MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-10-28
IRS object ID: 201503019349300430
Schema version: 2014v5.0
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	2015-10-28T10:23:36-05:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 507	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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)
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	038202526	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Peter E Walcek	PersonNm
Person Title	CFO/VP of Finance	PersonTitleTxt
Phone	6037422804	PhoneNum
Signature	2015-10-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2015-10-19	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	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	038202526	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$325,219,250	GrossReceiptsAmt
Group Return For Affiliates	0	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1984	TotalEmployeeCnt
Total Volunteers	178	TotalVolunteersCnt
Total Gross UBI	$46,951	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$144,695	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,060,342	PYContributionsGrantsAmt
CY Contributions Grants	$650,214	CYContributionsGrantsAmt
PY Program Service Revenue	$266,095,424	PYProgramServiceRevenueAmt
CY Program Service Revenue	$278,986,224	CYProgramServiceRevenueAmt
PY Investment Income	$5,933,136	PYInvestmentIncomeAmt
CY Investment Income	$5,600,927	CYInvestmentIncomeAmt
PY Other Revenue	$2,723,486	PYOtherRevenueAmt
CY Other Revenue	$3,174,294	CYOtherRevenueAmt
PY Total Revenue	$275,812,388	PYTotalRevenueAmt
CY Total Revenue	$288,411,659	CYTotalRevenueAmt
PY Grants And Similar Paid	$517,888	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$422,784	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$114,683,716	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,782,152	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$126,110,422	PYOtherExpensesAmt
CY Other Expenses	$131,218,575	CYOtherExpensesAmt
PY Total Expenses	$241,312,026	PYTotalExpensesAmt
CY Total Expenses	$249,423,511	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,500,362	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,988,148	CYRevenuesLessExpensesAmt
Total Assets BOY	$417,735,614	TotalAssetsBOYAmt
Total Assets EOY	$444,140,997	TotalAssetsEOYAmt
Total Liabilities BOY	$181,078,438	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$190,257,126	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$236,657,176	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$253,883,871	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Wentworth-Douglass 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 region since 1906, Wentworth-Douglass Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$218,920,638	ExpenseAmt
Grant	$422,784	GrantAmt
Revenue	$280,388,332	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)At Wentworth-Douglass Hospital, 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. WDH files an annual Community Benefits Report with the State of NH which outlines the community and charitable benefits provided. Numerous programs were developed to assist people in the area we serve, including Financial Aid, Behavioral Treatment Health Services, Family Resource Counselor Program, Medication Assistance Program, Physician Referral Services, Care-Van transportation services, and Wentworth-Douglass Community Dental Center. The Hospital provided $17,574,000 (as measured by gross charges) of community assistance programs in 2014, impacting 9,331 patients. In total, the Hospital and WDPC together provided $18,638,000 (as measured by gross charges) of community assistance programs in 2014, impacting 16,871 patients.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 Seacoast 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. A multidisciplinary Chest Clinic, located in the Seacoast Cancer Center, saw its first patients in October 2008. The medical team focuses on timely access to services for patients with lung nodules and lung cancer. 2. The Emergency Department at Wentworth-Douglass Hospital is the busiest in the Seacoast and third busiest 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 heart 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.To accommodate increasing patients the Department also added additional space for six treatment rooms and opened a Walk-In Urgent Care Center in Lee, NH to support the growing population areas in the towns surrounding 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 recent renovation to enlarge operating rooms created digital ORs and space for new equipment such as the da Vinci Robotic Surgical System. Now in its seventh year, the robotic program began with OB/GYN surgeons, and now includes Thoracic, General Surgery and Urology. Another clinical collaboration 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 metropolitan 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. 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 interventional 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), Medication Assistance, the Wentworth-Douglass Community Dental Center and the Care-Van free patient transport service.	Desc
Total Program Service Expenses	$218,920,638	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	245	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1984	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Peter E Walcek CFOVP of Finance	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	038202526	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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	0.50	1.00	Yes (X)	$0	$0	$0
Gerald Daley EdD
Trustee	0.50	1.00	Yes (X)	$0	$0	$0
Peter J Dirksmeier MD
Trustee	2.00	0.10	Yes (X)	$0	$0	$12,300
David Flavin MD
Trustee	2.00	0.10	Yes (X)	$8,569	$0	$10,402
Neil Garvey
Trustee	1.50	2.50	Yes (X)	$0	$0	$0
Anne Kalter MD
Trustee	2.00	37.00	Yes (X)	$100,890	$181,223	$28,235
Donna Rinaldi
Trustee	0.50	1.00	Yes (X)	$0	$0	$0
Theodore Ristaino
Trustee	0.50	1.00	Yes (X)	$0	$0	$0
Steven C Webb
Trustee	0.50	1.00	Yes (X)	$0	$0	$0
Joseph White MD
Trustee	10.00	1.00	Yes (X)	$171,221	$0	$18,923
Roger Hamel
Chairman	3.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
Carol Bailey
Vice Chairman	3.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Michael Steinberg
Treasurer	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
John Salmon
Secretary	3.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Gregory J Walker
President/CEO	50.00	5.00	Yes (X)	$778,792	$0	$153,784	Yes (X)
Peter E Walcek
CFO/VP Finance	50.00	5.00		$382,174	$0	$93,713	Yes (X)
Paul R Cass DO
VP Medical Affairs/CMO	48.00	2.00		$456,586	$0	$87,125		Yes (X)
Ellen L Caille
Executive Vice President	48.00	2.00		$338,134	$0	$82,207		Yes (X)
Daniel N Dunn
COO/SR. VP Operations	50.00			$294,082	$0	$33,028		Yes (X)
Malcolm D Rosenson MD
Chief Quality & Safety Off	50.00			$287,673	$0	$35,850		Yes (X)
Sheila M Woolley
CNO/VP Patient Care	50.00			$286,504	$0	$52,639		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,104,625	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$181,223	TotReportableCompRltdOrgAmt
Total Other Compensation	$608,206	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	117	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Siemens Medical Solutions
51 Valley Stream Parkway	Malvern	PA	19355	IT Hardware/ Implementation	$3,291,176
Sodexo Inc & Affiliates
9801 Washington Boulevard	Gaithersburg	MD	20878	Food Services/ Management	$1,589,600
Mass General Physicians Organization
55 Fruit Street	Boston	MA	02114	Physician Services	$1,132,078
Siemens Healthcare Diagnostics Inc
511 Benedict Avenue	Tarrytown	NY	10591	Lab System/Service Contracts	$1,023,338
Audit Billing Center Inc
29 Winter Street	Pembroke	MA	02359	Billing Services	$1,022,532

