MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-07
IRS object ID: 201743119349302794
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-07T16:20:31-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO INTERNATIONAL PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020260334	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PETER E WALCEK	InCareOfNm
Business Name Control	WENT	BusinessNameControlTxt
Phone	6037425252	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03820	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PETER E WALCEK	PersonNm
Person Title	CFO/V.P. of Finance	PersonTitleTxt
Phone	6037425252	PhoneNum
Signature	2017-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Vigneault	PreparerPersonNm
PTIN	P00540650	PTIN
Phone	6174220700	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.249.80.3	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	04123920173115000004	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-07	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6CCC3C025DBC962C57DC39F77614343EB29704E0	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BBC3B4FE2B4BE7D467FE8DB8FE274F6332A7211F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Gregory J Walker	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03820	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$385,478,695	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.wdhospital.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Help individuals and their families attain their highest level of health.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2106	TotalEmployeeCnt
Total Volunteers	181	TotalVolunteersCnt
Total Gross UBI	$359,401	TotalGrossUBIAmt
PY Contributions Grants	$185,995	PYContributionsGrantsAmt
CY Contributions Grants	$397,761	CYContributionsGrantsAmt
PY Program Service Revenue	$295,574,889	PYProgramServiceRevenueAmt
CY Program Service Revenue	$326,595,372	CYProgramServiceRevenueAmt
PY Investment Income	$3,201,407	PYInvestmentIncomeAmt
CY Investment Income	$8,026,968	CYInvestmentIncomeAmt
PY Other Revenue	$3,991,739	PYOtherRevenueAmt
CY Other Revenue	$3,412,048	CYOtherRevenueAmt
PY Total Revenue	$302,954,030	PYTotalRevenueAmt
CY Total Revenue	$338,432,149	CYTotalRevenueAmt
PY Grants And Similar Paid	$601,106	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$573,161	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,756,613	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$137,386,856	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$131,817,023	PYOtherExpensesAmt
CY Other Expenses	$141,157,155	CYOtherExpensesAmt
PY Total Expenses	$255,174,742	PYTotalExpensesAmt
CY Total Expenses	$279,117,172	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,779,288	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,314,977	CYRevenuesLessExpensesAmt
Total Assets BOY	$458,061,852	TotalAssetsBOYAmt
Total Assets EOY	$489,751,477	TotalAssetsEOYAmt
Total Liabilities BOY	$191,124,100	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$194,937,183	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$266,937,752	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$294,814,294	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Wentworth-Douglass Hospital's mission is to partner with individuals and their families to help them attain their highest level of health. Wentworth-Douglass Hospital is the largest acute care hospital in the Seacoast region of New Hampshire and Southern Maine, specializing in Trauma and Emergency Services, Surgery, Cancer Care, Birthing, Orthopedic Services, Cardiovascular Services, Sleep Disorders, Pain Management, Wound Healing, Wellness and Prevention Programs, plus extensive diagnostic services. A healthcare leader in the Seacoast region since 1906, Wentworth-Douglass Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations, achieved Magnet recognition from the American Nurses Credentialing Center in 2016, and received the 2016 Distinguished Hospital Award for Clinical Excellence from Healthgrades which recognizes the top 5% of hospitals with superior clinical quality and patient outcomes across a broad spectrum of services.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$244,076,511	ExpenseAmt
Grant	$573,161	GrantAmt
Revenue	$328,112,460	RevenueAmt
Desc	Wentworth-Douglass Hospital (WDH or the Hospital) is an acute care hospital located in Dover, New Hampshire. WDH is a not-for-profit organization, as described in Section 501(c)(3) of the Internal Revenue Code. Wentworth-Douglass Hospital is the largest acute care hospital in the Seacoast region of New Hampshire and Southern Maine, specializing in Trauma and Emergency Services, Surgery, Cancer Care, Birthing, Orthopedic Services, Cardiovascular Services, Sleep Disorders, Rehabilitation, Pain Management, Wound Healing, Wellness, and Prevention Programs plus extensive diagnostic services. A healthcare leader in the Seacoast since 1906, Wentworth-Douglass Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations. (continued on Schedule O).	Desc
Total Program Service Expenses	$244,076,511	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	315	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2106	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PETER E WALCEK	PersonNm
Phone	6037402804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 CENTRAL AVENUE	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03820	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Bolduc Esq
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
Gerald Daley EdD
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
Peter J Dirksmeier MD
Trustee	2.0	1.0	Yes (X)	$68,047	$0	$12,938
David Flavin MD
Trustee	2.0	1.0	Yes (X)	$2,814	$0	$0
Neil Garvey
Trustee	1.5	1.0	Yes (X)	$0	$0	$0
Anne Kalter MD
Trustee	0.5	43.5	Yes (X)	$54,112	$228,215	$36,072
Ingo Roemer
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
John Novello MD
Trustee	0.5	50.0	Yes (X)	$0	$350,363	$32,392
Donna Rinaldi
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
Roger Hamel
Chairman	3.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
Carol Bailey
Vice Chairman	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Michael Steinberg
Treasurer	1.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
John Salmon
Secretary	3.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Gregory J Walker
President/CEO	50.0	5.0	Yes (X)	$820,180	$0	$149,567	Yes (X)
Theodore Ristaino
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
Steven C Webb
Trustee	0.5	1.0	Yes (X)	$0	$0	$0
Peter E Walcek
CFO/VP Finance	50.0	5.0		$451,233	$0	$90,080	Yes (X)
Paul R Cass DO
VP Medical Affairs/CMO	50.0	5.0		$465,716	$0	$94,298		Yes (X)
Ellen L Caille FACHE
Executive Vice President	50.0	5.0		$403,334	$0	$87,458		Yes (X)
Malcom D Rosenson MD
Chief of Quality & Safety Offi	50.0	0.0		$344,689	$0	$32,043		Yes (X)
Sheila M Woolley
CNO/VP Patient Care	50.0	0.0		$445,527	$0	$59,745		Yes (X)
Daniel N Dunn
COO/Sr. VP Operations	50.0	0.0		$293,268	$0	$34,422		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,348,920	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$578,578	TotReportableCompRltdOrgAmt
Total Other Compensation	$629,015	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	166	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Center Health Services Inc
51 Valley Stream Parkway	MALVERN	PA	19355	Healthcare IT Suppor	$3,453,358
Sodexo Inc Affiliates
9801 Washington Boulevard	GAITHERSBURG	MD	20878	Food Services/Manage	$1,758,060
American Healthcare Services Associ
PO Box 845	TRAVERSE CITY	MI	49685	Staffing Services	$1,573,956
Mass General Physician Org Inc
55 Fruit Street	BOSTON	MA	02114	Physician Services	$1,570,973
ARUP Laboratories
500 Chipeta Way	SALT LAKE CITY	UT	84108	Laboratory Services	$1,217,853

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Related Organizations	$288,280	RelatedOrganizationsAmt
All Other Contributions	$109,481	AllOtherContributionsAmt
Total Contributions	$397,761	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	021400	$308,154,511	$308,154,511
DISPROPORTIONATE SHARE FUNDING	021400	$12,989,293	$12,989,293
MISCELLANEOUS REVENUE	021400	$2,969,444	$2,889,299	$80,145
CAFETERIA	722302	$1,435,672	$1,392,909	$42,763
CHILD CARE SERVICE	624410	$1,046,452	$1,046,452

Field	Value	IRS element (for citing)
Total Program Service Revenue	$326,595,372	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,091,726	TotalRevenueColumnAmt
Unrelated Business Revenue	$236,493	UnrelatedBusinessRevenueAmt
Exclusion	$3,855,233	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,108,122	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$272,970	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,835,152	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,835,152	TotalRevenueColumnAmt
Exclusion	$1,835,152	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$50,654,608	SecuritiesAmt
Other	$54,210	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$46,742,360	SecuritiesAmt
Other	$31,216	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,912,248	SecuritiesAmt
Other	$22,994	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,935,242	TotalRevenueColumnAmt
Exclusion	$3,935,242	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GRANITE SHIELD	621990	$1,190,824	$1,190,824
TRANSCRIPTION	621400	$340,813	$340,813
MEANINGFUL USE	621400	$45,259	$45,259

