Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2300 FALL HILL AVENUE NO 418
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FREDERICKSBURG, VA22401
D Employer identification number

20-1106426
E Telephone number

G Gross receipts $ 592,231,195
F Name and address of principal officer:
SEAN T BARDEN
2300 FALL HILL AVENUE NO 418
FREDERICKSBURG,VA22401
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MARYWASHINGTONHEALTHCARE.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet4243
K Form of organization:
 
L Year of formation: 1983
M State of legal domicile: VA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: OUR MISSION IS TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 52
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 43
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,947
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,328,196
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -1,325,133
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,411,552 4,974,765
9 Program service revenue (Part VIII, line 2g) ......... 537,035,684 568,469,103
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,855,304 6,538,697
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 13,215,573 12,111,756
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 555,518,113 592,094,321
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,402,339 4,048,808
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) 249,763,997 231,459,510
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 44,755
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet164,713    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 325,039,772 368,327,985
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 577,206,108 603,881,058
19 Revenue less expenses. Subtract line 18 from line 12....... -21,687,995 -11,786,737
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 491,115,201 464,708,560
21 Total liabilities (Part X, line 26)............. 305,149,607 297,345,687
22 Net assets or fund balances. Subtract line 21 from line 20..... 185,965,594 167,362,873
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: OUR MISSION IS TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND OTHER MEDICAL SERVICES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 587,642,042 including grants of $ 4,048,808 ) (Revenue $ 564,364,885 )
PROVISION OF INPATIENT AND OUTPATIENT GENERAL ACUTE CARE HOSPITAL, PSYCHIATRIC HOSPITAL SERVICES, HOME HEALTH AND HOSPICE SERVICES, IMAGING AND AMBULATORY SURGERY SERVICES AND PHYSICIAN SERVICES. PRIMARY SERVICE AREAS ARE FAIRFAX, STAFFORD, SPOTSYLVANIA, CAROLINE, KING GEORGE, AND WESTMORELAND COUNTIES IN VIRGINIA AND SECONDARY SERVICE AREAS INCLUDE MANASSAS, FAUQUIER, CULPEPER, ORANGE, LOUISA, HANOVER, ESSEX AND RICHMOND COUNTIES IN VIRGINIA. WE SERVED 118,721 PATIENTS IN OUR EMERGENCY ROOMS, 17,800 SURGICAL CASES AND 26,731 PATIENT DISCHARGES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet587,642,042
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
453
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,947
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
52
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
43
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletWILLIAM YASCKO2300 FALL HILL AVENUE NO 418FREDERICKSBURGVA22401 (540) 741-2513
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) FRED M RANKIN III........................................................................
PRESIDENT
 4.00
.......................40.00 		X   X       0 674,956 28,919
(2) SEAN T BARDEN........................................................................
EXECUTIVE VP
 4.00
.......................40.00 		X   X       0 382,802 34,037
(3) WALTER J KIWALL........................................................................
EXECUTIVE VP
 4.00
.......................40.00 		X   X       0 398,289 26,770
(4) XAVIER R RICHARDSON........................................................................
EXECUTIVE VP
 2.00
.......................40.00 		X   X       0 480,354 23,465
(5) J THOMAS RYAN MD........................................................................
EXECUTIVE VP
 2.00
.......................40.00 		X   X       0 252,812 13,297
(6) RAVI MATHUR........................................................................
VICE PRESIDENT
 2.00
.......................40.00 		X   X       0 191,316 22,548
(7) CHERYL SPRINGHORN........................................................................
EXECUTIVE DIRECTOR
 2.00
.......................40.00 		X           0 143,037 11,106
(8) KENNETH N JOSOVITZ MD........................................................................
PRESIDENT-STAFFORD HOSPITA
 3.00
.......................2.00 		X           24,667 0 0
(9) DAVID M GARTH MD........................................................................
PRESIDENT-MARY WASHINGTON
 4.00
.......................2.00 		X           26,000 0 0
(10) ROBERT E HOUCK........................................................................
TRUSTEE
 2.00
.......................40.00 		X           0 85,753 2,655
(11) JOHN F FICK III........................................................................
CHAIRMAN-MPI
 2.00
.......................8.00 		X   X       0 0 0
(12) ALDA L WHITE........................................................................
VICE CHAIR-MPI
 2.00
.......................2.00 		X   X       0 0 0
(13) DONALD H NEWLIN........................................................................
SECRETARY/TREAS-MPI
 2.00
.......................5.00 		X   X       0 0 0
(14) WILLIAM BOLDON........................................................................
TRUSTEE
 2.00
.......................3.00 		X           0 0 0
(15) JAN C ERKERT........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(16) KURT R LARSON MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(17) RAYMOND C MCAFOOSE........................................................................
TRUSTEE
 2.00
.......................3.00 		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MICHAEL P MCDERMOTT MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(19) JOHN C MCKEOWN MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(20) FRED M MESSING........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(21) CLARENCE A ROBINSON........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(22) RAYMOND L SLAUGHTER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(23) JONATHAN D WALLACE........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(24) MARY KATHERINE GREENLAW........................................................................
CHAIRMAN-MWH FOUNDATION
 4.00
.......................0.00 		X   X       0 0 0
(25) EDWARD V ALLISON JR........................................................................
VICE CHAIR-MWH FOUNDATION
 2.00
.......................0.00 		X   X       0 0 0
(26) WILLIAM B YOUNG........................................................................
SEC/TREAS MWH FOUNDATION
 2.00
.......................0.00 		X   X       0 0 0
(27) MARK A BUTTERWORTH........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(28) R LEIGH FRACKELTON JR........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(29) JEFFREY A FRAZIER........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(30) ROCHELLE GREY........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(31) CHRISTOPHER T HUESGEN MD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(32) PATRICIA LYNCH........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(33) EDWARD O MINNIEAR........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(34) JUDITH G SMITH........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(35) DOUGLAS G STEWART........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(36) JOSEPH R WILSON........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(37) W MALONE SCHOOLER........................................................................
CHAIRMAN-SH FOUNDATION
 2.00
.......................0.00 		X   X       0 0 0
(38) JO D KNIGHT........................................................................
VICE CHAIRMAN-SH FOUNDATIO
 2.00
.......................0.00 		X   X       0 0 0
(39) ELAINE F FARMER........................................................................
SEC/TREAS SH FOUNDATION
 2.00
.......................0.00 		X   X       0 0 0
(40) KEVIN BREEN........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(41) CLAY HUBER........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(42) DOUGLAS R JOHNSON MD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(43) WILLIAM R JOHNSON........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(44) GLEN E KINARD........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(45) H CLARK LEMING........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(46) TERENCE A MANNION........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(47) CHARLES W MCDANIEL........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(48) RAYMOND C MCAFOOSE........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(49) JACK ROWLEY........................................................................
TRUSTEE
 2.00
.......................0.00 		X           0 0 0
(50) KATHRYN S WALL........................................................................
EXECUTIVE VP
 2.00
.......................40.00 		    X       0 262,203 17,670
(51) MARIANNA BEDWAY........................................................................
SENIOR VP
 2.00
.......................40.00 		    X       235,731 0 31,482
(52) ERIC FLETCHER........................................................................
SENIOR VP
 2.00
.......................40.00 		    X       0 219,177 11,671
