Check
if
self-employed
Department of the Treasury
Internal Revenue Service
Check if
applicable:
Address
change
Name
change
Initial
return
Final
return/
termin-
ated
Gross receipts $
Amended
return
Applica-
tion
pending
Are all subordinates included?
232001 12-13-22
OMB No. 1545-0047
Beginning of Current Year
Paid
Preparer
Use Only
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Open to Public
Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
AFor the 2022 calendar year, or tax year beginningand ending
BCDEmployer identification number
E
G
H(a)
H(b)
H(c)
FYesNo
YesNo
I
J
K
Website:
LM
1
2
3
4
5
6
7
3
4
5
6
7a
7b
a
b
Activities & Governance
Prior YearCurrent Year
8
9
10
11
12
13
14
15
16
17
18
19
Revenue
a
b
Expenses
End of Year
20
21
22
Sign
Here
YesNo
For Paperwork Reduction Act Notice, see the separate instructions.
(or P.O. box if mail is not delivered to street address)Room/suite
)
501(c)(3)501(c) ((insert no.)4947(a)(1) or527
CorporationTrustAssociationOther
Form of organization:Year of formation:State of legal domicile:
Net Assets or
Fund Balances
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.
Signature of officerDate
Type or print name and title
Date
PTIN
Print/Type preparer's namePreparer's signature
Firm's nameFirm's EIN
Firm's address
Phone no.
Form
Name of organization
Doing business as
Number and street Telephone number
City or town, state or province, country, and ZIP or foreign postal code
Is this a group return
for subordinates? Name and address of principal officer:~~
If "No," attach a list. See instructions
Group exemption number
Tax-exempt status:
Briefly describe the organization's mission or most significant activities:
Check this boxif the organization discontinued its operations or disposed of more than 25% of its net assets.
Number of voting members of the governing body (Part VI, line 1a)
Number of independent voting members of the governing body (Part VI, line 1b)
Total number of individuals employed in calendar year 2022 (Part V, line 2a)
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~
Total number of volunteers (estimate if necessary)
Total unrelated business revenue from Part VIII, column (C), line 12
Net unrelated business taxable income from Form 990-T, Part I, line 11
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~

Contributions and grants (Part VIII, line 1h)~~~~~~~~~~~~~~~~~~~~~
Program service revenue (Part VIII, line 2g)~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~
Investment income (Part VIII, column (A), lines 3, 4, and 7d)
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)~~~~~~~~
Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
Benefits paid to or for members (Part IX, column (A), line 4)
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)
~~~~~~~~~~~
~~~~~~~~~~~~~
~~~
Professional fundraising fees (Part IX, column (A), line 11e)
Total fundraising expenses (Part IX, column (D), line 25)
~~~~~~~~~~~~~~
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)
Revenue less expenses. Subtract line 18 from line 12
~~~~~~~~~~~~~
~~~~~~~

Total assets (Part X, line 16)
Total liabilities (Part X, line 26)
Net assets or fund balances. Subtract line 21 from line 20
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~

May the IRS discuss this return with the preparer shown above? See instructions
LHAForm(2022)
Part ISummary
Signature Block
Part II
990
Return of Organization Exempt From Income Tax
990
2022
MARY WASHINGTON HEALTHCARE
54-1240646
540-741-2507 2300 FALL HILL AVENUE418
341,638,465.
FREDERICKSBURG, VA 22401
X MICHAEL P. MCDERMOTT MD
WWW.MARYWASHINGTONHEALTHCARE.COM/
X1983VA
OUR MISSION IS TO IMPROVE THE
16
13
827
13
570,309.
0.
367,697.
128,228,513.
6,400,275.
0.
147,982,838.134,996,485.
215,016.
0.
69,396,366.
0.
570,896.
63,370,714.
140,028,942.132,982,096.
7,953,896.2,014,389.
690,208,407.548,892,209.
169,778,514.88,442,245.
520,429,893.460,449,964.
SEAN T. BARDEN, EXECUTIVE VP AND CFO
X
P00659678 JENNIFER N. FRENCH, CPA
54-0737372 PBMARES, LLP
725 JACKSON STREET, SUITE 210
FREDERICKSBURG, VA 22401540-371-3566
X
SAME AS C ABOVE
HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE.
X
226,219.
134,672,042.
13,084,577.
0.
241,227.
0.
73,243,956.
0.
66,543,759.
JENNIFER N. FRENCH, 10/18/23
* * * PUBLIC DISCLOSURE COPY * * *
Code:Expenses $including grants of $Revenue $
Code:Expenses $including grants of $Revenue $
Code:Expenses $including grants of $Revenue $
Expenses $including grants of $Revenue $
232002 12-13-22
1
2
3
4
YesNo
YesNo
4a
4b
4c
4d
4e
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part III
Briefly describe the organization's mission:
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.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization cease conducting, or make significant changes in how it conducts, any program services?
If "Yes," describe these changes on Schedule O.
~~~~~~
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.
() ()()
() ()()
() ()()
Other program services (Describe on Schedule O.)
()()
Total program service expenses
Form(2022)
2
Statement of Program Service Accomplishments
Part III
990
OUR MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES
X
X
WE SERVE. THROUGH OUR SUBSIDIARIES WE PROVIDE INPATIENT AND OUTPATIENT
131,163,191.215,016.127,658,204.
STRATEGIC DIRECTION, MANAGEMENT AND CORPORATE SUPPORT SERVICES TO
MARY WASHINGTON HEALTHCARE54-1240646
HOSPITAL SERVICES AND OTHER MEDICAL SERVICES.
AS THE PARENT CORPORATION OF THE MWHC AFFILIATED GROUP, MWHC PROVIDES
MEMBERS OF THE AFFILIATED GROUP.
131,163,191.
3
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232003 12-13-22
YesNo
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
1
2
3
4
5
6
7
8
9
10
Section 501(c)(3) organizations.
a
b
c
d
e
f
a
b
11a
11b
11c
11d
11e
11f
12a
12b
13
14a
14b
15
16
17
18
19
20a
20b
21
a
b
20
21
a
b
If "Yes," complete Schedule A
Schedule B, Schedule of Contributors
If "Yes," complete Schedule C, Part I
If "Yes," complete Schedule C, Part II
If "Yes," complete Schedule C, Part III
If "Yes," complete Schedule D, Part I
If "Yes," complete Schedule D, Part II
If "Yes," complete
Schedule D, Part III
If "Yes," complete Schedule D, Part IV
If "Yes," complete Schedule D, Part V
If "Yes," complete Schedule D,
Part VI
If "Yes," complete Schedule D, Part VII
If "Yes," complete Schedule D, Part VIII
If "Yes," complete Schedule D, Part IX
If "Yes," complete Schedule D, Part X
If "Yes," complete Schedule D, Part X
If "Yes," complete
Schedule D, Parts XI and XII
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
If "Yes," complete Schedule E
If "Yes," complete Schedule F, Parts I and IV
If "Yes," complete Schedule F, Parts II and IV
If "Yes," complete Schedule F, Parts III and IV
If "Yes," complete Schedule G, Part I.
If "Yes," complete Schedule G, Part II
If "Yes,"
complete Schedule G, Part III
If "Yes," complete Schedule H
If "Yes," complete Schedule I, Parts I and II
Form 990 (2022)Page
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization required to complete ? See instructions
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
public office?
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization engage in lobbying activities, or have a section 501(h) election in effect
during the tax year?
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 Rev. Proc. 98-19?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~
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?
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures?
Did the organization maintain collections of works of art, historical treasures, or other similar assets?
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
Did the organization, directly or through a related organization, hold assets in donor-restricted endowments
or in quasi endowments?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
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?
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
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?
Did the organization report an amount for other liabilities in Part X, line 25?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~
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)?
Did the organization obtain separate, independent audited financial statements for the tax year?
~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Was the organization included in consolidated, independent audited financial statements for the tax year?
~~~~~
Is the organization a school described in section 170(b)(1)(A)(ii)?
Did the organization maintain an office, employees, or agents outside of the United States?
~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
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? See instructions~~~~~~~~~~~~~~~~~~~~
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
1c and 8a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization operate one or more hospital facilities? ~~~~~~~~~~~~~~~~~
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?~~~~~~~~~~
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or
domestic government on Part IX, column (A), line 1?
~~~~~~~~~~~~~~ 
Form (2022)
3
Part IV
Checklist of Required Schedules
990
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
MARY WASHINGTON HEALTHCARE54-1240646
4
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232004 12-13-22
YesNo
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
22
23
24a
24b
24c
24d
25a
25b
26
27
28a
28b
28c
29
30
31
32
33
34
35a
35b
36
37
38
a
b
c
d
a
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.
a
b
c
a
b
Section 501(c)(3) organizations.
Note:
YesNo
1a
b
c
1a
1b
1c
(continued)
If "Yes," complete Schedule I, Parts I and III
If "Yes," complete
Schedule J
If "Yes," answer lines 24b through 24d and complete
Schedule K. If "No," go to line 25a
If "Yes," complete Schedule L, Part I
If "Yes," complete
Schedule L, Part I
If "Yes," complete Schedule L, Part II
If "Yes," complete Schedule L, Part III
If
"Yes," complete Schedule L, Part IV
If "Yes," complete Schedule L, Part IV
If
"Yes," complete Schedule L, Part IV
If "Yes," complete Schedule M
If "Yes," complete Schedule M
If "Yes," complete Schedule N, Part I
If "Yes," complete
Schedule N, Part II
If "Yes," complete Schedule R, Part I
If "Yes," complete Schedule R, Part II, III, or IV, and
Part V, line 1
If "Yes," complete Schedule R, Part V, line 2
If "Yes," complete Schedule R, Part V, line 2
If "Yes," complete Schedule R, Part VI
Form 990 (2022)Page
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on
Part IX, column (A), line 2? ~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
any tax-exempt bonds?
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
Did the organization engage in an excess benefit
transaction with a disqualified person during the year?
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?
~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current
or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35%
controlled entity or family member of any of these persons?~~~~~~~~~~~~~
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee,
creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled
entity (including an employee thereof) or family member of any of these persons? ~~~
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV,
instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
A family member of any individual described in line 28a?
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b?
~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization receive more than $25,000 in non-cash contributions?
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
contributions?
~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization liquidate, terminate, or dissolve and cease operations?
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?
~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3?
Was the organization related to any tax-exempt or taxable entity?
~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
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)?
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~
Did the organization make any transfers to an exempt non-charitable related organization?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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? ~~~~~~~~
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19?
All Form 990 filers are required to complete Schedule O
Check if Schedule O contains a response or note to any line in this Part V

Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable~~~~~~~~~~~
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable~~~~~~~~~~
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming
(gambling) winnings to prize winners?

Form (2022)
4
Part IV
Checklist of Required Schedules
Part V
Statements Regarding Other IRS Filings and Tax Compliance
990
X
X
X
X
X
X
X
X
X
X
X
X
MARY WASHINGTON HEALTHCARE54-1240646
371
0
X
X
X
X
X
X
X
X
X
X
5
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232005 12-13-22
YesNo
2
3
4
5
6
7
a
b
2a
2b
3a
3b
4a
5a
5b
5c
6a
6b
7a
7b
7c
7e
7f
7g
7h
8
9a
9b
a
b
a
b
a
b
c
a
b
Organizations that may receive deductible contributions under section 170(c).
a
b
c
d
e
f
g
h
7d
8
9
10
11
12
13
14
15
16
17
Sponsoring organizations maintaining donor advised funds.
Sponsoring organizations maintaining donor advised funds.
a
b
Section 501(c)(7) organizations.
a
b
10a
10b
Section 501(c)(12) organizations.
a
b
11a
11b
a
b
Section 4947(a)(1) non-exempt charitable trusts. 12a
12b
Section 501(c)(29) qualified nonprofit health insurance issuers.
Note:
a
b
c
a
b
13a
13b
13c
14a
14b
15
16
17
Section 501(c)(21) organizations.
~~~~~~~~~~~~~~~~~~~
(continued)
If "No" to line 3b, provide an explanation on Schedule O
If "No," provide an explanation on Schedule O
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?
Form (2022)
Form 990 (2022)Page
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~~~~~~~~~~
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?~~~~~~~~~~
Did the organization have unrelated business gross income of $1,000 or more during the year?
If "Yes," has it filed a Form 990-T for this year?
~~~~~~~~~~~~~~
~~~~~~~~~~
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)?~~~~~~~
If "Yes," enter the name of the foreign country
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
~~~~~~~~~~~~
~~~~~~~~~
If "Yes" to line 5a or 5b, did the organization file Form 8886-T?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
were not tax deductible?
~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," did the organization notify the donor of the value of the goods or services provided?
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required
to file Form 8282?
~~~~~~~~~~~~~~~

If "Yes," indicate the number of Forms 8282 filed during the year
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
~~~~~~~~~~~~~~~~
~~~~~~~
~~~~~~~~~
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
~
Did a donor advised fund maintained by the
sponsoring organization have excess business holdings at any time during the year?~~~~~~~~~~~~~~~~~~~
Did the sponsoring organization make any taxable distributions under section 4966?
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~
Enter:
Initiation fees and capital contributions included on Part VIII, line 12
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
~~~~~~~~~~~~~~~
~~~~~~
Enter:
Gross income from members or shareholders
Gross income from other sources. (Do not net amounts due or paid to other sources against
amounts due or received from them.)
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization filing Form 990 in lieu of Form 1041?
If "Yes," enter the amount of tax-exempt interest received or accrued during the year
Is the organization licensed to issue qualified health plans in more than one state?
See the instructions for additional information the organization must report on Schedule O.
~~~~~~~~~~~~~~~~~~~~~
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
Enter the amount of reserves on hand
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization receive any payments for indoor tanning services during the tax year?
If "Yes," has it filed a Form 720 to report these payments?
~~~~~~~~~~~~~~~~
~~~~~~~~~
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment(s) during the year?
If "Yes," see the instructions and file Form 4720, Schedule N.
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~
Did the trust, or any disqualified or other person engage in any activities
that would result in the imposition of an excise tax under section 4951, 4952 or 4953?
If "Yes," complete Form 6069.
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
990
X
X
X
X
X
X
X
X
X
X
X
X
X
827
MARY WASHINGTON HEALTHCARE54-1240646
X
6
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232006 12-13-22
YesNo
1a
1b
1
2
3
4
5
6
7
8
9
a
b
2
3
4
5
6
7a
7b
8a
8b
9
a
b
a
b
YesNo
10
11
a
b
10a
10b
11a
12a
12b
12c
13
14
15a
15b
16a
16b
a
b
12a
b
c
13
14
15
a
b
16a
b
17
18
19
20
For each "Yes" response to lines 2 through 7b below, and for a "No" response
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
If "Yes," provide the names and addresses on Schedule O
(This Section B requests information about policies not required by the Internal Revenue Code.)
If "No," go to line 13
If "Yes," describe
on Schedule O how this was done
(explain on Schedule O)
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 on Schedule O.
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
Form (2022)
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part VI
Enter the number of voting members of the governing body at the end of the tax year
Enter the number of voting members included on line 1a, above, who are independent
~~~~~~
~~~~~~
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization delegate control over management duties customarily performed by or under the direct supervision
of officers, directors, trustees, or key employees to a management company or other person?
~~~~~~~~~~~~~~~
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
Did the organization become aware during the year of a significant diversion of the organization's assets?
Did the organization have members or stockholders?
~~~~~
~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or
persons other than the governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The governing body?
Each committee with authority to act on behalf of the governing body?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
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? 
Did the organization have local chapters, branches, or affiliates?
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?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
Describe on Schedule O the process, if any, used by the organization to review this Form 990.
Did the organization have a written conflict of interest policy? ~~~~~~~~~~~~~~~~~~~~~
~~~~~~
Did the organization regularly and consistently monitor and enforce compliance with the policy?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization have a written whistleblower policy?
Did the organization have a written document retention and destruction policy?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
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?
The organization's CEO, Executive Director, or top management official
Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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?