Field	Value	IRS element (for citing)
Other Revenue Total	$1,576,896	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$338,432,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$328,049,360	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$359,401	UnrelatedBusinessRevenueAmt
Exclusion	$9,625,627	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$573,161	TotalAmt
Program Services	$573,161	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,831,966	TotalAmt
Program Services	$164,239	ProgramServicesAmt
Management And General	$1,667,727	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,120,183	TotalAmt
Program Services	$88,502,156	ProgramServicesAmt
Management And General	$15,618,027	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,522,874	TotalAmt
Program Services	$2,994,443	ProgramServicesAmt
Management And General	$528,431	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,437,401	TotalAmt
Program Services	$15,671,791	ProgramServicesAmt
Management And General	$2,765,610	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,474,432	TotalAmt
Program Services	$8,053,267	ProgramServicesAmt
Management And General	$1,421,165	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$933,388	TotalAmt
Management And General	$933,388	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,383	TotalAmt
Management And General	$133,383	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$162,533	TotalAmt
Management And General	$162,533	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,108,633	TotalAmt
Program Services	$15,311,253	ProgramServicesAmt
Management And General	$797,380	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,003,991	TotalAmt
Program Services	$2,003,991	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,271,173	TotalAmt
Program Services	$3,630,497	ProgramServicesAmt
Management And General	$640,676	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,779,633	TotalAmt
Program Services	$2,967,012	ProgramServicesAmt
Management And General	$812,621	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$203,605	TotalAmt
Program Services	$152,704	ProgramServicesAmt
Management And General	$50,901	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$305,408	TotalAmt
Program Services	$229,056	ProgramServicesAmt
Management And General	$76,352	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,926,818	TotalAmt
Program Services	$6,580,477	ProgramServicesAmt
Management And General	$346,341	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,037,953	TotalAmt
Program Services	$14,482,260	ProgramServicesAmt
Management And General	$2,555,693	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,215,297	TotalAmt
Program Services	$2,104,532	ProgramServicesAmt
Management And General	$110,765	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES/EQUIPMENT	$24,681,081	$20,978,919	$3,702,162
PHARMACY	$22,914,284	$22,914,284
NHMET	$15,894,986	$15,894,986
PROVISION FOR BAD DEBT	$13,149,341	$13,149,341

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,435,648	TotalAmt
Program Services	$7,718,142	ProgramServicesAmt
Management And General	$2,717,506	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$279,117,172	TotalAmt
Program Services	$244,076,511	ProgramServicesAmt
Management And General	$35,040,661	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$84,377	BOYAmt
EOY	$89,648	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$40,667,833	BOYAmt
EOY	$38,096,499	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,561,120	BOYAmt
EOY	$37,006,895	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$731,397	BOYAmt
EOY	$760,653	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,612,673	BOYAmt
EOY	$3,714,233	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,453,491	BOYAmt
EOY	$13,384,674	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$398,470,973	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$234,817,017	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$145,040,517	BOYAmt
EOY	$163,653,956	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$136,797,516	BOYAmt
EOY	$125,906,269	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,573,127	BOYAmt
EOY	$73,109,145	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$19,258,742	BOYAmt
EOY	$23,022,356	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,156,022	BOYAmt
EOY	$1,259,165	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,125,037	BOYAmt
EOY	$9,747,984	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$458,061,852	BOYAmt
EOY	$489,751,477	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,623,283	BOYAmt
EOY	$62,958,581	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,098,670	BOYAmt
EOY	$4,715,844	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,391,195	BOYAmt
EOY	$109,843,430	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,555,094	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,455,858	BOYAmt
EOY	$17,419,328	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$191,124,100	BOYAmt
EOY	$194,937,183	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$262,706,459	BOYAmt
EOY	$290,296,190	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,980,760	BOYAmt
EOY	$2,119,304	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,250,533	BOYAmt
EOY	$2,398,800	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$266,937,752	BOYAmt
EOY	$294,814,294	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$458,061,852	BOYAmt
EOY	$489,751,477	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,314,977	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$834,749	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$30,603,686	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$22,566	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$22,566	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1, Lobbying Activities	FormAndLineReferenceDesc
Explanation	NHHA - portion of dues allocated to lobbying $15,670 AHA - portion of dues allocated to lobbying $6,896	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$183,003,785	BeginningYearBalanceAmt
Contributions	$12,438,998	ContributionsAmt
Investment Earnings Or Losses	$6,260,859	InvestmentEarningsOrLossesAmt
Other Expenditures	$821,480	OtherExpendituresAmt
Administrative Expenses	$166,665	AdministrativeExpensesAmt
End Year Balance	$200,715,497	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$184,151,455	BeginningYearBalanceAmt
Contributions	$6,020,457	ContributionsAmt
Investment Earnings Or Losses	-$4,955,781	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,011,173	OtherExpendituresAmt
Administrative Expenses	$201,173	AdministrativeExpensesAmt
End Year Balance	$183,003,785	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$155,843,253	BeginningYearBalanceAmt
Contributions	$24,445,585	ContributionsAmt
Investment Earnings Or Losses	$4,767,464	InvestmentEarningsOrLossesAmt
Other Expenditures	$720,042	OtherExpendituresAmt
Administrative Expenses	$184,805	AdministrativeExpensesAmt
End Year Balance	$184,151,455	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,970,819	BeginningYearBalanceAmt
Contributions	$7,535,354	ContributionsAmt
Investment Earnings Or Losses	$17,191,881	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,712,136	OtherExpendituresAmt
Administrative Expenses	$142,665	AdministrativeExpensesAmt
End Year Balance	$155,843,253	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,278,421	BeginningYearBalanceAmt
Contributions	$14,909,922	ContributionsAmt
Investment Earnings Or Losses	$11,895,737	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,019,486	OtherExpendituresAmt
Administrative Expenses	$93,775	AdministrativeExpensesAmt
End Year Balance	$141,970,819	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.97170	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00410	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.02420	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,292,772	OtherCostOrOtherBasisAmt
Book Value	$3,292,772	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,758,706	OtherCostOrOtherBasisAmt
Depreciation	$60,861,056	DepreciationAmt
Book Value	$110,897,650	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,739,976	OtherCostOrOtherBasisAmt
Depreciation	$7,786,871	DepreciationAmt
Book Value	$11,953,106	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$157,259,073	OtherCostOrOtherBasisAmt
Depreciation	$129,126,152	DepreciationAmt
Book Value	$28,132,921	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,420,446	OtherCostOrOtherBasisAmt
Depreciation	$37,042,940	DepreciationAmt
Book Value	$9,377,507	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$163,653,956	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$73,109,145	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$73,109,145	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	EST. THIRD-PARTY PAYOR SETTLEMENT	Desc
Amt	$17,419,328	Amt

Field	Value	IRS element (for citing)
Total Liability	$17,419,328	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$306,607,780	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$306,607,780	RevenueSubtotalAmt
Investment Expenses Not Incld	$162,533	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$31,661,836	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$31,824,369	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$338,432,149	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$279,117,172	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$279,117,172	ExpensesSubtotalAmt
Total Expenses Per Form990	$279,117,172	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	TO FURTHER THE HOSPITAL'S CHARITABLE MISSION.
PART X, LINE 2:	WDHS, THE HOSPITAL, WDPC AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT EVALUATED THESE NOT-FOR-PROFIT CORPORATIONS' TAX POSITIONS AND CONCLUDED THESE NOT-FOR-PROFIT CORPORATIONS HAVE MAINTAINED THEIR TAX-EXEMPT STATUS, DO NOT HAVE ANY SIGNFICANT UNRELATED BUSINESS INCOME AND HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENTS IN JOINT VENTURE $30,075,318 COMMUNITY BENEFIT AND OTHER EXPENSE $1,586,518 TOTAL TO SCHEDULE D, PART XI, L $31,661,836