(53) WINIFRED J HAIKEY........................................................................
SENIOR VP
 2.00
.......................40.00 		    X       0 217,353 21,873
(54) JOYCE HANSCOME........................................................................
SENIOR VP
 2.00
.......................40.00 		    X       0 238,527 24,420
(55) RANDALL PATRICK STEWART........................................................................
SENIOR VP-(FORMER)
 0.00
.......................0.00 		    X       0 0 0
(56) JAMES K VAN RENAN........................................................................
SENIOR VP
 40.00
.......................2.00 		    X       310,583 0 30,111
(57) CATHLEEN A YABLONSKI........................................................................
SENIOR VP
 40.00
.......................2.00 		    X       207,481 0 27,793
(58) AMY ADOME MD........................................................................
VICE PRESIDENT
 2.00
.......................40.00 		    X       0 46,727 3,151
(59) REBECCA BIGONEY MD........................................................................
EXECUTIVE VP
 40.00
.......................2.00 		    X       324,817 0 24,244
(60) KATHLEEN BOURGAULT........................................................................
VICE PRESIDENT
 2.00
.......................40.00 		    X       0 202,922 22,971
(61) EILEEN L DOHMANN RN........................................................................
VICE PRESIDENT
 40.00
.......................2.00 		    X       0 211,890 9,898
(62) MARIE FREDRICK........................................................................
VICE PRESIDENT
 2.00
.......................40.00 		    X       0 198,381 25,179
(63) JAMES SWISHER........................................................................
VICE PRESIDENT
 2.00
.......................40.00 		    X       0 171,761 13,310
(64) GLEN J POFFENBARGER MD........................................................................
NEUROSURGEON
 40.00
.......................0.00 		        X   1,138,490 0 40,260
(65) JT SHERWOOD MD........................................................................
THORACIC SURGEON
 40.00
.......................0.00 		        X   790,441 0 40,560
(66) CHRISTOS HATJIS MD........................................................................
PERINATOLOGISTS
 40.00
.......................0.00 		        X   637,334 0 31,267
(67) MAURICE EGGLESTON JR MD........................................................................
PERINATOLOGISTS
 40.00
.......................0.00 		        X   560,087 0 37,506
(68) THERESA A CONOLOGUE MD........................................................................
DERMATOLOGIST
 40.00
.......................0.00 		        X   718,194 0 31,210
(69) LAWRENCE ROBERTS MD........................................................................
TRUSTEE (FORMER)
 40.00
.......................0.00 		          X 516,864 0 33,445
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,490,689 4,378,260 640,818
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet3,886
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MORRISON MANAGEMENT5801 PEACHTREE DUNWOODY ROADATLANTAGA30342 FOOD SERVICES 4,701,206
CHILDREN'S NATIONAL HOSPITAL111 MICHIGAN AVE NW SUITE 3W-100WASHINGTONDC20010 PHYSICIAN SERVICES 2,807,370
WHITING-TURNER CONTRACTINGPO BOX 17596BALTIMOREMD21297 CONSTRUCTION SERVICES 2,227,583
W C SPRATT INCPO BOX 824FREDERICKSBURGVA224040824 CONSTRUCTION SERVICES 1,997,533
CROTHALL SERVICES GROUP955 CHESTERBROOK BLVD STE 300WAYNEPA19087 LAUNDRY SERVICES 1,652,597
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet62
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 429,362
d Related organizations...1d 513,686
e Government grants (contributions)1e 446,530
f All other contributions, gifts, grants, and
similar amounts not included above1f 		3,585,187
g Noncash contributions included in lines
1a-1f:$ 		32,946
h Total. Add lines 1a-1f.......MediumBullet 4,974,765
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICES REVENUE 623000 552,714,578 552,714,578    
b MANAGEMENT SERVICES 623000 6,445,829 6,445,829    
c OTHER OPERATING REVENUE 623000 5,894,693 5,894,693    
d LAB FEES 621500 2,328,196   2,328,196  
e OTHER SERVICES 623000 547,222 547,222    
f All other program service revenue . 538,585 538,585    
g Total. Add lines 2a–2f........MediumBullet 568,469,103
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,274,370     1,274,370
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 13,555,615 226,807
b Less: rental expenses 0 0
c Rental income or (loss) 13,555,615 226,807
d Net rental income or (loss).......MediumBullet 13,782,422     13,782,422
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   5,264,327
b Less: cost or other basis and sales expenses   0
c Gain or (loss)   5,264,327
d Net gain or (loss)..........MediumBullet 5,264,327     5,264,327
8a Gross income from fundraising events (not including
$ 429,362
of contributions reported on line 1c). See Part IV, line 18 ..
a 242,230
b Less: direct expenses ...b 136,874
c Net income or (loss) from fundraising events..MediumBullet 105,356   105,356
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...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a INCOME FROM PSHIP/LLC 900099 -1,776,022 -1,776,022    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet -1,776,022
12 Total revenue. See Instructions......MediumBullet 592,094,321 564,364,885 2,328,196 20,426,475
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 3,981,058 3,981,058
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 67,750 67,750
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,742,551 1,695,502 46,700 349
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 189,658,174 184,537,403 5,082,839 37,932
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,139,020 5,000,266 137,726 1,028
9 Other employee benefits ....... 20,418,143 19,866,853 547,206 4,084
10 Payroll taxes ........... 14,501,622 14,110,079 388,643 2,900
11 Fees for services (non-employees):        
a Management ...... 65,090,266 63,332,829 1,744,419 13,018
b Legal ......... 63,009 61,307 1,689 13
c Accounting ........... 70,900 68,986 1,900 14
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 44,755 44,755
f Investment management fees ...... 112,448 109,412 3,014 22
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 74,952,298 72,928,586 2,008,721 14,991
12 Advertising and promotion .... 99,555 96,867 2,668 20
13 Office expenses ....... 3,373,869 3,282,774 90,420 675
14 Information technology ...... 1,969,869 1,916,683 52,792 394
15 Royalties ..        
16 Occupancy ........... 30,040,875 29,229,772 805,095 6,008
17 Travel ............ 1,476,232 1,436,374 39,563 295
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 412,646 401,504 11,059 83
20 Interest ........... 920,108 895,265 24,659 184
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 30,397,538 29,576,804 814,654 6,080
23 Insurance .............. 4,333,978 4,216,960 116,151 867
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a OTHER MEDICAL & HOSPITA 92,378,080 89,883,871 2,475,733 18,476
b BAD DEBT EXPENSE 53,091,503 51,658,033 1,422,852 10,618
c MEDICAL AND HOSPITAL SU 3,469,830 3,376,145 92,991 694
d REPAIRS AND MAINTENANCE 3,449,101 3,355,975 92,436 690
e All other expenses 2,625,880 2,554,984 70,373 523
25 Total functional expenses. Add lines 1 through 24e 603,881,058 587,642,042 16,074,303 164,713
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,228,402 1 974,287
2 Savings and temporary cash investments ......... 1,154,684 2 1,146,333
3 Pledges and grants receivable, net ........... 18,513,794 3 17,548,710
4 Accounts receivable, net ............. 92,132,649 4 79,331,131
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 4,094,742 7 2,352,885
8 Inventories for sale or use .............. 8,678,498 8 9,200,898
9 Prepaid expenses and deferred charges .......... 2,470,759 9 2,834,615
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 694,227,383
b Less: accumulated depreciation ..... 10b 410,131,918 298,871,143 10c 284,095,465
11 Investments—publicly traded securities .......... 46,814,526 11 51,217,305
12 Investments—other securities. See Part IV, line 11 ..... 15,294,513 12 14,255,183
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 1,861,491 14 1,751,748
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 491,115,201 16 464,708,560
Liabilities 17 Accounts payable and accrued expenses ......... 33,505,968 17 33,648,086
18 Grants payable .................   18  
19 Deferred revenue ................   19 495
20 Tax-exempt bond liabilities ............. 267,954,672 20 260,051,743
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 3,688,967 25 3,645,363
26 Total liabilities. Add lines 17 through 25......... 305,149,607 26 297,345,687
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 167,487,901 27 149,816,967
28 Temporarily restricted net assets ........... 17,219,483 28 16,287,696
29 Permanently restricted net assets ........... 1,258,210 29 1,258,210
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 185,965,594 33 167,362,873
34 Total liabilities and net assets/fund balances ........ 491,115,201 34 464,708,560
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
592,094,321
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
603,881,058
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-11,786,737
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
185,965,594
5
Net unrealized gains (losses) on investments ...............
5
363,752
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-7,179,736
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
167,362,873
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
  		Employer identification number

