helicopter to be stationed full time in the service area. Household income/economic factors can have a significant impact on the general health of a service area. Lower household income may reflect lower primary care utilization and higher critical care utilization. Various studies and articles also suggest greater reliance on hospital emergency rooms for non-emergency diagnosis and treatment in low-income areas. Median household income in the Hospital's primary service area in 2007 is $47,649, which is lower than the US as a whole ($49,280). The Hospital's service area may have some household income related factors that would drive an additional need for physician services within portions of the community. Approximately 7,400 households (13%) within the primary service area earn less than $15,000 per year. A lack of available resources to the indigent may increase volumes in the emergency room, as patients lacking primary care access often seek routine care through emergency services.
Part VI, Line 5 - Promotion of Community Health		The Washington Hospital strives to promote the community health in many areas. The Hospital has an open medical staff. All applicants who meet the requirements are granted medical staff privileges. The Hospital actively recruits physicians in areas identified as having a need in the community. The Hospital's Board of Trustees is comprised of community leaders who reside in the communities we serve and whose insight and experience is invaluable in providing direction to the Hospital in promoting the community health. The Hospital provides many screening and educational programs in the community. The Hospital participates in regional emergency preparedness and is active in ensuring we can respond to a community emergency. The Hospital operates a Wellness Center to promote fitness and a healthy lifestyle. The Hospital funds a Teen Outreach program. This program promotes abstinence, pregnancy prevention and education to teenagers in the communities the Hospital serves.
Part VI, Line 6 - Affiliated Health Care System		N/A The Washington Hospital is not part of an affiliated health care system.
Part VI, Line 7 - State Filing of Community Benefit Report		N/A A community benefit report is not required to be filed.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Gary B Weinstein	(i) (ii)	389,674 0	58,604 0	30,486 0	16,900 0	12,476 0	508,140 0	0 0
(2) Michael J Roney	(i) (ii)	236,406 0	0 0	22,000 0	9,121 0	12,106 0	279,633 0	0 0
(3) Brook T Ward	(i) (ii)	239,271 0	0 0	24,403 0	9,307 0	13,578 0	286,559 0	0 0
(4) Rodney Louk	(i) (ii)	205,277 0	0 0	21,996 0	8,022 0	11,955 0	247,250 0	0 0
(5) Karen Bray	(i) (ii)	158,265 0	0 0	21,996 0	6,363 0	13,084 0	199,708 0	0 0
(6) Jeffrey Minteer MD	(i) (ii)	302,979 0	0 0	20,500 0	11,418 0	13,492 0	348,389 0	0 0
(7) Walter Slomiany MD	(i) (ii)	227,375 0	0 0	10,400 0	8,393 0	13,470 0	259,638 0	0 0
(8) Matthew Stantspainter MD	(i) (ii)	207,259 0	0 0	325 0	7,327 0	13,330 0	228,241 0	0 0
(9) Paul Cullen MD	(i) (ii)	308,064 0	0 0	19,787 0	11,573 0	12,344 0	351,768 0	0 0
(10) COLLEEN ALLISON	(i) (ii)	158,269 0	0 0	21,996 0	6,363 0	11,630 0	198,258 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Schedule J, Part I, Line 1a - Tax Indemnification		The CEO of the Hospital is provided a car. The personal use of the car is reported on his W-2. Tax indemnification for the personal use of his car is provided.
Schedule J, Part I, Line 6a - Compensation Contingent on Net Earnings		Net operating results is a trigger for the executive incentive calculation. The incentive calculation is based on service, quality and financial indicators. The incentive paid is not a percentage of operating results.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
THE WASHINGTON HOSPITAL