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Specific Services Provided	NONE	SpecificServicesProvidedTxt
Region Total Expenditures	$29,990,088	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$29,990,088	SubtotalSpentAmt
Total Spent	$29,990,088	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 3:	THIS ORGANIZATION DID NOT HAVE AN OWNERSHIP OF ANY FOREIGN CORPORATION THAT WOULD BE GREATER THAN THE 10% OWNERSHIP FILING THRESHOLD. ACCORDINGLY, THE IRS FORM(S) 5471 IS NOT REQUIRED TO BE FILED.
PART IV, LINE 4:	THE ORGANIZATION MEETS THE EXCEPTION FOR TAX-EXEMPT ORGANIZATIONS WITH RESPECT TO FILING FORM 8621. FORM 8621 IS NOT REQUIRED TO BE FILED FOR THE HOSPITAL.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,062,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,062,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,690,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,417,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,272,701	NetCommunityBenefitExpnsAmt
Total Expense	0.03490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,753,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,417,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,335,651	NetCommunityBenefitExpnsAmt
Total Expense	0.04260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,183,509	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,183,509	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,094	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$684,163	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$684,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,892,766	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,892,766	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,645,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,417,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,228,417	NetCommunityBenefitExpnsAmt
Total Expense	0.04970	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$13,149,341	BadDebtExpenseAmt
Bad Debt Expense Attributable	$914,075	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$77,254,450	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,501,014	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$35,246,564	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03820	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.wdhospital.com	WebsiteAddressTxt
State License	00010	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5:	Wentworth-Douglass Hospital held twenty-one (21) focus groups and interviews to engage consumers, providers and key leaders in the Community Health Needs Assessment (CHNA). Participants were identified and recruited by the Hospital, including members of the public, community organizations, local government officials, and health, education and social service providers. Participants were from geographic areas that represent our community or who represent various stakeholder groups such as public health representatives, first responders, the local housing authority, school nurses, and others. Groups also included physicians, nurses, social workers, and program directors. A summary of the themes from the stakeholder interviews, as well as demographic characteristics of respondents and their ratings are included in the 2016 CHNA report.
Part V, Section B, Line 6b:	The Hospital's most recent CHNA was conducted with Wentworth-Douglass Physician Corp (WDPC), a related 501(c)(3) entity.
Part V, Section B, Line 11:	The Community Health Needs identified in the 2016 CHNA include Affordability of Care and Insurance Barriers; Community Health Education; Dental Health and Access to Dental Health Care; General Healthcare and Access to Primary Care Services; Mental Health and Access to Mental Health Services; Needs of the Aging Population; Obesity, Nutrition, and Physical Activity; Poverty and Lack of Economic Opportunity; Substance Misuse and Access to Substance Misuse Treatment Services; and Transportation. WDH has organized and implemented the following services and programs to begin to address these needs. 1. Affordability of Care and Insurance Barriers: In order to address barriers to affordability of care and insurance, Wentworth-Douglass Hospital (WDH) has continued to provide financial assistance to individuals and families receiving services from WDH and other providers within the Wentworth-Douglass system. This includes offering financial assistance, continuing to provide Marketplace and Medicaid enrollment assistance, and development of educational resources to improve insurance literacy, support Medicare enrollment of eligible individuals, and to provide education regarding the availability of financial recources. 2. Community Health Education: Expanded education and prevention programs were identified as a need. In response, WDH offered a variety of education/prevention programs for the community. A sampling of these education/prevention programs include: health screenings(e.g. skin cancer screening, hand pain, vascular, nutrition, and more), nutrition, health, and wellness lectures(e.g. heart health, sexual health, and anti-cancer), health fairs (e.g. diabetes, women's health, communication access), support groups (e.g. cancer survivors, grief support, caregiver support), and children's camps and programs (e.g. Camp Hot Shot, Camp Lance-A-Lot, CHaD story time), and insurance marketplace education and support. Additionally, WDH created a Simulation Center to enhance health care delivery of providers and first responders and increase health knowledge of community members. 3. Dental Health and Access to Dental Health Care: Dental health and access to care has historically been identified as an ongoing community need. To address this issue, WDH has continued to operate the Wentworth Community Dental Center, which treats approximately 3,000 patients per year and improves access to dental care for community members who may not otherwise be able to afford care. 4. General Healthcare and Access to Primary Care Services: Various initiatives were implemented in 2014 and expanded in 2015 and 2016 to help address the community need for greater access to primary care serivices. The first initiative focused on improving access to primary care by reducing wait times for appointments and promoting practices accepting new patients. The second initiative focused on extending same day access for primary care services. WDH opened its second walk-in, urgent care facility, Wentworth-Douglass Express Care in Dover, New Hampshire on June 30, 2014. This location expanded access to acute, non-emergent care and continues to experience increasing volumes in 2015. In addition to this initiative, WDPC also opened a new walk-in primary care service, Prompt Care, to improve access for existing WDPC patients in 2015 and opened a second site open to all patients in 2016. The third initiative focused on implementing a patient portal to extend patient access to primary care by providing patients the ability to view and share their medical record, request prescription refills, schedule appointments, and ask a provider a question on their computer. 5. Mental Health and Access to Mental Health Services Mental and behavioral health was identified as the top community health need in the 2013 CHNA, and continue to be identified as a high priority in the 2016 CHNA. The recommendation was to expand access to mental and behavioral health services to meet the "urgent need" for these services by increasing the integration of mental health services and primary care services. In 2014, two new behavioral health services were funded. The first expanded access to behavioral health counselors in the Wentworth-Douglass Hospital's primary care practices within WDPC. These services were expanded in collaboration with Great Bay Mental Health (GBMH) Services and Goodwin Community Health (the local Federally Qualified Health Center), and made access to behavioral health counselors available to patients at all WDPC primary care practices. In 2015, this program expanded to include an additional psychiatric nurse practitioner. The second service included the addition of a full-time psychiatric caseworker to provide case management of behavioral health patients waiting for long periods in the Emergency Department for evaluation and placement/treatment. In 2016, Great Bay Mental Health transitioned to a WDPC practice, and additional staff members were hired to support GBMH, embedded care providers in WDPC, and to support care provision for mental health patients in the Emergency Department. Additionally, WDH participated in the community-based 1115 Transformation Waiver in New Hampshire. This program is designed to align resources and improve communication between care providers focused on improving the quality and availability of mental health and substance misuse prevention care across the state. 6. Needs of the Aging Population With New Hampshire's rapidly growing number of residents over the age of sixty-five (65), the needs of the aging population were identified as a community need for the first time. To address the needs of this population, WDH continued to offer and expand Supportive and Palliative Care services. In partnership with WDPC, WDH also completed a project to improve education regarding the importance of advanced care planning. 7. Obesity, Nutrition, and Physical Activity To address community concerns regarding obesity, nutrition, and physical activity, WDH partnered with its for-profit subsidiary The Works Family Health and Fitness Center (The Works) to increase access to medical weight loss programs. Additionally, WDH continues to offer education programming regarding weight management, nutrition, and other topics. 8. Substance Misuse and Access to Substance Misuse Treatment Services The increase in drug and alcohol abuse was listed as the top priority WDH's 2016 CHNA. In response, WDH has continued to participate in prevention activities, such as the New Hampshire Youth SBIRT (Screening, Brief Intervention, and Referral to Treatment) Program which was partly funded with grant support from the New Hampshire Charitable Foundation and the Conrad N. Hilton Foundation. This program incorporates an evidence-based SBIRT approach to screening patients ages 12 to 22 to identify alcohol and drug use problems early when brief interventions are most effective and to foster appropriate referrals to early and effective treatment for substance abuse disorders. The SBIRT Program launched in 2015 as a pilot program. Additionally, WDH has continued to support the efforts of regional partners such Dover Youth to Youth (a teen peer substance misuse prevention program overseen by the Dover Police Department) and the Strafford County One Voice coalition. One Voice is a collaborative group of community agencies and individuals developed to address the challenges of substance misuse in Strafford County. This group developed the Strafford County Drug Task Force which meets monthly at Goodwin Community Health, the local Federally Qualified Health Center, and focuses on aligning the many efforts going on in this community. Since 2013, WDH has also hosted and supported the annual spring Strafford COunty Drug Summit with over 200 attendees from the county, the surrounding region and across the state. WDH has also provided support, including meeting space and materials to help expand a new service provided by SOS Recovery Community Organization and the Dover Police with collaboration with the Dover Fire Department. This new service allows individuals seeking services for substance misuse treatment to be transported from the Dover Police Station to the Hospital, where they then meet with one of the certified recovery coaches through the SOS Recovery Program. WDH also made substantial financial contributions to local agencies which support efforts to improve access to treatment, prevention, and peer support programs. These included a $50,000 restricted cash contribution to Hope on Haven Hill, a new residential facility in Rochester, New Hampshire that provides treatment and recovery services for pregnant women with substance use disorders and their babies up to twelve (12) months of age and a $110,793 restricted cash contribution to Goodwin Community Health to establish a Recovery Community Center in Dover, New Hampshire to increase community-based support services for individuals recovering from substanc
Part V, Section B, Line 7a & 10a:	The 2016 CHNA is available on the Hospital's website at: https://wdhospitalinternal.com/files/3314/7976/1169/Wentworth_Douglass_Hos pital_CHNA_FINAL.pdf The Implementation Strategy is available on the Hospital's website at: https://wdhospitalinternal.com/files/9214/7976/1451/Wentworth-Douglass_-_I mplementation_Strategy_-_FINAL.pdf
Part V, Section B, Line 13b:	In the 2016 Financial Assistance Policy, for all covered services (except for Dental Center services), eligibility was determined based on Income at 250% Federal Poverty Guidelines (FPG) and Asset Guidelines (see narrative for Part I, Line 3c), and eligibility was not contingent upon residency. Eligible patients received 100% free care.
Part V, Section B, Line 15e:	In the 2016 Financial Assistance Policy, Financial Assistance Representatives were available to assist with any questions regarding the Financial Assistance Application Process and/or Policy. The Financial Assistance Application Packet included a coversheet which outlined required documentation. Representatives were available over the phone at (603) 740-3234 or in person at the Financial Assistance Office: Wentworth-Douglass Business Systems Building, 121 Broadway Avenue, Dover, NH 03820.
Part V, Section B, Line 16a, 16b & 16c:	The Hospital's Financial Assistance Policy is available on its website at: https://wdhospitalinternal.com/files/1214/9157/5615/LD-71_-_Financial_Aid_ Program.pdf. The Plain Language version is available here: https://wdhospitalinternal.com/files/2214/9157/5658/Financial_Assistance_P olicy_-_Plain_Language.pdf The Financial Aid Application is also available on the website at: https://wdhospitalinternal.com/files/1214/9157/5615/LD-71_-_Financial_Aid_ Program.pdf
Part V, Section B, Line 22d:	FAP eligible patients are discounted 100% therefore no amounts are charged and free care is provided. The Hospital's Financial Assistance application form is available on its website at: https://www.wdhospital.com/files/1614/6227/3319/8241-41A.pdf The Hospital's Plain Language Summary can be accessed at: https://www.wdhospital.com/files/2214/5288/2473/Financial_Assistance_Polic y_-_Plain_Language.pdf