20-1106426
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, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
  		Employer identification number

20-1106426
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
  		Employer identification number

20-1106426
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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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.
1a
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 XIII, the text of the footnote to its financial statements that describes these items.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 31,457,238 29,168,493 31,364,122 29,030,361 25,187,112
b Contributions ........ 139,061 111,350 343,694 455,287 814,062
c Net investment earnings, gains, and losses 3,041,697 3,125,019 -1,155,863 3,036,877 4,318,842
d Grants or scholarships .....   39,250 63,750 17,000 15,000
e Other expenditures for facilities
and programs ........ 		1,878,976 908,374 1,319,711 1,141,403 1,275,156
f Administrative expenses ....          
g End of year balance ...... 32,759,020 31,457,238 29,168,492 31,364,122 29,029,860
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet71.470 %
b
Permanent endowment SchDMd Bullet24.690 %
c
Temporarily restricted endowment SchDMd Bullet3.840 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   24,284,779 24,284,779
b Buildings ................   255,712,751 78,773,768 176,938,983
c Leasehold improvements ............   23,043,803 6,547,837 16,495,966
d Equipment ................   339,305,480 314,233,540 25,071,940
e Other .................   51,880,570 10,576,773 41,303,797
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 284,095,465
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
CAPITAL LEASE OBLIGATIONS 3,040
ACCRUED LOSS-PROFESSIONAL LIABILITY 3,642,323







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 3,645,363
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 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 XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: THE INTEREST EARNED FROM THE ENDOWMENT FUNDS IS USED TO FUND SCHOLARSHIPS AND GRANTS IN FUTHERANCE OF OUR MISSION.
PART X, LINE 2: MWHC WAS RECOGNIZED AS A PUBLIC CHARITY GENERALLY EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE PURSUANT TO A DETERMINATION LETTER ISSUED BY THE IRS IN MARCH 1992. MWHC IS ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES, AND THEREFORE MWHC'S STATUS AS A PUBLIC CHARITY EXEMPT FORM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH MWHC OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, MWHC IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY DETERMINED. CERTAIN ENTITIES UNDER MWHC ARE TAXABLE ENTITIES. MWHC HAD NO UNRECOGNIZED TAX BENEFIT OR LIABILITIES OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS REQUIRED. TAX PERIODS FOR WHICH NO RETURN IS FILED REMAIN OPEN FOR EXAMINATION INDEFINITELY. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A TIMELY BASIS.
Schedule D (Form 990) 2013

Additional Data


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Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
HENDERSON MALLORY PARTNERS
2838 MONTEBELLO ROAD NO 19
 
AUSTIN, TX78746 		FUNDRAISING FOR CANCER CENTER   No 400,720 360,908 39,812
             
             
             
             
             
             
             
             
             
Total .................right arrow 400,720 360,908 39,812
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