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$433,202	RelatedOrganizationsAmt
All Other Contributions	$217,012	AllOtherContributionsAmt
Noncash Contributions	$9,000	NoncashContributionsAmt
Total Contributions	$650,214	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient service revenue	621400	$275,326,351	$275,326,351
Miscellaneous Revenue	621400	$1,718,097	$1,714,497	$3,600
Cafeteria	722320	$1,185,752	$1,142,401	$43,351
Child care service	624410	$914,581	$914,581
Disproportionate Share Funding	621400	-$158,557	-$158,557

Field	Value	IRS element (for citing)
Total Program Service Revenue	$278,986,224	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,410,649	TotalRevenueColumnAmt
Exclusion	$3,410,649	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,139,164	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$413,929	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,725,235	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,725,235	TotalRevenueColumnAmt
Exclusion	$1,725,235	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,381,221	SecuritiesAmt
Other	$202,719	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$36,348,931	SecuritiesAmt
Other	$44,731	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,032,290	SecuritiesAmt
Other	$157,988	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,190,278	TotalRevenueColumnAmt
Exclusion	$2,190,278	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Meaningful Use	621400	$1,036,495	$1,036,495
Transcription	621400	$321,313	$321,313
Granite Shield	621990	$91,251	$91,251

Field	Value	IRS element (for citing)
Other Revenue Total	$1,449,059	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$288,411,659	TotalRevenueColumnAmt
Related Or Exempt Func Income	$280,388,332	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$46,951	UnrelatedBusinessRevenueAmt
Exclusion	$7,326,162	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$422,784	TotalAmt
Program Services	$422,784	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,730,768	TotalAmt
Program Services	$322,305	ProgramServicesAmt
Management And General	$1,408,463	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,701,865	TotalAmt
Program Services	$75,564,256	ProgramServicesAmt
Management And General	$13,137,609	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,029,280	TotalAmt
Program Services	$2,574,886	ProgramServicesAmt
Management And General	$454,394	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,900,972	TotalAmt
Program Services	$13,515,826	ProgramServicesAmt
Management And General	$2,385,146	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,419,267	TotalAmt
Program Services	$7,156,377	ProgramServicesAmt
Management And General	$1,262,890	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$439,717	TotalAmt
Management And General	$439,717	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$135,792	TotalAmt
Management And General	$135,792	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,953	TotalAmt
Management And General	$48,953	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$138,382	TotalAmt
Management And General	$138,382	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,159,801	TotalAmt
Program Services	$12,512,851	ProgramServicesAmt
Management And General	$646,950	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,258,237	TotalAmt
Program Services	$1,258,237	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,125,807	TotalAmt
Program Services	$3,548,546	ProgramServicesAmt
Management And General	$577,261	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,797,425	TotalAmt
Program Services	$2,980,979	ProgramServicesAmt
Management And General	$816,446	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$180,613	TotalAmt
Program Services	$135,460	ProgramServicesAmt
Management And General	$45,153	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$270,920	TotalAmt
Program Services	$203,190	ProgramServicesAmt
Management And General	$67,730	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,202,387	TotalAmt
Program Services	$6,842,268	ProgramServicesAmt
Management And General	$360,119	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,611,757	TotalAmt
Program Services	$14,119,994	ProgramServicesAmt
Management And General	$2,491,763	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,627,239	TotalAmt
Program Services	$2,495,877	ProgramServicesAmt
Management And General	$131,362	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies/Equipm	$23,364,837	$19,860,111	$3,504,726
Pharmacy	$17,211,181	$17,211,181
Provision for bad debt	$16,081,157	$16,081,157
NH MET	$13,531,204	$13,531,204