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Seacoast Cancer Center
10 Members Way Suite 200	Dover	NH	03820	Specialty Care Practice
Lee OTPTImaging
65 Calef Highway	Lee	NH	03861	Occupational/Phyical Therapy/Imaging
Express Care Dover
781 Central Avenue	Dover	NH	03820	Express Care
WDH Professional Center
10 Members Way	Dover	NH	03820	Diagnostic Services
Express Care Lee
10 Members Way Suite 200	Dover	NH	03820	Express Care
Diagnostic Cardiology
19 Old Rollinsford Road	Dover	NH	03820	Cardiology Services
Durham Rehab & Sports Therapy Center
16 Jenkins Court	Durham	NH	03824	Specialty Care Practice
WDH Early Learning Center
789 Central Avenue	Dover	NH	03820	Childcare Services

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	In the 2016 Financial Assistance Policy, eligibility was determined based on Income and Assets. Income: To be eligible, an individual's gross annual income could not be greater than 250% of the Federal Poverty Guidelines (FPG), which inluded alimony, dividends, stipends, social security benefits, employment, self-employment/business income, child support, pensions, annuities/retirement income, rental income and interest income. Assets: To be eligible as a household of 1, combined asset limits could not exceed $5,000 and to be eligible as a household greater than 1, comined asset limits could not exceed $10,000. Assets considered were checking/savings bank accounts, Certificates of Deposits (CDs), money markets, stocks/bonds/mutual funds, trusts, additional properties, gambling winnings, capital gains, inheritances and retirement account(s) currently being contributed to.
Part I, Line 7:	The Hospital uses the ratio of cost to charge methodology to calculate the cost of the community benefits it provides. The ratio of cost to charge methodology was also used to reduce charity care charges down to costs and calculate the Medicaid shortfall. The Hospital includes the net impact of the New Hampshire Medicaid Enhancement Tax (MET) and Disproportionate Share Funding (DSH) in calculating the Ratio of Patient Care to Cost (RCC) to determine the percentage allocation to use in determining the financial assistance at cost and Medicaid net community benefit expense. Additionally, the Hospital includes the net MET/DSH impact as an expense in Part I, Line 7b in arriving total Medicaid-related costs. In prior years, the State of New Hampshire used collected MET dollars to service the general fund of the State. However, recently the State has used these dollars as a direct funding usage for medical and other related budgetary goals. As a result of this change in the State's appropriation of these funds, the net MET/DSH impact should be considered a healthcare-related expenditure.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $13,149,341.
Part II, Community Building Activities:	See Form 990, Part III, Line 4e.
Part III, Line 2:	In 2016, charges billed by the Hospital of $13,149,341 were to provide care to patients, for which the Hospital received no payments for services rendered. In 2015, the Hospital engaged with an independent national consulting firm to review the Schedule H reporting, and as a result the Hospital is now reporting bad debt expense on a charge basis rather than on the cost basis.
Part III, Line 3:	In 2015, the Hospital engaged with an independent national consulting firm to review the Schedule H reporting, and as a result the Hospital refined our approach to calculating the estimated amount of the Hospital's bad debt expense attributable to patients eligible under the organization's financial assistance policy. THe Hospital utilizes the precengate of applications that are denied under the Financial Assistance Policy due to incomplete applications as a reasonable basis for calculating the percentage of bad debt that may be considered as eligible under the Financial Assistance Policy. This amount is reported at cost, and is not reported as a community benefit within Part I, Line 7.
Part III, Line 4:	See Page 9 and 16 of the attached audited financial statements.
Part III, Line 8:	In 2016, the Hospital provided care costing $112,501,014 to Medicare patients, for which it was reimbursed $77,254,450, representing a loss on Medicare services of $35,246,564. This amount represents the amount by which the Hospital was underpaid (relative to cost) by the federal government for care provided to Medicare patients, who are 65 and older, regardless of income or disability. The Hospital includes the net New Hampshire Medicaid Enhancement Tax (MET)/Disproportionate Share Funding (DSH) impact as an expense within Part III, Section B. In prior years, the State of New Hampshire used collected MET dollars to service the general fund of the State. However, recently the State has used these dollars as a direct funding usage for medical and other related budgetary goals. As a result of this change in the State's appropriation of these funds, the net MET/DSH impact should be considered a healthcare-related expenditure.
Part III, Line 9b:	Hospitals in New Hampshire work hard to make high-quality health care available, affordable, and accessible to all, regardless of ability to pay. Wentworth-Douglass Hospital offers many financial assistance and referral programs to ensure that cost will not be a barrier to anyone in our community obtaining the health care services that he or she may need. If payment of health care expenses create a financial hardship for patients, our staff provides assistance to complete the financial application process. The Hospital follows the written policy and consistently applies the policy to all patients and treats all patients equally, regardless of ability to pay. As part of this financial application process, the Hospital will assess patients' eligibility for health insurance coverage through federal or state programs such as New Hampshire Medicaid and Maine Medicaid. If it is determined that patients may be eligible for one of these programs, the Hospital assists patients through the application process. Patients are required to supply the financial or medical documentation that is necessary to secure such insurance coverage. The Hospital understands that health care costs can come up unexpectedly. Whether patients are insured or uninsured, and whether or not patients qualify for financial assistance, we understand that patients may have difficult paying healthcare costs in full at the time of service or in a lump sum. Our billing team works with patients to set up interest-free payment plans to help ease the financial burden of health care costs.
Part VI, Line 2:	WDH assesses the health care needs of the communities it serves in many ways. The first of which includes the formal Community Health Needs Assessment process which is led by the Hospital's Community Benefit Task Force. The 2016 CHNA process included an extensive data analysis and community focus groups. The focus group findings were then evaluated in collaboration with the county level Adult Behavioral Risk Factor Surveillance data to identify the top community health needs. WDH, in collaboration with the New Hampshire Foundation for Healthy Communities, partnered (in Fall 2015) with RKM Research and Communications, Inc. to conduct a community needs telephonic survey. The purpose of this survey was to assist WDH in identifying the health care needs of the communities it serves. The findings from this survey were included in the 2016 Community Health Needs Assessment (CHNA) and reported in the Primary Data section of the report. In addition, WDH also accesses community need on an ongoing basis through both formal and informal channels. On a monthly basis, WDH receives input and feedback on community need from the WDH Patient and Family Advisory Board and the Hospital and Health System Board of Directors. Community need is also assessed on an annual basis as part of WDH's Strategic Planning process which includes a comprehensive assessment of health outcomes and health factors for the communities we serve, and in the Hospital's provider need assessment which includes an analysis of provider supply and demand to ensure adequate and appropriate resources are available to meet the need of our community.
Part VI, Line 3:	WDH and WDPC take an active role in assisting patients who may be interested and qualify for financial assistance, whether it is state, federal or our own charity care benefits. Our Family Resource/Community Benefits Department has several processes in place to ensure patients are aware of the financial assistance available to them. Patients can learn more about these programs by visiting our website, reading our Foundation newsletter, or contacting our Financial Assistance Office. From the time of registration through our billing process, patients have available the opportunity to obtain an application for financial assistance as well as our financial assistance policy. All self-pay patients at the time of registration are provided with our charity care cover letter and application, with information about the charity care program and details on how to contract our Financial Assistance Representative(s). Our representatives also see many patients while they are here for services. Social Work Services and Community Benefits team up to assist and make sure our patients are receiving the opportunities to get any and all assistance available to them. We send five billing statements to our patients with the financial assistance guidelines and contact information if patients feel they may meet these guidelines and need assistance with their bill(s).
Part VI, Line 4:	Wentworth-Douglass Hospital serves the Seacoast area of New Hampshire and Southern Maine - Strafford County. Rockingham County and York County, Maine. Our community includes a small but growing Indonesian population, welcomed by local church groups. The community also includes low-income, uninsured adults and children supported by the Hospital's Community Assistance Plan programs.
Part VI, Line 5:	In 2016, the Hospital had 6 trained Certified Application Counselors (CACs). Representatives at the main hospital and offsite locations were available to assist. The Hospital also published and marketed this information to the community so that they could be made aware of the Hospital's available trained professionals. The Hospital assists enrollees from start to finish with the process. All of the Hospital's CACs spend a great deal of time providing education to the Hospital's many patients. Hundreds of patients looking for help in understanding the ACA, ACA terminology, and the difference between plans offered to them were provided assistance in person or via telephone.
Part VI, Line 6:	The affiliates of Wentworth-Douglass Hospital include Wentworth-Douglass Physician Corporation, Wentworth-Douglass Community Health Corporation, the Wentworth-Douglass Hospital and Health Foundation, and Wentworth-Douglass Health System. Our affiliates serve to further our mission of helping our patients and their families attain their highest level of health. The Wentworth-Douglass Physician Corporation was formed in response to a community needs assessment that identified a lack of primary care services in the community. The formation of the Physician Corporation and recruitment of primary care physicians closed the gap by improving access to primary care medical services in our community. Today, WDPC also provides a vast array of specialty physician services to the community. Wentworth-Douglass Physician Corporation (WDPC), d/b/a Wentworth Health Partners, which files its own Form 990 (see Schedule R for more details), is owned 100% by WDHS. The Hospital oversees all of WDPC's primary care practices, specialty practices, behavioral health services and its dental clinic. WDPC supports numberous community based programs, including the Community Dental Center and Behavioral Health Services. In 2015, WDPC acquired Great Bay Mental Health as part of the continued initiative to expand the services offered for behavioral health. WDPC provided $953,100 of behavioral health care services to patients in 2016. The Wentworth-Douglass Community Dental Center is open to low-income, uninsured adults and children living in the Hospital's primary service are (Dover, Durham, Madbury, Lee, Barrington, Somersworth, Rollinsford, NH and Berwick and So. Berwick, ME) or patients of the physician practices who have a family income at or below 300% of the federal poverty level, based on the number of members in the household. Minimum payments are charged on a discounted fee schedule based on household income. In 2016, the Dental Center provided $561,255 of community-based clinic services. WDPC provies financial aid information and resources to assist patients with their healthcare bills. Medical care is provided at no charge for eligible patients at 250% of the federal poverty level. In 2016, WDPC provided $284,888 of financial aid (stated at cost). Medicaid Costs Exceeding Reimbursement totaled $2,946,849 for WDPC in 2016. The Hospital subsidizes WDPC primary care practices that operate at a loss. The subsidized losses of these primary care practices do not include the financial aid provided to patients (stated at cost) or the Medicaid cost exceeding reimbursement associated with these practices, and totaled $5,336,183 in 2016. The Hospital subsidizes certain WDPC specialty care practices that operate at a loss. The subsidized losses of these specialty care practices do not include the financial aid provided to patients (stated at cost) or the Medicaid cost exceeding reimursement associated with these practices, and totaled $9,017,881 in 2016. Wentworth-Douglass Community Health Corproation (The Works), a for-profit taxable subsidiary of WDHS, serves to promote community health and wellness, while remaining family focused. The Works offers specially designed and supervised fitness programs, aimed to help manage diabetes, lower risk of heart disease, and improve quality of life. In addition, the Hospital collaborates with The Works to offer group exercise programs to our patients, including Cancer Center patients, who are provided a free three month membership and invited to participate in a program that combines rehabilitation and group exercise. The Works also donates memberships as well as the use of its facilities and staff time to benefit various community organizations in support of health care initiatives. The Wentworth-Douglass Hospital and Health Foundation serves to cultivate, secure and steward philanthropic gifts that will support the capital, programmatic and endowment needs of Wentworth-Douglass Hospital. Wentworth-Douglass Health System was established to support and further the charitable activities of Wentworth-Douglass Hospital and Wentworth-Douglass Physician Corporation. It provides planning, oversight and coordination of the charitable activities related to the promotion of health of these entities.
Part VI, Line 7, List of States Receiving Community Benefit Report:	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Recipient EINRecipientEIN
City of Dover Fire & Rescue
262 Sixth Street	Dover	NH	03820	government	$30,000	quality assurance and improvement training programs
City of Dover Police
46 Chestnut Street	Dover	NH	03820	government	$126,458	Youth to Youth Program and Dover Coalition for Youth
Dartmouth Hitchcock Memorial Hospital
1 Medical Center Drive	Lebanon	NH	03756	501(c)(3)	$24,992	Child advocacy Program	020222140
Strafford Health Alliance
200Route 108 Suite 3	Somersworth	NH	03878	501(c)(3)	$102,337	CFA-Athletic Training DHS	020389434
New Hampshire Health Protection Program
125 Airport Road	Concord	NH	033017300	501(c)(3)	$105,229	Donation for funding of NHHPP	020275078
Goodwin Community Health
311 Route 108	Somerworth	NH	03878	501(c)(3)	$110,793	Primary Care Services	020304203
Hope on Haven Hill
PO Box 1272	Rochester	NH	03867	501(c)(3)	$50,000	Substance abuse treatment and recovery for pregnant women.	474623824
AIDS Response - Seacoast
7 Junkins Avenue	Portsmouth	NH	03801	501(c)(3)	$7,000	Support Program	222884488