Employer identification number
25-0965600

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON HOSPITAL AUTHORITY 2007	25-6001043	938592HH8	03-29-2007	40,000,000	HOSPITAL EXPANSION AND RENOVATION		X		X		X
B	WASHINGTON HOSPITAL AUTHORITY 2008A	25-6001043	938592HJ4	06-26-2008	16,800,000	REFUND BONDS ISSUED 07/08/2004		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	855,000		900,000
2 Amount of bonds legally defeased . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . .	41,436,000		16,800,000
4 Gross proceeds in reserve funds . . . . . . . .	0		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0
7 Issuance costs from proceeds . . . . . . . . . . .	370,220		221,939
8 Credit enhancement from proceeds . . . . . . . . . .	61,003		16,950
9 Working capital expenditures from proceeds . . . . . . .	0		0
10 Capital expenditures from proceeds . . . . . . . . . .	41,004,777		0
11 Other spent proceeds . . . . . . . . . . .	0		16,561,111
12 Other unspent proceeds . . . . . . . . . . .	0		0
13 Year of substantial completion . . . . . . . . . . .	2009		2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0.00000%		0.00000%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .	X			X
2 Is the bond issue a variable rate issue?	X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X
b Name of provider . . . . . . . .	PNC BANK		PNC BANK
c Term of hedge . . . . . . . .	30.		15.
d Was the hedge superintegrated? . . . .	X		X
e Was a hedge terminated? . . . . .		X		X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X
b Name of provider . . . . . .	0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART II, LINE 3 - TOTAL PROCEEDS OF ISSUE	0	The difference between the total proceeds amount reported on Part II, Line 3 and the issue price reported on Part I, Column (e) is investment income.
SCHEDULE K, PART IV, LINE 3A - QUALIFIED HEDGE	0	The 2007 bond issue consisted of two portions: 2007A (Issue price: $15,000,000) and 2007B (Issue price: $25,000,000). The qualified hedge identified relates only to the 2007B portion of the 2007 bond issue.
SCHEDULE K, PART V - PROCEDURES TO UNDERTAKE CORRECTIVE ACTION	0	We do not have written procedures to undertake corrective action at this