SHF GOLF TOURNAMENT
(event type) 		(b) Event #2

MWHF GOLF TOURNAMENT
(event type) 		(c) Other events

7
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 288,620 118,141 264,831 671,592
2 Less: Contributions . . 166,580 96,000 166,782 429,362
3 Gross income (line 1
minus line 2) . . . 		122,040 22,141 98,049 242,230
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . . 24,134 9,075 35,650 68,859
6 Rent/facility costs . . 12,117 10,143 1,860 24,120
7 Food and beverages . 1,140 891 14,875 16,906
8 Entertainment . . .        
9 Other direct expenses . 3,978 518 22,493 26,989
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 136,874
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 105,356
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
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? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) .. 		    26,925,293   26,925,293 4.460 %
b Medicaid (from Worksheet 3,
column a) .... 		    49,296,728 33,822,307 15,474,421 2.560 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    76,222,021 33,822,307 42,399,714 7.020 %
Other Benefits
     826,337   826,337 0.140 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    1,185,258 77,182 1,108,076 0.180 %
g Subsidized health services
(from Worksheet 6) .. 		    59,526,073 40,586,085 18,939,988 3.140 %
h Research (from Worksheet 7)     472,914 111,850 361,064 0.060 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    889,745 1,774,292 -884,547 0 %
j Total. Other Benefits ..     62,900,327 42,549,409 20,350,918 3.520 %
k Total. Add lines 7d and 7j .     139,122,348 76,371,716 62,750,632 10.540 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     15,673   15,673 0 %
4 Environmental improvements     1,602   1,602 0 %
5 Leadership development and training for community members            
6 Coalition building     516   516 0 %
7 Community health improvement advocacy     310   310 0 %
8 Workforce development     1,630,421   1,630,421 0.270 %
9 Other     185,553   185,553 0.030 %
10 Total     1,834,075   1,834,075 0.300 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
17,395,304
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
5,392,544
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
137,571,027
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
172,929,659
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-35,358,632
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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 %
11 MEDICAL IMAGING OF FREDERICKSBURG
  		OUTPATIENT IMAGING 51.000 %   49.000 %
22 FREDERICKSBURG AMBULATORY SURGERY CENTER
  		AMBULATORY SERGICAL SERVICES 53.370 %   46.630 %
34 BUNKER HILL PARTNERS
  		MEDICAL OFFICE BUILDING 20.000 %   20.000 %
45 COWAN INVESTMENT PARTNERS
  		MEDICAL OFFICE BUILDING 12.500 %   37.500 %
56 MEDICAL PLAZA AT COSNER CORNER
  		MEDICAL OFFICE BUILDING 39.500 %   47.400 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MARY WASHINGTON HOSPITAL INC
1101 SAM PERRY BLVD
FREDERICKSBURG,VA22401 		X X         X   437 BED ACUTE CARE HOSPITAL LEVEL 2 TRAUMA  
2 STAFFORD HOSPITAL LLC
101 HOSPITAL CENTER BLVD
STAFFORD,VA22554 		X X         X   100 BED HOSPITAL  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MARY WASHINGTON HOSPITAL INC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 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 individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
STAFFORD HOSPITAL LLC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 11
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15   No
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 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 individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 3: IN MAY 2011, MARY WASHINGTON HEALTHCARE (INCLUDING MARY WASHINGTON HOSPITAL AND STAFFORD HOSPITAL) AND THE RAPPAHANNOCK AREA HEALTH DISTRICT LAUNCHED THE HEALTHY COMMUNITIES PARTNERSHIP (HCP). OTHER FOUNDING MEMBERS ARE RAPPAHANNOCK UNITED WAY, KAISER PERMANENTE OF THE MID ATLANTIC STATES, AND THE RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD. THESE INITIAL SPONSORS AGREED THAT SUCCESS WAS DEPENDENT ON GATHERING A DIVERSE GROUP OF INDIVIDUALS TO COLLECTIVELY PROVIDE BROAD PERSPECTIVE ON THE REGION'S HEALTH CARE NEEDS. THIS REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTHON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE GROUP LAUNCHED AN INITIAL KICK-OFF MEETING JUNE 8, 2011, WITH A LARGE GROUP OF COMMUNITY STAKEHOLDERS IN ATTENDANCE. THE PURPOSE OF THIS INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE ON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTH PROVIDERS.
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 3: IN MAY 2011, MARY WASHINGTON HEALTHCARE (INCLUDING MARY WASHINGTON HOSPITAL AND STAFFORD HOSPITAL) AND THE RAPPAHANNOCK AREA HEALTH DISTRICT LAUNCHED THE HEALTHY COMMUNITIES PARTNERSHIP (HCP). OTHER FOUNDING MEMBERS ARE RAPPAHANNOCK UNITED WAY, KAISER PERMANENTE OF THE MID ATLANTIC STATES, AND THE RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD. THESE INITIAL SPONSORS AGREED THAT SUCCESS WAS DEPENDENT ON GATHERING A DIVERSE GROUP OF INDIVIDUALS TO COLLECTIVELY PROVIDE BROAD PERSPECTIVE ON THE REGION'S HEALTH CARE NEEDS. THIS REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTHON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE GROUP LAUNCHED AN INITIAL KICK-OFF MEETING JUNE 8, 2011, WITH A LARGE GROUP OF COMMUNITY STAKEHOLDERS IN ATTENDANCE. THE PURPOSE OF THIS INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE ON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTH PROVIDERS.
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 4: STAFFORD HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 4: MARY WASHINGTON HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 5D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY MEETINGS, CHAMBER OF COMMERCE, AND THE MARY WASHINGTON HEALTHCARE CITIZEN ADVISORY COMMITTEE MEETINGS.
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 5D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY MEETINGS, CHAMBER OF COMMERCE, AND THE MARY WASHINGTON HEALTHCARE CITIZEN ADVISORY COMMITTEE MEETINGS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. 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?2
Name and address Type of Facility (describe)
1 FREDERICKSBURG AMBULATORY SURGERY CENTER
1201 SAM PERRY BLVD SUITE 101
FREDERICKSBURG,VA224014490 		AMBULATORY SURGERY CENTER
2 MEDICAL IMAGING OF FREDERICKSBURG
1201 SAM PERRY BLVD SUITE 102 ASC
BUILD
FREDERICKSBURG,VA224014490 		IMAGING SERVICES
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 3: IN MAY 2011, MARY WASHINGTON HEALTHCARE (INCLUDING MARY WASHINGTON HOSPITAL AND STAFFORD HOSPITAL) AND THE RAPPAHANNOCK AREA HEALTH DISTRICT LAUNCHED THE HEALTHY COMMUNITIES PARTNERSHIP (HCP). OTHER FOUNDING MEMBERS ARE RAPPAHANNOCK UNITED WAY, KAISER PERMANENTE OF THE MID ATLANTIC STATES, AND THE RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD. THESE INITIAL SPONSORS AGREED THAT SUCCESS WAS DEPENDENT ON GATHERING A DIVERSE GROUP OF INDIVIDUALS TO COLLECTIVELY PROVIDE BROAD PERSPECTIVE ON THE REGION'S HEALTH CARE NEEDS. THIS REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTHON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE GROUP LAUNCHED AN INITIAL KICK-OFF MEETING JUNE 8, 2011, WITH A LARGE GROUP OF COMMUNITY STAKEHOLDERS IN ATTENDANCE. THE PURPOSE OF THIS INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE ON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTH PROVIDERS.
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 3: IN MAY 2011, MARY WASHINGTON HEALTHCARE (INCLUDING MARY WASHINGTON HOSPITAL AND STAFFORD HOSPITAL) AND THE RAPPAHANNOCK AREA HEALTH DISTRICT LAUNCHED THE HEALTHY COMMUNITIES PARTNERSHIP (HCP). OTHER FOUNDING MEMBERS ARE RAPPAHANNOCK UNITED WAY, KAISER PERMANENTE OF THE MID ATLANTIC STATES, AND THE RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD. THESE INITIAL SPONSORS AGREED THAT SUCCESS WAS DEPENDENT ON GATHERING A DIVERSE GROUP OF INDIVIDUALS TO COLLECTIVELY PROVIDE BROAD PERSPECTIVE ON THE REGION'S HEALTH CARE NEEDS. THIS REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTHON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE GROUP LAUNCHED AN INITIAL KICK-OFF MEETING JUNE 8, 2011, WITH A LARGE GROUP OF COMMUNITY STAKEHOLDERS IN ATTENDANCE. THE PURPOSE OF THIS INITIAL MEETING WAS TO COMMUNICATE THIS NEW INITIATIVE WITH COMMUNITY STAKEHOLDERS AND GAUGE BOTH THE LEVEL AND AVAILABILITY TO SERVE ON THE HCP'S COMMITTEES. AS A DIRECT RESULT OF THIS INITIAL MEETING, THE HCP ADVISORY COMMITTEE NOW HAS 40 ACTIVE VOLUNTEERS REPRESENTING REGIONAL HOSPITALS, HEALTH DEPARTMENT AND INSURERS, PRIVATE BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH CARE AND MENTAL HEALTH PROVIDERS.