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DURING THE TAX YEAR 2016, WDH ONLY MADE CONTRIBUTIONS TO GOVERNMENTAL ENTITIES OR OTHER 501(C)(3) PUBLIC CHARITIES, ADDITIONAL MONITORING IS NOT DEEMED NECESSARY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
Anne Kalter MD
Trustee	$152,334	$57,420	$54,112	$18,461	$5,025	$31,047	$54,112	$264,287
John Novello MD
Trustee	$327,071	$21,900		$1,392	$11,259	$21,133		$382,755
Gregory J Walker
President/CEO			$193,414				$969,747		$480,654	$146,112	$126,354	$23,213
Peter E Walcek
CFO/VP Finance			$62,272				$541,313		$325,475	$63,486	$68,787	$21,293
Paul R Cass DO
VP Medical Affairs/CMO			$1,392				$560,014		$392,649	$71,675	$73,503	$20,795
Ellen L Caille FACHE
Executive Vice President			$58,805				$490,792		$287,652	$56,877	$59,070	$28,388
Malcom D Rosenson MD
Chief of Quality & Safety Offi			$1,392				$376,732		$314,661	$28,636	$13,250	$18,793
Sheila M Woolley
CNO/VP Patient Care			$44,126				$505,272		$258,082	$143,319	$38,402	$21,343
Daniel N Dunn
COO/Sr. VP Operations			$21,735				$327,690		$244,528	$27,005	$15,197	$19,225