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JOHN CAMPBELL CAMPBELL INSURANCE	BOARD MEMBER	262,390	PURCHASE GENERAL INS COVERAGE		No
(2) THOMAS NORTHROP OBSERVER REPORTER	BOARD MEMBER	93,022	ADVERTISING IN NEWSPAPER		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Identifier	Return Reference	Explanation
Other Program Services	Form 990, Part III, Line 4d	Other program services include a multitude of activities performed by the Hospital to do business in the community and provide valuable community benefits. Activities in this category include, but are not limited to, a teenage abstinence education program, a Family Practice residency program, a School of Nursing, a School for X-ray Technicians, hospice services, certain Emergency department services, operation of a wellness center, rental activities, and operation of an employee cafeteria.
Business or Family Relationships	Form 990, Part VI, Line 2	The Hospital's Board of Trustees is made up of highly respected leaders in the community. Board members are selected and voted on by the entire Board. The Hospital does not compensate or select Board members. The Hospital has a Conflict of Interest policy and queries Board members, officers and key employees each year about any business or family relationships. There have been no family relationships reported. Although not classified as business relationships for this purpose, normal arms length business transactions do exist between some Board members. The business transactions are generally irrelevant and immaterial to the operations of the Hospital. The Hospital does not receive any benefits from the relationships that exist among Board members nor does it influence the relationships in any way.
Description of Classes of Members and the Nature of Their Rights	Form 990, Part VI, Lines 6 & 7	The parent corporation of The Washington Hospital is Washington Health Care Services, Inc. The parent corporation has the following powers over the Board of Trustees of the Hospital: 1. The power to ratify the selection of members of the Board of Trustees of The Washington Hospital. 2. The power to approve any amendment, change, suspension or repeal of the Articles of Incorporation of The Washington Hospital, or of the Bylaws. 3. The power to nullify any action of the Board of Trustees of The Washington Hospital which the Board of Directors of the parent corporation determines to be an ultra vires act; that is, any act outside the scope of the legitimate powers or beyond the purpose of The Washington Hospital.
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Line 11b	Prior to being filed, the Form 990 is reviewed by the members of the Finance Committee as designated by the entire Board of Trustees. The Finance Committee meets with Hospital management and reviews the content of the Form 990. After filing of the Form 990, the Finance Committee reports the review and any notable items from the review to the full Board of Trustees.
Description of Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Line 12c	The Hospital's conflict of interest policy is monitored primarily by Hospital management. Each year a conflict of interest statement must be completed by all Board of Trustee members as well as certain key management employees of the Hospital. The questionnaire is distributed by Hospital management and all responses must be received. If necessary, the assistance of the Board Chairperson is sought to obtain all responses. The responses are initially reviewed by Hospital management. Any exceptions or potential conflicts are reviewed by the CEO and Board Chairperson. Any necessary action is determined by the Chairperson and addressed at the Board level. Great care is taken by the Board Chairperson to ensure that an independent Board is in place. In the event that a conflict exists, that person is prohibited from participating in any related decision making on that issue.
Process for Determining Compensation for Top Mgmt Official & Key Employees	Form 990, Part VI, Lines 15a & 15b	The Board of Trustees elects a Personnel Committee to handle compensation, benefits and employee related issues related to the Hospital. The general compensation process for all employees starts with Hospital management compiling survey and comparison information and making recommendations for salary adjustments to the Personnel Committee. The Personnel Committee reviews that information annually, has discussions with Hospital Management and ultimately approves or denies the recommendations for salary adjustments. The Executive Compensation Committee determines the compensation of the executives. An independent consultant's review of executive salaries is the primary tool used to make their determination (the most recent consulting review was in 2012). The results of management's survey and comparison data will also be taken into consideration. All activities of the Executive Compensation Committee are reported to the Board of Trustees.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Line 19	The Hospital makes Form 990 and 990-T available to the public by request. The governing documents, conflict of interest policy and financial statements are not routinely available to the public.
Other Changes in Net Assets	Form 990, Part XI, Line 5	$-32,416,148 Change in Pension Liability -8,664,004 Transfers to Affiliates 38,310 Net Appreciation of Assets Held to Maturity 1,876,553 Net Restricted Contributions -1,739,292 Net Assets Released from Restriction -1,683,023 Unrealized Gains -3,451,693 Bond Swap Loss -11,763 Auxiliary Gain $-46,051,060 TOTAL
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Wendy Cameron TITLE:Board Chair THRu 12/31/11 HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Ralph B. Andy TITLE:Board Chairperson HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:John A. Campbell TITLE:Board Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Robert Griffin TITLE:Board Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Daniel Miller TITLE:BOARD SECRETARY-TREASURER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Brian Smith TITLE:Board Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Gary B. Weinstein TITLE:President/CEO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Michael J. Roney TITLE:CFO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Brook T. Ward TITLE:COO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jeffrey Minteer, MD TITLE:Director of Family Medicine HOURS:1

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE WASHINGTON HOSPITAL

Employer identification number

25-0965600

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) WASHINGTON HEALTHCARE SERVICES INC 155 WILSON AVENUE WASHINGTON,PA15301 25-1509768	PARENT	PA	501(C)(3)	11a	NA		No
(2) THE WASHINGTON HOSPITAL FOUNDATION 155 WILSON AVENUE WASHINGTON,PA15301 25-1708215	SUPPORT TWH	PA	501(C)(3)	11a	NA		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) WASHINGTON PHYSICIANS SERVICES ORG 155 WILSON AVENUE WASHINGTON,PA15301 25-1780139	PHYS OFFICES	PA	N/A	C CORP
(2) PHOENIX-WASHINGTON INC 800 MANOR DRIVE WASHINGTON,PA15301 25-1492898	SUBSTANCE TRTMNT	PA	N/A	C CORP
(3) HEALTH FUTURES INC 155 WILSON AVENUE WASHINGTON,PA15301 25-1533189	URGENT CARE	PA	N/A	C CORP