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,033,166	TotalAmt
Program Services	$8,583,149	ProgramServicesAmt
Management And General	$2,450,017	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,423,511	TotalAmt
Program Services	$218,920,638	ProgramServicesAmt
Management And General	$30,502,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$93,879	BOYAmt
EOY	$92,262	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,220,424	BOYAmt
EOY	$42,956,190	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,581,849	BOYAmt
EOY	$29,261,132	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$653,033	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,032,389	BOYAmt
EOY	$3,075,305	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,842,367	BOYAmt
EOY	$10,904,429	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$356,331,618	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$209,112,451	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$155,302,904	BOYAmt
EOY	$147,219,167	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$121,450,749	BOYAmt
EOY	$133,603,063	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$37,674,568	BOYAmt
EOY	$53,841,862	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,176,610	BOYAmt
EOY	$15,319,714	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,294,854	BOYAmt
EOY	$1,203,936	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,065,021	BOYAmt
EOY	$6,010,904	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$417,735,614	BOYAmt
EOY	$444,140,997	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,974,565	BOYAmt
EOY	$53,553,742	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,645,537	BOYAmt
EOY	$2,894,739	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$109,718,444	BOYAmt
EOY	$107,114,820	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,965,576	BOYAmt
EOY	$10,752,974	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,774,316	BOYAmt
EOY	$15,940,851	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$181,078,438	BOYAmt
EOY	$190,257,126	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$233,422,596	BOYAmt
EOY	$250,640,058	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,809,612	BOYAmt
EOY	$1,629,369	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,424,968	BOYAmt
EOY	$1,614,444	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$236,657,176	BOYAmt
EOY	$253,883,871	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$417,735,614	BOYAmt
EOY	$444,140,997	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,988,148	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,815,855	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,945,598	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$14,575	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$28,128	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,250	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$48,953	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	During 2014, WDH representatives attended New Hampshire Hospital Association meetings and contacted state legislators to provide educational information and WDH's position on key bills. In addition, Gregory Walker, CEO, provided correspondence to and had limited direct contact with senators regarding pertinent federal and state issues. NHHA, portion of dues allocated to lobbying, $21,142 AHA, portion of dues allocated to lobbying, $6,986	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$155,843,253	BeginningYearBalanceAmt
Investment Earnings Or Losses	$29,213,049	InvestmentEarningsOrLossesAmt
Other Expenditures	$720,042	OtherExpendituresAmt
Administrative Expenses	$184,805	AdministrativeExpensesAmt
End Year Balance	$184,151,455	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,970,819	BeginningYearBalanceAmt
Investment Earnings Or Losses	$24,584,570	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,712,136	OtherExpendituresAmt
End Year Balance	$155,843,253	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,278,421	BeginningYearBalanceAmt
Contributions	$3,700	ContributionsAmt
Investment Earnings Or Losses	$26,708,184	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,019,486	OtherExpendituresAmt
End Year Balance	$141,970,819	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$99,989,314	BeginningYearBalanceAmt
Contributions	$27,460,290	ContributionsAmt
Investment Earnings Or Losses	$3,851,272	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,455	OtherExpendituresAmt
End Year Balance	$131,278,421	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$89,122,889	BeginningYearBalanceAmt
Contributions	$25,362	ContributionsAmt
Investment Earnings Or Losses	$21,394,694	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,553,631	OtherExpendituresAmt
End Year Balance	$99,989,314	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.95820	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00450	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03730	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	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	$141,273,193	OtherCostOrOtherBasisAmt
Depreciation	$52,250,696	DepreciationAmt
Book Value	$89,022,497	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,489,074	OtherCostOrOtherBasisAmt
Depreciation	$5,443,652	DepreciationAmt
Book Value	$13,045,422	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,950,095	OtherCostOrOtherBasisAmt
Depreciation	$113,219,248	DepreciationAmt
Book Value	$26,730,847	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,326,484	OtherCostOrOtherBasisAmt
Depreciation	$38,198,855	DepreciationAmt
Book Value	$15,127,629	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$147,219,167	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative investments	Desc
Book Value	$53,841,862	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$53,841,862	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Est. Third-Party Payor Settlement	Desc
Amt	$15,940,851	Amt

Field	Value	IRS element (for citing)
Total Liability	$15,940,851	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$263,956,388	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,815,855	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$1,815,855	RevenueNotReportedAmt
Revenue Subtotal	$265,772,243	RevenueSubtotalAmt
Investment Expenses Not Incld	$138,382	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$22,501,034	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$22,639,416	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$288,411,659	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$247,759,418	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$247,759,418	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$138,382	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,525,711	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,664,093	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$249,423,511	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 significant unrelated business income and have taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements. With few exceptions, these not-for-profit corporations are no longer subject to tax examination by the U.S. federal or state tax authorities for years prior to 2011.
Part XI, Line 4b - Other Adjustments:	Investments in Joint Ventures 20,975,323. Community Benefit and Other Expense 1,525,711.
Part XII, Line 4b - Other Adjustments:	Community Benefit and Other Expense 1,525,711.