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 1, LINE 1A:	CERTAIN RETIREMENT AND FRINGE BENEFITS FOR GREGORY J. WALKER (PRESIDENT/CEO) HAVE BEEN GROSSED-UP UTILIZING THE APPLICABLE MARGINAL FEDERAL TAX RATE AS THE MOST EFFICIENT AND COST EFFECTIVE MEANS TO FULFILL THE TARGET BENEFIT GOAL AT RETIREMENT.
PART I, LINE 4B:	GREGORY J. WALKER (PRESIDENT/CEO) - 2016 TOTAL CONTRIBUTIONS TO THE 457(F) PLAN = $113,104. THIS SUPPLEMENTAL RETIREMENT PLAN CONTRIBUTION IS INTENDED TO FUND BENEFITS ACCRUING AND PAYABLE AT RETIREMENT FOR MULTIPLE YEARS OF SERVICE THAT BEGAN IN CALENDAR YEAR 1997. IN 2016, THE HOSPITAL FUNDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH PROVIDES BENEFITS TO OTHER QUALIFYING EXECUTIVES. THE CONTRIBUTIONS ARE INTENDED TO PROVIDE A FORFEITABLE SUPPLEMENTAL RETIREMENT BENEFIT AND ARE BEING PROVIDED IN CONSIDERATION FOR MANY YEARS OF SERVICE TO THE HOSPITAL. THE RESPECTIVE CONTRIBUTIONS FOR THE 2016 PLAN YEAR, FOR THOSE INDIVIDUALS IDENTIFIED IN SCHEDULE J - PART II, ARE AS FOLLOWS: PETER E. WALCEK = $52,887, PAUL R. CASS, DO = $60,253, ELLEN L. CAILLE = $46,941, AND SHEILA WOOLLEY = $46,941. THE FOLLOWING INDIVIDUALS VESTED IN THEIR 2011 457(F) CONTRIBUTIONS DURING 2016: PETER E. WALCEK = 41,483, ELLEN L. CAILLE = 38,813, AND SHEILA WOOLLEY = 21,640. THE 2011 AMOUNTS ARE REQUIRED TO BE REPORTED ON SCHEDULE J, IN COLUMN F AND AS PART OF THE TAXABLE W-2 COMPENSATION REPORTED IN COLUMN B(III) OF THIS FORM 990. WDH SPONSORS A A SPLIT-DOLLAR LIFE INSURANCE EMPLOYEE BENEFIT PROGRAM FOR CERTAIN OFFICERS AND KEY EMPLOYEES. SPLIT DOLLAR LIFE INSURANCE IS AN ARRANGEMENT IN WHICH THE EMPLOYEE IS THE OWNER OF THE LIFE INSURANCE POLICY AND THE PREMIUMS ARE PAID BY THE EMPLOYER. PURSUANT TO WDH'S SPLIT-DOLLAR AGREEMENT, AND THE COLLATERAL ASSIGNMENT THEREIN, THE EMPLOYER'S SHARE OF THE POLICY PREMIUMS PAID IS RECOVERED EITHER UPON TERMINATION OF THE POLICY OR AT THE DEATH OF THE PARTICIPANT. NOTE THAT THE SPLIT-DOLLAR ARRANGEMENT IS PART OF AN EMPLOYEE BENEFIT PROGRAM AND ECONOMICALLY NOT A DIRECT EXTENSION OF CREDIT. FURTHERMORE, THE REPORTABLE COMPENSATION OF THE RESPECTIVE EMPLOYEE INCLUDES THE ANNUAL VALUE OF THE LIFE INSURANCE. TOTAL PREMIUMS PAID DURING THE YEAR ENDING 12/31/16 WERE $21,144 FOR PETER E. WALCEK, $58,352 FOR DANIEL N. DUNN, AND $38,168 FOR SHEILA M. WOOLEY. THE TAXABLE VALUE OF THE LIFE INSURANCE POLICY HAS BEEN INCLUDED IN EACH INDIVIDUALS' W-2. THE POLICIES ARE INTENDED TO PROVIDE AN ADDITIONAL RETIREMENT BENEFIT FOR THESE INDIVIDUALS' MULTIPLE YEARS OF SERVICE.
PART I, LINE 7:	AT-RISK COMPENSATION, WHICH IS SUBJECT TO REVIEW AND PAID ANNUALLY. IT IS BASED ON SEVERAL PREDEFINED METRICS, INCLUDING PATIENT SATISFACTION, QUALITY, AND FINANCIAL TARGETS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NHHEFA AUTHORITY REVENUE BONDSWDH ISSUE SERIES
A	020279866	644614VAR	2011-04-06	$87,920,000	REFINANCING BONDS & CONSTRUCTION	false	false	false
NHHEFA AUTHORITY REVENUE BONDS WDHISSUE SERIES 2
B	020279866	644614m22	2016-03-28	$22,000,000	REFINANING BONDS & CAPITAL EXPENDI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$87,825,276	$0	$0	$12,476,983	$976,169	$0	$0	$44,372,124	$0	$0	2012	false	false	false	Yes (true)
B	$0	$0	$15,815,000	$0	$0	$0	$241,500	$0	$0	$5,943,500	$0	$0	2016	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	false
PIPER JAFFRAY
B	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, BOND ISSUES:	(A) ISSUER NAME: NHHEFA AUTHORITY REVENUE BONDS/WDH ISSUE, SERIES 2011A (F) DESCRIPTION OF PURPOSE: REFINANCING BONDS & CONSTRUCTION OF NEW INPATIENT WING
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: NHHEFA AUTHORITY REVENUE BONDS/WDH ISSUE, SERIES 2011A DATE THE REBATE WAS PERFORMED 01/01/2013
PART IV, LINE 4C:	THE BOND LISTED ON LINE B OF PART I IS SPLIT INTO APPROXIMATELY TWO EQUAL HEDGES, ONE WITH A TERM OF 11.8 YEARS (ENDING ON 01/01/2023) AND THE OTHER 19.8 YEARS (ENDING ON 01/01/2031)
BOND REFINANCE:	ON MARCH 28, 2016 THE SYSTEM REFINANCED ITS EXISTING SERIES 2011B REVENUE BONDS THROUGH THE ISSUANCE OF SERIES 2016A REVENUE BONDS TOTALING $16,000,000. ADDITIONALLY, SERIES 2016B REVENUE BONDS TODALING $6,000,000 were issued to reimburse for certain capital expenditures. The Series 2016A revenue bonds were directly placed with a financial institution and do not require a secured letter of credit. The series 2016A and 2016B revenue bonds mature on January 1, 2031 and January 1, 2026, respectively, and carry a weighted average interest rate of 3.1374%.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Peter E Walcek
CFO/VP Finance	Retirement Benefits	Yes (X)	$102,663	$106,770	false	Yes (true)	Yes (true)
Daniel N Dunn
COO/Sr. VP Operations	Retirement Benefits	Yes (X)	$403,260	$419,390	false	Yes (true)	Yes (true)
Sheila M Wooley
CNO/VP Patient Care Services	Retirement Benefits	Yes (X)	$225,474	$234,493	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$760,653	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Gregory Walker Peter Walcek Sheil
CFO, CEO, CNO	$733,901	Joint Ventures	false
Peter E Walcek
CFO	$47,396	related to employee	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule L, Part II, Loans To and From Interested Persons:	(a) Name of Person: Peter E. Walcek (b) Relationship with Organization: CFO/VP Finance (c) Purpose of Loan: Supplemental Retirement Benefits - Split Dollar Life Insurance (d) Loan to or from organization? From (e) Original Principal Amount $ 102,663. (f) Balance Due $ 106,770. (g) Loan in Default? = No (h) Approved by Board or Committee? = Yes (i) Written Agreement? = Yes (a) Name of Person: Daniel N. Dunn (b) Relationship with Organization: COO/SR. VP Operations (c) Purpose of Loan: Supplemental Retirement Benefits - Split Dollar Life Insurance (d) Loan to or from organization? = From (e) Original Principal Amount $ 403,260. (f) Balance Due $ 419,390. (g) Loan in Default? = No (h) Approved by Board or Committee? = Yes (i) Written Agreement? = Yes (a) Name of Person: Sheila M. Wooley (b) Relationship with Organization: CNO/VP Patient Care (c) Purpose of Loan: Supplemental Retirement Benefits - Split Dollar Life Insurance (d) Loan to or from organization? = From (e) Original Principal Amount $ 225,474. (f) Balance Due $ 234,493. (g) Loan in Default? = No (h) Approved by Board or Committee? = Yes (i) Written Agreement? = Yes
Schedule L, Part IV, Business Transactions Involving Interested Persons:	(a) Name of Interested Persons: Gregory J. Walker, Peter E. Walcek, & Sheila M. Wooley (b) Relationship Between Interested Persons and Organization: President/CEO, CFO/VP Finance, & CNO/VP Paitnet Care (d) Decription of Transaction: Joint Venture Gregory J. Walker, President/CEO, Peter E. Walcek, VFO/VP Finance, and Sheila M. Wooley, CNO/VP Patient Care of the Hospital serve on the board of managers of Wentworth Home Care & Hospice, LLC. The Hospital has 50% ownership interest in Wentworth HOme Care and Hospice, LLC. The Hospital accounts for its investment in joint ventures under the equity method. The 2016 income recorded for the Hospital's share of revenues equaled $733,901 from which is received a cash distributions of $637,500. In accordance with IRS instructions, this business relationship has been disclosed in Schedule L, Part IV, however Mr. Walker, Mr. Walcek, and Ms. Wooley received no direct or indirect monetary benefit as a result of this joint venture and all transactions were negotiated at arms-length.
Schedule L, Part II:	Amounts stated on Schedule L, Part II represent the net present value expected on the total premiums paid through 12/31/16 that is anticipated to be received by the Hospital with respect to supplemental retirement benefits related to split dollar life insurance policies for the disqualified persons listed on Form 990, Part VII and as further reported on Schedule J. Total cumulative premiums paid through December 31, 2016 for disqualified persons are $317,160 for Peter E. Walcek, $875,280 for Daniel N. Dunn and $572,570 for Sheila M. Wooley. Total premiums paid during the year ended 12/31/16 were $21,144 for Peter E. Walcek $58,352 for Daniel N. Dunn, and $38,168 for Sheila M. Wooley. Pursuant to updated IRS instructions, the net present value of these split dollar premiums has been reported in Schedule L, Part II this year. Accordingly, the net present value premium amounts described above have been reported on Form 990, Part X, Line 5 in the End of Year column.
Schedule L, Part IV, Business Transactions Involving Interested Persons	(A) Name of Person: Peter E. Walcek (B) Relationship with Organization: CFO/VP Finance (D) Description of transaction: A family member of Peter E. Walcek is an employee at the hospital. In accordance with IRS instructions, this business relationship has been disclosed in Schedule L, Part IV and the total w-2 compensation of this employee is listed within column (c) of Schedule L, Part IV.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a, Program Service Accomplishments:	At Wentworth-Douglass Hospital (WDH), we are committed to serving our community and addressing the needs of all our patients. Our community benefit programs are available to local residents with income at or below 250% of Federal Poverty Level guidelines, one of the most generous programs in the State of NH which outlines the community and charitable benefits provided, which includes community benefits of WDH and WDPC. Numerous programs were developed to assist people in the area we serve, including FInancial Aid, Behavioral Health Services, Family Resource Counselor Program, Financial Assistance Services, Physician Referral Services, Care-Van transportation services, and Wentworth-Douglass Community Dental Center. The Hospital provided $7,419,092 (as measured by gross charges) of charity care assistance programs in 2016. In total, the Hospital and WDPC together provided $7,878,740 (as measured by gross charges) of charity care assistance in 2016. The Hospital's core programs include our Cancer Center, Emergency Department, and Surgical Services. In addition, WDH offers other key services in the areas of Women's and Children's Services and Cardiology Services. 1. The Seacaost Cancer Center at Wentworth-Douglass Hospital offers the most comprehensive cancer treatment services covering the Seacoast region of New Hampshire and Southern Maine. Founded over 30 years ago as a single room adjacent to the Emergency Department, the Cancer Center's services now include extensive, state of the art medical and radiation oncology diagnostic services with multiple treatment options. In 2016, the Seacoast Cancer Center received the Outstanding Achievement Award from the Commission of Cancer (CoC) and accrediting body of the American College of Surgeons. This award recognizes cancer programs that achieve excellense in compliance to the CoC Standards and provide the highest quality care to cancer patients. 2. The Emergency Department at Wentworth-Douglass Hospital has one of the highest volume of visits in the State of New Hampshire. Close linkages to local emergency services personnel and Fire & Rescue Departments continue to extend the skill and capabilities of the Department. Through internal and external education efforts, the Emergency Department focused on improving patient care for specific types of hear attack (STEMI) and stroke. The Department's efforts in the Fall of 2008, through a clinical collaboration with Massachusetts General Hospital, created the Stroke Initiative to form a center of excellence for stroke care. In October 2009 the American Heart/Stroke Association awarded WDH the Bronze Award for achieving its high standard, quality guidelines for six consecutive months. In 2011, the Hospital received a Gold Plus Award from the Joint Commission for 24 consecutive months of achievement at the Stroke Center. In addition, Wentworth-Douglass Hospital was the first hospital in New Hampshire to earn Primary Stroke Center Advanced Certification by The Joint Commission, the nation's leading healthcare accrediting agency. To accomodate increasing patients the Department also added additional space for six treatment rooms and opened a Walk-In Express Care Centers in both Dover and Lee, NH to support the growing population areas in the towns surrounding Dover and Lee. The Hospital's generous Charity Care Program offers emergency, walk-in and other hospital services at no charge for qualifying patients at 250% of the Federal Poverty Level. 