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Phoenix-Washington	A	931,719	ACTUAL AMOUNT
(2) Phoenix-Washington	K	1,158,750	ACTUAL AMOUNT
(3) THE WASHINGTON HOSPITAL FOUNDATION	C	2,105,561	ACTUAL AMOUNT
(4) THE WASHINGTON HOSPITAL FOUNDATION	P	603,634	ACTUAL AMOUNT
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: The Washington Hospital is a community hospital dedicated to improving health/providing patient care to all persons without regard to race color, religion, sex, national origin, disability or ability to pay.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	15
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	2,160
6	Total number of volunteers (estimate if necessary) ....	6	393
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	4,780,384
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-513,817

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,736,048	2,105,561
9	Program service revenue (Part VIII, line 2g) .........	237,454,831	240,334,549
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,985,727	3,857,433
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,368,618	4,239,935
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	249,545,224	250,537,478
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	124,853,038	127,987,635
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	104,364,516	110,569,221
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	229,217,554	238,556,856
19	Revenue less expenses. Subtract line 18 from line 12.......	20,327,670	11,980,622
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	302,157,548	304,121,041
21	Total liabilities (Part X, line 26).............	165,192,054	201,225,985
22	Net assets or fund balances. Subtract line 21 from line 20.....	136,965,494	102,895,056

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 110,582,447 including grants of $ 0 ) (Revenue $ 100,429,046 )
	Inpatient acute services were provided to 13,711 patients in the community. The Washinton Hospital provides a wide array of medical and surgical services. Surgical specialties include neurosurgery, cardiology, cardiothoracic surgery, orthopedics, obstetrics, gynecology, gastroenterology, urology and general surgery. Services were rendered regardless of a patient's ability to pay. All quality measures required by Medicare and major insurance carriers were met. Over 19% of the inpatient cases were Medical Assistance; 52% of the patient cases were Medicare.

4b	(Code: ) (Expenses $ 72,059,016 including grants of $ 0 ) (Revenue $ 83,883,586 )
	A wide variety of outpatient services were provided to the community including lab, radiology, surgical, observation, emergency and therapeutic services. Approximately 300,000 outpatient visits were performed during the year. Services were rendered regardless of the patient's ability to pay. All quality measures required by Medicare and major insurance carriers were met. 13% of the outpatient visits were Medical Assistance; 35% of the outpatient visits were Medicare.

4c	(Code: ) (Expenses $ 5,809,986 including grants of $ 0 ) (Revenue $ 4,262,398 )
	The Hospital supports a 30 bed inpatient behavioral health unit. It is one of the largest units of its kind in the Hospital's extended service area and served 1,091 patients in 2012. Services are rendered to all patients regardless of their ability to pay. The unit has a very high percentage of patients with Medical Assistance (46%) and has a higher than average percentage of uninsured (7%).

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 21,688,434 including grants of $ 0 ) (Revenue $ 50,669,546 )
4e	Total program service expenses$ 210,139,883