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 - FMV as of December 31, 2014	TypeOfActivitiesConductedTxt
Specific Services Provided	NONE	SpecificServicesProvidedTxt
Region Total Expenditures	$38,489,449	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$38,489,449	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$38,489,449	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	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, 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 (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	9331	PersonsServedCnt
Total Community Benefit Expns	$5,942,944	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,942,944	NetCommunityBenefitExpnsAmt
Total Expense	0.02550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,828,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,954,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,874,733	NetCommunityBenefitExpnsAmt
Total Expense	0.10230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	9331	PersonsServedCnt
Total Community Benefit Expns	$39,771,934	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,954,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,817,677	NetCommunityBenefitExpnsAmt
Total Expense	0.12780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	14275	PersonsServedCnt
Total Community Benefit Expns	$848,677	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$848,677	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$451,534	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$451,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$422,783	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$422,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	14275	PersonsServedCnt
Total Community Benefit Expns	$1,722,994	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,722,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	23606	PersonsServedCnt
Total Community Benefit Expns	$41,494,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,954,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,540,671	NetCommunityBenefitExpnsAmt
Total Expense	0.13510	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,437,989	BadDebtExpenseAmt
Bad Debt Expense Attributable	$271,899	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$65,349,074	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$109,148,277	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$43,799,203	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 None	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	038202526	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	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	see Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	see Section C	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	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 (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Wentworth-Douglass Hospital	Part V, Section B, Line 5: Wentworth-Douglass Hospital held five (5) focus groups 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. Four of the groups were from geographic areas that represent our community. A provider group was comprised of physicians, nurses, social workers, and program directors. An invitation letter, confirmation letter, and focus group discussion guide were developed to recruit and facilitate the five (5) groups. All of these documents, as well as demographic characteristics of respondents and their ratings are tabulated in the appendices of the CHNA report.
Wentworth-Douglass Hospital	Part V, Section B, Line 11: The Top Five Community Health Needs include Mental Health, Transportation, Drugs & Alcohol, Access to Primary Care, and Education/Nutrition Education. WDH has organized and implemented the following services and programs to begin to address these needs. 1. Mental Health and Behavioral Health: Mental and behavioral health was identified as the top community health need in the 2013 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 Health System's primary care practices within Wentworth Health Partners (WHP). These services were expanded, in collaboration with Great Bay Mental Health Services and Goodwin Community Health (the local Federally Qualified Health Center), and made access to behavioral health counselors available to patients at all WHP primary care practices. With this program, WHP averaged 20 new referrals to behavioral health counselors per week, and provided over 1,000 visits in 2014. The second service included the addition of a full-time psychiatric case worker to provide case management of behavioral health patients waiting for long periods in the Emergency Department for evaluation and placement/treatment. This position, through collaboration with community partners, helped patients being held longer than 24 hours in the emergency department, to receive appropriate services and avoid involuntary placement, if possible, by connecting the patients to community resources including the behavioral health counselors in WHP's practices. This unique role has helped to reduce the number of days spent in the emergency room, prevent readmissions, and improve patient care. In the last six months of 2014, WDH has been able to discharge 10 patients at least one day early. Each of these programs is a move forward in reducing the lack of services and stigma of mental health/behavior health while improving overall patient care in the community. 2. Transportation: Second to mental and behavioral health services, the need for transportation to physician practices was recommended by each focus group and identified as one of the top five community health needs. The recommendation was to develop and/or support a community Care-Van service to provide transportation for patients to and from physician practices. In 2014, WDH continued to fund its Care-Van program and provided 14,275 patient trips and traveled 115,723 miles. 3. Drugs & Alcohol Abuse:The increase in drug and alcohol abuse was listed as one of the top five community health needs in WDH's 2013 CHNA. In response, WDH applied for and in 2014 was selected to participate in 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 is scheduled to launch in 2015. 4. Primary Care Access:Various initiatives were implemented in 2014 to help address the community need for greater access to primary care services. 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 over the next six months treated more than 7,700 patients. 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. Expand Education/Prevention Programs: Expanded education and prevention programs were identified a one of the top five community needs. 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), nutrition, health, and wellness lectures (e.g. heart health, sexual health, and eating organic), health fairs (e.g diabetes expo), support groups (e.g. cancer survivors), and children's camps and programs (e.g. Camp Hot Shot), and insurance marketplace education and support.
Wentworth-Douglass Hospital	Part V, Section B, Line 13b: In the 2014 Financial Assistance Policy, eligibility was determined based on Income at 250% Federal Poverty Guidelines (FPG) and Asset Guidelines (see narrative for Part I, Line 3c). Eligibility was not contingent upon residency or insurance status. Eligible patients received 100% free care.
Wentworth-Douglass Hospital	Part V, Section B, Line 15e: In the 2014 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.
Wentworth-Douglass Hospital	Part V, Section B, Line 22d: FAP eligible patients are discounted 100%, therefore no amounts are charged and free care is provided.
Part V, Section B, Line 7a:	The 2013 CHNA is available on the Hospital's website at: http://www.wdhospital.com/workfiles/WDH%20Community%20Health%20Needs%20Assessment%202013.pdf
Part V, Section B, Line 10a:	The 2013 Implementation Strategy is available on the Hospital's website at: http://www.wdhospital.com/workfiles/2013%20CHNA%20Implementation%20Strategy(v3).pdf
Part V, Section B, Line 16a:	The Hospital's FAP is available on its website at: http://www.wdhospital.com/workfiles/FSPA-03%20Financial%20Aid%20Program[1]
Part V, Section B, Line 16b:	The Hospital's FAP application form is available on its website at: http://www.wdhospital.com/workfiles/Financial%20Aid%20Application%201-1-15
Part V, Section B, Line 16c:	The Hospital's FAP plain language summary can be accessed at: http://www.wdhospital.com/body.cfm?id=188
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
Wentworth-Douglass Hospital Part V, Section B, line 16a website:	see Section C
Wentworth-Douglass Hospital Part V, Section B, line 16b website:	See Section C
Wentworth-Douglass Hospital Part V, Section B, line 16c website:	See Section C