3. Surgical Services at WDH include a wide array of services and technological advances frequently associated with larger medical centers. A renovation to enlarge operating rooms created digital ORs and space for new equipment such as the da Vinci Robotic Surgical System. Now in its ninth year, the robotic program began with OB/GYN surgeons, and now includes Thoracic, General Surgery and Urology. Another clinical collarboartion with MGH at WDH brings a GYN/Oncology surgeon to WDH to perform "medical center" surgery in the community setting, eliminating the time and the frustration of travel to and parking at metropolican cities. A range of minimally invasive procedures including Robotic Surgery, Single Incision Laparoscopic Surgery (SILS) used by general surgeons and Video Assisted Thoracic Surgery (VATS) procedures used by the thoracic surgeon offer patients the benefits of complex surgery with less blood loss, less infection and faster recovery. The Joint Replacement Program introduced in 2006 offers a unique approach to joint replacement surgery with pre-op group education and post-op group rehab. Surgeons, anesthesiologists, nursing, rehab and nutrition staff worked collaboratively to create this new approach to joint replacement care. In 2009, the Hospital created the Northern New England Spine Center, a partnership of specialists to coordinate and expedite the care of patients with neck and back pain. The Spine Center members include a spine surgeon, physiatry specialists, pain specialists, WDH rehab, behavioral health specialists and a WDH Spine Coordinator. The virtual center holds bimonthly multidisciplinary conferences to coordinate the care and treatment of Spine Center patients. Other Services: In addition to the services listed above, Wentworth-Douglass Hospital offers traditional services with non-traditional components. One example is The Birth Center. Currently The Birth Center is the fastest growing birthing service in the Seacoast area with over 1,000 births per year. Wentworth-Douglass Hospital is a recognized Baby Friendly facility for our efforts to provide an optimum level of care for breast feeding mothers and their babies. The Baby-Friendly Hospital Initiative is a global program sponsored by the World Health Organization and the United Nation's Children's Fund. In addition, WDH received the Women's Choice Award for creating exceptional patient experiences in the areas of Obsterics, Cancer Care, Orthopedics and overall patient satisfaction. In an effort to support a small but growing and young Indonesian population, the Birth Center translated all forms and information for new mothers into Indonesian. Local church groups welcomed Indonesian families into their communities. Cardiology Services recently replaced the cath lab with new equipment and the Department added Non-Invasive Cardiovascular Services at a new, offsite medical office building in Dover, extending the options now available for patients. A second cardiovascular inventional lab was opened late in 2010 to accommodate growing patient volume and urgent cases. All the Community Assistance (Benefit) Services support low income, uninsured individuals and families in the Hospital's service area with Charity Care (Financial Assistance), the Wentworth-Douglass COmmunity Dental Center, and the Care-Van free patient transport service.
Form 990, Part III:	Effective January 1, 2017, Massachusetts General Hospital (MGH) became the sole corporate member and parent organization of the Hospital. Contemporaneously, the Hospital became the sole corporate member and parent organization of Wentworth-Douglass Hospital and Health Foundation (WDHHF), Wentworth-Douglass Physician Corporation (WDPC), and the Wentworth-Douglass Community Health Corporation (WDCHC). As part of the transaction, Wentworth-Douglass Health System (WDHS) was spun off with the purpose of monitoring the integration of the Hospital into MGH.
Form 990, Part VI, Section A, Line 4 and Line 6:	WDHS, a New Hampshire nonprofit corporation, was formed in 2012 as the result of the corporate restructuring of WDH into an integrated health system. WDHS serves as the parent company of WDH and its affiliates WDDHF and WDPC, all of which are New Hampshire nonprofit corporations that have been recognized as being 501(C)(3) organizations. These corporations share a common mission with the Hospital. WDHS is intended to act as a supporting organization of WDH, serving in the role of the "parent compeny" of the Hospital and the affiliates. WDHS is the sole member of WDH. As part of the MGH transaction effective January 1, 2017, the Hospital became the sole corporate member and parent organzation of WDPC, WDCHC and the Foundation and the governing documents were updated to reflect this change. WDHS was spun off with the purpose of monitoring the integration of the Hospital into MGH.
Form 990, Part VI, Section A, Line 7a:	WDHS will appoint the Board members for WDH. Effective January 1, 2017, with MGH becoming the sole corporate member and parent organization of WDH, WDHS no longer appoints the board members for WDH.
Form 990, Part VI, Section A, Line 7b:	Wentworth-Douglass Health System has the power to appoint and remove directors of WDH, and all actions pertaining to the property, business, and affairs of WDH, including WDH's annual budget, are subject to the approval of WDHS. Effective January 1, 2017, with MGH becoming the sole corporate member and parent organization of WDH, WDHS no longer holds these powers and serves for the purpose of monitoring the integration of the Hospital into MGH.
Form 990, Part VI, Section B, Line 11:	A draft of the Form 990 is initially reviewed in detail by the Finance Committee and the key Finance employees. Thereafter, the final draft is presented to the full Board prior to filing with the IRS. Each member of the Board and Finance Committee is provided with a complete draft of the Form 990 in advance of each meeting.
Form 990, Part VI, Section B, Line 12c:	A copy of the Hospital's conflict of interest policy is distributed annually to all officers, trustees, medical staff officers and committee members, and the management team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. Conflicts are disclosed in accordance with State of New Hamshire RSA 7:19-A in the local newspaper and submitted to the New Hampshire Attorney General.
Form 990, Part VI, Section B, Line 15:	CEO's Compensation: The CEO's compensation and benefits are reviewed, adjusted, and voted on by all independent members of the Board annually. Every other year, a national independent consulting firm is engaged by the Board to provide comparative market compensation data for executive and management positions at the Hospital. The Board uses the data provided to compare Wentworth-Douglass's CEO compensation with that of other hospital executives nationally and in the Northeast region to determine the CEO's total compensation. On alternate years, when the consulting firm is not engaged, the Board uses salary ranges established the prior year and market economic data to validate that the CEO's salary is competitive and make market adjustments. Additional factors taken into account to determine the CEO's salary are based on several predefined metrics, including patient satisfaction, quality, and financial targets. The CEO is excused from Board discussion and voting on issues surrounding his compensation and benefits. Compensation of Key Employees: The CEO reviews the salaries of key employees annually and recommends compensation based on performance, salary ranges and market competitive data. Compensation data is provided by an independent national consulting firm every other year. The CEO presents salary range data for key employees to the Board annually for approval. Using the BOard approved salary range data, the CEO recommends salary increases for vice presidents to the Board for approval and the vice presidents recommend salary increases for Directors and other management positions to the CEO for approval. All compensation for vice presidents and above requires final approval by the independent Board Members.
Form 990, Part VI, Section C, Line 19:	Wentworth-Douglass Hospital files audited financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit and informs the Director of Charitable Trusts of any pecuniary benefit transactions that have occurred between the Foundation and a board member or officer. Notices of such transactions of $5,000 or more are also published in the local newspaper in accordance with NH RSA 7:19-a, II(d). Current copies of the Bylaws, Conflict of Interest Policy, and Form 990 are on file with the Charitable Trust Unit. The Organization also makes these documents available upon request.
Form 990, Part VI, Section A, Line 1a and Line 1b:	Governing Body and Management: Steven C. Webb is a trustee of the Hospital and an executive at TD Bank. The Hospital maintains operating and payroll accounts with TD Bank. Transactions in 2016 were in excess of $10,000. An exact figure cannot be stated due to daily account activity and balance changes. Both accounts were active prior to Mr. Webb joining the Board and all transactions with TD Bank are at a fair market rate. For 2016, Mr. Webb has been classified as an independent board member.
Form 990, Part VII, Section A, Column D:	Reportable Compensation from the Organization: The 2016 compensation reported for Dr. Anne Kalter and Dr. John Novello was paid by a related organization (Wentworth-Douglass Physician Corporation) for their full-time services as members of the medical staff. Neither individual is compensated for their services as a trustee of WDH. Dr. Anne Kalter is also a 50% owner of Gynecologic Paradox (formerly Gynecology & Infertility Associates). During 2016, Wentworth-Douglass Hospital made payments to Gynecologic Paradox of $54,112 for rent. These amounts have been reported to her on a 1099 and included in Schedule J, Part II, Column B(iii). Additionally, Dr. Dirksmeier received a contribution during 2016 to WDH's Call Pay Plan which is available to independent physician contractors who provide on call services to the Hospital. This amount has been reported in Part VII, Column (F). In 2016, Dr. Dirksmeier and Dr. Flavin received distributions from their Call Pay Plan which was reported to them on a 1099-MISC. These distributions have been added to Column D of Part VII of Form 990 and Column B(iii) on Schedule J, Part II. As outlined above, these distributions have been reported in Part VII, Column (F) of prior 990s when they were contributed to each individual's plan.reported in Part VII, Column (F) of prior 990s when they were contributed to each individual's plan.
Form 990, Part IX, Line 24d:	Under the State of New Hampshire's tax code, the State imposes a Medicaid Enhancement Tax (MET) equal to 5.40% of net patient service revenues in State fiscal year 2017, 5.45% for State Fiscal year 2016, and 5.50% in State fiscal year 2015, with certain exclusions. Hospital's have been paying the MET since 1991, but in previous years, after the State had received matching federal funds, it provided the hospital's uncompensated care payments towards the cost of care of patients without insurance and those covered by Medicaid. The net effect was that most of the MET was returned to the hospitals. In the fall of 2010, in order to remain in compliance with stated federal regulations, the State of New Hampshire adopted a new approach related to Medicaid disproportionate share (DSH) funding retroactive to July 1, 2010. Unlike the former funding method, the State's approach led to a payment that was not directly based on, and did not equate to, the level of tax imposed. For 2016, Wentworth-Douglass paid $15,894,987 in MET (see Part IX, Line 24d) and recorded $12,989,293, of disproportionate share uncompensated care.
Form 990, Part XII, Line 2c:	Audit Review Process: The Finance Committee oversees the audit process for Wentworth-Douglass Hospital and all related organiazations. The audit process for the financial statements did not change from the prior year. Independent accountants performed the audit in both 2015 and 2016.
Form 990, Part IX, Column D:	Fundraising expenses: Wentworth-Douglass Hospital and Health Foundation (a related organization) performs all fundraising activities on behalf of Wentworth-Douglass Hospital. All fundraising expenses are reported on the Foundation's separate Form 990.
Form 990, Part X, Line 5:	Amounts separately stated on Form 990, Part X, Line 5 represent the net present value expected on the total cumulative premiums paid through 12/31/16 that is expected to be received by the Hospital with respect to supplemental retirement benefits related to split dollar life insurance policies for various disqualified persons listed on Form 990, Part VII and as reported on Schedule L and J.
Form 990, Part XI, Line 9	Loss on investment in joint venture -30,075,318 Accrued earnings on J.V. owned by affiliate -408,921 Loss on Bond Financing -119,447