List the states with which a copy of this Form 990 is required to be filed
Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available
for public inspection. Indicate how you made these available. Check all that apply.
Own websiteAnother's websiteUpon requestOther
Describe on 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.
State the name, address, and telephone number of the person who possesses the organization's books and records
6
Part VI
Governance, Management, and Disclosure.
Section A. Governing Body and Management
Section B. Policies
Section C. Disclosure
990
16
13
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
SANDRA W. BROWN - 540-741-2528
2300 FALL HILL AVENUE, 418, FREDERICKSBURG, VA 22401
X
NONE
MARY WASHINGTON HEALTHCARE54-1240646
X
X
7
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Individual trustee or director
Institutional trustee
Officer
Key employee
Highest compensated
employee
Former
(do not check more than one
box, unless person is both an
officer and a director/trustee)
232007 12-13-22
current
Section A.Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a
current
current
former
former directors or trustees
(A)(B)(C)(D)(E)(F)
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part VII

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.
¥ List all of the organization's 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.
¥List all of the organization's key employees, if any. See the instructions for definition of "key employee."
¥ List the organization's five highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than
$100,000 from the organization and any related organizations.
¥ List all of the organization's officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
¥ List all of the organization's 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.
See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
Position
Name and titleAverage
hours per
week
(list any
hours for
related
organizations
below
line)
Reportable
compensation
from
the
organization
(W-2/1099-MISC/
1099-NEC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC/
1099-NEC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
Form(2022)
7
Part VII
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Employees, and Independent Contractors
990
(1)MICHAEL P. MCDERMOTT, MD, MBA
PRESIDENT AND CEO
(2)CHRISTOPHER NEWMAN, MD
(3)SEAN T. BARDEN BSBA, MBA
(4)TRAVIS TURNER, BS, MBA
(5)ELIESE K. BERNARD
(6)STEPHEN MANDELL, MD
(7)ERIC FLETCHER, MBA, APR
(8)GEOFFREY LAWSON
(9)KATHRYN WALL, BA, MA
(10)DAVID YI, MD
(11)EILEEN DOHMANN, RN, BSN, MBA, N
(12)BRADFORD KING, MD
(13)DANIEL WOODFORD
(14)RICHARD LEWIS, MD
(15)SAUSHEEN TAYLOR, MD
(16)STEPHANIE GOLDBERG
(17)CATHLEEN YABLONSKI, BS, MS
SVP, COO & CMO
SR VP & CFO
SVP & CPHO
VICE PRESIDENT
VICE PRESIDENT
SVP & CSO
SVP & CIO
SVP & CHRO
VICE PRESIDENT
SVP & CNO
PHYSICIAN/TRUSTEE (THRU 2/2022)
VICE PRESIDENT
VICE PRESIDENT
PHYSICIAN/TRUSTEE
VICE PRESIDENT
VICE PRESIDENT
40.00
40.00
40.00
40.00
40.00
2.00
40.00
40.00
40.00
40.00
40.00
2.00
2.00
40.00
2.00
2.00
2.00
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
1,807,773.
968,559.
829,856.
655,442.
640,970.
0.
529,318.
545,017.
517,590.
525,015.
521,476.
0.
0.
434,948.
0.
0.
0.
0.
0.
0.
0.
0.
566,632.
0.
0.
0.
0.
0.
492,069.
457,456.
0.
415,502.
441,624.
410,077.
42,556.
43,999.
34,546.
40,323.
38,709.
35,857.
42,142.
24,892.
23,282.
11,103.
13,984.
11,083.
39,558.
34,231.
39,780.
11,084.
35,169.
MARY WASHINGTON HEALTHCARE54-1240646
2.00
2.00
4.00
2.00
2.00
40.00
2.00
2.00
2.00
2.00
2.00
40.00
40.00
2.00
40.00
40.00
40.00
8
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Former
Individual trustee or director
Institutional trustee
Officer
Highest compensated
employee
Key employee
(do not check more than one
box, unless person is both an
officer and a director/trustee)
232008 12-13-22
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(B)(C)
(A)(D)(E)(F)
1b
c
d
Subtotal
Total from continuation sheets to Part VII, Section A
Total (add lines 1b and 1c)
2
YesNo
3
4
5
former
3
4
5
Section B. Independent Contractors
1
(A)(B)(C)
2
(continued)
If "Yes," complete Schedule J for such individual
If "Yes," complete Schedule J for such individual
If "Yes," complete Schedule J for such person
Page
Form 990 (2022)
Position
Average
hours per
week
(list any
hours for
related
organizations
below
line)
Name and titleReportable
compensation
from
the
organization
(W-2/1099-MISC/
1099-NEC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC/
1099-NEC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
~
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable
compensation from the organization
Did the organization list any officer, director, trustee, key employee, or highest compensated employee on
line 1a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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? ~~~~~~~~~~~~~
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services
rendered to the organization? 
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.
Name and business addressDescription of servicesCompensation
Total number of independent contractors (including but not limited to those listed above) who received more than
$100,000 of compensation from the organization
Form (2022)
8
Part VII
990
(18)SCOTT SELL
VICE PRESIDENT
2.00
X0.423,460.20,130.
(19)XAVIER RICHARDSON BA, MBA
SVP & CDO
40.00
X422,001.0.20,858.
(20)MARIE FREDRICK, R.T. (R), CRA,
VICE PRESIDENT (THRU 6/22)
40.00
X398,796.0.14,684.
(21)SANDRA BROWN, CPA
VICE PRESIDENT
40.00
X364,594.0.32,662.
(22)ALAN EDWARDS
VICE PRESIDENT
40.00
X352,804.0.39,171.
(23)CODY BLANKENSHIP
VICE PRESIDENT
40.00
X349,644.0.37,095.
(24)LAUREN BLALOCK
VICE PRESIDENT
40.00
X343,136.0.34,951.
(25)SARAH OGLE
VICE PRESIDENT
40.00
X348,216.0.10,621.
(26)HOOMAN SABERINIA
MEDICAL DIRECTOR
40.00
X325,068.0.21,472.
10,880,223.3,206,820.753,942.
1,371,050.312,190.157,933.
40.00
2.00
2.00
2.00
2.00
2.00
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009
PO BOX 72050, RICHMOND, VA 23255-2050
3055 LEBANON PIKE, NASHVILLE, TN 37214
2151 PRIEST BRIDGE DR, CROFTON, MD 21114
1 WORLD WIDE WAY, SAINT LOUIS, MO 63145
101
40
SEE PART VII, SECTION A CONTINUATION SHEETS
2.00
2.00
12,251,273.3,519,010.911,875.
X
MARY WASHINGTON HEALTHCARE
X
X
54-1240646
CARE LOGISTICS
HANCOCK DANIEL JOHNSON & NAGLE PC
CHANGE HEALTHCARE LLC
SIRIUS FEDERAL LLC
WORLD WIDE TECHNOLOGY, LLC
CONSULTING SERVICES
LEGAL SERVICES
BILLING SERVICES
TECHNOLOGY SERVICES
GENERAL MAINTENANCE
1,264,700.
1,248,105.
1,063,705.
895,740.
767,500.
9
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Individual trustee or director
Institutional trustee
Officer
Key employee
Highest compensated employee
Former
232201
04-01-22
Section A.Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(A)(B)(C)(D)(E)(F)
(continued)
Form 990
Name and titleAverage
hours
per
week
(list any
hours for
related
organizations
below
line)
Position
(check all that apply)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
Total to Part VII, Section A, line 1c
Part VII
(27)TINA ERVIN
VICE PRESIDENT
(28)SUMMER HUGHES
(29)TOM JANUS
(30)STEPHEN P. HUGHES
(31)ANNE JERNIGAN
(32)DARLA BURTON
(33)SHEILA SEAL
(34)RONALD W. BRANSCOME, MS
(35)JOHN F. ROWLEY, BS, JD
(36)BRUCE L. DAVIS, BA
(37)MATTHEW D. DUMONT, MD
(38)REV. ALLEN H. FISHER, JR. , BA,
(39)JEFFREY A. FRAZIER, MD
(40)MARGARET F. HARDY
(41)DERMAINE A. LEWIS
(42)RICHMOND MCDANIEL, BS
(43)CHETAN B. PAI, DO
VICE PRESIDENT
VICE PRESIDENT (THRU 9/22)
AVP, IS TECHNOLOGY
DIRECTOR, COMP & BENEFITS
DIRECTOR, RECRUITMENT
DIRECTOR, DECISION SUPPORT
BOARD CHAIR
BOARD VICE CHAIR
BOARD SECRETARY/TREASURER
BOARD TRUSTEE
BOARD TRUSTEE
BOARD TRUSTEE
BOARD TRUSTEE
BOARD TRUSTEE
BOARD TRUSTEE
BOARD TRUSTEE
40.00
40.00
40.00
40.00
40.00
40.00
40.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
309,735.
298,914.
0.
223,372.
186,987.
176,789.
175,253.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
312,190.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
31,570.
33,942.
20,456.
26,647.
15,616.
16,712.
12,990.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
2.00
MARY WASHINGTON HEALTHCARE54-1240646
2.00
2.00
(44)CLARENCE A. ROBINSON, BS
BOARD TRUSTEE
2.00
X0.0.0.
(45)CATHERINE M. WACK
BOARD TRUSTEE
2.00
X0.0.0.
(46)MARTIN A. WILDER, JR., ED.D.
BOARD TRUSTEE
2.00
X0.0.0.
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
2.00
10
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Individual trustee or director
Institutional trustee
Officer
Key employee
Highest compensated employee
Former
232201
04-01-22
Section A.Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(A)(B)(C)(D)(E)(F)
(continued)
Form 990
Name and titleAverage
hours
per
week
(list any
hours for
related
organizations
below
line)
Position
(check all that apply)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
Total to Part VII, Section A, line 1c
Part VII
(47)LINDA D. WORRELL
BOARD TRUSTEE
2.00
X0.0.0.
MARY WASHINGTON HEALTHCARE54-1240646
1,371,050.312,190.157,933.
2.00
11
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Noncash contributions included in lines 1a-1f
232009 12-13-22
Business Code
Business Code
Total revenue.
(A)(B)(C)(D)
1a
b
c
d
e
f
1
1
1
1
1
1
1
a
b
c
d
e
f
g g
Contributions, Gifts, Grants
and Other Similar Amounts
hTotal.
a
b
c
d
e
f
g
2
Program Service
Revenue
Total.
3
4
5
6a
b
c
d
6a
6b
6c
7a
7a
7b
7c
b
c
d
a
b
c
8
8a
8b
9a
b
c
9a
9b
10a
b
c
10a
10b
Other Revenue
11a
b
c
d
e
Miscellaneous
Revenue
Total.
12
Revenue excluded
from tax under
sections 512 - 514
All other contributions, gifts, grants, and
similar amounts not included above
Gross amount from sales of
assets other than inventory
cost or other basis
and sales expenses
Gross income from fundraising events
See instructions
Form (2022)
Page
Form 990 (2022)
Check if Schedule O contains a response or note to any line in this Part VIII
Total revenue
Related or exempt
function revenue
Unrelated
business revenue
Federated campaigns
Membership dues
~~~~~
~~~~~~~
Fundraising events
Related organizations
~~~~~~~
~~~~~
Government grants (contributions)
~
$
Add lines 1a-1f
All other program service revenue~~~~~
Add lines 2a-2f
Investment income (including dividends, interest, and
other similar amounts)
Income from investment of tax-exempt bond proceeds
~~~~~~~~~~~~~~~~~~
Royalties
(i)Real(ii)Personal
Gross rents
Less: rental expenses
Rental income or (loss)
Net rental income or (loss)
~~~~~
~

(i) Securities(ii) Other
Less:
Gain or (loss)
~~~
~~~~~
Net gain or (loss)
(not
including $
of
contributions reported on line 1c). See
Part IV, line 18~~~~~~~~~~~~
Less: direct expenses~~~~~~~~
Net income or (loss) from fundraising events
Gross income from gaming activities. See
Part IV, line 19~~~~~~~~~~~~
Less: direct expenses
Net income or (loss) from gaming activities
~~~~~~~~

Gross sales of inventory, less returns
and allowances~~~~~~~~~~~~
Less: cost of goods sold
Net income or (loss) from sales of inventory
~~~~~~~