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 4: STAFFORD HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 4: MARY WASHINGTON HOSPITAL AND SPOTSYLVANIA REGIONAL MEDICAL CENTER
MARY WASHINGTON HOSPITAL, INC. PART V, SECTION B, LINE 5D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY MEETINGS, CHAMBER OF COMMERCE, AND THE MARY WASHINGTON HEALTHCARE CITIZEN ADVISORY COMMITTEE MEETINGS.
STAFFORD HOSPITAL, LLC PART V, SECTION B, LINE 5D: PRESENTED AT NUMEROUS COMMUNITY MEETINGS, SUCH AS THE ROTARY MEETINGS, CHAMBER OF COMMERCE, AND THE MARY WASHINGTON HEALTHCARE CITIZEN ADVISORY COMMITTEE MEETINGS.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number
20-1106426
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) CENTRAL VIRGINIA HEALTH SERVICES
1506 PALMYRA AVE
FREDERICKSBURG,VA22405 		54-0887287 501(C)(3) 5,000       COMMUNITY HEALTH INTERNSHIPS: BUILDING THE FUTURE
(2) EMPLOYMENT RESOURCES INC
PO BOX 801
FREDERICKSBURG,VA22401 		54-1566468 501(C)(3) 5,000       SUMMER INTERNSHIP PROGRAM
(3) RAPPAHANOCK AREA YMCA
212 BUTLER ROAD
FALMOUTH,VA22405 		54-0965826 501(C)(3) 5,000       THERAPEUTIC BRIDGE PROGRAM
(4) MENTAL HEALTH AMERICA OF FREDERICKSBURG
2217 PRINCESS ANNE ST SUITE 104-1
LADYSMITH,VA22501 		54-0678704 501(C)(3) 5,000       MENTAL HEALTH FIRST AID
(5) CATHOLIC CHARITIES OF THE DIOCESE OF ARLINGTON
1101 STAFFORD AVE
FREDERICKSBURG,VA22401 		54-0515706   5,000       FAMILY SERVICES FREDERICKSBURG
(6) CAROLINE CHRISTIAN HEALTH CENTER
PO BOX 216
LADYSMITH,VA22501 		20-8446785 501(C)(3) 22,000       MISSION 2540
(7) CENTRAL VIRGINIA HEALTH SERVICES
1506 PALMYRA AVE
FREDERICKSBURG,VA23227 		54-0887287 501(C)(3) 60,000       CHCRR PRIMARY CARE
(8) THE DISABILITY RESOURCE CENTER OF THE RAPPAHANNOCK AREA INC
409 PROGRESS ST
FREDERICKSBURG,VA22401 		54-1687677 501(C)(3) 12,500       EQUIPMENT CONNECTION
(9) FREDERICKSBURG CHRISTIAN HEALTH CENTER
1129 HEATHERSTONE DR
FREDERICKSBURG,VA22407 		54-2061482 501(C)(3) 130,000       INDIGENT PROGRAM
(10) FREDERICKSBURG REGIONAL TRANSIT
1400 JEFFERSON DAVIS HIGHWAY
KILMARNOCK,VA22401 		54-6001293   55,000       TRANSPORTATION ASSISTANCE FOR INDIGENT PATIENTS
(11) HOSPICE SUPPORT CARE INC
1701 FALL HILL AVE STE 109
FREDERICKSBURG,VA22401 		52-1203673 501(C)(3) 35,000       HOSPICE SUPPORT CARE
(12) MICAH ECUMENICAL MINISTRIES INC
PO BOX 3277
RICHMOND,VA22402 		20-4044884 501(C)(3) 130,000       RESIDENTIAL RECOVERY PROGRAM
(13) RAPPAHANNOCK AREA HEALTH DISTRICT
608 JACKSON ST
FREDERICKSBURG,VA22401 		54-6001775   70,000       COMPLICATED OBSTETRICAL AND HIGH RISK MATERNITY CARE PROGRAM
(14) RX DRUG ACCESS PARTNERSHIP
2924 EMERYWOOD PARKWAY 300
COLONIAL BEACH,VA23294 		57-1186937 501(C)(3) 20,000   501(C)(3)   RXP
(15) FREDERICKSBURG COUNSELING SERVICES INC
305 HANSON AVE 140
FREDERICKSBURG,VA22401 		54-0844464 501(C)(3) 26,000       COUNSELING SERVICES
(16) FREDERICKSBURG DEPARTMENT OF SOCIAL SERVICES
608 JACKSON ST SUITE 100
COLONIAL BEACH,VA22401 		54-6001293   29,670       COMMUNITY BASED ELIGIBILITY WORKER
(17) GEORGE WASHINGTON REGIONAL COMMISSION
406 PRINCESS ANNE ST
FREDERICKSBURG,VA22401 		54-0715969   20,000       LOCAL FOOD ACCESS, DISEASE PREVENTION, HEALTHY NUTRITION
(18) GUADALUPE FREE CLINIC OF COLONIAL BEACH INC
PO BOX 275
COLONIAL BEACH,VA22443 		51-0635977 501(C)(3) 55,000       FREE CLINIC
(19) HAZEL HILL APT CORPORATION
223 BUTLER RD
FALMOUTH,VA22405 		54-0859802 501(C)(3) 12,000       HAZEL HILL HEALTHCARE PROJECT
(20) NORTHERN NECK ALLIANCE INC
PO BOX 40
COLONIAL BEACH,VA22443 		54-1678053 501(C)(3) 9,000       NORTHERN NECK HEAD START
(21) RAPPAHANNOCK AREA HEALTH DISTRICT
608 JACKSON ST
FREDERICKSBURG,VA22401 		54-6001775   43,950       EVERY WOMAN'S LIFE PROGRAM, PORTABLE ULTRASOUND MACHINE
(22) UNIVERSITY OF MARY WASHINGTON
1301 COLLEGE AVE
FREDERICKSBURG,VA22401 		54-6001757   25,000       BACHELOR OF SCIENCE IN NURSING COMPLETION
(23) ACTION IN COMMUNITY THROUGH SERVICE OF PRINCE WILLIAM (ACTS)
PO BOX 74
DUMFRIES,VA22026 		54-0897679 501(C)(3) 20,000       ACTS HELPLINE ASSISTANCE AND OUTREACH PROJECT
(24) STAFFORD SCHOOLS HEAD STARTVPIEARLY HEAD START
610 GAYLE ST
FREDERICKSBURG,VA22405 		54-6001628   36,875       CHILDREN'S INSURANCE OUTREACH AND ELIGIBILITY PROJECT
(25) RAPPAHANNOCK AREA AGENCY ON AGING
171 WARRENTON RD
FREDERICKSBURG,VA22405 		54-1027651 501(C)(3) 23,000       CARE OPTIONS MAKE FOR PREFERRED SOLUTIONS
(26) STAFFORD COUNTY DEPARTMENT OF SOCIAL SERVICES
PO BOX 7
FREDERICKSBURG,VA22405 		54-6001626   21,750       STAFFORD'S HEALTH INSURANCE ENROLLMENT (SHINE) PROGRAM
(27) STAFFORD JUNCTION INC
400 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG,VA22405 		20-3036072 501(C)(3) 23,000       HEALTHY LIVING PAYS
(28) FREDERICKSBURG AREA REGIONAL HEALTH COUNCIL AKA-LLOYD F MOSS FREE CLINIC
1301 SAM PERRY BLVD
FREDERICKSBURG,VA22401 		54-1677934 501(C)(3) 820,000       FREE HEALTH CLINIC
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) ANNE GRAZIANI BROADDUS NURSING SCHOLARSHIP 1 1,500      
(2) APRIL JETT WILLS MEMORIAL NURSING SCHOLARSHIP 1 1,000      
(3) BARBARA KANE NURSING SCHOLARSHIP 1 750      
(4) CAITLIN MORRIS NURSING ONCOLOGY SCHOLARSHIP DONATED BY THE D.E.B FOUNDATION 1 1,000      
(5) CHARLES M. "PETE" HEARN FELLOWSHIP 1 1,500      
(6) CORA GRAVES ALLISON NURSING SCHOLARSHIP 1 1,000      
(7) ELEANOR HEYCOCK PETTIT NURSING SCHOLARSHIP 1 3,000      
(8) ELIZABETH BRUNELLE RYAN AND CATHERINE RYAN LEGATH SCHOLARSHIP 1 1,500      
(9) FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE SCHOLARSHIP 3 2,250      
(10) HAROLD AND FRANCES SCHILZ NURSING SCHOLARSHIP 1 1,500      
(11) HEWETSON NURSING SCHOLARSHIP 1 2,500      
(12) IDA RICHARDSON JENKINS MEMORIAL SCHOLARSHIP 1 1,000      
(13) JANICE HUNT SCHOLARSHIP 2 8,000      
(14) JEAN C. WILLIAMS MEMORIAL NURSING SCHOLARSHIP 1 750      
(15) JEANE BULLOCK NURSING SCHOLARSHIP 1 3,000      
(16) JENNIE MAE BENSON NURSING SCHOLARSHIP 1 1,500      
(17) JOHN PAINTER SCHOLARSHIP 1 2,000      
(18) LAURA LEIGH LUMPKIN MEMORIAL SCHOLARSHIP 1 1,500      
(19) LIBBY PEARSON ENDOWED NURSING SCHOLARSHIP 1 1,000      
(20) LINDA WITMER NURSING SCHOLARSHIP 1 2,000      
(21) MARIE LACY ROLLINS SCHOLARSHIP 1 2,000      
(22) MARY FRANCES WILLIS & JAMES G. WILLIS MEMORIAL SCHOLARSHIP 2 5,000      
(23) MARY WASHINGTON HOSPITAL AUXILIARY SCHOLARSHIP 2 2,000      
(24) REBECCA BENNETT NURSING SCHOLARSHIP 1 1,500      
(25) SAL KIWALL MEMORIAL SCHOLARSHIP FOR CLINICAL EDUCATION 1 2,000      
(26) STAFFORD HOSPITAL AUXILIARY SCHOLARSHIP 2 2,000      
(27) SUE HALL NURSING SCHOLARSHIP 2 6,000      
(28) THE VICKIE GRAVES PITTMAN GERMANNA NURSING SCHOLARSHIP 1 1,000      
(29) WILLIAM AND VIOLA ADRIAN NURSING SCHOLARSHIP 2 4,000      
(30) WILLIAM F. JACOBS, JR. SCHOLARSHIP IN HEALTHCARE ADMINISTRATION 2 4,000      
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used 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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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 (E) amounts for that individual.
(A) Name and Title (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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)FRED M RANKIN IIIPRESIDENT (i)
(ii)		 0
584,506 		0
0 		0
90,450 		0
7,650 		0
21,269 		0
703,875 		0
0
(2)SEAN T BARDENEXECUTIVE VP (i)
(ii)		 0
346,447 		0
0 		0
36,355 		0
7,650 		0
26,387 		0
416,839 		0
0
(3)WALTER J KIWALLEXECUTIVE VP (i)
(ii)		 0
349,932 		0
0 		0
48,357 		0
7,650 		0
19,120 		0
425,059 		0
0
(4)XAVIER R RICHARDSONEXECUTIVE VP (i)
(ii)		 0
210,454 		0
10,000 		0
259,900 		0
6,557 		0
16,908 		0
503,819 		0
226,594
(5)J THOMAS RYAN MDEXECUTIVE VP (i)
(ii)		 0
200,618 		0
0 		0
52,194 		0
5,345 		0
7,952 		0
266,109 		0
0
(6)RAVI MATHURVICE PRESIDENT (i)