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	End Of Year AssetsEndOfYearAssetsAmt
73 Corporate Drive at Pease LLC
95 Market Street	Manchester	NH	03101	Acquisition	NH	WDH
Cocheco Development LLC
95 Market Street	Manchester	NH	03101	Acquisition	NH	WDH	$300,737
Central Avenue Acquisition Company LLC
95 Market Street	Manchester	NH	03101	Acquisition	NH	WDH	$945,786

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WD Hospital & Health Foundation
789 Central Avenue	Dover	NH	03820	510491062	fundraising	NH	501(c)(3)	Line 11b ii	WDHS	false
Wentworth-Douglass Physician Corporation
789 Central Avenue	Dover	NH	03820	020497927	Health Care	NH	501(c)(3)	Line 3	WDHS	false
Wentworth-Douglass Health System
789 Central Avenue	Dover	NH	03820	461635259	Support	NH	501(c)(3)	Line 11b,II	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth Surgery Center LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 71	AddressLine1Txt
City	Somersworth	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03878	ZIPCd

Field	Value	IRS element (for citing)
EIN	900975583	EIN
Primary Activities	Surgery Center	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.00000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Community & Health Co	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03820	ZIPCd

Field	Value	IRS element (for citing)
EIN	020399963	EIN
Primary Activities	Fitness Center	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C-Corp	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Ownership	0.00000	OwnershipPct
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Wentworth-Douglass Community Health Corporati
L	$120,853	Actual per Book
Wentworth Surgery Center
Q	$83,822	Actual per Book
Wentworth-Douglass Community Health Corporati
A	$152,671	Actual per Book

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Identification of Related Tax-Exempt Organization:	Name of Related Organization: Wentworth-Douglass Health System Primary-Activity: Support and further charitable activities of Hospital and related entities.
Schedule R, Part III:	The Hospital system invested in Granite Healthcare Asset Holding Company, LLC, a joint venture with several hospital facilities. The Hospital's investment in this entity does not otherwise meet the disclosure requirements for Schedule R, Part III.
Schedule R, Part II:	Although not listed in Schedule R, Part II, Wentworth-Douglass HOspital owns 100 shares (50% of shares issued and outstanding) of non par value corporate stock in Strafford Health Alliance, a 501(C)(3) public charity. Strafford Health Alliance provides physical therapy, occupational therapy, and breast imaging services to residents of southeast New Hampshire. Due to a lack of a control relationship by Wentworth-Douglass Hospital; Strafford Health Alliance has not been listed as a related organization in Schedule R, Part II in accordance with IRS instructions.