All other revenue~~~~~~~~~~~~~
Add lines 11a-11d

9
Part VIII
Statement of Revenue
990
367,697.
118564749.
367,697.
128228513.
4,333,124.
3,855,308.
549,788.
317,996.
MARY WASHINGTON HEALTHCARE
607,548.
134996485.127658204.570,309.6400275.
54-1240646
MANAGEMENT SERVICES REVENUE561000570,309. 117994440.
MWHA PHYSICIAN PROGRAMS5610004,333,124.
AFFILIATE CAPTIVE INSURANCE561000
6,834,032.6834032.
3,855,308.
OTHER OPERATING INCOME561000
206,124,580.
206,634,310.
-509,730.
83,643.
7,670.
75,973.
-433,757.-433,757.
549,788.
COLLECTION SERVICES561000317,996.
561000607,548.
12
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
if following SOP 98-2 (ASC 958-720)
232010 12-13-22
Total functional expenses.
Joint costs.
(A)(B)(C)(D)
1
2
3
4
5
6
7
8
9
10
11
a
b
c
d
e
f
g
12
13
14
15
16
17
18
19
20
21
22
23
24
a
b
c
d
e
25
26
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Grants and other assistance to domestic organizations
and domestic governments. See Part IV, line 21
Compensation not included above to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B)
Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)
Professional fundraising services. See Part IV, line 17
(If line 11g amount exceeds 10% of line 25,
column (A), amount, list line 11g expenses on Sch O.)
Other expenses. Itemize expenses not covered
above. (List miscellaneous expenses on line 24e. If
line 24e amount exceeds 10% of line 25, column (A),
amount, list line 24e expenses on Schedule O.)
Add lines 1 through 24e
Complete this line only if the organization
reported in column (B) joint costs from a combined
educational campaign and fundraising solicitation.
Check here
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part IX
Total expensesProgram service
expenses
Management and
general expenses
Fundraising
expenses
~
Grants and other assistance to domestic
individuals. See Part IV, line 22~~~~~~~
Grants and other assistance to foreign
organizations, foreign governments, and foreign
individuals. See Part IV, lines 15 and 16~~~
Benefits paid to or for members~~~~~~~
Compensation of current officers, directors,
trustees, and key employees~~~~~~~~
~~~
Other salaries and wages~~~~~~~~~~
Other employee benefits~~~~~~~~~~
Payroll taxes~~~~~~~~~~~~~~~~
Fees for services (nonemployees):
Management
Legal
Accounting
Lobbying
~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Investment management fees
Other.
~~~~~~~~
Advertising and promotion
Office expenses
Information technology
Royalties
~~~~~~~~~
~~~~~~~~~~~~~~~
~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Occupancy~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~
Travel
Payments of travel or entertainment expenses
for any federal, state, or local public officials
~
Conferences, conventions, and meetings~~
Interest
Payments to affiliates
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~
Depreciation, depletion, and amortization
Insurance
~~
~~~~~~~~~~~~~~~~~
All other expenses
Form(2022)
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
10
Statement of Functional Expenses
Part IX
990
215,016.
7,541,860.
51,894,033.
5,704,906.
4,255,567.
636,121.
887,147.
364,486.
16,083,291.
2,451,696.
3,730,793.
17,978,683.
3,580,445.
606,542.
160,347.
12,011,112.
3,599,757.
471,031.
244,240.
170,440.
132,982,096.
394,583.
215,016.
7,438,537.70,893.32,430.
51,183,085.487,804.223,144.
5,626,749.53,626.24,531.
4,197,266.40,002.18,299.
627,406.5,980.2,735.
874,993.8,339.3,815.
359,493.3,426.1,567.
389,177.3,709.1,697.
15,862,950.151,183.69,158.
2,418,108.23,046.10,542.
3,679,682.35,069.16,042.
17,732,375.169,000.77,308.
3,531,393.33,656.15,396.
598,233.5,701.2,608.
158,151.1,507.689.
11,846,560.112,904.51,648.
3,550,440.33,838.15,479.
464,578.4,428.2,025.
240,894.2,296.1,050.
168,105.1,602.733.
131,163,191.1,248,009.570,896.
MEDICAL & HOSPITAL EXPE
LICENSES & PERMITS
REPAIRS & MAINTENANCE
MARY WASHINGTON HEALTHCARE54-1240646
X
13
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232011 12-13-22
(A)(B)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
1
2
3
4
5
6
7
8
9
10c
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
a
b
10a
10b
Assets
Total assets.
Liabilities
Total liabilities.
Organizations that follow FASB ASC 958, check here
and complete lines 27, 28, 32, and 33.
27
28
Organizations that do not follow FASB ASC 958, check here
and complete lines 29 through 33.
29
30
31
32
33
Net Assets or Fund Balances
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part X
Beginning of yearEnd of year
Cash - non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~
Accounts receivable, net~~~~~~~~~~~~~~~~~~~~~~~~~~
Loans and other receivables from any current or former officer, director,
trustee, key employee, creator or founder, substantial contributor, or 35%
controlled entity or family member of any of these persons~~~~~~~~~
Loans and other receivables from other disqualified persons (as defined
under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)~~
Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
Land, buildings, and equipment: cost or other
basis. Complete Part VI of Schedule D
Less: accumulated depreciation
~~~
~~~~~~
Investments - publicly traded securities
Investments - other securities. See Part IV, line 11
Investments - program-related. See Part IV, line 11
Intangible assets
~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other assets. See Part IV, line 11~~~~~~~~~~~~~~~~~~~~~~
Add lines 1 through 15 (must equal line 33)
Accounts payable and accrued expenses
Grants payable
Deferred revenue
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Tax-exempt bond liabilities
Escrow or custodial account liability. Complete Part IV of Schedule D
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~
Loans and other payables to any current or former officer, director,
trustee, key employee, creator or founder, substantial contributor, or 35%
controlled entity or family member of any of these persons
~~~~~~~~~
Secured mortgages and notes payable to unrelated third parties~~~~~~
Unsecured notes and loans payable to unrelated third parties~~~~~~~~
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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines 17 through 25
Net assets without donor restrictions
Net assets with donor restrictions
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds
~~~~~~~~~~~~~~~
~~~~~~~~
~~~~
Total net assets or fund balances~~~~~~~~~~~~~~~~~~~~~~
Total liabilities and net assets/fund balances
Form(2022)
11
Balance Sheet
Part X
990
92,492,576.36,465,001.
59,705.21,055,555.
1,616,337.
10,252,970.11,973,168.
280,773,006.198,643,220.
151,906,704.
117,162,465.44,147,833.34,744,239.
690,208,407.548,892,209.
7,134,781.16,958,188.
103,843,149.31,090,444.
32,962,479.30,170,952.
32,972,886.27,180,849.
169,778,514.88,442,245.
X
500,811,500.441,526,576.
19,618,393.18,923,388.
520,429,893.460,449,964.
690,208,407.548,892,209.
54-1240646 MARY WASHINGTON HEALTHCARE
255,347,536.227,436,501.
14
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232012 12-13-22
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
YesNo
1
2
3
a
b
c
2a
2b
2c
a
b
3a
3b
Form 990 (2022)Page
Check if Schedule O contains a response or note to any line in this Part XI
Total revenue (must equal Part VIII, column (A), line 12)
Total expenses (must equal Part IX, column (A), line 25)
Revenue less expenses. Subtract line 2 from line 1
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A))
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses
Prior period adjustments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other changes in net assets or fund balances (explain on Schedule O)
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32,
column (B))
~~~~~~~~~~~~~~~~~~