Field	Value	IRS element (for citing)
Facility	47	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Strafford Health Alliance
200 Route 108 Suite 3	Somersworth	NH	038781106	Physical Therapy Clinics & Women's Imaging Services
Wentworth Homecare & Hospice
113 New Rochester Road	Dover	NH	03820	Hospice And Home Care Services
WHP Cardiovascular Group
19 Old Rollinsford Road	Dover	NH	03820	Specialty Care Practice
WDPC - Hospital Medicine Team
789 Central Avenue Level 2	Dover	NH	03820	Inpatient Physician Services
Lee OTPTImaging
65 Calef Highway	Lee	NH	03861	Occupational/Physical Therapy/Imaging
Seacoast General Surgery
750 Central Avenue Suite N	Dover	NH	03820	Inpatient and Outpatient Surgical Services
WDPC - Strafford Medical Associates
10 Members Way Suite 302	Dover	NH	03820	Primary Care Practice
WDPC - Dover Family Practice
10 Members Way Suite 203	Dover	NH	03820	Primary Care Practice
WDPC - Coastal Neurology Services
158 E NH Route 108 Suite 5	Dover	NH	03820	Specialty Care Practice
WDH Professional Center at Dover
10 Members Way	Dover	NH	03820	Diagnostic Services
Seacoast Cancer Center
789 Central Avenue	Dover	NH	03820	Specialty Care Practice
Express Care Lee
10 Members Way Suite 200	Dover	NH	03820	Express Care
WDPC - Endocrinology & Diabetes
10 Members Way Suite 400	Dover	NH	03820	Specialty Care Practice
WDPC - Center for Medical Genetics
15 Old Rollinsford Road Suite 201	Dover	NH	03842	Specialty Care Practice
WDPC - Dover Internal and Geriatric Medi
10 Members Way Suite 301	Dover	NH	03820	Primary Care Practice
WDPC - Adult & Children's Medicine
10 Members Way Suite 201	Dover	NH	03820	Primary Care Practice
WDPC - South Berwick Family Practice
31 Colcord Street	South Berwick	ME	03908	Primary Care Practice
WDPC - Lee Family Practice
65 Calef Highway Suite 200	Lee	NH	03861	Primary Care Practice
Express Care Dover
781 Central Avenue	Dover	NH	03820	Express Care
Wentworth Surgery Center LLC
789 Central Avenue	Dover	NH	03820	Outpatient Surgical Services
WDPC - Primary Care of Dover
10 Members Way Suite 300	Dover	NH	03820	Primary Care Practice
WDPC - Hilltop Family Practice
Somersworth Plaza 85 Main Street	Somersworth	NH	03878	Primary Care Practice
WDPC - Seacoast Pulmonary (Intensivists)
789 Central Avenue Level 1	Dover	NH	03820	Specialty Care Practice
WDPC-Gynecology and Infertility Assoc
15 Old Rollinsford Road Suite 102	Dover	NH	03820	Specialty Care Practice
Durham Rehab & Sports Therapy Center
16 Jenkins Court	Durham	NH	03824	Specialty Care Practice
WDPC - Barrington Health Center
8 Century Pines Drive Suite 2 Box	Barrington	NH	03825	Primary Care Practice	430
WDPC - Durham Health Center
36 Madbury Road	Durham	NH	03824	Primary Care Practice
WDPC - Bellamy Health Center
15 Old Rollinsford Road Suite 204	Dover	NH	03820	Primary Care Practice
WDPC - Seacoast Arthritis & Osteoporosis
10 Members Way Suite 403	Dover	NH	03820	Specialty Care Practice
WDPC - Plastic Surgery Specialists
10 Members Way Suite 303	Dover	NH	03820	Specialty Care Practice
WDH Early Learning Center
789 Central Avenue	Dover	NH	03820	Childcare Services
WDPC - Great Bay Family Practice
60 Exeter Road Suite 300	Newmarket	NH	03857	Primary Care Practice
Dover Women's Health
700 Central Avenue	Dover	NH	03820	Specialty Care Practice
WDPC - Marshwood Family Care
19 Levesque Drive Suite 2	Eliot	ME	03903	Primary Care Practice
Manchester Urology Association at Dover
10 Members Way Suite 402	Dover	NH	03820	Specialty Care Practice
WDPC-Wound Healing InstHyperbaric Oxy
789 Central Avenue	Dover	NH	03820	Specialty Care Practice
WDPC - Outpatient Diabetes Services
10 Members Way Suite 400	Dover	NH	03820	Specialty Care Practice
WDPC After Hours Clinic
10 Members Way Suite 203	Dover	NH	03820	Primary Care Practice
WDPC - Supportive & Palliative Care
789 Central Avenue Level 2	Dover	NH	03820	Inpatient Physician Services
WDPC - Summit Infectious Disease
789 Central Avenue	Dover	NH	03820	Inpatient Physician Services
Health Partners of New Hampshire Inc
789 Central Avenue	Dover	NH	038202526	Physician/Hospital Organization
Allergy Associates of NH
10 Members Way Suite 401	Dover	NH	03820	Specialty Care Practice
WDPC - Behavioral Health Services
10 Members Way Suite 201	Dover	NH	03820	Specialty Care Practice
WDPC - Integrative Therapy
15 Old Rollinsford Road Suite 204	Dover	NH	03820	Primary Care Practice
WDPC - Community Dental Center
668 Central Avenue	Dover	NH	03820	Dental Services
WDPC - Thoracic Surgery Specialists
789 Central Avenue Level 1	Dover	NH	03820	Specialty Care Practice
Head & Neck Specialty Group of NH
361 High Street	Somersworth	NH	03878	Specialty Care Practice

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	In the 2014 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 included 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, combined 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 6a:	N/A
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 is changing the presentation of Part I, Line 7 to include 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 is including 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, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 16,081,157.
Part II, Community Building Activities:	See Form 990, Part III, Line 4a.
Part III, Line 2:	The Hospital uses the ratio of cost to charge methodology to reduce total bad debt expenses of $16,081,157 (reported on Form 990, Part IX, Line 24) down to cost. In 2014, it cost the Hospital $5,437,989 to provide care to patients, for which the Hospital received no payments for services rendered. The Hospital considers the $5,437,989 to be a benefit to the community it serves. However, in accordance with the IRS instructions the negative amount has not been reported in Part I, Line 7.
Part III, Line 3:	See Part III, Line 2
Part III, Line 4:	See Page 8 and 14 of the attached audited financial statements.
Part III, Line 8:	In 2014, the Hospital provided care costing $109,148,277 to Medicare patients, for which it was reimbursed $65,349,074, representing a loss on Medicare services of $43,799,203. 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 considers the $43,799,203 cost to be a significant shortfall compared to the cost of providing the services rendered and therefore considers this amount to be a benefit to the community it serves. However, in accordance with IRS instructions the negative amount has not been reported in Part I, Line 7. The Hospital is changing the presentation of Part III, Section B to include the net New Hampshire Medicaid Enhancement Tax (MET)/Disproportionate Share Funding (DSH) impact as an expense. 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 creates a financial hardship for patients, our staff provides assistance to complete the financial application process. 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 difficulty 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:	Wentworth-Douglass Hospital 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 Hospital's Community Benefit Task Force. The 2013 CHNA process included an extensive data analysis and community focus groups. The focus group finding were then evaluated in collaboration with the county level Adult Behavioral Health Risk Factor Surveillance data to identify the top 5 community health needs. In addition to the CHNA, WDH also assesses 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 Health System'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 newsletters, 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. 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 contact 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:	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, and its dental clinic. Accordingly, all of WDPC's facility locations have been listed on WDH's Schedule H. WDPC provided community benefits exceeding $940,000 in 2014. WDPC supports numerous community based programs, including the Community Dental Center and Behavioral Health Services. In 2014, the Hospital provided $180,656 of behavioral health care to 2,126 patients. The Wentworth-Douglass Community Dental Center is open to low-income, uninsured adults and children living in the Hospital's primary service area (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 250% 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 2014, the Dental Center provided $382,000 of community-based clinic services through 3,049 visits.WDPC provides 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 2014, WDPC provided $378,000 of financial aid (stated at cost).Medicaid Costs Exceeding Reimbursement totaled $572,000 for WDPC in 2014.Additionally, in 2014, 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 assisted 11 enrollees from start to finish with the process. All of the Hospital's CACs spent 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 differences 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 Community Health Corporation (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, Reports Filed With States	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Goodwin Community Health
311 Route 108	Somersworth	NH	03878	020304203	501(c)(3)	$165,870	Support for Community Health Center
Dartmouth Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	020222140	501(c)(3)	$35,280	Child Advocacy Program	$0
Foundation for Healthcare for Humanity
777 East Atlantic Avenue	DelRay Beach	FL	33483	650616502	501(c)(3)		Donation of Inventory for General Support	$142,137	Book Value	Inventory
Strafford Health Alliance
200 Route 108 Suite 3	Somersworth	NH	03878	020389434	501(c)(3)	$8,127	Rehab2 Network Expenses
James Foley Legacy Foundation
PO Box 1678	Rochester	NH	03866	471759388	501(c)(3)	$10,000	General Operating Support
Southern New Hampshire Service
PO Box 5040	Manchester	NH	03108	020268285	501(c)(3)	$7,500	Community Detox and Stabilization Services
Amy's Treat
PO Box 2234	Dover	NH	03821	262350766	501(c)(3)	$7,500	General Operating Support
Rollinsford Police Department
667 Main Street	Rollinsford	NH	03869		Government	$6,000	General Operating Support

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	During the tax year 2014, 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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anne Kalter MD
Trustee	$0	$147,958	$0	$32,824	$100,890	$441	$0	$0	$0	$28,235	$100,890	$209,458	$0	$3,076
Joseph White MD
Trustee	$120,000	$0	$0	$0	$51,221	$0	$0	$0	$18,923	$0	$190,144	$0	$0	$51,221
Gregory J Walker
President/CEO	$434,558	$0	$140,346	$0	$203,888	$0	$126,104	$0	$27,680	$0	$932,576	$0	$0	$0
Peter E Walcek
CFO/VP Finance	$315,967	$0	$58,236	$0	$7,971	$0	$65,197	$0	$28,516	$0	$475,887	$0	$0	$0
Paul R Cass DO
VP Medical Affairs/CMO	$356,293	$0	$83,859	$0	$16,434	$0	$68,708	$0	$18,417	$0	$543,711	$0	$0	$0
Ellen L Caille
Executive Vice President	$262,251	$0	$51,690	$0	$24,193	$0	$53,799	$0	$28,408	$0	$420,341	$0	$0	$0
Daniel N Dunn
COO/SR. VP Operations	$252,890	$0	$22,276	$0	$18,916	$0	$14,411	$0	$18,617	$0	$327,110	$0	$0	$0
Malcolm D Rosenson MD
Chief Quality & Safety Off	$286,281	$0	$0	$0	$1,392	$0	$10,400	$0	$25,450	$0	$323,523	$0	$0	$0
Sheila M Woolley
CNO/VP Patient Care	$228,355	$0	$31,825	$0	$26,324	$0	$35,522	$0	$17,117	$0	$339,143	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, 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) - 2014 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 2014, 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 2014 plan year, for those individuals identified in Schedule J - Part II, are as follows: Peter E. Walcek = $48,897, Paul R. Cass, DO = $55,708, Ellen L. Caille = $43,399, and Sheila Woolley = $23,752. WDH sponsors 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 employees includes the annual value of the life insurance. Total premiums paid during the year ending 12/31/14 were $21,444 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 2011A
A	020279866	644614var	2011-04-06	$87,920,000	Refinancing bonds & construction of new inpatient wing	0	0	0
NHHEFA Authority Revenue BondsWDH Issue Series 2011B
B	020279866	644614M63	2011-04-06	$18,390,000	Refinancing bonds	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$87,825,276	$12,476,983	$976,169	$44,372,124	2012	0	0	0	Yes (1)
B	$18,390,000	$16,673,374	$184,826	$1,531,800	2011	Yes (1)	0	Yes (1)	Yes (1)

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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)

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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
Piper Jaffray - See
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	Part VI for more	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: NHHEFA Authority Revenue Bonds/WDH Issue, Series 2011A Date the Rebate Computation was Performed: 01/01/2013 Issuer Name: NHHEFA Authority Revenue Bonds/WDH Issue, Series 2011B Date the Rebate Computation was Performed: 01/01/2013
Part IV, Line 4c	The $18,390,000 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 1/1/2023) and the other 19.8 years (ending on 1/1/2031).

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	Supplemental Retirement Benefits - Split Dollar Life Insurance	Yes (X)	$91,664	$91,664	0	Yes (1)	Yes (1)
Daniel N Dunn
COO/SR. VP Operations	Supplemental Retirement Benefits - Split Dollar Life Insurance	Yes (X)	$360,053	$360,053	0	Yes (1)	Yes (1)
Sheila M Wooley
CNO/VP Patient Care	Supplemental Retirement Benefits - Split Dollar Life Insurance	Yes (X)	$201,316	$201,316	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$653,033	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Anne Kalter MD
Board Trustee	$100,890	Dr. Anne Kalter was a 50% owner of Gynecologic Paradox (formerly Gynecology & Infertility Associates) and board member of the Hospital. During 2014, the Hospital made payments to Gynecologic Paradox of $100,890 for consulting services, call services, and rent.	0
Gregory J Walker Peter E Walcek
President/CEO and CFO/VP Finance	$2,433,607	Gregory J. Walker, President/CEO and Peter E. Walcek, CFO/VP Finance of the Hospital are officers of Granite Shield Insurance Exchange (GSIE). The Hospital's ownership interest in GSIE remained at approximately 11% in 2014. WDH also made captive insurance payments totaling $2,433,607 to GSIE in 2014.	0
Gregory J Walker Peter E Walcek
President/CEO, CFO/VP Finance, & CNO/VP Patient Care	$1,375,000	Gregory J. Walker, President/CEO, Peter E. Walcek, CFO/VP Finance, and Sheila M. Woolley, CNO/VP Patient Care of the Hospital serve on the board of managers of Wentworth Home Care & Hospice, LLC. The Hospital has a 50% ownership interest in Wentworth Home Care and Hospice, LLC. The Hospital accounts for its investment in joint ventures under the equity method. The 2014 income recorded for the Hospital's share of revenues equaled $1,439,734 from which is received a cash distribution of $1,375,000.	0
Gregory J Walker
President/CEO	$345,680	Gregory J. Walker, President/CEO of the Hospital is the CEO of Granite Health Network. The Hospital maintained an ownership interest of 18.6% in Granite Health Network in 2014. The Hospital paid a total of $345,680 in 2014 for monthly shared services.	0
Joseph White MD
Board Trustee	$190,144	In 2014, Dr. Joseph White received a stipend of $120,000 (as an independent contractor) for his servicse as president of the medical staff. Additionally, Dr. White received a contribution of $15,196 to and a distribution of $51,221 from WDH's Call Pay Plan during 2014, which is avialable to independent physician contractors who provide on call services to the Hospital, and an allowance of $3,727 to attend a professional conference.	0
Peter Dirksmeier MD
Board Trustee and employee of SOSMed	$224,287	$87,707 of rental fees for professional medical space located at the WD Professional Center in Lee, NH and $136,580 for practice support services which represent amounts the Hospital paid to SOSMed related to SOSMed receivables collected by the Hospital. Additionally, Dr. Dirksmeier received a contribution of $12,300 to WDH's Call Pay Plan during 2014, which is avialable to independent physician contractors who provide on call services to the Hospital.	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II:	FormAndLineReferenceDesc
Explanation	Amounts stated on Schedule L, Part II represent the net present value expected on the total premiums paid through 12/31/14 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, 2014 for disqualified persons are $91,644 for Peter E. Walcek, $319,573 for Daniel N. Dunn, and $178,683 for Sheila M. Wooley. Pursuant to updated 2014 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. However, as this reporting is a result of revisions to the 2014 instructions, amounts have not been reported in the Beginning of Year column of Form 990, Part X, Line 5 even though the split dollar policies have been in force in prior years.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Wentworth-Douglass Health System (WDHS), a New Hampshire nonprofit corporation, was formed in 2012 as the result of the corporate restructuring of Wentworth-Douglass Hospital (WDH) into an integrated health system. WDHS serves as the parent company of WDH and its affiliates Wentworth-Douglass Hospital and Health Foundation and Wentworth-Douglass Physician Corporation, 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 WDH. WDHS is intended to act as a supporting organization of WDH, serving in the role of the "parent company" of the Hospital and the affiliates. WDHS is the sole member of WDH.
Form 990, Part VI, Section A, line 7a	WDHS will appoint 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.
Form 990, Part VI, Section B, line 11	A draft of the Form 990 is initially reviewed in detail by the Finance Committee and 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 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 Hampshire 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 of Trustees 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 2014 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 2014, Mr. Webb has been classified as an independent board member.
Form 990, Part VII, Section A, Column D:	Reportable Compensation from the Organization: The 2014 compensation reported for Dr. Joseph White was paid by Wentworth-Douglass Hospital for his services as the president of the medical staff. Dr. White is not compensated for his services as a trustee of WDH. The 2014 compensation reported for Dr. Anne Kalter was paid by a related organization (Wentworth-Douglass Phsycians Corporation) for her services as a member of the medical staff and, as described below, as part of the Call Pay Plan covering the time period prior to her employment with Wentworth-Douglass Physician Corporation. She is not compensated for her services as a trustee of WDH. Additionally, Drs. White, Dirksmeier, and Flavin each received a contribution during 2014 to WDH's Call Pay Plan which is available to independent physician contractors who provide oncall services to the Hospital. These amounts have been reported in Part VII, Column (F). In 2014, Dr. Kalter, Dr. White, 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.
Part IX, Line 24d:	Increase in Medicaid Enhancement Tax: The New Hampshire Medicaid Enhancement Tax (MET) is a 5.5% tax on net patient service revenue paid by hospitals to the State of New Hampshire. Hospitals have been paying the MET since 1991, but in previous years, after the State had received matching federal funds, it provided the hospitals 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. Accordingly, in 2010 Wentworth-Douglass Hospital paid $11,257,754 in MET and received $10,520,601 in uncompensated care payments from the State. However, beginning in 2011, the State reduced and/or eliminated payments to the hospitals for uncompensated care. For 2014, Wentworth-Douglass Hospital paid $13,531,204 in MET (see Part IX, line 24d) and recorded $158,000 of uncompensated care (UCC), principally related to reserves on prior year payments. For 2015, the Hospital estimates the state will reimburse 50% of UCC.
Form 990, Part XI, line 9:	Net Loss on Investments in Joint Ventures & Related Organizations -20,975,323. Accrued Earnings in Joint Ventures Owned by Affiliates 1,029,725.
Form 990, Part XII, Line 2c:	Audit Review Process: The Finance Committee oversees the audit process for Wentworth-Douglass Hospital and all related organizations. The audit process for the financial statements did not change from the prior year. Independent accountants performed the audit in both 2012 and 2013.
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 premiums paid through 12/31/14 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.

Schedule R IRS990ScheduleR

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	Direct Controlling NADirectControllingNACd
Wentworth-Douglass Physician Corporation
789 Central Avenue	Dover	NH	03820	020497927	Health care	NH	501(c)(3)	Line 3	Wentworth-Douglass Health System	0
Wentworth-Douglass Hospital & Health Foundation
789 Central Avenue	Dover	NH	03820	510491062	Philanthropic fund raising & stewardship	NH	501(c)(3)	Line 11b, II	Wentworth-Douglass Health System	0
Wentworth-Douglass Health System
789 Central Avenue	Dover	NH	03820	461635259	Support and further charitable activities of Hospital and related entities	NH	501(c)(3)	Line 11b, II		0	N/A

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	900975592	EIN
Primary Activities	Surgery Center	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Community Health Corporation	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	Health fitness center	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Wentworth-Douglass Community Health Corporation
K	$152,772	Actual per books
Wentworth-Douglass Community Health Corporation
M	$144,129	Actual per books
Wentworth-Douglass Community Health Corporation
O	$228,414	Actual per books
Wentworth-Douglass Community Health Corporation
Q	$164,628	Actual per books