(ii)		 0
174,196 		0
0 		0
17,120 		0
5,377 		0
17,171 		0
213,864 		0
0
(7)CHERYL SPRINGHORNEXECUTIVE DIRECTOR (i)
(ii)		 0
142,843 		0
0 		0
194 		0
3,577 		0
7,529 		0
154,143 		0
0
(8)KATHRYN S WALLEXECUTIVE VP (i)
(ii)		 0
228,929 		0
0 		0
33,274 		0
7,303 		0
10,367 		0
279,873 		0
0
(9)MARIANNA BEDWAYSENIOR VP (i)
(ii)		 216,584
0 		0
0 		19,147
0 		6,917
0 		24,565
0 		267,213
0 		0
0
(10)ERIC FLETCHERSENIOR VP (i)
(ii)		 0
200,773 		0
0 		0
18,404 		0
2,164 		0
9,507 		0
230,848 		0
0
(11)WINIFRED J HAIKEYSENIOR VP (i)
(ii)		 0
181,740 		0
0 		0
35,613 		0
5,814 		0
16,059 		0
239,226 		0
0
(12)JOYCE HANSCOMESENIOR VP (i)
(ii)		 0
209,062 		0
10,000 		0
19,465 		0
6,725 		0
17,695 		0
262,947 		0
0
(13)JAMES K VAN RENANSENIOR VP (i)
(ii)		 280,793
0 		0
0 		29,790
0 		7,650
0 		22,461
0 		340,694
0 		0
0
(14)CATHLEEN A YABLONSKISENIOR VP (i)
(ii)		 189,426
0 		0
0 		18,055
0 		2,043
0 		25,750
0 		235,274
0 		0
0
(15)REBECCA BIGONEY MDEXECUTIVE VP (i)
(ii)		 302,163
0 		0
0 		22,654
0 		7,650
0 		16,594
0 		349,061
0 		0
0
(16)KATHLEEN BOURGAULTVICE PRESIDENT (i)
(ii)		 0
173,182 		0
15,000 		0
14,740 		0
5,494 		0
17,477 		0
225,893 		0
0
(17)EILEEN L DOHMANN RNVICE PRESIDENT (i)
(ii)		 0
196,333 		0
0 		0
15,557 		0
6,083 		0
3,815 		0
221,788 		0
0
(18)MARIE FREDRICKVICE PRESIDENT (i)
(ii)		 0
181,137 		0
0 		0
17,244 		0
5,982 		0
19,197 		0
223,560 		0
0
(19)JAMES SWISHERVICE PRESIDENT (i)
(ii)		 0
158,712 		0
0 		0
13,049 		0
4,942 		0
8,368 		0
185,071 		0
0
(20)GLEN J POFFENBARGER MDNEUROSURGEON (i)
(ii)		 1,034,186
0 		101,682
0 		2,622
0 		7,650
0 		32,610
0 		1,178,750
0 		0
0
(21)JT SHERWOOD MDTHORACIC SURGEON (i)
(ii)		 749,886
0 		39,497
0 		1,058
0 		7,650
0 		32,910
0 		831,001
0 		0
0
(22)CHRISTOS HATJIS MDPERINATOLOGISTS (i)
(ii)		 613,664
0 		21,690
0 		1,980
0 		7,650
0 		23,617
0 		668,601
0 		0
0
(23)MAURICE EGGLESTON JR MDPERINATOLOGISTS (i)
(ii)		 530,429
0 		0
0 		29,658
0 		7,650
0 		29,856
0 		597,593
0 		0
0
(24)THERESA A CONOLOGUE MDDERMATOLOGIST (i)
(ii)		 581,394
0 		136,500
0 		300
0 		6,435
0 		24,775
0 		749,404
0 		0
0
(25)LAWRENCE ROBERTS MDTRUSTEE (FORMER) (i)
(ii)		 370,910
0 		40,000
0 		105,954
0 		7,650
0 		25,795
0 		550,309
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A PART I, LINE 1A - TRUSTEES WHO ARE UNCOMPENSATED VOLUNTEERS TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL TRAVEL. REIMBURSEMENTS PAID FOR SPOUSAL TRAVEL ARE REIMBURSED AND REPORTED AS INCOME ON A FORM 1099 IN THE YEAR PAID. EXECUTIVES WHO ARE TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL MEALS PROVIDED AND THE AMOUNT IS REPORTED AS INCOME ON THE EXECUTIVE'S W-2.
PART I, LINE 7 PART I, LINE 7 - ALL EXECUTIVES HAVE AS A PART OF THEIR COMPENSATION A VARIABLE COMPONENT SUCH THAT THEY ARE ELIGIBLE TO RECEIVE A PERCENTAGE OF THEIR BASE PAY AS AN INCENTIVE FOR THE ACHIEVEMENT OF INDIVIDUAL AND CORPORATE GOALS AND OBJECTIVES. THERE WAS NO INCENTIVE COMPENSATION PAID IN 2013.
SCHEDULE J - PART I TRUSTEES WHO ARE UNCOMPENSATED VOLUNTEERS TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL TRAVEL. REIMBURSEMENTS PAID FOR SPOUSAL TRAVEL ARE REIMBURSED AND REPORTED AS INCOME ON A FORM 1099 IN THE YEAR PAID. EXECUTIVES WHO ARE TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL MEALS PROVIDED AND THE AMOUNT IS REPORTED AS INCOME ON THE EXECUTIVE'S W-2
SCHEDULE J, PART II, COLUMN B DISCLOSURE: PRIMARILY REPRESENTS 457(F) DISTRIBUTIONS.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number
20-1106426
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
Yes No Yes No Yes No
A ECONOMIC DEVELOPMENT AUTHORITY
  		54-1244413 852431AQ8 12-01-2006 125,000,000 BUILD STAFFORD HOSPITAL FACILITY   X   X   X
B LYNCHBURG IDA-VHA POOLED FINANCING
  		  12-28-2007 14,000,000 ACQUISITION OF MWH EQUIPMENT   X   X   X
C CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
  		52-1303430 355849AS9 05-10-2007 81,860,000 REFUNDING OF 1996 MWH BONDS   X   X   X
D CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
  		52-1303430   07-12-2011 30,000,000 BUILD AND EQUIP CANCER CENTER   X   X   X
ECONOMIC DEVELOPMENT AUTHORITY
  		52-1303430 355850AC2 11-01-2013 30,405,000 REFUNDING OF SERIES 2011 BOND   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 132,581,641 14,000,000 86,868,312 30,210,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 959,500 126,000 583,010 210,000
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 131,622,141 13,874,000 86,285,302 30,000,000
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2008 2007 2007 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   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   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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   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? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   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? X       X      
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 . . SchKMediumBullet        
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 . . . . . . . SchKMediumBullet 0.390 % 0.390 %    
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.390 % 0.390 %    
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X      
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 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   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X X   X     X
c No rebate due? . . . . . . . . X     X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number
20-1106426
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
Yes No Yes No Yes No
A ECONOMIC DEVELOPMENT AUTHORITY
  		54-1244413 852431AQ8 12-01-2006 125,000,000 BUILD STAFFORD HOSPITAL FACILITY   X   X   X
B LYNCHBURG IDA-VHA POOLED FINANCING
  		  12-28-2007 14,000,000 ACQUISITION OF MWH EQUIPMENT   X   X   X
C CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
  		52-1303430 355849AS9 05-10-2007 81,860,000 REFUNDING OF 1996 MWH BONDS   X   X   X
D CITY OF FREDERICKSBURG ECONOMIC DEV AUTH
  		52-1303430   07-12-2011 30,000,000 BUILD AND EQUIP CANCER CENTER   X   X   X
ECONOMIC DEVELOPMENT AUTHORITY
  		52-1303430 355850AC2 11-01-2013 30,405,000 REFUNDING OF SERIES 2011 BOND   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 132,581,641 14,000,000 86,868,312 30,210,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 959,500 126,000 583,010 210,000
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 131,622,141 13,874,000 86,285,302 30,000,000
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2008 2007 2007 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   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   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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   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? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   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? X       X      
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 . . SchKMediumBullet        
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 . . . . . . . SchKMediumBullet 0.390 % 0.390 %    
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.390 % 0.390 %    
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X      
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 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   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X X   X     X
c No rebate due? . . . . . . . . X     X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
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?
Yes No
(1) STAFFORD MEDICAL OFFICE
  		MANAGEMENT CONTRACT 1,555,573 RENTAL, MEDICAL OFFICE   No
(2) HEALTH TECH RESOURCES
  		5% TRUSTEE OWNERSHIP 724,244 RENTAL   No
(3) PERMA TREAT PEST CONTROL INC
  		BOARD MEMBER OWNS CO. 57,589 PEST CONTROL SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 12,332 FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( GIFT CARDS AN ) X 55 20,114 FMV
26 Other Right pointing arrow large image ( ADVERTISING B ) X 1 500 FMV
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 32B: THE GROUP HAS A POLICY REQUIRING REVIEW AND BOARD APPROVAL OF ALL NON-STANDARD CONTRIBUTIONS.
Schedule M (Form 990) (2013)
Additional Data