Check if Schedule O contains a response or note to any line in this Part XII

Accounting method used to prepare the Form 990:CashAccrualOther
If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule O.
Were the organization's financial statements compiled or reviewed by an independent accountant?~~~~~~~~~~~~
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:
Separate basisConsolidated basisBoth consolidated and separate basis
Were the organization's financial statements audited by an independent accountant?~~~~~~~~~~~~~~~~~~~
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:
Separate basisConsolidated basisBoth consolidated and separate basis
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?~~~~~~~~~~~~~~~
If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the
Uniform Guidance, 2 C.F.R. Part 200, Subpart F?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit
or audits, explain why on Schedule O and describe any steps taken to undergo such audits
Form(2022)
12
Part XI
Reconciliation of Net Assets
Part XII
Financial Statements and Reporting
990
X
MARY WASHINGTON HEALTHCARE54-1240646
X
134,996,485.
132,982,096.
2,014,389.
520,429,893.
-9,734,643.
460,449,964.
X
-52,259,675.
X
X
X
X
X
X
15
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
(iv) Is the organization listed
in your governing document?
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
232021 12-09-22
(i)(iii)(v)(vi) (ii)
Name of supported
organization
Type of organization
(described on lines 1-10
above (see instructions))
Amount of monetary
support (see instructions)
Amount of other
support (see instructions)
EIN
(Form 990)
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public
Inspection
Name of the organizationEmployer identification number
1
2
3
4
5
6
7
8
9
10
11
12
section 170(b)(1)(A)(i).
section 170(b)(1)(A)(ii).
section 170(b)(1)(A)(iii).
section 170(b)(1)(A)(iii).
section 170(b)(1)(A)(iv).
section 170(b)(1)(A)(v).
section 170(b)(1)(A)(vi).
section 170(b)(1)(A)(vi).
section 170(b)(1)(A)(ix)
section 509(a)(2).
section 509(a)(4).
section 509(a)(1)section 509(a)(2)section 509(a)(3).
a
b
c
d
e
f
g
Type I.
You must complete Part IV, Sections A and B.
Type II.
You must complete Part IV, Sections A and C.
Type III functionally integrated.
You must complete Part IV, Sections A, D, and E.
Type III non-functionally integrated.
You must complete Part IV, Sections A and D, and Part V.
YesNo
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.Schedule A (Form 990) 2022
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
A church, convention of churches, or association of churches described in
A school described in (Attach Schedule E (Form 990).)
A hospital or a cooperative hospital service organization described in
A medical research organization operated in conjunction with a hospital described in Enter the hospital's name,
city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
(Complete Part II.)
A federal, state, or local government or governmental unit described in
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
(Complete Part II.)
A community trust described in (Complete Part II.)
An agricultural research organization described in operated in conjunction with a land-grant college
or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or
university:
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from
activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% 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 (Complete Part III.)
An organization organized and operated exclusively to test for public safety. See
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
more publicly supported organizations described in or . See Check the box on
lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization.
A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s).
A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions).
A supporting organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions).
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III
functionally integrated, or Type III non-functionally integrated supporting organization.
Enter the number of supported organizations~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Provide the following information about the supported organization(s).
LHA
SCHEDULE A
Part IReason for Public Charity Status.
Public Charity Status and Public Support
2022
X
0.
X 54-0519577
13-4316364X
X
HOSPITAL, INC.
MARY WASHINGTON
LLC
STAFFORD HOSPITAL,
3
3
0.
0.
0.
54-1240646 MARY WASHINGTON HEALTHCARE
2
Subtract line 5 from line 4.
232022 12-09-22
Calendar year (or fiscal year beginning in)
Calendar year (or fiscal year beginning in)
2
(a) (b) (c) (d) (e) (f)
1
2
3
4
5
Total.
6
Public support.
(a) (b) (c) (d) (e) (f)
7
8
9
10
11
12
13
Total support.
12
First 5 years.
stop here
14
15
14
15
16
17
18
a
b
a
b
33 1/3% support test - 2022.
stop here.
33 1/3% support test - 2021.
stop here.
10% -facts-and-circumstances test - 2022.
stop here.
10% -facts-and-circumstances test - 2021.
stop here.
Private foundation.
Schedule A (Form 990) 2022
Add lines 7 through 10
Schedule A (Form 990) 2022Page
(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.)
20182019202020212022Total
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.")
~~
Tax revenues levied for the organ-
ization's benefit and either paid to
or expended on its behalf
~~~~
The value of services or facilities
furnished by a governmental unit to
the organization without charge
~
Add lines 1 through 3~~~
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)
~~~~~~~~~~~~
20182019202020212022Total
Amounts from line 4~~~~~~~
Gross income from interest,
dividends, payments received on
securities loans, rents, royalties,
and income from similar sources~
Net income from unrelated business
activities, whether or not the
business is regularly carried on~
Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part VI.)~~~~
Gross receipts from related activities, etc. (see instructions)~~~~~~~~~~~~~~~~~~~~~~~
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and

~~~~~~~~~~~
Public support percentage for 2022 (line 6, column (f), divided by line 11, column (f))
Public support percentage from 2021 Schedule A, Part II, line 14
%
% ~~~~~~~~~~~~~~~~~~~~~
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and
The organization qualifies as a publicly supported organization~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box
and The organization qualifies as a publicly supported organization~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,
and if the organization meets the facts-and-circumstances test, check this box and Explain in Part VI how the organization
meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization~~~~~~~~~~~~~~~~~
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or
more, and if the organization meets the facts-and-circumstances test, check this box and Explain in Part VI how the
organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization~~~~~~~~~~~
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions
Part IISupport Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Section A. Public Support
Section B. Total Support
Section C. Computation of Public Support Percentage
MARY WASHINGTON HEALTHCARE54-1240646
17
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
MARY WASHINGTON HEALTHCARE54-1240646
18
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232024 12-09-22
4
YesNo
1
2
3
4
5
6
7
8
9
10
Part VI
1
2
3a
3b
3c
4a
4b
4c
5a
5b
5c
6
7
8
9a
9b
9c
10a
10b
Part VI
a
b
c
a
b
c
a
b
c
a
b
c
a
b
Part VI
Part VI
Part VI
Part VI
Part VI,
Type I or Type II only.
Substitutions only.
Part VI.
Part VI.
Part VI.
Part VI.
Schedule A (Form 990) 2022
If "No," describe in how the supported organizations are designated. If designated by
class or purpose, describe the designation. If historic and continuing relationship, explain.
If "Yes," explain in how the organization determined that the supported
organization was described in section 509(a)(1) or (2).
If "Yes," answer
lines 3b and 3c below.
If "Yes," describe in when and how the
organization made the determination.
If "Yes," explain in what controls the organization put in place to ensure such use.
If
"Yes," and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
If "Yes," describe in how the organization had such control and discretion
despite being controlled or supervised by or in connection with its supported organizations.
If "Yes," explain in what controls the organization used
to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)
purposes.
If "Yes,"
answer lines 5b and 5c below (if applicable). Also, provide detail in including (i) the names and EIN
numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;
(iii)the authority under the organization's organizing document authorizing such action; and (iv) how the action
was accomplished (such as by amendment to the organizing document).
If "Yes," provide detail in
If "Yes," complete Part I of Schedule L (Form 990).
If "Yes," complete Part I of Schedule L (Form 990).
If "Yes," provide detail in
If "Yes," provide detail in
If "Yes," provide detail in
If "Yes," answer line 10b below.
(Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.)
Schedule A (Form 990) 2022Page
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A
and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete
Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.)
Are all of the organization's supported organizations listed by name in the organization's governing
documents?
Did the organization have any supported organization that does not have an IRS determination of status
under section 509(a)(1) or (2)?
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)?
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)?
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)
purposes?
Was any supported organization not organized in the United States ("foreign supported organization")?
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization?
Did the organization support any foreign supported organization that does not have an IRS determination
under sections 501(c)(3) and 509(a)(1) or (2)?
Did the organization add, substitute, or remove any supported organizations during the tax year?
Was any added or substituted supported organization part of a class already
designated in the organization's organizing document?
Was the substitution the result of an event beyond the organization's control?
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class
benefited by one or more of its supported organizations, or (iii) other supporting organizations that also
support or benefit one or more of the filing organization's supported organizations?
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
(as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with
regard to a substantial contributor?
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7?
Was the organization controlled directly or indirectly at any time during the tax year by one or more
disqualified persons, as defined in section 4946 (other than foundation managers and organizations described
in section 509(a)(1) or (2))?
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which
the supporting organization had an interest?
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest?
Was the organization subject to the excess business holdings rules of section 4943 because of section
4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated
supporting organizations)?
Did the organization have any excess business holdings in the tax year?
Part IV
Supporting Organizations
Section A. All Supporting Organizations
X
X
X
X
X
X
X
X
X
X
X
X
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5
YesNo
11
a
b
c
11a
11b
11c Part VI.
YesNo
1
2
Part VI
1
2
Part VI
YesNo
1
Part VI
1
YesNo
1
2
3
1
2
3
Part VI
Part VI
1
2
3
(see instructions).
a
b
c
line 2
line 3
Part VI
Answer lines 2a and 2b below.YesNo
a
b
a
b
Part VI identify
those supported organizations and explain
2a
2b
3a
3b
Part VI
Answer lines 3a and 3b below.
Part VI.
Part VI
Schedule A (Form 990) 2022
If "Yes" to line 11a, 11b, or 11c, provide
detail in
If "No," describe in how the supported organization(s)
effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported
organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the
supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
If "Yes," explain in
how providing such benefit carried out the purposes of the supported organization(s) that operated,
supervised, or controlled the supporting organization.
If "No," describe inhow control
or management of the supporting organization was vested in the same persons that controlled or managed
the supported organization(s).
If "No," explain in how
the organization maintained a close and continuous working relationship with the supported organization(s).
If "Yes," describe in the role the organization's
supported organizations played in this regard.
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year
Complete below.
Completebelow.
Describe in how you supported a governmental entity (see instructions).
If "Yes," then in
how these activities directly furthered their exempt purposes,
how the organization was responsive to those supported organizations, and how the organization determined
that these activities constituted substantially all of its activities.
If "Yes," explain in
the reasons for the organization's position that its supported organization(s) would have engaged in
these activities but for the organization's involvement.
If "Yes" or "No" provide details in
If "Yes," describe inthe role played by the organization in this regard.
Schedule A (Form 990) 2022Page
Has the organization accepted a gift or contribution from any of the following persons?
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and
11c below, the governing body of a supported organization?
A family member of a person described on line 11a above?
A 35% controlled entity of a person described on line 11a or 11b above?
Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or
more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers,
directors, or trustees at all times during the tax year?
Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization?
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors
or trustees of each of the organization's supported organization(s)?
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax
year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
organization's governing documents in effect on the date of notification, to the extent not previously provided?
Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported
organization(s) or (ii) serving on the governing body of a supported organization?
By reason of the relationship described on line 2, above, did the organization's supported organizations have a
significant voice in the organization's investment policies and in directing the use of the organization's
income or assets at all times during the tax year?
The organization satisfied the Activities Test.
The organization is the parent of each of its supported organizations.
The organization supported a governmental entity.
Activities Test.
Did substantially all of the organization's activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive?
Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement,
one or more of the organization's supported organization(s) would have been engaged in?
Parent of Supported Organizations.
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or
trustees of each of the supported organizations?
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each
of its supported organizations?
(continued)
Part IVSupporting Organizations
Section B. Type I Supporting Organizations
Section C. Type II Supporting Organizations
Section D. All Type III Supporting Organizations
Section E. Type III Functionally Integrated Supporting Organizations
X
X
X
X
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6
1Part VISee instructions.
Section A - Adjusted Net Income
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8 Adjusted Net Income
Section B - Minimum Asset Amount
1
2
3
4
5
6
7
8
a
b
c
d
e
1a
1b
1c
1d
2
3
4
5
6
7
8
Total
Discount
Part VI
Minimum Asset Amount
Section C - Distributable Amount
1
2
3
4
5
6
7
1
2
3
4
5
6
Distributable Amount.
Schedule A (Form 990) 2022
explain in
explain in detail in
Schedule A (Form 990) 2022Page
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ().
All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
(B)Current Year
(optional)
(A)Prior Year
Net short-term capital gain
Recoveries of prior-year distributions
Other gross income (see instructions)
Add lines 1 through 3.
Depreciation and depletion
Portion of operating expenses paid or incurred for production or
collection of gross income or for management, conservation, or
maintenance of property held for production of income (see instructions)
Other expenses (see instructions)
(subtract lines 5, 6, and 7 from line 4)
(B)Current Year
(optional)
(A)Prior Year
Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year):
Average monthly value of securities
Average monthly cash balances
Fair market value of other non-exempt-use assets
(add lines 1a, 1b, and 1c)
claimed for blockage or other factors
( ):
Acquisition indebtedness applicable to non-exempt-use assets
Subtract line 2 from line 1d.
Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount,
see instructions).
Net value of non-exempt-use assets (subtract line 4 from line 3)
Multiply line 5 by 0.035.
Recoveries of prior-year distributions
(add line 7 to line 6)
Current Year
Adjusted net income for prior year (from Section A, line 8, column A)
Enter 0.85 of line 1.
Minimum asset amount for prior year (from Section B, line 8, column A)
Enter greater of line 2 or line 3.
Income tax imposed in prior year
Subtract line 5 from line 4, unless subject to
emergency temporary reduction (see instructions).
Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see
instructions).
Part VType III Non-Functionally Integrated 509(a)(3) Supporting Organizations
MARY WASHINGTON HEALTHCARE54-1240646
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7
Section D - DistributionsCurrent Year
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Part VI
Part VI
Total annual distributions.
Part VI
(i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
Section E - Distribution Allocations
1
2
3
4
5
6
7
8
Part VI
a
b
c
d
e
f
g
h
i
j
Total
a
b
c
Part VI.
Part VI
Excess distributions carryover to 2023.
a
b
c
d
e
Schedule A (Form 990) 2022
provide details in
describe in
provide details in
explain in
explain in
explain in
Schedule A (Form 990) 2022Page
Amounts paid to supported organizations to accomplish exempt purposes
Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity
Administrative expenses paid to accomplish exempt purposes of supported organizations
Amounts paid to acquire exempt-use assets
Qualified set-aside amounts (prior IRS approval required - )
Other distributions ( ). See instructions.
Add lines 1 through 6.
Distributions to attentive supported organizations to which the organization is responsive
( ). See instructions.
Distributable amount for 2022 from Section C, line 6
Line 8 amount divided by line 9 amount
(see instructions)
Distributable amount for 2022 from Section C, line 6
Underdistributions, if any, for years prior to 2022 (reason-
able cause required - ). See instructions.
Excess distributions carryover, if any, to 2022
From 2017
From 2018
From 2019
From 2020
From 2021
of lines 3a through 3e
Applied to underdistributions of prior years
Applied to 2022 distributable amount
Carryover from 2017 not applied (see instructions)
Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
Distributions for 2022 from Section D,
line 7:$
Applied to underdistributions of prior years
Applied to 2022 distributable amount
Remainder. Subtract lines 4a and 4b from line 4.
Remaining underdistributions for years prior to 2022, if
any. Subtract lines 3g and 4a from line 2. For result greater
than zero, See instructions.
Remaining underdistributions for 2022. Subtract lines 3h
and 4b from line 1. For result greater than zero,
. See instructions.
Add lines 3j
and 4c.
Breakdown of line 7:
Excess from 2018
Excess from 2019
Excess from 2020
Excess from 2021
Excess from 2022
(continued)
Part VType III Non-Functionally Integrated 509(a)(3) Supporting Organizations
MARY WASHINGTON HEALTHCARE54-1240646
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8
Schedule A (Form 990) 2022
Schedule A (Form 990) 2022Page
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C,
line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V,
Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information.
(See instructions.)
Part VI
Supplemental Information.
SUPPORTED ORGANIZATION, MARY WASHINGTON HOSPITAL, INC. IS LISTED BY
NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS.
SUPPORTED ORGANIZATION, STAFFORD HOSPITAL, LLC, IS CLASSIFIED AS
501(C)(3) AND IS DESIGNATED BY ITS PURPOSE ALIGNED WITH THAT OF MARY
WASHINGTON HEALTHCARE TO ESTABLISH, MAINTAIN AND OPERATE, DIRECTLY OR
INDIRECTLY, FACILITIES AND SERVICES PROVIDING HEALTH CARE FOR SICK,
INJURED, DISABLED OR AGED PERSONS AND PROVIDING FOR THE PRESERVATION OF
HEALTH AS THE BOARD OF TRUSTEES MAY DETERMINE FROM TIME TO TIME TO BE
APPROPRIATE, INCLUDING, WITHOUT LIMITATION, HOSPITALS, AMBULATORY CARE
SERVICES, NURSING CARE FACILITIES AND AGENCIES OR FACILITIES PROVIDING
CARE FOR THE PERSONS IN THEIR HOMES . STAFFORD HOSPITAL, LLC IS
ORGANIZED EXCLUSIVELY FOR OTHER CHARITABLE, SCIENTIFIC, EDUCATIONAL AND
SCIENTIFIC PURPOSES. MORE SPECIFICALLY DEFINED AS FOLLOWS:
TO ESTABLISH, OWN, MANAGE, MAINTAIN AND OPERATE ACUTE CARE HOSPITALS
AND OTHER HEALTHCARE INSTITUTIONS AND SERVICES;
TO PROMOTE HEALTH THROUGH PARTICIPATION IN INTEGRATED PATIENT CARE
MANAGEMENT SYSTEMS THAT OFFER ACCESS TO A COMPLETE SPECTRUM OF HEALTH
SERVICES, FROM PREVENTION AND TREATMENT TO EMERGENT, ACUTE, CHRONIC AND
LONG-TERM CARE;
TO CARRY ON MEDICAL AND SCIENTIFIC RESEARCH RELATED TO THE CARE OF
THE SICK AND INJURED;
TO CARRY ON EDUCATIONAL OR TRAINING ACTIVITIES RELATED TO THE CARE
AND PREVENTION OF SICKNESS, INJURY AND DISEASE OR THE PROMOTION OF
HEALTH;
TO PARTICIPATE, AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY
MARY WASHINGTON HEALTHCARE
PART IV, LINE 1
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8
Schedule A (Form 990) 2022
Schedule A (Form 990) 2022Page
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C,
line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V,
Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information.
(See instructions.)
Part VI
Supplemental Information.
COMMUNITY;
TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY CONSISTENT WITH AND AS
LIMITED BY SECTION 501(C)(3) OF THE CODE; AND
TO CONDUCT ANY OR ALL LAWFUL AFFAIRS THAT DO NOT CONFLICT WITH THE
ABOVE PURPOSES BUT ARE OTHERWISE CONFERRED UPON LIMITED LIABILITY
COMPANIES BY THE VIRGINIA LIMITED LIABILITY COMPANY ACT OR ITS
SUCCESSOR.
MARY WASHINGTON HEALTHCARE
DESIGNED AND CARRIED OUT TO PROMOTE THE GENERAL HEALTH OF THE
54-1240646
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Department of the Treasury
Internal Revenue Service
232041 11-08-22
OMB No. 1545-0047
(Form 990)
For Organizations Exempt From Income Tax Under section 501(c) and section 527
Open to Public
Inspection
Complete if the organization is described below. Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
If the organization answered "Yes," on Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
If the organization answered "Yes," on Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
If the organization answered "Yes," on Form 990, Part IV, line 5 (Proxy Tax) (See separate instructions) or Form 990-EZ, Part V, line 35c (Proxy
Tax) (See separate instructions), then
Employer identification number
1
2
3
1
2
3
4
YesNo
a
b
YesNo
1
2
3
4
5
Form 1120-POL YesNo
(a) (b) (c) (d) (e)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule C (Form 990) 2022
¥Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
¥Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
¥Section 527 organizations: Complete Part I-A only.
¥Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
¥Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
¥Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of organization
Provide a description of the organization's direct and indirect political campaign activities in Part IV.
Political campaign activity expenditures
Volunteer hours for political campaign activities
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~$
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Enter the amount of any excise tax incurred by the organization under section 4955
Enter the amount of any excise tax incurred by organization managers under section 4955
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
~~~~~~~~~~~~~~$
~~~~~~~~~~~$
~~~~~~~~~~~~~~~~~~~
Was a correction made?
If "Yes," describe in Part IV.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Enter the amount directly expended by the filing organization for section 527 exempt function activities
Enter the amount of the filing organization's funds contributed to other organizations for section 527
exempt function activities
~~~~~$
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~$
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,
line 17b
Did the filing organization file for this year?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~$
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization
made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of political
contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a
political action committee (PAC). If additional space is needed, provide information in Part IV.
NameAddressEINAmount paid from
filing organization's
funds. If none, enter -0-.
Amount of political
contributions received and
promptly and directly
delivered to a separate
political organization.
If none, enter -0-.
LHA
SCHEDULE C
Part I-AComplete if the organization is exempt under section 501(c) or is a section 527 organization.
Complete if the organization is exempt under section 501(c)(3).
Part I-B
Part I-CComplete if the organization is exempt under section 501(c), except section 501(c)(3).
Political Campaign and Lobbying Activities
2022
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If the amount on line 1e, column (a) or (b) is:
2
A
B
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) (b)
1a
b
c
d
e
f
The lobbying nontaxable amount is:
g
h
i
j
YesNo
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
(a) (b) (c) (d) (e)
2a
b
c
d
e
f
Schedule C (Form 990) 2022
Schedule C (Form 990) 2022Page
Checkif the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,
expenses, and share of excess lobbying expenditures).
Checkif the filing organization checked box A and "limited control" provisions apply.
Filing
organization's
totals
Affiliated group
totals
Total lobbying expenditures to influence public opinion (grassroots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
~~~~~~~~~~
~~~~~~~~~~~
Total lobbying expenditures (add lines 1a and 1b)
Other exempt purpose expenditures
~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Total exempt purpose expenditures (add lines 1c and 1d)
Lobbying nontaxable amount. Enter the amount from the following table in both columns.
~~~~~~~~~~~~~~~~~~~~
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
20% of the amount on line 1e.
$100,000 plus 15% of the excess over $500,000.
$175,000 plus 10% of the excess over $1,000,000.
$225,000 plus 5% of the excess over $1,500,000.
$1,000,000.
Grassroots nontaxable amount (enter 25% of line 1f)
Subtract line 1g from line 1a. If zero or less, enter -0-
Subtract line 1f from line 1c. If zero or less, enter -0-
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~
If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720
reporting section 4911 tax for this year?
Calendar year
(or fiscal year beginning in)
2019202020212022Total
Lobbying nontaxable amount
Lobbying ceiling amount
(150% of line 2a, column(e))
Total lobbying expenditures
Grassroots nontaxable amount
Grassroots ceiling amount
(150% of line 2d, column (e))
Grassroots lobbying expenditures
Part II-AComplete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under
section 501(h)).
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3
(a)(b)
YesNo
Amount
1
a
b
c
d
e
f
g
h
i
j
a
b
c
d
2
YesNo
1
2
3
1
2
3
1
2
3
4
5
(do not include amounts of political
expenses for which the section 527(f) tax was paid).
1
2a
2b
2c
3
4
5
a
b
c
Schedule C (Form 990) 2022
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description
of the lobbying activity.
Schedule C (Form 990) 2022Page
During the year, did the filing organization attempt to influence foreign, national, state, or
local legislation, including any attempt to influence public opinion on a legislative matter
or referendum, through the use of:
Volunteers?
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?
Media advertisements?
Mailings to members, legislators, or the public?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
Publications, or published or broadcast statements?
Grants to other organizations for lobbying purposes?
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
Direct contact with legislators, their staffs, government officials, or a legislative body?
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?
Other activities?
~~~~~~
~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Total. Add lines 1c through 1i
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
If "Yes," enter the amount of any tax incurred under section 4912
If "Yes," enter the amount of any tax incurred by organization managers under section 4912
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~
~~~~~~~~~~~~~~~~
~~~

Were substantially all (90% or more) dues received nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Did the organization agree to carry over lobbying and political campaign activity expenditures from the prior year?
~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~
Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Current year
Carryover from last year
Total
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess
does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political
expenditures next year?
~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Taxable amount of lobbying and political expenditures. See instructions

Provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (See
instructions); and Part II-B, line 1. Also, complete this part for any additional information.
Part II-BComplete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768
(election under section 501(h)).
Part III-AComplete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6).
Part III-BComplete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is
answered "Yes."
Part IVSupplemental Information
PART II-B
LOBBYING EXPENDITURES INCLUDE BOTH DIRECT AND INDIRECT EXPENDITURES.
MWHC HAS A COST CODE SPECIFICALLY FOR LOBBYING EXPENDITURES. ALL
AMOUNTS FROM THAT COST CODE ARE INCLUDED IN THIS SECTION. IN ADDITION,
AN ALLOCABLE SHARE OF SALARIES OF THE ORGANIZATION'S ASSOCIATES ENGAGED
0.
0.
X
X
X
X
X
X
X
X
X
X
PART II-B, LINE 1, LOBBYING ACTIVITIES:
MARY WASHINGTON HEALTHCARE54-1240646
27
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232044 11-08-22
4
Schedule C (Form 990) 2022
(continued)
Schedule C (Form 990) 2022Page
Supplemental Information
Part IV
IN THE ACTIVITY ARE ALSO INCLUDED.
MARY WASHINGTON HEALTHCARE54-1240646
28
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Department of the Treasury
Internal Revenue Service
232051 09-01-22
OMB No. 1545-0047
Held at the End of the Tax Year
Complete if the organization answered "Yes" on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
(Form 990)
Open to Public
Inspection
Name of the organizationEmployer identification number
(a) (b)
1
2
3
4
5
6
YesNo
YesNo
1
2
3
4
5
6
7
8
9
a
b
c
d
2a
2b
2c
2d
YesNo
YesNo
1
2
a
b
(i)
(ii)
a
b
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Schedule D (Form 990) 2022
Complete if the
organization answered "Yes" on Form 990, Part IV, line 6.
Donor advised fundsFunds and other accounts
Total number at end of year
Aggregate value of contributions to (during year)
Aggregate value of grants from (during year)
Aggregate value at end of year
~~~~~~~~~~~~~~~
~~~~
~~~~~~
~~~~~~~~~~~~~
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds
are the organization's property, subject to the organization's exclusive legal control?~~~~~~~~~~~~~~~~~~
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?

Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (for example, recreation or education)
Protection of natural habitat
Preservation of open space
Preservation of a historically important land area
Preservation of a certified historic structure
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.
Total number of conservation easements
Total acreage restricted by conservation easements
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Number of conservation easements on a certified historic structure included in (a)
Number of conservation easements included in (c) acquired after July 25,2006, and not on a
historic structure listed in the National Register
~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax
year
Number of states where property subject to conservation easement is located
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds?~~~~~~~~~~~~~~~~~~~~~~~~~
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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)?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
If the organization elected, as permitted under FASB 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.
If the organization elected, as permitted under FASB 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:
Revenue included on Form 990, Part VIII, line 1
Assets included in Form 990, Part X
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~$
$ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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 FASB ASC 958 relating to these items:
Revenue included on Form 990, Part VIII, line 1
Assets included in Form 990, Part X
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~$
$ 
LHA
Part IOrganizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Part IIConservation Easements.
Part IIIOrganizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
SCHEDULE D
Supplemental Financial Statements
2022
MARY WASHINGTON HEALTHCARE54-1240646
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09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232052 09-01-22
3
4
5
a
b
c
d
e
YesNo
1
2
a
b
c
d
e
f
a
b
YesNo
1c
1d
1e
1f
YesNo
(a) (b) (c) (d) (e)
1
2
3
4
a
b
c
d
e
f
g
a
b
c
a
b
YesNo
(i)
(ii)
3a(i)
3a(ii)
3b
(a) (b) (c) (d)
1a
b
c
d
e
Total.
Schedule D (Form 990) 2022
(continued)
(Column (d) must equal Form 990, Part X, column (B), line 10c.)
Two years backThree years backFour years back
Schedule D (Form 990) 2022Page
Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its
collection items (check all that apply):
Public exhibition
Scholarly research
Preservation for future generations
Loan or exchange program
Other
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
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?
Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or
reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included
on Form 990, Part X?
If "Yes," explain the arrangement in Part XIII and complete the following table:
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Amount
Beginning balance
Additions during the year
Distributions during the year
Ending balance
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII
~~~~~

Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
Current yearPrior year
Beginning of year balance
Contributions
Net investment earnings, gains, and losses
Grants or scholarships
~~~~~~~
~~~~~~~~~~~~~~
~~~~~~~~~
Other expenditures for facilities
and programs
Administrative expenses
End of year balance
~~~~~~~~~~~~~
~~~~~~~~
~~~~~~~~~~
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
Board designated or quasi-endowment
Permanent endowment
Term endowment
The percentages on lines 2a, 2b, and 2c should equal 100%.
%
%
%
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
Unrelated organizations
Related organizations
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?
Describe in Part XIII the intended uses of the organization's endowment funds.
~~~~~~~~~~~~~~~~~~~~
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of propertyCost or other
basis (investment)
Cost or other
basis (other)
Accumulated
depreciation
Book value
Land
Buildings
Leasehold improvements
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~
Equipment
Other
~~~~~~~~~~~~~~~~~

Add lines 1a through 1e.

2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets
Part IV
Escrow and Custodial Arrangements.
Part VEndowment Funds.
Part VILand, Buildings, and Equipment.
2,043,702.
3,268,819.
140,572,250.
6,021,933.
660,522.
1,895,742.
113,295,294.
1,310,907.
1,383,180.
1,373,077.
27,276,956.
4,711,026.
34,744,239.
MARY WASHINGTON HEALTHCARE54-1240646
30
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
(including name of security)
232053 09-01-22
Total.
Total.
(a) (b) (c)
(1)
(2)
(3)
(a) (b) (c)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(a) (b)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total.
(a) (b)
1.
Total.
2.
Schedule D (Form 990) 2022
(Column (b) must equal Form 990, Part X, col. (B) line 15.)
(Column (b) must equal Form 990, Part X, col. (B) line 25.)
Description of security or category
(Col. (b) must equal Form 990, Part X, col. (B) line 12.)
(Col. (b) must equal Form 990, Part X, col. (B) line 13.)
Schedule D (Form 990) 2022Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
Book valueMethod of valuation: Cost or end-of-year market value
Financial derivatives
Closely held equity interests
Other
~~~~~~~~~~~~~~~
~~~~~~~~~~~
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
Description of investmentBook valueMethod of valuation: Cost or end-of-year market value
Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
DescriptionBook value

Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
Description of liabilityBook value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Federal income taxes

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 FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII
3
Part VIIInvestments - Other Securities.
Part VIIIInvestments - Program Related.
Part IXOther Assets.
Part XOther Liabilities.
INVEST IN SUB-MWH
INVEST IN SUB-SHC
INVEST IN SUB-MPI
INVEST IN SUB-MSI
INVEST IN SUB-REX
INVEST IN MCS
INVEST IN SUB-MWHP
MARY WASHINGTON HEALTHCARE
IBNR
PENSION LIABILITY
200,000.
153,454,219.
-20,446,242.
70,340,133.
-7,185,988.
9,123,282.
8,774,295.
13,176,802.
54-1240646
227,436,501.
4,447,813.
22,733,036.
27,180,849.
COST
COST
COST
COST
COST
COST
COST
COST
INVEST-VHA, INC.
X
31
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232054 09-01-22
1
2
3
4
5
1
a
b
c
d
e
2a
2b
2c
2d
2a 2d2e
3 2e 1
a
b
c
4a
4b
4a 4b
3 4c.
4c
5
1
2
3
4
5
1
a
b
c
d
e
2a
2b
2c
2d
2a 2d
2e 1
2e
3
a
b
c
4a
4b
4a 4b
3 4c.
4c
5
Schedule D (Form 990) 2022
(This must equal Form 990, Part I, line 12.)
(This must equal Form 990, Part I, line 18.)
Schedule D (Form 990) 2022Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total revenue, gains, and other support per audited financial statements
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
~~~~~~~~~~~~~~~~~~~
Net unrealized gains (losses) on investments
Donated services and use of facilities
Recoveries of prior year grants
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Subtract line from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Amounts included on Form 990, Part VIII, line 12, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII.)
~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines and
Total revenue. Add lines and
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements
Amounts included on line 1 but not on Form 990, Part IX, line 25:
~~~~~~~~~~~~~~~~~~~~~~~~~~
Donated services and use of facilities
Prior year adjustments
Other losses
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines through
Subtract line from line
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Amounts included on Form 990, Part IX, line 25, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII.)
~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~
Add lines and
Total expenses. Add lines and
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, 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.
4
Part XIReconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Part XIIReconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Part XIIISupplemental Information.
MWHC WAS RECOGNIZED AS A PUBLIC CHARITY GENERALLY EXEMPT FROM FEDERAL
INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE PURSUANT TO A
DETERMINATION LETTER ISSUED BY THE IRS IN MARCH 1992. MWHC IS ENTITLED TO
RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN
ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED
THAT THERE HAVE BEEN NO SUCH CHANGES AND, THEREFORE, MWHC'S STATUS AS A
PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE
PART X, LINE 2:
MARY WASHINGTON HEALTHCARE54-1240646
STATE IN WHICH MWHC OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE
INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME
TAXATION.
32
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232055 09-01-22
5
Schedule D (Form 990) 2022
(continued)
Schedule D (Form 990) 2022Page
Part XIIISupplemental Information
HOWEVER, MWHC IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT
CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER
STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY
DETERMINED. CERTAIN ENTITIES UNDER MWHC ARE TAXABLE ENTITIES.
MWHC HAD NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES, OR SUCH AMOUNTS WERE
IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO
WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS
REQUIRED. TAX PERIODS FOR WHICH NO RETURN IS FILED REMAIN OPEN FOR
EXAMINATION INDEFINITELY. GENERALLY, TAX RETURNS FOR THE YEARS ENDED
DECEMBER 31, 2019, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL
AND STATE TAX AUTHORITIES. ALL REQUIRED TAX FILINGS HAVE BEEN FILED ON A
TIMELY BASIS.
MARY WASHINGTON HEALTHCARE54-1240646
33
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
232101 10-31-22
SCHEDULE I
(Form 990)
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Go to www.irs.gov/Form990 for the latest information.
Open to Public
Inspection
Employer identification number
Part I
General Information on Grants and Assistance
1
2
YesNo
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments.
(f)
1 (a) (b) (c) (d) (e) (g) (h)
2
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) 2022
Name of the organization
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?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Complete if the organization answered "Yes" on 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.
Method of
valuation (book,
FMV, appraisal,
other)
Name and address of organization
or government
EINIRC section
(if applicable)
Amount of
cash grant
Amount of
noncash
assistance
Description of
noncash assistance
Purpose of grant
or assistance
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table
Enter total number of other organizations listed in the line 1 table
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

LHA
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
2022
MARY WASHINGTON HEALTHCARE
RAPPAHANNOCK UNITED WAY
GERMANNA COMMUNITY COLLEGE
GENERAL SUPPORT
54-6042936
54-1268292
37-2006304
54-1639924
54-1468675
82-3357593
GENERAL SUPPORT
GENERAL SUPPORT
501(C)(3)
501(C)(3)
501(C)(3)
501(C)(3)
501(C)(3)
CORP
EVENT SPONSORSHIP
GENERAL SUPPORT
52,490.
27,500.
12,500.
10,000.
7,500.
6,200.
0.
0.
0.
0.
0.
0.
ENRICHMENT
EDUCATION FOUNDATION, INC. - 2130
FREDERICKSBURG SYMPHONY ORCHESTRA
VA HEALTH CARE FOUNDATION
MARINE CORPS MARATHON
THE LODGE AT MOSS NECK
6.
1.
X
3310 SHANNON PARK DR
GERMANNA HWY - LOCUST GROVE, VA
PO BOX 1460
707 EAST MAINE STREET, SUITE 1350
3399 RUSSELL ROAD
19248 TIDEWATER TRAIL
54-1240646
FREDERICKSBURG, VA 22408
22508
FREDERICKSBURG, VA 22402
RICHMOND, VA 23219
QUANTICO, VA 22134
FREDERICKSBURG, VA 22408
34
232241
04-01-22
Part IIContinuation of Grants and Other Assistance to Domestic Organizations and Domestic Governments
(a)(b)(c)(d)(e)(f)(g)(h)
Schedule I (Form 990)
Schedule I (Form 990)Page 1
(Schedule I (Form 990), Part II.)
Name and address of
organization or government
EIN IRC section
if applicable
Amount of
cash grant
Amount of
noncash
assistance
Method of
valuation
(book, FMV,
appraisal, other)
Description of
non-cash assistance
Purpose of grant
or assistance
MARY WASHINGTON HEALTHCARE
VA EARLY CHILDHOOD FOUNDATION
1703 NORTH PARHAM RD STE 110
RICHMOND, VA 2322920-3970624501(C)(3)5,500.0.GENERAL SUPPORT
54-1240646
35
232102 10-31-22
2
Grants and Other Assistance to Domestic Individuals.
Part III
(e)
(a) (b) (c) (d) (f)
Part IVSupplemental Information.
Schedule I (Form 990) 2022
Schedule I (Form 990) 2022Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
Method of valuation
(book, FMV, appraisal, other)
Type of grant or assistanceNumber of
recipients
Amount of
cash grant
Amount of non-
cash assistance
Description of noncash assistance
Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
MARY WASHINGTON HEALTHCARE54-1240646
36
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
232111 10-18-22
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Open to Public
Inspection
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number
YesNo
1a
b
1b
2
2
3
4
a
b
c
4a
4b
4c
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
5a
5b
6a
6b
7
8
9
a
b
6
a
b
7
8
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Schedule J (Form 990) 2022
Name of the organization
Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990,
Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Travel for companions
Housing allowance or residence for personal use
Payments for business use of personal residence
Tax indemnification and gross-up payments
Discretionary spending account
Health or social club dues or initiation fees
Personal services (such as maid, chauffeur, chef)
If any of the boxes on 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~~~~~~~~~~~
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,
trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a?~~~~~~~~~~~~
Indicate which, if any, of the following the 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.
Compensation committee
Independent compensation consultant
Form 990 of other organizations
Written employment contract
Compensation survey or study
Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing
organization or a related organization:
Receive a severance payment or change-of-control payment?
Participate in or receive payment from a supplemental nonqualified retirement plan?
Participate in or receive payment from an equity-based compensation arrangement?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation
contingent on the revenues of:
The organization?
Any related organization?
If "Yes" on line 5a or 5b, describe in Part III.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation
contingent on the net earnings of:
The organization?
Any related organization?
If "Yes" on line 6a or 6b, describe in Part III.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments
not described on lines 5 and 6? If "Yes," describe in Part III
Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the
initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in
Regulations section 53.4958-6(c)?
LHA
SCHEDULE J
(Form 990)
Part IQuestions Regarding Compensation
Compensation Information
2022
54-1240646
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
MARY WASHINGTON HEALTHCARE
37
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232112 10-18-22
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Note:
(B) (C) (D) (E) (F)
(A) (i) (ii) (iii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
Schedule J (Form 990) 2022
Schedule J (Form 990) 2022Page
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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 aren't listed on Form 990, Part VII.
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.
Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC
compensation
Retirement and
other deferred
compensation
Nontaxable
benefits
Total of columns
(B)(i)-(D)
Compensation
in column (B)
reported as deferred
on prior Form 990
Name and TitleBase
compensation
Bonus &
incentive
compensation
Other
reportable
compensation
MARY WASHINGTON HEALTHCARE
1,153,631.614,240.39,902.9,150.33,406.1,850,329.0.
PRESIDENT AND CEO0.0.0.0.0.0.0.
678,647.273,290.16,622.9,150.34,849.1,012,558.0.
SVP, COO & CMO0.0.0.0.0.0.0.
571,595.236,670.21,591.9,150.25,396.864,402.0.
SR VP & CFO0.0.0.0.0.0.0.
477,279.162,540.15,623.7,821.32,502.695,765.0.
SVP & CPHO0.0.0.0.0.0.0.
479,247.146,020.15,703.7,705.31,004.679,679.0.
VICE PRESIDENT0.0.0.0.0.0.0.
0.0.0.0.0.0.0.
VICE PRESIDENT392,989.110,460.63,183.7,558.28,299.602,489.0.
380,896.133,110.15,312.9,150.32,992.571,460.0.
SVP & CSO0.0.0.0.0.0.0.
394,999.132,200.17,818.8,849.16,043.569,909.0.
SVP & CIO0.0.0.0.0.0.0.
372,790.125,160.19,640.9,150.14,132.540,872.0.
SVP & CHRO0.0.0.0.0.0.0.
406,381.109,760.8,874.9,150.1,953.536,118.0.
VICE PRESIDENT0.0.0.0.0.0.0.
374,110.127,830.19,536.9,036.4,948.535,460.0.
SVP & CNO0.0.0.0.0.0.0.
0.0.0.0.0.0.0.
PHYSICIAN/TRUSTEE (THRU 2/2022)424,442.37,826.29,801.9,150.1,933.503,152.0.
0.0.0.0.0.0.0.
VICE PRESIDENT338,178.110,013.9,265.9,150.30,408.497,014.0.
309,351.87,190.38,407.9,150.25,081.469,179.0.
VICE PRESIDENT0.0.0.0.0.0.0.
0.0.0.0.0.0.0.
PHYSICIAN/TRUSTEE380,881.34,340.281.5,724.34,056.455,282.0.
0.0.0.0.0.0.0.
VICE PRESIDENT399,440.32,000.10,184.9,150.1,934.452,708.0.
54-1240646
(1)MICHAEL P. MCDERMOTT, MD, MBA
(2)CHRISTOPHER NEWMAN, MD
(3)SEAN T. BARDEN BSBA, MBA
(4)TRAVIS TURNER, BS, MBA
(5)ELIESE K. BERNARD
(6)STEPHEN MANDELL, MD
(7)ERIC FLETCHER, MBA, APR
(8)GEOFFREY LAWSON
(9)KATHRYN WALL, BA, MA
(10)DAVID YI, MD
(11)EILEEN DOHMANN, RN, BSN, MBA, N
(12)BRADFORD KING, MD
(13)DANIEL WOODFORD
(14)RICHARD LEWIS, MD
(15)SAUSHEEN TAYLOR, MD
(16)STEPHANIE GOLDBERG
38
232112 10-18-22
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Note:
(B) (C) (D) (E) (F)
(A) (i) (ii) (iii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
Schedule J (Form 990) 2022
Schedule J (Form 990) 2022Page
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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 aren't listed on Form 990, Part VII.
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.
Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC
compensation
Retirement and
other deferred
compensation
Nontaxable
benefits
Total of columns
(B)(i)-(D)
Compensation
in column (B)
reported as deferred
on prior Form 990
Name and TitleBase
compensation
Bonus &
incentive
compensation
Other
reportable
compensation
MARY WASHINGTON HEALTHCARE
0.0.0.0.0.0.0.
VICE PRESIDENT319,869.76,050.14,158.8,130.27,039.445,246.0.
0.0.0.0.0.0.0.
VICE PRESIDENT322,144.90,720.10,596.9,150.10,980.443,590.0.
303,358.96,500.22,143.9,150.11,708.442,859.0.
SVP & CDO0.0.0.0.0.0.0.
62,241.74,150.262,405.3,911.10,773.413,480.0.
VICE PRESIDENT (THRU 6/22)0.0.0.0.0.0.0.
277,902.76,500.10,192.8,758.23,904.397,256.0.
VICE PRESIDENT0.0.0.0.0.0.0.
247,628.67,980.37,196.7,029.32,142.391,975.0.
VICE PRESIDENT0.0.0.0.0.0.0.
264,837.74,660.10,147.6,650.30,445.386,739.0.
VICE PRESIDENT0.0.0.0.0.0.0.
266,086.68,610.8,440.8,378.26,573.378,087.0.
VICE PRESIDENT0.0.0.0.0.0.0.
268,056.72,130.8,030.8,283.2,338.358,837.0.
VICE PRESIDENT0.0.0.0.0.0.0.
314,389.7,875.2,804.8,839.12,633.346,540.0.
MEDICAL DIRECTOR0.0.0.0.0.0.0.
235,764.65,230.8,741.7,443.24,127.341,305.0.
VICE PRESIDENT0.0.0.0.0.0.0.
227,604.63,250.8,060.5,335.28,607.332,856.0.
VICE PRESIDENT0.0.0.0.0.0.0.
0.0.0.0.0.0.0.
VICE PRESIDENT (THRU 9/22)216,534.84,000.11,656.4,967.15,489.332,646.0.
180,194.40,158.3,020.4,060.22,587.250,019.0.
AVP, IS TECHNOLOGY0.0.0.0.0.0.0.
166,612.19,367.1,008.5,073.10,543.202,603.0.
DIRECTOR, COMP & BENEFITS0.0.0.0.0.0.0.
154,860.20,889.1,040.4,745.11,967.193,501.0.
DIRECTOR, RECRUITMENT0.0.0.0.0.0.0.
54-1240646
(17)CATHLEEN YABLONSKI, BS, MS
(18)SCOTT SELL
(19)XAVIER RICHARDSON BA, MBA
(20)MARIE FREDRICK, R.T. (R), CRA,
(21)SANDRA BROWN, CPA
(22)ALAN EDWARDS
(23)CODY BLANKENSHIP
(24)LAUREN BLALOCK
(25)SARAH OGLE
(26)HOOMAN SABERINIA
(27)TINA ERVIN
(28)SUMMER HUGHES
(29)TOM JANUS
(30)STEPHEN P. HUGHES
(31)ANNE JERNIGAN
(32)DARLA BURTON
39
232112 10-18-22
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Note:
(B) (C) (D) (E) (F)
(A) (i) (ii) (iii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
Schedule J (Form 990) 2022
Schedule J (Form 990) 2022Page
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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 aren't listed on Form 990, Part VII.
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.
Breakdown of W-2 and/or 1099-MISC and/or 1099-NEC
compensation
Retirement and
other deferred
compensation
Nontaxable
benefits
Total of columns
(B)(i)-(D)
Compensation
in column (B)
reported as deferred
on prior Form 990
Name and TitleBase
compensation
Bonus &
incentive
compensation
Other
reportable
compensation
MARY WASHINGTON HEALTHCARE
154,167.20,506.580.1,660.11,330.188,243.0.
DIRECTOR, DECISION SUPPORT0.0.0.0.0.0.0.
54-1240646
(33)SHEILA SEAL
40
232113 10-18-22
3
Part III
Supplemental Information
Schedule J (Form 990) 2022
Schedule J (Form 990) 2022Page
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.
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
REIMBURSED AND REPORTED AS INCOME ON A FORM 1099 IN THE YEAR PAID.
ORGANIZATION ARE REIMBURSED FOR THE COST OF SPOUSAL MEALS PROVIDED AND THE
THE COST OF SPOUSAL TRAVEL. REIMBURSEMENTS PAID FOR SPOUSAL TRAVEL ARE
EXECUTIVES WHO ARE TRAVELING FOR BUSINESS RELATED REASONS ON BEHALF OF THE
AMOUNT IS REPORTED AS INCOME ON THE EXECUTIVE'S W-2.
PART I, LINE 4B:
STEPHEN MANDELL RECEIVED A 457(F) DISTRIBUTION OF $44,124.
RICHARD LEWIS RECEIVED A 457(F) DISTRIBUTION OF $19,136.
MARIE FREDRICK RECEIVED A 457(F) DISTRIBUTION OF $41,265.
ALAN EDWARDS RECEIVED A 457(F) DISTRIBUTION OF $22,583.
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
54-1240646 MARY WASHINGTON HEALTHCARE
41
232113 10-18-22
3
Part III
Supplemental Information
Schedule J (Form 990) 2022
Schedule J (Form 990) 2022Page
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.
CORPORATE GOALS AND OBJECTIVES.
54-1240646 MARY WASHINGTON HEALTHCARE
42
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
232211 10-28-22
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
Open to Public
Inspection
Employer identification number
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.Schedule O (Form 990) 2022
Name of the organization
LHA
(Form 990)
SCHEDULE O
Supplemental Information to Form 990 or 990-EZ
2022
FORM 990, PART VI, SECTION B, LINE 11B:
MANAGEMENT COMPLETES A DRAFT OF THE INTERNAL REVENUE SERVICE (IRS) FORM 990
INFORMATION RETURN FOR MARY WASHINGTON HEALTHCARE AND ITS SUBSIDIARIES.
THIS DRAFT IS SUBMITTED TO THE FINANCE COMMITTEE OF THE ORGANIZATION'S
BOARD OF TRUSTEES. THE FORM 990 AND UNDERLYING INFORMATION ARE PRESENTED
TO AND REVIEWED BY THIS COMMITTEE. IF THE CONTENTS OF THE 990 RETURN ARE
DEEMED ACCURATE AND ACCEPTABLE BY THE COMMITTEE, THIS BODY RECOMMENDS
ACCEPTANCE OF THE RETURN BY THE FULL BOARD OF TRUSTEES. THE FORM 990
RETURN IS SUBSEQUENTLY PRESENTED TO AND REVIEWED BY THE ORGANIZATION'S
BOARD OF TRUSTEES. IF DEEMED ACCURATE AND ACCEPTABLE THE BOARD ACCEPTS THE
RETURN THROUGH A FORMAL MOTION. AS PART OF THIS PROCESS, THE DRAFT RETURN
IS POSTED ON THE BOARD'S WEBSITE WHERE IT REMAINS AVAILABLE FOR REVIEW EVEN
AFTER FORMAL ACCEPTANCE BY THE BOARD. THE FORM 990 RETURN IS ALSO
AVAILABLE TO MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS THE GENERAL PUBLIC
ON MARY WASHINGTON HEALTHCARE'S WEBSITE (WWW.MWHC.COM).
FORM 990, PART VI, SECTION B, LINE 12C:
EVERY TRUSTEE AND EXECUTIVE IS REQUIRED TO DISCLOSE ANY AND ALL CONFLICTS.
THE DISCLOSURES ARE MADE ANNUALLY AND SUBMITTED TO THE MARY WASHINGTON
HEALTHCARE CHIEF COMPLIANCE OFFICER (CCO). THE CCO PRESENTS ALL CONFLICTS
TO THE ENTERPRISE RISK MANAGEMENT COMMITTEE OF THE BOARD OF TRUSTEES. THE
CHAIRMAN OF THE ENTERPRISE RISK MANAGEMENT COMMITTEE REPORTS ALL CONFLICTS
TO THE FULL BOARD.
CONFLICTS ARE CONTINUALLY AND ACTIVELY MANAGED. AT EACH MEETING, THE CHAIR
ASKS IF ANYONE AT THE MEETING HAS A CONFLICT TO DISCLOSE. INDIVIDUALS WITH
MARY WASHINGTON HEALTHCARE54-1240646
43
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232212 10-28-22
2
Employer identification number
Schedule O (Form 990) 2022
Schedule O (Form 990) 2022Page
Name of the organization
CONFLICTS DISCLOSE THEIR CONFLICTS AND THE RELATED TOPIC. THE INDIVIDUAL
THEN RECUSES HIM/HERSELF FROM ANY DECISION RELATED TO THAT TOPIC. THE
CONFLICT OF INTERESTS POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15:
MARY WASHINGTON HEALTHCARE UTILIZES AN EXECUTIVE COMPENSATION COMMITTEE
WITH THE PURPOSE AND AUTHORITY TO ESTABLISH PROCESSES TO ENSURE FAIR AND
COMPLETE COMPENSATION FOR THE CEO AND EXECUTIVE LEADERSHIP. IN ORDER TO
ENSURE COMPENSATION PAID IS SET AT FAIR MARKET VALUE, THE EXECUTIVE
COMPENSATION COMMITTEE UTILIZES COMPENSATION SURVEY DATA AND FORM 990
INFORMATION FROM COMPARABLE HEALTH SYSTEMS AND THE SERVICES OF AN
INDEPENDENT COMPENSATION CONSULTANT. SUCH INDEPENDENT THIRD PARTY DATA
PROVIDES ASSURANCE THAT EXECUTIVE COMPENSATION IS COMMERCIALLY REASONABLE
AND AT A FAIR MARKET VALUE.
FORM 990, PART VI, SECTION C, LINE 19:
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS
ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G, OTHER FEES:
CONTRACT PERSONNEL:
PROGRAM SERVICE EXPENSES1,268,156.
MANAGEMENT AND GENERAL EXPENSES12,086.
FUNDRAISING EXPENSES5,529.
TOTAL EXPENSES1,285,771.
MARY WASHINGTON HEALTHCARE54-1240646
CONSULTING SERVICES:
PROGRAM SERVICE EXPENSES5,259,214.
44
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232212 10-28-22
2
Employer identification number
Schedule O (Form 990) 2022
Schedule O (Form 990) 2022Page
Name of the organization
MANAGEMENT AND GENERAL EXPENSES50,123.
FUNDRAISING EXPENSES22,929.
TOTAL EXPENSES5,332,266.
BILLING AND COLLECTION SERVICES:
PROGRAM SERVICE EXPENSES1,521,844.
MANAGEMENT AND GENERAL EXPENSES14,504.
FUNDRAISING EXPENSES6,635.
TOTAL EXPENSES1,542,983.
ASP SERVICES:
PROGRAM SERVICE EXPENSES5,441,722.
MANAGEMENT AND GENERAL EXPENSES51,863.
FUNDRAISING EXPENSES23,724.
TOTAL EXPENSES5,517,309.
MISCELLANEOUS SERVICES:
PROGRAM SERVICE EXPENSES521,854.
MANAGEMENT AND GENERAL EXPENSES4,974.
FUNDRAISING EXPENSES2,275.
TOTAL EXPENSES529,103.
STORAGE SERVICES:
PROGRAM SERVICE EXPENSES26,896.
MANAGEMENT AND GENERAL EXPENSES256.
FUNDRAISING EXPENSES117.
MARY WASHINGTON HEALTHCARE54-1240646
TOTAL EXPENSES27,269.
45
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232212 10-28-22
2
Employer identification number
Schedule O (Form 990) 2022
Schedule O (Form 990) 2022Page
Name of the organization
WASTE DISPOSAL SERVICES:
PROGRAM SERVICE EXPENSES21,278.
MANAGEMENT AND GENERAL EXPENSES203.
FUNDRAISING EXPENSES93.
TOTAL EXPENSES21,574.
MAINTENANCE CONTRACTS:
PROGRAM SERVICE EXPENSES535,537.
MANAGEMENT AND GENERAL EXPENSES5,104.
FUNDRAISING EXPENSES2,335.
TOTAL EXPENSES542,976.
PHYSICIAN SERVICES:
PROGRAM SERVICE EXPENSES1,266,449.
MANAGEMENT AND GENERAL EXPENSES12,070.
FUNDRAISING EXPENSES5,521.
TOTAL EXPENSES1,284,040.
TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A16,083,291.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:
MINIMUM PENSION LIABILITY8,096,131.
INCOME (LOSS) OF SUBSIDIARIES-8,103,115.
INCOME (LOSS) ATTRIBUTABLE TO NONCONTROLLING INTEREST-9,727,659.
TOTAL TO FORM 990, PART XI, LINE 9-9,734,643.
FORM 990, PART XII, LINE 2C
MARY WASHINGTON HEALTHCARE54-1240646
RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AUDITORS
RESTS WITH THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES
46
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
232212 10-28-22
2
Employer identification number
Schedule O (Form 990) 2022
Schedule O (Form 990) 2022Page
Name of the organization
FORM 990, PART III, LINE 1 - ORG. MISSION
PROVISION OF HEALTH CARE. MARY WASHINGTON HEALTHCARE WAS ORGANIZED TO
ACT AS THE PARENT CORPORATION IN THE MARY WASHINGTON HEALTHCARE
AFFILIATED GROUP, AND TO ENGAGE IN SUCH ACTIVITIES FOR THE BENEFIT OF,
TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF MARY
WASHINGTON HOSPITAL, STAFFORD HOSPITAL AND ITS AFFILIATED ORGANIZATIONS
IN THE SYSTEM.
FORM 990, SCHEDULE R
ABBREVIATIONS:
MWHC - MARY WASHINGTON HEALTHCARE
MWHA - MARY WASHINGTON HEALTH ALLIANCE
MPI - MEDICORP PROPERTIES, INC.
MWHC CLINICAL - MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC.
MWHC SERVICES, INC. - MARY WASHINGTON HEALTHCARE SERVICES, INC.
MEDIDOCTORS H.C. - MEDIDOCTORS HOLDING COMPANY
UNRELATED BUSINESS INCOME
MWHC AS A PART OF ITS MISSION PROVIDES STRATEGIC PLANNING AND DIRECTION
FOR ALL OF ITS AFFILIATES. IRS REGULATIONS TREAT MANAGEMENT FEES
RECEIVED FROM TAXABLE SUBSIDIARIES AS UNRELATED BUSINESS INCOME. AS A
RESULT, THE REVENUE REPORTED ON LINE 7A IS INCOME FROM TAXABLE
SUBSIDIARIES FOR PROVISION OF MANAGEMENT FEES AND LOSS SUSTAINED IS A
RESULT FROM ALLOCATIONS OF CORPORATE SERVICES PROVIDED IN EXCESS OF THE
MARY WASHINGTON HEALTHCARE54-1240646
REVENUE RECEIVED.
47
