Mary Washington Healthcare

Mary Washington Healthcare consistently operates with high revenue and expenses, maintaining a generally positive financial margin.

EIN: 201106426 · Fredericksbrg, VA · NTEE: E22 · Updated: 2026-03-28

$1.1BRevenue

$620.3MAssets

85/100Mission Score (Excellent)

E22

About Mary Washington Healthcare

Mary Washington Healthcare (EIN: 201106426) is a nonprofit organization based in Fredericksbrg, VA, classified under NTEE code E22. The organization reported total revenue of $1.1B and total assets of $620.3M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Mary Washington Healthcare's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Mary Washington Healthcare demonstrates a consistent pattern of high revenue and expenses, indicative of a large operational scale in the healthcare sector. Over the past several years, the organization has generally maintained a positive net income, with revenues exceeding expenses, as seen in 2023 ($937M revenue vs. $919M expenses) and 2021 ($863M revenue vs. $839M expenses). However, there was a slight deficit in 2022 where expenses ($838M) marginally surpassed revenue ($835M). The organization's assets have shown growth, reaching $518M in 2023, suggesting a stable financial foundation. The consistent reporting of 0% officer compensation across all available filings is unusual for an organization of this size and may indicate that executive compensation is reported under different categories or that the 990-EZ form is being used, which has different reporting requirements for compensation, or that the data provided is incomplete regarding this specific field.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Mary Washington Healthcare with a Mission Score of 85 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

admin: 1%
programs: 98%
fundraising: 1%

According to IRS 990 filings, Mary Washington Healthcare allocates its expenses as follows: admin: 1%, programs: 98%, fundraising: 1%. With 98% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The reported 0% officer compensation across all filings is highly unusual for an organization with over a billion dollars in revenue and suggests that executive compensation may be reported in other expense categories or that the provided data specifically for 'Officer Comp' is incomplete or not applicable under the filing type.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Mary Washington Healthcare's IRS 990 filings:

Unusually low (0%) reported officer compensation for a large organization, potentially indicating incomplete data or reporting under different categories.

Strengths

The following positive indicators were identified for Mary Washington Healthcare:

Consistent high revenue generation, exceeding $1 billion in latest reported revenue.
Generally positive net income, indicating financial stability over most periods.
Significant asset base ($518M in 2023), demonstrating strong financial foundation.
High proportion of expenses dedicated to programs (estimated 98%), suggesting strong mission focus.

Frequently Asked Questions about Mary Washington Healthcare

How is executive compensation truly accounted for, given the 0% reported?

The consistent reporting of 0% for 'Officer Comp' across all filings for an organization of this scale (over $1 billion in revenue) strongly suggests that executive compensation is either categorized under other expense lines (e.g., salaries and wages) or that the specific field for 'Officer Comp' in the provided data is not capturing the full picture. Further investigation into the detailed IRS 990 forms (Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors) would be necessary to understand how executive compensation is reported.

What is the specific breakdown of program service expenses?

While the overall program spending appears high (approximately 98% based on the difference between total expenses and a minimal administrative/fundraising estimate), the provided data does not offer a detailed breakdown of what constitutes these program service expenses. For a healthcare organization, this would typically include patient care, medical supplies, and direct healthcare services.

What caused the slight deficit in 2022?

In 2022, Mary Washington Healthcare reported expenses of $838,746,537 against revenues of $835,623,384, resulting in a slight operational deficit. This could be attributed to various factors such as increased operational costs, lower patient volumes, or significant capital expenditures not immediately offset by revenue. A deeper dive into the 2022 financial statements would be needed to pinpoint the exact causes.

Filing History

IRS 990 filing history for Mary Washington Healthcare showing financial trends over 14 years of public records:

Total assets increased by 4.5% over the same period, from $496.3M to $518.7M. Total functional expenses rose by 34.6%, from $682.9M to $919.0M. In its most recent filing year (2023), Mary Washington Healthcare reported a surplus of $18.2M, with revenue exceeding expenses. The organization holds $249.4M in liabilities against $518.7M in assets (debt-to-asset ratio: 48.1%), resulting in net assets of $269.3M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$937.2M	$919.0M	$518.7M	$249.4M	—	—
2022	$835.6M	$838.7M	$461.9M	$249.9M	—	View 990
2021	$863.4M	$839.4M	$593.7M	$353.4M	—	View 990
2020	$740.0M	$707.3M	$591.4M	$390.2M	—	View 990
2019	$734.2M	$705.3M	$475.2M	$312.1M	—	View 990
2018	$655.7M	$633.6M	$428.8M	$275.5M	—	View 990
2017	$658.9M	$645.7M	$427.5M	$278.5M	—	View 990
2016	$634.6M	$614.6M	$418.4M	$285.5M	—	View 990
2015	$593.5M	$586.4M	$432.2M	$290.3M	—	View 990
2014	$613.8M	$598.4M	$446.1M	$291.9M	—	View 990
2013	$592.1M	$603.9M	$464.7M	$297.3M	—	View 990
2012	$555.5M	$577.2M	$491.1M	$305.1M	—	View 990
2011	$633.2M	$638.6M	$531.4M	$316.7M	—	View 990
2010	$0	$682.9M	$496.3M	$329.3M	—	View 990

Year-by-Year Financial Summary

2023: Revenue of $937.2M, expenses of $919.0M, and assets of $518.7M (revenue +12.2% year-over-year).
2022: Revenue of $835.6M, expenses of $838.7M, and assets of $461.9M (revenue -3.2% year-over-year).
2021: Revenue of $863.4M, expenses of $839.4M, and assets of $593.7M (revenue +16.7% year-over-year).
2020: Revenue of $740.0M, expenses of $707.3M, and assets of $591.4M (revenue +0.8% year-over-year).
2019: Revenue of $734.2M, expenses of $705.3M, and assets of $475.2M (revenue +12.0% year-over-year).
2018: Revenue of $655.7M, expenses of $633.6M, and assets of $428.8M (revenue -0.5% year-over-year).
2017: Revenue of $658.9M, expenses of $645.7M, and assets of $427.5M (revenue +3.8% year-over-year).
2016: Revenue of $634.6M, expenses of $614.6M, and assets of $418.4M (revenue +6.9% year-over-year).
2015: Revenue of $593.5M, expenses of $586.4M, and assets of $432.2M (revenue -3.3% year-over-year).
2014: Revenue of $613.8M, expenses of $598.4M, and assets of $446.1M (revenue +3.7% year-over-year).
2013: Revenue of $592.1M, expenses of $603.9M, and assets of $464.7M (revenue +6.6% year-over-year).
2012: Revenue of $555.5M, expenses of $577.2M, and assets of $491.1M (revenue -12.3% year-over-year).
2011: Revenue of $633.2M, expenses of $638.6M, and assets of $531.4M.
2010: Revenue of $0, expenses of $682.9M, and assets of $496.3M.

Data Sources and Methodology

This transparency report for Mary Washington Healthcare is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.