Software ID:  
Software Version:  
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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Return Reference Explanation
FORM 990, PART V, Q 7G AND 7H QUESTIONS 7G AND 7H DO NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY OR CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE MARY WASHINGTON HEALTHCARE GROUP ALL HAVE ONE SOLE MEMBER, ITS PARENT MARY WASHINGTON HEALTHCARE (MWHC).
FORM 990, PART VI, SECTION A, LINE 7A MARY WASHINTON HEALTHCARE (MWHC) HAS THE POWER TO APPOINT BOARD OF TRUSTEES FOR THE GROUP.
FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OF THE MARY WASHINGTON HEALTHCARE GROUP ALL HAVE ONE SOLE MEMBER, ITS PARENT MARY WASHINGTON HEALTHCARE (MWHC). MWHC HAS RESERVED CERTAIN POWERS TO ITSELF WITHIN EACH OF ITS SUBSIDIARIES' ORGANIZING DOCUMENTS. THESE RESTRICTIONS INCLUDE AMENDING THE GOVERNING DOCUMENTS, BUDGETING, EXPENDITURES OVER CERTAIN THRESHOLDS.
FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT COMPLETES A DRAFT OF THE FORM 990 FOR THE MARY WASHINGTON HEALTHCARE GROUP. AT THAT TIME THE RETURN IS SUBMITTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR REVIEW AND ACCEPTANCE. THE FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF TRUSTEES THROUGH THE BOARD WEBSITE FOR FURTHER REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C EVERY TRUSTEE, AND EXECUTIVE MEMBER OF MANAGEMENT IS REQUIRED TO DISCLOSE ANY AND ALL POSSIBLE CONFLICTS OF INTERESTS. THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MWHC CHIEF AUDIT EXECUTIVE (CAE). THE CAE THEN PRESENTS ALL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE REPORTS ALL CONFLICTS TO THE FULL BOARD. CONFLICTS ARE CONTINUALLY AND ACTIVELY MANAGED. AT EACH MEETING, THE CHARI ASKS IF ANYONE AT THE MEETING HAS A CONFLICT TO DISCLOSE. INDIVIDUALS WITH CONFLICTS DISCLOSE THEIR CONFLICTS AND THE RELATED TOPIC. THE INDIVIDUAL THEN RECUSES HIM/HERSELF FROM ANY DECISION RELATED TO THAT TOPIC. THE CONFLICT OF INTERESTS POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15 MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND COMMERCIALLY REASONABLE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA, FORM 990 INFORMATION FROM COMPARABLE HEALTH SYSTEMS, AND THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA POINT PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE AND AT A FAIR MARKET VALUE.
FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIALS STATEMENTS ARE POSTED ON THE MARY WASHINGTON HEALTHCARE WEBSITE FOR PUBLIC VIEW.
FORM 990, PART IX, LINE 11G CONTRACT PERSONNEL: PROGRAM SERVICE EXPENSES 6,020,918. MANAGEMENT AND GENERAL EXPENSES 165,838. FUNDRAISING EXPENSES 1,238. TOTAL EXPENSES 6,187,994. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 43,892,039. MANAGEMENT AND GENERAL EXPENSES 1,208,948. FUNDRAISING EXPENSES 9,022. TOTAL EXPENSES 45,110,009. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 2,148,854. MANAGEMENT AND GENERAL EXPENSES 59,187. FUNDRAISING EXPENSES 442. TOTAL EXPENSES 2,208,483. ASP SERVICES: PROGRAM SERVICE EXPENSES 164,067. MANAGEMENT AND GENERAL EXPENSES 4,519. FUNDRAISING EXPENSES 34. TOTAL EXPENSES 168,620. MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 5,046,940. MANAGEMENT AND GENERAL EXPENSES 139,011. FUNDRAISING EXPENSES 1,037. TOTAL EXPENSES 5,186,988. STORAGE: PROGRAM SERVICE EXPENSES 123,183. MANAGEMENT AND GENERAL EXPENSES 3,393. FUNDRAISING EXPENSES 25. TOTAL EXPENSES 126,601. WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 977,863. MANAGEMENT AND GENERAL EXPENSES 26,934. FUNDRAISING EXPENSES 201. TOTAL EXPENSES 1,004,998. MANAGEMENT CONTRACTS: PROGRAM SERVICE EXPENSES 14,554,722. MANAGEMENT AND GENERAL EXPENSES 400,891. FUNDRAISING EXPENSES 2,992. TOTAL EXPENSES 14,958,605.
FORM 990, PART XI, LINE 9: RELIEF FROM AFFILIATE LOANS -14,209,786. LOSS ON UNCOLLECTED PLEDGES -1,046,020. LOSS FROM RELATED AFFILIATES 8,076,070.
FORM 990, PART XII, LINE 2C THE GROUP RETURN IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MWHC. CONSISTENT WITH PRIOR YEARS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AUDITORS RESTS WITH THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART V, Q2A NO ENTITY WITHIN THE GROUP FILES W-2S WITH THE IRS. ALL PAYROLL IS PAID THROUGH AN AGENCY AGREEMENT WITH MARY WASHINGTON HEALTCARE, THE PARENT ORGANIZATION. MARY WASHINGTON HEALTHCARE FILES ALL W-2S.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MARY WASHINGTON HEALTHCARE GROUP RETURN
 