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
Section 512(b)(13)
controlled
entity?
232161 09-14-22
SCHEDULE R
(Form 990)
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Open to Public
Inspection
Go to www.irs.gov/Form990 for instructions and the latest information.
Employer identification number
Part IIdentification of Disregarded Entities.
(a)(b)(c)(d)(e)(f)
Identification of Related Tax-Exempt Organizations.
Part II
(a)(b)(c)(d)(e)(f)(g)
YesNo
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Schedule R (Form 990) 2022
Name of the organization
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
Name, address, and EIN (if applicable)
of disregarded entity
Primary activityLegal domicile (state or
foreign country)
Total incomeEnd-of-year assetsDirect controlling
entity
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.
Name, address, and EIN
of related organization
Primary activityLegal domicile (state or
foreign country)
Exempt Code
section
Public charity
status (if section
501(c)(3))
Direct controlling
entity
LHA
Related Organizations and Unrelated Partnerships
2022
MARY WASHINGTON HEALTHCARE
MWHC SIR, LLC - 45-2931630
MARY WASHINGTON HEALTH ALLIANCE, LLC -
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
STAFFORD HOSPITAL LLC - 13-4316364
MARY WASHINGTON HEALTHCARE PHYSICIANS -
MARY WASHINGTON HOSPITAL FOUNDATION, INC. -
MARY WASHINGTON HOSPITAL INC. - 54-0519577
FREDERICKSBURG, VA 22401
2300 FALL HILL AVE, SUITE 418
46-3055639, 2300 FALL HILL AVE, STE 418,
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
2300 FALL HILL AVE, SUITE 418
26-2546097, 2300 FALL HILL AVE, SUITE 418,
52-1342371, 2300 FALL HILL AVE, SUITE 418,
2300 FALL HILL AVE, SUITE 418
FREDERICKSBURG, VA 22401
MEDICAL MALPRACTICE
SELF-INSURANCE SYSTEM3,892,279.
5,058,555. PHYSICIAN'S NETWORK
0.
7,286,142.
HOSPITAL SERVICES
PHYSICIAN SERVICES
INVESTMENT
MANAGEMENT/FUNDRAISING
HOSPITAL SERVICES
VIRGINIA
VIRGINIA
MWHC
VIRGINIA
VIRGINIA
VIRGINIA
VIRGINIA
MWHC
MWHC
MWHC CLINICAL
54-1240646
SERVICES
MARY WASHINGTON
HOSPITAL INC.
MWHC
501(C)(3)LINE 3
501(C)(3)LINE 12A, I
501(C)(3)LINE 12A, I
501(C)(3)LINE 3
X
X
X
X
48
Section 512(b)(13)
controlled
organization?
232222
04-01-22
Part IIContinuation of Identification of Related Tax-Exempt Organizations
(a)(b)(c)(d)(e)(f)(g)
YesNo
Schedule R (Form 990)
Name, address, and EIN
of related organization
Primary activityLegal domicile (state or
foreign country)
Exempt Code
section
Public charity
status (if section
501(c)(3))
Direct controlling
entity
MARY WASHINGTON HEALTHCARE CLINICAL
SERVICES, INC. - 54-1552324, 2300 FALL HILLAMBULATORY HEALTH CARE
AVE, SUITE 418, FREDERICKSBURG, VA 22401SERVICESVIRGINIA501(C)(3)LINE 12A, IMWHC
STAFFORD HOSPITAL FOUNDATION, INC. -
64-0963570, 2300 FALL HILL AVE, SUITE 418,INVESTMENTSTAFFORD HOSPITAL
FREDERICKSBURG, VA 22401MANAGEMENT/FUNDRAISINGVIRGINIA501(C)(3)LINE 12A, ILLC
MEDICORP PROPERTIES, INC. - 52-1342372
2300 FALL HILL AVE, SUITE 418PROPERTY MANAGEMENT
FREDERICKSBURG, VA 22401SERVICESVIRGINIA501(C)(3)LINE 12A, IMWHC
54-1240646 MARY WASHINGTON HEALTHCARE
X
X
X
49
Disproportionate
allocations?
Legal
domicile
(state or
foreign
country)
General or
managing
partner?
Section
512(b)(13)
controlled
entity?
Legal domicile
(state or
foreign
country)
232162 09-14-22
2
Identification of Related Organizations Taxable as a Partnership.
Part III
(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)
YesNoYesNo
Identification of Related Organizations Taxable as a Corporation or Trust.
Part IV
(a)(b)(c)(d)(e)(f)(g)(h)(i)
YesNo
Schedule R (Form 990) 2022
Predominant income
(related, unrelated,
excluded from tax under
sections 512-514)
Schedule R (Form 990) 2022Page
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.
Name, address, and EIN
of related organization
Primary activityDirect controlling
entity
Share of total
income
Share of
end-of-year
assets
Code V-UBI
amount in box
20 of Schedule
K-1 (Form 1065)
Percentage
ownership
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.
Name, address, and EIN
of related organization
Primary activityDirect controlling
entity
Type of entity
(C corp, S corp,
or trust)
Share of total
income
Share of
end-of-year
assets
Percentage
ownership
FREDERICKSBURG AMBULATORY
MEDICAL IMAGING OF
COWAN INVESTMENT PARTNERS,
SPOTSYLVANIA PARKWAY MEDICAL
2300 FALL HILL AVE, STE 418,
FREDERICKSBURG, VA 22401
2300 FALL HILL AVE, STE 418,
SURGERY CENTER - 56-2322548,
FREDERICKSBURG - 54-1364028,
LLC - 65-1294835, 2300 FALL
PLAZA, LLC - 26-2656396, 2300
FREDERICKSBURG, VA 22401
HILL AVE, STE 418,
FREDERICKSBURG, VA 22401
FREDERICKSBURG PROFESSIONAL RISK EXCHANGE -
MARY WASHINGTON HEALTHCARE SERVICES, INC. -
MARY WASHINGTON HEALTH PLAN, INC. -
PINNACLE HEALTH CORPORATION - 31-1636492
FALL HILL AVE, STE 418,
FREDERICKSBURG, VA 22401
33-1095356, 2300 FALL HILL AVE, SUITE 418,
54-1244509, 2300 FALL HILL AVE, SUITE 418,
82-3693765, 2300 FALL HILL AVE, SUITE 418,
2300 FALL HILL AVE, SUITE 418
VA
VA
VA
VA
MWHC CLINICAL
MWHC CLINICAL
MEDICORP
VT
VA
VA
VA
PROPERTIES,
MEDICORP
PROPERTIES,
RELATED
RELATED
RELATED
RELATED
C CORP
C CORP
C CORP
C CORP
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
1,658,408.
8,034,290.
11,486.
197,340.
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
2,148,217.
-45,653.
-8,343,074.
1,445.
CAPTIVE INSURANCE
15,461.
4,215,828.
34,148.
-701,312.
RETAIL MEDICAL
13,450,326.
778,260.
18,919,654.
293,221.
HEALTH MAINTENANCE
HEALTH MANAGEMENT
100%
100%
100%
100%
MWHC
MWHC
X
X
X
X
MWHC
MWHA
X
X
X
X
SURGERY CTR
IMAGING
REAL ESTATE
REAL ESTATE
SERVICES INC.
SERVICES INC.
INC.
INC.
MARY WASHINGTON HEALTHCARE54-1240646
N/A
N/A
N/A
N/A
59.38%
51.00%
12.50%
42.78%
X
X
X
X
50
Legal
domicile
(state or
foreign
country)
General or
managing
partner?
Disproportion-
ate allocations?
232223
04-01-22
Part IIIContinuation of Identification of Related Organizations Taxable as a Partnership
(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)
YesNoYesNo
Predominant income
(related, unrelated,
excluded from tax under
sections 512-514)
Schedule R (Form 990)
Name, address, and EIN
of related organization
Primary activityDirect controlling
entity
Share of total
income
Share of
end-of-year
assets
Code V-UBI
amount in box
20 of Schedule
K-1 (Form 1065)
Percentage
ownership
COMMONWEALTH IMAGING, LLC -
05-0622704, 2300 FALL HILL
AVE, STE 418, FREDERICKSBURG,
VA 22401VA
MWHC SERVICES,
RELATED62,566.84,543.XX
MWHC ENDOSCOPY HOLDINGS, LLC
-83-4407938, 2300 FALL HILL
AVE, STE 418, FREDERICKSBURG,
VA 22401VA
MWHC CLINICAL
RELATED1,344,741.174,181.XX
FREDERICKSBURG ENDOSCOPY
CENTER, LLC - 83-4398314,
2300 FALL HILL AVE, STE 418,
FREDERICKSBURG, VA 22401VA
MWHC ENDOSCOPY
RELATED2,263,999.291,694.XX
IMAGING
ENDOSCOPY
ENDOSCOPY
INC.
SERVICES INC.
HOLDINGS, LLC
54-1240646 MARY WASHINGTON HEALTHCARE
N/A
N/A
N/A
33.33%
60.00%
51.00%
51
232163 09-14-22
3
Part VTransactions With Related Organizations.
Note:YesNo
1
a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
p
q
r
s
(i) (ii) (iii) (iv) 1a
1b
1c
1d
1e
1f
1g
1h
1i
1j
1k
1l
1m
1n
1o
1p
1q
1r
1s
2
(a)(b)(c)(d)
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2022
Schedule R (Form 990) 2022Page
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
Receipt of interest, annuities, royalties, or rent from a controlled entity~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Gift, grant, or capital contribution to related organization(s)
Gift, grant, or capital contribution from related organization(s)
Loans or loan guarantees to or for related organization(s)
Loans or loan guarantees by related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Dividends from related organization(s)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sale of assets to related organization(s)
Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease of facilities, equipment, or other assets to related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Lease of facilities, equipment, or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Performance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sharing of paid employees with related organization(s)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Reimbursement paid to related organization(s) for expenses
Reimbursement paid by related organization(s) for expenses
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other transfer of cash or property to related organization(s)
Other transfer of cash or property from related organization(s)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
Name of related organization
Transaction
type (a-s)
Amount involvedMethod of determining amount involved
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
1,118,329.
380,000.
338,669.
100,434.
88,477,772.
1,042,503.
L
L
M
L
L
L
FREDERICKSBURG AMBULATORY SURGERY CENTER
FREDERICKSBURG PROFESSIONAL RISK EXCHANGE
FREDERICKSBURG PROFESSIONAL RISK EXCHANGE
MARY WASHINGTON EYE CARE CENTER
MARY WASHINGTON HOSPITAL
MEDICAL IMAGING OF FREDERICKSBURG
54-1240646 MARY WASHINGTON HEALTHCARE
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
X
52
232225
04-01-22
Part VContinuation of Transactions With Related Organizations
(d)
(a)(b)(c)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
Schedule R (Form 990)
(Schedule R (Form 990), Part V, line 2)
Method of determining
amount involved
Transaction
type (a-s)
Amount involved
Name of other organization
MEDICORP PROPERTIES, INC.L1,509,100.
MEDICORP PROPERTIES, INC.K3,361,242.
MWH FOUNDATIONL575,014.
SHC FOUNDATIONL137,252.
STAFFORD HOSPITALL20,822,501.
SERVICES, INC.
MARY WASHINGTON HEALTHCARE CLINICAL
L1,016,782.
MARY WASHINGTON HEALTHCARE PHYSICIANSL2,523,137.
MARY WASHINGTON URGENT CAREL250,000.
54-1240646 MARY WASHINGTON HEALTHCARE
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
CORP BOOKS/RECORDS
53
Are all
partners sec.
501(c)(3)
orgs.?
Dispropor-
tionate
allocations?
General or
managing
partner?
232164 09-14-22
YesNoYesNoYesN
4
Part VIUnrelated Organizations Taxable as a Partnership.
(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)
o
Schedule R (Form 990) 2022
Predominant income
(related, unrelated,
excluded from tax under
sections 512-514)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
Schedule R (Form 990) 2022Page
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.
Name, address, and EIN
of entity
Primary activityLegal domicile
(state or foreign
country)
Share of
total
income
Share of
end-of-year
assets
Percentage
ownership
54-1240646 MARY WASHINGTON HEALTHCARE
54
232165 09-14-22
5
Schedule R (Form 990) 2022
Schedule R (Form 990) 2022Page
Provide additional information for responses to questions on Schedule R. See instructions.
Part VII
Supplemental Information
MARY WASHINGTON HEALTHCARE54-1240646
55
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
OMB No. 1545-0047
Form
For calendar year 2022, or fiscal year beginning, 2022, and ending, 20
Department of the Treasury
Internal Revenue Service
Signature of officer or person subject to tax
202521 12-16-22
EIN or SSN
Enter five numbers, but
do not enter all zeros
ERO firm name
Do not enter all zeros
Do not send to the IRS. Keep for your records.
Go to www.irs.gov/Form8879TE for the latest information.
1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a,
10a1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b,10b,
Do not
1a
2a
3a
4a
5a
6a
7a
8a
9a
10a
Form 990
Form 990-EZ
Form 1120-POL
bTotal revenue, 1b
2b
3b
4b
5b
6b
7b
8b
9b
10b
bTotal revenue,
bTotal tax
Form 990-PF
Form 8868
bTax based on investment income
bBalance due
Form 990-TbTotal tax
Form 4720 bTotal tax
Form 5227bFMV of assets at end of tax year
Form 5330bTax due
Form 8038-CPbAmount of credit payment requested
(a)
(b)(c)
PIN: check one box only
ERO's EFIN/PIN.
Pub. 4163,
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
e-file
Name of filer
Name and title of officer or person subject to tax
~~~~
~~~~~~~~~~~~~~~~~~~~
Date
ERO's signature Date
Form (2022)
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and
Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line
or below, and the amount on that line for the return being filed with this form was blank, then leave line or
whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. complete more
than one line in Part I.
check here
check here
check here
~~~if any (Form 990, Part VIII, column (A), line 12)~~~~~~
~if any (Form 990-EZ, line 9)~~~~~~~~~~~~~~~
(Form 1120-POL, line 22)~~~~~~~~~~~~~~~~~~~
check here
check here
~(Form 990-PF, Part V, line 5)
~~(Form 8868, line 3c)
check here~~(Form 990-T, Part III, line 4)~~~~~~~~~~~~~~~~~~
check here~~(Form 4720, Part III, line 1)~
check here~~ (Form 5227, Item D)
check here~~ (Form 5330, Part II, line 19)
check here (Form 8038-CP, Part III, line 22)
Under penalties of perjury, I declare thatI am an officer of the above entity orI am a person subject to tax with respect to (name
of entity), (EIN)and that I have examined a copy of the
2022 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and
complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS an
acknowledgement of receipt or reason for rejection of the transmission, the reason for any delay in processing the return or refund, and the date
of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit)
entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the
financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no
later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic
payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a
personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
I authorizeto enter my PIN
as my signature on the tax year 2022 electronically filed return. If I have indicated within this return that a copy of the return is being filed
with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN
on the return's disclosure consent screen.
As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2022 electronically filed
return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the
IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen.
Enter your six-digit electronic filing identification
number (EFIN) followed by your five-digit self-selected PIN.
I certify that the above numeric entry is my PIN, which is my signature on the 2022 electronically filed return indicated above. I confirm that I am
submitting this return in accordance with the requirements of Modernized e-File (MeF) Information for Authorized IRS Providers for
Business Returns.
LHA
Part IType of Return and Return Information
Part IIDeclaration and Signature Authorization of Officer or Person Subject to Tax
Part IIICertification and Authentication
ERO Must Retain This Form - See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So
8879-TE
IRS e-file Signature Authorization
for a Tax Exempt Entity
8879-TE
2022
MARY WASHINGTON HEALTHCARE54-1240646
134,996,485. X
XPBMARES LLP39256
54448123456
10/18/23
SEAN T. BARDEN
EXECUTIVE VP AND CFO
PBMARES LLP
X
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31
Department of the Treasury
Internal Revenue Service
File by the
due date for
filing your
return. See
instructions.
223841 04-01-22
| File a separate application for each return.
| Go to www.irs.gov/Form8868 for the latest information.
Electronic filing (e-file).
Type or
print
Application
Is For
Return
Code
Application
Is For
Return
Code
1
2
3a
b
c
3a
3b
3c
$
$
$
Balance due.
Caution:
For Privacy Act and Paperwork Reduction Act Notice, see instructions.8868
www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.
Form
(Rev. January 2022)
OMB No. 1545-0047
You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the
forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit
Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic
filing of this form, visit
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts
must use Form 7004 to request an extension of time to file income tax returns.
Name of exempt organization or other filer, see instructions.Taxpayer identification number (TIN)
Number, street, and room or suite no. If a P.O. box, see instructions.
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Enter the Return Code for the return that this application is for (file a separate application for each return)

Form 990 or Form 990-EZ
Form 4720 (individual)
Form 990-PF
01
03
04
05
06
07
Form 1041-A08
09
10
11
12
Form 4720 (other than individual)
Form 5227
Form 6069
Form 8870
Form 990-T (sec. 401(a) or 408(a) trust)
Form 990-T (trust other than above)
Form 990-T (corporation)
¥The books are in the care of|
Telephone No.|Fax No.|
¥If the organization does not have an office or place of business in the United States, check this box~~~~~~~~~~~~~~~~~|
¥If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
. If this is for the whole group, check this
box. If it is for part of the group, check this boxand attach a list with the names and TINs of all members the extension is for.
||
I request an automatic 6-month extension of time until, to file the exempt organization return for
the organization named above. The extension is for the organization's return for:
|
|
calendar yearor
tax year beginning, and ending.
If the tax year entered in line 1 is for less than 12 months, check reason:Initial returnFinal return
Change in accounting period
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less
any nonrefundable credits. See instructions.
If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit.
Subtract line 3b from line 3a. Include your payment with this form, if required, by
using EFTPS (Electronic Federal Tax Payment System). See instructions.
If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment
instructions.
LHAForm (Rev. 1-2022)
Automatic 6-Month Extension of Time.
Only submit original (no copies needed).
8868Application for Automatic Extension of Time To File an
Exempt Organization Return
2022
MARY WASHINGTON HEALTHCARE
SANDRA W. BROWN
X
0.
0.
0.
540-741-2528
C/O PBMARES - 725 JACKSON ST, #210
FREDERICKSBURG, VA 22401
54-1240646
540-741-3534
NOVEMBER 15, 2023
2300 FALL HILL AVENUE, 418 - FREDERICKSBURG, VA 22401
01
1
09401018 758849 F8573-3012022.04030 MARY WASHINGTON HEALTHCAR F8573-31