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(A) Name and Title
(1) Wendy Cameron Board Chair THRu 12/31/11	4.0	X
(2) Ralph B Andy Board Chairperson	4.0	X
(3) Charles R Guthrie Board SEC/TREAS THRU 12/31/11	4.0	X
(4) John A Campbell Board Member	2.0	X
(5) Jill Ealy BINOTTO Board Member	2.0	X
(6) Arthur Gabriel Board Member	2.0	X
(7) Howard Goldberg MD Board Member	2.0	X
(8) Robert Griffin Board Member	2.0	X
(9) Shirley Hardy Board Member	2.0	X
(10) William McGowen Board Member	2.0	X
(11) John W McIlvane III Board Member	2.0	X
(12) Daniel Miller BOARD SECRETARY-TREASURER	4.0	X
(13) Grant Minor Board Member	2.0	X
(14) Thomas Northrop BOARD VICE-CHAIRPERSON	4.0	X
(15) Gerald Prado Board Member	2.0	X
(16) Brian Smith Board Member	2.0	X
(17) Cynthia West MD Board Member	2.0	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) WILLIAM PENDERGRAST MD BOARD MEMBER AS OF 1/1/12	2.0	X
(19) ROBERT YOUNG BOARD MEMBER AS OF 1/1/12	2.0	X
(20) Gary B Weinstein President/CEO	40.0		X			478,764	0	29,376
(21) Michael J Roney CFO	40.0		X			258,406	0	21,227
(22) Brook T Ward COO	40.0		X			263,674	0	22,885
(23) Rodney Louk VP Information Systems	40.0			X		227,273	0	19,977
(24) Karen Bray VP Nursing	40.0			X		180,261	0	19,447
(25) Jeffrey Minteer MD Director of Family Medicine	40.0				X	323,479	0	24,910
(26) Walter Slomiany MD Assoc Director Family Medicine	40.0				X	237,775	0	21,863
(27) Matthew Stantspainter MD Assoc Director Family Medicine	40.0				X	207,584	0	20,657
(28) Paul Cullen MD VP of Medical Affairs	40.0				X	327,851	0	23,917
(29) COLLEEN ALLISON VP, REG. AFFAIRS & QUALITY	40.0				X	180,265	0	17,993

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,685,332	0	222,252

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,105,561
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,105,561
			Business Code
2a	HOSPITAL IP AND OP SERVICES		900,099	231,852,555	228,645,277	3,207,278
b	WELLNESS CENTER		713,940	4,227,068	4,227,068
c	EDUCATION / TUITION		611,600	1,186,800	1,186,800
d	DRUG SALES		446,110	1,827,306	1,813,556	13,750
e	SERVICES TO AFFILIATES		541,900	641,362	641,362
f	All other program service revenue .			599,458	583,375	16,083
g	Total. Add lines 2a–2f........			240,334,549
3	Investment income (including dividends, interest
	and other similar amounts).....			3,836,733			3,836,733
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	2,709,502
b	Less: rental expenses	2,159,978
c	Rental income or (loss)	549,524
d	Net rental income or (loss).......			549,524			549,524
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		20,700
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)		20,700
d	Net gain or (loss)..........			20,700			20,700
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		948,008
b	Less: cost of goods sold ..b		936,245
c	Net income or (loss) from sales of inventory..			11,763	11,763
Miscellaneous Revenue			Business Code
11a	MANAGEMENT SERVICES		541,610	1,158,750		1,158,750
b	PARKING REVENUE		812,930	904,048	904,048
c	CAFETERIA SALES		722,210	1,036,016	708,665	327,351
d	All other revenue ....			579,834	522,662	57,172
e	Total. Add lines 11a–11d ......			3,678,648
12	Total revenue. See Instructions....			250,537,478	239,244,576	4,780,384	4,406,957


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			19,107,950	1	24,227,174
2	Savings and temporary cash investments .......			286,337	2	287,465
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			31,207,166	4	22,758,604
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			1,267,087	8	1,477,421
9	Prepaid expenses and deferred charges ............			2,060,766	9	1,548,720
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	273,194,552
b	Less: accumulated depreciation. .....	10b	142,578,179	132,336,478	10c	130,616,373
11	Investments—publicly traded securities ..........			98,628,879	11	108,417,851
12	Investments—other securities. See Part IV, line 11 ......			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			12,730,632	13	13,673,462
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			4,532,253	15	1,113,971
16	Total assets. Add lines 1 through 15 (must equal line 34)...			302,157,548	16	304,121,041
17	Accounts payable and accrued expenses .			24,245,906	17	30,532,233
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			96,256,070	20	91,876,442
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			44,690,078	25	78,817,310
26	Total liabilities. Add lines 17 through 25.....			165,192,054	26	201,225,985
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			125,721,046	27	91,669,542
28	Temporarily restricted net assets .....			1,899,128	28	1,753,338
29	Permanently restricted net assets .....			9,345,320	29	9,472,176
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			136,965,494	33	102,895,056
34	Total liabilities and net assets/fund balances .....			302,157,548	34	304,121,041