Employer identification number

20-1106426
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) STAFFORD HOSPITAL AUXILIARY

2300 FALL HILL AVE SUITE 509

FREDERICKSBURG,VA22401
26-2704632 		MEDICAL SERVICES VA 501(C)(3) LINE 11C, III-FI MWHC
 
 
No
(2) MARY WASHINGTON HOSPITAL AUXILIARY

2300 FALL HILL AVE SUITE 509

FREDERICKSBURG,VA22401
75-2985923 		MEDICAL SERVICES VA 501(C)(3) LINE 11C, III-FI MWHC
 
 
No
(3) MWH AND UVA RADIOSURGERY CENTER LLC

2300 FALL HILL AVE SUITE 509

FREDERICKSBURG,VA22401
90-0604539 		MEDICAL SERVICES VA 501(C)(3) LINE 11A, I MWHC
 
 
No
(4) MARY WASHINGTON HEALTHCARE

2300 FALL HILL AVE SUITE 509

FREDERICKSBURG,VA22401
54-1240646 		MEDICAL SERVICES VA 501(C)(3) LINE 11B, II MWHC
 
 
No






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) TOMPKINS MARTIN MEDICAL PLAZA

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
54-1632021 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED 814,279 5,948,467   No   Yes   99.000 %
(2) FREDERICKSBURG AMBULATORY SURGERY CENTER

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
56-2322548 		SURGERY CTR VA MWHC CLINICAL SERVICES INC
  		RELATED 2,439,497 1,540,351   No   Yes   53.370 %
(3) MEDICAL IMAGING OF FREDERICKSBURG

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
54-1364028 		IMAGING VA MWHC CLINICAL SERVICES INC
  		RELATED 3,745,585 1,831,660   No   Yes   51.000 %
(4) MARY WASHINGTON EYE CARE CENTER

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
27-1248032 		OPTOMETRY VA MWHC CLINICAL SERVICES INC
  		RELATED -142,876 -1,042,819   No     No 99.000 %
(5) CENTRAL ATLANTIC HEALTH NETWORK

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
27-4704694 		GROUP PURCHASING VA  
RELATED     Yes       No 11.110 %
(6) MARY WASHINGTON HEALTH ALLIANCE

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
46-3055639 		ADMINISTRATIVE SERVICES VA MARY WASHINGTON HEALTHCARE
  		RELATED   1,207,175   No   Yes   82.750 %
(7) COWAN INVESTMENT PARTNERS LLC

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
65-1294835 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED -25,400 67,755   No     No 12.500 %
(8) BUNKER HILL PARTNERS LLC

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
51-0584884 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED 20,074 -268,743   No     No 20.000 %
(9) STAFFORD MEDICAL OFFICE PAVILION LLC

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
26-2981929 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED 134,658 2,142,350   No     No 20.000 %
(10) SPOTSYLVANIA PARKWAY MEDICAL PLAZA LLC

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
26-2656396 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED 102,381 -740,049   No     No 39.500 %
(11) SPOTSYLVANIA PARKWAY MEDICAL PLAZA II LLC

2300 FALL HILL AVE STE 509
FREDERICKSBURG,VA22401
45-4281946 		REAL ESTATE VA MEDICORP PROPERTIES INC
  		RELATED -10,343 916,877   No     No 39.500 %
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) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MWHC HOLDING COMPANY INC

2300 FALL HILL AVE SUITE 509
FREDERICKSBURG,VA22401
54-1725487 		HOLDING COMPANY VA MWHC CLINICAL SERVICES INC
  		C 299,346 254,480 100.000 %   No
(2) MARY WASHINGTON HEALTHCARE SERVICES

2300 FALL HILL AVE SUITE 509
FREDERICKSBURG,VA22401
54-1244509 		RETAIL MEDICAL VA MWHC CLINICAL SERVICES INC
  		C -216,725 1,970,237 100.000 %   No
(3) FREDERICKSBURG PROFESSIONAL RISK EXCHANGE

2300 FALL HILL AVE SUITE 509
FREDERICKSBURG,VA22401
53-1095956 		CAPTIVE INSURANCE VA MWHC
  		C 1,494,492 11,418,072 97.500 %   No








Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) TOMPKINS MARTIN MEDICAL PLAZA

 K 1,768,591 IND APPRAISAL
(2) FREDERICKSBURG AMBULATORY SURGERY CENTER

 J 2,353,172 IND APPRAISAL
(3) MEDICAL IMAGING OF FREDERICKSBURG

 J 523,047 IND APPRAISAL
(4) MARY WASHINGTON EYE CARE CENTER

 J 196,302 IND APPRAISAL
(5) MARY WASHINGTON HEALTHCARE SERVICES INC

 J 976,856 IND APPRAISAL
(6) MARY WASHINGTON HOSPITAL AUXILIARY

 C 126,100  
(7) MARY WASHINGTON HEALTHCARE

 M 61,810,450  
(8) MWH AND UVA RADIOSURGERY CENTER LLC

 D 189,261 YEAR END PRINCIPLE
(9) MWH AND UVA RADIOSURGERY CENTER LLC

 J 225,044 ACTUAL
(10) MWH AND UVA RADIOSURGERY CENTER LLC

 S 281,093 ACTUAL
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version: